Oncology Physician Life

Chapter 67 Chapter 66 Two Idiots
I bought two morning meals at the breakfast shop across the road from the hospital, and as soon as Gu Jun walked to the gate of the oncology building, he saw Jiang Li's car stop.In the car, Jiang Li was dressed up beautifully, wearing a lady's white shirt and black flared pants.

His eyes stayed on Jiang Li's pleasing face, and he felt extraordinarily comfortable, even the wind blowing over him was as gentle as Jiang Li's exhalation in his ears.

But it didn't take long for this mood to be swept away in an instant, and he watched Ji Han who suddenly got off the co-pilot.The way the other party talked to Jiang Li was very intimate. Although he knew that the two had been friends for many years, but now he was Jiang Li's boyfriend. The relationship between Jiang Li and Ji Han was more than friendship, which made him feel a little uncomfortable .

Thinking of the last time I sent Jiang Li home, Ji Han happened to appear in the same building, which aroused Gu Jun's suspicion even more.

He took out his mobile phone to call Jiang Li, but the other party hung up directly.

Gu Jun called again, and the phone was connected. Gu Jun smiled and asked, "Ali, I bought breakfast, where are you?"

Jiang Li was stepping into the elevator with Ji Han, and pressed the button on the 8th floor: "I just got into the elevator, so I didn't eat breakfast, I ate it at home."

"Have eaten, okay, are you alone by your side?" Gu Jun asked casually.

Jiang Li looked at the numbers going up in the elevator, but didn't hear the emotion in Gu Jun's words. Just when the elevator door opened, many interns poured in. Jiang Li stood in the corner of the elevator and lowered his voice: "Let's not talk, I'm going to the office right now."

Before Gu Jun finished speaking, Jiang Li hung up the phone.

Ji Han glanced at Jiang Li from the corner of his eye, and said calmly, "Is it Gu Jun calling?"

Jiang Li lifted the hair behind his ears and nodded unnaturally.

Ji Han frowned, with a cold expression on his face: "You are not children in the [-]th and [-]th years, you are all in their thirties, why don't you see each other for a day, and you are still so greasy and childish."

Jiang Li raised his eyebrows, turned his face to look at Ji Han, with a smile on his lips: "Professor Ji, this age has nothing to do with it, and I don't know who called me every three hours when they were in a relationship. Just one more point, wasn't it childish at that time?"

Ji Han couldn't keep his composure on his face, his clumsy appearance made people feel funny.

After a while, there were more people in the elevator, and Jiang Li was forced to lean in the corner. The electrician, who was carrying a tool bag, accidentally hit the tool box on the back of Jiang Li's hand, causing her to frown fiercely. However, facing the inquiring eyes of the electrician, Jiang Li immediately showed a gentle smile on his face, indicating that he was fine.

Ji Han on the side watched the whole process.

He naturally put his hand on the shoulder of Qi Song, the director of oncology surgery, and leaned towards him. Jiang Li instantly felt that his surroundings were much wider.

Qi Song felt uncomfortable being squeezed, and said to Ji Han: "Professor Ji, can you stop squeezing, if you squeeze again, you will squeeze me against the wall!"

Ji Han coughed to hide his embarrassment: "It's okay, but the air conditioner in the elevator is turned on a little bit, and I'm a little cold."

Qi Song glanced at Ji Han's face, and jokingly said: "Professor Ji, this young man must know how to control himself. It's not okay to be weak at such a young age. When you have time, you can go to Lao Li from the Chinese Medicine Department and ask him to treat you. conditioning."

Everyone in the elevator looked at Ji Han in unison.

Ji Han's face was livid, and he glared at Qi Song fiercely: "Who is wrong? My health is very good."

Qi Song laughed: "You are not weak? Didn't you just say that you are cold? It's more than 30 degrees today. Are you cold? This is obviously a symptom of kidney yin deficiency! Young people, don't be sick and avoid medical treatment." !"

Without waiting for Ji Han to explain, the elevator opened at the floor, and the crowd rushed out immediately. Ji Han saw the strange eyes of several young interns secretly looking at him, and felt very depressed.

The back of Jiang Li's hand was bumped and there was a cut, and bleeding came out. Ji Han naturally grabbed the back of her hand and checked it: "Does it hurt? I'll go to your office in a while, and I'll give you some medicine."

Ji Han couldn't help but Jiang Li refused, and followed her to the office.Jiang Li took out the medicine kit from the closet and handed it to Ji Han, who thoughtfully disinfected her and put a Band-Aid on it, and then said: "It is inevitable that there will be rust on the kit, you can go to the nurse's desk later and ask head nurse Sun to give it to her." You get a tetanus shot."

