Daily American Drama

medical center.

ward.

Chesha Sheli, 31 years old.

Megan Shirley, 27 years old.

Michael Shirley, 23 years old.

The little man introduced the patient's situation to Adam: Genetic tests show that they all carry the CDH1 gene that can cause hereditary diffuse gastric cancer.

Carter, explain.

Adam gestured to Carter.

That is, they all have a 75 percent chance of developing stomach cancer.

Carter spoke.

Every tumor in our previous generation has been taken out.

The eldest sister, Chesha, said: Unfortunately, this kind of cancer is too severe, and the tumor grows very fast.

When it is taken out, it has been passed on to the next generation.

Having said this, the three siblings were silent for a while.

It says in the medical record that your Uncle Bud is too?

Adam asked.

died!

Michael, the third child and only boy of the Shirley family, raised his eyebrows.

Where's your Aunt Helen?

Adam asked again.

died.

The eldest sister, Chesha, answered: My mother, my grandfather, both died, all died of this terrible disease!

There are only three of us left in our family.

certainly not!

The second sister, Megan, said hopefully: We have a distant relative in Minnesota...Although they are locked up in a nursing home, at least they haven't woken up yet, have they?

What's the difference between that and being dead?

The third child, Michael, complained: We should enjoy our lives as much as possible while we have time. What are we doing here?

We have to eliminate our hidden dangers in advance.

The eldest sister, Chesha, said: We have made an agreement, we have agreed, we will advance together and retreat together!

We are family, the last family.

Dr. Duncan is the best surgeon I have heard, he can minimize the sequelae!

Speaking of this, she looked at Adam: Dr. Duncan, please cut our stomachs!

Without a stomach, the CDH1 gene is useless, right?

yes.

Adam nodded and looked at the little man: Melendes, tell me about the possible sequelae and complications of preventive gastrectomy.

...malnutrition, weakness, stomach dumping, possible anal leak...

The little man introduced the possible sequelae in detail.

Stomach dumping syndrome, but also a special anal leak?!

Michael, the third child of the Shirley family, exploded directly: Then I have become an old man who needs to wear diapers?

A gastrectomy is not an appendicitis operation.

Adam looked around at the three of them and explained: This will completely change the entire digestive system, and the changes and impact on the human body will be huge.

So we hope you will consider it carefully.

Don't even think about it.

I'm still in college, I'm the head of a frat house, I have a beautiful girlfriend, and I'm going skiing...

If I become a weak old man with anal leakage, how can I live and what future will I have?

Days like this are better than being dead...

You know how much this means to Chessa.

The second sister, Megan, was also a little apprehensive, but she still persuaded her.

Do not!

Michael looked at the eldest sister, shook his head and said, We have been at the mercy of you, Chesha, since we were young, you decide where to eat, where to go on vacation, where to go for Thanksgiving.

I'm 23 years old, I don't want to chop myself up, so I can rest assured for you.

I won't do it, and you can't force me!

You think I want to control you?

The eldest, Quesha, said sadly, Grandpa, Mom, and Uncle Bud, they're all dead.

The people who were supposed to take care of us all died of this family genetic disease.

This is no short pain.

The pain will slowly continue.

Have you forgotten how much pain your mother had when she was dying?

You helped me put ice on her lips and she had tubes all over her body, she couldn't even drink...

I do not remember!

Michael yelled: Damn it, I was 2 years old.

The only reason I can remember is that you keep telling me this and it makes me sad and scared.

I don't have any shade about funerals.

I didn't think it was cancer every time I had indigestion.

This is your fear, not mine!

You were two, I was 10, and Megan was 6.

The eldest sister, Chesha, said sadly: You may be able to forget, but I will always remember the promise I made to my mother who was in pain before my mother's bed, that I would take care of you forever.

After all these years, do you really think that I want to control you?

With your growing dissatisfaction, decide everything.

Planning the holidays, cooking roast chicken, making reservations at restaurants, and making our family feel like a home during the holidays.

This is not my business!

If I had a choice, I would rather give everything in exchange for living a life like yours.

But I can't.

... Whatever you say.

The third child, Michael, didn't listen at all: Isn't there still a 25% chance, I'm willing to take a gamble.

Megan!

The eldest sister, Chesha, looked at the second sister, asking for her help to persuade her.

I want to think about it too.

The second sister, Megan, hesitated and said, I didn't know there were such terrible sequelae before.

Help me do it.

The eldest sister, Quesha, was a little disappointed. She couldn't persuade her younger siblings when she saw her for a while, so she took the informed consent form and signed her name.

Melendes, help Chesa prepare for the operation.

Seeing this, Adam didn't say much, and gave orders directly.

This is something that only the patient can decide for themselves.

Because if you win the bet, you have one more life.

But if you lose the bet, your life, which might have been wonderful and infinite, will be much bleak.

The stakes are too high.

75% vs. 25% probability seems like a lot.

But what if a small probability event happens?

operating room.

Carter, what should I do after my stomach is removed?

Adam asked while performing the operation.

Do an esophageal junction, or do a staple.

Carter replied: This will reduce the incidence of pancreatic leakage.

It seems that Miss Shirley won the bet.

Adam's eyes froze suddenly: Take a look too.

I really got stomach cancer.

Both Carter and the little man took a look, a little surprised: The medical record said that she had just had a gastroscopy a few months ago, and there was no sign.

So sometimes fear really saves lives.

Adam laughed: The probability of 75% is still too high. In just a few months, the cancer has spread.

It's still in the first period, we can save her by removing her stomach.

And she didn't have to die a long and painful death like the rest of her family.

Looks like we have at least one more operation to do.

You mean Meghan will choose to do it when she knows the news?

The little man nodded.

She will.

Adam laughed.

And so it is.

Megan, who has no assertiveness and is easily influenced, sees that her eldest sister's choice has saved her, and immediately expresses excitedly that she will do it immediately.

But Michael, the boss of the fraternity who has a crush on his girlfriend, remains unmoved.

The second operation also ended soon.

The eldest sister, Chesa, and the second sister, Megan, lay side by side on the bed, continuing to persuade the younger brother.

Michael simply went out impatiently.

He has grown up, maybe you should take a good rest and pay attention to your own life.

Carter couldn't help but said: If he wants to escape...

You don't have a brother?

The eldest sister, Chesa, glanced at him.

……No.

Carter already knew what she meant, and was a little embarrassed.

Certainly no children.

The eldest sister, Chesha, shook her head and said, You can't leave the person you love alone.

Michael is definitely going to have to do this surgery.

Maybe not today.

But I will keep an eye on him.

This fool, now his mind is full of women and games, he doesn't know what is the most important thing.

I will watch him!

I promised my mom!

Carter: ...