NBA: The best team doctor in history

Chapter 155: Snow Village White Night, reference to Steve Jobs
Regardless of whether the big boss wants to perform his surgery himself or not, it is always a good idea to be adequately prepared.

Moreover, Jiang Ming treats both Xu Yong and the world's richest man equally. If the operation is to be performed in the United States, he will still ask House's team for advice as he did before. After all, he does not have an operating room.

However, the boss still treats people differently. You can't criticize him when you should, and you have to coax him.

When Xu Yong was being treated, he was in an emo state and just needed a few scoldings from Jiang Ming.

But the boss couldn't say anything.

Jiang Ming actually wanted to say at the first moment, "If you had called me that day, or come to the hospital to visit Blake and let me treat him, I would have definitely strangled him in the cradle."

You keep saying you want to come and treat me, but I can’t even see you. Tathagata?

If it had been discovered at that time, it would have been likely able to be treated conservatively.

It might really be too late now.

According to my mother, if these cells spread even a little, it will become an incurable disease.

"Non-Hodgkin's lymphoma!"

Sure enough, the mother's action was different. As soon as Jiang Ming sent the symptoms, his mother's voice message came over:

“It’s an umbrella term for a group of independent diseases that are very heterogeneous.

This is a relatively common tumor in our country, much more common than the surgery you performed on Xu Yong before."

And in Li Yang's eyes, this is a very common disease.

It ranks among the top 10 common malignant tumors.

This made Jiang Ming breathe a sigh of relief. Judging from the old lady's tone, she must have said this because of a successful case.

Indeed, Li Yang then said:

NHL lesions are malignant tumors of the lymphatic hematopoietic system that occur mainly in lymph nodes, spleen, thymus and other lymphoid organs, and can also occur in lymphoid tissues and organs outside lymph nodes.

NHL is relatively complex in terms of pathological classification, clinical manifestations, and individualized treatment stratification; however, it is a tumor that is potentially highly curable.

Currently, the incidence rate shows a clear upward trend in different age groups.

I also assisted the oncology department in performing two such operations last month. Have you done the examination? The location and size of the tumor can be checked early, and the operation can be performed as soon as possible to prevent the tumor from invading other parts of the body. "

Practice brings true knowledge.

The old lady knows much more than Jiang Ming. After all, they have worked through many cases together and know exactly what conditions need to be met in order to achieve a cure.

And she didn't even ask who had the disease. To them, they were just patients of the past.

She said that taking X-rays is necessary because if the local condition changes, it may invade the surrounding organs or even metastasize to distant places.

"There is another thing you should know about your major: cardiovascular system symptoms and blood system symptoms, such as local redness, swelling, pain, pale complexion, fatigue, bleeding, etc. You should be able to see these.

If similar symptoms occur, radiotherapy and chemotherapy should be started immediately, and then the surgical plan can be discussed. "

"Okay! Got it! He hasn't shown up yet."

"Another thing you need to pay attention to during surgery is..."

Having two elders at home is a treasure. It’s great to have the same profession as your parents. If you want to chase the wind, you can ask the guide!

Half an hour later.

The five people in the car arrived at the Salmon River Heritage Endowment Hospital.

In order to avoid being too conspicuous, Jiang Ming was the only one responsible for taking Paul Allen to the examination.

Bert was waiting in the hall for the results.

The female assistant and the personal secretary found a coffee shop outside the lobby, took out their computers, and pushed all of Paul Allen's recent activities.

Of course, it is impossible to say that he is sick or have other activities to postpone the appointment. Anyway, no one knows the schedule of such a rich man.

They didn't even tell Bill Gates. The best case scenario now is that he can be cured through surgery as soon as possible. No one knows that Paul Allen had once walked under the god of death.

As long as you recover, there will be no problem if people find out about it later.

After he was cured, it was good news with positive energy and God's blessing. We could even write several inspirational articles to report Mr. Paul's story of how he bravely fought the disease and succeeded.

If this news were known by someone with ulterior motives, Microsoft and Paul Allen's industry would be in chaos.

Jiang Ming, who was familiar with the hospital, accompanied his boss to scan all the joints in his body, and then did a physical examination, blood test, lung CT + MRI, and X-ray.

