Hua Yiwei (1933-2006): Former director of the Department of General Surgery of the General Hospital of the Beijing Military Region, 2006 "Moving China" Person of the Year. He is a standing committee member of the Surgical Society of the Chinese Medical Association and enjoys special government allowances.
"I have had so many surgeries before, but I don't have a deep understanding of the pain of post-operative patients. I didn't expect the situation to be so serious, I didn't expect the patient to be so painful..." Before dying, the famous doctor Hua Yiwei left an extremely painful word. This is also his last warning to the world.
Hua Yiwei is one of the first batch of 8-year medical graduates in New China, and is also an old doctor who will perform more than 100 surgeries every year after retirement. People around him recalled him: before the patient was examined at dawn, he always rubbed his hands and heated the stethoscope to expose the patient's body as little as possible; before the operation, he always waited for the patient at the elevator entrance to let the patient see the doctor before anesthesia.
How do doctors face death? They are also patients, but out of professional habit, they may still be thinking about the disease.
Hua Yiwei's dying feelings also make us more aware of the limited facts of modern medicine. If it can be cured, then try to cure my patients; if it can't be cured, then try to alleviate the disease and alleviate their pain; if nothing can be done, then let them feel that we have tried our best to help them with reverence for life! For example, Dr. Hua, he makes people awe-inspired.
On July 25, 2005, the operating room was as quiet as ever. Hua Yiwei, who has been practicing medicine for 56 years, carefully completed a goiter removal operation. The patient, Elder Yang Hua, was saved, but Hua Yiwei fell ill. Where did Yang Hua know that the 73-year-old Director Hua was already in the advanced stage of stomach cancer at this time, and he was performing the duties of a doctor with the disease. This is also the last surgery that Director Hua did.
"Tell the patient who made the appointment that I'm sorry I can't operate on him." Hua Yiwei, who has been practicing medicine for decades, asks colleagues to express his guilt to patients on the sickbed.
From July 2005 to his death on August 12, 2006, Hua Yiwei received total gastric resection surgery - chemotherapy - intestinal obstruction in August 2005, and in January 2006, he underwent intestinal obstruction surgery - surgery failed, and anastomotic fistula caused serious abdominal infection and other complications - died. The whole process was painful for him.
During that time, Hua Yiwei's meal volume suddenly decreased, and his digestion was not very good, so he went to check. After getting the test results, Hua Yiwei immediately diagnosed himself with stomach cancer. After further examination, it was found that it had reached the advanced stage of cancer, and Hua Yiwei had to take routine treatment and did a total gastric resection.
However, after the operation, Hua Yiwei's reflux was particularly serious, the esophagus was always burning and painful, the throat was often choked and inflamed, and even the eustachian tube was stimulated very painfully. One can only lie half-reclining, not lying flat at all.
The pain of total gastrectomy is not over, and the next pain ensues. In order to control the spread of cancer cells, Hua Yiwei received intra-abdominal heat chemotherapy, chemotherapy twice a week, a total of 8 times a month.
"I can't even imagine how I managed to persevere." During chemotherapy, Hua Yiwei vomited particularly badly, unable to eat, and could only rely on nasogastric tubes to point nutrient solution. He and his family believe that this is a reaction to chemotherapy, and they can resume eating.
"He used to have a good foundation of body, and his weight was still good after the first surgery. If you don't do chemotherapy, slowly resume your diet, and you may be able to recover better. It was chemotherapy that completely brought him down. Old partner Zhang Yanrong said.
▲ Old partner Zhang Yanrong took care of Hua Yiwei in the illness
No one thought that greater pain was quietly approaching Hua Yiwei. Two or three weeks after the end of chemotherapy, Hua Yiwei was still nauseous, vomiting, and unable to eat. Gastroenterography found that intestinal obstruction of the end of the ileum had occurred! With the increasing intestinal obstruction, there was not even a little stool later, bloating and vomiting were serious, not only failed to restore diet, but even nasal feeding nutrient solution could not enter. Under the torment of the disease, Hua Yiwei became more debilitated, and there was cardiac insufficiency, generalized edema, and abnormal liver and kidney function.
