Oncology Physician Life

Chapter 52 Chapter 51 The four-person three-legged winning group

The sun above the head was vicious, and the sound of cicadas on the campus of the medical school pierced the sky.

The atmosphere on the plastic playground is rich and warm, and the air is filled with the boredom of waking up in early summer.

Sitting under the awning, Pei Xiaonan took out a YSL lip gloss from her bag, and carefully applied it in front of the makeup mirror, while Jiang Li, who had changed into sportswear, was doing stretching exercises.

She turned her head to look at the crowd and asked, "Old Wei doesn't know we're coming, does he?"

Pei Xiaonan shook her head and put away her lip gloss: "I don't know, I didn't tell him, I guess I'm with Professor Li Chunrong now."

"What did Wei Wei think, he would drag 56-year-old Professor Li Chunrong to run a relay race!"

"Old Wei's brain circuit has always been so strange!"

Not far away, on the track of the playground, Wei Ran had already arrived at the designated position. The referee was Qi Song, the director of the tumor surgery department. He glanced at Wei Ran and sighed: "Doctor Wei, do you really want to have a vacation so much? How to say, you can’t bring Professor Li Chunrong from our department to the competition, right? He is 56 years old this year? You asked him to run 400 meters with you? I saw that he was sent to the emergency department before the competition was over. .”

Wei Ran rubbed his nose in embarrassment, and turned to look at Professor Li Chunrong who was stretching his legs. He had gray hair and a bloated body, but his movements were still quite vigorous.

But hearing what Qi Song said, Wei Ran's already uneasy mood became even more unspeakable.

Just when he was about to give up the game, the sound of footsteps came from behind the playground. Wei Ran turned around and saw Pei Xiaonan in sportswear, with Jiang Li and Ji Han behind him.

His tense mood couldn't help but relax a lot, "Don't you three have no time to participate in the sports meeting?"

Pei Xiaonan was full of smiles: "What do you mean, our four-person team advances and retreats together. You sneaked over to participate in the competition, how could you be without us? Don't worry, old Wei, isn't it just a 400-1-meter relay Sai? We will definitely help you win No.[-], so that you can accompany Aunt Qin back to the countryside to visit grandma with peace of mind."

Jiang Li nodded again and again: "By the way, we will compare with that department later? I think there is a cardiology department!"

Wei Ran and Ji Han looked at each other, and just about to say something, they heard someone calling their name behind them.

The three of them turned their heads and saw Yang Zhigang, the deputy director of the emergency center, followed by four young and strong young men.

When Yang Zhigang saw the four people in the oncology department, his face was full of smiles: "Before I came, I told Xiao Li from the Propaganda Department of the hospital office, why bother to compare? Why don't we just award the award to our emergency center?" In what year did our emergency center not take the first place in the relay race in the hospital?"

As he said that, Yang Zhigang pushed out a young man in his early twenties behind him, patted his well-developed chest muscles, and showed off: "See, this is the No. 1 professional competition in the emergency center in the city this year, with a [-]-meter acceleration of [-] seconds." Eight, this is the humanoid Lamborghini of our emergency center, who used to support rural medical construction, and was a member of the Blue Sky Rescue Team, and has performed emergency disaster relief missions no less than a hundred times!"

Ji Han frowned, and looked at Pei Xiaonan expressionlessly: "I just found out that I have an academic meeting in the afternoon, otherwise I'll leave first."

Pei Xiaonan was also smiling, turned her back and pulled Wei Ran aside: "Old Wei, I think it's better for us to give up. No matter how you look at it, we can't beat the people in the emergency center, right?!"

"Pei Xiaonan! How can you increase the ambition of others and destroy your own prestige!"

Wei Ran interrupted her, gave her a hard look, looked at Ji Han and Jiang Li, and encouraged, "You three should be more confident! As long as we are united, nothing can stop us four group!"

Jiang Li's eyes dodged. Even if she ran 300 meters alone, she would not have the confidence to outrun the opponent, the "human Lamborghini".

The four of them stood on the track step by step and prepared for the competition. With the sound of the starting gun, Ji Han took the lead and ran out first. He walked very fast, on par with the opponent, and far surpassed the Department of Cardiac Surgery and Hepatobiliary Medicine. The participating doctors are not far from the contestants in the emergency center.

Victory seems to be in sight, and it has already waved to the four of them.

But when Ji Han was getting closer and closer to the second position, the phone in his pocket suddenly rang, and it was the resident doctor Wei Chen calling.

On the phone, Wei Chen looked very anxious: "Professor Ji, where have you gone? I couldn't find you! A 13-bed patient who had just had a heart aneurysm suddenly felt suffocated, and his pupils were not obvious to the light! "

Ji Han was still holding the baton in his hand. Hearing this, he braked suddenly, turned around and ran towards the hospital, and anxiously ordered on the phone: "Hurry up and send to the emergency room, set up a venous channel, and pull the blood first." EKG, blood oxygenation, I'll be there in 5 minutes!"

