Chapter 1114 I don't know how thick the sky is
Mi Zixuan didn't immediately go to his chest to find Zhao Weijun, but went to Sang Xue's ward first to talk to his family before going.
Zhao Weijun has his own office, which is not much different from other doctors' offices, nothing more than desks, computers, bookcases, sofas, etc., Mi Zixuan is no stranger to such an office, his own office is similar to Zhao Weijun's, but the conditions are better and larger.
When Mi Zixuan knocked on the door and entered, Zhao Weijun and a few doctors were really standing next to the film reader and frowning and looking at the MRI film, without thinking that it must be Song Jinqiu's MRI film.
Zhao Weijun saw Mi Zixuan come in and said very politely: "Doctor Mi is here." "Mi Zixuan is from the provincial hospital, and he is indeed Zhao Weijun's senior physician, but he is too young, Zhao Weijun thinks that the young man in front of him is a resident doctor at best, and he has long been the deputy chief physician, if it goes well this year, it is not a problem to win the chief physician, the level is higher than Mi Zixuan, so he didn't call Mi Zixuan teacher, if Mi Zixuan was older, Zhao Weijun would definitely call him teacher.
Zhao Weijun also knew that the little doctor in this provincial hospital was surnamed Mi, so much so that he didn't know his full name, if he knew, he would definitely recognize him.
Mi Zixuan nodded at Zhao Weijun with a smile and said, "Hello Doctor Zhao." ”
Among the several doctors next to him, there is an older one, the director outside the chest, called Zhu Jing, fifty years old, the figure is not bad, not as good as the beer belly that people of his age have, Zhu Jing heard Zhao Weijun's words and immediately turned his head and looked at the two of them with surprised eyes, I don't understand why Zhao Weijun is so polite to this young man.
Zhao Weijun saw Zhu Jing's doubts, and hurriedly introduced: "Director Zhu, this is Dr. Mi from the Provincial Hospital, who is friends with the patient, and came to understand the patient's condition. ”
Zhu Jing glanced at Mi Zixuan, and didn't take him too seriously, what happened to the doctor in the provincial hospital? Even if it is from a higher-level hospital, but in the end he is too young, at best he is just a resident doctor, and he is not at all compared to the old doctor who has been engaged in clinical practice all his life, and he is the director of thoracic surgery and the chief physician, whether it is his position or title, he is above this young man, and there is no need to be too polite to him.
With these thoughts, Zhu Jing inevitably had some arrogance and disdain for Mi Zixuan on his face, and his peers are enemies, and the same applies to doctors.
Mi Zixuan's arrogance and disdain on Zhu Jing's face were not taken seriously at all, he came to understand Song Jinqiu's condition, not to be angry with Zhu Jing.
Zhu Jing was also too lazy to watch Mi Zixuan, and turned his head directly to continue watching the film.
Zhao Weijun nodded at Mi Zixuan, and didn't say anything, Mi Zixuan stepped over to the film reader and took a look, and his brows immediately wrinkled.
Song Jinqiu's illness was really quite tricky, judging from the MRI film, it was a mediastinal tumor, and it invaded the left side of the lung, because he coughed violently, which caused the tumor to rupture, and eventually caused a sudden hemopneumothorax.
This disease requires surgery, but the difficulty is that Song Jinqiu's left lung was invaded by the tumor quite badly, and now it has become a broken sack leaking everywhere.
Now there are two options, one is to remove part of the lung invaded by the tumor, but the remaining lung is very difficult to repair, sutured this side, that side leaks, sutures that side leakage, and to do such surgery in a narrow left chest cavity, the operation is very laborious, greatly increasing the difficulty of the operation.
The second option is to completely remove the left lung and mediastinum, but as soon as Song Jinqiu is opened, there is only one lung left, and it is very difficult to say whether this one lung can supply sufficient oxygen to various organs of the body, if this lung cannot afford to deliver oxygen to the whole body, Song Jinqiu will die, even if he can afford it, Song Jinqiu will basically be a waste person in the future, let alone work, walking a few steps will make him out of breath and completely lose his ability to work.
Mi Zixuan has a certain understanding of Song Jinqiu's situation, he is engaged in decoration, that is, to contact the decoration of his personal home, if he loses the ability to work, it can be said to be a devastating blow to him and his family, not to mention that his daughter-in-law has just given birth, once he can't work, how can this family be raised? What about the child?
Mi Zixuan thought that Song Jinqiu would definitely choose the first surgical option, he didn't want to, and he couldn't be a waste, he wanted to continue to fight for his wife and children.
The first surgical option can be chosen is also very risky, even if a part of the lung is removed, there is no guarantee that there are no cancer cells left in the remaining lungs, of course, there is no pathology yet, Song Jinqiu's disease can only be said to be a mediastinal tumor invading the lungs, not mediastinal cancer, but in Mi Zixuan's experience, you can confirm that this is definitely cancer without waiting for the pathological results to come out, and Mi Zixuan must have this experience.
Since it is cancer, only a part of the lung is removed, and the chance of cancer recurrence after surgery is quite large, and the best way to reduce the chance of cancer recurrence is to remove the entire left lung, but Song Jinqiu has lost his ability to work again, and he will not accept it.
