Oncology Physician Life

Chapter 31 Chapter 30 The Doctor's Disguised Shell
At one o'clock in the afternoon, in the doctor's lounge on the sixth floor of the oncology building, the air conditioner was fully turned on, refreshing the stuffy air in the room.

Ji Han had just walked in after checking the room, and Pei Xiaonan was nestling in Wei Ran's wheelchair, staring at the computer screen in front of him motionlessly, and his hands were not idle, tearing the bag of instant coffee.

"You stayed up here all night yesterday and didn't come home?"

Ji Han put down the case sheet in his hand, stopped in front of the water dispenser, and poured himself a cup of hot water.

"I asked Lao Wei to look up a lot of documents for me, and I'll finish reading a small part." Pei Xiaonan said without turning her head.

On the other side, Jiang Li took off his white coat, kicked off his flat shoes as soon as he came in, and fell on the only massage chair in the lounge, rubbing his neck with one hand, and took it with the other. Ji Han took a sip of the coffee in his hand, and finally heaved a sigh of relief from the exhaustion of rounds.

Just as Pei Xiaonan drank his fourth cup of coffee, Wei Ran walked in with two big bags of takeaway.

The thin white shirt on his body couldn't contain the heat in his body, and he unbuttoned all the buttons at the collar of the shirt, revealing his beautiful shoulder blades.

Wei Ran glanced at the three of them, put the takeout on the table, and took it out: "Ms. Pei's claypot rice with ice American style, Mr. Ji's dry pot bibimbap with oolong tea, Mr. Jiang's bridge rice noodles, with macaroni hot……"

Wei Ran wiped the sweat from his forehead, smiled and looked at the three of them: "Three teachers, are you satisfied with my service?"

Jiang Li took a sip of rice noodles, and said vaguely: "I'm very satisfied, keep working hard, there is still room for improvement."

Pei Xiaonan opened the Ice Americano, inserted the straw, shook it, and frowned: "Old Wei, the ice cubes in this Ice Americano have all melted, next time you buy food first, and then buy drinks last, so that the ice cubes It won’t melt so quickly because of waiting so long.”

Wei Ran took out his Malatang and rubbed his wrist: "Mr. Pei, next time, can you go to the cafeteria to eat by yourself?"

"Why are you so stingy." Pei Xiaonan smiled at Wei Ran, squinting his eyes, "Our old Wei is the best, next time I'll treat you to Xiaolongbao!"

With her chopsticks in her mouth, Jiang Li clicked on the Weibo entertainment news pop-up window on the computer in front of her. The news about the famous singer Zhang Qianyi suffering from esophageal cancer appeared on the headlines. She glanced at Ji Han and asked, "Does this singer listen to He said he was going to be treated in our hospital, did he go to the outside of the tumor?"

Ji Han took the latest admission record and flipped through it: "Probably not, there is no record of being transferred to the outpatient department."

Jiang Li looked at Wei Ran.

Wei Ran put down the chopsticks in his hand and said, "I heard that he has been transferred to the Department of Thoracic Surgery. The attending doctor seems to be Professor Zhao Zhiqiang."

"Professor Zhao Zhiqiang?" Pei Xiaonan raised his head when he heard the words, "Is this the hospital's decision? Zhao Zhiqiang basically doesn't have a full chest surgery now. Recently, I heard that even the operation is pushed to the attending physician below. He treats Zhang Qianyi for esophageal cancer. Is the operation possible?"

Ji Han quickly finished eating the food in the lunch box, took out a few paper towels and wiped his mouth, hurriedly picked up the medical records and was about to go out: "Old Wei, throw away the lunch box for me, I will go to the clinic in the afternoon, and I am in a hurry .”

Wei Ran made an OK gesture, and when he turned around, Ji Han had already walked out of the lounge.

After eating, Pei Xiaonan passed the lunch box to Wei Ran, and continued to stare at the documents on the computer screen.

After the meal, there was another light rain outside, which wiped out the newly sprouted summer heat, and the wind blowing over was filled with refreshing coolness.

When I passed the garden, the gardenias had already begun to bloom, and I could smell the fragrance in the air.

Jiang Li changed into a new pair of shoes, the previous pair didn't fit well, and he always felt a sense of lack of effort when walking.She was walking in the direction of the inpatient department, and met the intern Lu Jiajia on the way.

She looked at Lu Jiajia for a while, with a smile on her face: "Why are you dressed so beautifully today? Have a date?"

"How can there be Teacher Jiang!" Lu Jiajia corrected his expression, "He wears this every day."

Jiang Li smiled without saying a word, and the two walked into the inpatient building side by side.