Because Paul Allen wore a mask the entire time and Jiang Ming led the way, everyone thought he was an employee of the Trail Blazers and went to see Jiang Ming, without even bothering to look at the patient's name.

Originally the result was not going to come out so quickly, but Jiang Ming used his connections and paid extra money to push Paul Allen to the top of the list.

When the five of them met in the lobby and waited for the results at the window, Bert asked his friend if he wanted to consult Microsoft's medical department now.

That is the private medical team employed by Bill Gates and other senior executives.

But it was rejected by Paul Allen:
"Those guys are just sitting there doing nothing. If something really happens, Bill Gates will have to run straight to the Mayo Clinic."

Everyone nodded. Indeed, no matter how rich Microsoft is, there is no need to keep supporting expert doctors in various fields.

The medical team at such a large company will generally treat minor illnesses casually, but serious illnesses still require sent to the hospital.

So even if Paul Allen returned to Microsoft, he would be taken to a famous hospital for treatment and examination by the medical team.

On the other hand, the Trail Blazers' medical team is really professional. Jiang Ming saw the condition in minutes. He went to the hospital just to confirm whether there was a tumor in the lungs, where it was located, whether it had spread, etc.
Paul, who had completed all the examinations, calmed down a little while drinking mineral water, and had a heart-to-heart talk with Jiang Ming for a while.

He said that he actually felt like he had some kind of illness half a year ago and was always feeling unwell. He also had it checked while he was treating a minor illness.

But his lungs were never checked, so he was given more health and physical therapy. Many doctors also thought that his condition was caused by excessive fatigue.

I didn't start to panic until I started coughing and having a fever recently.

"This really can't be blamed on the doctors. If it was so easy to detect in the early stages, it wouldn't be called early stages, and cancer wouldn't be so scary."

"Actually, a doctor in Neon said the same thing recently. But the doctor was too young, younger than you, and she was a female intern, so I didn't take it seriously."

The assistant beside him also nodded to Jiang Ming and said:
"When my boss had a fever and was being treated at the Neon Takamori General Hospital, a female doctor came over and suggested that we take an X-ray. She also said that the fever might be caused by a problem with the lungs."

"Well, then the boss didn't have time, and left after the fever went away."

Jiang Ming naturally remembered what the assistant said to him at the bathroom door. The doctor was very good at memorizing these past medical histories.

"Yes, if we could have discovered it then, wouldn't the situation have been better?"

"Of course, the earlier we find it, the better. The earlier we find it, the less likely the cells will spread."

Later, when the boss closed his eyes to rest, Jiang Ming asked the female assistant:

"Do you remember the name of the female doctor at Gaosen General Hospital?"

Jiang Ming thought that this person was definitely a talent. From what Paul said, he was an intern?

Then you have to write down her name and look for her when recruiting next time, and hire her with a high salary.

"Remember, the young lady is very pretty and has a nice name, so I still remember it now. Her name is Doctor Bai Ye and her full name is Xuecun Bai Ye." The female assistants around the top rich people are still capable. They can even remember passers-by like this.

"Xuecun Baiye, right? Okay."

Jiang Ming wrote down the name in his mobile phone.

The results from the imaging department came out very quickly.

Jiang Ming led Paul and Bert, who couldn't help but want to go with him, into the imaging department and asked the male doctor who was making the report:

"How about it?"

The male doctor handed the report to Bert. Bert's head buzzed when he saw the short line of words:
"There is a high-signal mass in the lung, which is consistent with the MRI manifestation of lung cancer."

G!

Bert and Paul Allen looked at each other. This line of words meant that Jiang Ming's guess came true, confirming that he had a tumor in his lungs.

Paul Allen lost his bossy attitude and went straight up to ask:

"Doctor, can I ask what should I do about this disease now? Can you prescribe any medicine to cure it?"

Everyone is afraid of having surgery, and Paul Allen was also nervous. It is always good to ask a few more doctors.

Jiang Ming said from the beginning that he wanted to have surgery, but he had so many things to do every day, so he would definitely choose to take medicine if it could be solved.

