Oncology Physician Life

Chapter 80 Chapter 79 The Last Homework in Life

"At one o'clock in the afternoon, come to the meeting room on the fourth floor. Here we will discuss with the Department of Traditional Chinese Medicine the combined treatment plan of Chinese and Western medicine for the 8-bed patient."

Wei Ran took out his mobile phone and saw the message from Song Zhiguo, the director of oncology department.

Kang Jun next to him is still immersed in the memory of his teacher. Last week, he successfully obtained the certificate of completion, and the thesis passed the assessment of the judges without any hindrance. The biggest contributor to this is his teacher, but the only regret , that is, the teacher can no longer appear on the scene of his defense.

With different moods in mind, the two walked into the outpatient building side by side.

At that moment, the two of them seemed to have stepped into another world, and the noise was like the sound of the tide instantly enveloping the two of them, the chaotic and noisy noise, and the treatment hall full of crowds.

Yesterday, at the weekly meeting held by the chief director Liu Chong, who is also the administrative director of the hospital and the party branch secretary of the oncology department, Wei Ran heard the news that his oncology department, with the unremitting efforts of all colleagues, has achieved a daily outpatient volume Has exceeded 1000 visits.

The hospital has more than 300 beds and dozens of doctors, which means that each person has to receive hundreds to thousands of patients every week.

Wei Ran thought of Deputy Director Li Anran complaining that not only did she have a national nature project to write this week, but she also had three articles to write. I work until 11 o'clock, so busy that I can only hand over my daughter's tutoring work to my husband.

Seeing the patients and their families crowded in the corridor, the nurses at the guidance desk patiently called everyone to seek medical treatment according to their numbers. Wei Ran greeted the nurses at the nurse desk, and brought Kang Jun to his consulting room, ready to formally meet him. diagnosis.

He turned on the medical system on the computer, checked the patients who had appointments for follow-up visits today, and saw a familiar name, Li Huihui.

Wei Ran patted his forehead, picked up the desk calendar, and marked the number 16 with a large circle with a red writing pen.

Today is the day when Li Huihui came to review.

Li Huihui was the first patient that Wei Ran formally visited and took over after working. The lymphoma she suffered from had been treated by Wei Ran for eight years. During the follow-up visits year after year, the two became familiar with each other. became good friends.

Wei Ran has a deep understanding of the hardships of the past eight years. During repeated recurrences and continuous treatment, Li Huihui has grown from an 18-year-old girl to a 29-year-old who has suffered from physical and emotional hardships. Girl.

In the past eight years, every time she had a follow-up visit, Li Huihui's happy and cheerful smile left an incomparably deep impression on Wei Ran.

Wei Ran took out the small mirror from the drawer, looked at his clothes in the mirror, adjusted his appearance, and made sure that there was nothing wrong with him, then nodded to Kang Jun and asked him to call the patient in.

The door of the consulting room was pushed open, but the smile on Wei Ran's face slowly froze.

In his memory, when Li Huihui came in for a follow-up visit three months ago, she was still cheerful and lively, but this time, she was in a wheelchair and pushed by her mother.

Wei Ran looked at Li Huihui, who was sitting in a wheelchair with a haggard face. The huge lump on her left collarbone made it difficult for her to move the left half of her body. body, leaving her in a state of extreme weakness.

Li Huihui raised her head and looked at Dr. Wei, who was as usual with a gentle smile on his face. He forced a smile, and his voice was low and light, giving people a feeling of weakness: "We met Dr. Wei again, but this time I let you Disappointed that I couldn't beat it and it came back."

Wei Ran's nose suddenly felt a little sour, and his voice trembled in a rare way: "Are you okay?"

Although he knew that he was asking the question knowingly, but he still couldn't help but want to hear an answer that was different from his own.

"I tried my best, but..." Li Huihui squeezed out an ugly smile.

At present, all medical methods are almost useless to Li Huihui.

Her life is likely to be frozen at the age of 29.

Wei Ran asked about her symptoms again, and encouraged her: "Don't be discouraged, this is not the first time we have encountered this situation in the past eight years! But every time, we have survived, haven't we?"

Li Huihui nodded solemnly, although she knew that this time was different from the past, this time the "it" in her body was more aggressive, attacking the city all the way, destroying the healthy cells in her body, and starting to invade her various organs.

