Oncology Physician Life

Chapter 68 Chapter 67
In the outpatient building in the morning, an OA notice popped up in the corridor, and patients flocked into the guidance desk.Nurse Li Xiaomei put away the tired look on her face, and hurriedly squeezed out a smile, and arranged patients for consultation at the consultation desk, but more and more consultation sounds were like the last straw that overwhelmed the camel's camel, making her tense. Nerves are about to break down.

A tall man with a big gold watch asked the nurse to take him there because he couldn't find the 8th consulting room of the medical oncology department.

Li Xiaomei patiently explained: "I'm sorry sir, I'm working right now and I can't leave the consultation desk. The 8th clinic of the Oncology Department is in Area C. If you go ahead and turn left, you will see the sign above your head. Walk to the first There are two outpatient rooms."

The man was a little angry: "I said, what do you nurses eat? Isn't your job just to serve us? I can't find a place now, so let me show you the way. Believe it or not, I will complain to you!"

Li Xiaomei looked up at the tall man in front of the consultation desk. She couldn't hold back the grievance that had been brewing for a long time. She covered her face with her hands and couldn't help crying loudly at the consultation desk.

The crowd surrounding the consultation desk became silent instantly.

The man glanced at the crying nurse in disgust, and snorted coldly: "It's really bad luck! It's bad luck to meet a bereaved star early in the morning!" After finishing speaking, he got out of the crowd without looking back.

Li Xiaomei felt very wronged, because the nurse desk was not manned enough, she had shifted three night shifts for two consecutive days, and had to work in the outpatient clinic during the day, yesterday was her 26th birthday, no blessings, no friends, just Back at the nurse's desk in the middle of the night, I silently tore open a bag of toast, as a celebration for myself.

But even if I work so hard, I still encounter unreasonable patients, and being scolded is like a routine, because I am afraid that my parents are worried, so when I call my parents, I dare not cry cowardly, I can only break it by myself The teeth pharynx into the stomach.

She couldn't help but think of her mother who strongly opposed her applying for the nursing major when she finished her college entrance examination. This job seemed respectable and an angel in white, but who knew the bitterness behind it?The family members of the patients didn't understand, and they could only swallow it in their stomachs after suffering a loss.

Yesterday, she was also out of the clinic. A distant relative of a patient came to see the patient with a large bag on his back. According to the hospital's regulations, Li Xiaomei asked for the person's itinerary code and scan code, but the other party refused to cooperate.

Without scanning the QR code, you can't enter at the moment of the epidemic, but the other party said that she was unreasonable and insulted her.

What could Li Xiaomei do, she was scolded, but she also endured it silently.

Head nurse Sun said she felt wronged after being scolded?But the job you do is not a job where you can reason with patients!If you are wronged, bear it for yourself!

Can doctors and nurses reason with patients?Hospitals are not a place to talk about reason. There is only one thing here, and that is medicine.

In the medical oncology clinic.

The sun penetrated through the half-opened plastic-steel window, cutting the bright consulting room into three sections behind the desk. Wei Ran took off his white coat from the hanger and put it on. The bright sunlight made his dark blue shirt even more dazzling.

Line up in the corridor by number, Kang Jun got the registration list of patients' appointments from the nurse's desk, and called the patients' names one by one.

Soon, a beautiful girl walked into the consulting room accompanied by her father.

Wei Ran looked up at the girl, she should be young, her long hair has been dyed in various colors, nowadays young children are catching up with celebrities and fashion, it is common to have hair dyed and permed, and many barbershops on the street have turned into high-end beauty parlors. It costs thousands of dollars to do a full set of perm, dye and care for the hair.

The girl’s name is Zhu Lili. She is 18 years old and just graduated from high school. But from the age of 16, the girl started to dye and perm her hair in order to chase stars, have common topics with those peers, and follow the so-called trend. She has to dye and perm her hair almost once a month. Become a senior VIP member of the barber shop, and become regular customers with the boss and the barber.

Zhu Lili sat silently on the chair in the consultation room. She should have been young, cheerful and lively, but Zhu Lili's face looked lifeless.

The child's father handed over the film and diagnosis taken at the local hospital to Wei Ran, and asked, "Doctor Wei, I heard that you are an expert in tumors, please help my child to see if there is still a cure for this disease? "

Wei Ran took out the film and medical certificate taken by the girl at the local hospital, and frowned.

Around the beginning of this year, after perming and dyeing her hair, Zhu Lili had an itchy scalp the next day. At first she thought it was just that the shampoo was not working well, so she didn’t pay much attention to it, but the itchy symptoms didn’t disappear after a few days. , but it became more and more serious. The girl panicked completely and went to the community outpatient clinic. The doctor prescribed some anti-itch cream and asked her to use it first when she went home. If she didn't feel better, she went to a big hospital for treatment.

The girl went home and used antipruritic ointment for a few days, but her condition did not improve, and even a lump appeared on her scalp, so she hurriedly told her father.

