Oncology Physician Life

Chapter 79 Chapter 78

Jiang Li was suspended, and Sun Jiao's anger was finally relieved.

Tao Dayong, the vice president of the hospital office, quickly sent Jiang Li's suspension report to the president's office.

Li Zhongfu was wearing pair of glasses, and had just returned from participating in the International Tumor Exchange Forum in other places. He hadn't had time to understand what happened, but he just listened to the general idea.

He glanced at Tao Dayong in front of him, then looked at the suspension report in front of him, and asked, "Xiao Tao, how many years have you worked in the hospital?"

Tao Dayong was stunned for a moment, thinking that the dean would explain Jiang Li, and hurriedly replied: "This month has passed, and it has been exactly 25 years."

Li Zhongfu showed nostalgia in his eyes: "Yes, 25 years have passed in a flash. I still remember that in 97, our hospital was not a cancer hospital. The establishment of a tertiary grade-A large hospital dedicated to tumors in Shanghai is the predecessor of our hospital."

"I remember that when I took over the oncology department, our hospital didn't even have a decent oncology department, only a separate liver oncology department. Later, my teacher was about to retire and entrusted me with a heavy responsibility. We must create a first-line tumor team that can stand up both domestically and internationally."

Tao Dayong also showed a look of emotion on his face: "I still remember that you talked to me back then and asked me to switch from digestive major to oncology major. At that time, our hospital was equivalent to starting from scratch, and the wards were old and dilapidated. Now."

Li Zhongfu nodded: "Do you still remember that when we just established the oncology department, everyone questioned our professional ability. They would rather go to some comprehensive top three hospitals than come to our hospital. There are only some terminally ill patients who cannot be cured. After that, we will be transferred to our hospital. Later, everyone worked hard not only to treat patients with sincerity, but also to improve the quality of service and give a sincere heart. This has earned the reputation of the hospital and the number of patients has increased. .”

Tao Dayong fell silent, he knew the meaning of Li Zhongfu's words.

Li Zhongfu sighed: "During the entrepreneurial period, everyone shared joys and sorrows. It was easy to go from zero to one, but it was very difficult to go from one to ten. I know that the pressure on the doctors below is great. A doctor has to see hundreds of cases on average in a week." Patients, tumors, an endogenous disease, are too complex, and often many patients fail to save their lives after treatment. Our doctors are often surrounded by powerless depression, but we have never lost confidence in conquering cancer. , just like the propaganda slogan of our hospital, there is no need for obituaries here, only resistance!"

Li Zhongfu glanced at Tao Dayong, and asked back: "Little Tao, we doctors have to be conscientious. Hospitals are not shopping malls, and we can't do business, let alone trade the lives of patients. We want to be a doctor who is worthy of the patients."

Tao Dayong nodded hastily: "Old Dean, I know what you mean, but from an outsider's point of view, Professor Jiang is indeed overstepping this time, even if the child is already in the terminal stage and was brain-dead when he was sent, But there is no doctor who asks the mother of the child to give up her child's life directly."

Li Zhongfu took a sip of his tea and smiled: "You don't understand Dr. Jiang Li's heart, that child is putting himself in that mother's perspective, and that's why he asked for extubation. How can anyone in this world ask for extubation?" Which mother can send her child away with her own hands? So even if she is brain-dead or even has systemic organ failure, that mother will ask the doctor to continue the rescue, but for that brain-dead child, such pain will make him even if it is life. At the last moment, you have to endure unbearable pain!"

Li Zhongfu shook his head: "Maybe Jiang Li's method is too direct, and she won't tactfully persuade her family members, but she is not wrong in making this decision, she is giving that young mother the courage to continue living! "

Tao Dayong felt a little guilty: "But... the chief director of the oncology department has issued a punishment notice."

Li Zhongfu put down the teacup in his hand: "I will go and tell Liu Chong about this matter. Your hospital office will suspend this for three months and change it to a three-day holiday. Xiao Tao, you have worked so hard, and you have to talk to the media and your family. , Communicate immediately to appease the emotions of the family members, I believe that when the mother calms down, she will understand Professor Jiang's intentions."

Tao Dayong took the handling notice and walked out of the dean's office dejectedly: "Why do all kinds of bad things happen to me, alas, I'm the one to worry about!"

In the doctor's office in the hospital's oncology department.

