Healing Doctor

Chapter 216: The words may be rough, but the reasoning is sound.

"Teacher, is the surgery safe?" Ji Xiang asked.

If the goal is simply to preserve the possibility of urinating while standing and allow the tumor to grow unchecked, then the surgical procedure would be better off not existing at all.

Surgery is still necessary to treat the illness.

"In the surgical treatment of early-stage thyroid cancer, different surgical approaches can be selected according to the location, size, and stage of the lesion, such as partial resection, total resection, and inguinal lymph node dissection."

"Generally, surgical removal of lesions should be performed at least 2 cm away from the edge of the tumor. This often results in patients losing the ability to stand and urinate, making normal sexual life very difficult, and causing significant psychological distress."

"You just encountered the same situation; you probably have your own understanding of how the patient felt."

"Yes, teacher." Ji Xiang nodded. "My own feelings are secondary, because I can perform partial resection and lengthening surgery. The patient in the next bed pulled me to smoke, envying that I can still urinate standing up."

"You'll gain new insights after seeing more patients," the system NPC said. "Because D cancer can cause cancer cell metastasis, some patients choose total resection to avoid tumor metastasis and reduce tumor recurrence."

"There are related reports regarding your question."

"Teacher, I haven't read enough books." Ji Xiang finally understood the saying, "You only realize how little you know when you need it."

"Let me briefly explain. The study compared the clinical effects of partial resection plus lengthening with total resection."

The study found several points that need attention.

First, under the two surgical methods, the operation time in the study group was longer and the intraoperative blood loss was higher than that in the control group. In other words, the partial resection surgery is more difficult. It's not that general surgeons don't want to do it, but that they can't.

However, the postoperative pain score in the study group was lower than that in the control group, suggesting that although the operation time was longer and the intraoperative blood loss was greater in partial resection with extended surgery, the postoperative trauma to patients was smaller, and the postoperative pain was less, which was more conducive to postoperative recovery.

"second……"

"..."

"Eighth and final point: In both surgical procedures, no patients experienced incision infection or urethral meatus stenosis after surgery, and their urination function was not affected by the surgery."

Total urination combined with colostomy allows patients to urinate normally while squatting. Partial urination has no impact on urinary function post-surgery, and all patients can urinate normally while standing.

"That's basically it. The probability of metastasis after surgery doesn't change significantly, but the quality of life will be completely different."

"Teacher, the surgery isn't too difficult, is it?" Ji Xiang hesitated for a moment.

"It can be done with a basic LV5 level surgical skill, but there is always the possibility of incomplete removal leading to metastasis," the system NPC explained. "Therefore, most doctors choose to cut it off directly."

"..."

"After all, cervical cancer is not common, the skill level of doctors varies, and there are various social problems, so there's nothing we can do about it." The system NPC sighed.

"Teacher, wouldn't it be better if we could train together?"

"That's the purpose of the system's existence," the system NPC said calmly, without hiding anything. "Any other questions?"

"That's all." Ji Xiang roughly understood what he needed to do and what he could do. He prepared to practice surgery again after returning home.

Say goodbye to the system NPC and return to reality.

……

……

"If you use your prostate to think about it, you'd know that the director might very well turn his back on you after accepting your gifts," came Mr. Wu's voice.

Ji Xiang was slightly taken aback.

This……

Having spent so much time in the system, the conversation between General Manager Wu and Lu Kai seemed like it had been countless years ago, making them feel somewhat unfamiliar.

They were talking about how Lu Kai was going to give gifts to the director of the county hospital after returning to his hometown and ask General Manager Wu to perform a surgical procedure. Ji Xiang tried hard to recall and finally remembered their previous conversation.

"Would the directors really be so shameless as to renege on their promises?" Lu Kai asked.

"These days, whoever cares about their reputation suffers," Mr. Wu said disdainfully. "You'll know what it's like when society knocks you down and beats you to a pulp."

"Mr. Wu, how were you killed?"

Lu Kai was quite happy when this was mentioned, his eyes shining with a yellow light.

"I had good grades back then. Let me put it this way, even if the school offered me a spot for postgraduate recommendation, I wouldn't use it."

"Why?" Lu Kai's jaw nearly dropped in shock.

For him, being recommended for postgraduate studies was an unattainable dream. If he had that opportunity, he would never give it up.

"Sigh, I was too ambitious back then," Mr. Wu sighed. "My score on the postgraduate entrance exam was quite high, 395!"

Lu Kai stared in astonishment and gave a thumbs up.

"As a result, I was squeezed out by someone who scored over 330 points in the re-examination," said Mr. Wu. "Fortunately, I had high emotional intelligence back then, and our director didn't look down on me, which is why I was able to transfer to another school."

Ji Xiang was also learning about Mr. Wu's experience for the first time. It was indeed unacceptable that a top student with a score of 395 was squeezed out of the top spot.

"Mr. Wu, you really are... utterly annihilated." Lu Kai sighed. "If I were you, I'd probably be depressed. No, if it were me, I'd jump off a building. Luckily, my grades aren't good, and I don't want to take the postgraduate entrance exam."

"I was the same at first, but then the director mentored me..."

"Mr. Wu, wait a moment." Lu Kai stopped Mr. Wu. "Are you the director's graduate student?"

"yes."

"Then why not call him Director or Boss?"

"The director thought these titles sounded like he was doing business, so he wouldn't even let anyone call him 'teacher,' only 'director,' and even said he was obsessed with officialdom."

"Haha, no, no." Lu Kai laughed. "What did Director Liu take you to do after that?"

"I've been managing several patients who underwent total resection for genital cancer, changing their dressings daily and communicating with them. This kind of work isn't really our responsibility; psychological counseling is something psychologists do, but the head doctor assigned me to five patients."

"Since then, I've come to terms with it," Mr. Wu sighed. "The most important thing is to live a complete and healthy life. Look at those people who are always whining and complaining; they're just being dramatic. What's that saying again?"

"A bitch is just being pretentious."

"A bitch is just being pretentious."

Mr. Wu and Mr. Lu Kai said in unison.

These two are really full of bromance, Ji Xiang smiled.

The words may be rough, but the principle is sound. Ji Xiang was just chatting with that patient in the system and sensed his frustration, which he is still struggling to overcome.

A simple thought—to pee standing up, and also for my wife and kids.

Nothing else is more important.

Mr. Wu is right. At least he met Director Liu, which allowed him to pursue a master's degree and stay at the First Affiliated Hospital.

Having gone through that experience, it's no wonder that Mr. Wu knelt down in front of the patient and spoke softly to comfort him.

Although Mr. Wu has not experienced it firsthand, he has gone through more of it and can understand the difficulties faced by patients.

(End of this chapter)