Oncology Physician Life

Chapter 69 Chapter 68 Teacher's Letter
Days are like flipping pages of a book, as one page after another, Tan Lao's condition is getting more and more serious. Ji Han lives in the lounge of the hospital almost every day, guarding Tan Lao every step of the way.

On this day, the sky outside the hospital was bluer than usual, and it looked very clear and clear, with no clouds in the sky.

Ji Han dressed neatly in the lounge as usual, hung the stethoscope around his neck, picked up the pen on the table and stuffed it into the pocket of his white coat, and straightened the tie knot on the collar of his shirt in front of the mirror.

After finishing all this, he turned and walked towards the MDT meeting room on the fifth floor.

Yesterday, a special patient was transferred from Suzhou Stomatology Hospital. He was a 68-year-old man. At first, blisters appeared on his tongue coating. A large area appeared from the base of the tongue to the pharynx. After going to the hospital for diagnosis, it was found to be squamous cell carcinoma of the base of the tongue and pharynx, which is often called tongue cancer.

Because the operation requires digging out the tongue to remove the cancer, the degree of difficulty is relatively high, so it was transferred to Shanghai yesterday.

In the morning, Ji Han made an appointment for MDT with several experts in oral surgery to discuss the specific plan of the operation.

When Ji Han rushed to the conference room, several experts outside the oral cavity were already sitting together, and an expert in front of him would describe the condition again.Ji Han nodded to several people, sat in the front row of the meeting room, put on gold-rimmed glasses, and listened to the medical introduction.

"The patient has the habit of chewing betel nuts for 30 years, plus he smokes on weekdays, has poor oral hygiene, and likes to eat spicy food, which has damaged the tongue mucosa. Now the tumor almost occupies the neck of the tongue. Open surgery is needed. The tumor on the tongue was dug out and the lymph nodes in the neck were removed."

Director Zhou outside the oral cavity took the conversation and looked at Ji Han: "The main difficulty now is how to anastomose the tongue and neck arteries and veins after the tumor is excavated, that is, the survival of the new tongue after reconstruction? This type of operation The postoperative infection, spasm, and thrombus formed may affect the survival of the flap.”

Ji Han looked at the operation plan, thought for a moment and said: "In view of the patient's current situation, I suggest taking the arm to supplement the tongue, and taking a 7 cm flap from the patient's left forearm (comprised of the blood supply skin and its attached skin). Subcutaneous adipose tissue), as a filling for the reconstruction of the new tongue after excavating the tumor?"

Director Zhou hesitated: "Removing the skin flap from the arm to fill in the new tongue is a good plan, but the patient's tumor occupies the neck of the tongue, and it is very difficult to perform the surgery. There are at least 3 roots in this place. 2.4 mm small blood vessels, at least 8 stitches are required for each tiny blood vessel, and a total of more than 20 stitches are required to ensure that the flap is completely consistent with the neck. If even one stitch is wrong in the stitching, the flap may not survive! "

Ji Han rubbed his brows. The tongue looks simple, but it has dense blood vessels. To perform tongue and neck repair and flap anastomosis requires precise operations under an electron microscope.

He looked at Director Zhou and decided on the surgical plan: "There is one thing that Director Zhou needs to communicate with the patient and his family in advance. The tumor has already damaged the patient's tongue nerve. It cannot be restored, and the tactile function can only be restored to a small part. The motor function of the tongue is driven by the remaining tongue root. To restore the functions of language, swallowing, and chewing, it is necessary to carry out patient rehabilitation training after surgery.”

In the afternoon, just as Jiang Li came out of the office, he ran into the little nurse in the CT room.

"Professor Jiang, the film of the central venous catheter inserted in your department yesterday came out without any problems."

Lu Jiajia on the side listened to what the nurse said, and heaved a sigh of relief.

Jiang Li saw that her smile had returned to her face, and said with a stern expression: "This time it was a fluke, what about in the future? With your level, which patient dares to entrust his life to you in the future, I will tell you Lu Jiajia, if you don't satisfy me before the end of this year's internship, I won't sign the evaluation form for your transfer to the hospital!"

