Oncology Physician Life

Chapter 77 Chapter 76 White Storm
For several days in a row, the sky in Shanghai seemed to have a hole, and it rained non-stop.

When Jiang Li arrived at the oncology building of the hospital by taxi alone, he looked at the sky through the window before getting out of the car. There were dark clouds, and a downpour seemed to be in sight.

She followed the stairs and ran into the building before it rained. After changing her white coat in the office, she walked to the corridor outside the ward. Yang Xiaolan and Lu Jiajia were standing at the window chatting.

Jiang Li leaned over curiously, followed the eyes of the two of them to the park outside the hospital building, and accidentally found Pengpeng's mother, who was walking in the park by herself.

"What is she doing?" Jiang Li asked curiously.

Lu Jiajia glanced at Jiang Li, and responded: "I heard that the mother's liver type was successfully matched, but she suffers from fatty liver, which cannot meet the qualified indicators in the MELD liver scoring system. She doesn't know who she listened to, as long as If she meets the standard this month, she will be able to transplant 40% of her liver to the child, so since last night, she has been walking in the park like this, hoping to reduce her fatty liver."

Yang Xiaolan's face was full of pity: "In order to transplant her own liver to the child, Pengpeng's mother walked more than 30 kilometers by the Huangpu River every day. If she persisted for a month, her body would not be able to bear it?"

Jiang Li glanced at the sky, and there were large swaths of black clouds in the distance, as if they were about to overwhelm him, suddenly there was a thunder and lightning, and it rained heavily outside the building.

The people enjoying the cool and shade in the park suddenly dispersed, except for a seemingly weak woman, even though the heavy rain had beaten her whole body, she still kept walking in the rainstorm.

It seemed that nothing could stop the young mother's will, not even a heavy rain could stop her eagerness to save her son's life.

Mothers will give everything, even their lives, for their children.

Jiang Li didn't let anyone stop Pengpeng's mother, because judging from the current situation, the donor bank does not have a suitable liver, and Pengpeng's mother's liver is the only chance to save his son's life.

The young mother must race against time!
Before the cancer cells on her son's liver metastasized, she had to walk 30 kilometers a day to reduce her fatty liver and meet the qualified indicators in the MELD liver scoring system during the transplant operation!

Jiang Li turned around and walked towards the ward area. Pengpeng's father was smoking in front of the window sill at the corner outside the ward. The surrounding smoke made the post-90s father look very haggard.

Seeing Jiang Li approaching, he hastily stamped out the cigarette butt under his feet.

Jiang Li handed over the operation notice and consent form: "I heard that the child's mother agreed to transplant 40% of her liver to the child, but I can only say that this is when the child's mother's liver indicators fully meet the MELD qualified indicators. On the premise, we will perform the operation!"

Pengpeng's father nodded quickly: "I will definitely, the child's mother, now going to exercise every day, she will definitely be able to do it!"

Jiang Li knew that this was another gamble, betting that the mother would meet the criteria for liver transplantation before the child's condition deteriorated further, but Jiang Li had to prepare for the worst.

"I mean, we must have a second treatment plan. If the liver index of the child's mother does not meet the transplantation standard, and the cancer cells in Pengpeng's body have spread again, the donor pool still has no suitable donors to choose from." , then we must be mentally prepared, do you understand what I mean?"

Pengpeng's father nodded, his voice trembling: "Doctor, if we really can't wait for the right one at that time, how long is our child left?"

Jiang Li glanced at Pengpeng's father's dodging eyes. Although he couldn't bear it, he chose to tell the truth: "The malignancy in the child's body is very high. If it spreads, it will not exceed two months."

These words seemed to take all the strength out of the man in front of him. There were two big bags under his eyes, his hair was messed up like a chicken coop, and tears flowed out uncontrollably.

Jiang Li hurriedly said: "This is just the worst case, and we shouldn't be too pessimistic. After all, the mother of the child works so hard, we have to believe in miracles."

At one o'clock in the afternoon, Jiang Li had just finished his lunch, and was about to take advantage of the lunch break to help Yang Xiaolan correct last week's practice homework. He just sat down in front of the computer when Lu Jiajia rushed in like crazy.

"Ms. Jiang, a 13-year-old male patient just arrived at the emergency department. He was diagnosed with primary liver cancer and developed brain metastases. He was extremely weak. When he was sent to the emergency department, he had lost consciousness."

Jiang Li followed Lu Jiajia and ran towards the emergency department with all his strength. When the two arrived, the emergency room was in chaos.

Sun Renyi, the director of the emergency surgery department, was doing his best to rescue him, and anxiously said to the nurse, "Prepare for the second defibrillation!"