Ji Han packed up the medicine box, looked at the white coat Jiang Li took out from the closet, and kept his arms tight to keep the clothes from touching the wound, so as not to be contaminated with blood and bacteria, and bring them into the ward.

Ji Han shook his head, took the white coat from her hand, shook his hands away, and said to her, "Extend your hand."

There was no one else in the office, and Jiang Li felt that it was inappropriate for Ji Han to help him dress, so he wanted to take over and dress himself.

Ji Han pushed Jiang Li's hand away, and said seriously, "Hurry up, reach out."

Looking at each other, Jiang Li had no choice but to bite the bullet and ask Ji Han to help her put on the white coat. When she was about to fasten the button of the white coat, Ji Han knocked off the hand she extended.

The expression on his face was very focused, his slender fingers pinched the white buttons, and stuffed them into the gaps of the corresponding buttons one by one. Ji Han fastened it from bottom to top, and when he got to the button on his chest, it happened to fit Jiang Li's cheeks were a little blush.

Jiang Li immediately averted his gaze and said, "Strange, why does it still feel so hot even though the air conditioner is turned on?"

Ji Han helped her fasten the last button, turned around and took out the stethoscope and pen from the closet, hung the stethoscope around Jiang Li's neck, and neatly inserted the pen into the upper pocket of the white coat to fasten it.

At this time, the two keep a distance between their chests, and they can clearly feel each other's existence, but they just won't touch each other's subtle scale.

Sensing something was wrong, Ji Han took the initiative to take a big step back, raised his wrist and looked at his watch, and said to her, "It's almost time for ward rounds, I'll go back and change clothes, there's an operation in the morning .”

Jiang Li hummed lightly, and seeing Ji Han's back walking out of the office, he was completely relieved, just for a moment, she didn't know what was wrong with her, her heartbeat accelerated suddenly, and her cheeks were scorching hot.

At this moment, Yang Xiaolan walked in with the follow-up log from the ward.

Jiang Li put away his thoughts and followed Yang Xiaolan towards the ward area.

Yang Xiaolan reported to work by the way: "Yesterday, Beibei's condition has completely improved, and the high fever subsided. Today, she can drink milk normally and was transferred out of the ICU in the morning. Director Fan from the Breast Surgery Department came over in the morning and asked me to tell Let me know, Liu Kaishi's breast surgery went well, and she has been transferred to the radiotherapy department for the next chemotherapy."

Jiang Li nodded: "You have seen the central venous catheter insertion simulation yesterday, how do you feel?"

Yang Xiaolan took a deep breath and shook her head: "Although it is different from the simulation in the medical school, I still feel less confident."

"Don't be afraid, take your time," Jiang Li smiled, "This morning is the practice of Lu Jiajia's central venous catheter insertion. You will go to the operating preparation room and change into a sterile gown later, so that you can observe it closely."

The excitement on Yang Xiaolan's face couldn't help: "Thank you, Mr. Jiang."

On the other side, in the ward, Kang Jun came out of his teacher who had just visited him.

Tan Tan patted him on the shoulder and comforted him: "Mr. Tan will definitely be fine, but I didn't expect you to take oncology as an elective after graduating from university and join Mr. Tan's school. You are quite discerning. Mr. Tan's oncology research is second to none in China, and our hospital has many students of Mr. Tan, and Professor Ji Hanji is Mr. Tan's favorite student."

Kang Jun barely squeezed out a smile, feeling very irritable.

The deadline for his graduation thesis is coming soon, and some students have already handed in their thesis, but his own thesis has not been corrected yet, and he couldn't bear to see Mr. Tan, who was getting thinner day by day, so he asked the teacher to raise the issue. He had no choice but to revise the thesis. He asked the teacher who had to endure cancer pain every day to revise the thesis as soon as possible.

Tan Tan knew what Kang Jun was thinking. He was admitted to Mr. Tan’s graduate school during his junior training after the regular training, which was considered a certificate for double degrees while working. To give him a certificate, plus Mr. Tan is seriously ill again...

You know, the importance of a supervisor to graduate students. If the supervisor is out of the accident, there is little possibility of other supervisors taking over. The worst result is that Kang Jun delays obtaining the certificate and waits until another supervisor is willing to take over him. It's hard to say, maybe one year, maybe three or four years.

Tan Tan didn't know how to comfort Kang Jun. After all, Mr. Tan already looked like this. He heard that the cancer cells had metastasized to the bone. Professor Ji held MDT meetings for Mr. Tan every now and then. Quality of life in the last finite life.

Outside the operating room, Lu Jiajia hurried to the operating room, and finally arrived at the operating room after the rounds.

