Oncology Physician Life

Chapter 70 Chapter 69 It's Like Fighting a War

It was late at night in the hospital, the neon lights outside were on, and the driveway was completely deserted. When the whole city was completely silent, the sound of rain was particularly clear.

Jiang Li was sitting in the office, listening to the sound of rain water hitting the glass.

She looked up at the window. The rain was so fast that it formed large ripples on the glass.She was a little lost in thought, always recalling the lonely look on Ji Han's face when Tan Lao passed away.

I even worried that the other party would not be able to bear the grief of the teacher's sudden death.

The buzzing vibration of the mobile phone on the desk broke Jiang Li's thoughts.

It was Professor Dong Tianshu who called. There was a sudden news from the donor bank. There was a brain-dead patient whose heart matched with Chunchun’s. The family members also agreed to donate, but the patient was a boy with a bigger heart than Chunchun. There are many.

Jiang Li took the A4 paper and pen, and listened to Professor Dong Tianshu's retelling. Calculated on the A4 paper, the donor heart is one-fourth larger than the pure heart. The degree of difficulty has increased a lot.

Professor Dong Tianshu was silent for a moment: "This may be Chunchun's only chance. If she misses this opportunity, the tumor in Chunchun's heart will grow too fast. Once metastasis occurs, Chunchun may not be able to wait for the next time she meets a suitable donor." Physical opportunity..."

Jiang Li's eyes stayed on the heart transplant sketch on the A4 paper, and he gritted his teeth and said, "Professor, we must do this operation, just as you said, this may be Chunchun's only chance, if this opportunity is lost , this child's life may be lost, no matter what, as doctors, even if we try our best and risk our careers, we still have to give it a try!"

The signal in the office was not very good, Jiang Li walked out of the office with his mobile phone.

She glanced at the unextinguished lights in the intern doctor's lounge, worried that she would disturb the intern children who were studying, turned around and walked to the stairwell, stood at the corner, and continued to discuss the operation plan with Professor Dong Tianshu.

After she confirmed the operation plan, she hung up the phone and was about to go back when she suddenly saw a figure sitting on the stairs.

Jiang Li was so frightened that she picked up the broom placed in the stairwell in a panic, and just as she was raising the broom to investigate, Ji Han's dull voice suddenly came from above: "It's me. "

When Jiang Li heard this, he breathed a sigh of relief, walked up the stairs, and complained: "Why are you hiding in the stairwell alone in the middle of the night! Can you stop being so scary?!"

Ji Han raised his head, glanced at Jiang Li who was close at hand, suddenly got up, and hugged her whole in his arms.

Jiang Li was hugged suddenly, her brain exploded with a bang, Ji Han's unique and familiar smell kept rushing into her nostrils, and the other's hands tightly bound her body, making her whole body stiff.

Just about to struggle, Ji Han tightened his arms even more.

"It will be fine in a while," Ji Han said in a low voice, resting his chin on Jiang Li's head, and quietly closed his eyes, "It will be fine in a while, let me lean quietly for a while."

"You... because of Mr. Tan?"

"The teacher wrote me a thank you letter before he died...but I felt even more uncomfortable after reading it."

Ji Han's voice was a little hoarse, and Jiang Li could hear the helplessness and sadness in his voice.

"I feel that I am useless, even if I choose to stay on the operating table in the front line of anti-cancer and try my best to save the lives of every patient, but in the end, I can't even save the life of my own teacher. Am I incompetent? "

Hearing the distress in Ji Han's words, Jiang Li raised his hand and patted him on the shoulder as if to comfort him: "Ji Han, it's not your fault, Mr. Tan's condition developed too fast, you have tried your best gone."

Ji Han took a deep breath, his tightly pursed lips moved slightly, and his voice was very soft: "Thank you Jiang Li, without you, I might not be able to survive as a doctor for long."

"Fool, what nonsense are you talking about!" Jiang Li smiled. "You can achieve today's results because of your own hard work. What does it have to do with me?"

Ji Han let go of her slowly: "I'm fine, thank you for your comfort."

Jiang Li rolled up his long hair behind his ears and smiled, "It's nothing, I'll go back first, you should go to rest early."

Ji Han hummed softly, stared at Jiang Li's back as he walked out of the stairwell, and then said to the corner of the upper floor of the stairs: "Come out, the person has already left."

Wei Ran came out from the suddenly flickering voice-activated light with a bag of duck goods, shook his head and said, "Wow, I didn't expect our Professor Ji to pretend to be pitiful?"

Ji Han rolled his eyes at him: "The teacher left today, I was not in a good mood, why pretend to be pitiful?"

Wei Ran was amazed: "I was thinking that you were in a bad mood, so I bought this duck specially to come to comfort you, but who knew you were hiding here and secretly dating Jiang Li."

Ji Han didn't bother to talk to him: "He already has a boyfriend, don't talk nonsense."

Wei Ran chased after him: "Are you willing?"

Ji Han's footsteps froze, and his eyes lowered: "If you don't want to part with it... so what? We've been friends for more than ten years, and I'm afraid I won't be able to take that step in this lifetime."

Wei Ran sighed, and followed him again: "Forget it, the takeaway I just ordered has your favorite spicy duck neck."