Jiang Li, who was the second best, saw Ji Han suddenly turn around and ran away, and hurriedly shouted: "You ran the old Ji!"

Hearing Jiang Li's shout behind him, Ji Han looked at the baton he was still holding in his hand, threw it in Jiang Li's direction, turned around and ran out of the playground of the medical school.

Jiang Li trotted over to pick up the baton on the ground, and tried his best to catch up to the third baton position, and still hoped to get No.2.

In the end, before taking two steps, the intern Lu Jiajia, who was sitting in the arbor, yelled at her frantically with his mobile phone: "Mr. Jiang, Mr. Jiang, emergency surgery, please consult urgently!"

Jiang Li glanced at Pei Xiaonan, and didn't care about the competition anymore, turned around and ran towards Lu Jiajia, took the phone in her hand, and asked loudly about the situation.

A five-year-old child patient who was identified as an abnormality in the left basal ganglia area by the MRI examination results has just been transferred to the emergency department. He underwent gamma knife treatment in the local hospital two months ago, and then gradually developed paralysis of the right limbs. The suspected diagnosis is Central system tumors.

Standing on the playground track, Pei Xiaonan looked back at Wei Ran and gave up completely.She walked over and patted Wei Ran on the shoulder: "Forget it, old Wei, some things can be done if we don't work hard. Besides, we don't have much hope of winning. The other party has a Lamborghini... Forget it, let me invite you to drink coffee?"

Wei Ran glanced at the direction of the finish line, and the "Pedestrian Lamborghini" contestant from the emergency center broke through the finish line in one go.He turned his gaze back, looked at Pei Xiaonan, and smiled awkwardly: "Forget it, forget about the coffee."

Walking from the playground of the medical school all the way back to the hospital building, there is a crossroad with a lot of traffic in the middle. Wei Ran took a relatively large step. When the others reached the crossroad, he looked back for a while, and Pei Xiaonan came out of the coffee shop. , holding two glasses of iced Americano without sugar.

The two simply stood at the intersection, boredly looking at the advertisements on the commercial street across the street, and did not walk back to the hospital until they had finished their coffee.

The emergency department has set up a special observation ward, which is regarded as a temporary inpatient area on the emergency department side. Some urgent patients who have been transferred and have not had time to be hospitalized, or patients whose conditions are not stable and can change at any time, will be placed in the inpatient ward. In the observation ward, it is also convenient for doctors in other departments to conduct observation and consultation.

Jiang Li led Lu Jiajia all the way into the observation area, there were six beds in it, and the patients in the nearby beds were all adults, except for a little boy lying on the bed near the window. .

The little boy did not seem to be very old, and he would never be more than six years old. The director of the emergency surgery department, Sun Renyi, was leading several interns to the hospital bed for consultation.

Accompanying the doctor was a couple who seemed to be the boy's parents.

Jiang Li changed into a white coat, but he didn't even have time to change into the sports shorts inside. He simply rubbed his hands with disinfectant, and walked forward with Lu Jiajia.

Seeing people coming, Sun Renyi put his hands behind his back and introduced to the boy's parents: "This is Professor Jiang Lijiang, who is in charge of the Children's Oncology Department of the Oncology Department. These two are the parents of the boy."

Jiang Li nodded briefly towards the boy's parents, and his eyes fell on the little boy on the hospital bed.

The boy is very cute, with strange eyes and two small canine teeth when he smiles.

Jiang Li smiled softly: "Hi, little guy! What's your name?"

The boy obediently said to Jiang Li, "My name is Qiao Andy, and my English name is Andy Qiao!"

"It still has an English name. It's awesome. Come on, let the doctor and auntie check you out, okay?"

Jiang Li smiled and interacted with the little guy, and began to palpate with his hands. The little guy cooperated with Jiang Li very well, raising his legs and clenching his fists, but when the boy raised his right hand, the little guy curled his lips.

"Aunt doctor, there is a bad guy growing in my right hand. It controls my right hand. My right hand is not mine anymore. It doesn't listen to my command. What should I do?"

Jiang Li didn't show any emotion on his face, and replied gently: "Aunt the doctor will help you drive away the bad guys and grab your right hand back, okay?"

Qiao Andy smiled happily: "Okay, Auntie Doctor, you have to keep your word!"

Jiang Li nodded solemnly, turned around and signaled for the boy's parents to come out.

A group of people arrived at the comprehensive office of emergency surgery. Jiang Li checked Qiao Andy's medical records on the computer, including the diagnosis of the disease, and suddenly frowned: "When did the child appear to twitch the right limb?"