Zhang Linlin had been waiting for her for a long time.

She glanced at the door of the operating room, which was covered with surgery appointment lists from various departments, and pulled Lu Jiajia over.

"Why did you come here!"

While tying the rope of the surgical cap, Lu Jiajia said, "I was delayed for a few minutes during the ward round, and I rushed over when I was notified."

Looking at the scene in the operating room as busy as the vegetable market, Zhang Linlin lowered her voice and said in a low voice, "I don't know what kind of evil I got into today. Several emergency operations were rushed together. Just now A brain hemangioma burst tube was sent from outside the brain, and the emergency rescue was called in, and Professor Ji from the oncology surgery department was called in. It was probably enough. Director Liu, who performed the surgery outside the brain, was furious and scolded several nurses. The nurses and sisters are all in a bad mood, and it's your turn to insert the central venous catheter, so be careful when you go in."

Lu Jiajia's heart thumped, and he felt something was wrong.

She hurriedly walked into the operation preparation room 2.

At this time, in the operation preparation room, Deputy Head Nurse Wang of the oncology department confirmed a set of equipment with the equipment nurse, and the patient who was going to be inserted with a central venous catheter was also pushed into the operating room, but the doctor who could do the intubation had not yet arrived.

Knowing that this operation was performed by an intern, and the other party was late again, Deputy Head Nurse Wang was in a bad mood.

Lu Jiajia was about to enter in steel-blue overalls, but Deputy Head Nurse Wang hurriedly stopped her: "What kind of intern, do you know some rules, and you don't know what to do before entering the sterile room!"

Lu Jiajia was taken aback for a moment, and immediately withdrew her foot that was about to step in, "I'm sorry, I forgot when I was in a hurry!"

As he said that, he hurriedly turned around and walked towards the cleaning room next door. Standing in front of the stainless steel sink, he tore off the disposable hand washing bag, poured disinfectant on it, and began to clean his nails and arms.

When Lu Jiajia finished clearing up and walked into the preparation room again, Deputy Head Nurse Wang signaled her to follow with her eyes, brought her to the operating room, tore off the sterile gown, unfolded it, and said to her expressionlessly: "Double! Arms straight and forward."

Lu Jiajia hurriedly followed suit, and Deputy Head Nurse Wang unfolded the sterile gown and slipped it neatly over her arm, and asked her to turn around. The sterile gown wrapped around her body and tied the belt.

Just in time, Yang Xiaolan, who had finished washing her hands, also walked in excitedly. The head nurse Wang wrapped up the rookie as if wrapping a doll, and asked the two of them to go inside and wait for the third-line supervision doctor to arrive. , it can be officially operated.

While the two were waiting obediently like rag dolls, Yang Xiaolan looked at her fully armed appearance, and it was the first time she entered the operating room wearing a sterile gown. There were some wrinkles in the hem, so I smoothed them out with my hands without rubber gloves.

This scene happened to be seen by deputy head nurse Wang, who was directly reprimanded by the other party like a storm.

"What are you doing! Who told you to touch it with your hands! Do you understand the concept of asepsis in the operating room! Didn't the teacher in the school teach you before you came to practice? How is the training done!"

Yang Xiaolan lowered her head after being reprimanded, and said sorry timidly.

Lu Jiajia couldn't stand it anymore, and stepped forward: "Deputy head nurse Wang, she just touched it, and besides, her hands have been sterilized, so why do you have to make trouble with her who just came down for an internship?"

"I can't get along with her?" Assistant head nurse Wang gave her a hard look, then came up and rudely tore off the sterile suit from Yang Xiaolan's body, threw it into the disposal box, and then reprimanded her head and face.

"A person's long brain is used to memorize things, don't you understand the rules in the operating room?! Did the teacher in charge tell you that direct body contact with the inside of the sterile surgical gown is forbidden!"

Seeing the runaway head nurse Wang, Yang Xiaolan was so frightened that she hurriedly grabbed Lu Jiajia.

Lu Jiajia was upset, but she knew that today was her practice, and she didn't want to make a big fuss, not to mention that it was indeed Yang Xiaolan who didn't follow the rules.

When Yang Xiaolan re-passed the sterile gown, Jiang Li walked into the operating room after washing his hands.

She glanced at the uncomfortable atmosphere in the operating room, and said with a smile, "Did you two make head nurse Wang angry?"

Deputy Head Nurse Wang gave the two of them a hard look, and said, "The child doesn't understand the rules, so it's nothing serious. If the operating room wasn't busy today and there weren't enough nurses, I wouldn't be able to come down."

