Since 1981 Health School - Chapter 425

  Chapter 425 One family and two cancers are unlucky reminders

  In the office, there are only Chen Qi and Shen Lifen.

  Chen Qi was not in a hurry, and gave Shen Lifen time to think. For this mother, this was a difficult conclusion to accept.

  The fact that her son got cancer was enough to make her despair, but after a long time, it turned out that it was possible that she got cancer first, and then infected her son?

  It’s because people are afraid of death, and they all have a strong desire to survive in the face of death, and Shen Lifen is no exception, so she forgot to cry, and began to rack her brains and think, from head to toe.

   After thinking for a long time, Shen Lifen realized that the most uncomfortable part of his body was his “lower body”, but facing a male doctor, this was a difficult topic to talk about.

  She sneaked a glance at Chen Qi, and then comforted herself, the young man in front of her is a doctor, an international double director, the dean, and a professional doctor, so she won’t have any dirty thoughts.

   Only then mustered up the courage, and said weakly:

   “Chen, Dean Chen, I have a place, think about it now, will there be any problems?”

“what?”

“That is, my lower body often bleeds, and my menstruation is irregular, often prolonged, and the blood volume is more than before. Also, there is often some fluid from the lower body, which smells, um, not very good smell…”

   Shen Lifen’s voice became lower and lower, but Chen Qi’s brows became more and more wrinkled.

   Even if he is not an obstetrician, Chen Qi immediately grasped the point:

  Vaginal long-term irregular painless bleeding and secretion of foreign bodies are generally problems in the female reproductive system, either inflammation or cancer.

   When coordinating with the delivery of the baby, this is the passage to go, then the answer is already obvious.

  If Shen Lifen has cancer, the most likely place is here. Chen Qi couldn’t believe it and squeezed his fist excitedly, thinking that he had finally found the “culprit”.

  Shen Lifen is a teacher, and it’s not that rural women are ignorant. Seeing Chen Qi’s subtle movements and a little excitement on his face, she immediately thought of something.

  Tears flowed down in a flash: “Chen, Dean Chen, am I really…”

  Chen Qi finally recovered and forced a smile:

   “This is all speculation. Since it is a guess, we have to confirm it and rule out the past one by one. Now you go with me to the obstetrics and gynecology department. Let’s start with the investigation of gynecological diseases.”

“it is good!”

  One hour later, Che Xiaoduan, director of the Department of Obstetrics and Gynecology at the First Affiliated Hospital of the Province, quietly pulled Chen Qi aside.

   “Xiao Chen, after a preliminary examination, it is bad news, the possibility of cervical cancer is very high.”

  Even though he already had a guess, Chen Qi was still taken aback when he heard the news, and asked a little unwillingly:

   “Director Che, it’s a bit strange. This patient should have had an obstetric examination when she was pregnant, right? If it was cervical cancer, why didn’t the obstetrician discover it in advance?”

   Director Che patiently explained:

“Early cervical cancer generally has no obvious symptoms and signs. The cervix looks smooth and it is difficult to distinguish it from cervical columnar heterotopia. Especially in patients with endocervical cervical cancer, the appearance of the cervix is ​​often normal, and it is very easy to miss or misdiagnose , It’s normal if you don’t find it.”

  Chen Qi asked again: “Then what stage do you think the patient is in now?”

   Director Che gestured a few times, and replied patiently:

   “I’m afraid, I’m afraid it’s the middle and late stage. When I checked just now, I found that her cervix was enlarged and hard, the cervical canal was enlarged, ulcers formed on the surface, and she could smell an obvious stench. This is often beyond the early stage.”

   “What tests should be done next to confirm the diagnosis?”

   “I have already done a cervical smear, and asked the pathology department to hurry up and do a cytology test. The results will come out in about 2 hours. I heard that you are doing a project. You first proposed to check whether the mother has cancer?”

  The old lady seemed to be full of curiosity. After all, it was the first time she had come across this kind of diagnostic thinking that the son had cancer and the mother might have cancer.

  Che Xiaoduan is not only the department director of the hospital, she is also a professor of Haidong Medical University, so of course she is very, very interested in this difficult and miscellaneous disease.

  Chen Qi sighed:

   “I proposed it, but I’d rather be wrong. Now the baby has just had a lung cancer resection, and I don’t know what will happen in the future. My mother may have cervical cancer again, and whether the operation can be performed is a problem.