But it seems that she doesn't want to be shocked. Li Huihui, the young doctor who once created hope for herself, looked at Wei Ran with trusting eyes as usual, and said: "Yes, we will definitely be the same as the previous one this time." It's the same as several times, and I survived."

Wei Ran hurriedly looked through the latest treatment plan of the joint diagnosis and treatment with the Department of Traditional Chinese Medicine, and said to Li Huihui who was sitting in a wheelchair in front of him: "It's okay, this time we can try the combined treatment of Chinese and Western medicine, maybe it will be effective."

Wei Ran prescribed some traditional Chinese medicine for her, hoping to relieve her symptoms, this is the only thing he can do, the only thing.

Li Huihui seemed to know that she was not far away from death. In fact, she insisted on coming for a follow-up visit this time because of another important purpose.

That is to say goodbye to Wei Ran face to face.

She hoped that she could tell him in person, in front of his face, that she had worked hard for all the efforts he had made to save her life in the past eight years.

If it wasn't for Wei Ran, Li Huihui knew that she might not be able to live for such a long time.

"Dr. Wei, thank you for the treatment and care you have given me over the years. It is you who have allowed me to live to this day. I am really grateful to you..."

Li Huihui's body was extremely weak, so after saying this, she didn't have the strength to continue.

However, Wei Ran understood everything from her eyes full of affection and gratitude, tears welled up in Wei Ran's eyes, he couldn't help it, he really wanted to hold the girl in front of him and cry , I want to use my own hug to give the other party some more comfort.

But he knew he couldn't, there were still many patients waiting for him in the outpatient clinic.

Since working, Wei Ran has often been sad with his patients because of his soft heart. As he grows older, he has seen many patients of all kinds, and he has learned to bury his feelings deep in his heart and better control his emotions , Treat every patient calmly.

But today, at the moment when Li Huihui, a young girl, arrived, Wei Ran almost lost his composure.

Li Huihui's mother also thanked Wei Ran, and turned around to push Li Huihui out of the clinic.

Looking at Li Huihui who was sitting in the wheelchair, Wei Ran suddenly said: "I have scheduled your next follow-up examination in three months' time, you must, must remember to come to me for a follow-up examination on time!"

Li Huihui in the wheelchair, when she heard Wei Ran's words, the tears in her eyes finally flowed down silently, but she didn't dare to look back at Wei Ran's appearance. She choked up her neck and said, "No need, Doctor Wei, I I think there should be no next time."

Hearing these words, Wei Ran held back tears, held his hands tightly, and watched Li Huihui leave in a wheelchair until her back disappeared.

He sat there in a daze, looking at the big red circle on the desk calendar. On the 16th, it was the day when Li Huihui returned to the clinic. He habitually turned the desk calendar to the 16th three months later, and circled it again with a red writing pen. On a new red circle, the news of the appointment for a follow-up visit in three months was still sent to Li Huihui's mobile phone.

He hoped that three months later, he could see Li Huihui again.

Kang Jun asked puzzledly: "Mr. Wei, the patient's condition, I'm afraid there is no need for a follow-up visit?"

Wei Ran ignored Kang Jun, and still left Li Huihui with an empty date for a follow-up visit in three months, before explaining: "Kang Jun, although each of us will face death, in what state will we leave this world? , is the last homework for each of us to learn, and doctors are the best teachers for this homework. As an oncologist, you should try your best to let our patients leave with dignity and let loneliness come into this world The person who is here is also treated tenderly at the last moment before leaving!"

Wei Ran suppressed the sadness in his heart. As an oncologist, he couldn't even express his sadness frankly. He had to keep himself calm all the time and treat every patient calmly.

Soon, the next patient came in, a big boy with a childish face, followed by a girl who looked fifteen or sixteen years old.

Wei Ran glanced at the boy, surprised that the patient was so young, but what the boy said next made Wei Ran even more surprised.

"Doctor, my father has lung cancer. He is sitting in the hallway now. I am afraid that he will not be able to bear the blow. I did not tell him about his illness. I would like you to prescribe some medicine for him so that he will not suffer from pain. I also hope that you will continue to keep it a secret for me. .”

Wei Ran looked through the medical records handed over by the boy, and the information inside showed that the real patient was indeed his father, a 54-year-old man, diagnosed with squamous cell carcinoma of the left upper lung, with mediastinal lymph node metastasis, and other physical indicators were normal.

Wei Ran glanced at the girl behind the boy, and it could be seen from the eyebrows that the two should be siblings.

