Chapter 329 Guidance Earning 50,000
Soon, a voice was heard.
"Hello, Doctor Wei!"
It was a pleasant female voice, and her appearance appeared on the screen.
She was probably in her twenties.
She seems to be in good spirits.
Netizens were confused.
This, this person is fine.
How did it get transferred online?
Just when people were confused.
The girl's words dispelled everyone's doubts.
"Hello, this netizen."
"Doctor Wei, my grandma is in the hospital recently and needs surgery. I would like to ask about the surgical plan."
It turned out to be her grandmother, and everyone was relieved.
Otherwise, everyone will definitely question the fairness of the live broadcast platform.
This person was fine, why was he let in?
Then again, the elderly wouldn’t use such advanced functions, right? Aren’t they supposed to let the children do it?
"Okay, tell me about the situation, and take a picture of the report and send it to me."
"Okay!" said the girl.
Then, a series of operations.
In fact, online medical consultations are not faster than offline ones.
Especially during the transmission, if the other party does not speak, it is basically impossible to diagnose.
The report soon reached Wei Ping.
He said: "The patient is 80 years old and has irregular bowel movements, accompanied by diarrhea and blood in the stool. He was diagnosed with rectal cancer!"
"Yes, Doctor Wei."
"I've examined the patient and found he has a long course of illness. If he doesn't undergo surgery, he could develop intestinal necrosis. His life could be in danger at any time."
Rectal cancer is one of the most common malignant tumors of the digestive system. For older patients, surgical complications and mortality are often high due to their old age and poor basic conditions.
He saw that the patient had a long course of illness and there was an equal probability of intestinal necrosis, septic shock, and multiple organ dysfunction.
"Yes, that's what the doctor said. There's a problem now, which is that the anus can't be preserved after the operation. We need to preserve it. If the anus is gone, it will cause a lot of inconvenience for the elderly."
"Spinal preservation surgery must meet strict surgical indications! Whether or not sphincter preservation is suitable also requires consideration of multiple factors, including the distance between the tumor location and the dentate line at the upper edge of the anal opening, tumor size, tumor invasion depth, and lymph node metastasis. Furthermore, factors such as the patient's body shape, pelvic dimensions, and safe length must also be considered."
You can't do it just because you want to.
Wei Ping looked at the report again and said, "The tumor is 4cm*4cm and is only 1-2cm away from the dentate line. If we want to completely eradicate the tumor, preserving the anus is extremely difficult."
"Yeah, that's what the doctor said."
The girl said excitedly.
At this time, people on the entire Internet have re-acquainted themselves with this disease.
It turns out that you will lose your anus.
Wei Ping added: "Preserving the anus is an important principle in rectal tumor surgery. Doctors usually do not lightly choose to remove the anus. Because the surgery determines whether the patient needs to use an artificial anus, it is related to the individual's survival dignity and quality of life, so any misdiagnosis or mistreatment cannot be tolerated.
Before or during surgery, doctors should be guided by pathological examination results to minimize the impact of surgery on the patient's life. Other surgical options will only be considered if preserving the anus is no longer feasible."
After hearing this, the girl expressed her understanding.
But if you can fight for it, why not fight for it?
"Let me tell you here that some people are more likely to develop colorectal cancer, so please try to change these habits. Excessive drinking and obesity increase the risk of colorectal cancer, as do people who lack exercise. An unhealthy diet can also increase the risk."
Wei Ping said as he looked at the report.
At this time, everyone took out notebooks and wrote it down.
The last live broadcast made everyone pay attention to the importance of healthy living.
But after a period of time, some people forgot about it again.
Now, because of the existence of such cases, everyone feels that they have to pay attention to healthy eating.
Based on the report alone, Wei Ping still couldn't determine what kind of surgery to use, so he asked to see the patient.
"Let me check on the patient. Point your phone at the patient, don't show your face, and don't move!"
The face is not shown to protect privacy.
The girl was a little surprised at Wei Ping's request.
But I did it anyway.
This was the same as when Wei Ping looked at the pregnant woman.
Everyone didn't discuss it too much, but instead talked about how it was really painful for someone to have such a disease at such an old age.
Others have already thrown some junk food out of their homes.
Some women even threw their husbands' cigarettes directly into the trash can.
Alcohol consumption has also been affected.
When the mobile phone was pointed at the patient, Wei Ping could see clearly that there was already an inflammatory reaction in the abdomen.
The operation must be performed quickly.
And what he saw was clearer than what he saw on the machine.
And he made a conclusion.
The feasibility of this operation is more than 90%.
So, he followed up with, “Okay, you want my advice?”
"Doctor Wei, please speak!"
"Take some notes and give them to the doctor to see if it's okay. Of course, I'm just suggesting that you try not to be too arbitrary when speaking to the doctor, otherwise it might hurt the doctor's pride. Just talk it through slowly."
Although his suggestions are sometimes good, if the patient's family members talk nonsense, it may make the treating doctor feel unhappy.
Then all my efforts would be in vain.
"Yes, I understand. I'm taking notes now."
"Okay, I suggest abdominoperineal radical resection of rectal cancer with a coloabdominal stoma."
"What does this mean?"
"It requires surgery to remove the anus and then create an artificial anus in the abdomen."
There was silence on the other side for a long time.
It seems that this has to be done now.
The artificial anus proposed by Wei Ping seems to be a possible solution.
"this……"
"Because the tumor is only about one centimeter away from the anus, with such a small distance, it's possible that the tumor cells have already invaded the anal cells. To completely remove the tumor, the surgery needs to be expanded, so the anus is removed and an artificial anus is created. This surgery must be performed as soon as possible, otherwise it will be life-threatening."
He was right. If the invasion was too deep and it recurred, the consequences would be disastrous.
The patient has to undergo another surgery, which is really painful.
"Okay, thank you Dr. Wei." The girl agreed with Wei Ping's suggestion.
At this time, the APP prompts:
"Congratulations to the instructor for using abdominoperineal radical resection of rectal cancer + coloabdominal wall stoma and receiving RMB yuan! Proficiency +5000, /"
I didn’t expect that there is money to be made for coaching. That’s great.
This was something Wei Ping had never thought of.
This case took nearly twenty minutes.
It seems that at most three people can be seen in an hour.
But this is enough.
If you can help one person, it counts as one.
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