Oncology Physician Life

Chapter 55 Chapter 54

Thunder and lightning flashed outside the hospital, and the rain suddenly became heavier. People all around sought shelter from the rain. The strong wind and raindrops smashed on the glass of the oncology building like hail.

in the operating room.

Jiang Li has been operating the da Vinci surgical robot for three full hours, and the surgical process is changing rapidly.

The malignancy of the glioma was much higher than she expected, and the invasive growth of the tumor had no obvious boundary with the normal brain tissue, which brought great difficulty to the operation.

Suddenly, Jiang Li stopped the joystick in his hand and sighed.

Qiao Andy's brain glioma has developed to grade Ⅲ～Ⅳ. It is a high-grade glioma with a high degree of malignancy. The tumor grows too fast and the condition is short. It has developed to The point where surgery cannot completely remove it.

Jiang Li estimated in his heart that even if the tumor was removed successfully, Qiao Andi's glioma might recur within a few months.

If the tumor really recurs again, the child's survival time will not exceed one year.

Jiang Li stopped moving, and everyone in the operating room focused on her.

The first assistant, Zhang Linlin, was standing beside Qiao Andi's head, wiping off the excess blood outside the incision on his head with gauze.

Suddenly, the monitoring equipment in the operating room issued a piercing alarm.

The anesthesiologist hurriedly stood up from his seat and stared at the monitor with an uncertain expression: "The patient's intracranial pressure suddenly increased, and he is about to inject serum protein and concentrated plasma..."

Before the anesthetist finished speaking, a blood vessel in the brain suddenly ruptured during Qiao Andi's operation, and a column of blood splattered, spraying Zhang Linlin's face.

Her two eyes were fixed on the piece of gauze that quickly turned from white to red in her hand. The blood accumulated rapidly expanded and could not be diluted at all, and soon completely flooded the operation field.

Zhang Linlin turned her head and looked at Jiang Li who was sitting on the console in fear, her pale lips moved: "Mr. Jiang, the patient, the patient's blood vessels burst..."

The nurse in front of the monitoring equipment immediately shouted: "The blood oxygen is dropping rapidly."

"The patient's heart rate begins to drop!"

"The blood pressure has dropped to 60, the bleeding must be stopped immediately!"

"The patient's vital signs are unstable!"

"The patient is critically ill..."

Jiang Li controlled the Da Vinci surgical robot and began to increase the suction.

She looked up at the itinerant nurse, and said seriously: "Immediately issue a critical surgery notice, so that Director Yu from brain surgery, Professor Ji from tumor surgery, Deputy Director Sun from the cerebrovascular surgery department, and Director Zhang from the neurosurgery department should come for an emergency consultation immediately! "

The itinerant nurse pulled a critical illness notice and ran out of the operating room.

Outside the operating room, Jo Andy's parents stayed outside for three and a half hours, restless.

Suddenly, the door of the operating room was opened, and several nurses ran out anxiously, and ran out of the corridor without saying a word.

The panic on the faces of Jo Andy's parents could hardly be concealed.

The itinerant nurse came over with the critical illness notice, and handed it to Jo Andy's parents along with the pen: "The child's cerebral blood vessel burst during the operation. Professor Jiang called for an emergency intraoperative consultation. This is the critical illness notice. Please sign it!"

Although Jiang Li had told the two of them before the operation that this operation would have certain risks, he never expected that a critical illness notice would be issued.

Qiao Andy's father received the critical illness notice, and his mind was full of images of his five-year-old son's head being cut open with a knife. This man in his 30s couldn't stop crying.

He still remembers the picture of his son being with him from birth to now. When he was a baby, he held him, held him high, and sang to the child.

For the first time, I took him to listen to the tutoring class of my dad.

Changing his diaper for the first time.

It was the first time I heard him call out the word "father" himself.

But the more he thought about it, the more his heart was cut like a knife and an axe.

Qiao Andy's mother looked up at her husband, her voice was hoarse, and she urged in a crying voice: "Sign it, sign it quickly, the child is still waiting for help!"

Qiao Andy's father glanced at his wife, and his whole body collapsed instantly, his eyes were red and swollen and he shouted: "I said at the beginning that I would not have the operation, I would not have the operation, and if there was an accident during the operation, I would never see my son again! Well now, there was an accident, you are satisfied!"

These words made Jo Andy's father's body tremble even more, as if a hurricane had been set off in his body.

He staggered to the corner of the wall outside the operating room, crouched down in pain with his head in his arms, unable to make up his mind.

The wife lowered her head, walked over, hugged her husband, and said softly: "Let's sign, no matter what, we have done our best."

Qiao Andy's father nestled in his wife's arms and cried bitterly: "It's all my uselessness, it's all my fault, I can't save him, I can't help him."

With sobs, the wife took out the critical illness notice from her husband, forced herself to press her trembling hands against the wall, and wrote down her name stroke by stroke.

After a while, there was the sound of hurried running in the corridor outside the operating room.

The passage in the corridor was pushed open, and Ji Han rushed into the operating room with four or five doctors.

Several people didn't even have time to go to the preparation room to change the sterile gowns, so they could only disinfect while asking the roving nurse to help them put on the sterile gowns.

Soon, this craniotomy and exploratory surgery became a joint operation of the four departments of tumor surgery, brain surgery, neurosurgery, and cerebrovascular surgery.

In the operating room, shadowless lights shine on the green sterile operating table, and various instruments are continuously pushed into and out of the operating room.

