In the face of cancer, each of us is insignificant. And cancer is fair to everyone. No matter rich or poor, good or evil, they may be attacked by cancer, and even expert doctors specializing in cancer prevention and treatment may be targeted by cancer. Hua Yiwei, a senior surgeon in China, died of cancer at the age of 70.
Hua Yiwei is very famous in the field of internal medicine and surgery in China. Born into a family of Chinese doctors, he loved medicine since he was a child. After graduating from Peking Union Medical College, he has been practicing medicine and served as the director of the first department of the General Hospital of Beijing Military Region. Even after retirement, he insisted on staying in the clinical front line of the hospital, and he was still making contributions to medicine until the moment before cancer died.
Hua Yiwei is highly accomplished in medical specialty and has strict requirements for his own medical technology. Director Hua has excellent medical skills. He has been a doctor for 56 years and has performed numerous operations on patients. Thousands of patients have been cured and there have never been any mistakes. Many people in the medical field respect and worship him, and even call Director Hua "Hua".
Director Hua's medical life is clean and always considerate to patients. The patients treated by Director Hua are very grateful to him. In the eyes of colleagues, Director Hua thinks of patients. For example, I will rub my hands and put on a stethoscope before the consultation. During the operation, I often wait for the patient at the elevator to cheer for the patient.
Like Bethune, he treated his beloved medical career and patients for decades. Director Hua, who is so dedicated and loves the people, unfortunately got stomach cancer at the age of 70. In July 2005, Director Hua, who was over 70 years old, often lost his appetite, and the amount of food per meal plummeted, and his digestion was very bad.
After being a doctor for many years, he felt that his body was suffering from a serious disease. I used to be busy at work and didn't pay attention to my health. I don't even have time for a medical examination. I'm afraid I have to have a big check-up this time. After a colleague's laparotomy, the result is: advanced gastric cancer.
Even doctors have to go through the same treatment process after cancer, surgery and chemotherapy. After learning the results, Director Hua immediately decided to have a total gastrectomy in August and then connect the small intestine with the esophagus, but the condition did not improve after the operation. After the operation, Director Hua lost his cardia, and the intestinal juice and bile in his body often returned.
Every time there is reflux, his esophagus burns like a fire. Not only that, the throat, throat and other first-line burns are painful, so I can't lie flat. Just lie down, it hurts so much that you can't sleep. So, you have been lying in bed for half a day after the operation. In addition, in order to avoid the rapid spread of cancer cells, Director Hua also needs chemotherapy.
The postoperative reaction has been enough for the elderly, but I didn't expect chemotherapy to be the most terrible. During intraperitoneal thermochemotherapy, people need to lie under the instrument. After 90 minutes of chemotherapy, the abdominal temperature was as high as 4 1 degree, but he could not move. After chemotherapy, Director Hua suffered from severe abdominal pain and had to take painkillers to relieve it.
Not only that, he often vomited, and once maintained his body's nutrition through nasal feeding tubes and nutrient solution. Even if the side effects of chemotherapy are so painful, we should continue to control the spread of cancer cells. After eight times of chemotherapy at once, Director Hua was at a loss.
Director Hua's wife Zhang said: After the first total gastrectomy, although there will be reflux and heartburn, the weight can still be maintained. Without these eight times of chemotherapy, he could restore his diet step by step, and his body might get better, but chemotherapy would be a disaster!
In the late stage of chemotherapy, Director Hua also had complications of intestinal obstruction, which undoubtedly made the physical condition of Director Hua worse. Nutrition can't keep up, so bloating and vomiting are getting more and more serious, and even liver and kidney functions are problematic. In this case, Director Hua could only have a second operation, but this operation failed with great regret.
Therefore, after the second operation, director Hua's intestinal fluid and fecal fluid will directly enter the abdominal cavity, causing very serious infection, which has reached an irreparable level. At this point, he can't eat any food, and he can only rely on infusion to maintain his life. Even breathing and urination can't be done independently. He can only rely on trachea, catheter, etc. And there are all kinds of tubes everywhere.
