A 50-year-old woman was diagnosed with cancer, and her story sounded the alarm for many people 60 days before her death.

Female, 50 years old, diagnosed with cancer, 50 days before her death, her story sounded the alarm for many people!

My relatives called me and said that the patient had abdominal pain and bloating these days. Is there any good medicine to take?

This patient is a distant relative of mine. I'm sorry I can't even name him. I haven't seen him many times after all. But we are relatives, let alone relatives. Even if a countryman calls me, I will be warm. My father taught me this.

My father used to suffer from asthma, and he deeply felt the anxiety and uneasiness in his patients' hearts, especially when the economic conditions were bad. Therefore, his warning to me is that no matter whether fellow villagers or relatives ask me for help, they must do their best to solve problems for others, treat patients with more language comfort, and never show others with a cold face.

I did it one by one.

This relative is a woman of 50 years old. Her son said that she had abdominal pain and bloating these days and asked me what to do. Taking many medicines has no effect.

Many people think that as long as they find acquaintances, there will be a panacea, but it is not. So after a brief discussion, let her go to the hospital for examination. There are too many causes of abdominal pain and bloating, ranging from ordinary acute gastroenteritis to severe pancreatitis, severe hepatitis and gastric perforation. If not treated in time, some will die.

So my advice to her is not to find an outpatient doctor, but to go directly to the county hospital for examination. Abdominal B-ultrasound or CT is necessary.

Did you throw up? I asked her.

I didn't throw up, but my stomach was swollen and painful.

Judging from her tone, she is obviously in low spirits. On the phone, I seemed to see a weather-beaten and sad middle-aged woman, deeply troubled by the disease.

Have you eaten anything unclean these days? I asked her again.

No, everything is the same as usual, she said, but I occasionally have abdominal pain and bloating, which was not so serious before. This time, the bloating was very uncomfortable. I couldn't eat anything, so I asked you for help to see if there were any effective drug introductions. I'll buy it myself.

Do you have hepatitis? I asked her, for example, hepatitis B and C, many people in rural areas don't know that they have hepatitis. I have seen many cases of hepatitis developing into liver cancer due to cirrhosis, so I have raised my vigilance.

I have no hepatitis. I haven't heard of it. She answered me.

Have you had a physical examination before? Can you show me the inspection report? You can ask your son to add me to WeChat and send me pictures. I said.

Physical examination. I didn't have a physical examination. Last year, I had a chest X-ray examination in the health center. At that time, the doctor considered pneumonia and did nothing else. Later, pneumonia cured itself. She recalled it and answered me.

Without a medical examination, this is impossible, and I feel deeply inside. So I said, that's no good. You have to go to the hospital first, and at least have an abdominal B-ultrasound, which is not expensive, tens or hundreds of dollars. Abdominal B-ultrasound can be used to check whether there are liver cirrhosis, liver cancer and gallstones, and urinary B-ultrasound can also be used to check whether there is kidney calculi. Kidney calculi can also cause abdominal pain and bloating.

But I guess she is mainly in the digestive tract, unlike the urinary system, because she has no frequent urination, urgency, dysuria, hematuria and so on.

Do you have anything to take first? She asked.

No, no, the diagnosis is not clear. It is difficult to take medicine, and it is useless to take medicine. You have to check it first, okay? I encouraged her to go to the county hospital for examination.

All right, then I'll listen to you. She finally gave in.

Finally, I went to see her son and told his parents that it is best to have a physical examination once a year, such as B-ultrasound, chest X-ray, or chest CT, blood test for liver and kidney function, blood routine and so on. Women also have to have a gynecological examination, which costs little, and may cost 1000-2000 yuan a year.

He repeatedly promised that he was busy at work and didn't take this into account. He will definitely implement it this year.

Two days later, he called me again.

Li Ge, my mom's grades have come out. The doctor said there was a lump in the liver, which might be something bad. His words frightened me, and I could even feel his voice trembling.

Of course, I understand what he means by poor.

I asked him to send me the report. It's a B-ultrasound, which indicates cirrhosis and a fist-sized lump in the liver. The doctor thinks it is a malignant tumor of the liver.

God, what are you afraid of? Let's go I also sweated my palms in an instant.

Is it made by CT? I asked.

Yes, the doctor asked us to do CT on the same day. I didn't call you because the report hasn't come out yet. But today, I saw the results of color Doppler ultrasound myself, and I knew something might happen ... I had no choice but to call you first. He said.

The result was disastrous for their family.

Does your mother know the result? I asked him.

I don't know. I dare not tell her for the time being. It's just a little inflamed. It needs to be reduced. That's what the doctor told her.

Fortunately, the patient's education level is not high and he can't read.

I can only tell him that it is probably liver cancer and cirrhosis. It is not easy to treat like this. Wait until the other test results come out.

Two days later, he sent me all the results.

