Chapter 669 I Have Plenty of Money
It took Yu Zhiming nearly ten minutes to give the old man a thorough examination of his heart and body.
He withdrew his hand and stood up, and then he heard the sound of the old man chasing him.
"Zhiming, I'm almost suffocating to death from being stuck in this small space all day long."
Old Man Gu stood up and swung his arms, kicked his legs, and twisted his waist, showing his physical vitality to Yu Zhiming.
"Zhiming, I've gained fifteen or sixteen pounds and eaten a lot. I feel full of energy. Can I leave here and go out for a walk?"
In light of the inspection just now, Yu Zhiming nodded and said, "If the weather is good, it's okay."
"However, you need to keep warm to avoid colds, avoid overexerting yourself, and pay attention to your diet."
The old man was so happy when he heard this that he was as happy as a child.
"My dear, Qingran, did you hear that? Zhiming said I can go out for some fresh air now."
"Arrange a car for me tomorrow morning."
Gu Qingran responded with a helpless look on her face, then said goodbye to Yu Zhiming and left, joining Zhou Mo and Duan Yi who were waiting outside, and went to the confinement center together.
After walking a dozen steps, Gu Qingran suddenly said, "Zhiming, my great-uncle, who you diagnosed with heart problems last time, took a nap after lunch today and never woke up again."
Yu Zhiming let out a soft "oh".
Gu Qingran sighed softly, "After learning of your diagnosis, all his descendants, no matter where they were, rushed back this Spring Festival to celebrate a lively and reunion Spring Festival."
"Leaving like this can be considered as passing away with a smile on his face..."
At the confinement center, Yu Zhiming adjusted the fetal positions for three pregnant women about to give birth.
Then, he went to the Ning'an Lake, to the best-equipped inpatient building of Ning'an Hospital, and gave Meng Fan a physical examination.
The inspection results are good.
No cancer was found, and the body's recovery rate far exceeded Yu Zhiming's expectations.
However, at this moment, can he survive the severe side effects of CAR-T treatment with the help of ginseng life-extending pills?
"I can't judge."
Yu Zhiming looked at Meng Fan, who was thin and weak on the hospital bed, and frankly said to Chief Oncologist Teng Jian and others beside him, "I can't judge the timing for starting CAR-T treatment. You need to make the decision yourself."
Dr. Teng exchanged glances with several colleagues and remained silent.
They also knew that Yu Zhiming had very little clinical experience, and it was indeed difficult for him to determine the timing for the next step of treatment.
However, they are not sure about making the appropriate time decision.
As things stand, the longer the delay, the better Meng Fan's recovery will be, and the more likely he will be able to survive the severe physical reactions during CAR-T treatment.
However, the number of cancer cells multiplying in his body will increase, and they may take root somewhere in the body, giving rise to new cancerous tissues, allowing the clustered cancerous tissues to resist the cell attacks of CAR-T therapy.
This time point is really hard to determine...
Gu Qingran was inevitably disappointed when he saw the oncologists in his hospital evading responsibility and remaining silent.
He also understood that this was indeed a big problem.
Also, the level of these oncologists in our hospital is just so-so, and they are still far from being the top ones.
Gu Qingran didn't make things difficult for them.
"I will invite several experts from Huashan Hospital to make a comprehensive assessment of Mr. Meng's physical condition..."
After leaving Meng Fan's ward, Yu Zhiming conducted physical examinations on the other ten patients with advanced cancer who were undergoing rehabilitation treatment.
After the inspection, they all asked Yu Zhiming with great anticipation.
Can they receive his systemic cancer treatment like Meng Fan?
Yu Zhiming was telling the truth.
They were either in weak physical condition or their internal organs had been completely invaded by tumors and could not withstand his treatment plan.
At this time, it was already past eight o'clock in the evening.
Yu Zhiming followed Gu Qingran into a luxurious double room and met a couple in their forties.
The man's name is Zhao Hui, he is 44 years old; the woman's name is Yu Jiana, she is 43 years old.
Both of them were wearing hats. The man was about 1.8 meters tall and slightly thin.
The woman was extremely thin, with sunken eye sockets. She looked listless and lay weakly on the hospital bed.
What surprised Yu Zhiming was that both the couple were cancer patients.
Zhao Hui stood up to greet him, coughed, and introduced, "Doctor Yu, five years ago, my husband and I sold the technology company we co-founded and the related patents to Penguin Group for over 600 million yuan."
"I had hoped to live a happy and carefree retirement life, but unexpectedly, things went against my wishes and I was plagued by misfortunes."
"My wife was diagnosed with breast cancer first, and a few months later, I was diagnosed with lymphoma."
They are truly a couple who share weal and woe.
Yu Zhiming sighed in his heart, and then saw Zhao Hui sitting down on his wife's bedside, holding his wife's bony hand, and then continued to introduce.
"After several years of cancer treatment, my wife discovered six months ago that her cancer had metastasized, with lesions appearing in her lungs and liver."