In addition, if you cough and vomit, you can only suck it out by instrument. There will be a lot of phlegm every few minutes. If it is not sucked out in time, it will suffocate. As a doctor, knowing that he was dying, Director Hua emphasized to his colleagues: Don't waste any more time. If there is no way to save the situation, don't waste any expensive medicine and don't have to do any tests. Let me feel less pain.
Even though the great pain is eroding director Hua's body and mind, he is still thinking about the patient, and he constantly reflects on the treatment of gastric cancer from the perspective of his own patients. He said: If he didn't have this experience, he would definitely advocate total gastrectomy when treating cancer patients, because cancer cells can be better controlled.
But he knows that there will be a lot of problems waiting for patients after total gastrectomy, and the pain he has to bear is far greater than the pain of cancer. Director Hua said: I have been a doctor for 56 years and never thought I would get cancer. I knew that the patient was suffering physically and psychologically after getting sick, but I didn't know that the situation would be so serious and the pain was so high.
Generally speaking, from the doctor's point of view, doctors think more about how to remove tumors. Therefore, if the patient's tumor is 3cm, the patient will be advised to remove the tissue within 3~5cm except for the tumor focus during the operation, which will reduce the possibility of recurrence.
At this time, doctors pay more attention to the probability of successful operation and whether there will be complications, but rarely consider the postoperative feelings and quality of life of patients. Patients don't understand these basic knowledge. When they get sick, they regard doctors as the last straw. As long as the doctor's treatment plan and cost are affordable, he should follow the doctor's advice.
Therefore, after Director Hua changed from a doctor to a patient, he had a brand-new knowledge and understanding. So, from the patient's point of view, I told my colleagues around me how I felt, reminding them that for cancer patients in the middle and late stage, we should choose between quality of life and disease, see which choice has greater benefits, and then give advice to patients.
He also said: what we do as doctors is not only to save lives, but also to treat patients simply. All we have to treat are sick people! If it is acceptable for patients with advanced cancer and their families, when doing gastrectomy, it can at least reduce the pain in other aspects except cancer pain.
Later, the director's illness became more and more serious, so he left a will: there is no need to bid farewell to the body after death, and there is no need to leave ashes. It is very valuable for future medical research. However, Director Hua's own condition became worse and worse, and he died on August 12, 2006.
Since then, many doctors in the medical field have referred to Director Hua's dying advice when treating patients with gastric cancer and changed the surgical treatment methods for patients with gastric cancer. So that patients can ensure a certain quality of life after surgery, at least patients can live a happier and more fulfilling life after surgery.
After cancer is diagnosed, doctors always ask whether it is conservative treatment or how to treat it. If you choose surgery, even if the condition can be controlled to a certain extent, there will still be risks. After all, taking medicine is a potential side effect, so no matter what medical method, there will be side effects and risks. The risks of surgical treatment are as follows:
Once surgical treatment is decided, bleeding and pain are inevitable. But there's no need to panic. With today's medical level, even bleeding and pain can be controlled. Under normal circumstances, patients with blood coagulation problems will be at greater risk during the operation, because there will be bleeding if the blood vessels are not closed, and corresponding examinations will be made before operation.
If there is a problem with blood coagulation function, the doctor will explain it in advance, and inform the risks and treatment methods, such as thrombin injection, hemostatic drugs, surgical coagulation and so on. Anesthetic drugs will be used during the operation, so the pain is less. After the anesthesia has passed, the patient's wound will feel obvious pain Of course, the degree of this pain varies from person to person. Painkillers are usually given, and painkillers are given when necessary.
For cancer patients, surgery may be the most direct and effective method, but during the operation, when the cancer focus is removed, the organs and tissues around the focus cannot be completely guaranteed not to be damaged. For example, the focus of pancreatic cancer is hidden, and the operation is very difficult, because it is worried that the operation will hurt the surrounding organs and tissues.