The father and daughter went to the local hospital for examination, and the results showed that the scalp and skin cancer was caused by the influence of chemical substances.

The whole family was completely panicked. After being treated in the local hospital for a while, Zhu Lili's condition began to worsen. She developed symptoms of dizziness and headaches. She even began to lose her hair severely and her scalp turned black. That's why she came to this cancer hospital in Shanghai. do check.

Wei Ran took out the girl's test sheet and read it carefully: "Judging from the inspection sheet, the hospital's diagnosis is not wrong, it is indeed caused by chemical substances. You said your daughter often goes to dye her hair?"

Zhu Lili's father nodded: "I don't know who this child learned from, what fashion trends he pursues, and he has to go dyeing and ironing almost once a month or two. We thought that our daughter has grown up and loves beauty, but we didn't object. Who knows? Now...it's too late to regret it!"

Wei Weiwei shook his head slightly: "From the inspection list, it should be that the chemical substances of benzene are carcinogenic. Many hair dyes, although they are labeled with plant extracts, are not harmful to the human body, but when the hair dye is in contact with the scalp and heated During the process, the benzene organic substances in the hair dye will enter the capillaries through the scalp, reach the bone marrow with the blood circulation, and act repeatedly on the hematopoietic stem cells for a long time, leading to the malignant transformation of the hematopoietic stem cells, and then causing leukemia and other cancers."

"Dyeing hair can also cause leukemia?" Zhu Lili's father was shocked, "Then Dr. Wei, my child's disease..."

Wearing rubber gloves, Wei Ran checked the girl's scalp. There was a large piece of scalp under the head, which was already palpable and hard. Person: "Let's go through hospitalization here first. I will contact a dermatologist and make a specific plan after the consultation. But don't worry, judging from the preliminary examination, there is still great hope for this kind of disease to be cured."

After seeing off the father and daughter, Kang Jun touched his hair. He just had his texture done last week, and he said worriedly, "Mr. Wei, do you think I should go for a checkup too?"

Wei Ran took off his rubber gloves, rubbed his hands with disinfectant, and said with a smile, "Since you're so worried, why do you want to dye your hair?"

Kang Jun hesitated a bit: "Isn't this handsome!"

Wei Ran shook his head speechlessly, motioning for him to call the next patient in.

Not long after, a woman in her 50s walked in accompanied by her husband. The woman's belly was so distended that she thought she was pregnant if she didn't look carefully.

The woman's husband hurriedly passed the case and the film to Wei Ran. Wei Ran asked him to sit down and watched the film, but he couldn't help being very surprised: "Auntie, you were diagnosed with an egg-sized tumor in your abdomen last year in another hospital. For cystic tumors, the hospital also recommends surgery to remove them, but why didn’t you do surgery at the beginning? Now the situation is serious. The tumor has grown five times in just one year, and it has even deteriorated into ovarian cancer? "

Zhang Xiaoqin was a little remorseful, her face was full of remorse: "Don't mention the doctor, I met a master back then, and he said that he had a secret recipe handed down from his ancestors, which was handed down from the palace back then. His ancestor was an imperial doctor, and he specially gave it to the palace. Ladies, it just so happens that this secret recipe can cure my cystic tumor without surgery, so I must choose not to have surgery. Besides, I still believe in Chinese medicine, which is the wisdom left by our ancestors !"

Wei Ran couldn't help but smile a little bitterly: "Auntie, the secret recipe handed down from one's family is not the same as Chinese medicine. I think you have been deceived and fooled! Even if we want to see Chinese medicine, we should go to a regular Chinese medicine hospital!"

Zhang Xiaoqin sighed: "At the beginning, I didn't know why I believed it. An old sister of mine said that she knew this master, so she took me to look for it. The master said that as long as I eat his ancestral secret recipe for half a year, I will be able to eat it." It can guarantee that my ovarian tumor will disappear automatically, so I believe it. At the beginning, I took this medicine, and the abdominal discomfort was really relieved. I thought it was the secret recipe handed down from my ancestors that worked. Unexpectedly, half a year later, the condition worsened. "

Wei Ran glanced at the film, and said to Zhang Xiaoqin: "Auntie, you must be hospitalized for this condition. We will contact an oncology and gynecology expert for consultation. Maybe surgery will be needed in the end. I see that the condition of ovarian cancer in the film is not very good. Possibly, in the worst case, the uterus needs to be removed to control the metastasis of cancer cells, let me tell you in advance."

As soon as they heard that the uterus was going to be removed, the husband and wife looked at each other with regretful expressions on their faces.

Wei Ran was too busy at the outpatient clinic. On the other side, Jiang Li was called by Professor Dong Tianshu from the Department of Cardiac Surgery in the afternoon, and a 16-year-old girl with a heart tumor was turned over there.

Heart tumor patients are also extremely rare!

According to related reports and surveys, the incidence of cardiac tumors is less than one in [-], and the Cardiac Surgery Department of the No. [-] Tumor Hospital only receives one or two patients with cardiac tumors each year on average.

