Oncology Physician Life

Chapter 64 Chapter 63 What is "worthy"

At 1:[-] p.m., Wei Ran just finished today's outpatient clinic, took off his white coat in the dressing room, and went to the cleaning room for disinfection.His well-proportioned hands were placed under the control of infrared sensors, soaked in potassium permanganate solution, and when he came out of the cleaning room, he found that the clear sky had started to rain again.

"The weather forecast doesn't say rain today?"

In the office, Deputy Director Li Anran turned his head and looked out the window.

Wei Ran walked to his seat, picked up his phone and found that his mother had left him a message, asking him to go home no matter what in the next two days.

For the convenience of going to work, he has been renting a house outside by himself.On the other hand, it is also to escape the mother's urging marriage.

Wei Ran sighed, I don't know what my grandmother said to my mother when I went back to the countryside this time. After my mother came back, she started to contact those seven aunts and eight aunts who hadn't moved around for a long time, asking people to find relationships, and arranging blind dates for herself.

He straightened his glasses on the bridge of his nose, leaned on the back of the chair, and saw nearly 20 patients in the morning, which made him feel a little tired.

Just when it was rare to enjoy the leisure in the afternoon in the office, Lao Zhang from the security department pushed a small flatbed cart all the way into the doctor's office of the oncology department.

Lao Zhang is an old employee of the security department for more than ten years. He is a 1.8-meter-three man from Henan.At this moment, ignoring the wet raindrops on the brim of his uniform hat, he glanced into the office and saw Wei Ran sitting on his seat at a glance.

Lao Zhang is from Henan, and his accent sometimes utters a few words in authentic Henan dialect, "Doctor Xiao Wei, what do you think you are tender, big cars and small cars, you are still tender."

As Lao Zhang's voice fell, a black-haired domestic black-bone chicken jumped out of the bamboo basket of the small flatbed cart, flew to Deputy Director Li Anran's desk, and crowed fiercely. He knocked over the water glass on the desk to the ground.

Lao Zhang seemed to be in a hurry: "You are tender, I am in trouble, why is this taking off!"

Deputy Director Li Anran was terrified by the black-bone chicken that suddenly jumped over. When he lowered his head, he found that the article he had just sorted out and printed was soaked in water, and the hen that caused trouble was pointing at the keyboard on the table.

Li Anran frowned, and had a bad premonition in her heart. Sure enough, with a bang, a lump of fresh chicken feces landed on her newly bought keyboard.

Li Anran completely broke down, and yelled at Old Zhang: "Old Zhang, quickly get this furry bastard out of the office!"

Lao Zhang was scrambling to catch the chicken, and he didn't forget to shake the pot: "Deputy Director Li, this chicken is not from me, it's from Dr. Wei!"

Wei Ran was taken aback for a moment, looked at Li Anran who had lost his temper, and hurriedly shook his head: "I didn't buy chicken, Lao Zhang has wronged me!"

Lao Zhang firmly grasped the black-bone chicken's paws, stuffed it back into the bamboo basket, heaved a sigh of relief, and then explained: "This is Xu Yaqin who sent it to the security department in the morning, and specially sent it to Dr. Wei from Yan'an. Hometown specialties brought here!"

Xiong Xiong stretched out his head to look at the small flatbed truck piled up with a load of local goods, and was amazed: "Xiao Wei, if I remember correctly, this Xu Yaqin also sent you a lot of Yan'an local specialties last year and the year before that!"

Lao Zhang took down everything on the small flatbed cart: "This is the black-bone chicken that Xu Yaqin's family specially raised for Dr. Wei. It is said to be for your mother's body, and it is a big tonic. There is also the dog's head jujube from her hometown, this jujube She also gave me a small handful, so sweet!"

As he said, Lao Zhang took a large bag of Goutou dates from the trolley, which seemed to be no less than ten catties.

Lao Zhang took out a urea bag full of Huanglong walnuts: "Xu Yaqin said that Dr. Wei is very busy on weekdays. He has to see so many patients, and it takes a lot of time. It happens that her hometown uses Huanglong walnuts to nourish his brain."