As he spoke, he dropped and picked up the defibrillator in his hand. The 13-year-old boy on the hospital bed trembled. Although the ventilator recovered and the electrocardiogram showed fluctuations, the boy had lost consciousness and could not breathe on his own.

Jiang Li looked at the thin boy on the hospital bed. In just three short months since the diagnosis of the cause, he has become so skinny that his cancer cells have metastasized extensively, and his liver, spleen, and lymph are all the way to attack the city. Pulling out the ground, occupying the child's brain, the degree of malignancy is very high.

At this time, the thin boy lying on the hospital bed had already developed hepatocellular jaundice in the advanced stage of liver cancer, and his skin all over his body showed a strange yellow color. Jiang Li walked to the bed and looked at the boy's pupils with a flashlight. turned yellow.

Sun Renyi glanced at Jiang Li and shook his head: "There is no way to return to heaven. This child has a strong will to survive. On the way to be sent here, his heart stopped beating three times and he survived, but he still didn't make it to the hospital. Lost of spontaneous breathing, no consciousness in the brain, are we declaring death here, or..."

Jiang Li looked outside the emergency room. The child's 36-year-old mother was leaning against the wall, with an extremely calm expression on her face.

Sun Renyi glanced at the child's mother, hesitated, and said: "This child was transferred from the Fourth Hospital. It is said that the other side has given up, but the child's mother is too strong, and she refuses to admit it. She just wants the doctor to rescue her. Rescue, let the child suffer a great crime, the doctor couldn't stand it anymore, and quarreled with the child's mother, and then turned to this side, but a cardiac arrest occurred on the way, and now there is no point in continuing to rescue. The child's brain is already dead, and all that remains is to wait for time, if the ventilator is removed, he will die completely within 5 minutes, but the ventilator cannot be removed by the doctor himself, and the family members' consent is required."

Jiang Li glanced at Sun Renyi, and asked, "Director Sun is asking me to decide the child's life or death?"

Sun Renyi didn't speak, and fell silent.

Outside the emergency room, Sun Jiao's hands were trembling a little. To her, her son's illness was tantamount to the collapse of the family's sky.The child's father has given up, but she can't!

Although she knew that her son's condition had reached the point where medicine and stone could not be ignored, she just couldn't be reconciled!

This is a piece of flesh that fell from her body when she was pregnant in October. She raised him so much and placed all her hopes on him, but why?
Why is God so cruel to take this child away from him? !
Sun Jiao knew that she was using money to continue her son's life, but even if her family went bankrupt, as long as her son lived in this world for a second longer, she would be willing.

Sun Renyi looked at Jiang Li: "The person was transferred to your pediatric oncology department. How to decide whether to accept it or not is up to Professor Jiang to decide. However, you should pay more attention to the emotions of the child's mother, and try to be tactful as much as possible. .”

Jiang Li opened the door of the emergency room, walked out, looked at the child's mother, and said, "When the child was delivered, the brain had lost consciousness. From a medical student's point of view, the patient's brain is already dead. Doctor, advise family members not to over rescue, I hope you can think about it, remove the ventilator, at least let the child walk more peacefully and with less pain.”

Jiang Li didn't say a word, Sun Jiao's complexion turned ugly.

Sun Jiao raised her head, her eyes were like knives, and she stared at Jiang Li's face: "You are a doctor, saving people is not your bounden duty! When the ambulance came, your hospital didn't say that people couldn't be saved! How much did you pay? I paid for the rescue, and now you tell me that the person cannot be rescued!"

Seeing the hysterical appearance of the woman, Yang Xiaolan hurried forward and stopped her, trying to maintain patience on her face: "Professor Jiang didn't mean that, but considering the actual situation of the patient, I suggest that the family members come here..."

Before finishing speaking, Sun Jiao suddenly raised her hand, slapped Yang Xiaolan, and roared, "Why do you let my son die!"

"My family member, we understand your feelings, but we can't hit our doctor!" Jiang Li hurriedly protected Yang Xiaolan behind him, and several nurses and doctors from the emergency department not far away also surrounded him.

Sun Jiao's husband squatted in the corner, saw the situation in front of him, immediately walked over, pulled his wife, and shouted: "Sun Jiao, can you stop making trouble! Our son is dead, he is dead Already!"

Sun Jiao was sobbing extremely, and broke free from her husband's arm, "I don't believe it, our Qiao Qiao is so obedient and obedient, how could he be willing to abandon me? He also said that he would take me to the prairie to see rhinos in the future. Our How could my son just disappear like this!"

Jiang Li took a deep breath: "As far as the child's current state is concerned, medical means can no longer help him, but the ventilator still maintains the illusion of the child's breathing, and it is all supported by the delivery of oxygen. As the child's doctor, I , The suggestion given is to perform extubation to make the child less painful."