Jiang Li had heard from Head Nurse Sun that Deputy Head Nurse Wang was the hottest head nurse in the hospital and had worked in the hospital for more than 20 years.

Jiang Li didn't say much, and directly asked Lu Jiajia to prepare for intubation.

When Lu Jiajia walked to the operating table, the patient had already received five milliliters of local anesthetic beforehand. Lu Jiajia tore open the suture bag and was about to take out the needle for direct intubation, but Jiang Li who was at the side suddenly interrupted her: "The patient's platelet count has been determined." ?"

Lu Jiajia was taken aback, and quickly looked at the equipment connected to the side, "I'm sorry, Mr. Jiang, I was a little nervous, and I forgot to confirm the platelet index before the operation."

Jiang Li didn't say anything, and motioned her to continue.

Lu Jiajia picked up the towel on the tray, rolled it into a pad, and placed it under the patient's shoulder blade, then picked up the syringe to prepare for intubation.

Jiang Li frowned, and his voice was a little hesitant: "Before inserting the syringe, do you have the syringe for flushing the catheter ready?"

Lu Jiajia was a little flustered, and hurriedly turned around to prepare the syringe for flushing.

After everything was prepared, it was time to search for the needle position on the patient's chest again.

She felt under the patient's collarbone, looking for veins close to the heart, picked up a large eight-centimeter-long syringe, kept a 90-degree vertical angle, and slowly pierced it under the patient's skin.

From time to time, Lu Jiajia glanced at Jiang Li, who was expressionless in front of the operating table, for fear that he would make a mistake again, and even more afraid that he would insert the needle at the wrong position and penetrate into the patient's artery, causing serious trouble.

But when she was halfway through the needle, she felt the frustration of her hands, frowned, and secretly complained, but the needle was still in the wrong place, the needle was crooked, and it hit the patient's collarbone.

Fortunately, the patient had received local anesthesia beforehand, so he did not feel any pain.

Jiang Li couldn't stand it any longer, so he pointed at the patient's shoulder a few centimeters below the patient's shoulder blade with his rubber gloved hand, and told her the location of the veins.

Lu Jiajia's head was already breaking out in cold sweat, and he didn't dare to stop at all. Following Jiang Li's instructions, he injected the needle, and the needle was inserted smoothly, and at the same time, he began to withdraw the needle.

Soon, dark red blood flowed out of the syringe, and Lu Jiajia was relieved.

The next operation was much smoother. She tore off the plastic sleeve of the metal wire, took out the long and thin metal wire, passed it through the needle, and began to push the wire.

Pushing the thread was carried out according to the expected result. Lu Jiajia took out the venous vessel wall expander again, increased his strength to open the patient's large venous vessel, inserted the yellow central venous hose, and then pulled out the metal wire to complete the center. After the intravenous catheter was inserted, he was relieved.

Jiang Li glanced at the time. Lu Jiajia insisted on taking more than half an hour for the operation that could have been completed in 5 minutes. She asked the nurse to push the patient to the CT room and take a chest X-ray to determine the insertion route of the central venous catheter. If there is a deviation, if not, the central venous catheter can be used to give the patient nutritional injections.

After leaving the operating room, Jiang Li glared at Lu Jiajia: "I asked you to simulate before, did you play it? A small operation of 5 minutes forced you to do it for more than half an hour. If you don't know, you might think You, Doctor Lu, are going to open the patient's chest!"

Lu Jiajia lowered her head with a depressed expression. The actual operation and the simulation are not the same feeling at all.

During the simulation, there was a dummy underneath, with such a thick and long needle, she would poke it in without hesitation.

But in the operating room, there is a real person lying underneath, and the long needle can only be pushed in by feeling, and a little carelessness will poke the patient's organs and blood vessels.

She was really terrified just now, because she was afraid that if she shook her hand, she would push the wire crookedly and poke it into the patient's heart.

Jiang Li glanced at her with a more serious expression: "You don't need to go to the follow-up today, you can go to the simulated operating room now, put this central venous catheter in for me to simulate a hundred times, when can you be fluent in 5 minutes? When the work is done, when will you rest!"

Lu Jiajia didn't dare to say a word, turned around and ran towards the simulated operating room.

Jiang Li looked at Yang Xiaolan, "Go and copy the aseptic rules of the operating room for me thirty times, and hand them over to me before I get off work today!"

Yang Xiaolan nodded obediently and accepted the punishment, and walked quickly towards the office as if fleeing for her life.

Jiang Li looked at the two idiot interns under his hands, rubbing his brows tiredly, worried that he had fallen into Qi Dahua's tricks, he should have brought an extra intern if he had known, one idiot is tired enough, two idiots Together, it is the tiredness of double.

(End of this chapter)