Oncology Physician Life

Chapter 86 Chapter 85 The Elven Dancer

Liu Chong raised his head, glanced at the observation room separated by special glass, and then looked down at the abdominal cavity that was still overflowing with blood.

Seeing that this operation, which was about to be successful, let him surrender like this, Liu Chong was really unwilling, but he couldn't control his still trembling right hand.

In this situation, he has no time to think too much. If the old leader dies from this operation, all the fame and fortune he had hoped for, and all the efforts he made for that position over the years will be in vain.

Liu Chong seemed to see Dean Li Zhongfu looking at his solemn and solemn face in the observation room. Finally, he could only grit his teeth and let go, and said softly to Ji Han beside him, "Please, Professor Ji."

With a gloomy face, he stepped back and gave up the position of the chief knife.

Ji Han glanced at the abdominal cavity that was still bleeding profusely. It was not at all difficult to find the breakpoint of the blood vessels in the abdominal cavity full of blood. What's more, the patient was very old and had lost too much blood. The alarm sounded.

Ji Han took a look at Liu Chong's sutured stomach and esophagus incision, his eyes narrowed, and he put his rubber-gloved hands directly into the blood-filled abdominal cavity, looking for the breakpoint of the blood vessel.

At the same time, without a trace of emotion in his voice, he ordered: "Inject 6 mg of epinephrine into the heart."

The nurse was taken aback, and immediately broke the glass bottle at random, sucked out 6mg of epinephrine with a needle, and handed it to Ji Han.

Ji Han took the needle tube, pinpointed the position of the patient's heart, held the needle tube vertically, and stabbed it down.

He looked at Yisuke: "Start CPR and heart compressions."

Kazsuke immediately followed his request and started CPR.

Ji Han turned around and continued to search for the bleeding point of the blood vessels in the patient's blood-filled abdominal cavity.

As time passed, Ji Han's forehead was covered with sweat.

Suddenly, his eyes froze behind the gold-rimmed glasses, and he lowered his hands, and he took the hemostatic forceps handed over by the second assistant, and clamped the bleeding point.

In the operating room, the blood oxygen shortage alarm on the instrument was turned off, and the blood oxygen saturation began to slowly rise.

Following Kazusuke's heart compressions, the ECG returned to sinus rhythm after just over ten seconds.

Everyone held the breath in their throats, and finally let it out completely.

Half an hour later, the operation was successfully concluded, and the patient was pushed out of the operating room.

Ji Han took off the blood-stained gloves and surgical gown, just walked out of the operating room, and the dean Li Zhongfu, who was waiting in the observation room, walked over quickly with a leader.

Li Zhongfu patted Ji Han on the shoulder in satisfaction: "This time the old leader's surgery is thanks to Professor Ji's presence."

Ji Han didn't respond, but looked at Liu Chong's back in the corridor.

With Liu Chong's ability, he would never make such a big mistake in such an operation. He recalled what the first assistant said to the second assistant at the end of the operation. During the operation, Liu Chong held the right hand of the scalpel for some reason. , There was a static tremor for no reason, and it was uncontrollable at all.

Liu Chong returned to his office, turned around and locked the office door.

He sat on the wheelchair as usual, silently recalling everything that happened in the operating room, he raised his right hand, his deep eyes fell on it, and he frowned.

Then he turned his gaze to the drawer in the lower right corner of the desk, took out a test report from it, and focused his gaze on the diagnosis result.

"Suspected tremor paralysis of the right hand, a resting tremor occurred, and the initial diagnosis was Parkinson's syndrome."

"What a joke!"

Liu Chong closed his eyes and clenched his right hand tightly. He still doesn't want to believe that he will have symptoms like Parkinson's.

This disease is the most deadly poison for a surgeon, especially a doctor who is at the peak of his career.

If he can no longer pick up the scalpel, his life will lose all meaning!
Such a self is no different from a poor horse. Whether it is the position of the chief director of the oncology department or the position of the director of the hospital, he will lose it, even including everything he has gained in front of him.