The male doctor from the imaging department glanced at Jiang Ming:
"Yeah, it's normal that the team doctor doesn't understand this."

The male doctor obviously didn't know Jiang Ming very well, because he was short and thin and it was obvious that he didn't like basketball, and it was even more impossible for him to know Bert. So Bert quickly patted Jiang Ming's arm to signal him not to take it personally, and let the boss ask if he wanted to.

Jiang Ming smiled bitterly helplessly. Can this also be dissed?
But it is understandable. During his internship, he had seen patients who were afraid of surgery and went to more than a dozen hospitals in the capital just to find a hospital that could give them conservative treatment.

Not to mention people like Paul. The richer people are, the more they value their life. Once they are lying on the operating table, they have no choice but to move. The rich people who control everything would not like the feeling of being at the mercy of others, right?
But the doctor's next words completely stunned Paul Allen, and he stood still.

"If you prescribe medicine, it can only be chemotherapy, which uses drugs to kill cancer cells to achieve the purpose of treatment. The main drugs are irinotecan hydrochloride injection, cisplatin injection, and carboplatin injection."

"Or for someone as old as you, you can have radiotherapy, which uses high-energy rays to destroy the cells of malignant tumors, killing the tumor cells while protecting normal tissues."

It's true that although this doctor is arrogant and has a good professional attitude, and what he says is relatively pertinent, Jiang Ming thinks he has seen too little of this disease and it seems like he is just "endorsing" it, and he certainly hasn't really practiced or understood this tumor disease.

Paul Allen sighed. Isn't this the chemotherapy and radiotherapy used to treat cancer? Who doesn't know this?

But he still asked with a hint of expectation:

"Can this be cured?"

The doctor heard Paul's hoarse voice and said:

"Let me be honest. This disease cannot be cured. It can only be treated with chemotherapy and high-tech drugs to prolong life. Do you have money? If you have money, you can get treatment periodically to prolong life.

If you don’t have money, just go home and eat and drink as you should, and pretend that the disease has never occurred. If the pain becomes unbearable, come back for chemotherapy.”

These words were a direct death sentence for Paul Allen. Paul Allen felt like he was hit on the head. If Jiang Ming hadn't discovered it in advance and supported him, he would have felt dizzy and was about to faint.

The words are rough but the truth is there, just like what Jiang Ming said to his assistant outside the meeting room, if it is really discovered later, then we can only leave it to fate.

Bert's face darkened after hearing this. Did his friend really suddenly get this incurable disease?

So he asked:
"What about surgery? Has your hospital ever had a successful surgery?"

The short doctor looked at Bert, who was wearing a Rolex and an expensive suit and looked like the patient's boss, and stared at Bert and said:

"He should be a member of the Trail Blazers staff. Let me tell you the truth. Surgery is not very useful. Local resection, lobectomy, pneumonectomy and other methods can only reduce the spread of cancer cells, but that's all they can do."

This guy is really slick. He didn't directly say in front of the surveillance camera that the hospital had no successful cases. But doesn't this sentence mean that his hospital has never had a successful operation?

After hearing this, Paul looked as pale as death and his lips turned white. There was really no solution to this problem.

Does this mean that surgery is useless?
At this moment, he thought of the vast universe of stars and sea. He was just a grain of sand. What was the point of making more money? If he had no luck to enjoy it, it would be scattered in a gust of wind!

Jiang Ming patted Paul on the shoulder and told him not to worry:
"It's okay, don't worry. Every doctor has his or her own opinion."

Then he stepped forward and asked:

"Hello, has the film been printed out? Can you show it to me?"

"It's no use for you to look at it. The cancer cells are so clear."

The young male doctor from the radiology department shook his legs and thought to himself, what can a team doctor in sports medicine know? Stop pretending to know something you don't.

After seeing the doctor's attitude, Bert said coldly:

"Little brother, I have undergone surgery for malignant osteosarcoma of the spine."

ha?
Before the doctor could react, Jiang Ming asked:
“Let me ask you one question: Do you know about non-small cell lung cancer?”

"what?"

"Then you probably don't know that non-small cell lung cancer is a localized disease and will not metastasize so early. It can be cured by surgery combined with radiotherapy and chemotherapy."

