Doctor of Healing

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 contralateral 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.

Chapter 97 The Surgeon With A Raised Ass

With that said, a group of people walked in.

The leader took off his hat and mask as he walked. He touched his crew cut hair with his hands, and with a professional smile on his face, he looked gentle and elegant, which made people happy.

He seemed to sense that the atmosphere in the locker room was not right, he glanced at Director Geng, and then at Ji Xiang.

This professor Zhou is not very old, only 27 or [-] years old, but his eyes seem to be able to speak, and he seems to be asking what happened when he looks at Ji Xiang.

"Professor Zhou, hello." Ji Xiang greeted honestly, "Our side is going on stage to stop the bleeding, it's a..."

"Director Geng, what's wrong with you? Why are you still crying?"

The person behind Professor Zhou asked in surprise.

"What did you do that your wife found out?"

"It shouldn't be. You have to report to your wife when you go out for a drink. Do you still have the guts?"

"Don't cry, don't cry, there's nothing you can't get over."

Several people comforted them, seeing that the hospital is not very big, and everyone is familiar with each other all the time.

Unlike large tertiary hospitals, only a few people in the departments are familiar with each other because of personal relationships.

A small hospital also has its advantages, at least it is full of human touch.

"There was a patient who had a partial resection of kidney cancer, and he suddenly suffered from delayed bleeding one and a half months after the operation." Director Geng said fiercely, with red eyes and stiff neck, "Go up and stop the bleeding. If it doesn't work, I can't do anything."

"Ha ha."

A cold laugh came, and Ji Xiang's DNA moved.

This laughter is so familiar, so... hateful!

Laughing, nothing special, but Jixiang has experienced many "next time must" situations, he knows that after the person laughs, he will spit out unpleasant words from his mouth.

[The gaze of the superior doctor], is he the template of cpoy?

Ji Xiang was taken aback for a moment, then looked at the young Professor Zhou.

The system NPC said that he is a template, but now Jixiang is shaken.The Professor Zhou in front of me is so familiar, I can even guess what he will say.

He is the legendary Zhou Congwen?

"What can I do after opening it?"

Sure enough, something Ji Xiang expected happened.

The smile on Professor Zhou's face was still so gentle and amiable, but his tone had begun to become bitter.

"After retroperitoneal incision, there is a 28% chance that blood will spurt out directly, and no blood vessels can be found at all. Even if the bleeding is less, inserting the suction device will only accelerate the patient's blood loss."

"..."

Director Geng grinned, but he didn't notice the bitterness in Professor Zhou's speech.

Because these words are what he thinks in his heart.

"After opening it, I worked for more than an hour, and filled it with three to five thousand liquids, as well as red blood cells, plasma and so on. Besides spending a lot of money, is there any other use?"

"Yes, it works. When you think about it later, you will comfort yourself that you have tried your best."

"Tsk tsk, hurry up and go, I'm afraid it will be too late for you to operate."

"It's really pitiful, no matter what, they are all dead, and they have to be stabbed before they die."

Professor Zhou's tone became sharper, and Director Geng's face was whipped like the bitter cold wind from three to nine days.

Director Geng's eyes were red, "Fuck off, what the hell are you saying I can do!"

"Being able to do partial nephrectomy proves that you are of good skill, and you don't know about the complications? A presumptuous operation?" Professor Zhou was not angry, but sneered.

"..."

He is like an old colleague for many years, seeing everything in his eyes.A few words, basically close to the truth.

Director Geng wanted to explain something, but he changed his mind. Even if Professor Zhou can perform surgery, the county hospital does not have relevant dsa equipment, let alone consumables such as guide wires, catheters, coils, and gel sponges.

It's useless when the gods come.

He poked his neck in silence for a second, and immediately began to change his clothes.

"Director Geng, I know how to do interventional surgery, how about I help you?"

After ridiculing, Professor Zhou put forward a solution with a smile.

"It's useless to know how to do it." Director Geng felt inexplicably sad, especially when he thought of seeing his lamb with bells on it that day at the patient's house, and the jingling picture kept floating in front of his eyes, which made him feel even more uncomfortable.

"It's fine if you have a fluoroscopy machine." Professor Zhou said gently, "If the operation cannot be completed, I will accompany you to perform the operation. The operation will stop the bleeding. If I do it, there is still a little chance that some kidney function will be preserved."

"!!"

"Without a guide wire, the only doctor who performed catheter surgery in our county hospital has gone to the south since the collective collection." Director Geng sighed, tears could not be held back, and fell again.

"Who doesn't bring an equipment dealer with you when you go out." Professor Zhou smiled and patted Director Geng, "But you..."

It turned out that Professor Zhou had already thought about everything, Ji Xiang was silent, and looked at the young Professor Zhou carefully.