After a while, Wei Ran's table was piled up with earthen goods. Finally, Lao Zhang reluctantly brought down a jar of Ganquan rice wine, and smiled at Wei Ran: "This rice wine is really fragrant! Xu Yaqin said that this rice wine It’s also for you to replenish your body, it’s good for men, if there’s any ammonia, acid, or vitamins, it’s good for men anyway.”

Xiong Xiong pouted: "This rice wine is not bad. I drank it last year. It is sweet and sour, and has a mellow taste!"

Li Anran cleaned up the chicken feces on the keyboard, then turned to Wei Ran and asked, "Xiao Wei, if I remember correctly, Xu Yaqin's husband was your patient three years ago, right?"

Wei Ran nodded: "Yes, her husband got non-small cell lung cancer three years ago. When he came here, he couldn't walk and could only sit in a wheelchair. Other hospitals judged that he would not live for three months. I have seen her husband's film, lung cancer I just had bone metastases, and local bone destruction affected my walking. At that time, I was studying the combined treatment of non-small cell lung cancer with Director Dao Dawei of the Department of Radiology. I brought her husband into the hospital, but I didn’t expect that a set of treatments would really show curative effect. Although his husband can’t do without the medicine now, he has controlled the cancer cells in a stable state, and he can live a good life with the cancer.”

Li Anran showed a clear look: "No wonder this Xu Yaqin mails you special products from her hometown every year, and also sends you millet during the holidays."

Wei Ran was very distressed: "I have already told Xu Yaqin, and told her not to continue mailing to me in the future. If it spreads like this, the impact will not be very good."

"What's wrong!" Li Anran retorted, "It's not something shameful. The patient's family sent you a souvenir to thank you for saving her husband's life. This is the relationship between the doctor, the patient and the patient's family. Time, a simple and beautiful feeling, we want such a patient, but we don't have one yet! You know how to cherish it!"

Xiong Xiong walked over rubbing his hands: "Xiao Wei, can you give me a few catties of this rice wine?"

"How many catties?" Wei Ran glanced at the wine jar on the ground, which only held ten catties.

Xiong Xiong immediately changed his words: "One catty is fine, just one catty."

Lao Zhang said with a cheerful smile: "Xu Yaqin is a good woman. At that time, I thought it was inconvenient for her to sell meals to her husband every day, so I lent her the meal card of the staff canteen. She still remembers this and will give it to me this time." Send me a jar of rice wine."

Wei Ran lowered his head and looked at the black-bone chicken that was crowing at him in the bamboo basket. He felt a little troubled. He didn't know how to deal with it. The stupid goose that Xu Yaqin sent last year seemed to be a A pot of roasted goose with potatoes was placed on Pei Xiaonan's dining table.

On the other hand, Kang Jun was assigned an important task by Wei Ran, to accompany a returning patient for gastroscopy.

When he came to the radiotherapy gastroscopy clinic, for some unknown reason, there were so many patients queuing up for gastroscopy examination that there was a long queue in front of the gastroscopy clinic.

In the consulting room, Director Kang of the Department of Gastroenterology and Deputy Director Tao Dawei of the Department of Radiation Therapy were both present.

Director Kang is 59 years old this year, and he is very thin. From a distance, he looks like a walking bamboo pole. His thin face has prominent cheekbones, and his hair is thin and gray.

When Kang Jun came, Director Kang was instructing several young doctors who had just arrived for internship in the gastroscopy and chemotherapy clinic.

Director Kang was a doctor of both medicine and physics. He heard from Deputy Director Li Anran that Director Kang knew a little about everything, and he was very strong in every aspect of radiation physics, clinical and biology involved in radiotherapy.

Director Kang was wearing a pair of presbyopic glasses, looking at the radiotherapy calculator in front of him, and asked the intern next to him: "Do you know how the calculator calculates this answer? What is the irradiation angle and the affected area?" , and how much lethality to cancer cells?”