Xu Youshu stayed up all night yesterday, and when he was stretching himself in the office and breathing hard, Shu Yusheng pressed him on the shoulder.

Seeing the other party's panting appearance, Xu Youshu asked suspiciously: "What's wrong? Which bed is not working anymore?"

"No," Shu Yusheng took a breath, "There is a patient in the Department of Gastroenterology with complications from gastrointestinal tumors. He has a joint consultation with the Department of Oncology. Senior Brother Wei sent all the interns over there."

Xu Youshu grabbed the stethoscope on the table, followed Shu Yusheng's footsteps, and walked towards the special needs ward.

When the two rushed to the special-needs ward, there were already many second-line doctors in it, including Li Xiaojun and Tan Tan, the attending doctor in the oncology department, and an attending doctor and several residents in the gastroenterology department.

The two stood on the periphery of the crowd, looking at the situation in the ward. The doctors in the departments on both sides seemed to be discussing the condition, but they couldn't make up their minds.

Tan Tan spotted the two of them and walked over.

"Brother Tan, what's the situation?" Xu Youshu picked up his notebook and prepared to record his condition.

Tan Tan shook his head: "The patient is colorectal cancer. He went to the Department of Gastroenterology for medical examination. The pathology report showed that (sigmoid) colon cancer was differentiated adenocarcinoma and infiltrated into the submucosal membrane. Complications occurred after chemotherapy, and the anus has stopped draining now." After defecation with gas for three days, paroxysmal dull pain occurred."

Shu Yusheng frowned: "Then why don't you have surgery?"

Tan Tan looked back at the 80-year-old man in the ward and several family members around him, and whispered, "This patient is old, already 80 years old, and has severe cardiopulmonary insufficiency, and the anus and rectum are severely narrowed. In this case, what the gastroenterology department means is that the disease has reached the point where they can do nothing, and whether to continue the surgery is entirely up to our tumor surgery side to decide, but the tumor surgery side does not affect the patient's condition and the whole course of treatment. Familiar with me, another complication occurred, and the patient is so old, with cardiopulmonary insufficiency, anal and rectal stenosis, no attending doctor can make up his mind, what will this surgery bring to the patient? It’s okay if the surgery is done right. , What if the prescription is wrong? In this case, if the patient fails to survive on the operating table and dies, although it is not a medical accident, there will be a lot of trouble."

Shu Yusheng frowned: "The patient's current situation is very difficult. He has not had a bowel movement for three days. If it is really operated on, it is hard to say whether he can survive at such an advanced age. Leaving this issue aside, the patient suffers from cardiopulmonary insufficiency. The severe stenosis of the upper anus and rectum undoubtedly added several difficulties to the risk of surgery.”

The patient's eldest son looked at his old father who was lying on the hospital bed in a very uncomfortable state, and looked anxiously at the several attending doctors in the ward: "Doctor, should my father be operated on immediately in this situation?"

The doctor in charge of the Department of Gastroenterology hesitated for a while, and said: "The reason why I was treated at the Department of Gastroenterology before is because your father is too old, the risk of surgery is too high, and people may not be able to get off the operating table, so it is at the Department of Internal Medicine. Treatment, but in this situation, there is nothing the internal medicine can do.”

The patient's son looked at his white-haired father and saw his father's stomach swell like a ball. He was very emotional: "Then you doctors must come up with a solution now! What should we do next? Surgery or not?" ? Can’t let my father go on like this?”

Li Xiaojun thought for a moment, and then said: "My family member, please don't be so excited. Our doctors have to make a surgical plan before performing surgery. You can't push the patient into the operating room so recklessly, right? I think so, It's better to have an MDT consultation with the gastroenterology department and the large intestine department first, and we will study and study together."

None of the attending doctors in the Department of Gastroenterology dared to stand up and make a decision, and they all followed suit.

Even several attending doctors found excuses to leave.

Xu Youshu looked at the doctors who left one after another, and became anxious: "The patient's current situation is very dangerous, right? If no one comes to decide on the operation, I'm afraid..."

Tan Tan's expression was solemn: "It's not that we don't want to have surgery, it's that no one can make the decision and take the risk. If it doesn't work out, the old man's life will be on the operating table if the surgery is done. Li Xiaojun's words are correct, we should go first Carry out MDT consultation, let the experts discuss and come up with a perfect plan, and then perform the operation."