"boom!"

Then I heard the doctor sitting up from his chair. He said nothing more and went to get the X-ray film in a flash.

5 minute later.

"Director Jiang, these are all his medical records. I've brought them to you."

Not only the MRI results, but also the CT, X-ray, and vital signs test results were brought to Jiang Ming.

Then he stopped pretending in front of Jiang Ming and the others, and sat upright at his workstation.

Jiang Ming smiled and said:

"Thank you. If we watch it here, we won't disturb you, will we?"

"Don't disturb me, don't disturb me, please go ahead."

The radiologist, who was shocked by Jiang Ming's few professional words, quickly replied, his ears pricked up to listen.

It seems that being the team doctor director is not a false title, it is real.

I had heard from several female nurses under my command that Dr. Jiang of the Pioneer was an almighty god of war. I didn’t take it seriously at that time, but today, he was completely subdued by just a few words.

Paul Allen and the others felt a glimmer of hope after seeing the doctor's reaction to Jiang Ming. What Jiang Ming just said was obviously something that the doctor had never come across before, right?
That's why he was so surprised.

The doctors in this private hospital must have had little contact with this disease, and Jiang Ming himself had never come across any subcategories of small-cell lung cancer and non-small-cell lung cancer during his internship, let alone those miraculous doctors in ancient times.

I only found out about it after my mother told me.

According to my mother, if the boss had non-small cell lung cancer, it would definitely be possible to cure it.

After thinking about it, Jiang Ming quickly picked up Paul Allen's report and started reading it.

The body temperature, blood pressure, and pulse measured by myself on the spot were normal.

Uneven and labored breathing is an effect of lung infection.

Seeing this, Jiang Ming asked Paul Allen to lie down on the chair and rest quickly to reduce oxygen consumption and not get too tired.

CT scan of the joint surface showed local joint swelling, and X-rays showed no other abnormalities except occasional thickening of the periosteum.

This is a relief.

And finally, the most critical one is the MRI image.

Jiang Ming hung the image on the doctor's viewing light and looked at it carefully. With the experience of showing the film to Xu Yong last time, Jiang Ming was much more comfortable this time.

The hospital's analysis results were correct.

Most malignant tumors appear as long T1 and long T2 signals on MRI.

The enhancement sequence is significantly strengthened, and the diffusion in the diffusion series is restricted.

Lung cancer appears as a high-signal mass on MRI images. The color is usually significantly different from the surrounding normal lung tissue, and the tumor often has a richer blood supply.

Paul Allen's is round, which is also normal.

Jiang Ming pointed to the circle and said to Bert, "This is where the tumor is."

Paul Allen gasped and asked:
"Is it late?"

"No, you can see there is no expansion here."

Jiang Ming gave Paul Allen a precise explanation.

The shape of the mass is very clear at the border.

"Clear borders usually mean the tumor is confined, while blurred borders may mean the tumor has spread to surrounding tissue."

The boundaries of lung cancer have not expanded. If they expand, they cannot be cured. They can only be "life-extending" through continuous radiotherapy and chemotherapy. And in the future, you will really be a monk. Every drop of food you consume must be precisely controlled, and you cannot eat and drink indiscriminately.

Bert said, “Like Steve Jobs?”

Jiang Ming nodded. "Yes, Jobs has been on a long journey of fighting cancer since he underwent surgery in 2004 to treat his rapidly growing pancreatic cancer. His life was very painful under the glamorous appearance."

"Yes, I heard that he has been taking dietary therapy, so the onset is slow."

"Pancreatic cancer is the king of cancers, so his healthy mentality is also very important."

Medical students like Jiang Ming have all studied the case of Steve Jobs.

"Can I still cure it?"

Paul Allen, who has always loved learning, didn't want to understand all this now and only asked this one question.

"It can be cured."

Jiang Ming nodded affirmatively.

The short doctor behind them stood up at some point and said respectfully:
"I take back what I said just now. It can be cured! It can definitely be cured!"

Xiaodi begs for recommendation tickets, monthly tickets, and rewards, thank you~~~
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(End of this chapter)