9277在线影院

Ruan Xiufang's condition seemed much better. She was lying on the bed, but now she sat up and said respectfully, "Doctor Jiang."

Jiang Xu nodded without stopping, "Eat the oranges first, and then discuss the operation plan with me later."

Ma Hao and Ruan Xiufang obviously had no intention of eating oranges. Just as Jiang Xu went to call Shao Le and a new rotation graduate student, he saw them standing at his door.

Holding the folder in his hand, Jiang Xu waved to the two, and led Shao Le and the graduate students into the conference room.

"Sit down." He finished speaking to the two, opened the folder, and said to the graduate student beside Shao Le: "Xiao Wang, please briefly describe your illness."

Xiao Wang obviously made preparations. Although he was a little nervous when speaking, and his words kept stumbling, he said all the points that should be said.

Jiang Xu said "Yes", and Xiao Wang breathed a sigh of relief.

He took out the checklists and case reports from the folder, and put them one by one in front of Ruan Xiufang. Seeing that Ma Hao was trying to probe this way, he slightly pushed a few pages to that side. , let him see more clearly.

He put it aside and explained the situation to the two of them. Ruan Xiufang and Ma Hao had both calmed down from the bad news and listened very carefully. In addition, Jiang Xu replaced some incomprehensible terms , Ruan Xiufang understood.

"Doctor, can I really live for a long time?" She listened to Sister Cai's reassurance, and heard Ma Hao say it again, but when it comes to life and death, she looked at Jiang Xu in a white coat, and couldn't help but confirm repeatedly road.

"There is no absolute thing in medicine," Jiang Xu said: "But in terms of statistical data, the prognosis of early cervical cancer is not too bad."

After introducing the basic situation, he got to the point, "Today I'm looking for you mainly to talk about the choice of surgical technique."

Ruan Xiufang can choose two surgical methods, cervical conization or total hysterectomy. As the name suggests, the former only removes the cervix, and the latter removes the complete uterus.

Ruan Xiufang already had a child, Jiang Xu confirmed that she had no desire to continue having children, and said: "Generally, in this case, we usually recommend total hysterectomy, the prognosis will be better, and according to statistics, the probability of recurrence is also lower. "

"Total hysterectomy..." Ruan Xiufang hesitated, "Then I won't have a uterus."

"The main function of the uterus is to conceive the fetus. Don't worry, it won't affect your normal life." Shao Le took over the words.

Ruan Xiufang looked at Shao Le, "But, Dr. Jiang... What Dr. Jiang said just now is just to remove the cervix." She was a little confused as she spoke.

"Based on the current preoperative evaluation, your condition is in line with the indications for conization," Jiang Xu said, "but the risk of conization is also greater."

To put it bluntly, as long as a malignant tumor grows into a mass that is visible to the naked eye, the doctor can cut it off, but there may still be some tumor cells that are invisible to the naked eye, and it may reappear somewhere.

For the uterus, an organ that is not necessary for survival, total resection is the safest therapy, which is one of the reasons why the prognosis of cervical cancer is better than that of other important organ cancers.

Ruan Xiufang fell silent when she heard the words, and didn't ask any more questions, as if she had understood what Jiang Xu meant.

"The current arrangement is to perform radical surgery first, and then there will be three stages of radiotherapy and chemotherapy. The first stage of radiotherapy and chemotherapy will be done in our department, and then Shao Le will arrange for you to be transferred to the oncology department." Jiang Xu asked: "Any questions? "

"Doctor..." Ruan Xiufang murmured for a while, "I still want...to keep my uterus."

Jiang Xu glanced at her, drew a line on the document with the pen in his hand, and handed it to Ruan Xiufang, "Conization needs to be followed by three stages of radiotherapy and chemotherapy. The excised tissue will be sent to pathology during the operation. If the margin is positive, that is, If there are traces of tumor cells, a total resection is still required.”

If the surgical margin is positive, it should be considered as invasive cancer, and Ruan Xiufang's staging needs to be redefined and judged. If the situation is not ideal, further lymph node dissection and bilateral adnexectomy may be required.

Ruan Xiufang shook her head, "But the doctor..." She hesitated, "Without a uterus, I would not be a woman."

Jiang Xu's eyelashes suddenly trembled quietly.

This time, before Jiang Xu could speak, Ma Hao spoke first, "Daughter-in-law, life is the most important thing at any time. If your life is gone, what do you want a womb for? Who dares to say that you are not a woman? I'll beat him to death."

Jiang Xu took a pen and glanced at Ruan Xiufang.

"The main thing that supports you to maintain your secondary **** characteristics is the estrogen in the ovaries," he said. "If the situation is good during the operation, we will try our best to keep your ovaries."

"That's different, doctor," Ruan Xiufang said distressedly, "I feel uncomfortable. If I have to cut it to survive, then that's fine, but right now it's clear that I don't have to cut it. I'm willing to take the risk." She said: "I'm definitely not the only one who underwent this operation. How could I be so unlucky to relapse."

Jiang Xu nodded when he heard the words, and told Ruan Xiufang all the precautions and the advantages and disadvantages of the two techniques again, "You can go back and discuss it, and make a decision tomorrow morning when I come to check the ward."

After speaking, he closed the folder, put the pen back in his jacket pocket, and walked out of the meeting room.

Graduate student Xiao Wang followed Shao Le. He had not been here for long and knew that Jiang Xu was always strict, so he didn't dare to ask him directly, so he lowered his voice and asked Shao Le beside him, "Sister Shao Le, Teacher Jiang left just like that. Persuade me again?"

