Patient: March 2, 2010 when hospitalized, has been seriously unable to eat, before about six months of time to say that eating choking, but did not attract the attention of the family. Now eating more and more difficult, several days without eating In the hospital stayed for a week of observation, asked for surgery, taking into account the patient’s age, 78 years old, gave up, traditional Chinese medicine treatment, looking for a fraudulent place, drinking oral fluid, delayed two months, and now looking for an old Chinese medicine practitioner, drinking traditional Chinese medicine, the effect is very little. Is there really a conservative treatment in the field that can live 2,3 years more? How much does it cost? Which hospital is better? Now the patient is as thin as a bone, can he be injected with albumin, last time I checked again, it seems to have spread to lymphoma, what should we do next? The next thing we can do is to ask, thank you, Shen Zhenyun, Department of Thoracic and Cardiovascular Surgery, Aviation General Hospital of China Medical University! Surgical treatment of esophageal cancer has certain indications, and is not suitable for advanced stage or poor general condition and advanced age patients. It is very important to choose your first hospital and doctor. Today’s world is a mixed bag. In your case, I sympathize very much. If the patient is wasted and in poor condition, general supportive therapy, intravenous fluids, and appropriate nutritional fluid supportive therapy is recommended. Thank you for your trust. Patient: Thank you! I am also worried about the hospital now, especially our hospital here, no matter what the disease, into the hospital is the first observation for more than two weeks, I just think it is really delayed, the patient would not have been able to withstand the wait. I also want to ask you, I heard that albumin is very nutritious, but it will accelerate the spread of white blood cells, is that right? Are there any other fluids that are nutritious but won’t accelerate the spread of cancer cells too quickly? Thank you, kneeling Shen Zhenyun, Department of Thoracic and Cardiovascular Surgery, Airline General Hospital: Don’t be too polite, please stand up and talk. Consulting a question there is no need to kneel one at a time. Infusion support basic treatment includes glucose, amino acids, and fat milk, electrolytes, etc. This is the foundation. Obviously low protein can consider transfusion of plasma, albumin and so on. But it is not a long-term solution. If a nasogastric tube or jejunal nutrition tube can be left in place, it can provide the patient with inexpensive nutrition. Patient: Thank you sincerely! I am also sad, that is my grandma, since childhood to me especially good, I am really worried, but also very afraid of that day, I think I can not accept, grandpa is also more than 80, every day to see the grandma, he also can not eat, I am really afraid, I know to send you this time, the system can not be contacted again, I really regret it. But I really thank you! Mainly have uncle them, I really want to make myself overnight become so rich, take grandma to the field to have a good look, live a few more years, the old man life is not easy. Sometimes I wake up crying in my dreams. Do I really have to “raise my children without waiting for my parents”? If I could, I would really like to change my own life, people live, not for their loved ones? I really don’t understand those sons, grandma got this kind of disease, it’s not because the condition can’t go up, hate them. I really thank you! Shen Zhenyun, Department of Thoracic and Cardiovascular Surgery, Aviation General Hospital: Your worry about your grandma will surely be transformed into a magical power for her to support for a while longer. Hopefully, on weekdays you yourself are very filial to your grandma, or less complaints, more love it, more understanding of your uncle’s not easy. Thanks for the counseling. Patient: Dr. Shen, thank you. Inside the consultation, you are the most patient reply, I am very touched. Really thank you, like you such a doctor has been very few, once the patient is not capable, to some doctors can not bring benefits, they will not be particularly patient, I sincerely thank you for your reply. I will also stay with my grandma, thanks to the patient: a good person will have a good life and a good reward. I wish you good health, always safe and happy Shen Zhenyun: thank you, goodbye!