Therefore, it is difficult to choose the surgical plan now, and it is quite difficult to choose the surgical plan, with the technology of Fu'an City Hospital, such a big and difficult operation, not to mention Zhao Weijun, even Zhu Kyoto is not sure that it can be done.
Now Zhao Weijun is worried, and Zhu Jing is also worried.
Zhu Jing sighed after watching the film again: "Contact the family members and let them transfer to the hospital." Zhu Jing didn't want to take this risk, once the operation failed, the patient's death on the operating table has a great impact on his personal reputation, he is old, and he will retire in a few years, he doesn't want to damage his reputation at this time, and the difficulty of this operation is too great, and he is not sure that he can succeed in doing it.
Zhao Weijun knew that this was the best choice, he sighed helplessly and turned around to leave, to be honest, Zhao Weijun felt a little bad in his heart, he felt that he couldn't save Song Jinqiu, sometimes doctors were so helpless, they were not gods, it was impossible to cure any disease, more often they couldn't help, but their profession was to treat diseases and save people, and when they met a patient like Song Jinqiu, the feeling in their hearts was uncomfortable.
At this time, Mi Zixuan suddenly said, "Wait." ”
Zhu Jingyi frowned and was a little dissatisfied with Mi Zixuan's young man speaking at this time, he glanced at him impatiently, and did not speak.
Zhao Weijun looked at Mi Zixuan and said, "Doctor Mi, you ......"
Mi Zixuan exhaled and said, "With the patient's condition now, he has not been transferred to the hospital, I mean he will be treated here." ”
Song Jinqiu's lungs on one side have lost the function of supplying oxygen to the body, at this time he is transferred to the hospital, in the picture of the transfer he has a great chance of death, and his left lung has been ruptured, cancer cells will definitely metastasize to the surrounding tissues and organs because of the rupture of the lungs, medically this is called planting, simply put, cancer cells fall off from the mother's body, fall into other tissues and organs, cancer cells will infiltrate into tissues and organs, and reproduce and develop inside.
Therefore, the sooner Song Jinqiu operates, the better, and do not wait for the cancer cells to multiply and develop in the surrounding tissues and organs, which will greatly increase the chance of cancer recurrence after surgery.
This is thoracic surgery, it is Zhu Jing's territory, Mi Zixuan is an outsider, a young man, on his territory said that he would operate immediately, this is simply not taking him Zhu Jing in his eyes, Zhu Jing was also troubled because of Song Jinqiu's illness, and he was in a very bad mood, as soon as he heard Mi Zixuan's words, he immediately had a seizure, and said angrily: "There is no place for you to talk here, are the people in your provincial hospital so unruly?" Now you get me out. ”
Mi Zixuan is a young man, and an old doctor like Zhu Jing is qualified to reprimand him like this.
Mi Zixuan frowned and said without humility or arrogance: "Director Zhu, am I not right?" You should understand that it is very dangerous for patients to be transferred to the hospital at this time. ”
Zhu Jing said angrily: "You weren't born when I was a doctor, so you don't need you to teach me." ”
Mi Zixuan shook his head and said, "I'm not teaching you, I'm just telling the truth, with Song Jinqiu's situation, the best treatment plan is to operate here immediately." ”
Zhu Jing looked at Mi Zixuan with disdain and said, "Surgery? Are you going to do it? Can you do it? ”
Mi Zixuan looked directly at Zhu Jing and said, "Of course you can." ”
Zhu Jing was laughed at by Mi Zixuan, pouted and said: "Young people nowadays just like to talk big, do you know how difficult this operation is?" Do you know how risky this surgery is? Do you do it? Do you have what it takes? Have you passed the medical practitioner qualification examination? Did you get the title of resident doctor? I really don't know how thick the sky is. ”
Zhao Weijun was very dissatisfied with Mi Zixuan when he said that he could do such a major operation, who are the people in the provincial hospital? I don't have much other skills, and my ability to brag is a top trick, I really don't know what to say.
But Zhao Weijun is a good person, and he didn't directly reprimand Mi Zixuan like Zhu Jing, and his speech was still difficult to hear, he smiled bitterly: "Doctor Mi, you better go back first, your wife also needs your care." ”
Mi Zixuan waved his hand and said, "No, I can't go, I hope I can operate on Song Jinqiu here." ”
Mi Zixuan said very sincerely, after all, this is not a provincial hospital, not his territory, he wants to operate here, he needs Zhu Jing's nod, otherwise he would not want to operate on Song Jinqiu here.
Listening to Mi Zixuan's words, Zhao Weijun is becoming more and more dissatisfied with him, give you a little sunshine and you will be brilliant, right? Don't you know how many pounds and taels you have? You're coming for such a big operation? Are you kidding? Who do you think you are?
Zhu Jingzai couldn't help it, and said angrily: "Coax him out for me, what the hell, I really don't know how thick the sky is." ”
As soon as Zhu Jing's voice fell, two doctors immediately came over to pull Mi Zixuan out.
Mi Zixuan sighed helplessly and said, "Wait." ”