"Brother, first of all, I promise you that I can keep the secret for you, but can you invite your father in first, so that I can see the status of others?"

The boy hesitated, but called his father in.

The boy's father was tall and thin, with a good complexion on his face and quick reactions. It seemed that he was a lung cancer patient from his appearance.

The man sat down on the chair, with a suspicious look on his face: "Why did you come to the cancer hospital just to see pneumonia?"

The boy said to his father impatiently: "This doctor is the best in Shanghai in terms of lung diseases. He is an expert."

Wei Ran listened to the boy's lies, but did not choose to expose them. He asked a few words about the man's symptoms, and nodded to indicate that the boy's father could go out.

When the door of the consulting room was closed, Wei Ran looked at the boy and asked, "How old are you this year?"

"21, already an adult."

"What about you?" Wei Ran looked at the girl hiding behind the boy.

"15 years old." The girl tugged at the corner of her brother's clothes with a timid voice.

Wei Ran looked at the boy patiently: "Why didn't you tell your father and mother about the condition? The treatment of this disease will take a long time, and your family needs someone who can be responsible to your father. Although you He is your father's son, but you can't give up treatment for him without your father's consent, right?"

The boy puffed up his chest: "I can be responsible to my father! But I can't tell him, because I'm afraid he won't be able to bear it. After all, there has been a transfer, and there is little hope of healing. I can't tell my mother, my mother has a temper. It’s useless to tell her, she’ll just cry. I just want to ask you to prescribe some painkillers for my father so that he won’t suffer too much.”

The boy talked about his plans incessantly, and it could be seen that he was a very assertive child.

Wei Ran smiled, picked up the boy's father's CT film, put it on the map reader, and began to patiently analyze his father's condition for the boy, and at the same time told the pros and cons of chemotherapy, radiotherapy and Chinese medicine treatment.

"Although there is lymphatic metastasis now, it has not yet reached the terminal stage, and there is still great hope for active treatment. My suggestion here is to combine chemotherapy and radiotherapy with traditional Chinese and Western medicine."

Hearing Wei Ran's words, the boy seemed a little excited: "Doctor, what do you mean, there is hope for a cure?"

Wei Ran patted the boy on the shoulder: "Although you are already a man and want to share the burden for your father, your father is still young, he is only in his early fifties, he has the right to choose his own treatment method, and he also has the right to know his own treatment. What's more, your father has more social experience than your brothers and sisters, and he knows how to choose what is best for the family. You should tell your parents the real illness."

Hearing Wei Ran's words, the boy glanced at his young sister beside him, finally nodded and walked out of the consulting room.

Kang Jun looked at the backs of the two brothers and sisters, and said: "It's really embarrassing for him, a child who has just grown up, hasn't graduated from college, and probably hasn't entered the society yet, and in his early twenties, he has taken over all the responsibilities related to his father's treatment! "

Wei Ran took over the words: "His father is only in his early fifties, unlike those patients in their [-]s and [-]s, who are in poor health and can't bear the blow of the disease. The family members can hide it from the truth, but everyone has the right to know their own illness, and there is also the right to The right to choose treatment and survival. The boy didn't ask his father, so he wanted to choose to give up and just take some painkillers. If I really agreed to him, then when his father's condition reached the point of irreparable, or even passed away, Not only will he regret it, but I will also feel guilty."

"In fact, this is related to the lack of knowledge about cancer treatment for most patients and their families. The contemporary medical system has included tumors as chronic diseases, and there are endless treatments. The survival period of many cancer patients is getting longer and longer. Just like As long as the boy's father's illness is treated actively, there is great hope that the survival period can be prolonged."

Wei Ran smiled: "This child is worthy of praise for daring to shoulder the heavy responsibilities of the family, but he should know how to respect his parents. After all, they are just fathers and sons in this life. You should easily give up your parents' lives."

Meanwhile, the nurse station in the oncology department.

Head nurse Sun received a call from the hospice hospital. There was a mother-in-law with terminal cancer. The ambulance was going to take her to the hospice hospital. Because her condition might deteriorate at any time, she needed to follow the ambulance here and travel with the car. Two doctors with expertise in oncology treatment.

Head Nurse Sun looked at the schedule of doctors in the department today. The second-line doctors all have operations and patients, so it is impossible to follow the car. , Take the medicine kit, let the two follow the ambulance to pick up the patient.

