Oncology Physician Life

Chapter 15 Chapter 14
At one o'clock in the afternoon, a temporary surgery was performed for a patient with recurrence of rectal cancer and strangulated intestinal obstruction.

The patient was a 25-year-old Internet celebrity anchor, in poor physical condition, and was arranged for preoperative gastrointestinal decompression, and the determined surgical plan was resection of necrotic bowel segment.

This operation was originally performed by Professor Li Chunrong, but the other party was temporarily busy and couldn't perform this operation, so it was added to Ji Han.

Outside the operating room, the roving nurse took the operation consent form and asked the family members to sign it, and did not feel any worries about the upcoming operation: "You are also lucky, this operation was originally performed by Professor Li Chunrong, but Professor Li couldn't get away because of something, so I decided to go to the hospital to do it." It was added to Professor Ji Hanji of our department, Professor Ji is the first surgeon in our oncology surgery, such an operation needs to be added to Professor Ji's desk, at least we have to queue for more than a month."

After the family members heard this, their worried faces finally felt relieved, and they expressed their gratitude to the nurses.

In the operating room, the equipment nurse came out: "Professor Ji called just now to make preoperative preparations and deliver them in 10 minutes."

Li Xiaojun was originally the first assistant for this operation. After reading the proposal for the operation plan, he frowned: "Tan Tan is the second assistant?"

The nurse replied: "Yes, Dr. Tan was originally the second assistant for Professor Ji's operation, so he replaced Professor Li Chunrong's original second assistant."

Li Xiaojun didn't like it when he heard it. He Tan Tan didn't even have to be hospitalized. Why did Ji Han ask him to be the second assistant for every operation?Isn't it because Tan Tan has a father who is the dean, so Ji Han takes extra care of him.

A few minutes later, the elevator took the patient directly to the surgery center in building C.In the operating preparation room, Li Xiaojun and several other chief surgeons stood in front of the stainless steel sink and washed their hands. The door of the preparation room opened, and Tan Tan, who was wearing a green sterile gown, walked in.

He took the surgical gown, shook it off and was about to change, when Li Xiaojun said expressionlessly in front of the sink: "Didn't you see that the surgeon is washing his hands here, go to the other side and change, don't be an eyesore."

Tan Tan didn't say much, picked up his clothes and went to a relatively empty place in the preparation room to change.

After washing his hands, Li Xiaojun looked back at him and reprimanded him: "Didn't the teacher teach you to change clothes when you were doing regular training before? You can't touch the inside of your clothes with your hands! Take it off and change it again!"

Tan Tan hummed softly, took off his surgical gown, threw it into the trash can, turned around and got a new one, and put it on again, never thinking that Li Xiaojun would curse like a storm again: "What are you doing?" Have you ever undergone regular training? Do you know what is an aseptic operation? Did you learn it well during the regular training before! Really thought that the hospital is a random place, and that you can be unscrupulous if you have people?"

Hearing the subtext of Li Xiaojun's words, the attending doctor of hepatobiliary surgery glanced at Li Xiaojun, and smiled kindly: "What's wrong with you today? He's so angry, he's a resident doctor anyway, not an intern. Can't you put on a sterile gown?"

Li Xiaojun turned his head back with a very serious expression: "You mean that I made things difficult for him on purpose?"

The head of the Department of Hepatobiliary Surgery laughed, pulled out a few sterile papers, and wiped off the disinfectant on his arm: "Don't go too far in everything, Li Xiaojun, we are all in the same department, so there is no need to look up and see down, right?" ? If you are not convinced by the result of the chief director's punishment, you can go to the chief director. There is really no need to compare pennies with a resident doctor here, it's a shame."

Li Xiaojun laughed back angrily, the anger in his heart surged up little by little, he threw the nail brush in his hand on the ground violently, just as he was about to go over to do it, the door of the operating preparation room opened, and Ji Han walked in with a blank expression on his face. He glanced at the few people in the preparation room, walked to the sink, opened the toiletry bag, and performed preoperative aseptic treatment.

Everyone else in the prep room was silent.