And this girl named Chunchun turned out to be an even rarer primary heart tumor. The tumor grows in the heart, which is even rarer.

It has been 24 hours since the girl was transferred to the Department of Cardiac Surgery, and Professor Dong Tianshu still hasn't found the cause of the girl's illness.

When Jiang Li came to the heart surgery ward, Professor Dong Tianshu was waiting for her.

Jiang Li glanced inside the ward, a delicate girl was lying on the bed, her parents were on both sides of the bed.

Professor Dong Tianshu is 53 years old this year and is an authoritative expert in cardiac surgery.

He gave the pure film to Jiang Li, Jiang Li glanced at the girl's heart scan image, and frowned.

Dong Tianshu introduced the condition and said: "The situation is more complicated. Last year when Chunchun was in school, she suddenly passed out and found out that she had a tumor in her heart, which was removed by surgery. But half a year later, no one expected that three more tumors had grown in her heart. Tumor, the largest tumor has reached the size of a goose egg, occupying the entire left atrium, Chunchun may die suddenly due to cardiac arrest at any time!"

Jiang Li saw the film and was very shocked: "It was removed and then grew back? The largest one has reached the size of a goose egg, and the other two tumors are also the size of a quail egg. The three tumors almost completely covered the left atrium. If the tricuspid valve is completely blocked, the blood flow of the heart has been interrupted by the tumor!"

Dong Tianshu nodded, and invited Jiang Li to the conference room of the Cardiac Surgery Department, where there were already three residents of the Department of Cardiology Surgery, all of whom were students of Professor Dong Tianshu.

Professor Dong Tianshu looked at Jiang Li and asked: "In this case, if Professor Jiang is the surgeon and I will help, is it possible to completely remove the three tumors in the left atrium through surgery?"

Jiang Li looked at the girl's film and examination report, saw that everyone was waiting for his diagnosis, rubbed the center of his brows, and said, "It's hard, the girl's heart tumor is very malignant, generally speaking, the heart is the most malignant tumor in the human body. An organ that is not prone to cancer, the heart tissue is special. Myocardium is a non-regenerative cell, just like myocardial infarction. Myocardium cells are replaced by scar tissue and cannot be regenerated. Therefore, the heart rarely becomes cancerous. It is indeed rare to have a tumor in the heart. , I don’t recommend surgical removal of the tumor.”

One of Dong Tianshu's students said: "The tumor in the girl's heart has not metastasized yet. If it is surgically removed now, there is still great hope."

Jiang Li looked back and forth between the two heart films, denying the method of surgical removal: "The tumor in the girl's heart has been diagnosed as primary sarcoma. After the removal, three more grew in less than half a year. This successful removal, the possibility of recurrence is even greater, not to mention the three tumors that grew this time are highly adherent to the girl's left atrium, and simple removal surgery is already difficult to cure!"

Professor Dong Tianshu nodded: "Indeed, surgery to remove the tumor is very difficult. Even if we succeed in removing the tumor, the situation will be even worse if the tumor recurs again."

Jiang Li asked: "Chunchun's full-body PET-CT examination results have come out?"

A resident doctor in cardiac surgery hurriedly handed over the results of the girl's whole-body PET-CT examination, saying: "The examination shows that the tumor in the heart has not metastasized to other places other than the heart. It can be said to be a blessing in misfortune."

Jiang Li looked up at Professor Dong Tianshu: "I think the best way now is to 'replace the heart and remove the tumor'!"

"Heart replacement and tumor removal"?
In the conference room, everyone was shocked.

Another doctor in charge of cardiac surgery said: "However, if the heart is replaced, this heart replacement operation is different from ordinary heart replacement surgery. In order to prevent tumor recurrence and metastasis, it means that the whole heart must be removed. For heart surgery, we will keep part of the left atrium and peripheral blood vessels to facilitate the restart of the donor heart and suturing of blood vessels. If the whole heart is completely removed, the operation will be more difficult, and the risk of heart replacement and tumor removal will also mean greater! "

Jiang Li insisted on the surgical plan of "heart replacement and tumor removal": "If the heart cannot be completely removed, even if we succeed in heart replacement, the remaining cancer cells will recur again, which means that the heart is replaced for nothing!"

Several attending doctors in the Department of Cardiac Surgery couldn't help but pay attention, and looked at the 53-year-old Professor Dong Tianshu.

Professor Dong Tianshu pondered for a moment, then patted the table and decided: "Just follow Professor Jiang's operation plan. In order to prevent cancer cells from recurring again, we will do this 'heart replacement and tumor removal'!"

Jiang Li nodded: "When I was at MD Anderson Cancer Center, I did a few cases of 'heart replacement and tumor removal'. I can help Professor Dong. In this way, the risk of surgery can be minimized!"

Professor Dong Tianshu got up: "Chun Chun's blood type has been matched, immediately contact the donor bank, once there is a suitable donor, immediately perform heart replacement and tumor removal surgery!"

(End of this chapter)