relapse?

The president is the president. This sentence made the point clear, but it also made many doctors fall into deep thought.

Including Jiang Ming too, pancreatic cancer?
Given the level of Jobs’ medical team, would it cause a relapse?
Are the usual checkups in vain?

You should know that this is pancreatic cancer, the “king of cancers.”

Many doctors know that once pancreatic cancer is detected, it is basically in the late stage.

Although only 4 to 6 people out of every people develop pancreatic cancer each year, its biggest feature is its extremely high mortality rate.

Generally speaking, after patients develop symptoms of pancreatic cancer (upper abdominal discomfort, dull pain, jaundice, etc.), their average life expectancy is about 9 months, and the 5-year survival rate is less than 2%.

However, as long as this thing is checked regularly, it can be solved if it is detected in the early stages.

It is even more unlikely that the disease would relapse eight years after a successful operation. This situation is too rare.

Sure enough, a few “bad-tempered” doctors in the front row didn’t care about Jobs’ status and directly raised questions.

“One fight, one horse, three!”

“Are you hiding something?”

It’s that Japanese female doctor again.

Jobs smiled wryly and said in front of the camera:

“Doctor Damen, don’t worry. I’ll show you the MRI scans I took today.”

The screen then smoothly switches to an image.

When everyone looked over, Jiang Ming was stunned by what Jobs had just said.

Doctor Damon?

Is the short-haired, long-legged female doctor in the front row the Daimon Michiko mentioned by Yukimura Byakuya?
It turns out she is here too!
Jiang Ming couldn’t help but stand up and look at the side of the front row, where Daimon Michiko stood up with her hands on her hips and looked (as shown below)
I heard from Xuecun Baiye that this is an all-round doctor who treats the heart, liver, spleen, lungs, kidneys, brain, cerebellum, and spine.

As long as they are still alive, we will treat them all.

As long as any living creature is sick, she wants to perform surgery on it immediately. She is a powerful female surgeon.

Jiang Ming didn’t listen to it before, because there is no such thing as omnipotence, and even he doesn’t dare to claim to be omnipotent.

But now that he was invited here by Jobs and his name was remembered by Jobs, Jiang Ming had no choice but to notice it.

And there is,

When standing up, the legs are really long!

“Oh, I have my own arrogant days.”

Jiang Ming slapped his forehead. He didn’t know whether this female doctor was famous when Miss Xuecun Baiye recommended her, but he knew that if he recruited her at that time, it would definitely give him another chance.

But let’s see Jobs first.

Once his image comes out, it will be clear at a glance.

Most doctors at the scene realized that this was not pancreatic cancer, but a pancreatic neuroendocrine tumor.

Pancreatic neuroendocrine tumors and pancreatic cancer are completely different in terms of their occurrence, development, prognosis and treatment. They are two completely different diseases.

“Aaron Swenson, you misdiagnosed me!”

“Pancreatic neuroendocrine tumors are a very complex type of tumor, including multiple types, various degrees of malignancy, various clinical manifestations, and multiple outcomes.”

“Sir, you underwent a tumor removal surgery at Stanford University Medical Center, and no adjuvant treatment was taken after the surgery, so come to our Asan Hospital for treatment. Our magic medicine will help you!”

“Panic neuroendocrine tumors with multiple liver metastases require liver transplantation! We at Philippine Maid International Hospital can do it!”

In order to show off, several Indians and doctors from the Monkey Kingdom in the back row quickly stood up and spoke in advance.

But the corners of Jobs’ attending physician’s mouth curled up slightly, and he thought, let’s just say there’s no need for a consultation.

These smart
House subconsciously wanted to take the cigarette from his pocket, but found that it had been taken away by his assistant, because smoking was definitely not allowed in a conference room of this level.

Without waiting for Jiang Ming to speak, Sean raised his hand first. Jobs, who was lying on the hospital bed, actually saw Sean raise his hand and nodded directly:
“This is Sean from Dr. Jiang Ming’s team, please go ahead.”

When Jiang Ming’s name was mentioned, everyone looked over. Unknown Zi, the gatekeeper in the front row, also had a bright look. Sean looked very smart, and Jiang Ming, who was sitting next to Sean, looked very calm and handsome.

Sean put his hands down and stood up, and the microphone automatically turned on:

“You are right. If it was pancreatic cancer, he would have died in 2004.”

Forehead.
After hearing this, Jiang Ming slapped his head. Sean is still so honest.

However, although.

Don’t be so blunt here!
Patients are most afraid of hearing words like death, which is why there is a situation where doctors tell white lies to patients.

Sure enough, when the Apple employees who were serving the doctors heard this, they all looked at Sean as if they wanted to kill him.

But Sean continued on his own:
“Since Jobs’ personal health information was not disclosed to the public and he was simply diagnosed with pancreatic cancer, many medical professionals and the media made inferences based on the most common type of pancreatic cancer and concluded that Jobs would not live for more than a year.”