With the medical kit on his back, Xu Youshu took the lead in getting into the 120 ambulance that was ready to go at any time. This was his first time traveling in an ambulance, and his face was a little excited.

Lao Zhang, a 120-year-old driver in the 50 ambulance, glanced at the two young interns and said with a smile, "First time going out?"

Xu Youshu nodded: "Sit for the first time."

Shu Yusheng still had no expression on his face, and asked: "Our task is to safely send that terminal patient to the hospice, and ensure that her vital signs are stable along the way."

Xu Youshu glanced at the case sent by the mobile phone: "It's a 78-year-old grandma with advanced lung cancer, multiple bone metastases, severe anemia, and the rapid progress of the disease, making her survival time very limited."

Soon, the ambulance roared into an old community. The surrounding red brick buildings were at least 30 years old. There was no elevator in the community, and the only way to climb up was by narrow stairs.

This 78-year-old grandmother is an old man who lives alone. Her husband passed away many years ago, and her two daughters have settled abroad. It is hard to imagine how such an old man who lives alone and suffers from such a disease can live alone?
Lao Zhang was sitting in the ambulance. Because of the shortage of personnel in the emergency center and the oncology department sent two young men in their prime, only a nurse was sent to accompany him, and no other personnel were arranged.

Lao Zhang pointed to the stretcher at the back: "Two little doctors and Nurse Xiao Li, please go up and carry the old man down. I'll prepare the oxygen cylinder here. Once you get off the bus, let's go to the hospice!"

Xu Youshu and Shu Yusheng didn't object, they got out of the car one after another, lifted the stretcher and ran upstairs.

The corridor is old and smells musty. Looking at the address, the old man lives on the sixth floor by himself.

Xu Youshu asked curiously: "This old lady called 120 herself. She had a premonition that her time was running out, so she called an ambulance and wanted to send herself to a hospice?"

Nurse Li nodded.

Seeing this, Shu Yusheng pursed his lower lip and did not speak, but stepped even harder.

Soon the two arrived on the sixth floor. What they didn't expect was that the door of the room was open. A 6-year-old grandmother with white hair was saying goodbye to the surrounding old people of the same age.

It can be seen that several people should be friends.

This old man named Sun Huizhen looks very kind, and seems to be arranging her own funeral one by one. The house has been handed over, and all the clothes that can be donated have also been donated. The savings left by her husband over the years, excluding the purchase Except for a cemetery for joint burial, the rest was distributed to the children abroad.

The old man was sitting in a wheelchair and could no longer stand up. She looked at the house where she had lived with her husband for more than 50 years, her eyes were full of reluctance, and finally she only took the photo left by her husband in the house.

The neighbors around were also enthusiastic to help. The old man Sun Huizhen glanced at the two young doctors and said with a smile: "Thank you, young man, thank you for coming to pick me up."

Both Xu Youshu and Shu Yusheng were a little shy. This old lady was very talkative, and she didn't seem to be sick at all. They could only wait for the two to lift the old man up, only to find that the old man was indeed very weak. Shu Yusheng hurriedly put the old man on. Put on a simple oxygen mask and ask Nurse Li to deliver oxygen to the old man.

A few minutes later, the crowd carried the old man into the ambulance.

Elderly Sun Huizhen was lying on a stretcher, raising her hands with difficulty, saying a final farewell to her neighbors who have been around for decades.

Soon, the ambulance was heading towards the hospice.

In the ambulance, the old man Sun Huizhen held the photo of Mr. in her arms, and smiled at Xu Youshu and Shu Yusheng. The instruments in the car showed that the old man's vital signs were still stable.

According to this state, it should not be a problem to reach the hospice safely.

It's just that the ambulance just came out of a straight road, and the car seemed to vaguely hear the cries of seagulls from the coast.

This season, the Bund side is the season when a large number of seabirds gather for food.

Grandma Sun Huizhen, who was lying on the stretcher, suddenly looked at Shu Yusheng who was at the side, took off the oxygen mask, and said in a weak voice, "Son, can I make a request to you? Can I ask you to take me there?" , take another look at the sea?"

This question stumped the three people in the car in an instant.

Shu Yusheng glanced at Xu Youshu, and finally at Nurse Xiao Li who was in the car.

Nurse Xiao Li had only been working for a few months, so she didn't dare to agree to such a request. In case the patient died in an accident on the way, she couldn't bear the responsibility.