"As for me..."
Zhao Hui smiled bitterly and sighed softly, "I first received CAR-T treatment, which was very effective. I thought my lymphoma was completely cured."
"I didn't expect that during a checkup two months ago, tumor lesions were also found in the lungs and liver."
Zhao Hui looked at Yu Zhiming and said expectantly, "Doctor Yu, you are my husband and I's last hope."
"Let's do a physical examination first!"
Yu Zhiming replied without emotion, put on surgical gloves, and began to examine Yu Jiana who was lying on the hospital bed.
Yu Jiana's breast has been completely removed.
During the examination, Yu Zhiming found that in addition to the metastasis of cancer in the lungs and liver, her axillary lymph nodes and subclavian lymph nodes also had metastatic cancer.
The situation is not optimistic.
Then, Yu Zhiming gave Zhao Hui a physical examination.
The test results made him frown even more.
"Ms. Yu, you are too weak."
"And Mr. Zhao, four of your five liver lobes have developed varying degrees of cancer."
Yu Zhiming said bluntly, "I must regretfully inform you that neither of you is suitable for my systemic therapy."
After a brief silence, Zhao Hui became excited.
"How is it possible? How is it possible!"
Zhao Hui breathed rapidly and said, "Doctor Yu, did you examine the liver incorrectly? All four lobes of the liver have cancerous changes."
"So fast? Impossible."
Zhao Hui suddenly thought of something and asked anxiously, "Doctor Yu, isn't it said that the liver is very powerful and has a strong compensatory function, so it can grow back after being removed?"
"Just one healthy liver should be enough to support the body's needs, right?"
Facing Zhao Hui's hopeful and eager gaze, Yu Zhiming slowly shook his head.
The liver is the largest substantial organ in the human body and has a strong compensatory capacity. A normal liver is reddish-brown and soft and brittle.
If the liver is of good quality, only about 30% of the liver is needed to meet the needs of the human body.
Therefore, in living donor liver transplantation, the donor generally contributes 60% to 65% of the liver.
This 60% to 65% of the liver will not cause small liver syndrome when transplanted into the recipient.
In this case, the safety of both the donor and the recipient can be guaranteed.
However, this is based on the premise that the liver is in good condition and its functionality has not been greatly damaged.
When the liver texture is affected by diseases, such as hepatitis B, hepatitis C, alcoholic liver disease, fatty liver disease, drug-induced liver disease, etc., leading to liver fibrosis and cirrhosis.
If the lesion persists for a long time and causes damage to the liver, it may even reach the decompensated stage of cirrhosis. In this case, the liver function will be significantly reduced.
If part of the liver is removed, there is a risk of liver insufficiency and liver failure.
Yu Zhiming explained, "Mr. Zhao, you have a severe case of fatty liver, and your liver function has been significantly impaired. According to my estimate, you need to retain at least 50% of your liver to maintain your body's needs."
"And now only one lobe of your liver has not metastasized to the cancer, which is less than 20 percent."
Yu Zhiming could see the light in Zhao Hui's eyes gradually extinguishing.
But the next moment, he grabbed Yu Zhiming's arm.
"Liver transplant? Is it possible to do a liver transplant?"
"I have plenty of money, nearly 300 million, and I can spend it all as long as I can survive."
Yu Zhiming's arm was a little painful because of Zhao Hui's grip. It was obvious that the other party was out of control.
He freed his arm and took a step away before explaining, "A liver transplant requires a significant reduction in your immune system, which will cause the cancer cells in your body to spread everywhere."
After a pause, Yu Zhiming continued, "Well, I'll map out the location and extent of the cancer in your liver."
"Consult with a liver surgeon to see if they can save more of your liver."
Surgical methods for liver cancer resection can usually be divided into regular resection and irregular resection.
Among them, regular liver resection surgery can be divided into resection of the left lateral lobe, left hemiliver, left trisegment, as well as resection of the right anterior lobe, right posterior lobe, right hemiliver, right trisegment and middle lobe.
Irregular liver resection refers to local resection, including wedge resection, fusiform resection and enucleation of liver cancer tumors.
Generally speaking, cancer resection uses extended resection that will not let go of any cancer.
Moreover, the resection of an entire liver lobe is less difficult and the patient recovers faster.
Irregular liver resection has only gradually emerged in recent years with the advancement of surgical technology.
Given the extreme richness of liver blood vessels, it places very high demands on the surgeon's skills.
Yu Zhiming's words rekindled Zhao Hui's hope.
"Doctor Yu, President Gu, please invite the best liver surgery expert in the country to come for a consultation!"
"No, we need to invite the best in the world."
"I have plenty of money!"
Just then, Yu Zhiming heard a whisper.
"Doctor Yu..."
He followed the voice and looked towards the bed.
Yu Jiana's lips moved slightly, "Doctor Yu, I want to take a gamble. I would rather die on the operating table than wait for death in this painful bed..."
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(End of this chapter)
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