Surgery Godfather
Chapter 1088 - 886: The Good Things That Can’t Be Found Even with a Lantern

Chapter 1088: Chapter 886: The Good Things That Can’t Be Found Even with a Lantern

Soon, Nong Zhiwen returned to Sanbo Hospital to see Director Fang, as he could not find enough money and had to accept the least expensive option proposed by Director Fang.

According to Director Fang, the total cost would be around twenty thousand yuan, which meant that after subtracting the portion reimbursed by medical insurance, the out-of-pocket expense would be a few thousand yuan, an amount Nong Zhiwen could afford.

This time, Nong Zhiwen came to see Director Fang fully prepared. He had taken his father to revisit several hospitals they had previously consulted. This time, the focus was not on treatment but on gathering opinions. He asked doctors whether, given his father’s condition, they should seek surgery with Professor Yang and Director Fang at Sanbo or with Director Qian at Affiliated Hospital No. 4.

Without exception, the doctors said, "You should go to Sanbo Hospital, especially to Professor Yang. His medical skills and character are the most trustworthy."

Every doctor’s appraisal of Yang Ping included the superlative "most," and one of them repeatedly cautioned, "Go directly to Professor Yang at Sanbo Hospital! Don’t go anywhere else; definitely do not go to Director Qian. Trust me."

The doctor who spoke these words did so with sincere intonation, which Nong Zhiwen could sense, leading him to visit Sanbo Hospital once again.

Upon seeing Nong Zhiwen and his father, Nong Tiesheng, Director Fang also breathed a sigh of relief, glad to have pulled the patients out of a dire situation. However, regarding the issues with Director Qian, he only knew rumors without solid evidence, so Director Fang preferred not to speak ill behind someone’s back.

This time Nong Zhiwen still did not bring the pathological report, as the medical records department claimed there was no pathological report in the records, while the doctors insisted there should be one. Nong Zhiwen, not fully understanding the situation, could not afford to spend too much time just for a pathological report.

There was another option: allowing Nong Zhiwen to bring the pathology slices to Sanbo, where a pathologist could examine them and provide an oral pathological report. This would at least allow a basic understanding of the type, grade, and stage of Nong Tiesheng’s thyroid cancer.

However, this approach was impractical; without internal hospital connections, no hospital would allow a patient to take pathology slices outside, as this was against hospital regulations.

If there really was no pathological report, should they forgo the surgery? Would the disease remain untreated?

Yang Ping also agreed with this sentiment. He suggested performing the surgery to repair the recurrent laryngeal nerves first. As for treating the tumor, they could conduct some basic re-examinations. During surgery, they could obtain more tissue samples for pathological examination. Combined with the latest imaging studies and the intraoperative pathology, a foundational assessment of the tumor could be made, after which they would decide whether to pursue additional treatments.

According to all the current imaging data, the patient would not require further treatment for the tumor post-surgery, necessitating only lifelong thyroid hormone replacement therapy.

Director Fang admitted Nong Tiesheng to the hospital, assigning him a bed in the General Surgery Department since the beds at the Surgical Research Institute were in tight supply, with many patients with conditions more complex and serious than Nong Tiesheng’s awaiting beds.

Nong Tiesheng, once strong in physique and an adept farmer, had grown extremely weak after suffering from the disease, undergoing two surgeries, several rounds of radiotherapy and chemotherapy, and various other treatments, even finding breathing laborious and feeling uncomfortable after walking just a dozen steps.

Apart from the ravages of the disease, radiotherapy was a double-edged sword; while treating the cancer, it also damaged the body’s immune system. The damage to the right recurrent laryngeal nerve and potential compression of the left recurrent laryngeal nerve impaired breathing on both sides. All these factors well explained Nong Tiesheng’s current state.

After admission, Director Fang instructed the physician in charge to minimize costs, beyond routine admission tests, which included complete blood count, biochemistry, liver and kidney functions, four infectious diseases tests, thyroid function tests, electrocardiogram, chest X-ray, and other examinations targeting the tumor.

With no pathological report available, they had no choice but to rely on the latest imaging studies to assess the status of the tumor.

As for the recurrent laryngeal nerves, they would be clearly revealed during surgery, with intraoperative exploration providing more accurate and reliable information than any imaging study could.

Over the past few days, Director Fang had reviewed numerous literature resources on the repair of recurrent laryngeal nerves, and Professor Yang’s proposed method was indeed innovative and more effective than traditional methods. It addressed nerve defects without needing nerve grafting or transposition, which were desperate measures due to excessive nerve loss preventing direct suturing.

If nerves could be directly sutured without tension, the outcome would be much better than nerve grafting or transposition.

Professor Yang combined the basic principle of "the shortest distance between two points is a straight line" with the anatomical course of the recurrent laryngeal nerves to propose this ingenious method, leaving Director Fang in awe.

Having been a general surgeon for over a decade, he wondered why he had never thought of this approach, nor had any other doctors worldwide, including those specializing in general surgery, thyroid surgery, or head and neck surgery.

Why had everyone continued using only three surgical techniques? If direct suturing was not possible, it was either nerve grafting or transposition. Why hadn’t anyone applied this elementary mathematical knowledge to surgery?

It simply hadn’t occurred to anyone; there was no understanding it.

If this surgical method could accumulate twenty to thirty more cases with consistently good postoperative outcomes, publishing an article on this would constitute a significant academic achievement. Director Fang felt a flutter of excitement at the thought; any insights from Professor Yang were invaluable treasures to him.

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