Grandma Sun Huizhen touched the photo of Mr. Huali full of nostalgia, and said: "55 years ago, I met my husband at sea. He was a navy at that time, and I was an employee of a shipping company. Once our freighter was hijacked by pirates, and my husband’s fleet rescued us. We met like this. Later, we fell in love and got married. In this life, we always get together less and leave more. Now I don’t have much time left. So, at the last moment of my life, I just want to see the sea again?"

Shu Yusheng was silent. He glanced at the data on the instrument. The old man's vital signs were stable. This place is also very close to the sea. He just changed his way and stopped to take a look at the sea. There should be no problem.

He glanced at Xu Youshu, who hesitated for a moment, but suddenly thought of what Ji Han had said.

As an oncologist, maybe we can't give patients too much, and we can't make the disease reverse, but we can let them feel the warmth from a strange doctor on the last road before they step into the gate of heaven. Oncologists can do it!
He nodded at Shu Yusheng, knocked on the front glass, and explained to the driver, Zhang.

Lao Zhang smiled, and suddenly turned the steering wheel in his hand, and the ambulance changed its course and drove towards the beach not far away.

The people who were walking on the beach suddenly saw an ambulance stop by the beach, and they were a little curious. Before waiting for a few minutes, they saw two young doctors getting off with a wheelchair. An old man with white hair.

Grandma Sun Huizhen sat quietly in the wheelchair, looking at the blue sea with deep eyes, just like looking at her deeply attached husband.

Shu Yusheng suddenly thought of something, took out a vomit bag from the medical kit, ran towards the beach with all his might, scooped up a bag full of seawater with the vomit bag, and brought it back happily in front of Grandma Sun Huizhen.

The old man Sun Huizhen put her trembling hands into the sea water, feeling the feeling of the sea water passing over her palm, with a happy smile on her face.

Since her husband passed away more than ten years ago, she has never seen the sea or touched the sea.

The feelings and longings in her memory, like this turbulent sea, kept coming in, making her eyes flush.

Grandma Sun Huizhen scooped up a handful of seawater with her hands, and put it to her mouth to taste it. The salty taste overlapped with the taste of memory. When her husband was alive, she would always push her for a walk with posters. During that time, it was also The happiest memory of the two in their later years.

Grandma Sun Huizhen looked at Shu Yusheng and Xu Youshu, and smiled softly: "Thank you children, my life is complete, my last wish has been fulfilled, and now we can go."

Xu Youshu asked: "Don't look back any longer, we still have time, don't worry!"

Grandma Sun Huizhen shook her head and stroked the photo of her husband in her arms: "No need, everything about me is perfect. Although this may be the last time I see the sea, I have no regrets in my life."

The two pushed the man back into the ambulance, and the driver, Lao Zhang, leaned on the other side of the ambulance. After taking his last puff of cigarette, he also looked at the vast sea, got back into the car, and continued to drive towards the hospice.

At five o'clock in the afternoon, the two returned to the hospital. While eating in the cafeteria, they were still talking about it with Lu Jiajia and Kang Jun.

Xu Youshu's face was full of pride: "I have been an intern in the oncology department for so long, and today is my most fulfilling day. I even took a photo with my mobile phone and posted it on Weibo for you to see!"

Just when Xu Youshu took out his mobile phone and showed off to several people, he received a message from the hospice.

At around five o'clock in the afternoon, Grandma Li Huizhen passed away in the ward of the hospice hospital.

"Elder Li Huizhen, before she died, let us tell Dr. Xu and Dr. Shu for her. Thank you for letting her not leave any regrets at the last moment of her life! Our hospital also expresses our sincere gratitude to the two of you for what you have done, thank you , did not let the old man Sun Huizhen leave the world with regrets!"

Xu Youshu raised his head and looked at Shu Yusheng who was silent across the way. The two of them looked at each other, and they both saw something shiny in each other's eyes.

Although we only got along with the old man for a short time, this incident left an indelible mark on the two doctors' careers, and it also made the two young oncologists understand that sentence for the first time. meaning of words.

Maybe we can't give the patient too much, and we can't reverse the disease!

But we can let them feel the warmth from a strange doctor on the last journey before they step into the gate of heaven!

This is something we oncologists can do.

This is also what we have to learn, the last homework in life.

　7 thousand words in one.Thank you for your monthly support.

　　
　
(End of this chapter)