Since he was an intern, he has accumulated strength step by step in this huge white tower. It seems that he is only one step away from the top of the white tower, but this step has become a ditch that he will never be able to step over.

On the other side, after Pei Xiaonan changed into a white coat in the office, she just walked into the hospital's laboratory when she saw a group of scientific research team members gathered around, chirping about something.

Pei Xiaonan checked yesterday's experimental data in front of the instrument, and asked with a smile, "What are you guys talking about?"

The female assistant in the laboratory replied: "Sister Pei, you don't know yet, do you? Director Liu of the third experimental research group has been diagnosed with breast cancer, and it is already in the advanced stage."

A group of little girls had different opinions, and they all asked each other about the results of the women's health checkup organized by the hospital last month.

Pei Xiaonan's hand holding the water glass trembled, remembering her physical examination report.

She walked back to the office quickly, and took out the medical report from the drawer.

During the physical examination last month, Dr. Shen from the gynecology department of the hospital reminded her that she felt a lump in the swollen area of ​​her right breast, and she felt pain when pressed, and asked her to take time for a more comprehensive examination.

But at that time, Pei Xiaonan focused all his energy on the clinical data of the CAR-T experiment, thinking that it was just the discomfort caused by staying up late for a long time, and he took some anti-inflammatory drugs to cope with it.

But just last night when she was taking a shower, she suddenly found that the swollen area of ​​her right breast was very painful, and the texture of the lump inside began to become a little hard.

Now looking at the medical report again, Pei Xiaonan's heart skipped a beat, and he hurriedly went to the bookcase to find a book about breast cancer.

Although she is not a major in breast oncology, after all, she has worked in the tumor laboratory for so long, and it happens that a female colleague around her has had this disease, so she still has some relevant knowledge.

Half an hour later, Pei Xiaonan closed the book in her hand, her hands trembling a little. Based on the description in the book and her abnormal condition, she already had some suspicions that she might be a relatively common infiltration of breast cancer. sex duct tumor.

Pei Xiaonan picked up her mobile phone, called Dr. Shen from the hospital's Department of Oncology and Gynecology, and asked about her situation.

"Yes, Dr. Shen, this relative in my family is in this situation!"

During the phone call, Dr. Shen thought about his words: "In this case, you should be right to suspect that it is an infiltrating ductal tumor. I suggest that this relative of Director-General Pei's family should go to the hospital for examination as soon as possible. It’s really a lump, it’s best to do pathology as soon as possible to avoid delay.”

Pei Xiaonan hung up the phone, feeling a little confused. Even though she was a cancer researcher who often dealt with tumors, she was still a little scared when it happened to her.

She is very aware of breast cancer. Once it is found to be malignant, for women, breast-conserving surgery will be involved.

She is not married yet, and she has not become a mother yet, so it is very likely that she will have breast-conserving surgery, but if she can't save it, can she accept it all?
Just when she was panicking, Wei Ran opened the door and walked in, holding her favorite latte in his hand, and put it on her table.

Wei Ran glanced at Pei Xiaonan, whose expression was not quite right, and asked, "What's wrong with you today? Is there something wrong with your mental state?"

Pei Xiaonan forced a smile and shook her head: "It's nothing, maybe I didn't sleep well last night."

Wei Ran didn't say anything, but his eyes fell on her desk. He picked up the medical book on breast cancer and flipped through it, and said with a smile, "Since when did you start caring about this disease?"

Pei Xiaonan didn't answer his question, but asked instead: "Old Wei, I remember that your internal medicine department seems to have taken care of breast cancer patients, right?"

Wei Ran nodded: "There will be some, but most of them are registered to the oncology surgery or oncology and gynecology department."

"Then your medical oncology department should also be able to give people a diagnosis of breast cancer?"

Wei Ran looked suspiciously at the absent-minded Pei Xiaonan: "Do you have a friend who is going to be screened for breast cancer?"

Pei Xiaonan hummed softly: "Our hospital has a lot of tumor and gynecological patients. My relative is more sensitive. I don't want others to know about her illness."

