Chapter 97

"We are doctors, we have to speak our conscience!"

The doctor sitting across from Ji Xiang looked like Mo Chenggui, a little oilier than him, but when he said this, he was not righteous, but full of frustration.

"Director, you are right!" Ji Xiang briefly recalled his identity, knowing that he was a student of this student and a little doctor under him, and quickly cheered.

A small clinical doctor is really suitable for his status as Gui Peisheng, Ji Xiang thought to himself.

"Tell me, why did I let the patient go? It's difficult to do the operation or not."

The middle-aged doctor had a sad face, trembling hands, and a pale face.

Seeing that the situation was wrong, Ji Xiang didn't know how to answer it, so he tried hard to find his memory.

"I know that doctor-patient disputes have become more and more serious these years, but we still have to do the surgery that we can do, and how much it will cost to drive the patients away, to the imperial capital!

You have also seen the situation at that time. If I hadn’t been a patient, I would have gone home and waited to die.

I don't know whether to do it well or not. If I do it, the patient may be cured.If not, the patient can live at least a few years. "

Director Geng's eyes became more and more bloodshot, and he was chattering with Ji Xiang with red eyes.

It seems that saying one more word can make my heart feel better.

"Teacher, it's your kindness." Ji Xiang made a dry joke.

Although I know it's useless, I can't face each other without talking, right?

Taking advantage of this gap, he searched for the conversation in his memory.

The person in front of me is Jixiang's teacher, surnamed Geng, who is also the director of the urology department of this hospital.

One and a half months ago, Director Geng went out to the clinic and picked up a patient.The patient had a nephrectomy several years ago and now has only one kidney.

Kidney cancer is also called lazy cancer, and it progresses very slowly, especially if it is resected early, it can basically be said to be cured.

However, kidney cancer has a strange characteristic-after one side of kidney cancer patients is treated, the possibility of tumor recurrence in the opposite kidney reaches 2-4%.

That is to say, for every 100 kidney cancer patients, 2-4 people may have double kidney cancer.

The luck of this patient was indeed not very good. After all resection, a space-occupying lesion was found on the other side of the kidney, and it was considered malignant.

There is no way to completely remove one side of the kidney. Director Geng suggested that the patient go to the imperial capital to have a look.

It is said to see, but in fact it is to drive the patient away. The hidden meaning is already obvious-we can't cure it, please change to another place.

The patient looks like a normal person, but clinical practitioners know where the trouble lies.Even if you are not a doctor, as long as you have common sense of life, you will know it.

The risk of the operation is too great, and there is only one kidney left, which is so precious, no one would dare to move it without [-]% confidence.

But is it [-]% clinical?

Taking the risk of beheading, but getting no rewards, such "stupid" things are indeed rarely done.

The family members of the patient burst into tears when they learned the details, and pulled director Geng's clothes with snot and tears.

After the operation, the patient can't be said to be a strong laborer, but if someone is there, the family is considered complete.If people leave, the family will also be scattered.

The walls of hospitals have heard more prayers than churches.

Doctors have also seen all kinds of life and death.

It is said that he has already been hard-hearted.

But when everyone is on the top, facing the crying of the patient's family, Director Geng, an old doctor, is on the top.

Director Geng saw that the patient's family's financial conditions were not good, and he couldn't go to the provincial capital or the imperial capital at all. To expel the patient would be to wait for death at home.

So after going through several rounds of hospital-wide consultations, at Director Geng's insistence, he still brought up the operation order and planned to do partial nephrectomy.

Before the operation, director Geng repeatedly explained to the patient and the patient's family members, breaking apart the broken pieces and talking about the possible complications after the operation, especially bleeding leading to shock and even death.

Patients and families have no choice but to agree.

Fortunately, everything went well after the operation, the patient recovered well, and was discharged from the hospital with gratitude.

Today, 1 months later, 2 hours ago, something big happened.

When the patient was brought in, his complexion was pale, his body was clammy and cold, and he could tell he was in shock at a glance.

Director Geng was immediately dumbfounded.

The advantages of partial nephrectomy are clear at a glance, but there are also many disadvantages, but the most terrible thing is delayed postoperative bleeding.