The two halves of hepatitis B showed small three yang (HBeAg negative in chronic hepatitis B), and the liver function showed transaminase of 200U/L (significantly increased, about 40 normal). CT showed that it was liver cancer, mass 10cm x 10cm, and lung metastasis. Alpha-fetoprotein is also done, and it is also ridiculously high. Alpha-fetoprotein (AFP) is a protein for liver cancer. Its significant increase means that the possibility of liver cancer is extremely high. Combined with CT findings, the diagnosis of liver cancer should be positive.

I can only sigh helplessly. Patients with liver cirrhosis and liver cancer are definitely not a few days or months, but probably a year or three to five years, so patients often have abdominal pain and bloating, and this time it is the most serious. This is caused by liver cirrhosis and liver cancer.

Why do you get liver cancer? My mother has always been in good health and doing farm work is not bad. His son couldn't figure it out and asked me very grievance.

She has chronic hepatitis B, which has not been diagnosed and treated, so it has been delayed into cirrhosis and liver cancer. I regretted it when I finished this sentence. I shouldn't have said it was delayed. This gives people a feeling that children have not fulfilled their responsibilities.

But that's the truth. I said it again and again.

He was silent.

Ask me what to do, if I can cure it, and if I have any medicine. He broke the silence first.

I can only tell him that I am not an oncologist and I am not good at tumor treatment, but I probably know that this level of liver cancer belongs to the advanced stage, because there is distant metastasis, any treatment effect will not be too good, and there is almost no chance of cure, so be prepared psychologically.

He was very upset and sad and confessed to me. He blamed himself for being busy with his work and neglecting his mother's health. Someone once said that her face was black, which may be due to liver problems, but we never checked it and took it as a joke. In retrospect, it really deserved to die.

A gloomy face (looks like a black face) is indeed a possibility of liver problems, but it may also be a kidney disease face. It's just that rural people sometimes look gloomy and difficult to judge. It's most reliable to check.

Listen to your doctor first, and then take a long-term view. I gave him advice.

Two days later, he called me again and said that it was contradictory. He asked several doctors. Some doctors say that chemotherapy and interventional therapy are possible, some doctors say that targeted drugs can be taken, and some doctors just let her go home. There is nothing to do. I don't know what to do. If it works, I am willing to spend any money.

Ask my opinion.

Before that, I also consulted some of my oncology doctors and friends. The general opinion is that if the tumor is advanced and there is severe cirrhosis, it is not recommended to try. If you are rich and have high expectations, you can try comprehensive treatment, but it is estimated that the outcome will not be too good.

I told him my friend's advice, and he fell silent again.

Although he crustily skin of head said that it is necessary to sell iron, if it works. But the problem is that nothing seems to have much effect now. Plus their family's economic situation, I also know roughly. My parents told me that we should do our best. Don't have both money and people.

Li Ge, what should I do? I will listen to you. He suddenly added this sentence.

This sentence makes me very embarrassed. If I say there is no cure, go home, which means I am promoting her death. But if I say to work harder, I'm afraid they will be heavily in debt and patients will suffer from various treatments.

I can feel that he is really at a loss.

He choked up.

In front of my eyes, I saw many cancer patients who died painfully after various treatments. I seem to see the follow-up experience of this relative. I really want him to stop working and go home and buy something delicious. But I have seen some patients with advanced cancer. After various treatments, they can delay the progress of their illness and improve their quality of life.

I'm also ambivalent.

When relatives call me, they are usually desperate. I need to hear my opinion. My opinions often influence their decisions, so I am very cautious. I will be at a loss for such a big decision as today.

Economic conditions are not good. Both the patient and husband are fishermen, and the son also works in other places. He may not have any savings. His son has just given birth to a child in the past two years, and the pressure is not small. If I say that I will continue to spend money on treatment, maybe they will be eager to sell iron.

There is really no way to treat advanced liver cancer, which has always been my opinion.

(Please ask the oncologist to correct me)

Finally, tell him to go home and spend his last days with her, maybe a few months, maybe a year or two.

When I said this, my heart was also anxious. I don't usually make such a big decision for patients. I just explained the pros and cons and let them choose for themselves. But today this is my relative. They don't understand. They just want to listen to me. I'm under a lot of pressure, too

When his son heard the words "go home", he began to sob.

Finally decided to go home, stop treatment and buy something delicious.

The patient himself finally knew that it was terminal liver cancer, and he didn't want to be treated. Later, abdominal pain was obvious (cancer pain), so I prescribed some painkillers in the hospital, including morphine painkillers, which are the strongest painkillers.

1 month later, my father said that he had visited her and was very weak.

Two months later, his son called me and said that his mother died last night.

More than two months before and after.

He held back his tears and told me the bad news.

I looked up and sighed, not knowing how to comfort him.

This matter has finally passed.

When I went home to see him in the New Year, he was very grateful to me and said that he had helped him make the biggest decision. An aunt who had lung cancer next door was badly treated and finally left. He was glad that his mother had not been treated.

I mean, there are good treatments. I still don't know whether the decision I made for him was right or wrong. But I didn't say it in the end. I just smiled and asked him to take good care of his father, have regular physical examinations every year and try his best to treat him before I found out the big problem. That would be much easier.

He nodded and said that he would take his father to the physical examination in two days.

Blessing.