Cai Yakun
Many people are worried about their weight, only feel that adding two or three pounds, they feel that they are out of shape. But there is a young man in Shandong who suffers from obesity, his weight has soared to more than 500 pounds, it is difficult to lie, stand, and sit, and even his life is threatened by apnea, but he has an indifferent attitude and continues to overeat.
The 540-pound guy had 509 breathing pauses, and bariatric surgery was urgent
Medical staff examined Cai Yakun's body
The protagonist of the story is a 23-year-old young man named Cai Yakun, don't look at his young age, but the weight is beyond ordinary people, it has reached more than 500 pounds, and it is usually very inconvenient to move.
Cai Yakun weighed 8 pounds at birth, more than 70 pounds at the age of 6, 280 pounds at the age of 14, and 320 pounds at the age of 15. Since then, his weight has been growing wildly, and in 2018, at the age of 23, he weighed as much as 540 pounds.
Cai Yakun, who is 1.8 meters tall, has a waist circumference of a staggering 1.9 meters, exceeding the length of her height. With a bust of 1.65 meters, an arm diameter of 57 centimeters, and a thigh diameter of 94 centimeters, such a body can be the size of five normal people.
Cai Yakun's mother, Jing Hong, is 48 years old, and Cai Yakun is her only child. She knew in her heart that if her son continued like this and let it go, obesity would soon kill him.
Jinghong
When the doctors in Beijing Shijitan Hospital examined Cai Yakun, the detection of B ultrasound was very difficult, and it was found that his heart, lungs and kidney function showed obvious abnormalities. Such a serious condition can cause breathing to stop and it is easy to die.
In order to prevent accidents, the doctor asked Cai Yakun to wear a ventilator at night to the sleep monitoring center for observation, and the doctor found that he belonged to a severe state of hypoxia, and in the last test, his total number of apnea was as high as 509 times, and the suspension time was up to 85 seconds.
Test Cai Yakun's breathing count
A heart like Cai Yakun's blood supply is insufficient, and a lack of oxygen to the brain can occur at any time. That is, it is possible to fall asleep unconscious. In addition, the contents of the stomach regurgitate out, causing the trachea and esophagus in the body to block, thus suffocation.
In addition, Cai Yakun's blood oxygen index reached 48% at the lowest, which is far below the level of 90% of ordinary people, and only through surgery can he save his life with the greatest probability.
This operation is a sleeve gastrectomy, the part of the stomach that can be enlarged is cut off, he can no longer continue to eat a lot, so as to control the appetite, the body fat will be slowly consumed.
Jing Hong (left) and Cai Yakun mother and son in the ward
Doctors believe that Cai Yakun's weight must be reduced to less than 500 pounds to ensure that the operation can be carried out safely and effectively. Therefore, it is imperative to lower the weight before performing surgery.
Cai Yakun has huge fat on his chest, and every time he lies flat and sleeps, it is equivalent to a normal person pressing 30 pounds on his chest, which can easily lead to symptoms of apnea.
The fat guy could not resist the temptation of food, and stole snacks with the nurse on his back
Cai Yakun eats meat sandwich steamed buns
Cai Yakun usually does not like to eat spicy food, other people almost do not refuse. Shandong pancakes, meat sandwich steamed buns, potato roast beef, beef noodles, etc., in the face of food, there is no resistance at all, how to eat is not enough, are not enough to fill the appetite.
Not only does he overeat, he also likes high-calorie puffed snacks and carbonated drinks, if you don't eat, the whole person is very uncomfortable, easy to produce irritability. Inside his cabinet, there are all kinds of snacks stored every day, such as potato chips, milk, orange juice, etc.
On the fifth day of weight loss, Cai Yakun weighed his weight, from the previous 540 pounds, to 537.8 pounds, down 2.2 pounds. If he were to lose at this rate, it would take him at least 100 days to lose 40 pounds.
Cai Yakun wearing a ventilator
On the sixth day of weight loss, in order to prevent Cai Yakun from stealing snacks and reducing his weight to the standard of suitable surgery as soon as possible, the head nurse strictly controlled his diet. This made the hungry Cai Yakun simply unbearable, and he did not arrive for half an hour, and he also had to run downstairs to eat.
On the eighth day of weight loss, Cai Yakun walked out of the ward and was bumped into by a nurse in the passageway, asking him what he was going to do? He replied that he was going to "collect the wind", but actually wanted to go out and find something to eat.
On the ninth day of weight loss, Cai Yakun found an egg that emitted a bad smell, dragged it in his hand and pounded it, and wanted to eat it. He suddenly wanted to order food delivery by ordering takeout, so he picked up his mobile phone and began to browse the food, and then ordered food. An hour later, a 9-inch pizza and a box of cheese arrived, and he saw that the nurse was not in the ward, so he ate it alone with relish.
Cai Yakun was found by the head nurse while stealing pizza
At this time, the head nurse came to check the room, saw Cai Yakun eating, was surprised, and told him that if he did not have low blood sugar, he would immediately take all the food. Then he found the potato chips he had hidden in the corner of the ward and confiscated them.
After learning that her son's perseverance to lose weight was not firm enough, Jing Hong rushed from her hometown in Shandong to Beijing Shijitan Hospital, and it was very sad to see her son so uncontentious. She said that her son had become like this, and she had a responsibility, and she had been accustomed to him since childhood, which would cause him to rebel.
Xu Guangzhong, the attending physician of the gastrointestinal tumor surgery department of the hospital, told Jing Hong that Cai Yakun's self-control was very poor, and if there was no way to cooperate with the weight loss task, the operation could not be carried out. If he can't pass this level, he can't anesthetize, because anesthesia will cause hypoxaemia, which will be troublesome.