  Director Che, do you know? The child’s father is a fighting hero, and he is still beating monkeys in the south, but what happened to his wife and son at home, I, the attending doctor, feel ashamed, how can I explain to the child’s father…”

   Director Che patted Chen Qi’s arm:

   “Don’t be too stressed, life and death are up to us doctors to decide. In this way, let the patient be admitted to the hospital as soon as possible. We will check carefully to see if there is any chance of surgery. Don’t worry, I will do my best.”

  Chen Qi put his palms together quickly: “Then thank you Director Che.”

  Chen Qi came out of the office, and Shen Lifen was already waiting in the corridor. When she saw Chen Qi coming out, she hesitated to speak.

   “Dean Chen, I…”

   “Let’s go, go back to the ward first.”

“Ok…”

  As soon as he walked to the ward of the third department of surgery, the family members immediately surrounded him and asked with concern:

  The mother-in-law took her daughter-in-law’s hand and asked anxiously, “Ah Fen, what’s wrong?”

  The father-in-law ran up to Chen Qi, “Dean Chen, is my daughter-in-law okay?”

  Chen Qi couldn’t say anything: “I’m not sure about the situation yet, so wait until the inspection report comes out.”

  As soon as these words came out, the ward was instantly covered with dark clouds. The family members and Shen Lifen were afraid, but they also had expectations. This kind of mentality of facing “sentence” is the most uncomfortable thing in the world.

   About an hour later, a little doctor ran over and whispered something in Chen Qi’s ear.

  At this moment, everyone’s eyes were on Chen Qi, especially Shen Lifen, clutching the corner of the bed sheet tightly, his fingers turned red.

  Chen Qi turned around, looked at the family in front of him and couldn’t bear it, but had to tell him seriously.

  Many times, if the doctor does not explain clearly, the patient will not cooperate with the treatment.

  Ordinary doctors will explain the details to the family members without telling the patient, but Shen Lifen’s parents-in-law are obviously ordinary citizens and can’t come up with an idea, so he can only explain it to Shen Lifen himself.

  Time can’t afford to delay, if you want to save, you must save it in time.

   “Sit down first. The pathology room has just issued a report. As I guessed before, there is indeed cancer in Mr. Shen’s body, it is cervical cancer.”

  Plop~~~

  Shen Lifen fainted all of a sudden, Chen Qi was on guard against this, and quickly took a quick step to support her, and then put her on the hospital bed.

  The child’s grandmother was so frightened that she sat down on the ground, and the child’s grandfather was stunned at the scene, unable to move.

   Then there was a burst of heart-piercing cries in the ward, which immediately attracted the doctors and other family members in the ward, and many people gathered around and pointed.

   Director Xu also rushed over after hearing the voice.

  Others can’t enter the ward at will, but he can. He is the head of the department.

  Director Xu walked into the ward and saw the whole family crying and fell to the ground. To be honest, he had seen this kind of scene a lot. Although he felt emotional, it was not too much.

  What instantly came to his mind was the guess that Chen Qi was making before, did it really come true?

  Director Xu looked at Chen Qi, and gestured to Shen Lifen who was on the hospital bed with his eyes.

  Chen Qi knew what Director Xu meant, so he nodded slightly.

  Director Xu was excited now, the last difficulty of the research group had really been overcome, so his face flushed all of a sudden.

   But he also knew that he must not show any excitement or joy at this time, otherwise the beating would be light, so he suppressed the excitement in his heart and quietly left the ward.

   Came to the corridor, Director Xu couldn’t bear it anymore, and excitedly caught a little doctor:

   “Hurry up, quickly invite all the members of the neonatal cancer research group, and then call Director Guo of Yuezhong People’s Hospital and ask him to come to the provincial capital quickly.”

  The little nurse next to him was chattering, “Director, what’s so exciting?”

   “Haha, of course one of my research groups may have succeeded, and I will invite you to eat fruit later.”

   “Wow, congratulations to the director, then we can wait.”

  In the ward, the Han family felt that the sky was about to fall. One family and two cancers were unbearable.

  Outside the ward, the doctors and nurses were still happy for the breakthrough made by the research team, and they were discussing treats.

  So, people’s encounters are different, sorrow cannot be shared, don’t expect sympathy from others, and don’t expose your weakness at will.