In this case, a second surgery with the aim of relieving the intestinal obstruction is carried out. However, after the operation, the intestinal anastomosis leaked, and intestinal fluid, feces, and blood flowed into the abdominal cavity, causing a serious infection, and the intestines could not recover. At this time, even if there is no cancer, it is difficult for people to survive.
After the failure of the second operation, Hua Yiwei's body completely collapsed. The hospital arranged a special care team for him, and Hua Yiwei was transferred from the iCU ward back to the hepatobiliary surgery department. He said to his comrades-in-arms, "My illness is no longer able to return to heaven, don't use those expensive drugs, do expensive examinations, as long as you can make me relieve the pain a little, save the country a little." This is the last request made by Hua Yiwei, who has never made any personal demands to the organization in his life.
At that time, Hua Yiweihun, who had undergone three surgeries, was full of tubes: tubes with intravenous fluids, which were supported by various nutrient solutions because he could not eat any food; catheters were cut open to help breathe; what entered from the nose was a gastrointestinal decompression tube, which was very thin and had to be watched at any time to prevent blockage; and there were two tubes in the abdominal cavity for draining blood, feces, and other secretions from the intestine, each of which was put together by two tubes to prevent infection when the fluid in the tube was leaked out of the tube And the catheter...
In addition, due to the discharge of the anus after surgery, the urine pad needs to be changed every two hours. The most critical part of nursing is to suck sputum at any time. Because Hua Yiwei was unable to cough at this time, he needed external help to suck out the sputum in the trachea in time, and he had to suck it once in a few minutes, otherwise once he was suffocated by sputum, it would immediately be life-threatening.
After the trachea is cut open, the work of suctioning is heavier, and sometimes the sputum will continue to gush out when sleeping, and it is necessary to constantly wipe it with a paper towel. In the last few days of his life, Hua Yiwei said to the doctor who gave him infusions and plasma more than once: "Don't lose, don't waste any more." More than once, he said to his wife Zhang Yanrong: "I don't want to hold on any longer, I can't stand it!" ”
In the past, when treating other stomach cancer patients, Hua Yiwei also used total gastrectomy surgery, but since he himself underwent total gastrectomy surgery and suffered great pain, he began to reflect deeply on the method of gastric cancer treatment.
At that time, there was a patient with stomach disease in the ward, Hua Yiwei was very concerned about his condition, and one day he deliberately found his comrade-in-arms Yu Conghui and said: "Wisdom, the treatment of this patient should be carefully considered, and the total gastric resection brings not only the problem of eating, but also the problem of postoperative reflux... Do a total gastrectomy, the patient suffers too much pain, and when gastric resection is done later, do not do it without total resection. ”
Yu Conghui clearly remembered that Hua Yiwei deliberately used his hands to compare and said: "Even if you leave a little stomach, it is stronger than full cutting, and the patient is not so painful." "Usually, the doctor's first consideration is to remove the tumor clean. For example, the tumor has 3 centimeters, and the operation often removes all the tissues other than the tumor of 3-5 centimeters, so that it is not easy to recur. Doctors only care about whether the operation is successful, whether there are complications, and do not know how the patient feels. Patients usually do not understand medicine, and even think that the reaction is normal, which should be the case.
Hua Yiwei's transformation from a doctor to a patient gives him a new understanding of this medical problem from the patient's point of view: as a doctor, when choosing between quality of life and disease, it is mainly to see which party gives the patient more benefit. If the patient lives for a year and a half after total gastric resection, but the patient has to spend it in pain; the gastric incomplete resection can live for one year, but the patient can live happily and fully, then he prefers the latter.
Yu Conghui said: "At that time, Director Hua often said to me in a heavy tone: 'When we become doctors, we can't simply treat diseases, but treat sick patients!' ’”
"Later, we accepted Director Hua's suggestion, and when treating future gastric cancer patients, we improved the method of surgery: if it can be incompletely incised, it is not fully excised; if it must be completely removed, we have also improved the surgical method, trying to drain the bile and intestinal fluid to reduce upward reflux, and find a way to shape the stomach of the offspring with the intestine, so that the food can still stay in the stomach like it is, so that the patient is much more comfortable."