Today, Li Anran, the deputy director of the internal oncology department, specially invited Jiang Li to come over. They have a few patients in the internal medicine department, and Jiang Li needs to consult with them. After all, she came back from Anderson, and she has a wider perspective on the treatment of various types of cancer in the world. some.

From a distance, Lu Jiajia saw Kang Jun in a group of interns at a glance. He was wearing a beige-colored shirt and a white coat. He was handsome and handsome, with the unique vigor of young people.

Jiang Li looked out from the corridor outside the medical oncology ward, and he happened to be able to see the water pavilion in the distance. Compared with the mediocre one on the outside of the tumor, the medical oncology side is a little more elegant in the misty water.

Deputy Director Li Anran just walked over from outside the ward, holding a document in his hand: "Professor Jiang, I'm sorry."

Jiang Li took the patient's information with a smile: "It's okay, anyway, there are not many patients in the Children's Oncology Department."

The two walked into the ward together. Li Anran introduced the patient's information: "The first patient is Zhao Li, a female president of a listed company. She is smart and capable. I was in charge of taking over six years ago and was diagnosed with bowel cancer. , I chose conservative treatment. At the beginning, the treatment effect was good, but within a few years, there was a situation of intolerance to the drug. I came here for a review at the beginning of this year, and the cancer cells showed signs of pelvic metastasis. The internal medicine department also tried a few times. Each method has its advantages and disadvantages.”

Jiang Li took out the film while walking, turned around and looked at the sun: "The situation is indeed not good, why didn't you consider surgical resection?"

Li Anran shook his head helplessly: "The patient has diabetes. At the beginning, he was afraid that the incision would not heal after the operation, so he chose conservative treatment in internal medicine. In addition, this patient is relatively strong, and he firmly disagreed with the operation at the beginning. We persuaded him several times, but it is a pity. Useless."

Jiang Li stood in front of the VIP patient's door, and looked inside through the glass on the door. A mature and intellectual woman was lying on the bed, she was pretty and delicate, and there was a seven-year-old girl lying on the bedside. Do your homework on your head.

Li Anran introduced from the side: "When she was hospitalized, her family didn't care much about her. Her husband never came. Sometimes it was her company's female secretary who took care of her, sometimes it was a nurse hired by her, and sometimes it was her Daughter, the driver will bring her here as soon as school is over, and my daughter comes to accompany her mother every day."

Jiang Li opened the door and walked in.

Zhao Li looked this way, saw that it was Dr. Li Anran, and nodded with a smile.

Li Anran introduced Jiang Li to her: "This is Professor Jiang who came back from Anderson. The internal medicine department invited her to come and have a look. Let's work together to hold a disease seminar."

Jiang Li turned his head to look at Zhao Li's daughter. The little girl looked at Jiang Li curiously with a pair of black and white and pure eyes. On her cartoon homework book, the handwriting was crooked.

Jiang Li smiled and touched the little girl's ball head: "Little guy, how old are you?"

The girl said in a childish voice: "Seven years old, soon to be eight years old, I am not young, I am already in the first grade of primary school!"

"Really? It's amazing!" Jiang Li was warmed by the child's appearance, "What's your name?"

The girl replied: "My name is Li Qinqin, and I am diligent and diligent. My mother said that girls should be hardworking and not rely on their father. They should learn to do their own things and handle them by themselves."

"You are amazing, Auntie was still crying at her age!" Jiang Li scratched the girl's small nose.

Jiang Li got up and looked at Zhao Li who was on the hospital bed: "The conservative treatment at the beginning did have a chance to control the development of the tumor, but judging from your current condition, the tumor has already shown signs of metastasizing to the pelvic cavity. It is still recommended to have an operation as soon as possible, and then to see the specific results after the operation, and then proceed to the chemotherapy stage. I heard from Director Li that you still have meetings in the ward every day, and you often stay up late and work overtime. This situation must be firmly eliminated in the future.”

Zhao Li hurriedly protested: "No, a lot of things in the company are waiting for me to deal with!"

Jiang Li raised his eyebrows slightly, his eyes fell quietly on Zhao Li's face, and said with a smile: "I am not discussing with the patient now, do you know that you are already in danger now? You are only one step away from death It's far away, I don't understand what you are still insisting on? Is work more important or your life more important? To put it bluntly, if you are gone, have you ever thought about what will happen to your daughter? She is still so young, she will lose her mother ?”

Zhao Li heard what Jiang Li said, glanced at her daughter, and hesitated.