Shu Yusheng glanced at the old man in his 80s on the hospital bed, and said coldly: "I'm afraid the patient can't afford to wait for this time now."

The old man's son slapped the table in the ward: "Since you can't decide, let someone who can decide!"

Li Xiaojun put on a serious face: "We can understand the feelings of the family members, but your father suffers from cardiopulmonary insufficiency, severe anal and rectal strictures, and is over 80 years old. It's not good to just carry him into the operating room like this." , I am afraid that the knife just opened the stomach, and the person left."

Several family members hurriedly grabbed the eldest son and persuaded him one after another. The old man's eldest son sat on the chair and didn't say a word for a long time listening to the words around him.

The doctor's words were like a knife that pierced into his heart.

The old man on the hospital bed called his son's baby name intermittently: "Gazi, daddy is in pain, daddy is dead, let's go home, daddy has lived such an old age, he is content."

The son sitting on the chair hurriedly stood up and walked to his father's bedside. Hearing what the old man said, the middle-aged man raised his red and swollen eye sockets, and his voice was a little choked: "Father, what nonsense are you talking about? We will treat this disease. My son agreed, and I will give you a [-]th birthday."

The old man in the hospital bed seemed to know that it would be difficult for him to get out of the ward, so he opened his eyes with difficulty, looked at the eldest son who was right in front of him, and said weakly: "Fool, I'm afraid Daddy won't live to be a hundred years old." Yes, Dad’s shroud has already been prepared by himself, and it’s in the drawer under the wardrobe at home. You and the second child are busy with work on weekdays, and you don’t come back several times a year. How do you know the rules of funerals in your hometown, so Dad prepared the shrouds for himself, and the filial piety clothes and linen were made in advance according to the size of relatives, and they were all marked with names, so you can just send them to them when the time comes."

The old man's son, looking at the drainage tubes inserted in his father's chest, and listening to the old man's funeral, this man in his 50s, like a child who lost a toy, burst into tears.

"Father, you won't die, you can't just leave like this, your son has no mother, and he can't live without a father anymore!"

Outside the ward, the second son who hurried over from other places heard his elder brother crying as soon as he entered, and immediately became anxious: "Elder brother, our father..."

The eldest son repeated the doctor's words, and the two brothers hugged each other and wept bitterly.

The second son gently touched his father's old wrinkled face with his hands, looked at his father's closed eyes, and couldn't help but recall every detail of life with his father.

His hands trembled more and more, he didn't know that his father was already so old, and at some point, his father's hair was all pale and gray.

I used to be busy with work, and I never went home several times a year. Every time I came home, I came and went in a hurry. Only now did I realize that in the past few years since his mother passed away, he has never sat down with his father and said As soon as he spoke, he took a good look at his father's aging face.

His voice was very soft, very soft, just like his father used to coax himself to sleep: "Father, I'm sorry, I'm sorry... my son is late."

After speaking, tears flowed down his haggard cheeks uncontrollably.

He turned his head to look at the doctor in the ward, his voice was a little trembling: "Now, none of you dare to operate on my father? There is no doctor who dares to make a decision, dare to make this decision?"

Li Xiaojun told the old man's situation again, "The operation is too risky. If the patient has the operation immediately, he may not be able to get off the operating table."

The two brothers looked at the suffering father on the hospital bed. If there was no operation, the old man would not be able to survive this situation for long. However, the risk of an accident to his father was very high, and neither of them dared to make this decision.

Soon, the doctor handed over the operation notice and the statement of responsibility: "If the family members request surgery, we can also arrange it here, but if there is an accident, the family members need to sign a waiver agreement."

The eldest son held the pen and looked at his younger brother with trembling hands. Neither of them could sign this letter. If the operation really happened and his father died on the operating table...the two brothers would probably feel guilty and guilty for the rest of their lives.

Head nurse Sun looked at the situation in the ward. The Department of Gastroenterology is the patient's attending department, but the physicians are powerless now. The doctors on the tumor surgery side also have concerns, and dare not operate on the patient without authorization. No one knows about the operation. If it continues to drive, will this 80-year-old man walk out of the operating room alive?

At this time, there is often a need for someone to make a decision.

And the person making the decision is under unprecedented pressure.