The nurse connected to ECMO and turned on extracorporeal circulation.

The equipment nurse quickly prepared surgical tools such as electric knife, pointed knife, tweezers, and special suture needles for cerebrovascular.

The itinerant nurse pulled over the shadowless lamp, the brightness gradually increased, and aimed at the patient's brain.

Ji Han, the director and deputy director of brain surgery and neurology surgery, and Jiang Li, discussed the follow-up tumor resection plan in front of the electronic screen of the Da Vinci surgical robot.

Deputy Director Sun of the Department of Cerebrovascular Surgery, wearing a binocularloupe (Kepler binocular magnifying glass), urgently performed 2.6 mm micro-cerebrovascular suture under a shadowless lamp.

Time: One thirty in the morning.

The red light in the operating room finally went out.

The unconscious Jo Andy was pushed out of the operating room by the nurse with a pale face.

Jo Andy's parents immediately surrounded him.

Jiang Li thanked the directors of several departments, endured his numb legs, and walked out of the operating room.

During the 11-hour operation, she tensed the string in her brain every moment.

The long-term high nervousness made her look extremely pale and haggard.

Jiang Li looked at Qiao Andy's parents and nodded: "Although there was a little accident in the operation, the tumor occupying the left basal ganglia was finally successfully removed."

Just as Qiao Andi's parents breathed a sigh of relief, Jiang Li's "but" pulled the two of them back to their relaxed nerves.

"However, don't be too optimistic. Andy's brain glioma is very malignant. According to my experience, 70% to 80% of patients with this level have a survival time of six months to one year. Most tumors recur months after surgical resection."

When Jo Andy's mother heard that her son might only have half a year to live, she covered her mouth and nose to keep herself from crying.

Jiang Liqiang cheered up: "But don't be too sad, isn't there still a 30% chance of surviving! Let's not relax. I will transfer Qiao Andy to the radiation therapy department for radiation therapy. As long as the tumor does not recur , Andy still has hope to live and study like a normal child."

Qiao Andi's father bowed deeply to Jiang Li: "Thank you, Professor Jiang, don't worry, we will actively cooperate with the doctor's treatment and not give up even a chance of survival!"

Jiang Li forced a smile on his face, turned around and walked out of the corridor, but his legs shook so badly that he had to hold on to the wall to move forward.

Anyone who keeps their nerves in a state of high tension and stands for 11 hours will be overwhelmed by the body.

After Jiang Li returned to China, it has been a long time since he had such a high-intensity operation.

Just when she couldn't hold on anymore, a hand beside her suddenly supported her shoulder.

Jiang Li turned his head and saw Ji Han's expressionless face through the bright and flickering lights in the corridor.

She squeezed out a smile: "Thank you very much today. If it weren't for you, Director Sun, and Director Yu, I really wouldn't be able to win this operation myself."

"Let me help you to my lounge first."

Ji Han signaled her not to talk too much, and helped her to go out.

His lounge was separated from the intern's lounge by a wall.

In the middle of the night, everything was silent in the corridor.

Ji Han helped Jiang Li into the room, let her sit on his bed, turned around and poured a cup of hot water for her, and asked with concern: "You haven't eaten at night, do you want me to get some food for you?" you?"

Jiang Li took the hot water glass, clasped it in his hands, and shook his head: "I'm not hungry, I'll take a rest, just take it easy."

"How can you not be hungry? I think you haven't eaten much at noon. I'll go to the 24-hour convenience store outside to buy you something to eat. You are waiting for me here."

Before Jiang Li could refuse, Ji Han had already walked out of the lounge.

At 2 o'clock in the morning in the middle of the night, there were few vehicles on the road outside the hospital, the sky was still dark, and the ground was wet.

When Ji Han bought a bunch of food and returned to the lounge, Jiang Li sat on the bed and fell asleep with his head leaning against the wall.

He sighed, put the things lightly on the table, tiptoed to her side, picked up the thin blanket on the bed and covered her body.

Jiang Li didn't even have time to change into the green short-sleeved sterile gown.

She leaned her head against the white wall, the light turned from bright to dark, casting a tall shadow on her face, her hand was hanging down casually, and she even held an unfinished Red Bull in one hand.

Ji Han took the can from her hand away, fearing that she would catch the cold, closed the half-closed window, and pulled out the heater under the cabinet to adjust it to a suitable temperature.

Seeing that there were no more problems in the room, he turned around and walked out of the lounge, gently closed the door, and sat casually on the bench in the corridor.

He took off the gold-rimmed glasses on the bridge of his nose, rubbed his brows, and guarded outside the door of the lounge, so that no one would disturb Jiang Li's sleep.

After a while, there were hurried footsteps in the corridor, and Xu Youshu ran to the intern doctor's lounge jumping up and down.

Ji Han glared at him fiercely, and raised his finger to his mouth, motioning for him to keep silent.

Xu Youshu immediately became well-behaved. He glanced curiously at Ji Han who was sitting outside the corridor, and hurriedly turned and slipped into the intern's room. He couldn't help being curious: "Professor Ji is so strange today, don't you?" Go back to your room and sleep, why are you sitting outside alone in the middle of the night?"

Ji Han worriedly looked in through the small glass window on the door, and was relieved to see that Jiang Li was still sleeping comfortably.

The light hit his eyes as deep as the sea of ​​stars, and Jiang Li's shadow was all inside.

(End of this chapter)