Ji Han was outside the door just now and heard Li Xiaojun deliberately finding fault with Tan Tan. As Tan Tan's second-line doctor and also a superior doctor, it is difficult for others to accuse him of causing trouble for nothing.Li Xiaojun failed to be promoted this time, and Tan Tan was indeed responsible for it. When the accident happened, as a front-line doctor, he did not choose the most perfect solution, which led to the escalation of the incident.

But the main reason for this incident was Li Xiaojun's carelessness and his failure to take the patient's operation seriously, and he later shifted the responsibility to the resident doctor Tan Tan.

It’s just that Ji Han has been connected to the station for 39 hours. In addition, the scientific research work in the Cancer and Invasion Principles Laboratory is constantly going on. Take care of these trivial things between colleagues.

On the other hand, Jiang Li was notified that Xiao Jianghao's condition seminar will be held as soon as Ji Han's surgery is over.Jiang Li knew that Ji Han had added an intestinal obstruction, abdominal exploration and rectal cancer resection, even if he was familiar with the operation, it would take more than two hours, and she was worried that Ji Han had already added a set for 39 hours in a row, such a work intensity, I'm afraid it won't last long.

When she arrived at the observation room next to the operating room, there were already several interns inside, holding notebooks and preparing to record the main points of the operation.

On the screen of the live broadcast of the surgery, the second assistant Tan Tan began to adjust the shadowless lamp, aimed at the patient's upper abdomen, and turned on the full-illumination mode.

Several interns were a little excited: "I heard from my brother that almost every operation of Mr. Ji's operation is complete from cutting the knife to suturing the skin."

"That's why I told you to take a closer look and learn what is the art of tumor surgery." The resident doctor beside the tumor couldn't help but feel proud.

In the operating room, Ji Han took over the high-frequency electric knife from the second assistant, and had already opened the patient's abdomen, and the first assistant hurriedly used the aspirator to draw blood.

Ji Han neatly broke open the superficial fascia and muscles, and every step was clean and neat.

Tan Tan immediately used tendons to hook the valgus flesh.

With the complete exposure of the abdominal cavity, a blackened intestinal tract appeared in the field of vision of the binocularloupe (Kepler's binocular magnifying glass). The tumor was already very large and blocked the patient's intestinal tract. Everyone's faces changed.

Ji Han just took over the poop bag from the nurse, cut off the necrotic intestine with intestinal forceps, and then an unknown amount of feces accumulated in the patient's intestine, and a foul smell began to spread, like The silted river beach suddenly found a vent, and it spurted violently into the defecation bag, and a large pile of yellow and black feces spewed out.

In the observation room, Jiang Li watched with gusto, several female interns couldn't help vomiting anymore, and hurriedly ran out of the observation room.

Jiang Li carefully observed the color of the feces, thoughtfully: "Looking at the color of the feces, it should be the intestinal obstruction caused by the tumor growing and blocking the intestinal tract, and finally directly leading to the necrosis of the entire intestine."

Listening to what she said, a male intern next to her couldn't help but look at her twice, muttering perverted.

The operating room was full of stench, and almost everyone had frowning expressions on their faces, except Ji Han, whose face was still covered by the shadowless lamp, looking even colder.

Jiang Li discovered through the screen that Ji Han's eyes wearing a binocular loupe (Kepler's binocular magnifying glass) are very unique. His eyelashes are longer than other men. The first time she saw him in college, she was also instantly impressed by such eyes. It attracted all the attention.

After the intestinal tract was emptied of feces, Ji Han reached into the abdominal cavity of the patient and pulled out the necrotic and blackened intestinal tract with his index finger. The tumor had not spread and metastasized. He opened the necrotic intestinal tract and directly ordered resection. Order.

This is followed by an anastomosis of the stomach and intestines.

As time passed, when Ji Han pulled the suture connected by the curved needle to the highest point and completed the final suture, everyone in the operating room held their breath, and there was a "click" of scissors Everyone breathed a sigh of relief announcing the completion of the operation.

Ji Han left the position of the chief surgeon without saying a word, and the itinerant nurse hurriedly helped him take off the rubber gloves stained with blood.

"Let's leave it to Li Xiaojun to complete it. After organ transposition and visceral decompression, the abdomen is closed layer by layer. Remember to use a stapler."

