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Chapter 154 Dr. Song's Transformation

Although Zhang Nianhua has decided to ask Wu Junjie to treat his father, Dr. Song is after all an expert receiving a national subsidy. Although he holds a high position, he still has to give due respect to Dr. Song, and he invited Wu Junjie this time.

When he came to Peiping, Dr. Song obviously misunderstood that he did not trust his medical skills, so at this time he apologetically introduced to Dr. Song: "Director Song! Let me introduce to you, this is the Oncology Department of Shanghai People's Hospital.

Director Wu Junjie, who has very rich clinical experience in cancer treatment, was specially invited by me from Shanghai to help my father treat his illness."

Just as Zhang Nianhua expected, Dr. Song's face couldn't help but change when he heard Zhang Nianhua's introduction. If he had learned that the patient's family members did not trust him, he would have waved away angrily, but because of Wu Junjie's age

, which made him feel insulted. At this time, the competitive mentality that had almost disappeared in his heart was aroused, and he said with a sneer: "It turns out to be Director Wu from Shanghai People's Hospital! I am very happy to meet you, Director Wu.

At such a young age, he has made such profound achievements in the field of cancer. Today I can just take this opportunity to learn more."

When Dr. Song said this, without waiting for Wu Junjie's answer, he directly ordered the doctor in charge of treatment: "Xiao Wei! General Zhang is a family member of the patient. He has the right to ask us to do this. Now you should follow General Zhang's words and treat the patient as a patient."

The treatment equipment has been withdrawn.”

"Wait! Doctor Wei! You don't need to remove the instrument. You just need to turn it off temporarily because it will be used later." Wu Junjie heard what Dr. Song said and saw that Dr. Wei was about to enter the intensive care unit, so he ordered Dr. Wei.

.

"Director Wu! Didn't you just say that palliative care has no effect on the patient? Why did you say that you will use it later? Isn't this contradictory to what you said before?" As soon as Wu Junjie said his words, he was in Song Dynasty.

In his heart, the doctor is already the kind of doctor who has no real information and can only talk nonsense. He despises this kind of doctor who does not take the patient's life seriously. In addition, Zhang Nianhua invited Wu Junjie to

It was his distrust of him, which made the anger in his heart suddenly burst out. Using Wu Junjie's words, he asked Wu Junjie in return.

When Wu Junjie saw Dr. Song for the first time, he immediately guessed that Dr. Song was the kind of old doctor who only wanted to do research. Although Dr. Song kept provoking him because of his youth, he still felt that this kind of moment would change the patient's life.

Wu Junjie still gave a certain amount of respect to the doctor who was placed in the first position.

When asked by Dr. Song in front of him, Wu Junjie did not show any dissatisfaction and replied with a smile: "Dr. Song! I did say just now that palliative treatment has no effect on the patient. The number of irradiations for palliative treatment can be counted by oneself."

Times to dozens of times should be determined according to the specific situation and equipment conditions, but it must be based on the principle of not increasing the patient's pain. If there is a large radiation reaction or the ks score drops during the treatment, the treatment plan can be modified as appropriate to reduce the pain.

Symptom treatment involves irradiation of the symptom-producing area, usually with high doses and few fractions.”

"If I guess correctly, the number of palliative treatments you have given to the patient has been increased to more than 30 times, but have you found that the patient's face still shows a painful reaction? This means that this treatment is no longer effective for the patient.

Any effect, but if intracavitary brachytherapy is used, the catheter is placed at the bronchial lesion through a fiberoptic bronchoscope, and iridium (192ir) is used for brachytherapy, combined with external irradiation, the effect will be obviously different, so I

This will cause Dr. Wei to temporarily stop palliative care for the patient."

Whether Wu Junjie is really flashy or not, it was immediately clear based on Wu Junjie's words. When Dr. Song heard Wu Junjie's explanation, the original dissatisfaction on his face was immediately replaced by shock, and he said to himself

Said: "Why didn't I think of this problem?"

At this point, Dr. Song said to Wu Junjie calmly: "Director Wu! I apologize for my previous behavior of doubting your medical skills because of your youth."

Hearing this, Wu Junjie smiled and replied: "Dr. Song! This is not the first time I have encountered this situation. I understand your previous reaction very well, but the combined treatment of these two methods is not suitable for every patient.

When helping patients to undergo this treatment, we must first confirm whether the patient's condition is suitable for this treatment plan, such as those who are elderly, frail or cachectic, have severe heart, liver, and kidney dysfunction, have poor bone marrow function, and have insufficient white blood cells.

Those with platelets below 3x109/l and platelets below 80x109/l (direct count) may have complications, infection, fever, bleeding tendencies, etc. These conditions are not suitable for this treatment.”….

Hearing Wu Junjie's words, Dr. Song was completely conquered by Wu Junjie. At this time, he no longer behaved like an old scholar. Instead, he looked like a primary school student who studied hard, and understood what Wu Junjie said word for word.

He wrote everything down and asked Wu Junjie very respectfully: "Director Wu! How are you going to treat the old chief's illness?"

"At present, chemotherapy for lung cancer generally cannot achieve a radical cure. Therefore, at a certain stage of chemotherapy, surgery or radiotherapy should be used when possible to strengthen local or regional tumor control. At the same time, chemotherapy should be given according to the patient's tolerance as much as possible.

At higher doses, for chemotherapy for lung cancer, a certain degree of gastrointestinal reaction and bone marrow suppression are unavoidable. The number of treatment courses should also be appropriately increased according to the patient's response and efficacy, and try to achieve complete remission as much as possible. As for the patient's

Although I have read the patient’s medical records about the treatment plan, I still have to diagnose the patient myself before making a decision!”

Dr. Song has conducted clinical research on cancer for decades. Before Wu Junjie came, he thought he had very rich clinical experience. However, after a brief exchange with Wu Junjie, he discovered that he was actually just a doctor.

It was just behind closed doors, so at this moment he had great respect for Wu Junjie, and did not feel any embarrassment at all because of Wu Junjie's youth. He said to Wu Junjie: "Director Wu! Please come quickly!"

Zhang Nianhua has absolute trust in Wu Junjie, but Zhang Nianhua's sisters and brothers have always been skeptical. However, because of Zhang Nianhua's previous phone call, they did not reveal their thoughts.

At this time, seeing Dr. Song being conquered by Wu Junjie's few words, the Zhang family brothers and sisters finally felt relieved, and a fire of hope gradually burned in their hearts.
Chapter completed!
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