Oncology Physician Life

Chapter 91 Chapter 90 The meaning of the profession of doctor

The boy who was sent yesterday was still unconscious in the ICU, and only his eight-year-old sister was outside. According to head nurse Sun, the two were half-fathers. Alcoholism, and every time he drank too much, he would vent his anger on the siblings.

On weekdays, it is mostly the elder brother who takes care of the younger sister.

The boy's name is Qiao Yuanshan, and the girl's name is Lin Jiao.

After Ji Han returned home yesterday, she found that Jiang Li had a fever due to the rain, so she stayed up all night to take care of her. In the morning, she took advantage of the shift change and called her. Hearing that she was fine, a hanging heart Just put it down.

Eight o'clock is the shift time of the department. Ji Han glanced at the boy Qiao Yuanshan who was still unconscious in the ICU. Taking advantage of the shift change, he squinted in the office for a while. When it was time for rounds, he didn't even bother to eat in the morning. , picked up the white coat on the hanger, and hurriedly walked towards the inpatient department.

When Ji Han arrived at the inpatient building, the doctors in charge of the tumor surgery team had already arrived. As soon as Qi Song, the director of the tumor surgery department, arrived, everyone started rounds, followed by a group of interns.

Every time Qi Song arrived at a bed, the attending doctor in charge of the bed would immediately hand over the patient's medical records.

Coincidentally, Tan Tan asked for leave today, and a patient in the middle who had undergone stage II surgery for gastric cancer was temporarily assigned to Xu Youshu's subordinates. His superior asked for leave, so he had to bite the bullet and push forward.

Before the start of the shift, Xu Youshu followed the interns to set up apples in the office early in the morning, praying that today would pass smoothly, but he still did not escape the questioning of director Qi Song.

Qi Song took over the medical records and glanced roughly: "Is the patient recovering well after the operation?"

"Two-thirds of the gastric body was removed at the distal end of the operation. A few days ago, I planned to use a central venous catheter to deliver nutrition, but was rejected by the patient's family. However, the situation improved yesterday and I can finally take liquid food."

Qi Song nodded: "To avoid postoperative recovery problems, you will tell the patient's family about the details of the diet later."

After Qi Song finished speaking, he moved away.

Xu Youshu secretly glanced at Shu Yusheng who was beside him, and secretly rejoiced that if there were no special problems, Director Qi would not stay in front of each bed for more than 3 minutes in this kind of ward round.

After all, even if we only check the wards on this floor today, there are still dozens of beds, and it is even more urgent to set aside time for expert consultations for patients with serious problems.

After checking the room, Ji Han realized that Jiang Li had walked over at some point, and was standing behind the line of interns, waiting inside for a long time.

Ji Han glanced at Jiang Li, who was not looking well, and walked over: "Why are you here?"

Jiang Li handed over the test results in his hand: "The matching result of Qiao Yuanshan's child's donor bank came out. Unfortunately, there is no suitable small intestine donor. For now, we can only try to communicate with the child's stepfather. , see if we can find the biological father of the child, match the genetic data, and ask the biological father of the child to donate the donor?"

Ji Han glanced at the matching data, and frowned: "If you use allogeneic small intestine transplantation, this operation is very difficult, and only the chief director of our hospital, Liu Chong, has a successful case."

"I checked the surgery report in the hospital, and I heard that Liu Chongdang wrote an SCI because of this surgery, and it was reported by the local news. Can you ask Director Liu to operate on this child himself?"

Ji Han glanced at Jiang Li, and did not refuse: "I will think of a way, the most urgent thing is to find the biological father of the child and obtain a small intestine transplant."

Jiang Li nodded: "The head nurse has already contacted, I believe there should be good news!"

…………

eight pm.

After Jiang Li sorted out and corrected the homework of today's intern, and replied to everyone one by one in the email, he changed into the clothes on the hanger and walked towards the hall on the first floor.

Pei Xiaonan was waiting for her at the cafe on the first floor.

Ten minutes later, Pei Xiaonan saw Jiang Li coming from the elevator, and was about to wave his hand when Jiang Li answered the phone and ran towards the elevator without looking back.

She panicked, knowing that something had happened, before she stepped forward to ask, the phone received a message from Jiang Li.