Shao Le shook his head, remembering that when she first came here, she also had this kind of question. Jiang Xu just told her to explain clearly to the patient, just like the uterus, you may think it is not important, but You have to admit that it is very important to some people. Everyone's needs are different. As a doctor, you must not judge others by yourself, but give priority to the needs of patients.

Especially cancer, a disease that is closely related to mental health and mental state, such as Xiang Ruan Xiufang who is so resistant, even if she does everything for her safety, she may be depressed and more likely to relapse.

She still remembers that Jiang Xu took over an old lady with vaginal genital warts. Everyone thought that the old lady was so old, so she naturally didn't pay much attention to scar repair, but Jiang Xu remembered to ask an old lady Did the wife still need **** in the future? Unexpectedly, the white-haired old lady really nodded, and the surgery team urgently changed the operation.

Most people are always prone to judge others by their own feelings or worldly cognition, but there are thousands of faces, and the most important thing for doctors to do is to consider the needs of patients themselves.

She whispered the past to Xiao Wang, who nodded thoughtfully and looked at Jiang Xu's slender back.

Jiang Xu's mind was always lingering in Ruan Xiufang's unintentional words just now, and he lost his mind in a rare way. He didn't hear what they were talking about. After a long time, it was already a bit cold, he added some boiling water to it, drank a couple of sips, and felt extremely tired.

Although the child is only three months old, it is still very heavy to carry it all the time. He rubbed his sore waist and sat on the chair for a while, his eyes were a little empty. After sitting for a long time, he waited for his strength to recover a lot before he got up Go to the parking lot and drive.

When he got home, he inserted the key into the keyhole and subconsciously planned to turn it twice. Unexpectedly, the door opened just after turning a turn. When he saw the light on in the living room, he belatedly remembered that he was staying at home. another person.

It felt a little new and a little strange.

It seems that it has been a long time since the last time he pushed open the door of the house with lights on.

Shen Fangyu was in a video conference, and when he saw him back, he nodded slightly, took off half of the earphones, and after confirming that Jiang Xu had nothing to say to him, he put on the earphones again, and turned his gaze back to the computer screen.

When he was working, he looked very focused, and he would say a few words from time to time. Jiang Xu listened, as if he was guiding a student's subject.

In fact, this is Shen Fangyu's normal state. It's just that Shen Fangyu, who has a playful smile these days, has such a high sense of presence that Jiang Xu felt a little strange when he first saw him like this.

Putting aside the subtle emotions in his heart, he put down his bag and changed into his slippers, then turned his head and went to the bathroom to take a shower.

The scalding hot water hit his body, and milky white mist floated up, blurring his vision.

The whole day of surgery, the **** internal organs, the crying baby, the administrative ticket, the cold and reheated soup, the faces of Ruan Xiufang and Ma Hao, and the look that Shen Fangyu just took off his earphones and looked at him .

Complicated images pass by Jiang Xu's eyes one after another like a fleeting glance, vague and bizarre.

For some reason, he suddenly felt very tired.

While standing in front of the mirror and drying his hair, Jiang Xu wiped the thick layer of water vapor on the mirror with his other hand, exposing his face.

Although he didn't pay too much attention to his appearance, Jiang Xu still noticed that he was getting thinner, the outline of his cheeks appeared clearer than before, and the line of his jaw was especially obvious.

Oddly enough, he continued to wipe his hand on the mirror until the mirror could reflect his complete upper body.

I don't know what I saw, Jiang Xu's hand holding the hair dryer suddenly loosened, the hair dryer fell to the ground, and when the plug was separated from the socket, there was a sound of electric sparks.

The bathroom, which was filled with the noise of the hair dryer, suddenly fell silent, and Jiang Xu heard a voice from the living room, "What fell?"

Jiang Xu ignored him, his half-wet hair was sticking to his scalp, and there were still drops of water on the ends of his hair.

He lowered his eyes, the water vapor wetted his eyelashes, making them look extraordinarily black as ink, Jiang Xu's eyes fell on his belly in the mirror, the meaning in his eyes was unclear.

The child of more than three months has already shown a slight outline in his stomach, which cannot be seen when he is wearing clothes, but there is nothing to hide when he is bare-chested.

Ruan Xiufang's unintentional words fell into his mind again, and the woman's sigh was still in his ears.

"Without a uterus, I would not be a woman."

What about having a uterus?

Jiang Xu looked in the mirror.

"What am I?" Jiang Xu asked himself this question for the first time since confirming that he was pregnant.

It's not that he didn't think about it before, it's just that every time such a thought popped up, he tried his best to nip it in the bud, and didn't dare to think about it. Even usually, he deliberately avoided looking at his changed belly.

But this time, maybe he was too tired, or Ruan Xiufang's words silently opened a gap in his heart, and the emotions that had been suppressed in his heart for a long time poured down, he finally couldn't help it, and asked himself this question .

-What am I.

Jiang Xu looked at himself in the mirror, not daring to answer.

In the silence of the stalemate with the person in the mirror, a random thought suddenly popped up in his mind.

If Shen Fangyu were here, he would have grinned and flirted with him, and then teased him for his inability to resist pressure, and with a cynical smile, he would have smashed the mirror neatly.

So Jiang Xu did it.

With a "snap", the mirror in front of him was torn apart, part of the broken lens fell to the ground, and the other part remained in place, with countless cracks appearing.

Jiang Xu glanced at his bleeding hand, and then at his broken face in the mirror.

Then in the depths of the silence, he heard unexpected footsteps from far to near.

Following his heartbeat, each sound became clearer and clearer.