Oncology Physician Life

Chapter 57 Chapter 56 Brain tumor in an eight-month-old baby
Ji Han went to Guangzhou on Wednesday to attend the academic meeting of the local cancer prevention and treatment committee, and returned to Shanghai in the early hours of the next day. He only slept for less than four hours in two days.

Early in the morning, Jiang Li was still awake in the bedroom. After Ji Han got home and put down his luggage, he immediately freed up his hands to prepare breakfast for Jiang Li.

When Jiang Li came out of the room with sleepy eyes, Ji Han had already finished setting the plates on the dining table, and said to her, "I made your favorite beef sandwich, as well as fried eggs and freshly squeezed orange juice, hurry up Go wash your face and brush your teeth."

Jiang Li glanced at half of the meals on the dining table, and complained: "You just came back from Guangzhou in the middle of the night last night. What are you doing in the morning? I'll just go downstairs and buy some food. Hurry up and get some sleep." .”

Ji Han frowned, "It's okay, I'm not very sleepy, I have to eat anyway, it's healthier to cook by myself."

Jiang Li couldn't refute, went into the bathroom to brush his teeth and wash his face, then looked back at Ji Han who was still busy frying eggs in the living room.

The morning sun seemed to be a pool of clear water, coming in from behind the blinds, pouring in an uproar, enveloping him in the soft sunlight, very dazzling.

"Why didn't you realize that you still have so many advantages when you were dating?"

Jiang Li sat at the dining table with a smile on his face, picked up the sandwich and took a bite, savoring it slowly.

"What advantages? Tell me about it?"

Ji Han couldn't hide the sly smile in his clear eyes, picked up the freshly squeezed orange juice on the table, and poured her a glass.

"Look at you, you gave birth to a good-looking skin, your family is rich, you don't have to worry about food and drink, you are tall, you have a good job, and you are a doctor."

"However," Jiang Li counted Ji Han's advantages in detail, and then changed his voice, "Why haven't I even found a girlfriend in the past few years? I remember that when I was in college, there were many girls who secretly wrote love letters to you. ?”

The smile on Ji Han's face gradually faded, and he asked back: "What about you, you have been abroad for seven or eight years, why haven't you looked for it?"

Jiang Li's eyes dimmed slightly, "Busy, busy with studies, busy with taking the USMLE (United States Medical Licensing Examination), and after entering Anderson, there will be a 3-year professional training. How can I have time to wait until everything is on the right track? , I am over thirty years old."

"Same." Ji Han raised his head, looked past the molecular lamp above his head that looked like a lotus blooming in layers, his eyes faltered, and asked, "If we haven't found the most suitable person for each other before the age of 35, Why don't we just settle down and continue living together?"

"Don't!" Jiang Li was so frightened by Ji Han's words that he choked on a big mouthful of orange juice, and it took him a long time to recover, "You should spend more time on dating, so that when the time comes, your seven aunts and eight aunts should be in the house again." You scolded me behind your back, saying that I delayed the only seedling of your old Ji's family, and I will be enough to recite this blame once, don't want me to recite it a second time."

Hearing what Jiang Li said, Ji Han smiled nonchalantly: "I'm just kidding, I scared you."

hospital.

Ward area of ​​medical oncology.

A well-dressed man suppressed his crying, staggered towards the chair by the window, sat down, hugged his head tightly, and bowed deeply.

Wearing a white coat, Wei Ran passed through the other end of the corridor, sat next to the man, and patted him on the shoulder: "You have to be prepared in your heart, Wang Qiu may be here for a few days."

The man named A Bin raised his head, in great pain: "Old Wei, there is really no other way?"

Wei Ran sighed: "Five years ago, when I was just promoted to attending, there was a case whose condition was very similar to Wang Qiu's. The other party was also a young girl. Pancreatic cancer with liver metastases was almost a mess, and the drug treatment was not effective. It's too ideal. At the beginning, I followed Professor Sun Lao and had to undergo MDT with the hepatobiliary surgery department almost every three days. Everyone discussed whether to surgically remove the lesion. In the end, we insisted on surgery. From then on, that girl lived a very good life and has lived until now."

