Sources:
1. Wang Fangfang. President of Chinese Hospital,2012,(15):84-85+10.
2. Han Fanghai, Xie Yequan. Chinese Journal of General Surgery,2024,33(04):531-538.)
3. Wu Huijun, He Qing, Di Weiping.Nutritional management of patients with anastomotic stenosis after total gastrectomy for cardia cancer[J].Gansu Medicine,2024,43(03):279-281.DOI:10.15975/j.cnki.gsyy.2024.03.016.
Today I want to talk about the story of Hua Yiwei, a top oncologist, he was born in a medical family, his parents once opened a Hua couple hospital that is very famous in Tianjin, and then his father Hua Yi went to serve as the director of the maternal and child health hospital, and he was influenced by the family atmosphere since he was a child, and naturally embarked on the road of medical treatment.
And because of his excellent grades, he graduated from Nankai University in 1950 and was directly admitted to Union Medical College, and then he went to the Military Medical University for further study, that is, the accumulation of this period of time, which made him rich in theoretical knowledge and laid a solid foundation for future medical practice.
In 2006, he won the honor of moving China, and the state gave him the inscription of "the great doctor has a soul", yes, these four short words are a true portrayal of his doctor's career, he can be called a great doctor through the ages, and he is not afraid of hardship, self-sacrificing for others. It is precisely because of this that when he was suffering from illness, he was still busy on the operating table, enduring the pain, and completing the operation on the patient.
The biggest regret for Hua Yiwei before his death is not about himself, but about two scheduled surgeries, but he can't complete it because of a serious illness, because the disease he suffered from is stomach cancer, and it has developed to an advanced stage, a top oncologist, who has been fighting cancer all his life, and finally contracted this malignant disease, which is really regrettable and regrettable...
In 2005, Hua Yiwei had just finished an operation, and after getting off the stage, he began to continue to eat uneaten Chinese food, without pulling two bites, but Hua Yiwei leaned on the table and fell asleep, this kind of thing often happens, yes, he will fall asleep when eating, because Hua Yiwei is busy all the time, about three days or so, he will perform an operation, which also makes him average more than 100 surgeries per year.
Although he retired in 1998, in order to help patients, he returned to the front-line expert group, and it was such hard work day and night that his body slowly collapsed, and various cervical and lumbar problems emerged in endlessly, and because he stood on the operating table for more than ten hours all year round, so this long standing also caused him to begin to have respiratory syndrome.
Therefore, Hua Yiwei is often in a state of fatigue, as soon as he has free time, he can fall asleep casually, but this day in his sleep, Hua Yiwei was awakened by the feeling of bloating in his stomach, and then looked at the unfinished meal in front of the table, Hua Yiwei also lost his appetite, he pressed his stomach, quietly waiting for the discomfort to ease, in fact, Hua Yiwei knew that there was something wrong with his body, because this pain did not happen once or twice.
In the past month, I can feel that I have lost a lot of weight, but Hua Yiwei did not go for a comprehensive examination, not because he was lazy, but because he really couldn't get away, and it took a lot of time to check one by one, and some of them may have to be anesthetic, which greatly affected his work progress, so Hua Yiwei was delayed again and again, and persevered with his perseverance.
On July 5, 2005, Hua Yiwei had not eaten for more than a day because of the fullness of his stomach, and his way of replenishing energy was glucose solution, because he had a goiter removal operation in the afternoon, and he could not fall down.
In fact, Hua Yiwei's colleague Zhang Xiaoli already knew that Hua Yiwei's recent physical condition was very poor, because Hua Yiwei told her not to accept patients anymore, and she also persuaded Hua Yiwei to cancel the operation, but Hua Yiwei did not agree, in fact, this is a very ordinary small operation, many directors can do it, but Hua Yiwei feels that this is the patient's trust in him, so he must insist on completing it.