"Qiao Yuanshan's situation suddenly deteriorated, and the party was cancelled."

Ji Han, who was driving at this time, was also heading home, and just after passing the intersection of the supermarket, the phone rang.

"Professor Ji, Qiao Yuanshan's condition has deteriorated, his blood pressure has risen to 232/118mmHg, his heart rate is disordered, and his vital signs have dropped rapidly!"

When Ji Han heard this, he didn't care to hang up the phone, threw the phone to the co-pilot, turned the steering wheel frantically, and didn't care that the intersection was not allowed to turn, so he forcibly turned over, attracting a rush of pressing from the car behind. Horn sound.

In the intensive care unit, Jiang Li hurriedly put on the white coat handed over by Lu Jiajia, and took the electrocardiogram and the temporary abdominal CT taken by the doctor on duty in the intensive care unit.

Jiang Li stuck the CT film on the reading table and turned up the light behind the reader, but nothing could be seen from the film.

She pointed to the door and said, "Go and push the mobile B-ultrasound machine over."

After speaking, the two nurses immediately went to push the mobile B-ultrasound in the next room.

Jiang Li looked at Qiao Yuanshan whose physical signs on the heart monitor were declining rapidly, and suddenly felt tinnitus.

She shook her head frantically, only hearing the choked-up cries of sister Qiao Yuanshan outside the ICU, she was immediately upset, and yelled at the doctor on duty: "Tell her to calm down!"

The young ICU doctor on duty was taken aback by the yelling, and immediately went out to comfort the little girl. After a while, the crying outside gradually stopped.

Lu Jiajia and the nurse also came in with the B-ultrasound machine at this time.

Jiang Li looked at the 12-year-old boy Qiao Yuanshan with a nasal feeding tube and suction intubation in his nasal cavity. It stands to reason that there should not be a crisis situation in the past two days, and all indicators show that they are qualified.

She took out the B-ultrasound instrument, applied lubricating fluid, lifted off Qiao Yuanshan's hospital gown, looked at the wound covered with incision, and tore it off.

As she pressed hard on Qiao Yuanshan's abdominal cavity, there were faint traces of bleeding from the incision, but the image displayed on the B-ultrasound machine made the doctors beside her gasp.

"This... how could this happen?"

Everyone looked at the screen in shock. It's no wonder that Qiao Yuanshan has been showing flatulence after abdominal surgery. Just looking at the image displayed on the device, the small intestine in his abdomen is now knotted like an earthworm, and the entire intestine has appeared A shadow, with signs of bleeding in the abdominal cavity.

"The patient is in a critical condition. It is suspected that the tumor has ruptured. Intussusception has occurred. There are bleeding points in the abdominal cavity. I am going to have a second operation immediately."

Ji Han also rushed to the ICU at this time. Hearing Jiang Li's words, he asked the head nurse, "Have you contacted the child's biological father? Is the other party willing to donate the small intestine to the child?"

The head nurse sighed and shook her head: "The child's father has remarried since the divorce, and his wife is now pregnant with a second child. We contacted him through the child's stepfather and told him the child's situation in detail, but The other party said...not willing to donate."

Jiang Li glanced at the image presented by the B-ultrasound machine, and said coldly: "Nowadays, we can only take the risk of resecting the necrotic intestine in the child's body!"

Ji Han hurriedly shook his head: "No, the tumor in the child's small intestine grows in a special location. If it is completely removed, it may cause severe short bowel syndrome. Leaving this aside, the necrotic intestine occupies almost half of the remaining small intestine. If not, the ileocecal valve must be removed together! The quality of life of the child will also be severely reduced in the future!"

Just when everyone was hesitating, the head nurse hurried in from outside the ward: "Professor Jiang, I just received a call from the donor bank. There happened to be a patient who died there, and the small intestine matching result exactly matched Qiao Yuanshan's!"

Jiang Li glanced at Ji Han: "Contact the donor bank immediately and prepare for the small intestine transplant!"

Ji Han grabbed Jiang Li: "The small intestine transplant operation has been handed over to the chief director, Liu Chong!"

Jiang Li nodded and patted his hand: "I know, this time I'm just helping from the side, it's fine."

In less than half an hour, the donor was already on his way to the hospital, and the operating room was ready.