Wei Ran glanced at his unshaven friend Li Guangbin, "It was this patient who made me change my attitude towards pancreatic cancer surgery. When I saw Wang Qiu's case, I hoped that a miracle could happen a second time, so , after Wang Qiu reached the indication for the first operation, I encouraged her to remove the lesion. I know she has a strong desire to survive. Your child is only five years old. She hopes to abide by the agreement with you and grow old together. I'm old, but I really didn't expect that the tumor would recur after only one month of surgery, and it was in a crazier state of division... Sorry, if I hadn't insisted on the operation..."

Li Guangbin's eyes were blurred by tears, and he couldn't stop streaming: "Old Wei, don't blame yourself, it's not your fault, Xiaoqiu is your best friend, she won't blame you. It's a doctor, you don't need to explain, but none of us could have imagined that Xiaoqiu would be insensitive to all kinds of chemotherapy drugs."

Although Li Guangbin comforted him so much, Wei Ran still felt very guilty.

Li Guangbin and Wang Qiu are both Wei Ran's college classmates. They got married after graduation, and both are oncologists in the same hospital. The difference is that Li Guangbin is a nuclear medicine doctor, and Wang Qiu happens to be a doctor in the oncology department. .

But no one thought that, as an oncologist, Wang Qiu would have bad luck befall her herself one day.

Wei Ran walked to the door of Wang Qiu's ward, feeling more and more uncomfortable, even afraid to see his friends, because he didn't know what he should say to give him hope?
"I can't give her hope."

Wei Ran clenched his hands tightly, and then loosened them repeatedly, doing psychological construction for himself.

He knew that Wang Qiu would inevitably die, and it might be within a few days.

He didn't dare to go in and face her friend for many years, but as her attending doctor, he had to go in at this time, even if he had to bite the bullet, he had to face her with a smile on his face.

Wang Qiu is very familiar with Wei Ran. From the day she met in college, she knew that he was a weak and kind-hearted man. She didn't even see a stray cat or dog on the street. Every time she encountered him, she would take him home and adopt him.

Hearing Wei Ran's footsteps, Wang Qiu sat up slowly while half lying on the hospital bed, staring at the door, and asked aloud, "Is that old Wei?"

Through the glass window of the door, Wei Ran peeked out of the corner of his eye, just in time to meet Wang Qiu's expectant gaze, which made him feel scared and feel very incompetent.

Wang Qiu's pancreatic cancer has completely metastasized, the hilar lymph nodes have metastasized, jaundice has appeared, and the eyelids have begun to turn yellow, and then the abdominal cavity has metastasized. He is not sensitive to various chemotherapy drugs, and the treatment basically has no effect.

Finally, Wei Ran gritted his teeth and opened the door and walked in, trying to force a smile on his face.

Wang Qiu saw that it was indeed Wei Ran who came, and smiled happily: "Old Wei, I haven't seen you for several days. You have a lot of patients recently, are you busy? You don't want to visit your old classmates anymore!"

Wei Ran started to stammer: "Yes... no... no... just... recently... um... a little busy."

Wang Qiu chuckled and said, "Why are you so scared, I won't eat you again."

Wei Ran followed with a smirk.

Not long after, Wang Qiu's husband Li Guangbin packed up his mood, walked in with various moisturizing creams and skin care products, and placed them in front of Wang Qiu.

Wei Ran looked at those skin care products: "Are you going to make up?"

Wang Qiu smiled: "You know, what broke me down the most since I got sick?"

Wei Ran shook his head.

Wang Qiu opened the moisturizing cream and wiped it on his hands: "What broke me the most was not the deterioration of my condition, nor the high level of transaminase, nor my jaundice, but my skin!"

