Oncology Physician Life

Chapter 56 Chapter 55 Catheterization
Wei Ran was half an hour late for his shift in the morning.

Under his white coat, he wore a light blue TH shirt and a tie of the same color. When he walked into the doctor's office, he showed two rows of white teeth to his colleagues as usual.

Pei Xiaonan walked in angrily, slammed the notebook in his hand onto Wei Ran's desk, and dropped it gently, holding back his anger and said: "Old Wei, do you think Cheng Ge is still worth it?" a man!"

"You know he called me this morning and said that since the two broke up, we must settle the accounts. I have to convert the dates, dinners and birthday gifts in the past three years into cash and compensate him. It's really nice Damn, what a dog man!"

Wei Ran shook his head, but he was not in the mood to listen to what Pei Xiaonan said.

He went to see his mother off at the station this morning. He had promised to accompany her to the countryside to visit his grandmother this time, but unfortunately he failed to fulfill his promise. At the moment when the train was about to leave, Wei Ran looked at the back of his mother staggering into the train, and looked at her. Mother's aging face, for some reason, suddenly had a sore nose.

Since he became an oncologist, Wei Ran has seldom had time to calm down and have a good meal with his mother. It was only this time that he realized that his mother was unconsciously no longer young, but old.

Although birth, old age, sickness and death are human nature, Wei Ran, who has been dependent on his mother for many years, still has a feeling of sadness in his heart.

Before I took a good look at my mother, my mother became old in the blink of an eye.

Pei Xiaonan noticed Wei Ran's absent-minded look, and put his hand on his forehead to test the temperature: "Old Wei, what's wrong with you? Are you sick? Your head is not hot!"

Wei Ran smiled: "I'm fine, it's just that I'm not in a good mood today."

Pei Xiaonan said to herself, "Let me tell you, old Wei Wei has been single for too long. Considering your age, you should find a girlfriend and start a family. Then Auntie can feel at ease."

Wei Ran's finger on the keyboard suddenly froze, recalling his mother's aging appearance in his mind, and rarely retorted: "It's time to think about starting a family."

At this time, the surgery center of the oncology department.

A patient with rectal cancer is wheeled into the operating room.

Wei Chen glanced at the time and asked the nurse to start monitoring the heart, the ventilator, and the negative pressure drainage device.

The equipment nurse placed surgical tools such as pointed scalpels, esophageal forceps, hemostats, Bell forceps, staple removers, and tweezers on the stainless steel surgical tray in turn.

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

The equipment nurse begins to spread sterile drapes on the patient's operating area.

The anesthetist performs preoperative anesthesia simultaneously.

Time: nine o'clock in the morning.

The door leading to the operating preparation room suddenly opened, and Ji Han, who was wearing a green sterile gown, walked in. With the help of the nurse, he put on the surgical gown and sterilized rubber gloves.

He wears a mask on his indifferent face, and a binocularloupe (Kepler's binocular magnifying glass) over the gold-rimmed glasses on the bridge of his nose.

The patient was temporarily transferred from colorectal surgery.

Half a month ago, a laparotomy was performed in the colorectal surgery department, and it was found that the tumor was highly malignant. Almost the entire mesentery area was covered with malignant tumors, and it was a patchy structure.

It was only then that the colorectal surgery team approached Ji Han, and the two sides held a medical seminar. Finally, it was decided that Ji Han would be the chief surgeon to remove the tumor in the mesenteric area and perform peripheral lymphatic clearance.

Two interns, Shu Yusheng and Xu Youshu, were fortunate to be close observers of this operation.

"Shadowless lamp, full abdomen lighting mode, staple remover!"

With an order, Ji Han took the staple remover from the second assistant, and his eyes stayed on the row of incisions nailed to death by Bell forceps on the patient's abdomen, and began to remove the staples step by step, reopening the incisions.

Yizhu Wei Chen immediately used peritoneal forceps, abdominal hook and tendon hook to fix the patient's incision.