"Mr. Jiang, don't worry, I will study hard!" Lu Jiajia's attitude was simply not too good.

Jiang Li gave her a hard look, then turned around and walked outside the hospital.

Just as she was passing through the garden, Ji Han's slender figure was reflected outside the huge floor-to-ceiling glass.

In the garden, Ji Han was sitting alone on a bench, with the cuffs of his blue shirt folded up to his elbows, exposing his muscular arms, holding a copy of the latest MIR report in his hand.

When she came over, Ji Han just raised his head and met Jiang Li's gaze.

Jiang Li looked at those clear and soft eyes, which were covered with bloodshot eyes, and the eye sockets were a little red and swollen.

"You...were crying?"

In the empty garden, Ji Han didn't answer, but just stuffed the report in his hand into the file bag.

He stared at the luxuriant tree in the distance with his cold eyes, and said in a clear voice, "I'm fine. I just had an operation in the morning. I'm a little tired. I'll take my lunch break to take a breather."

Jiang Li's eyes lingered on the file bag for a moment, then sat down next to him, suddenly stretched out a warm hand, and patted his head: "Ji Han, if you feel uncomfortable, you have to cry out loud, just cry out .”

Feeling the lingering warmth in the palms above his head, Ji Han glanced at the beautiful woman beside him from the corner of his eyes, and tightened the corners of his thin lips.

Jiang Li was worried about Ji Han like this, so she turned her phone to vibrate, and simply stayed here with him: "Anyway, I don't have anything to do in the afternoon, so I'll show kindness and stay with you, Doctor Satan."

"Doctor Satan?" Ji Han frowned, "What nickname is this?"

Jiang Li's eyes widened. Seeing that he really didn't know, he couldn't help laughing: "You don't know, do you? Doctor Satan, that's the nickname those kids gave you!"

Ji Han picked up the unfinished coffee cup on the chair, poured all the bitter coffee into his mouth in one gulp, then threw the coffee cup into the trash can, snorting coldly: "It seems that I'm still too kind to them How dare you give your top doctor a random nickname!"

Jiang Li was speechless. From the corner of his eye, he accidentally found the expert introduction column in the garden. The photo on it was three years ago. At that time, Ji Han had just been promoted to the deputy high school. In the photo, he was well-dressed and wearing a white coat. With a somewhat handsome temperament.

"Ji Han, I remember when you graduated from university, with your education background, you could go to a better fourth hospital of a medical university and become a doctor of general surgery. It seems that your father also hoped that you would be a doctor of general surgery. After all, you come from a medical family, and your father and uncle are both doctors in the fourth year of the medical university. Even your classmates thought that you would definitely go to the fourth hospital of the medical university. It is the frontline of the fight against cancer, and the pressure it bears is far more complicated than what we have seen."

Listening to Jiang Li's words, Ji Han thought for a while: "At that time, I didn't think too much about it. I just didn't want to go to a medical university for my senior year. I was living under the shadow of my parents. I thought about going to a hospital where no one knew me. Do your own business."

Jiang Li looked at the photos of doctors in the expert column on the wall, and many familiar faces had disappeared: "I remember when I first came in, those students who came with me, everyone was more or less, in their hearts With the dream and ambition of saving lives and helping the wounded, or becoming famous in the medical field, but in the past ten years of practice, I found that people have less and less mentioned their original ambitions. The reality has smoothed their sharp edges and corners. What's more, in their eyes is the entangled doctor-patient relationship, and even many people choose to change jobs and leave the doctor's position, but you know Ji Han, there is always one person after so many years, and he has never changed Chuxin, still like a lone ranger, silently sticks to this position, doing what a doctor should do!"

"Who? Why don't I know this person?" Ji Han was very curious about the person Jiang Li was talking about.

Looking at Ji Han's profile, Jiang Li couldn't help but say with a smile: "You also know this person."

"I know him too?" Ji Han glanced at Jiang Li from the corner of his eye, and shook his head, "Among the classmates I know, there is no such great doctor as you said!"

"That person is hanging on that wall!" Jiang Li pointed to the expert column on the wall not far away, "His name is Ji Han!"

