Oncology Physician Life

Chapter 14 Chapter 13
Jiang Li met Lu Jiajia, an intern doctor in the ward of D area. After the last meeting, Jiang Li somewhat understood the little girl's temperament and characteristics. He took a look at her dress today.

"How was little Jiang Hao yesterday?"

"Except for the fever at two o'clock in the morning yesterday, there is basically no change." Lu Jiajia replied one by one with the notebook he recorded last night in his hand.

"PBB is a rare lung malignancy composed mainly of primitive germ cells and a type of malignant mesenchymal stromal cells. The cystic component of the tumor may be lined with a benign metaplastic epithelium lined with ciliates, unlike typical pulmonary blastoma Different, in the new WHO classification, children's PBB is included in pulmonary soft tissue tumors."

Jiang Li talked while walking, and briefly introduced the general meaning of PBB to Lu Jiajia.She looked at the rookie intern who was frantically recording in her notebook, stopped in her tracks, and glanced at her: "But compared with other PBB patients, Xiao Jianghao needs to be treated more carefully because he also suffers from children's spinal cord myelopathy. shrink."

Lu Jiajia nodded solemnly: "Teacher Jiang, don't worry, I will definitely keep an eye on him 24 hours a day!"

Jiang Li continued to walk towards the ward in satisfaction: "Xiao Jianghao's biopsy report came out yesterday, and it can basically be determined that it is a type-three solid PBB, a huge mass that occupies the entire chest cavity, the border is cleaned, and the tumor is very large. You want Observe the children more. Children with this type of PBB will have recurrent respiratory symptoms, such as cough, sputum, chest tightness and fever. Chemotherapy."

While speaking, Jiang Li had already entered the ward.The ward of the oncology department is an intensive care unit, full of cancer patients, but there is no atmosphere of death. Jiang Li discovered this diametrically opposite state from the first day of his medical practice. During the filming, she began to gradually understand the seemingly easy life in the intensive care unit.

At the moment, the eight-bed ward is not very crowded. On the bed near the door, a young man in his twenties is immersed in playing mobile games. His mother sits aside and peels apples for him. Only when Jiang Li comes in , and occasionally looked up to this side.Near the window is a middle-aged woman in her 20s, holding a long bag of needles and thread, embroidering a cross-stitch of a peacock flying southeast, occasionally hearing some laughter from the ward.

Lu Jiajia followed closely behind Jiang Li, staring at the scene in front of her with wide eyes and curiosity. In her imagination, the oncology ward should look exactly the opposite. How can you be so calm with patients, and even have such a seemingly relaxed life scene.

Jiang Li saw the confusion in Lu Jiajia's eyes. Although it is normal for people to love life and hate death, when a fear surrounds you for a long time, people will actually be paralyzed. Leo Tolstoy wrote "War Peace and Peace, the book described a story of Natasha and Andre.

When Andre was dying, Natasha accompanied him, and she didn't show that kind of painful sadness, but just sat quietly by the bed knitting socks, but their calmness on the surface was hidden in their hearts. Turbulent.

Everything seems to be waiting for a catharsis gap, waiting for the moment when the night before dawn completely breaks out.

Aunt Jiang from the Tongxin Welfare Institute was sitting on the edge of the hospital bed peeling oranges for little Jiang Hao. When she saw Jiang Li and the two coming, she hurriedly stood up from her seat: "Dr. Without you, our little Jiang Hao's life might be..."

Jiang Li hurriedly comforted Aunt Jiang, "Aunt Jiang, don't worry, I have already applied to the children's subsidy fund in the hospital for Xiao Jianghao's surgical treatment subsidy fund. After the expert group meeting this afternoon, the operation can basically be confirmed." plan."

With tears in her eyes, Aunt Jiang thanked Jiang Li.Jiang Li turned to look at Xiao Jiang Hao, and said with a smile, "Little Fatty, how do you feel?"

Little Jiang Hao stared at the weird big eyes of the elves, and smiled at Jiang Li: "Hello, Sister Jiang."

Jiang Li looked at Xiao Jiang Hao's hands, and said, "Little Jiang Hao, try to lift your right hand, slowly."

Little Jiang Hao slowly raised his right arm according to Jiang Li's words.