Li Lei, the child's mother, hurriedly replied: "It should be 10 months ago. We found out that the child had this condition, so we sent the child to the local hospital, but after a check, the doctor did not find any symptoms. And at the beginning, the child's convulsions were very short, only about ten seconds, so..."

Jiang Li didn't ask any further questions. If it's not a specialist doctor, but an ordinary pediatrician, it's easy to misdiagnose this kind of central system tumor disease.

"I did a simple test just now. The child's left limb muscle strength is about five grades, but the right limb muscle strength is only one to two grades. The result of the head MRI examination you did in other hospitals is the left basal ganglia The region is abnormal, but where the tumor is located in the brain may not be known until a craniotomy is performed.”

After Jiang Li finished speaking, he looked at the boy's parents and added: "You two are the parents of the child. The child is still so young. If I have anything to say, I will tell you directly. From my experience, to a large extent , it should be a brain glioma, and the tumor should occupy the left ventricle of the child, which seriously affects the child's body movement function, and may cause headaches in the child, including language and communication barriers, so it should be done as soon as possible. Craniotomy for exploration and timely surgery."

After hearing this, the child's mother couldn't bear it anymore, threw herself into the arms of the child's father, and burst into tears.

The child's father's eyes were also flushed, he looked at Jiang Li, cheered up and asked, "Doctor, is it possible to do the surgery..."

Jiang Li knew what he wanted to ask, but every tumor disease is changing at any time, no doctor can guarantee that the child will definitely get better after the operation.

"Surgery has potential complications, including lung infection, deep vein thrombosis, brain hernia, epilepsy, and the risk of fluid imbalance, but don't be too pessimistic. Glioma is a relatively common intracranial tumor , accounting for more than 40% of all brain tumors, and most of them are malignant. If it is low-grade, the survival time will reach 5-10 years. If it is high-grade, the tumor will grow faster, and the survival time will also be greatly improved. Shorten it, maybe only one year."

Jiang Li had to tell the parents about the child's situation. Although she knew it would be cruel, she still told her to let the husband and wife have a psychological construction process in advance.

"But don't be discouraged. Let's work hard together. The child is still so young, and his future is still very long. As long as we actively treat him, there is still great hope!"

Qiao Andy's father cheered himself up and hugged his wife in his arms: "Don't worry, doctor, our husband and wife will not give up. We will definitely cooperate with you actively. We just have one request. No matter how the child's condition is, please let me know." Be sure to tell us the truth, and we can all accept it.”

Jiang Li nodded: "Arrange the craniotomy first, and let the child be admitted to the hospital."

After listening, Sun Renyi, the director of the emergency surgery department, had no opinion: "Then according to Professor Jiang's request, the child should be transferred directly to your pediatric oncology department."

After the child's parents went out, Lu Jiajia sighed beside him: "Mr. Jiang, what do you think the child should do? He is still so young, only five and a half years old, how could he have this disease!"

Jiang Li looked at the notebook in Lu Jiajia's hand that kept writing, and took a look at it. Lu Jiajia's notes were very good. She could grasp most of the key points in her illness, which showed that she was not stupid, but just The hands-on ability is not very good, and the practice cannot keep up with the theory.

"Do you know how many children in our country are diagnosed with brain tumors every year?" Jiang Li asked, returning the notes to her.

Lu Jiajia shook his head: "I don't know, are there many?"

Jiang Li continued: "At least 70 to 80 children are diagnosed with brain tumors every year, and among them, as high as 5%, or even 8% are malignant tumors. Children aged [-] to [-] are brain tumors. The age and population of high incidence, the younger the age of onset, the higher the degree of malignancy of brain tumors, and the proportion of boys is higher than that of girls."

Lu Jiajia's hand froze when taking notes: "The degree of malignancy is so high? Isn't that..."

Jiang Li got up, walked out of the emergency surgery building, and was about to go to the oncology department. He said: "Compared with the millions of adult tumor patients every year, children with brain tumors can be counted insignificantly, which also leads to schools and even hospitals. There are very few oncologists who specialize in brain tumors in children, and many children may be misdiagnosed when they are sent to the hospital, and the disease will be delayed."

Jiang Li looked back at Lu Jiajia who was still taking notes seriously, and smiled: "So, Lu Jiajia, you have to work harder, work harder, you have the potential to become a pediatric oncologist!"

Lu Jiajia stuck out her tongue: "But I'm stupid, Mr. Jiang, I'm afraid I can't do it."

Jiang Li shook his head: "When I was an intern, one of my teaching teachers also told me this sentence, he said that I was the stupidest intern she had ever seen, and many interns were geniuses. The types of theoretical knowledge, they can get full marks casually, and the techniques taught by the teacher, they can learn it after reading it, but my teacher told me that these genius doctors are often very few. Most people can't stand loneliness, can't stand the temptation, and finally change careers."