   It was confirmed that the mother also had cancer, which only confirmed Chen Qi’s previous guess.

  The main question now is, is there any connection between the mother’s cancer and the son’s cancer? After all, one is cervical cancer and the other is lung cancer.

  From the perspective of genetics, cancers with a family history generally have the same diseased parts.

  For example, cervical cancer or breast cancer in women is obviously hereditary, and three generations of women may have the same type of cancer in the same part.

  For example, the Hollywood actress, who starred in “Tomb Raider” and “Mr. and Mrs. Smith”, Angelina Jolie, a **** girl with a devil figure and **** lips, had her **** and ovaries removed at the age of 39.

   Note, this is a brave decision in her physical health.

  A **** actress cut her own grandma, which is unimaginable in the eyes of ordinary people. After all, she relies on these two grandmas for food.

  But she can’t help it, because her family history includes a genetic history of breast cancer and ovarian cancer.

  Her mother, her grandmother, and many direct female relatives in the family all suffered from this disease, which shows that the gene of this woman is defective.

  Angelina Jolie was told by her doctor that her chance of developing breast cancer was about 87% and her chance of ovarian cancer was 50% because of a defective gene.

  That’s why she decided to strike the enemy first, and minimize the possibility of the disease through surgery.

  After the operation, the possibility of Julie suffering from breast cancer dropped from 87% to 5%. Although it is not 100%, at least the red alert is lifted.

   Just couldn’t take the **** route anymore, so this **** girl started to take the political route of the white left, which was not so flattering.

   To give this example, I want to show that cancer, like other family history diseases, may be inherited, but the inherited parts or organs are the same or similar.

  But the situation between Shen Lifen and her child is completely different, which makes people think twice.

  When everyone’s eyes were focused on “heredity”, Chen Qi had a different opinion.

   “No no no, I don’t think Shen Lifen’s cancer will be passed on to my son.”

  As soon as the words fell, a middle-aged doctor in the office couldn’t help it:

   “Dean Chen, you have clearly stated that the child’s cancer may come from the mother, and now you have initially confirmed that your guess is correct. Why are you denying this statement now?”

  Chen Qi waved his hand: “No, no, no, it’s not negative, but if the cancer cells come from the mother, it’s not necessarily heredity, it may also be an infection?”

  Director Xu Jinxing burst out laughing:

“Good guy, do you really insist that cancer is contagious? So far, there is no relevant theory or evidence. If we just write it in a paper and publish it, we won’t be laughed at by colleagues all over the world. Lost your teeth.”

   Hehehe~~~

  Everyone in the office laughed lightly.

  Doctors know that the placenta has a barrier function, and it is difficult for ordinary viruses and bacteria to pass through, not to mention cancer cells.

   Only Dean Guo squinted his eyes and didn’t know what he was thinking about, and he didn’t question Chen Qi’s statement.

  Chen Qi also laughed twice, but what should be persisted is still to persist:

“Whether it’s contagious or not? Of course I need to confirm the statement I am making now. In this way, I will go to Japan in person. The last time I checked the basic chromosomes, this time it is a big project. Shen Lifen and A comprehensive test and sorting of her child’s cancer cells will be done.”

  Seeing that Chen Qi spoke so seriously, Director Xu began to think about it.

   Genetic testing was still a completely unfamiliar medical concept to doctors in Huaguo in 1986.

  Even in foreign countries, this is actually a newly emerging biological technology. How to apply it in the clinic and how meaningful it is to the clinic are unknown.

Human cells have a total of about 3 billion base pairs of DNA. Everyone’s DNA is not exactly the same. The number of different base pairs between people is as many as several million. Therefore, molecular biology methods are used to detect diseases , this is a big project.

   Let me talk about the simplest one, paternity test, this well-known genetic test, has not been officially promoted until the 1990s.

  Director Xu probably understood what Chen Qi meant, but he still had to double check.

   “Chen Qi, what is the purpose and significance of doing genetic testing for both mother and child?”

“It’s like this. Whether cancer can be transmitted from mother to child, only genetic testing can reveal the answer. I want to sequence the genes of the two tumors. If the tumor genes of the mother and child are the same, then we have solved the case. No If we find out the source of neonatal lung cancer, our research will be meaningless, what do you think?”

  Speaking of such a profound topic as genes, everyone in the office fell silent.

  (end of this chapter)