"Very well, raise your left hand again."

Little Jiang Hao slowly raised his left hand again, but when he raised it to a certain height, he obviously felt the child's weakness, and the arm muscle strength of his left and right hands obviously declined to varying degrees.

Jiang Li led Lu Jiajia out of the ward, and stayed at the door of the ward for a while: "The muscle strength of the child's left upper limb arm has declined significantly, which should be at level 2, and the leg has already appeared at level 1. It seems that the muscle atrophy is far worse than that of the child. I imagined it was serious."

For muscle strength, Lu Jiajia is still very familiar with it. The human body's muscle strength is divided into 5 grades, 0 grade, the limbs cannot move at all, there is no muscle contraction, and it is completely paralyzed.

Grade 1, only muscle contraction, can not cause movement of limbs;

Level 2, limbs can move, unable to resist gravity;

Level 3 can fight gravity, not resistance;
Level 4, limbs can resist certain resistance;

Level 5 strength is normal.

Now Xiao Jianghao's arm muscle strength has declined to varying degrees, indicating that the symptoms of muscle atrophy are eroding the child's physical functions at an accelerated rate, and symptoms of systemic respiratory failure may occur at any time. This is not a problem for PBB itself, which has respiratory complications. Not good news.

Jiang Li told Lu Jiajia to keep staring at the child, turned around and walked towards Zhongwai's office, just in time to receive a call from Pei Xiaonan.

On the other side of the phone, Pei Xiaonan was panting, obviously carrying something.

"Are you not in the lab today?"

On the phone, Pei Xiaonan joked: "I've heard all about it. You're going to have an expert meeting with Ji Han in the afternoon. Jiang Li, I found that you're pretty good. You came back from abroad without a word. Didn't you have some other purpose? ?”

Jiang Li stopped in his tracks, looked at the bright sunshine outside the floor-to-ceiling windows in the corridor, and rolled his eyes: "What purpose can I have?"

"You still have a hard mouth, did you live in Ji Han's house?"

"Is it okay that I live in my own house? Although we are divorced, I still have half of the house. Our property has never been divided in time."

The two were chatting on the phone, and Jiang Li just walked to the office area. He only looked at the personnel notice board in the office area, and there was a notice of punishment for illegal operations on tumors. Many doctors and interns gathered in front of the notice board. Chatting.

Jiang Li glanced at the notice board, then hung up the phone.

The above is the punishment result of Liu Chong, director of the Department of Oncology, and the hospital office for illegal operations in gallbladder polyp surgery for extratumor patients. Among them, Li Xiaojun was deprived of the qualification for promotion this year. Tan Tan was also punished. Among them, Xu Youshu, an intern doctor, will not be retained after the internship, while Tan Tan, a resident doctor, will be placed on probation and will be punished for major demerits.

The result of this treatment made Jiang Li frown, feeling a very strong smell of gunpowder.

Onlookers also talked about this punishment notice.

"I've heard about the extratumor surgery. During gallbladder polypectomy, liver metastases were found. I contacted the second line and refused to accept it. However, Xiao Xu was unlucky enough. Li Xiaojun was recommended by Tao Yuan, the hospital's office. The father I was talking about was the dean of the Fourth Hospital of the Medical University. I heard that Jiang Li, who was airborne from the Department of Pediatric Oncology, was also a student of Dean Li. went."

"You didn't see that Li Xiaojun almost moved his hands in the doctor's lounge yesterday."

"Who made swollen surgery the ace department in the hospital? The competition is fierce. It's not like our general surgery."

"That's right. Before the list came out, everyone thought that Dr. Li was guaranteed to be a deputy high school this time. Now it's basically gone."

"Have you heard about this Jiang Li? What is her background? Didn't she do the operation? Not only was she not punished, but the hospital office even called her name at the morning meeting to praise her?"

"He was brought in by special talents. The sum of the SCI publications in his hands is more than the total number of papers we have published in a year. I heard that the National Natural Science Foundation of China has won a few. The level of surgery is first-class. The key Scientific research is also great, but I don’t know if I’m married or not?”

"What's the matter if you're not married? Are you tempted? People may not think highly of you, a male nurse!"