Originally Director Geng was worried all the time, and he thought about it for a long time after the operation. The patient has been fine, so he thinks it should be fine.

One and a half months after the operation, the delayed bleeding was a bit late, but it did exist, and the probability was not low.

Ji Xiang knew what had happened, and looked at Director Geng helplessly.

"Xiaoji..."

Director Geng said, his eyes turned red, and tears fell down.

"Director, look at you." Ji Xiang wanted to find a tissue to wipe Director Geng's tears, but there was nothing in the office. He took out a few pieces of gauze from the pocket of his white clothes and handed them over.

"I shouldn't have performed that operation. If I didn't perform the operation, there would be no bleeding; if there was no bleeding, the family members of the patient would not come to me with someone. If no one comes to me, I will open it now." Happy to watch football at home.

Life is hard, how do you think I can get on top? "

Ji Xiang was taken aback.

Director Geng seems to be very familiar with the ramblings of parallel sentences, but for a while he couldn't remember where they came from.

"Director, the patient's family still recognizes you." Ji Xiang reminded quickly, fearing that his memory might be wrong.

"They think it's okay, but I can't stand it!" Director Geng wailed.

"..."

Ji Xiang felt weird.

In clinical practice, let alone a great director, even I have seen many lives and deaths.

The operation was also done, and I did my best. When I encountered problems after the operation, the patient's family did not say why Director Geng was so uncomfortable.

"Xiaoji, you don't know." Director Geng choked up and said, "I didn't plan to do the previous operation, but I still had the courage to do it. The patient recovered well after the operation, and the family gave me a chicken."

Ji Xiang looked at Director Geng silently.

Although he looked a little greasy, he could hear the truth in what he said.

Director Geng knew that the patient must be hopeless, so he said a few more words to himself here to reduce stress.

When it comes to matters involving human life, anyone will be under a lot of pressure.Even though he had tried his best out of good intentions, the result was not optimistic.

"An old hen took it and took it, but I didn't pay attention, and there was still 200 yuan. This is not okay, I know that it is very difficult. I drove to the village that day and wanted to send the money back."

"As soon as I entered the patient's home, I felt sore and flustered. His parents were paralyzed in bed, and his wife was taking care of him at home. He had a kidney and a half removed, and just in time he came out again."

"If you don't work, you can't do it. When people fall, so does the house."

"It's not a life, it's a family's life."

Director Geng wiped his tears with the gauze in Jixiang's pocket, and finally blew his nose.

The gauze was very rough, and Director Geng exerted great force, the tip of his nose was bright red, bloodshot could be seen vaguely.

"Director, is there really no other way?" Ji Xiang knew that interventional surgery would be useful, but even after so many years, interventional surgery is a high-end surgery, and there are not many people who can do it.

"Only half of the waist is left. Is it all cut off? If it's all cut off, it will require year-round dialysis. His family can't afford it, and there is no such condition." Director Geng's eyes were red.

Ji Xiang was speechless.

"Go on stage." Director Geng said, "Be smart, I'm not in a good state today, you are young and have good eyesight, after a while you open the retroperitoneum and see the bleeding in the kidneys, try your best to find the blood spots."

"If you can find it, you might be able to live if you get the ligation. If you can't find it..."

Ji Xiang sighed deeply.

He knew that what Director Geng said was just a possibility, the best wish.

There is a high probability that when you see the kidney, there will be a pool of blood inside, and you can't see anything.The aspirator sucked the blood away, and before the blood vessel was found, the person was gone.

"Director, I will try my best." Ji Xiang asked after reassuring him, "I heard that the interventional department can do hemostasis treatment, let's..."

"It's only in the provincial capital. Now it takes four or five hours to send it there. Do you think the patient can last so long?"

Director Geng sighed, ready to change clothes.

He considered all kinds of possibilities, but because of the patient's condition, family factors, and the technical strength of the hospital, he could only go on stage and try to find the bleeding artery.

I wish myself better luck, I hope the patient's luck is better, Director Geng prayed blankly in his heart.

"Professor Zhou, your surgery is really good! You really deserve to be a top expert in the country. Today I opened my eyes with a knife!"

Suddenly, flattering voices came from outside the door.

"Hehe, minor surgery, simple." A hearty voice came in.

(End of this chapter)

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