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Three expressions of the silent world

  In the first year of being a resident doctor, there was a laryngeal cancer patient on the bed. It was a patient who had recurred after laryngeal preservation surgery. This time, he came in and planned to do a total laryngectomy and neck lymph node dissection.
  Total laryngectomy, as the name suggests, removes the organ when there is a tumor in this organ, which is equivalent to removing the tumor’s nest. It is the ultimate surgical method for patients with advanced and recurrent laryngeal cancer. At the same time, the pronunciation function of the throat is naturally Can’t keep it either. After this kind of surgery, for a long time, I could only rely on pen and paper to communicate. Even if I used electronic throat and esophagus pronunciation in the later stage, it would still have a completely different tone, and it would be difficult for ordinary people to recognize what the other party said.
  He is sixty-seven years old, healthy and healthy. He has a beautiful and filial daughter and son-in-law, and a well-behaved and lovely granddaughter. When communicating with patients, he communicates well with patients, his family members are filial and polite, and his family actively cooperates. He is praised by everyone as a “quality patient”. .
  On the evening before the operation, he was wandering in the corridor, and when I passed by, he explained a few precautions, he stopped me, his hissing voice was like a saw pulling on my heart: “Doctor Guo, I really regret giving birth. This illness has dragged down the family.” I hurriedly advised him not to think like that, your family, trying their best, just want you to get better. He picked up the pen and paper at the nurse’s bar and wrote tremblingly on it: Sometimes, I really want to die. Perhaps this sentence was too heavy for him to say, so he could only write it out. I was startled, pulled him aside, chatted for a long time, and then I told him: “It’s not that you are dragging your family, but your family needs you. If you are here, they will have a home and a father, and you are gone. , they really lost their backbone.” After a long silence, he smiled wryly, turned and walked back to the ward. That evening, the sun shone slantingly, and his long shadow wandering in the corridor was engraved in my memory, so hesitant and hopeless.
  The conversation that day became our tacit secret. Every day after the operation, I tried my best to laugh at him, encourage him to cough up phlegm, get out of bed, and learn how to take care of the cannula by myself during the ward rounds. At the end of every ward round, I would tell him: “You are doing well today, very smooth, and you have to work hard today!” Finally, more than a week after the operation, after I exaggeratedly expressed my affirmation, he left He pouted and wrote to me in the book: Can’t speak, it’s not good. I was relieved, he finally accepted this reality. I smiled and told him: “This is what God told you, you can’t quarrel with your family in the future. From now on, you can only laugh at your daughter every day and can’t be angry.”
  A few months later, I saw His daughter posted a photo of the old man standing in the park, smiling happily. If it weren’t for the neck wound and tracheal tube, you would almost think he was as amiable and comfortable as every old man around.
  Over the years, I have seen many patients undergoing total laryngeal surgery. Behind each patient, there is a long story, joys and sorrows, laughter and scolding, comfort and support, disgust and shirk. Each has its own difficulties and its own blessings. Over the years, I have found that patients with laryngeal cancer will gradually learn three expressions after surgery.
  The first is to laugh. Not a smile, but an effort to grin as much as possible. When the chief surgeon makes rounds, when the wound is changed, when the nurse comes to give an injection, when he encounters a patient in the corridor… Laughing means “hello”, and in the long years to come, we will face everyone’s feelings. At that time, instead of being expressionless, not smiling, but working hard, smiling to the greatest extent possible to say hello: hello.
  The second is the thumb. It’s a compliment, it’s affirmation, you’re awesome. When the chief surgeon gives a thumbs up to a patient, he is telling him: “The operation went well.” “You are great.” When the patient gives a thumbs up to the doctor, he is saying, “I’m fine, don’t worry.” “Doctor Your medical skills are brilliant.” Then, after the long rest of his life trembling and supporting each other, he would also give a thumbs up to his wife: “The braised pork tastes good now.” He will give a thumbs up to his children: ” Well done, like me!” Thumbs up to grandchildren: “Good boy!”
  The third is to hold a fist and bow. This is a sincere thank you to those who helped them. Every time I have a follow-up consultation, some patients will make this gesture, probably saying: Doctor, you have worked hard, please, thank you. Maybe in the future, when they are groping and integrating into this society in a silent attitude, they will also openly and sincerely hug and bow to others countless times to express their prayers and thanks.
  When we are alive, we often look back, reflect, and care only when we lose. How should we express when the rest of our lives will be speechless. Maybe we should learn from those patients who have no throat. Although they are silent, they are not silent. Smiles, gestures, and gestures are also expressions. Learn to smile, learn to affirm, learn to thank, these are three essential words in life, and also three expressions of the silent world.

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