In the operating room, itinerant nurses, equipment nurses, anesthesiologists, and second assistants hurriedly prepared various surgical instruments.

Jiang Li walked into the first changing room.

She was wearing a green short-sleeved surgical gown and stood in front of the sink.

Wash your hands with clean water for the first time, and take out a sterile brush and soapy water for the second time to wash your hands and arms. From the fingertips to the 10cm above the elbow, you must alternately scrub three times.

When she walked into the operating room, the patient had already been anesthetized.

She looked at the pale Qiao Yuanshan lying on the operating table, and the circulating nurse spread the sterile surgical drapes.

Jiang Li nodded and looked at the anesthetist: "Patient's signs."

"I have already entered deep anesthesia, the pulse rate is 134, and the blood pressure is 123. At present, the patient can bear 30 minutes of operation time is the maximum limit."

The first assistant glanced at Jiang Li: "Professor Jiang, why don't we wait for Director Liu to come? Now the patient is a high-risk patient. If there is an accident during the operation, there is no way to explain it to Director Liu."

Jiang Li took a deep breath: "We are now preparing for the second operation. From the results of the B-ultrasound detection, it should be that severe intestinal obstruction and bleeding points in the abdominal cavity were found after resection of the tumor in the small intestine. As for the cause of the obstruction, it is the same as the previous operation. It doesn't matter, now we need to have an operation to check."

"Nail remover."

"Scalpel."

In the silent operating room, no one dared to speak, only Jiang Li called the names of various surgical instruments, and the voice of the nurse handing over the instruments accurately.

At this time, Liu Chong had already arrived outside the operating room. Just as he was about to change into the surgical gown and was about to enter the first changing room, his left hand suddenly had a static tremor. Position, had to rely on the sink, slowly sitting on the ground.

He panted heavily, trying to relax himself, but his hands suddenly trembled again.

He took off the glasses that had slipped from the bridge of his nose to his mouth. During this period of time, with these symptoms, for a medical expert who has been fighting on the front line of cancer all the year round, he has already determined in all likelihood what disease he has.

But he is determined not to fall down at this time, especially when he is only one step away from that position!
Leaning on the sink, he forced himself to stand up, clutched his left hand, and walked to the lounge next to the operating room.

He pushed open the door of the rest room by himself, looked at the dark room, and stumbled to the huge LED screen. With trembling hands, he pressed the display screen of the simultaneous live broadcast in the operating room, and then he fell into a sitting position. seat.

At this time, Jiang Li looked at the abdomen stretched open by the peritoneal forceps, and saw that the patient's stomach and jejunum were sutured, and a large amount of blood had already formed. In the abdominal cavity, the bleeding point where the suture ruptured was quickly found.

"Sutures, hemostats."

Soon Jiang Li re-sewed up the bleeding point, then found the overlapping small intestine, and carefully pulled out the 150cm small intestine.

Everyone only saw that the small intestine in the abdominal cavity was overlapping at this time, twisted like a hemp rope, and the entire intestine was broken and dark purple, because the tumor in the intestine burst, and a large area of ​​congestion appeared.

But Jiang Li heaved a sigh of relief: "Fortunately, the cause of intestinal obstruction is only the twisted jejunum sleeve. It should be due to a mistake in the placement during the first operation."

As Jiang Li said, he untied the twisted jejunum section, only to see that after the sticky and slippery intestine section was untied, the dark purple congestion followed the intestine section to become unobstructed, and the blood flow slowly returned to its original appearance.

Everyone also breathed a sigh of relief: "If it happened after a few hours at night, this patient might be really dangerous."

Jiang Li took a breath: "Fortunately, it's not too late to find out now, let's prepare for small intestine resection and transplantation!"

Yisuke was stunned for a moment: "But Director Liu hasn't come yet... Shall we wait?"

Jiang Li didn't raise his head, but continued with his hands: "No, it's too late, let's do the small intestine resection and transplant immediately."

Jiang Li's excision and suture techniques were perfect, and the suture time and the time for placing the jejunum were perfectly cut off within half an hour.

However, due to the high concentration during the operation, when she took off the disposable surgical gown, she saw that the green short-sleeved surgical gown was already soaked in a large area.

After nearly 20 minutes, the nurse pushed Qiao Yuanshan, who was breathing smoothly, back to the ICU.