Jing Hong and Cai Yakun mother and son quarreled
In order to prevent her son from ordering takeaway online, Jinghong confiscated his pocket money, and this move completely angered Cai Yakun. He chose not to cooperate with the ventilator to protest, no way, Jinghong had to bet him, as long as he walked non-stop to a small noodle restaurant about a kilometer from the hospital within 15 minutes, he promised to let him go home.
As a result, Cai Yakun arrived at his destination breathlessly within 9 minutes, saying that his mother would keep her promise and let him go home. Jing Hong said that she had spoiled him, and that by his nature, she wanted to lose her fat no matter what, and she sobbed as she spoke.
Because of her work, Jinghong had to leave the hospital early the next morning and go back to work. In addition to his mother's doting on Cai Yakun, what kind of person was his father?
Cai Xiling
Cai Yakun's hometown is in Linyi County, Dezhou City, Shandong Province, and his father is Cai Xiling, 51 years old, an oil worker with 20 years of experience, who usually engages in high-risk work in the field maintenance of oil wells. He said that his son was obese like this, because they did not discipline him well, but the fundamental problem was still himself.
Cai Xiling said that sometimes he did not want to admit that he had a son like Cai Yakun, saying that he was a loser, and in the past, he would be executed by the family law.
From the father's words, I can feel that he is so disappointed in such a son that he wants to break off the father-son relationship with him.
On the 29th day of weight loss, Cai Yakun has lost 42 pounds of weight on her body. In the past month, under the strict control of the nurse's diet, Cai Yakun finally reduced her weight to less than 500 pounds, meeting the standards of the operation.
Father and son communicate
Even if weight loss was so tiring for him, he still couldn't control his mouth, and when he caught the opportunity, he wanted to escape the nurse's sight and run out to buy food.
Cai Xiling was worried that after he reduced his fat, he would not get fat again, he did not plan for his future life, he only knew how to eat, and once thought that his parents were working so hard for him.
For Cai Yakun, life and death have a fate and wealth in the sky, only feel that they have a good life in front of them, and do not think about it later. But he did not think of the crow feeding back, the lamb kneeling, repaying the parents for the grace of nurturing, and being a filial son.
Cai Xiling looked at the photos of Cai Yakun when he was a child
Although Cai Xiling said so many words about his son' indisputable anger, he still loved this child in his heart, and whenever he looked at the photos of his son when he was a child, the tears could not stop flowing out, and he was choked up and unable to speak.
Cai Xiling himself did not agree to his son's stomach contraction surgery, but his wife Jinghong repeatedly insisted that he do it, and he had to accept it.
Obese guys undergo gastric contraction surgery, and doctors face difficult challenges when operating
Surgeons are operating on Cai Yakun
On May 23, 2018, Cai Yakun was pushed into the operating room, injected with anesthesia, and lay on the operating table, and the chief surgeon was Zhang Nengwei, the vice president of the hospital.
The operating room gathered more than 20 medical staff of the Department of Anesthesiology and Gastrointestinal Tumor Surgery, and their strong lineup escorted the operation.
The operation performed on Cai Yakun is called sleeve gastrectomy, and the human stomach is like a curved bow, cutting off one side of the stomach bend, leaving only the small bend of the stomach. After the removal, the remaining stomach is the same as the sleeve of the dress, hence the name.
Schematic diagram of Cai Yakun gastric resection surgery
The surgeon performed a minimally invasive laparoscopic cutting operation on Cai Yakun, because his body was too wide and obese, beyond the width of the operating table, and the thickness of the fat layer reached 8 cm, which was 4 times that of ordinary people, which increased the difficulty at the technical operation level.
During the operation, the doctor found that Cai Yakun's stomach was not only twice as large as ordinary people, but also severely squeezed by heavy fat, making the abdominal space narrow, and the stomach and the large omentum were close together, which would cause the possibility of bleeding when the stomach floor was free.
In fact, the day before the operation, Cai Xiling specially rushed to the hospital to give encouragement to his son, saying that in any case, he was his own son, even if the father-son relationship was severed, he was still a blood relative who could not be changed.
The reason why Cai Xiling is so disappointed in his son is because in addition to Cai Yakun's excessive obesity, he also owes hundreds of thousands of yuan in debt outside. In order to pay off the debt, the couple's marriage is already on the verge of collapse, and they even have the idea of divorce.
The doctor took out a part of Cai Yakun's severed stomach
After an hour of hard work, Cai Yakun's excised stomach was withdrawn from the minimally invasive opening little by little, and the cut off part was about thirty-nine of the entire stomach volume, in other words, only one-thirtieth of the stomach remained in Cai Yakun's body.
The doctor came out of the operating room and took out the freshly cut stomach to show Cai Yakun's parents who were anxiously waiting outside, and after Jinghong looked at it, she cried excitedly and thanked the doctor for saving his son's life.
Subsequently, Cai Yakun was pushed out of the operating room, and the operation was successful. After the operation, Cai Yakun felt that his stomach was a little painful, and there was no discomfort in the other places, and he promised that he would never dare to eat so much in the future.
After the operation, Jinghong visited her son Cai Yakun
For this special experience, Cai Yakun will be unforgettable. Obesity is not only unsightly in appearance and inconvenient to move, but more importantly, it will seriously affect the normal operation of the life system in the body until it threatens life. Therefore, we must remember to control our diet and exercise more in order to live a healthy life.