During the operation, they were worried about whether the old man who was over seventy years old could hold it, and Hua Yiwei's movements were indeed meticulous, calm and steady, and the meticulous operation made people feel that there was no abnormality in his body, and when it came to the sutures, everyone advised Hua Yiwei to rest, and these jobs could be done, but Hua Yiwei insisted on completing it by himself, stitches and threads, and slowly completed the wound stitches.
At the end of the operation, Hua Yiwei couldn't hold it anymore and fell under the operating table, which was a later operation done by Hua Yiwei, and then Hua Yiwei was diagnosed with stomach cancer - advanced stage. Hua Yiwei felt what it was like to be a cancer patient for the first time, and he also experienced the countless surgeries he had done.
After the operation, Hua Yiwei lost most of his stomach, and because of the loss of the pylorus and the antrum, the digestive juices in the intestines will easily reflux to the stomach, stimulating and burning the stomach wall, making Hua Yiwei have the pain of heartburn, because of this pain, Hua Yiwei can not even lie flat on the bed.
He could only curl up, put a thick layer of things on his back, and half lay on the bed, and then, Hua Yiwei had serious complications, his abdominal cavity had an infection, because of this infection, Hua Yiwei continued to undergo 2 major surgeries, after the second operation, Hua Yiwei said to the attending doctor, no cure, don't waste energy, and called Director Ding Yehua to say that he had something to say.
But what he said was not about things related to himself, it turned out that although he had been lying on the hospital bed for a long time, Hua Yiwei did not relax, he was still thinking about many questions, but he was not thinking about his own affairs, but thinking about doing research through his own condition, hoping to contribute to the world.
He found Director Ding Yehua, held Director Ding Yehua's hand, and said that he had a variety of complications on his body, many of which were very typical symptoms, so his body was a valuable medical research material, and he would donate his body after his death, and asked Ding Yehua to dissect his body so that future generations could study it, Ding Yehua cried and agreed.
Later, Hua Yiwei called many young clinicians and left two last words, that is, these two last words, which helped these doctors grow rapidly and saved tens of thousands of patients in the future...
First of all, Hua Yiwei said that the relationship between doctors and patients can not only be a cold and impersonal doctor-patient relationship, but also reflect medical care, but also have corresponding trust, for a good doctor-patient relationship, enough trust in each other is also essential, not only patients should trust doctors, doctors should first trust patients, when this tacit understanding is reached, the success rate of surgery will also increase a lot, the operation will be carried out more smoothly, and the most important thing is that the prognosis will become good.
Don't over-treat, Hua Yiwei only realized that a simple gastrectomy could bring so much pain to people, even more severe than the pain of cancer, so he thought about whether his one-size-fits-all treatment method at that time was necessarily correct. So he passed on his experience to the young doctors.
That is, in the face of cancer, we can't just think about how to solve cancer, but also think about how to let the patient survive, so the surgical plan needs to focus on the patient's happiness index, what is the happiness index, take gastric cancer as an example, although the probability of cancer recurrence may be reduced a lot after total gastrectomy, but patients will have various complications of the digestive tract because of surgery, which will greatly reduce the happiness index.
Therefore, Hua Yiwei said that removing a part, and then using chemotherapy and other treatments, so that the patient can eat smoothly and avoid only receiving nasogastric feeding nutrient solution to survive, which is a treatment method that is worse than death, he recommends that all doctors around him, try not to do a total gastrectomy, to keep a part of the stomach, so that there can still be digestive organs, to supplement nutrition to their body.
At the same time, Hua Yiwei also said that chemotherapy is not a necessary treatment for stomach cancer, because of chemotherapy, Hua Yiwei often has an environment of more than 41 degrees Celsius in the abdominal cavity, and this environmental change also caused Hua Yiwei to have an infection in the abdominal cavity, and then the liver, heart and other functions failed rapidly, which led to Hua Yiwei's death so quickly, so the chemotherapy drugs endangered his health.