Jiang Li took out the film, put it in front of her, and pointed out the area where the tumor grew for her with a pen: "Look at it yourself, you don't need me to tell you, you can see from the film that this shadow has many places. It’s obvious, now your area is completely blocked by the tumor. When the tumor continues to grow, it will burst your intestines. By then, the tumor will spread to the entire abdominal cavity, and you will be hopeless. At that time, even if you beg me, There's nothing I can do."

Zhao Li's eyes dimmed slightly: "Your doctors are always alarmist, you don't want me to have an operation."

Jiang Li turned to look at Li Anran, and said: "Let's discharge this patient, our hospital can't cure her, let her go to a hospital and doctor who can help her with conservative treatment."

Li Anran looked at the serious expression on Jiang Li's face, understood it, and turned to look at Zhao Li: "Ms. Zhao, since Professor Jiang said so, do you think you should consider transferring to another hospital?"

Zhao Li did not expect the young female professor in front of her to be so resolute and powerful. Hearing what the other party said, she immediately corrected her sitting posture and changed her words: "If you allow me to think about the operation, I will quit the company completely." Come on, I always think about such a big thing."

Jiang Li nodded: "As of tomorrow morning."

After speaking, Jiang Li followed Li Anran out of the ward and came to the nurse's desk.

Li Anran shook his head and smiled: "Just now I was really taken aback by Professor Jiang's words. I thought you really wanted to transfer her to another hospital. My doctor dared to drive the patient away. Fortunately, it was just to scare her. I didn't expect to actually send her away." Scared."

Jiang Li didn't change his face: "I'm not joking, why should I keep this kind of patient who doesn't listen to the doctor? Since the patient doesn't trust the doctor, let her go to a doctor she trusts instead of here It is better to leave as soon as possible, out of sight and out of mind, to waste your life."

While the two were talking, the nurse from the medical oncology department rushed over and said anxiously: "Director Li, why are you here? No one answered the phone. There is a patient of yours in the emergency department. Hurry over there!"

Hearing what the nurse said, Jiang Li hurriedly followed behind Li Anran towards the emergency room.

Surgical emergency EICU.

A middle-aged man stood outside the door and paced anxiously.

He was wearing slacks and slippers on his feet that he hadn't changed in time. The moment he saw Li Anran, he knelt down on the ground for Li Anran, grabbed Li Anran's white coat, and cried bitterly: "Director Li, Please save Xiaomeng, please!"

The patient is a patient Li Anran is familiar with. She was in charge of treatment three years ago. The girl is named Chan Xiaomeng, and the man is her husband named Wang Ke. Chan Xiaomeng was diagnosed with bowel cancer three years ago, and was repeatedly admitted and discharged. Life in middle school was not satisfactory, and he couldn't make up the operation fee, so he chose to try conservative treatment in internal medicine.

Later, when Li Anran saw her again some time ago, the tumor had grown very large, and the tumor mass could be clearly seen through the skin.

Sun Renyi, director of the surgical emergency department, was participating in the rescue in the EICU. Seeing Li Anran and Jiang Li coming in together, he shook his head: "The patient's tumor caused pleural hemorrhage, and this lymphoma has eroded into the patient's blood vessels, causing the tumor to rupture into the chest cavity. The bleeding just wouldn't stop."

Li Anran hurriedly walked into the EICU, only to see a girl with a very painful expression lying on the hospital bed, wearing a breathing mask, but the massive bleeding in her chest crushed the entire lung, causing the girl to be unable to breathe and suffocated His lips turned purple, and he couldn't even open his eyes.

Hearing Li Anran's voice, the girl opened her eyes with all her strength, and looked at Li Anran.

Jiang Li will probably never forget the girl's eyes.

When Li Anran's figure was reflected in her eyes, a kind of light appeared, as if she saw hope.

She felt that as long as her attending doctor was here, she would be saved by the doctor just like the previous few times.

That look was full of hope for life.

She wants to live, she still has a lot of things that she hasn't done, and she hasn't had time to say goodbye to her relatives.

Jiang Li took the case of the girl. Before that, the girl had abdominal bleeding and even intestinal obstruction because of the tumor. The previous few times, it was Li Anran who helped the girl to save the day. After the conservative treatment of internal medicine, the girl had a period of illness It was maintained very well, so this girl named Chan Xiaomeng trusted Li Anran very much, and even relied on Dr. Li Anran very much.

But this time...

When Li Anran got the girl's chest X-ray, he froze in place, watching Chan Xiaomeng lying on the hospital bed panting, but he was powerless.

Chan Xiaomeng seemed to understand the message in Li Anran's eyes, the light and joy in her eyes gradually faded away.

She was sent too late, and the bleeding area was very large. At this time, it is almost meaningless to intervene to stop the bleeding.

