Congratulations to the old boy for being one year old again!
One night in early March,
Cao Shuang (pseudonym) posted one
A circle of friends to celebrate her husband's birthday.
At 11 o'clock in the middle of the night,
Zhejiang Provincial Cancer Hospital,
After the last surgery
Yu Jianfa, deputy chief physician of the Department of Gastric Surgery
Swiped to this circle of friends.
The average person can only feel the message of happy birthday,
Yu Jianfa guessed this simple sentence,
It's full of meaning, and it's different.
He remembered 5 years ago,
After the pathology report of this gastric cancer patient came out,
Cao Shuang came to the doctor's office crying,
Make a request:
Doctor, can you please not tell my husband the truth?
I would like to order a "pathology report" for him.
At the age of 40, he was diagnosed with advanced stomach cancer
In 2019, Mr. Tong was 40 years old, with a successful career and a happy family, and he usually had no major physical problems, but he often had back pain, and he took some painkillers to relieve it every time. That year, because the pain intensified, he went to the hospital for diagnosis, and the doctor recommended a gastroscopy, but he didn't expect it to be stomach cancer.
"It's very unreal, after all, I was very young at that time, and I never thought it would be cancer. Until now, Cao Shuang still feels like a dream.
Mr. Tong found Yu Jianfa at the first diagnosis.
"His condition is not very good, mucoadenocarcinoma, signet ring cell carcinoma, stomach cancer has a total of 8 stages, he is stage 7, and the malignancy is extremely high. Yu Jianfa was deeply impressed by Mr. Tong, not only because Mr. Tong was very young at the time, but also because he reminded Yu Jianfa of himself.
At that time, Yu Jianfa's father died of cancer, and he was 40 years old at the time, and Yu Jianfa was only 8 years old at that time, which was the same age as Mr. Tong's children.
"I know what it's like to lose a father at this age, and for a long time in life you will feel inferior and afraid to do anything. ”
Although Mr. Tong's condition is not optimistic, Yu Jianfa wants to try his best to find a good treatment for him.
When Mr. Tong's pathology report came out, Yu Jianfa's heart also felt heavy, "When this situation is not good, I usually talk to the family first, and according to the opinions of the family, I decide how to talk to the patient." After all, everyone's psychological capacity is different. ”
Gastric Surgery Ward, Zhejiang Provincial Cancer Hospital profile photo
She said to the doctor:
I want to "order" a pathology report
Yu Jianfa walked to the ward and said to Cao Shuang, who was accompanying him, "You can take down the pathology report." ”
"Probably a kind of intuition, when I heard Dr. Yu say this, I felt a little bit in my heart, and I felt that something was wrong. Cao Shuang doesn't remember much about the content of the pathology report at that time, "I can't understand some data, but there are one or two words that are obvious, and I can see that this condition is very serious." ”
After listening to Yu Jianfa's explanation, Cao Shuang's tears couldn't be stopped, "I always thought that even if it was cancer, then surgery would be fine, I had accepted the show of cancer, but I didn't expect it to be at an advanced stage all of a sudden."
Cao Shuang's first feeling was fear, "Very, very scared, I don't dare to think about the consequences, and I can't accept it." ”
But she didn't care about sorting out her emotions, and the first thing she thought of was: What if her husband knew?
When he was diagnosed with stomach cancer, Mr. Tong read the examination list first, and then handed it to Cao Shuang.
"He told me at that time, it's okay, just cure. But I could tell he was crying. After all, so young, the child is still very young. He pretended to be strong, but he was only being strong. Cao Shuang said, "Now that it's late, I can't accept it, let alone him? I'm really afraid that he will collapse if he finds out." ”
After walking out of the office with the checklist, Cao Shuang stood at the door for a long time, "I can't let him know." I'm going to give him hope. ”
Cao Shuang, who turned back, found Yu Jianfa and made a request: "I said: Doctor Yu, when my husband asked, can you say that it is not so serious? Can you help my husband order a 'pathology report' that only he sees?"