Immediately, the patient's surgical field was exposed to Ji Han's eyes.

He glanced at Wei Chen, the first assistant, and Tan Tan, the second assistant, and said slowly: "The patient's tumor is relatively malignant. In order to be cautious and ensure the maximum removal of tumor cells, the resection point should be moved above the small intestine, and the cutting position must exceed the pylorus. The ring cuts off the connection with the gastric body, and the lower break point must pass through the appendix and be cut directly from the large intestine."

After speaking, Ji Han inserted his white rubber gloved hand into the patient's abdominal cavity and began to peel off the greater omentum.

At the same time, the display screen erected in front of the operating table revealed the surgical field and the folds formed by the drooping front of the patient's small intestine.

The greater omentum is an important peritoneum connecting the greater curvature of the stomach and the transverse colon. It contains the most important phagocytes in the human body and is also a part of the important defense function of the human immune cells.

Just like there is a problem with the omentum, it also means that there is a problem with the immune cells in the human body.

When Ji Han completely peeled off the omentum, his forehead was already covered with sweat.

He inserted his blood-stained hands into the patient's abdominal cavity again, and pulled out the patient's duodenum, above which was the pyloric ring.

"Gut forceps! Cut!"

Tan Tan immediately moved the intestinal forceps in his hand to Ji Han's hand, following Ji Han's order, Tan Tan clenched the intestinal forceps tightly, and only heard a creak, and the intestines in Ji Han's hand were cut off in response.

Blood splashed in the abdominal cavity immediately.

Wei Chen hurriedly sucked it with an aspirator, and at the same time clamped the severed intestine with a hemostat to stop the bleeding.

"Bell clamp."

Ji Han took the stapler-like bell forceps from Tan Tan and completely sealed the patient's pylorus. At the same time, he took the patient's stomach out of the abdominal cavity, like a stapler, and fixed the stomach directly on the on the patient's abdominal wall.

Soon, Ji Han pulled out the entire rectum covered with tumors from the patient's abdominal cavity.

On the other side, Wei Chen, who had already prepared the intestinal forceps, immediately cut it off.

Ji Han threw the amputated rectum into the stainless steel tray held by Shu Yusheng.

The task of Shu Yusheng and Xu Youshu was to cut a section of the intestine infiltrated by cancer cells, and send it to the nurse to the cryosection room for pathological examination.

Shu Yusheng's practical theory is very good. How to cut tumor samples, he can dictate every step in detail, but it is the first time for him to practice.

Xu Youshu had cut sheep intestines and pig intestines in the laboratory, but this was the first time he had cut human intestines.

Holding a pointed scalpel, Shu Yusheng said, "According to the textbook, we need to make incisions at both ends of this large intestine infiltrated by cancer cells, and cut out 4 cm square of cancer tissue. Do you know how big a 4 cm square is? "

Xu Youshu thought for a while, gestured for the size with his hands, and said uncertainly, "It's probably this big!"

Shu Yusheng watched the movements of Xu Youshu's hands, gritted his teeth, and pinched the dark purple, dead rectum in his hands. Even though he was wearing rubber gloves, he still felt a sense of slippery stickiness.

Like cutting a steak, he carefully and standardizedly cut out the pathological samples of the frozen section, turned around and handed them over to the nurse.

On the other end, the Children's Oncology Department.

It's already May, and the sweltering heat of summer makes Jiang Li feel dizzy from heat.

She adjusted the air conditioner in the office to 16 degrees, and still felt suffocated. Holding the medical records written by Lu Jiajia in her hand, she held back her patience and flipped through the pages one by one.

Lu Jiajia looked like a student whose homework was being checked by the teacher, standing aside anxiously waiting.

After a while, a nurse from the emergency department ran over and knocked on the door: "Professor Jiang, a 16-year-old child has been admitted to the emergency department. His testicles are enlarged and his penis is swollen. Director Sun invites you to come over for consultation."

Jiang Li nodded, put down the medical record in his hand, led Lu Jiajia and walked over with the emergency surgery nurse.