“However, from the imaging, it was clear that this was an islet cell tumor.

Islet cell tumors are a type of pancreatic neuroendocrine tumor that affects approximately 3000 patients each year in the United States.

The main characteristic of this tumor is that it secretes a large amount of a certain hormone, which in turn affects the digestive function and other functions of the body.

To understand what kind of cancer this is, you need to first be familiar with the knowledge about the pancreas.

The pancreas consists of the endocrine part and the exocrine part. The exocrine part is the main part of the pancreas, which is responsible for secreting pancreatic juice, which contains a variety of digestive enzymes to help digest food. The endocrine part mainly refers to the islet cells, which are scattered between the exocrine parts and can secrete a variety of endocrine hormones to regulate the body’s metabolic function.

For example, type 2 diabetes is caused by abnormal insulin secretion by B cells in the pancreas.

Usually, when people talk about pancreatic cancer, they are mainly referring to malignant tumors occurring in the exocrine part.

The neuroendocrine tumor that Mr. Jobs suffered from had a relatively docile temperament.

First, pancreatic neuroendocrine tumors are not highly malignant. Second, this type of tumor grows slowly, and the prognosis of patients is generally good after surgical resection.”

Look!
This is professionalism!
House was the first to applaud, and the Indian doctors behind him were so angry that they were covered in anger.

It was like Sean casually told Jobs’ current condition and treatment method.

There is still a way to treat it, which requires surgery!
House’s assistant looked at House and Jiang Ming sitting in front of him, and felt that the two were going to cooperate again. Is this a case of “enemies” meeting each other again?

But apart from anything else, Jiang Ming’s team is really perfect. There are people who are eloquent, professionals, and everyone can really get the job done.

Unlike House, House came to this kind of consultation just like an audience and just applauded.

After Sean finished speaking, Jobs smiled sadly in relief at the camera:
“So there is still a possibility of surgical cure? Are any of you confident that you can perform this operation?”

As soon as he finished speaking, Sean sat down first, so the staff turned off his microphone. But Sean actually spoke at this time, but his voice was very low:
“I don’t have the ability to do that. This operation still needs the approval of our dean.”

Jiang Ming motioned for Sean to sit down and sat down:

“I don’t have the ability, please don’t take me with you~”

But now a lot of people in the meeting have raised their hands. First, Lisa raised her hand to say that the New York team she led could give it a try:
“We can use the Whipper procedure.

This surgery is a standard procedure for treating pancreatic cancer.”

Soon, Thomas Carter, the sun doctor, stood up and refuted: “No, Mr. Jobs’ body can’t stand such a big risk. He needs to remove part of his pancreas, gallbladder, stomach and intestines. It is known as the most difficult type of surgery in general surgery and the risk of surgery is the greatest.

If you undergo the Whipper procedure, the endocrine and endocrine functions of the pancreas will be weakened, making you more likely to suffer from loss of appetite, indigestion, gastric ulcers, and even diabetes.

The patient’s digestion and absorption function will deteriorate, and the weight will drop by 5% to 10% after surgery. If the surgery fails, the condition will worsen. “

Then he talked about a method of conservative treatment in Western medicine, but no one listened. Every profession has its own expertise, and what he said was too outrageous. His traditional conservative treatment method was only suitable for athletes.

But Jobs doesn’t have that kind of physical fitness, and he is over 50 years old. Can his body recover?
At this time, Michiko Daimon stood up again:

“I want to perform surgery on you right away! Time waits for no one! About one-third of chronic pancreatitis may transform into pancreatic cancer. Family history of certain typical hereditary cancer syndromes may also be associated with pancreatic cancer.”

“Is this true? As a female doctor, don’t be so arrogant.” Several white doctors mocked.

Unexpectedly, Da Men directly responded with his own catchphrase:

“One against one against three, I won’t fail!”

Jiang Muyan obviously also knew this colleague, and whispered in Jiang Ming’s ear:

“This is Daimon Michiko, a freelance doctor at Neon Dongtei University Hospital. She is only affiliated with this hospital with her doctor’s license, but is not managed by this hospital.

Like House, she is also a famous mad doctor, very charismatic, and won’t do anything that doesn’t require a medical license.”

“Yeah, but she must be overconfident this time.”

So he slowly raised his hand.

House next to him was excited, and he was about to shout: “Doctor Jiang raised his hand.”

But Jobs had been looking at Jiang Ming for a long time. When he saw Jiang Ming raise his hand, he quickly said:
“Dean Jiang Ming, do you have any advice for my condition?”

It can be seen that he still had high hopes for Jiang Ming. When Paul Allen underwent lung tumor surgery in 2010, Jobs contacted Jiang Ming’s team, but they were too busy at the time.

Jiang Ming not only cured Paul Allen’s lung tumor, but also cured Xu Yong’s malignant sarcoma. In Jobs’ opinion, Jiang Ming was very professional in treating tumors.