Hearing the jokes of a few people, the crowd burst into laughter.Jiang Li stood at the back, hearing that he was the object of others' discussion, but he felt like an outsider.

Not far away, Li Xiaojun looked at the personnel notice board with an extremely ugly expression. Last year, he had extra surgeries almost every week, and finally even put on the operating table with Musk Baoxin Pills in his mouth. Promotion can give yourself a place!Otherwise, with this little salary every month, the family will hardly be able to support it.

During the party, the classmates all teased him, why did you choose an oncology department in such a crazy way, this oncology department not only has the lowest sense of achievement among all departments, but also is a high-voltage line of life, and patients and their families may not understand at any time, he I don't know why I was so promising when I was young, so I decided on the oncology department!
At noon, in the doctor's lounge, Qi Song, another deputy director of the Department of Surgery, invited everyone to dinner. They ordered pizza and hamburgers and Coke. More than a dozen attending doctors, residents and interns were there. Please come here.

Qi Song looked at this young and promising director of the Children's Oncology Department, chatted a few words, but basically asked and answered, and the atmosphere was a bit awkward.

"Where is Director Jiang's hometown?"

"It's from Suzhou."

"Are your parents in good health?"

"Both parents died."

"Are there any relatives at home?"

"No, I'm the only one left."

"Is Director Jiang married?"

"Currently single."

"I know a lot of young talents. You can see that there are many of us. For example, Professor Ji Hanji in our department is young and promising. He was promoted to deputy director in his early thirties, and he is also single."

Qi Song is Corey's well-known "Eight Wife and Matchmaker". He likes two things when he has nothing to do, gossip and matchmaking.It's just that when he said this, Jiang Li showed a strange expression on his face, and before he could reply, Ji Han happened to come in.

Xiong Xiong, the head of the Department of Medical Oncology, hurriedly joked: "Professor Ji, Lao Qi has found another marriage for you, this time with our new Professor Jiang, let alone, you two are really talented, do you want to give it a try?"

Ji Han's cold expression suddenly froze, he glanced at Jiang Li who gave him a hard look, coughed in embarrassment, walked over and sat down.

Xiong Xiong picked up the spicy pizza in front of him and handed it to Jiang Li: "Director Jiang, try it, the spicy pizza here is delicious!"

"She can't eat spicy food."

Unexpectedly, before Jiang Li could pick it up, Ji Han suddenly said aloud, then picked up the cheese pizza in front of him and handed it over as if no one else was around: "Here, this is the cheese pizza from old Yuan Xiang's house. Favorite food."

After these words were spoken, there was a sudden silence in the lounge, and everyone stared at the two in unison.

Ji Han obviously noticed this too, and hurriedly explained: "I forgot to tell you that Director Jiang and I were alumni in college, and we met more than ten years ago."

Qi Song patted his forehead: "Look at my memory, I almost forgot that you all graduated from the same school as Wei Ran from the oncology department and our hospital flower!"

Mentioning Wei Ran, Jiang Li thought of him only now, and he hasn't seen Wei Ran since he came back for two or three days, so he couldn't help asking: "By the way, why haven't we seen Wei Ran, where are the others?"

Xiong Xiong from the oncology department was eating pizza, and said vaguely: "Dr. Wei from our department is the favorite of the whole hospital. Although the person is swollen, he is occupied by the outside of the chest and outside the heart all the year round." There is no way, who made our little Wei's surgery superb."

Jiang Li vaguely remembered that when Wei Ran was in college, he was the first in the whole year in terms of surgical practice. If he hadn't chosen tumours, he would have become a surgeon by now.

After a while, several oncology doctors came in after finishing their work, Li Xiaojun and Tan Tan were also there.Xu Youshu, an intern doctor, hurriedly greeted Tan Tan to sit beside him.

Wei Chen, the attending doctor of tumor surgery, was still holding the case in hand, and walked up to Ji Han: "Director Ji, just now there is an extra bed in the tumor surgery, and the lymphoma is waiting to be drained, you should go and see it first, this person's situation Not very optimistic, with fever, fatigue, progressive reduction of the three lines, and painless superficial lymph node enlargement in the neck, elbow and armpit of the patient."

Ji Han briefly looked at the case, put down the pizza in his hand, got up and walked out with Wei Chen.

