Daily American Drama

medical center.

Rooftop.

What are we waiting for here?

asked an intern.

A 10-year-old girl was sent to the Presbyterian Hospital with inoperable abdominal leiomyosarcoma.

The little man who led the team stood in front, looked into the distance, explained something, and then asked, Louis, tell me about your understanding of abdominal leiomyosarcoma!

yes.

The intern doctor Louis who spoke was startled, and quickly said: Leiomyosarcoma is a malignant mesenchymal tissue tumor that originates from intestinal wall smooth muscle, intestinal wall vascular smooth muscle, or intestinal wall mucosal muscle...

This kind of tumor is mostly found in middle-aged and elderly people, and it is also found in young people, but it is too rare for 10-year-old children.

Another intern answered, And you can't perform an operation, so why send it to us?

Whether it must not be operated on or not, what they say doesn't matter.

Another intern chimed in and said, Dr. Duncan has seen it, and it's only what he says.

coming!

The little man interrupted their conversation.

Everyone looked at the medical helicopter flying rapidly.

The little man led his intern doctor and sent the little girl to the ward.

Adam nodded at the little man as he entered.

Torre had an abdominal leiomyosarcoma that surrounded her abdominal artery, her splenic artery and her left gastric artery.

The little man began to introduce the condition: This type of tumor is difficult to remove.

Difficult, but not impossible.

Among the family members gathered around the little girl's bed, grandma spoke first, looking at Adam expectantly: Is that right? Dr. Duncan?

We will do everything we can.

Adam didn't take care of everything, and said cautiously.

Children's surgery has always been troublesome.

If you don't pay attention, it will cause a strong emotional reaction from the parents.

If you're not sure, be sure to speak up.

The little girl's uncle looked at Adam's face, frowned and said, We can fly to San Francisco right away, Dr. Stu over there is an expert in this field...

Well, I'm not sure.

Seeing this, Adam combined the medical records and handed them to the little man: Arrange for her to be transferred.

After speaking, he was ready to leave.

Such a parent, such a case, he didn't want to waste time.

He is not a god.

emmm.

At least not yet.

When other famous doctors said that there is no way to perform surgery, even if he has a way, he is definitely not sure!

confident?

Even if any surgery is mastered, facing any minor surgery, he would not dare to accept the assurance of such parents.

What's your attitude?!

The little girl's uncle exploded.

Sir, please calm down.

Adam frowned and said, I'm pretty sure I can't meet what you want.

So according to your request, I will tell you the result in advance, so as not to waste your time.

Give Torre more time to heal according to your ideas.

Any questions?

Luke, shut up!

The little girl Torrey's grandmother shouted: Apologize to Dr. Duncan!

mom!

Luke would not.

Apologize!!

Torrey's grandma spoke more emphatically.

I'm sorry, Dr. Duncan.

Luke reluctantly apologized.

Dr. Duncan, Luke is short-tempered.

Torrey's grandma laughed and said, He's just too worried about Torrey, we've been to so many hospitals and seen so many doctors.

We know the rules.

No one is 100% sure!

Not to mention a condition like Torrey... We just hope you can take a good look at Torrey and give a plan for your operation.

Speaking of this, she held up a box and said flatteringly, Fudge, do you want it? I made it myself.

...

Adam was speechless.

This is both soft and hard.

Such a child patient, such a family, is too difficult to deal with.

Melendes, take Torre for an enhanced abdominal CT.

Adam glanced at the little girl who looked at him apologetically, shook his head secretly in his heart, and ordered the little man.

It's not the first parent like this, and it won't be the last.

Adam didn't want to keep them out as long as he was willing to cooperate.

After all, he might be the little girl's last hope.

Enhanced CT room.

Okay, now insert the catheter into the celiac artery, inject the fluorine, and inject the dye.

The little man operated while introducing it to the intern doctor.

The interns gasped when the contrast images appeared on the screen.

Everything okay?

The little girl Torrey forced a smile and said, Is it bad?

fine.

The little man said calmly, Notify Dr. Duncan to see the studio.

Movie room.

The tumor surrounded five arteries and it looked really bad.

Dr. Burke also came over, took a closer look, and immediately shook his head.

Three hospitals rejected the operation.

The chief of surgery stood aside and looked at Adam: Adam, do you want to pick it up?

Adam didn't answer, just stared at the CT scan.

Seeing this, the chief of surgery also understood that Adam was reconstructing the patient's human body structure in his mind and deducing the surgical plan, so he didn't continue to ask, but looked at Dr. Burke.

We can try to cut along the stomach...

Lexie said.

No, the only way is to take the stomach out. Some people have done living autografts.

Dr. Burke frowned and said, But the liver and kidney have to be taken out together.

This is a completely different two blood supply, the feasibility is too low.

Even Adam and I operate together.

We can take only the parts of the organ that are being blocked by the tumor from the blood supply.

Adam withdrew his mind from the starry sky of consciousness: Clamp the aorta and take it out one by one. As long as we are fast enough, the feasibility will be greatly improved.

You're risking your other organs.

Dr. Burke reminded.

How long can she live without surgery?

Adam shook his head and said, This is the surgical plan with the highest success rate I have deduced.

Give them the opportunity to make their own decisions.

meeting room.

what?

The patient's family members were shocked: You want to take out all her abdominal organs?

Intestines, stomach...all of them?

Take it all out at once?

yes.

Adam nodded: We'll keep the organs on ice while we remove the tumor.

Then use artificial grafts to connect the blood vessels and re-transplant them back to the original organs...

Why didn't Gorman and Fisher in Washington come up with this proposal?

The patient's grandmother couldn't accept such a bold surgical plan that broke through traditional thinking, and hesitated: Their medical skills are also superb!

Because there was no such surgical plan before.

The chief of surgery answered, This is a new operation tailored for Torrey by Dr. Duncan...

Because it is a new theory of surgery.

Adam took precautions: So the risk is very high, every step can go wrong.

So please think carefully.

If you can't accept it, please arrange to transfer to another hospital immediately, and go to Dr. Stu in San Francisco according to your previous ideas.

Must be fast!

Torrey was in dire condition, and there was not much time left for delay.

Oh~

Torrey's mother and aunt choked up.