The nurse glanced at her and said, "That child, he refuses to insert a catheter for life and death, and may trouble Professor Jiang for help later."

Jiang Li didn't refuse, but he secretly thought of Sun Renyi from the emergency department.

Now the other party is getting more and more outrageous, but all younger patients push her directly. The other party is relieved, but she is the one who is tired.

When Jiang Li came to the emergency department, he saw a boy in hospital gown sitting in the emergency room, making trouble for no reason, refusing to take off his trousers, asking the nurse beside him to insert a urinary catheter.

"I won't intervene, I'm not sick!" The boy murmured loudly to the nurse, and his father, who accompanied him to go through the hospital procedures, happened to be no longer by his side.

The nurse patiently persuaded: "If you don't insert a catheter, how will you do the examination and surgery!"

The boy turned his head away: "I'm not sick, I can run, jump, eat and drink, I'm not sick, I want to go back, I want to go home!"

Sun Renyi just came over with the boy's photo, and handed it to Jiang Li: "Professor Jiang, please take a look, this is a photo of the patient's testicles, the patient's testicles are enlarged, the penis is swollen, and there are abdominal, back and The pain in the groin area, the child’s father said, it has been three months, at first he thought it was because the child’s menstrual period development did not pay attention, but it was only when it became serious that he realized something was wrong.”

Jiang Li took the film and looked at it against the light: "The testicles did not descend to the bottom, but stayed in the abdominal cavity and groin. It must be abnormal testicular development. Has the child had a history of testicular cancer in his family?"

Sun Renyi shook his head: "No."

Jiang Li led Lu Jiajia into the consultation room, and made Lu Jiajia close the door behind him.

She walked up to the boy named Zhu Houyang, with a straight face: "Take off your pants, I want to check for you!"

Perhaps seeing that Jiang Li was their doctor's head, and his attitude was not gentle, Zhu Houyang was a little afraid of her, and said submissively: "I don't want you to see, I want that old man to show me, all you girls go out!"

Jiang Li laughed angrily: "There is no distinction between men and women in the eyes of doctors, only patients, can you take it off?"

Zhu Houyang straightened his neck: "I won't take it off!"

Jiang Li didn't talk nonsense, let Lu Jiajia grab his hand, and he went straight to it, ripping off Zhu Houyang's pants.

Zhu Houyang's face turned red, and he wailed: "Dad, Dad, I want to go home, this female aunt is a pervert, a female hooligan!"

"Stop yelling!" Jiang Li palpated Zhu Houyang's testicles with his hands, frowned and scolded loudly.

Zhu Houyang was taken aback, his voice gradually decreased, and he dared not speak.

Jiang Li palpated Zhu Houyang's testicles and said: "The testicles are swollen and hard at the same time. It feels like a stone to the touch, and it is accompanied by a heavy feeling."

Lu Jiajia hurriedly took notes.

After Jiang Li's examination, he looked at the nurse in the emergency department and said, "Let the patient do a testicular light transmission test later."

The nurse in the emergency department quickly nodded in response, and said with a smile, "Professor Jiang, you have a solution. We'll talk about it, but we can't do anything with this kid. You are really good, come up and do it!"

Jiang Li smiled: "This patient should be transferred to genital surgery, I suspect it is Ka."

"Yes?" The emergency surgery nurse frowned.

Ka is a habitual discourse of oncologists. Generally, in front of patients, doctors will not directly say the word "tumor", but instead use CANCER in English. Transliterated from Chinese, it is CA, abbreviated as Ka.

The nurse in the emergency department held the catheter in her hand and worried: "Professor Jiang, you are a good person, can you help us insert the catheter too?"

Jiang Li took it over and handed it to Lu Jiajia: "You know how to insert a catheter, I'll give you a chance to practice it!"

Lu Jiajia took the catheter in her hand, her cheeks flushed, she looked at the patient who had stripped off her pants, and was a little embarrassed: "Jiang, Mr. Jiang, I haven't practiced it yet, this..."