The nurse rescued him for less than two hours, and Zen Xiaomeng finally lost his heartbeat on the hospital bed.

Her husband, Wang Ke, was crying heartbreakingly while hugging his beloved girl.

Jiang Li glanced at Sun Renyi who was in the emergency department of surgery.

Sun Renyi came over, and lost his memory for Li Anran, whose shoulders were shaking, and said, "Comfort Director Li, this patient has been with her for three or four years, and she must feel uncomfortable in this situation."

Jiang Li knows Li Anran's mood at the moment, because she has experienced it before, or every oncologist has experienced it more or less.

When you, as an oncologist, watch the patient pass away, this sense of powerlessness and frustration as a doctor will even follow the doctor for a lifetime, becoming a shadow that is difficult for her to get out of.

Jiang Li found Li Anran sitting alone in the pavilion in the corner of the hospital.

She walked over and sat beside her without saying a word, just letting her head rest on her shoulder.

"Cry if you want to cry, don't hold back, just cry out."

A tear fell silently from Li Anran's eyes, "I just looked at Zen Xiaomeng looking at me, I understand, I understand her eyes, I know, in her eyes, I am her savior, I am her God, but what to do, I have no choice but to watch her go away like this!"

"It's not your fault. There are some diseases that we can't cure at this stage, can't we?" Jiang Li comforted her softly, "But we have also cured more and more cancer patients, because of our efforts, some tumors Patients can return to their families and live with their relatives, isn’t this the result of our hard work! Zen Xiaomeng was just an accident, and you can’t blame it all.”

After all, this is not the first time for Li Anran to experience this, but Chan Xiaomeng has been with her for too long. This patient has been with her for three or four years. Li Anran can be said to have become an indispensable part of Chan Xiaomeng's life. The two of them no longer stick to the relationship between doctors and patients, and are also close comrades in arms and even friends on the road to fighting cancer.

When a friend leaves, it is inevitable to be sad.

A long time ago, Jiang Li kept telling herself that she should never get too close to the patient, otherwise she would become the second Li Anran.

But this is the only way for every young doctor. In the process of treating diseases, as a doctor, he will resonate and be substituted into it.

Jiang Li can now somewhat understand why Ji Han is unkind, isolated, and cold in the eyes of patients and doctors in the tumor surgery department.

In fact, Ji Han just disguised himself into a "shell". He hid in this shell to avoid these things, so that he could make the most correct medical decisions for each patient to the maximum extent.

At eight o'clock in the evening, before leaving get off work, for some reason, Jiang Li thought of Zhao Li who was suffering in the hospital bed and refused to undergo surgery.

Zhao Li is different from Chan Xiaomeng. Chan Xiaomeng doesn't want to have an operation, but life is too hard. Fate is pressing on her weak spine, so she has to give up a lot.

And Zhao Li has favorable conditions, she is much luckier than Chan Xiaomeng.

Before he knew it, Jiang Li walked to the medical oncology ward again, but happened to meet Zhao Li's seven-year-old daughter, Li Qinqin.

Li Qinqin's thin body tried to support his mother Zhao Li.

Zhao Li was very uncomfortable due to cancer pain and couldn't get out of bed.

She probably wanted to urinate, but at eight o'clock in the evening, the nurses also got off work. In the past, she could go down to the ground by herself, but today, for some reason, the strong discomfort and the pain of the biopsy puncture prevented her from walking down the ground. .

Just when Zhao Li had to press the electric bell beside the bed to call the nurse for help, an unexpected scene appeared.

Li Qinqin, a skinny seven-year-old daughter, tremblingly raised the urinal from under the bed with a pair of small hands, carefully placed it beside her mother Zhao Li, and said pretending to be an adult: "Mom, do you want Going to the toilet, you don’t have to be shy, just let Qinqin help you, I saw the nurse auntie help you go to the toilet during the day, now that the auntie is gone, it’s fine, let Qinqin come.”

Zhao Li looked at her daughter's thin and small appearance holding the urinal, her eyes turned red instantly, and she gently touched her daughter's head.

After solving the physical problem, Zhao Li said: "Qinqin, you put the urinal under the bed, and wait until mom can get out of bed tomorrow..."

Before Zhao Li finished speaking, Li Qinqin walked out of the ward tremblingly holding the urinal: "Don't worry, I know how to pour it, and I will definitely not spill it outside, causing trouble for the cleaning lady!"

This scene moved Jiang Li very much, the seven-year-old daughter and the strong mother suffering from tumors.

Zhao Li used to be very strong as a mother, but now that her mother is sick, the daughter who used to rely on her mother like a kitten became strong and became her mother's shield.

(End of this chapter)