Now Lisa, Thomas Reese, and all the doctors from Mayo looked over. Is the most famous doctor in the audience finally going to speak?

After Jiang Ming stood up, the microphone in front of him automatically turned on, and Jiang Ming also said slowly:
“I don’t have any great advice. I can only say that Mr. Jobs should be very clear that you have a malignant tumor. My advice is also very simple. Treat it with traditional Chinese medicine conservatively and enjoy your life.”

It’s only because there are so many people here now, otherwise Jiang Ming would say that every day he can enjoy is a day, and it can only be said that he has extended his life.

Because according to these examination reports, the neuroendocrine tumor he now suffers from has turned into malignant.

If it is benign, there is no need to call them over, but if it is malignant, they will have to undergo chemotherapy or radiotherapy every day, and the risk of death is very high.

And given Jobs’ physical condition and age, another surgery would be just a drop in the bucket.

It is better to maintain an optimistic attitude, treat yourself with Chinese medicine, and enjoy life.

“hiss”

After Jiang Ming finished speaking, there were boos and gasps from the audience.

It’s rare to see Jiang Ming’s attitude. Doesn’t this mean that there’s no hope and that just taking some physical therapy drugs will be enough?
The unaffiliated liberal Da Men Wu Zhi Zi turned around and confronted Jiang Ming Dao:

“Doctor Jiang Ming, we know you are outstanding in the field of sports medicine, but I want to say that your Chinese medicine treatment is really useless. Now I have to have surgery, and I will not fail.”

“Oh, Xiaowei, I am not confident at all, but you are so confident. You will know after you see the patient first.”

Jiang Ming put his hands behind his back awkwardly and said helplessly.

At this time, several doctors who supported the surgery also stood up and argued.

Aaron Swenson did not interrupt them, because the more they were not united, the more it showed that he was actually powerless. In fact, what Jiang Ming said was most correct. Jobs’ relapse was already terminal.

Dr. House stood up and called his assistant, “Let’s go.”

Then he made a gesture to Jiang Ming and left on his own.

This scene made Jiang Muyan, Sean, and Jiang Ming couldn’t help laughing. It seemed familiar. This was how he faced Oden’s consultation five years ago.

What does House’s departure mean?
That means no surgery is needed here.

He will only stay where surgery is needed, he was born for surgery.

Now, after Jiang Ming finished speaking, he probably realized that no matter how many surgeries Jobs had, it would be useless. How many days he could live was not determined by the surgery, so he just left. In his opinion, what was left was a waste of time, and he might as well go back to the office and play with his phone.

On the other side of the screen, Jobs seemed to be coughing violently and could not speak. The signal was cut off by the medical staff. Then Apple’s new president Cook came over urgently to take control of the situation.

He directly stated that today’s consultation was temporarily over. If everyone could stay tonight, there might be another consultation tomorrow, but Jobs might not be able to connect with everyone via video, which meant that this consultation was completely over.

Just no results?
There are so many famous doctors here, but no results?

Many doctors originally had complaints, but the treatment offered by Apple was so good that everything was reimbursed, leaving them with nothing to say, so they left in disappointment.

In fact, after everyone left, Cook sent someone to stop the team of five doctors separately.

Among them are Jiang Ming’s team and Daimon Michiko’s unaffiliated freelance medical team.

“Doctor Jiang Ming, can you please not leave yet? You may be asked to go directly to the ward to see Mr. Jobs later.”

“Yeah, no problem.”

Jiang Ming actually thought that Apple would do this, because there were too many people shouting this time. Doctors are arrogant. With so many mouths, everyone has their own suggestions. Who should they listen to?

Therefore, it is generally best to have no more than 10 people in a consultation. If there are too many people, there will be no results.

He expected to be chosen because it was obvious that Jobs listened to what he said.

“Doctor Jiang Ming, you can go to the reception room to rest first. I will call you in after Mr. Jobs finishes his chemotherapy.”

“Ah.”

Jiang Ming and the other two were led to Apple’s luxurious reception room.

When Jiang Ming went to the bathroom, he happened to meet a girl wearing high heels, showing off her beautiful legs and looking confident.

Da Men washed his hands and looked in the mirror when Jiang Ming passed by and suddenly said:

“Director Jiang, remember, I will not fail, so give up your tricks.”

Jiang Ming stopped, he was a little speechless. Could you please not repeat the classic lines? And doctors should avoid praising and criticizing others. You are right to think you are awesome, but don’t say I am not capable.

So he snorted coldly and said:

“Oh? I think we should just keep on breathing. Let’s do some physical therapy first and wait until modern medicine develops to the point where it can be cured.”

Daimon Michiko turned around and looked at Jiang Ming with her hands on her hips: “I don’t believe that your Chinese medicine is so magical that it can prolong life. I only believe in myself, it’s that simple.”

“Okay, okay, Xiao Wei, how about we make a bet?” (End of this chapter)