"Me?" Ji Han couldn't help smiling, "So I am so great in Professor Jiang's mind!"

Jiang Li looked at him tenderly: "Ji Han..."

Before Jiang Li could finish speaking, urgent footsteps suddenly came from the corridor not far away. When the two turned their heads, they both noticed that something was wrong with the atmosphere outside the corridor.

Suddenly, a large number of directors and deputy chief physicians in the oncology department who were taking a lunch break, as well as more than a dozen attending doctors and residents, dragged a long team and ran upstairs.

Ji Han's heart skipped a beat, he didn't care about talking to Jiang Li, turned around and ran upstairs, Jiang Li looked at the file bag that Ji Han had left on the bench, picked it up, and inside was Tan Lao's latest inspection results .

Jiang Li glanced at it, and hurriedly covered his mouth, the cancer cells had already infiltrated into the brain, Tan Lao was afraid... She turned her head to look at Ji Han who was hurriedly running upstairs, grabbed the file bag and followed go up.

When Jiang Li rushed to the special needs ward of the tumor surgery department, a large number of doctors had already gathered in the corridor outside the ward.

The old director Li Zhongfu came out of the ward with a depressed expression.

His gray hair was glaring in the sun, he looked at his proud student Jiang Li, his face was full of helplessness, and he shook his head.

Not long after, there was a wail from the ward. It was Professor Mei, Mrs. Tan's wife. Her hoarse cry made people feel heartbroken.

In the ward, Mr. Tan was on his deathbed.

This 60-year-old man was like a dead tree, lying motionless on the hospital bed, looking at the many students and disciples in the ward with dying eyes, with a bright smile on his face.

His gaze finally settled on the young Kang Jun, his youngest student. Unfortunately, he failed to fulfill the responsibility of a teacher and take him through all the courses.

Elder Tan was short of breath, and pointed weakly at Kang Jun in the crowd.

Kang Jun walked over immediately, looked at the teacher on the bed with red eyes, choked up and said, "Teacher, I'm sorry...I..."

Tan Lao was already so angry that he took out a USB flash drive under the pillow with difficulty, handed it to Kang Jun tremblingly, and said softly: "I... I finally corrected your thesis."

Hearing Tan Lao's words, Kang Jun couldn't help himself anymore, holding the USB flash drive in his hand, tears flowed out uncontrollably.

Tan Lao looked at his wife who had been with him for more than [-] years, and his face was full of guilt: "It's been hard for you these days, so go live abroad with your children in the future, don't worry about being here This is me."

Professor Mei couldn't help crying: "I'm not going anywhere, I'll just stay here and watch over you."

Old Tan's son just came back from abroad, standing on the head of the bed, trembling all over.

Mr. Tan finally looked at Ji Han, looked at his students, and showed a gratified smile on his face: "Life is rare in seventy years. Although my life has not been magnificent, I think I can teach you a lot in this life." With so many excellent oncologists, my life is not wasted. I often tell you that the oncology department is no better than other departments. Know how to advance and retreat, have a sense of proportion, be strict with yourself, be tolerant of patients, and work hard regardless of whether you have the talent to study medicine. As for fame, wealth, and titles, they are just things outside of your body. If you are an oncologist who is worthy of the 'patient', then there is no disregard, and the teacher-student friendship between me and you in this life is over!"

Tan Lao left no regrets and left the world with a smile.

The ward was full of students brought by Mr. Tan from the medical school. All the doctors bowed deeply to the kind old man on the bed.

As the teacher's attending doctor, Ji Han still needs to complete the aftermath work. Looking at the doctors gathered in the ward, he took a deep breath without changing his face: "Let the nurse issue a death certificate, contact the medical office, and send Mr. Tan Settle the unused expenses, and then contact the hospital office and the medical school to discuss the farewell ceremony for Mr. Tan."

Mr. Tan's wife, Professor Mei, stood up, wiped away tears, and said, "The farewell ceremony is unnecessary. Mr. Tan left a doctor's order to donate all the organs that can be used in his body, such as the cornea, and then the body Donated to the laboratory for anatomical medical research on lung squamous cell carcinoma."