01 Nutrition is the source of life
So let's look at the fact that if a healthy person doesn't eat any food for 7-10 days, what do you say happens? There is no doubt that this person will definitely die. The main thing that people use to maintain life, in addition to air and water, is food, that is, the nutrition in food gives life to people. Nutrition is the source of life, from the moment of human embryo formation to the end of human life, nutrition nourishes human life all the time, which is the relationship between "nutrition and life".
02 Drugs to control diseases
Look at those around us who suffer from diseases: hypertension, cardiovascular and cerebrovascular diseases, diabetes, gout, hepatitis B, fatty liver, hyperthyroidism, arthritis, gastritis, severe insomnia, cancer, etc. In the face of this large number of common chronic diseases, can the disease be cured through drugs? In fact, drugs are at best to control chronic diseases within a certain range, and it is not bad to be able to do this.
03 Nutrient repair cells
And what really makes you recover is definitely not the drug, because the composition of the drug is not the ingredient needed for cell repair. Once you give enough time to give enough nutrients, such as proteins, vitamins, minerals, fats and other materials needed for the composition of the human body, the human body will start the process of self-repair. Because the cells in all people are in a period of about six months, most of the cellular tissues will be renewed by 90%, producing new tissues.
Stomach cells are renewed every 7 days; skin cells are renewed every 28 days; liver cells are replaced once every 180 days; red blood cells are renewed once every 120 days... In a year or so, 98% of the body's cells are re-renewed. As long as the nutrition is sufficient, the damaged organs are constantly "metabolized" and "self-repaired" by the cells, and after a period of time, the damaged tissues and organs will be "softly replaced" to produce "new" tissues and organs. Many, many diseases have the opportunity to make a complete recovery. That's it? You may not believe it, but it is true!
Many people's biggest mistake is that the body is broken, not using raw materials to repair, not using nutrients to repair, but only relying on drugs to repair. But our bodies are not made of drugs, but of nutrients; such repairs are unreasonable, the effect is not good, and it is impossible to succeed. Modern medicine violates this basic law, resulting in many diseases that are not cured! Modern medicine is helpless against chronic diseases!
Chronic gastritis, for example, is a very common chronic disease. Chronic gastritis is the result of multisystem dysfunction, and gastric drugs cannot correct multisystem dysfunction, so stomach diseases are difficult to cure with gastric drugs. Supplementing with nutrients such as sufficient protein and B vitamins to exert the body's self-healing ability, generally two or three weeks the symptoms will disappear.
What each part of our body looks like, the body itself knows best, written on the genes (DNA) of tissue cells, the body has the ability to repair damage, but only if you provide it with high-quality raw materials, high-quality nutrients. For example, trauma leads to liver rupture, after timely surgery, supplementation with sufficient nutrients, according to the liver's genetic code, generally 1-2 months can synthesize a liver exactly the same as the original; the hand is broken, when the nutrition is sufficient, it will grow well in a week; fractured, three months can grow well for a good position.
If the nutrients in the body are insufficient, your cells, blood, and blood vessels cannot be healthy, your nervous system, immune system, and blood circulation system will be abnormal, and every organ of yours will be damaged, and you will be plagued by various diseases. Therefore, balanced nutrition is very important, and its importance is far more important than many people think. Nutrients can prevent disease, and nutrients can cure disease. Balanced nutrition is the foundation of health and the backbone of health.
![Oncologist Hua Yiwei's last words: What really made him recover was not the 56 years of drug practice, he did not expect that he would also suffer from cancer and do countless surgeries, it turned out that chemotherapy was so painful! What really makes you recover is definitely not medicine![fig]](data:image/gif;base64,R0lGODlhAQABAIAAAP///wAAACwAAAAAAQABAAACAkQBADs=)