"What about the rest?" Lu Jiajia asked.

"The rest are stupid doctors like me!" Jiang Li smiled, "The teacher told me that to be a doctor, skills are easy to teach, but fortitude is hard to find, as long as you are willing to keep your feet on the ground and take it step by step. , don’t try any shortcuts, the one who can get to the end in the end must be yourself.”

Lu Jiajia's eyes were full of confidence again: "Don't worry, Mr. Jiang, I will work hard!"

Jiang Li threw the medical record book to her: "So, as an excellent doctor, the first step is to start writing the medical record. This medical record will be handed over to me tomorrow morning."

Lu Jiajia's face collapsed: "No, Mr. Jiang, I still want to participate in the four-person three-legged competition this afternoon, and those who win can eat KFC dinner for free! I have made an appointment with Kang Jun and the others..."

In the doctor's lounge, Wei Ran was sitting bored on the massage chair, a symphony was playing in the room, Pei Xiaonan was practicing yoga at the side, Ji Han was wearing gold-rimmed glasses, sitting quietly reading a book under the window.

Ji Han's lounge has become a shared lounge for the foursome.

Wei Ran didn't complete the relay race of the sports meeting as planned, thinking about how to explain to his mother, because the three-day vacation he got flew away.

He picked up the desk calendar and calculated that on Wednesday he would attend MDT, on Thursday he would go to hepatobiliary surgery for consultation, on Friday and Saturday, he would be fully booked, and he would go out to the clinic all day. It is impossible for Ms. Qin to go back to the countryside to see her grandmother.

When the three of them were busy with their own affairs, the door of the lounge was suddenly pushed open, Jiang Li hurried to catch up, and finally caught up.

She was holding a poster made by the publicity department in her hand. The sports meeting benefits were given away, and the champion team of the four-person three-legged competition could enjoy a free KFC meal provided by the publicity department of the hospital.

Jiang Li put the poster in front of the three of them: "How about it, let's go to participate! If you win, there will be a three-layer pineapple cheese steak burger! There will also be a BJ's roast duck!"

Pei Xiaonan was suspicious: "Shanghai also sells BJ roast duck?"

Jiang Li ignored her: "It's not important, what's important is that fried chicken goes with beer!"

"Oh, oh," Wei Ran regained his spirits, "I still have cold beer at home that I didn't finish last time, and there's still a lot left!"

Jiang Li snapped his fingers: "bingo!"

Ji Han still sat quietly under the window reading a book: "Eat less fried food, it's unhealthy, do you think those chickens grow up normally? No, the whole country consumes millions of chickens a day, how can there be so many chickens?" Chickens are killed every day, these chickens are stimulated by hormones, and people eat them..."

The three decisively chose to ignore him.

Pei Xiaonan had already changed his clothes, Wei Ran also put down the calendar in his hand, the three of them walked to the door only to find that Ji Han hadn't moved, still sitting under the window chattering.

Jiang Li glanced at Pei Xiaonan and asked, "What did he say just now?"

Pei Xiaonan shook her head: "I don't know, I didn't pay attention."

After speaking, he looked at Wei Ran, "Old Wei, did you hear that just now?"

Wei Ran thought for a moment, and suddenly realized: "Old Ji seems to say that he likes to eat roast chicken!"

Ji Han frowned: "I said, fried chicken is not healthy..."

Before he could finish speaking, Ji Han was pulled up by Wei Ran: "Let's go quickly, you forgot that when our four-person team was in school, but the perennial champion group of four-person three-legged competitions, no one can Run faster than us!"

…………

In the evening, Pei Xiaonan posted a photo in Moments.

In the photo, the four of them gathered on the roof of Wei Ran’s attic, circling around a small dining table filled with fried chicken and beer, and an improved Shanghai version of BJ’s roast duck was placed in the middle.

Slices of crystal clear and oily roast duck meat are served with thin spring pancakes, carrot sticks, cucumber sticks, celery, and mustard sauce.

Below the circle of friends is the collective denunciation scene of oncology interns.

Xu Youshu: "Professor Ji is too much. He is so rich, but he wants to grab free fried chicken from my intern doctor!"

Zhang Linlin: "How can the four of them cooperate so tacitly? Run so fast? Let the four of them change careers and become four-person three-legged athletes!"

Tan Tan: "??? The national team doesn't seem to have a four-a-side three-legged game, right?"

Kang Jun: "Doctor Wei Ran is still so handsome today!"

Xu Youshu: "Kang Jun, are you a nympho?"

Zhang Linlin: "+1"

Tan Tan: "Poor Kang Jun, it's another day to curry favor with the leading doctor."

Lu Jiajia: "Ah, why is it so difficult to write a medical record!"

(End of this chapter)