Wei Ran didn't suspect anything else, "I'm still a few days away from resigning, why don't you let your relative come to me and I'll check it for her?"

"You?" Pei Xiaonan looked up at Wei Ran.

"Why, you can't trust me?" Wei Ran laughed, "I am also a doctor in the oncology department, and I have seen many breast cancer patients."

Pei Xiaonan hesitated for a while, gritted his teeth and said, "Then make an appointment for me, and I'll take this relative to you."

Wei Ran took out his mobile phone and looked at his schedule: "Tomorrow and afternoon will do, I'm free, you bring someone here, just call me in advance."

Pei Xiaonan complied and said thank you. Seeing that Wei Ran had left, he took out the physical examination report from the drawer. The B-ultrasound showed obvious nodules on the right chest with a diameter of 0.04cm*0.16cm. Shaped lump with obvious marks.

She took out her mobile phone and found Jiang Li's WeChat account. She wanted to tell her about this and discuss what to do. After all, the other party was her only close friend, but Pei Xiaonan deleted half of the text.

She knew that Jiang Li was under a lot of pressure at work recently, after thinking about it, she decided to wait for the results of the inspection before telling a few people.

In the evening, an 8-year-old osteosarcoma patient who had just been transferred to the ward after Jiang Li’s busy work dragged his tired body to buy a bottle of mineral water in front of the self-service vending machine. He stood in front of the French windows in the corridor and looked at the building outside the hospital.

Under the dark sky, the lights in the entire hospital were still on.

Lu Jiajia and Yang Xiaolan brought a few interns and were going to the convenience store to buy some food when they happened to see Jiang Li in the corridor.

Lu Jiajia waved his hand and said with a smile: "Mr. Jiang, we are going to eat something, would you like to come together?"

Jiang Li glanced at her watch, it was already nine o'clock, she was so busy that she forgot to eat dinner, so she nodded and said, "It happens that I didn't have dinner either, so I invite you to the noodle shop next to the hospital to have some ramen!"

Several people cheered for a while. Just as they walked to the gate of the tumor building, an ambulance flashing rapidly in the distance in the dark night happened to turn in from the road outside the hospital.

Sun Renyi walked over from the emergency department with a few residents, and just happened to see Jiang Li, and hurriedly said, "Professor Jiang is also here, this patient's situation is quite special, if Director Jiang has nothing else to do, it's best to go with him Help me take a look."

Jiang Li asked Lu Jiajia to lead the interns to go first, without waiting for him, and sent her the bill after eating, counting her as a treat, and then turned around and stayed.

After a while, the ambulance stopped in front of the building with the rapid siren sound, and the entourage of 120 pushed an extremely young girl out of the car.

Jiang Li hastily glanced at the young faces on the cart.

The girl should be no more than 15 years old, with a slender figure and a handsome appearance. It is the cardamom age, the best time, but her face is a little pale at the moment.

As Jiang Li stared at the girl's legs, this pair of eyes couldn't move away anymore, fixed on the girl's right leg.

The girl's right leg was already severely swollen, and to the naked eye, the swelling was two or three circles larger than the normal left leg.

The legs were exposed, the skin on them turned black and necrotic, and the muscle necrosis in the calf gave birth to many pus-filled acne, some places had begun to rupture, and a suffocating stench continued to spread in the air.

The girl's parents also got off the ambulance. The couple were very young, in their 30s, but the mother had already given birth to a lot of gray hair. She was supported by her husband, and her face was very haggard, as if she might collapse at any time.

The medical staff pushed the cart and sent it directly to the special needs ward of the emergency department. The girl's mother followed behind, covering her face and crying.

The nurse invited the couple into the consultation room, and Sun Renyi took the PET-CT of the girl's legs from the girl's father and put it on the map reader.

The resident doctor at the side also retrieved the girl's case from the computer.

Sun Renyi glanced at Jiang Li, and introduced: "This patient was transferred from a foreign hospital. Professor Sui from the Orthopedics Department of our hospital was invited to participate in the joint consultation of this patient a few months ago. CT and MRI The test results, including the diagnostic opinions given by experts, are all bone malignant tumors."