Qi Song, the director of the tumor surgery department, shook his head hastily: "Old Tan is gone, let's let him go on the road with peace of mind. It's fine to donate the body to the laboratory for dissection. The students don't have the heart to use the teacher's body for medical research."

Mr. Tan's son also said: "Mom, just according to my father's last wish, cremate his body and bury him in the bamboo forest behind the medical school. He spent his whole life on the podium. I miss my father." He'll love it there, too."

In the corridor, the old dean Li Zhongfu sat on a bench with his gray hair on top. He took off his reading glasses, and he looked quite haggard.

He looked at Jiang Li beside him, and said in an old voice: "Seeing Lao Tan leave, I deeply feel that no matter how advanced technology and medical methods we humans have, in the face of some cancers, our human lives are still alive." It is so small, so vulnerable, and there is indeed still a long way to go before human beings can completely defeat cancer. The long-cherished wish that my generation and Lao Tan could not realize may be realized by Xiao Jiang and your generation!"

Jiang Li held the teacher's hand: "Teacher, we will definitely achieve it. There has never been an era that has such confidence in overcoming cancer like ours!"

After dealing with Tan Lao's funeral, Ji Han dragged his tired body to the lounge, but ran into Tan Lao's wife, Professor Mei, in the corridor.

Professor Mei looked at Ji Han who stayed by her husband these days and visited him in the ward almost every night, and bowed to him: "Son, Lao Tan asked me to tell you, don't be too sad for him, if If it wasn't you, he wouldn't live so long, he left you a letter specially."

Ji Han took the envelope from Professor Mei, choked up and said, "I'm sorry, I let the teacher down. I should work harder. If I can work harder, the teacher may live longer."

Professor Mei shook his head hastily: "It's not your fault child. Old Tan asked me to thank you for letting him leave with dignity because of you. He left very peacefully and peacefully without leaving any regrets."

Ji Han looked at Professor Mei's back, and his eyes fell on the envelope in his hand, which slowly unfolded. It was the teacher's handwriting.

Dear Xiaoji:

When you read this letter, I think that our teachers and students may be separated forever.

But please don't cry for me.

You and I are both an oncologist in a different sense.

The difference is that you save people on the operating table, while I stand on the podium and train you.

In the final analysis, you and I are all for overcoming cancer and treating more patients.

You have seen so many patients, and you must understand my feelings as a teacher.

When I found out that I was suffering from cancer, I knew that this was the last test God gave me, and I had no sadness or emotion.

After my last class in my life, I stood on the podium, looking out at the empty classroom for three hours, and in my 40 years teaching career, I have taught countless students.

The outstanding ones among you have already enjoyed a reputation in domestic and even international oncology.

As of today, we humans still have no way to overcome many diseases, including cancer.

Even a new crown virus, the arrival of a strange virus, can easily take away our precious lives.

But teacher, I firmly believe that in the future, some of you who don’t know where you are, will still choose to put on this white coat, shoulder the responsibilities of your parents, and continue to fight against unknown diseases and cancers. challenge!

Among you, the talented ones may not realize their dream of conquering cancer in the future.

For this reason, countless medical workers and scientific research workers are shouldering heavy burdens on your shoulders!

Please don't be discouraged, don't be depressed, let alone ignore patients.

If you can help a patient suffering from cancer, even with a hand-hold and a smile, as a doctor, you will bring great warmth and encouragement to the patient!

Never be stingy with your love.

Xiao Ji, we only live this time in our lives. It is my blessing, teacher, to meet you on campus and become a teacher and student. It is my blessing to go through this journey of life.

The teacher has too much to say to you, but the teacher knows that you are very busy and cannot take up too much of your time, and has no time to listen to my long-winded words, so I decided to write this letter to you.

The teacher wants to bow to you, thank you for agreeing to my request in the last time of the teacher's life, so that the teacher can leave this world with dignity.

If we can meet again in the next life, the teacher hopes that you and I can continue this unfinished teacher-student friendship!

Finally, the teacher hopes that you can live happily and happily!

Tears had already filled Ji Han's eyes, and he couldn't continue watching.

(End of this chapter)