Qi Song glanced at Wei Chen, and complained: "I said Xiao Wei, you are going to exhaust Director Ji to death, you don't know that he has been adding channels for 39 hours since yesterday. Ji Han is not the only doctor!"

Standing there, Wei Chen was at a loss, and hurriedly said to Ji Han, "I'm sorry."

Ji Han patted Wei Chen on the shoulder: "Don't listen to Lao Qi's nonsense, I'm fine, let's go see the patient first."

Jiang Li glanced at Ji Han intentionally or unintentionally, the naked eyes could see the tiredness on his face, adding channels for 39 hours in a row, even an iron man probably wouldn't last long.

On the other side, Xiong Xiong in the swelling glanced at the silent Li Xiaojun, and began to find nothing to say: "Lao Li, you don't mind too much, isn't it because the promotion of the professional title in the hospital took you down, and we won't be promoted this year." Come on, next year, come to Japan!"

Several other doctors also spoke words of comfort.

"Old Xiong is right. You see, you are only 31 this year. You can use this year to write your own thesis!"

"If you ask me, it's true that different people have different fates. Look at Ji Han, a knife recognized by the entire oncology department. You need a diploma and a diploma, and you need skills and skills. He is one year younger than me, and he has been promoted to deputy director. I haven't even been promoted to the deputy chief physician!"

Jiang Li listened from the side, these words were clearly comforting words, how did they turn into outrageous words of righteousness, a little bit of a slap in the face?

Xiong Xiong looked at Tan Tan, the resident who was sitting silently by the side, and comforted him: "Xiao Tan, your father is in good health recently?"

Tan Tan hastily put down the hamburger in his hand, and squeezed a smile on his face: "It's good, isn't their hospital upgrading the graded diagnosis and treatment recently, it's very busy."

"I remember that Xiao Tan seemed to be from the Scripps Research Institute, so you and Professor Jiang are still from the same school. You both came back from the United States!"

Jiang Li was a little surprised. He didn't expect Tan Tan to be in Scripps. It stands to reason that he has a good education and good skills. He shouldn't be a resident now, right?No matter what you say at this age, you have been promoted to the head of the hospital.

You know, although Scripps is a very well-known private non-profit biomedical research institution in the United States, it was established in 1924 and can be regarded as the largest research institute of its kind in the United States, but it has more than ten Nobel Prizes Winners are very important in the medical field.

When Jiang Li was working in the United States, he spent a period of time at the editor-in-chief of "Nature", known as the most famous Salk Institute for Biological Sciences in the field of life sciences in the United States. Coincidentally, the two institutes are next to each other.

Xiong Xiong sighed: "I didn't expect the director to punish him so severely this time, but Xiao Tan, don't be discouraged. If it doesn't work, you can go back to the senior year of medical school. Besides, our director doesn't look at the monk's face, but at the Buddha's face. For Dean Tan's sake, I won't make things difficult for you."

Tan Tan was eating pizza, but his heart was full of unknown fire. Eating pizza was like chewing wax.

But Xu Youshu defended Tan Tan: "I don't agree, what does this operation have to do with the senior brother, why should the director punish the senior brother!"

"Xiao Xu!" Tan Tan hurriedly stopped Xu Youshu.

The atmosphere in the lounge was very embarrassing, Jiang Li finished eating the hamburger in his hand, looked at the smoky lounge, got up and walked out of the lounge.

She understands that the hospital is actually a shrunken society. From the first day she became a doctor, she knew that the hierarchy in the hospital is strict, and factional struggles are not easily imagined by outsiders. Young and promising young people like Ji Han and Tan Tan Doctors, who can be held on top of their hearts one moment, may be trampled under their feet in the next second.

After all, this is a utilitarian society, and the oncology department is also the department that most demonstrates individual heroism.

In this ace department like a huge white tower, in the siege of money, fame and fortune, and love, almost every doctor has to urge himself to move forward, engulfed by the torrent of material, rolling and chasing in society, toward the white Climbing to the top of the giant tower is dangerous for everyone.

Jiang Li stopped in front of the French windows in the corridor, and couldn't help but recall why he chose to be an oncologist in the first place.
(End of this chapter)