Early the next morning, the doctor's office in the oncology department.

Shu Yusheng looked at the mountain of illnesses stacked on top of his desk, and almost knocked over the desk.

He has been writing medical records for two days, and sometimes he reads medical English dictionaries to translate sensitive parts into English, so as to avoid letting some patients with special conditions know his condition.

It is normal for tumor surgery to come in and out of more than a dozen patients a day, but for interns, most of the work pressure falls on writing medical records, from the first journey of the patient's medical records, to the characteristics of the medical records, preliminary diagnosis, The diagnosis basis, differential diagnosis, and surgical treatment plan must be written in detail.

In addition, there are the detailed diagnosis of the first attending doctor, the detailed diagnosis of the first director, and the patient's course of disease before the operation.

And these are just for one patient, the same thing, counting those who were transferred, those who were newly hospitalized, those who were transferred from the emergency department, and those who were to be transferred out, he had to follow this process and write it down repeatedly for everyone.

Shu Yusheng knocked on the keyboard until his fingers were broken: "Brother Tan, who in our department stipulated that the medical history of cancer patients must be translated into English and German at the same time? Our side is not the International Department. Is it this level?"

Tan Tan's eyes were full of sympathy, and he handed over the golden throat lozenges in his hand: "Doctor Shu, don't be irritable, take your time."

Xu Youshu sat on the chair, turned around and said, "I can understand that the patient's cause needs to be translated into a foreign language. After all, some family members don't want the patient to know their condition, and they can't report the diagnosis in front of the patient during the ward rounds." , can only be briefly explained according to the general tumor staging system on TMN."

Tan Tan put down the water glass in his hand and thought for a while: "After all, people's tolerance is different. Not all patients have tenacious willpower and can accept treatment calmly. Some patients just have poor tolerance. That's why Some cancer patients are obviously at the second stage or early stage, but after learning the truth, their condition accelerates and deteriorates faster than the third stage or advanced cancer patients, their survival time is shorter, and their mentality collapses, which is also a very important reason... ..."

Jiang Li's ward round today was half an hour earlier than usual. When she left the ward, head nurse Sun just passed by the nurse's desk.

Jiang Li grabbed Head Nurse Sun: "Nurse, how is the heart transplant operation outside the heart? Doesn't it mean that there is a suitable donor? Why hasn't the operation notice come out yet?"

Head Nurse Sun flipped through the surgery appointment record: "The doctor from the heart surgery department has gone to the fourth hospital of the Medical University to collect the donor this morning, and the surgery is scheduled for the afternoon. Professor Jiang is the first assistant?"

Hearing that the operation has been arranged, Jiang Li's heart has finally come to the ground. As long as the donor is successfully removed, there is hope for Chunchun's operation.

She took the operation plan and hurried to the special needs ward of the cardiac surgery department.

When she walked to the special needs ward of the cardiac surgery department, she saw Chunchun's father at a glance.

It was a very ordinary taxi driver, holding his hair with his hands at the moment, sitting silently on a chair outside the ward.

"Are you Chunchun's father? We met once before."

The man raised his head, his eyes were bloodshot, apparently he hadn't slept for several nights.

He looked up at the female doctor in a white coat in front of him, stood up in a hurry, his face was quite nervous: "Yes, I am Chunchun's father, what's wrong with the doctor? Has my daughter's condition deteriorated again?"

"No, no." Jiang Li waved his hands hastily, "Chunchun is going to have surgery today, I just happened to come over to have a look."

The man heaved a sigh of relief after listening to Jiang Li's words.

Jiang Li looked in through the window on the door of the ward, Chun Chun was lying on the bed and sleeping, her mother was by her side.Looking at the pale 14-year-old daughter, the mother couldn't help but shed tears.

"Doctor, we have all heard from Professor Dong that the donor's heart is a boy who is about the same age. The heart is a quarter larger than Chunchun's. Because it is a whole heart resection, there are high risks in the operation process. , the heart is big, and it is difficult to anastomose and resuscitate the heart...there may be a possibility of not being able to get off the operating table..."

The man choked up as he spoke, and squatted on the ground covering his face and weeping. He bit his hand hard, for fear that if he cried louder, the daughter and wife inside would hear him.

He knew that during this critical period, he was their mother and son's god, and he must not fall down first.

Jiang Li nodded and admitted that this operation does have great risks. Before the total heart resection, she must first use cardioplegia to completely stop Chunchun's heart and lungs, and use an extracorporeal circulation machine to replace the heart and lungs. There is also the establishment of an aortic cannula to lead the blood from the machine to the pure body.

As a doctor, you must tell your family members about the risks of surgery and the worst results. Although this is cruel, it is a necessary guarantee. Jiang Li comforted: "Don't worry too much. Although there are certain risks in heart transplantation, we will Do your best to protect your child's life."

The man hurriedly stood up and bowed deeply to Jiang Li: "Professor Jiang, as a pure father, I implore you, you must do your best, like fighting a war, to take my daughter Take it off the operating table safely, I beg you!"

"Don't worry, I will definitely do my best to let Chunchun get off the operating table safely!"

Hearing Jiang Li's words, the man showed a grateful look on his face.

(End of this chapter)