The young intern was a little confused: "Why do you have to calculate this yourself? Isn't the machine able to give the answer directly?"

Director Kang frowned: "I know how to look at the machine every day, and look at the machine. If there is no computer, you will not see a doctor? Is it your doctor or the computer?"

The intern doctor didn't dare to refute, and lowered his head dumbly, obviously he didn't agree with Director Kang's words. Since they were studying in university, the teacher taught them this way, as long as they use the computer to calculate, there will be a result. The answer is that it is enough to see a doctor for the patient, why do you have to calculate it yourself?
Director Dao Dawei of the Radiation Therapy Department laughed: "Old Kang, why do you embarrass them young people? What age were they, and what age were we at that time? In the era when we were doctors, the chemotherapy machine had just been upgraded from the simulator. When transitioning to a [-]D machine, many things are calculated by yourself, and you can’t do it yourself. It’s like determining the target area for chemotherapy. How did we determine the target area in the past? We draw it ourselves. Now, we directly use computer programs to automatically outline the target area for patients. .”

Director Kang has a stubborn temper and disagrees with Tao Dawei's words: "No matter what era, machines can't replace doctors, and the wisdom of doctors is still needed to treat patients! If modern medicine only relies on machines and computers, then let me tell you, medicine is not only It will improve, but it will regress. Artificial intelligence will never replace humans. Just like these young doctors, now they come to practice and train, and they all look at the computer. I don’t know anything about it. In case of special circumstances in the future, if there is no computer, will they still see a doctor? Do you want the patient to go home and wait? Tell the patient that you will come to the doctor when you have a computer?”

Director Kang refuted Tao Dawei so much that he had nothing to say, Tao Dawei knew Director Kang's temper, so he didn't argue with him, turned his head to look at Kang Jun who was standing aside, and said with a smile: "Xiaokang, are you here to take patients for gastroscopy? "

Kang Jun nodded hastily: "Mr. Wei asked me to bring a patient with gastric cancer who has completed chemotherapy for reexamination."

Tao Dawei looked at the people queuing up outside. If he didn’t know how long he would wait in line, he looked at Kang Jun and asked, "Did you also do gastroscopy when you rotate? Have you studied it?"

Kang Jun nodded hastily: "When I was in rotation before, I was in Gastroenterology."

Tao Dawei smiled: "It's easy to handle. The consulting room next door is just empty. You can take the patient there and do a gastroscopy yourself. There are too many people here, so don't queue here."

Kang Jun nodded, naturally very willing in his heart, so that he could complete the task and go back earlier.

Taking him to the consulting room next door, Kang Jun glanced at the electronic screen to check the normality of the gastroscope equipment, and asked the male patient to lie down.

The man is in his 30s and completed chemotherapy for gastric cancer in the early stage, and the cancer cells have basically disappeared. When he came for a follow-up examination today, he suddenly said that his upper abdomen hurts. Wei Ran specifically explained to him and asked him to observe carefully.

Kang Jun slowly sent the probe of the gastroscope into the patient's esophagus, fixed his eyes on the electronic screen, watched the display images sent back by the probe, and said softly: "Your abdominal pain should be an active duodenal ulcer, which has nothing to do with the stomach. It doesn't matter, the effect of the chemotherapy is very good, the cancer cells have not recurred, there is no big problem, remember to follow Dr. Wei's doctor's advice when you go home, take the medicine on time, and do the checkup on time. "

After taking out the probe of the gastroscope, the man stood up, touched his abdomen, and wrinkled his head: "Doctor, but why do I feel that it hurts more than before?"

Kang Jun was a little suspicious: "It should be caused by the active duodenal ulcer. When I checked just now, I found that you have a slight ulcer. So, I will take you outside the intestines later and prescribe some medicine for you?"

The man nodded without any doubt, and got up to go out. Just two steps away, the man suddenly wailed, fell to the ground, clutched his stomach tightly, and shouted: "Doctor, doctor, I can't do it, I'm in terrible pain !"