Yang Xiaolan hastily pulled Jiang Li away: "Professor Jiang, stop talking!"

Sun Jiao looked at the expressionless female doctor in front of her furiously: "Are you married? Do you have children? How could you let my son die? You are murder! I'm going to sue you!"

"Yes, if you make a complaint, you can go to the medical office, which is the third office on the right hand side on the third floor."

After speaking, Jiang Li turned around and looked at Sun Renyi, the director of emergency surgery who was hiding behind: "I will not accept this patient here, and the suggestion given is to extubate, as for the family members to be transferred, or other, it is up to them up to you!"

After finishing speaking, Jiang Li turned and walked towards the emergency department without saying a word.

Yang Xiaolan and Lu Jiajia followed Jiang Li and fled in a hurry, while the child's mother loudly reprimanded them righteously.

At this moment, Lu Jiajia suddenly felt scared!
She seemed to see the mother's vicious eyes staring at her from behind!

As if to say, you are murderers!
It was you who killed my child!
In the corridor of the oncology department, Yang Xiaolan looked at Jiang Li who was walking in front of her, watched her disinfect the ward area, and then continued to round the ward as usual and give medical orders to the patients, as if this incident hadn't affected her in any way.

It is said that to be an oncologist, you must have a heart of stone. She can understand the pain of that mother who lost her child, but if it were her own, Yang Xiaolan did not have the courage to say that in front of that mother.

Wouldn't that be the same as telling that mother that, as a doctor, she "killed" her child?

After the ward round, Jiang Li came to the window sill and took the coffee from Yang Xiaolan's hand.

She glanced at Yang Xiaolan who was hesitant, and suddenly said, "Ask whatever you want!"

Yang Xiaolan hesitated for a while, and then asked: "Professor Jiang, you don't have to say such hurtful words. The patient is already brain-dead. In fact, wouldn't it be better to wait for the patient to 'die'? Even if there is a ventilator to maintain , that child only has a few days left..."

The corner of Jiang Li's mouth curled up: "Wait for the child to die by itself? If the extubation is not performed, this false breathing will last for four to five days until the child's systemic organs fail and lose function. Do you think this is the best ending? Then our doctor performed a symbolic rescue, came out of the emergency room, and said to the family members, did we try our best?"

Yang Xiaolan stopped talking, but her expression had already betrayed her. She thought this was the most appropriate ending, and she wouldn't let the doctor choose to extubate like this, causing all the family members' resentment to be directed at the doctor.

Jiang Li looked up at the sky, and suddenly asked: "Xiaolan, have you experienced the pain of losing a loved one?"

Yang Xiaolan shook her head.

"Sun Jiao, that mother must be a very strong mother. You can see her dedication to her child. In fact, that mother knows very well in her heart that her son is hopeless, but which mother can be calm? To give up the life of your own child?"

Jiang Li sighed: "For mothers, saying the words of extubation in person is equivalent to holding a knife and ending the life of their son. For any mother, this will be the end of their life. A thorn in the heart forever, isn’t that too cruel? Instead, let the doctor make this decision, which can reduce the guilt of the mother and make them less guilty.”

Jiang Li laughed at himself: "Actually, the longer you are a doctor, the more you will feel that when we face a life, there are so few things we doctors can do. Life is passing before our eyes, but we can't do anything, powerless, so maybe we can't give them too much, we can't change the reversal of life at the end, but we can at least do it, before they step into the gate of heaven The last part of the journey, let them feel the warmth from a strange doctor, even if the child's brain has lost consciousness, the pain of over-rescue will still make him very painful."

Yang Xiaolan stood aside without saying a word, Jiang Li's words were like a knife that poked a hole in her face, making her feel ashamed.

"Sometimes, I also feel sorry for these patients, because this is the best era. The oncology experts in our country, including those tumor researchers in the world, have never been as passionate about conquering cancer as they are now. Ambitious, almost every once in a while, we can hear that revolutionary drugs are emerging one after another, including many better third-generation targeted drugs, the latest immunotherapy, but the success of this will take time, and these people, Including this child today and Pengpeng, what they lack most is time, or rather, they are racing against time."

As soon as the words were finished, Lu Jiajia ran over and looked at Jiang Li worriedly: "Mr. Jiang, that woman really went to the medical office to complain. The chief director and Tao Yuan asked you to go to the office."

Jiang Li sighed inwardly. After all, this is an oncology department. In this giant white tower leading to glory and misery, a doctor's inappropriate remarks can set off a frightening storm in this white tower.

(End of this chapter)