As an oncologist, he is faced with the "dilemma" of how to talk to patients and their families about their conditions almost every day: some family members do not want patients to know, some patients strongly demand to know, some patients are optimistic, and some patients are fragile enough to collapse. "In fact, no matter what the patient's condition is, we generally actively encourage and comfort on the basis of facts, after all, there is a lot of uncertainty in the treatment of the disease. ”
Cao Shuang's situation, Yu Jianfa has also encountered, "It is impossible to completely hide the patient's condition, because he will need chemotherapy and other related treatments in the later stage, and he will also come into contact with other patients, so he will know his own situation to some extent." But if it is conducive to the treatment of the patient, and the family makes a request, we will not say that the condition is so serious, but more optimistic. ”
The reason why Cao Shuang proposed a "customized pathology report" was because she knew that her husband asked to see it, which she couldn't refuse. "I want to follow the original pathology report, draw a scoop according to the gourd, reprint a copy, don't talk so seriously, take this decent piece of paper and show it to him. ”
If it can bring hope to Mr. Tong, Yu Jianfa thinks he can give it a try. In this "special pathology report", the original 14 lymph node metastases, which were positive for nerve invasion and vascular invasion, were changed to 1 lymph node metastasis, and the latter two were changed to negative. In this way, the condition is not so serious, it belongs to the middle stage of gastric cancer, it can be treated with surgery, and the probability of recurrence is also low. "Of course, the real pathology report cannot be changed, it must be signed, stamped, and recorded. ”
In fact, this "customized" "report" looks very crude: a simple document, without the doctor's signature, without an official seal. If you look closely, you may find clues.
But Cao Shuang felt that this was hope for her husband.
It is not easy to follow a birthday greeting
Cao Shuang took this "privately customized pathology report" to her husband and told her husband: The doctor said that it is not serious, just take good chemotherapy.
As she expected, Mr. Tong was not hit, and this result was within his psychological expectations. "He felt that there was hope for a cure and was very positive and courageous. The doctor said that he would have chemotherapy after the operation, and he offered to shave his hair first. After chemotherapy, he ate and vomited, and the doctor said that he wanted to maintain his weight, so he ate desperately. ”
Compared with Mr. Tong, Cao Shuang is under huge psychological pressure, and she has to behave easily in front of her husband when she knows the truth, "I can't sleep every night, and when I wake up in the early morning, I open my eyes until dawn." Several times, after he fell asleep at night, I held him in tears and wept...... I'm afraid that something will happen to him, and I can only strengthen myself. ”
Fortunately, Mr. Tong's treatment effect was not bad, and after a complete gastrectomy, he successfully completed the adjuvant treatment, and had regular reexaminations after being discharged from the hospital.
"Actually, I'm quite scared that one day, I will hear bad news from his wife. Yu Jianfa said.
When I saw Cao Shuang's birthday celebration message in the circle of friends: Congratulations to Mr. Tong for being one year old again! Yu Jianfa read out the difficulty behind the word "again", and behind the word "happy", Cao Shuang's heart was sad, "I specially went to see his surgery records that year, and coincidentally, his surgery day was his birthday." ”
Subsequently, Yu Jianfa sent Cao Shuang a WeChat message: Is your husband okay? and asked them to do a thorough review.
"That weekend, I happened to go to his city for a check-up, and everything was fine. Yu Jianfa's concern was completely let go.
Until now, Mr. Tong did not know the "pathological truth" of that year. Maybe he knew, just pretended not to. After all, the so-called report actually had a lot of holes, but he didn't follow up. ”
For Cao Shuang, this is all over, "I just hope that the family is healthy, this is the greatest happiness." ”
But Cao Shuang has always been grateful for Yu Jianfa's actions back then, "For us, this is a good deed, and one of his good deeds has lit up the hope of my husband." ”
Cao Shuang said that Dr. Yu's kindness was not only to help her hide it, but also to give her husband confidence at the time, but also his dedicated treatment, "I am really grateful to him, he is a good doctor, and our family remains intact." ”
Netizen comments
On the evening of April 2,
This is a story between a doctor and a patient
rushed to the first place in the hot search
It resonated with many netizens
Source: Chao News
Reporter Wu Chaoxiang
Correspondents: Ma Huajun, Wang Yifeng
The copyright belongs to the original author, and it pays tribute to the original