Kang Jun hadn't encountered such a situation yet, he was a little stunned for a while, and hurried to the next door to call Director Kang.

Director Kang came over, helped the patient onto the bed, pressed the man's stomach briefly, and said to Kang Jun, "It should be a duodenal perforation!"

"No, can't it?" Kang Jun was stunned for a moment, "During the gastroscopy just now, there was indeed an active ulcer in the duodenum...but..."

Director Kang didn't look at him, and said to another resident doctor, "Hurry up and send him to the emergency department for surgery. It should be that the duodenal ulcer has been perforated."

Kang Jun watched the man being transferred to the trolley, with a look of guilt on his face. If he had been careful and serious just now, he might have found the location of the duodenal perforation.

Director Kang patted him on the shoulder: "Don't pay too much attention, this happens to everyone. This is an acute perforation. You may not wear it when you check it, but you may wear it after the check."

Listening to Director Kang's comforting words, Kang Jun felt even more heavy in his heart, turned around and walked towards the oncology department, sitting alone on a chair in the corridor to reflect on himself.

Wei Ran had just disposed of the fried black-bone chicken, and when he came back, he saw Kang Jun who was in a daze. He walked over and asked, "Is the patient's reexamination finished?"

Kang Jun nodded: "Teacher Wei, I seem to have done something wrong just now."

Talking about the man's duodenal ulcer perforation during the self-examination.

Wei Ran could see that Kang Jun's face was more self-blaming, and he comforted him, "This matter is beyond your control, maybe it's just like Director Kang said, when you checked, you just didn't have a piercing, and you will wear it after the inspection." ?”

Kang Jun shook his head: "If I can be more careful during the inspection, maybe I can find the characteristics of the perforation? This can also be treated in time, and the patient will not be sent to the emergency department for perforation."

Wei Ran patted him on the shoulder: "This is not your responsibility, don't blame yourself too much."

Kang Jun suddenly said: "Teacher Wei, tell me, what kind of doctor is a doctor who is worthy of patients?"

Wei Ran was stunned: "Why do you suddenly ask such a question?"

Kang Jun smiled: "In the year I graduated, my teacher told me that I should not disappoint the country and the cultivation of the school in the future, and be a doctor who is worthy of the patients. , I just realized that it is too difficult to meet this standard! I was also thinking, what kind of doctor can be called "worthy"? Could it be said that he is worthy if he cures the patient? But our oncology department , there are many diseases that cannot be cured!"

It is difficult for Wei Ran to answer Kang Jun's question. In the ten years since he became a doctor, although he has not made mistakes due to lack of responsibility, there have been many times because of his lack of ability and unadvanced medical methods. It has left regrets in the lives of many patients.

He took a deep breath and laughed: "You are so young, how can you think about such a profound question? When you reach my age, or Director Kang's age, come and think about this question. Your main task now is to be serious. Study, get through the stage of intern in a down-to-earth manner, I remember your master's thesis, isn't it coming soon?"

Hearing Wei Ran talk about this matter, Kang Jun was a little annoyed: "I sent the thesis to the teacher last month, but there seems to be something delayed on the teacher's side, and there has been no reply."

Wei Ran asked curiously, "Who is your teacher?"

Kang Jun: "Professor Tan Xudong Tan from the School of Medicine."

Wei Ran was stunned, and then he patted Kang Jun's shoulder calmly: "Maybe, Professor Tan is delayed by something, you can also take some time to go and have a look, it just so happens that you are not going to see the teacher soon It's festival!"

Kang Jun nodded: "Well, I will take some time to go back to see the teacher, and I haven't seen him for a long time."

Wei Ran got up and walked towards Ji Han's lounge. If he remembered correctly, Professor Tan Xudong from the School of Medicine seemed to be Ji Han's patient. He had only been admitted to the hospital for a few days and his condition was quite serious.

If so, Kang Jun's thesis, I'm afraid...

(End of this chapter)