Jiang Li clasped his hands in front of his chest, stood aside, not intending to get started, and said, "It's good if you haven't practiced it before. Today is just a good time to get started and feel it."

Lu Jiajia bit the bullet and picked up the catheter, looking at Zhu Houyang's swollen testicles, she was really embarrassed, after all, the other party was a 16-year-old boy, and she was still a big girl.

Zhu Houyang burst into tears: "I don't want her to do it, I don't want it, I don't want it..."

Jiang Li threatened Zhu Houyang viciously: "Let me tell you, if you cry and make trouble again, it will not be this gentle sister who will intervene for you. If the bad old man outside comes over, he will not be so gentle. The steel wire is poked in, and I tell you that it hurts very much, and it will bleed if you don't do it, you won't be able to get out of bed for a few days!"

Sure enough, Zhu Houyang was frightened by Jiang Li, and the crying stopped immediately.

Listening to Jiang Li's nonsense, the nurse in the emergency department wanted to laugh but didn't dare to laugh, her face turned red.

Lu Jiajia could only sharpen her gun before the battle and start with the catheter. The feeling of the hand can be said to be a deep memory for her who inserted the catheter for a man for the first time.

After Jiang Li finished dealing with Zhu Houyang and handed it over to Deputy Director Zhang of the Genital Surgery Department, he brought Lu Jiajia back to the oncology department.

As soon as Lu Jiajia entered the intern's office, several female tumor surgeons from Zhang Linlin immediately surrounded her and asked, "Junior Sister, how does it feel to insert a urinary catheter for a man for the first time?"

Lu Jiajia's eyes widened: "Senior Sister, how do you know?"

Zhang Linlin took out her mobile phone, clicked on the doctor group, laughed and said: "It has spread in the doctor group, wow, Professor Jiang is really not an ordinary woman, it is the first time I heard that a man is inserted into a urinary catheter with a steel wire Stabbed! How fierce!"

The female resident doctor on the side also covered her mouth and laughed: "I can't help but fantasize in my mind now, what kind of picture does Director Jiang stab with a steel wire!"

Another female doctor continued: "I just don't know, who the hell is going to be able to subdue a fierce woman like Director Jiang!"

It just so happened that Ji Han was passing by the intern's office with the patient's case, and heard the conversation inside.

Wei Chen on the side took out his mobile phone, clicked on the doctor group, and couldn't help but burst out laughing: "Professor Ji, our director Jiang is really, really a hero among women, we don't give up to men, insert a catheter, and use a steel wire to poke it up." , This picture is so clear and strange, and this is too fierce."

Ji Han pursed his lips, and the corners of his eyes couldn't help jumping up, his cold eyes swept across Wei Chen's laughing face.

Wei Chen's laughter stopped abruptly, and he bowed his head to admit his mistake: "I'm sorry, Professor Ji, I was wrong."

Ji Han took out his mobile phone, clicked on the doctor group, and saw that several interns and residents in tumor surgery were discussing this matter in the group, praising Jiang Li as a hero among women, and couldn't help but tease him.

With a cold face, Ji Han directly sent a message to the group.

"Today, the workload of all interns will be tripled, and the deadlines for residents who have research projects will be moved one week earlier!"

Suddenly, no one spoke in the group of doctors, and there was a dead silence.

Tan Tan, who was busy with the central venous catheter insertion operation, was leading Xu Youshu out of the operating room when he took out his phone and saw Ji Han's message.

Xu Youshu wailed, and ran to the office in a hurry: "Brother, I'm leaving first. I haven't done the homework that Professor Ji gave me and Shu Yusheng yet!"

Tan Tan sighed helplessly, looking at the scene of interns and residents in the oncology department crying and howling in the small group of doctors, he felt emotional: "It really is Doctor Satan, tsk tsk, these guys, I don't know if it's fake or not. You know, in the oncology department, we annoyed our Professor Ji, but there has never been any good fruit."

(End of this chapter)