Wei Ran was amused: "Yes, how did I forget that when you were in college, you were the one who loved the most beauty and the most dressed up."

Wang Qiu nodded and agreed with his words: "Look at my current skin, it can't help but be dark and dry, so I asked Abin to prepare moisturizing cream for me, as well as vitamins and compound glycerin. The skin doesn't look like mine anymore!"

Wei Ran looked at Wang Qiu who had severe jaundice, her eyes had completely turned yellow.

However, Wei Ran can still read her yellow despair and yellow expectation from her eyes.

He summoned up his courage and said, "I'm sorry Xiaoqiu, forgive me, as an oncologist, there is no way..."

"Stupid!" Wang Qiu interrupted him with a look of disgust, "You think you are the only one who is good? Am I not a doctor in the oncology department?"

Wei Ran has nothing to say. Wang Qiu is indeed a very good oncologist. If there is no accident, she will be promoted to a senior professional position this year. She is the youngest female professor of oncology in the Fourth Hospital of Medical University.

But she was ill, and even after she was ill, she was unwilling to be treated in the hospital where she worked, for fear of affecting her colleagues.

"Old Wei, do you know how I felt when I found out that I had pancreatic cancer?"

Wang Qiu smirked: "I said, God was really blind. At that time, I was very irritable and angry. Why did I get this disease? I treated many cancer patients, but I didn't expect that God finally prescribed a medicine to me. Such a big joke."

Wang Qiu's words were very emotional: "However, when I calmed down later, I was relieved. Yes, cancer is an endogenous disease, and you don't pick the identity of the patient. It doesn't matter who you are. The rich and the poor will get sick when they should, but after I got sick, I began to reflect on my life of more than 30 years, and I felt that I was wrong!"

Wang Qiu looked at his husband, his face full of doting: "Since I became a deputy high school, I have been busier. I have been busy working all day, holding meetings, and even my family has begun to stop loving me. I have ignored him. My father, my mother, my husband, and even my children, I can be meticulous in my work, and I can be said to be considerate and caring for every patient, but I only ignore the family who loves me the most. "

Wei Ran's eyes turned red.

Wang Qiu looked at Wei Ran: "But you know, old Wei, you understand me, you know, what does it mean for people like us to find a career that they love and can work hard for all their lives? For me, being an oncologist is what I'm all about."

"After graduating from my university, I went to Union Medical College as an intern, then became a resident doctor in the PLA General Hospital, and then went abroad to study, participate in scientific research, and teach. Although I am very busy, I never get tired of it. I live every day. Very fulfilling. Although I may only live to be 35 years old, I feel that my short and happy life is quite meaningful. I have treated more than 500 cancer patients, and many of them are still living very well and happily , and they send me greeting cards and gifts every year during festivals, I am really satisfied."

Wang Qiu is a doctor, and she knows her condition well, she knows that she may be in the past few days.

Her gentle eyes looked at her husband who had bowed his head and was crying: "Abin, after I leave, you have to take good care of our son, and you have to tell him that it's not that mother doesn't love him anymore, it's just that mother can't continue to grow up with him." It's just big."

Li Guangbin choked up and said: "What stupid words are you talking about? Old Wei is still here. He hasn't given up yet. How can you give up!"

Wei Ran hurriedly said: "Yes, we can still try targeted therapy, and we can also try immunotherapy. We can all try it, as long as there is still a glimmer of hope."

Wang Qiu didn't speak, just looked at the two men with red eyes, and smiled softly.

She looked out of the window, where it was midsummer, and the top of the lush camphor tree was covered with green leaves, but her own life, at the most prosperous age, was gradually withering.

Wei Ran walked out of the ward in a daze.

He seldom cried for patients these years. He thought that as he got older and experienced so many storms in the oncology department, the threshold for crying became higher and higher, but today, he still couldn't hold back.

He knew that Wang Qiu, such a strong woman, would never let him leave without dignity.

She gave up over-treatment, just hoped that she could walk more peacefully.