Because the operation is successful, it is good. If something goes wrong, although it will not be judged as a medical malpractice, it will still face the investigation and accountability of the committee, which will be very troublesome.

After all, the risk of surgery for patients is too high now.

The interns in the ward also looked at each other in blank dismay, at a loss.

The second-line doctors also found excuses to leave, the two brothers were anxious and helpless, sat down in chairs and fell silent.

Xu Youshu glanced at the current situation, and said in a low voice: "At this time, probably no second-line doctor would dare to stand up and perform this operation? If you are not sure, if the patient is on the operating table, then the follow-up..."

Tan Tan sighed: "The situation is indeed too complicated. In addition, the patient is too old, suffers from cardiopulmonary insufficiency, and the operation site has encountered severe stenosis of the anus and rectum, which undoubtedly adds a lot of risk to the operation. Who would dare to do it?" Come to decide on this knife? Are you betting on your doctor's future?"

Shu Yusheng clenched his fists: "Could it be that because the risk is too great, because there is a high probability that the patient will die on the operating table, we have to watch this old man suffer torture and finally die?"

Tan Tan patted him on the shoulder: "I'm not afraid of taking responsibility, but I don't have the skills to complete this operation. If you want to find a doctor in surgery who is not afraid of taking responsibility and has excellent surgical skills, that kind of doctor will probably be Does it exist like a treasure?"

In the ward, head nurse Sun saw the situation in front of her and the second-line doctor couldn't make a decision. Without any hesitation, she quickly dialed the phone and recounted the situation in the ward.

Not long after, hurried footsteps came from the corridor, and Ji Han walked in with a blank expression on his white coat.

He glanced at the second-line doctors in oncology surgery in the ward, walked over and picked up the patient's film and the records of the whole treatment, stood aside and looked through them silently without saying a word.

Head nurse Sun hurriedly introduced to the old man's two sons: "This is Professor Ji of our tumor surgery department. The most important thing is that he is the one who makes the decisions."

He is the one who decides?

These words shocked the two brothers a lot. Looking at the 30-year-old young surgical professor in front of them, they seemed to see a beam of light in their red and swollen eye sockets.

Ji Han finished turning over the last page of the medical records, looked up at the old man on the hospital bed, stepped forward to palpate the patient, then took off the white rubber gloves on his hands, and stretched out his hand to Head Nurse Sun: "Doctor, don't worry. Give me a responsible consent letter!"

Head nurse Sun handed over the letter of responsibility without saying a word.

Ji Han took out the pen in the pocket of his white coat, and neatly signed his name on the responsibility agreement.

"Move my aneurysm operation tomorrow morning to the afternoon, and insert this patient's operation at eight o'clock tomorrow morning."

After finishing speaking, Ji Han turned around quickly and walked out of the ward, where there was still an operation waiting for him.

It wasn't until this moment that the two brothers came back to their senses, and looked at Head Nurse Sun in disbelief: "The young professor just said that he is willing to perform surgery for my father and bear the responsibility for the risk of the surgery?"

Head nurse Sun looked at the signatures on the operation consent form and the responsibility letter, and smiled: "Yes, he is the one who made the decision. Now your father doesn't have to die, and you should save the shroud until you are a hundred years old."

Xu Youshu looked at Ji Han's handsome back in the corridor, his eyes were full of admiration: "Just now, why did I suddenly feel that Professor Ji is so handsome? Is it my illusion?"

Shu Yusheng nodded: "You are not delusional, I also have this feeling, just now Professor Ji, it seems... seems to be..."

Tan Tan smiled: "It seems like a gatekeeper standing at the gate of heaven."

"Yes, that's how it feels!" Shu Yusheng nodded heavily.

Tan Tan breathed a sigh of relief and stretched himself out: "Among our tumor surgery doctors, only Professor Ji dared to make this decision. He will take the surgery that others are not sure about, and he will take the responsibility that others dare not take. That's why everyone calls him Doctor Devil in private, right?"

Xu Youshu smiled: "So the devil has this meaning, so this devil should be a cute devil."

Shu Yusheng was a little worried again: "However, if there is an accident in that old man's operation, wouldn't Professor Ji... After all, the risk of this operation is too high!"

Tan Tan patted him on the shoulder: "So, we oncologists really have to walk on thin ice every day, as if we are facing an abyss!"

　Six thousand words.This month is getting ready.

　　
　
(End of this chapter)