In the observation room, Jiang Li watched Ji Han's operation completed, and found that almost all of his charms were on the operating table. In private, what everyone discussed most about him was his usual indifference and inhumanity. , Jiang Li had suspected that Ji Han was a little autistic, but after getting to know him better, he found out that he really doesn't like to talk, his personality is really introverted, and sometimes he is shy.

As soon as Ji Han walked out of the operating room and turned around, he saw Jiang Li coming out of the observation room, "Why do you come here when you have time?"

Jiang Li smiled sheepishly: "You don't know that I'm free now? The hospital's entry procedures still need to go through the process. I only have one patient under my care now, and I'm free most of the time."

Ji Han pointed to the bathroom: "I'll go wash it first, you wait for me here, and then we go to the department together."

Jiang Li nodded and waved his hand to let him go first, just as the itinerant nurse, equipment nurse and anesthesiologist all came out of the operating room.

"Every time I participate in Shashen's surgery, my heart hangs, and I dare not fart."

"You don't know, the last operation, the first assistant seems to be Wei Chen, who couldn't stand it anymore after three days, but because of lack of energy, he disrupted the pace of Professor Ji's operation, and was severely reprimanded. Once, it was Xiao Zhou, the equipment nurse, who was ruthlessly criticized by Professor Ji and cried in the operating room. Guess what Professor Ji said?"

The others were very curious: "What did you say?"

The anesthetist smiled coldly: "Professor Ji actually said, if you want to cry out, don't hinder my operation. If you are so stupid, don't appear in my operating room."

"Tsk tsk, it's really ruthless. No wonder Professor Ji is still single in his 30s. He just lives with the operating room. He has no interest at all."

The anesthesiologist laughed: "Hospitals are not about beatings and killings. Hospitals are about people's understanding of the world. I think our swollen Professor Ji will never be able to understand the words "people's understanding of the world."

The itinerant nurse shook her head: "That's right. I heard that Professor Ji didn't plead for mercy when Dr. Xiao Tan was punished this time, but Dr. Tan has been with the professor for three or four years. On weekdays, there is no merit but hard work. Ji If the professor can intercede with the chief director, maybe the punishment will be revoked. After all, Dr. Xiao Tan is indeed very innocent, and Li Zhizhi even vented his anger on him. Isn't it because Dr. Xiao Tan's father is a medical student? Fourth Dean Tan, he decided that Xiao Tan went through the back door, what kind of person is this!"

"Now the entire oncology department, everyone is discussing this matter in private. After Li Xiaojun made such a fuss this time, well, everyone in the whole department and the whole hospital knows that Tan Tan's father is the dean of the fourth year of the medical university. Everyone If you look at him with colored glasses, you must think that he came in through the back door."

Jiang Li heard the evaluation of Ji Han from his colleagues in the department. He didn't expect that he had been working for almost ten years, but he hadn't integrated into the big group of the hospital. In the past, Ji Han didn't seem to be very gregarious when he was in college, but Jiang Li Unexpectedly, I kindly helped Tan Tan, but instead hurt him.

After a while, Ji Han simply washed up and changed into a brand new white coat.Jiang Li walked side by side with him towards the disease seminar room in the department.

"You should have heard about the matter between Tan Tan and Xu Youshu. In fact, I am also responsible for this matter. If I hadn't intervened in this operation, maybe they wouldn't have been punished, but I still think there is nothing wrong with what Tan Tan did at that time. , can’t just let the patient lie on the operating table with a staple clip inserter inserted in his stomach just because he can’t find a second-line doctor, can he just wait there?”

Ji Han remained expressionless, "The hospital has hospital regulations, and those who violate the surgical operation regulations will be punished."

Jiang Li hesitated for a moment: "I mean, the punishment is fine, but Liu Chong's punishment is not too severe, can you help me to intercede, after all, Tan Tan is your resident doctor."

Ji Han refused without thinking, "No."

Jiang Li was so angry that his teeth itch: "Ji Han, sometimes you need to be flexible in life. Rules are dead, but people are alive."

Ji Han glanced at her: "There are no rules, nothing has changed. You have been in the United States for seven years, but you haven't changed at all. You were the same seven years ago. You like to ignore the rules and don't follow the rules. As I said, you will have to eat it sooner or later It's a big loss, the medical system is already very stressed..."

Jiang Li snorted, "That's better than being cold-blooded and ruthless."

(End of this chapter)