"Congratulations, baby. You don't need lung removal surgery at the moment."
The little girl was a little confused by this sudden surprise: "Really?"
Su Yanxi pointed to the thin-slice CT image of the chest on the computer and explained to her professionally, "This nodule on your lung is a typical ground-glass nodule, 0.6 cm in size, and is currently at the carcinoma in situ stage."
"Don't panic, don't be afraid of cancer. Carcinoma in situ has been removed from the category of malignant tumors by the medical community. It's just a habitual name that still contains the word 'cancer'."
"Carcinoma in situ is extremely inert in its growth and may remain unchanged for many years or even for a lifetime."
"Unlike traditional lung cancer, ground glass nodules can be observed and followed up. Your nodule may be in the carcinoma in situ stage and will not develop into a disease in your lifetime. In other words, it is possible that you will never need lung resection surgery."
The light in the little girl's eyes sparkled even brighter, and she said excitedly, "Ahhh, really, Doctor Su, I don't have to lose a piece of my lung?"
Su Yanxi: "It's true, my brave baby. Doctor Su will not make a mistake in diagnosis. If Doctor Su delays your treatment, he will compensate you with an apartment in Beijing."
The little girl felt relieved.
After finally meeting a good doctor, the little girl asked again, "Doctor Su, will my thyroid being removed affect my life expectancy?"
Su Yanxi: "Your thyroid has no lymph node metastasis. Remember to take Euthyrox on time every day and have regular physical examinations. It will not affect your life expectancy."
After explaining her condition to the little girl, Su Yanxi received a call.
Li Xiaoliang, director of thoracic surgery, came to see her.
Su Yanxi came to the director's office and saw another doctor, Jiang Jianian, standing in the room.
Seeing Su Yanxi come in, Jiang Jianian glanced at her and said in a sarcastic voice: "Oh, look, Guanyin Bodhisattva is here."
Su Yanxi and Jiang Jianian have the same title, both are attending physicians.
The department is currently looking to promote a deputy chief physician, and Su Yanxi and Jiang Jianian are both competing for this position.
Jiang Jianian is a favorite of Director Li Xiaoliang and ranks first in revenue generated for the department.
Because he would rather prescribe expensive medicine than cheap medicine, and he would advise patients to have surgery immediately if surgery is possible.
The higher the department's profits, the more dividends the department director can get. Therefore, Li Xiaoliang particularly likes Jiang Jianian.
Jiang Jianian looked at Li Xiaoliang and said, "I have a patient who was supposed to have surgery tomorrow, but the patient was persuaded to leave by Su Guanyin Bodhisattva."
I got 6,000 yuan less in commission.
"Su Guanyin Bodhisattva, why are you so idle? If you have time, you could think more about creating revenue for the department, so that your colleagues can get higher salaries and live a better life. Why are you persuading patients to leave all day long, leaving us to starve with our meager salaries?"
Li Xiaoliang loudly demanded, "Su Yanxi, not only did you steal Dr. Jiang's patients, but you also persuaded the patient who was about to go into surgery to leave?"
Su Yanxi argued, "Director, I want to make two things clear. First, I did not steal Dr. Jiang's patients. The patients came to me for help. As a doctor, my duty is to save lives and heal the wounded. I will not leave patients alone."
"Second, based on my professional medical knowledge, I believe this patient's lung nodule is currently at the carcinoma in situ stage. The cancer cells have not spread to surrounding tissues or other parts of the body, and there's a chance the disease won't progress to a worsening stage over a lifetime. My medical knowledge and professional ethics tell me that this patient doesn't need surgery at this time."
"The patient is only 15 years old, but once the surgery is done, she will be labeled a cancer patient. The pressure she bears is enormous. She will not be able to pass the medical examination when looking for a job in the future, and she will also be discriminated against when looking for a partner."
Which company would want to hire a cancer patient?
Which man would want to marry a cancer patient?
Jiang Jianian sneered: "You keep saying you're thinking about the patients. Doctor Su really thinks he's Guanyin Bodhisattva. He loves saving all living beings so much, why haven't you become an immortal yet?"
"Didn't you just say that not developing into a malignant tumor is only a possibility, not a certainty? Her lung nodules might develop into malignant tumors. I'm performing surgery on her now to prevent it. It's for her own good. It doesn't matter whether it's done early or late."
Su Yanxi said, "Lungs are not like hair that can grow back after being cut. They are non-regenerative organs. Lung removal is a major level 4 surgery. Even what is now called minimally invasive surgery only causes minor surface trauma, but the internal damage is still very serious. Doctor Jiang, you have a doctorate in medicine, so you should understand the impact that removing a piece of lung will have on a patient."
Jiang Jianian choked for a moment, then said, "You also know that I graduated with a doctorate in medicine. You don't need to tell me these theoretical knowledge. Removing the carcinoma in situ is not a medical accident. My treatment philosophy is early removal and early treatment. It should be removed in advance."
The treatment guidelines issued by national authoritative agencies do not clearly stipulate that carcinoma in situ cannot be removed.
Jiang Jianian was smart enough to know that his act of having the patient undergo lung surgery was not illegal, and at most it was considered excessive medical treatment.
In fact, the moment Su Yanxi learned that the little girl was Jiang Jianian's patient, she knew that there would be such a dispute, but she also knew that she had to be worthy of the patient and her own conscience.
She is fearless in disputes, unwavering in her pursuit of truth, and upholding justice is her greatest confidence and reliance.
Li Xiaoliang looked at Su Yanxi and said maliciously, "If everyone acted like Guanyin Bodhisattva like Dr. Su, the hospital would go bankrupt."
"I think there's no need to run for the deputy director of our department. Let's just let Jiang Jianian take the position. Doctor Su, you're still young and there will be plenty of opportunities in the future. Young people need more training. We can talk about your promotion later."
Jiang Jianian was delighted and said, "Thank you Director Li for your support. Director Li is not only a skilled doctor, but also has outstanding medical ethics. He is fair and just in selecting candidates. He is a role model for us younger generations to follow."
Li Mingliang waved his hand towards Su Yanxi and said, "The promotion is settled. Doctor Su, go do what you need to do."
Suddenly, the office door opened and Dean Sun Liming stood at the door.
There was another man standing at the door with Dean Sun.
The man was very tall, with long legs, and was very handsome, with sharp eyebrows and bright eyes, and he looked extremely noble.
It’s Fu Linchen.
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