Jiang Li finished the operation, walked into the first changing room, stared at the glasses on the floor of the sink, and was slightly taken aback.She picked up the pair of glasses and walked out of the changing room, but she didn't find the figure of the chief director Liu Chong.

Until she was about to turn around and return, she saw a faint light in the darkness in the observation room next to the operating room.

She pushed open the door of the observation room and walked in. Liu Chong was half paralyzed on the seat.

Jiang Li rushed over immediately.

"Director Liu, are you alright?"

Liu Chong panted heavily, and grabbed Jiang Li's hand to help him: "Jiang...Jiang...Doctor!"

"Go, I'll help you out."

"No... no!" Liu Chong looked at her and shook his head.

"You..." Jiang Li looked at the place where he was covering his left hand, trembling badly, his forehead was covered with fine sweat.

A guess was suddenly magnified in her mind.

She looked at Liu Chong who was panting heavily in shock.

"Could it be... Parkinson?"

Liu Chong frowned: "Don't say anything."

"Looking at your current state, I'm afraid it's already past the early stage, and you have already experienced uncontrollable tremors. You should go for a checkup immediately, so I can make arrangements for you?"

Liu Chong took Jiang Li's hand: "No...no, at this time, no one should know about my illness."

"But, if it's a little later, your illness..."

Liu Chong took a breath: "You know that the dean has applied for internal retirement, and now I can't fall down!"

Jiang Li fell silent: "Is this seat really so important to you?"

Liu Chong smiled self-deprecatingly: "Everyone thinks that I, Liu Chong, am very utilitarian, and I will ignore everything in order to get to that position."

He said with a long moan: "Since I took over the Advanced Principles and Invasion Laboratory of the Cancer Diagnosis and Treatment Center, I have been leading the research of Renhe's third-generation domestic ALK-targeted drug and the latest DK immunotherapy. I have worked hard for so many years. , if you were me, can you watch it fall by the wayside at this juncture?"

Jiang Li helped him up to make him feel better.

"If I hadn't taken over the dean's seat, and he left, I fell down again, and the person who ruled this giant white tower was replaced by someone else. Think about it, this time-consuming and money-consuming project must be very difficult. It is easy to be put on hold, after all, everyone has to grab the research funding every year, it is not their own project, and no one will put all the funds on this unprofitable project.”

Liu Chong tried to stand up slowly by himself, he gritted his teeth, as long as he survived the trembling, he would feel much more comfortable.

In the dark room, the light of the LED hit Jiang Li's young face.

Liu Chong patted her on the shoulder, with a more self-deprecating look on his face: "I have never admitted defeat or mistakes in my life. Since I was in college, I have followed my teacher to study various types of cancer for more than 30 years. To this day, in this field, I thought that I, Liu Chong, was the god who conquered cancer in this giant white tower. At this time, I never expected that I would fall in the field that I am most proud of in my life. Hehe, it sounds really ridiculous. An expert in tumor surgery, when he can no longer stand in the operating room to pick up The moment the scalpel was cut, it was doomed to the end of his career!"

Jiang Li was silent for a long time, looking at the back of Liu Chong walking slowly towards the door, he suddenly said: "Director Liu, in fact, we are just ordinary people, let yourself go, and leave yourself a way out, your generation What can’t be done by one person can be done by the next generation! You can’t do what several generations can do by yourself!”

Liu Chong's figure froze, and he shook his head: "I am clear about my own illness. I just hope that only you and I know what happened today."

Looking at Liu Chong's disappearing figure, Jiang Li sat down alone in the dark observation room. Looking at the empty operating room on the LED screen, she leaned tiredly on the back of the seat.

Liu Chong said that he was the god at the top of the giant white tower under the blue sky, and Jiang Li thought he was right.

Compared with those cancer patients, the doctors in white coats are the gods who guard their lives in this giant white tower.

But the more this is the case, in the end, even these doctors may get used to it and forget their true identities.

They are not gods after all.

They are also human.

It's just that they chose to wear this white dress, and they happened to choose this position.

When everyone can give up hope, they must stand up, go retrograde in the crowd, help all cancer patients, and hold on to the hope they gave up.

This is the meaning of the existence of the profession of doctors.

(End of this chapter)