"The tumor has already developed to this extent, and the degree of malignancy should not be low. Why not amputate it as soon as possible?"

Jiang Li looked at the girl's parents.

"If the limb had been amputated earlier, the tumor would not have developed to this extent!"

Sun Renyi glanced at the girl's parents and explained to Jiang Li: "This girl is a bit special. She is the lead dancer of the Bolshoi Ballet Troupe. She has been very talented in ballet since she was a child. It can be said that it is not easy for her to make it to where she is today. , For a dancer, amputation means something, so... the child's father, and the child himself, do not agree to amputation!"

The girl's father had a bit of guilt on his face: "If I hadn't forced her to dance since she was a child, she might have been able to live a normal life like other ordinary children. If I hadn't forced her, she wouldn't have At this point, Danzhu has been a strong child since she was a child. She just refused to accept amputation, which is why her condition has dragged on to this point. Once amputation, it means that Danzhu's efforts of more than ten years have been in vain. !"

Jiang Li glanced at the test report: "The diagnosis is osteosarcoma at the lower end of the right femur. After more than 10 cycles of treatment with MTX, THP+DDP and other chemotherapy regimens in the last hospital, the tumor is still growing wildly. The situation is dangerous, and the long-term chemotherapy has made the girl extremely thin, and she has already developed cachexia symptoms such as anemia and weakness, and the long-term bed rest has also caused the tumor to begin to rupture and die!"

The girl's mother nodded and said, "In the hospital where I was treated earlier, the doctor in charge said that if he wanted to save his life, he had to amputate his limbs, but this child Danzhu said that he would rather die by himself than amputate his limbs."

Sun Renyi from the Emergency Surgery Department looked at Jiang Li: "Professor Sui from the Orthopedic Surgery Department also said that amputation is the best surgical option now that the leg tumor has not metastasized to the upper body. The possibility of critical illness or even death!"

Danzhu's father stared blankly at the table in front of him. After a long silence, he said in a hoarse voice, "Danzhu will not agree to amputation, and I will not agree to amputation either!"

Danzhu's mother had a sore nose, and kicked her husband beside her angrily: "Now, you still don't agree, do you want to watch our daughter die?"

The man raised his head and looked at his wife: "If the limb is amputated, it means that Danzhu and I have spent more than ten years in vain. Do you know what price Danzhu paid for being selected into the Bolshoi Theater! She Over the past ten years, she has not let up a single day. She has to practice dancing for more than ten hours every day. Her legs are covered with scars from practicing dancing. Now, she has become the youngest lead dancer in the dance troupe. She will soon be able to shine on the world stage, but choosing amputation now means destroying her whole life with her own hands, and it means that all the hard work of the past ten years will be in vain!"

Danzhu's mother was trembling all over: "Could it be because of this that you want our daughter to die?"

The husband lowered his head, then raised his head suddenly, and looked at the doctors present: "You are doctors, you must have a way to avoid amputation, right?"

Jiang Li glanced at Sun Renyi, and said: "The malignant bone tumor has spread to Danzhu's entire right leg, necrosis has appeared, and even the skin is broken, and a large amount of toxic substances have begun to be released. If you don't choose amputation, you may not be able to survive. How long will it take for the patient to show symptoms of kidney organ failure and other multiple organ failures!"

There was a serious disagreement between the doctor and the family members on the treatment plan, and the brief medical consultation ended. After Sun Renyi arranged some medical orders, he turned and left.

The girl's mother was supported by her husband and walked into the ward.

In the ward, 15-year-old Danzhu was lying on the hospital bed, looking at his parents coldly.

The girl's mother squatted at the head of the bed and said in a hoarse voice, "Son, it's just one leg, even if it's gone, you can still dance!"

Danzhu gritted his teeth all the time, and his eyes fell on his mother's gray temples. Ever since she got this disease, her mother had gray hair almost overnight.

Danzhu closed his eyes in pain, tears dripped from the corners of his eyes, and said firmly, "You don't have to persuade me, I would rather die than have my limb amputated!"

(End of this chapter)