…………

In the afternoon, on the expressway in Shanghai, an ambulance flashing rapidly was speeding down the road.

In the ambulance, the young accompanying medical staff looked at the incubator next to the young mother, in which lay an eight-month-old baby wearing an oxygen mask.

She can only tell from the slight rise and fall of the baby's weak chest that the baby is still alive, and may suffocate to death at any time.

Next to the young mother Zhang Xiaonan, sat the 57-year-old mother-in-law Liu Guifen. The old man was looking at his grandson with distress, and cried, "Why are you so slow? Why haven't you arrived at the hospital yet!"

From the county seat of Suzhou to Shanghai, even if you take the high speed, it will take more than an hour at the fastest.

Liu Xiaomin, a young medical worker accompanying the car, hurriedly comforted the old man: "Grandma, don't worry, we will make it in time."

After finishing speaking, the baby's slightly heaving chest suddenly stopped.

Liu Xiaomin's face changed drastically, and through the glass, he yelled at Lao Li, the driver of the ambulance: "Uncle Li, the child has ventricular fibrillation, hurry up, it's too late!"

After speaking, Liu Xiaomin hurriedly pulled away the child's grandmother, straightened her elbows, and performed external compressions for the baby in the ambulance.

Hearing the shouts in the carriage, the driver, Old Li, gritted his teeth and stepped on the accelerator to the bottom.

Everyone only felt the ambulance shaking violently, and then heard the screeching sound of the tires rubbing against the ground rapidly.

On the expressway, the ambulance pierced through the thick fog on both sides of the protective belt like a red beam of light, like a sharp sword, piercing straight into the distant urban agglomeration.

At this time, the Children's Oncology Department of the Oncology Department.

Just as Jiang Li went to visit Qiao Andy, he was stopped by head nurse Sun before he reached the office.

"Professor Jiang, I just received a call from the emergency surgery department. An eight-month-old baby is coming to our hospital from the county below Suzhou. The baby was diagnosed with a malignant brain tumor that occupied the entire right cerebellar hemisphere! Due to the tumor Compression, the baby has developed severe hydrocephalus, and the intracranial hypertension has reached a critical point, and may stop breathing and heartbeat at any time!"

Jiang Li hurriedly called Lu Jiajia, walked quickly to the emergency department, and at the same time turned to head nurse Sun and asked, "How long will it take for the ambulance to arrive at the hospital?"

Head Nurse Sun glanced at the time: "I have just contacted the traffic police detachment, and now the traffic police have opened up a life-saving green channel to ensure that the ambulance can reach the hospital as quickly as possible along the way, but..."

Jiang Li glanced at her: "Just what?"

Head nurse Sun hesitated for a moment, gritted her teeth, and said, "It's just that the baby's brain tumor has reached 6 centimeters in diameter, occupying more than half of the back of the brain. For obstructive hydrocephalus, the brainstem tissue was pushed, and the child was sent to many hospitals. Doctors did not recommend surgery, because the child’s huge brain tumor had a rich blood supply, and the amount of bleeding during the operation was bound to be huge, and the child was only eight years old. One month old, blood transfusion should not be too fast, it is very easy to cause heart failure during the operation, so..."

Head nurse Sun didn't continue, but Jiang Li understood.

The brain tumor of the baby is too large, and the age is only eight months old, so it does not have the conditions for surgery. Once the operation is forced, the baby may have heart failure at any time and die on the operating table. No doctor dares to bet his own future with a child's life!
But if the operation is not performed in time to remove the tumor, this eight-month-old child will definitely not survive!

Jiang Li's footsteps didn't stop, "No matter what, as long as this baby can reach the hospital alive, I, as a doctor in the Children's Oncology Department, have the responsibility to save him! I, Jiang Li, took care of this patient. If there is any problem, I will be alone. People are responsible!"

　I finally called half an hour before 12 o'clock. With my crazy hand speed, I finally sent [-] words.

　　
　
(End of this chapter)