Secondly, the surgical site will be more susceptible to infection, and if the operation fails, other organs and tissues are also at risk of infection. However, doctors usually analyze the possible infection situation and probability of patients and their families before operation, and then decide whether to operate after comprehensive consideration. At the same time, the doctor will clean the area to the greatest extent before and after the operation and keep it as sterile as possible, which can effectively reduce the chance of infection. If you are unfortunately infected, you will also give the patient antibiotics or injections.
This is not only a common complication after cancer surgery, but also a common complication that may lead to thrombosis after appendicitis surgery. After surgery, especially for patients who need to stay in bed for a long time, there is a high probability of thrombosis in leg veins, which is what we usually call thrombosis. Once this thrombus swims to other parts of the body, the consequences are very serious.
For example, if a thrombus swims to the lungs, it will cause pulmonary embolism, ranging from dyspnea, chest tightness, shortness of breath, cough or hemoptysis to life-threatening. Therefore, after the operation, at a certain time, the doctor will remind the patient to get out of bed when the physical conditions permit. If the physical condition does not allow, the family will massage the patient to avoid thrombosis.
Judging from Director Hua's feelings after total gastrectomy for advanced gastric cancer, is it still meaningful for cancer patients at this time? Besides suffering from postoperative complications and various pains, there are still many problems to consider. It is not because the postoperative pain is unbearable to give up treatment. Whether the operation is really meaningful should be comprehensively measured from several aspects.
After the first operation, Director Hua said that if he knew that after total gastrectomy, he could still live for 1.5 years, but if he didn't have this operation, he would decisively choose the latter treatment plan.
It can be seen that if the patient has reached the advanced stage of cancer, then the postoperative symptoms and prolonged life must be well measured. If cancer cells have spread everywhere and cannot be surgically removed, then there is no need for surgery. Even if surgery is performed, it will only increase the pain of patients.
In the late stage of cancer, the vast majority of patients are in poor health. Whether to operate depends on whether the patient can bear it physically and mentally and the degree to which the operation achieves the expected effect. In the advanced stage of gastric cancer, such as Director Hua, even after surgery, life can last for several months, but there is no quality of life at all. For patients, the pain after operation is a kind of torture and suffering.
For cancer patients, the cost of surgery, radiotherapy and chemotherapy will be higher, especially surgery, because the general cost of cancer resection is not cheap. Some of them are even expensive. Even after the operation is completed, people and money may be empty. Therefore, the support and economic conditions of family members also need to be considered.
It is very important whether the patient has surgery or not. If the patient is unwilling to undergo surgery, even if the family members and economic conditions support the surgical treatment, the effect of the treatment will be greatly reduced, because the pain and suffering that the patient has to bear physically and mentally is beyond our normal people's empathy.
In daily life, many people have a misunderstanding, that is, as long as they have been ill for a lifetime, they will want to go to a doctor to help prescribe drugs and injections. Of course, this is correct and understandable to some extent, because it is much better to seek medical treatment in time than to avoid it, and it will not delay the best treatment period.
However, from another perspective, this approach is contradictory. On his deathbed, Director Hua also reminded the world that it was not drugs that really made him recover. In other words, even if you are sick, your life and health can't depend entirely on drugs. Because there are many ingredients in drugs, not all ingredients are beneficial to cell repair.
Therefore, in the daily disease prevention and treatment process, we should pay more attention to health. Many times, when the body is well nourished, the body will automatically turn on the repair function. However, some damaged organs can be completely recovered in the self-repair and metabolism of cells. After all, "medicine has three poisons." The more you eat, the accumulated toxins will also affect your health. Many old people who rely on drugs always cure this place, and there are other health problems. What's more, drugs only play an auxiliary role in treatment. So it is more important to stay healthy and keep a positive attitude.
If you want to be healthy, it is more important to pay attention to your eating habits and lifestyle and have regular physical examinations. When the body takes in enough nutrition, it will automatically repair some minor problems. Nutrition is the foundation and pillar of health. If you are unfortunately suffering from cancer, you should not only actively cooperate with the doctor's treatment, but also maintain a good attitude. As a family member, we should also consider the patient personally. After all, for seriously ill patients, in addition to prolonging life, the quality of life in the later period is also very important.