96 All men have a time to go up

We're doctors, we have to speak with a conscience!"

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

"Director, you're right!" Ji Xiang briefly recalled his identity, knowing that he was this student and the little doctor under him, and hurriedly cheered.

The little clinical doctor is really suitable for his identity as a trainee, Ji Xiang thought to himself.

"Say, why did I let the patient go? It's a problem whether this surgery is done or not, it's difficult."

The middle-aged doctor's face was full of sadness, his hands were trembling, and his face was pale.

Ji Xiang saw that the situation was not right, and he didn't know how to pick it up, so he tried to find his memory.

"I know that the doctor-patient dispute has become more and more serious over the years, but the surgery we can do still has to be done, how much will it cost to drive the patient away and drive him to the imperial capital!

You can see the situation at that time, if I didn't become a patient, I would definitely go home and die.

I don't know if I do it well or not, and if I do, the patient may be cured. If you don't, you will live for at least a few years."

Director Geng's eyes were getting bloodshot more and more, and he chattered with Ji Xiang with red eyes.

It seems that it makes me feel better if I say more.

"Teacher, it's your favorite." Ji Xiang held a dry heel.

Although I know it's useless, I can't face to face without talking.

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

The one in front of him is Ji Xiang's teacher, surnamed Geng, and he is also the director of the urology department of this hospital.

A month and a half ago, Director Geng went out of the outpatient clinic and picked up a patient. The patient had a nephrectomy a few years ago and now has only one kidney.

Kidney cancer, also known as lazy cancer, progresses very slowly, especially if it is removed early, it can basically be said to be cured.

However, kidney cancer has a strange property - after treating one side of kidney cancer, the probability of recurrence of the tumor in the opposite kidney is 2-4%.

In other words, for every 100 kidney cancer patients, 2-4 people may have double kidney cancer.

The patient's luck was not good, and after everything was removed, a space-occupying lesion was found on the other side of the kidney, and malignancy was considered.

Unilateral kidney, can no longer be completely resected, 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, and the secret meaning is already obvious - we can't cure it, please change places.

Patients look similar to normal people, but those who are engaged in clinical practice know what the trouble is. Even if you are not a doctor, as long as you have common sense in life, you know it.

The risk of surgery is too great, there is only one kidney left, so expensive, who dares to move without 100% confidence.

Is it 100% clinical?

At the risk of killing the head, but there is no reward, it is true that few people do such "stupid" things.

After learning of the specific situation, the patient's family cried bitterly, pulling Director Geng's clothes with a handful of snot and tears.

The patient is not a strong worker after the operation, but if someone is there, the home is complete. If a person leaves, the family is scattered.

The walls of the hospital have heard more prayers than the church.

Doctors have also seen all kinds of life and death separations.

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

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

Director Geng saw that the economic conditions of the patient's family were not good, and he couldn't go to the provincial capital or the imperial capital at all.

So after several rounds of hospital-wide consultations, at the insistence of Director Geng, the operation order was still proposed and a partial nephrectomy was prepared.

Before the operation, Director Geng repeatedly explained to the patient and the patient's family, breaking and crumbling that there may be complications after the operation, especially the shock and even death caused by hemorrhage.

Patients and families have no choice but to agree.

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

Today, one and a half months later, two hours ago, something big happened.

When the patient was brought in, his face was pale, his body was clammy and cold, and he knew that he was in a state of shock.

Director Geng was immediately dumbfounded.

The advantages of partial nephrectomy are clear at a glance, and there are many disadvantages, but the most fatal is delayed bleeding after surgery.

Originally, Director Geng had been worried, but after thinking about it for a long time after the operation, the patient had been fine, and he felt that it should be fine.

A month and a half after surgery, this delayed bleeding is a bit late, but it does exist, and the probability is not low.

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

"Little Ji ......"

Director Geng said, his eyes were red, and tears were falling down his eyes.

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

"I shouldn't have had that surgery, and if I hadn't had it, there wouldn't have been bleeding; If there is no bleeding, the patient's family will not come to me with someone. If no one was looking for me, now I'm happy to watch at home.

It's a hard life, how can you think I can get up."

Ji Xiang was stunned.

Director Geng's chatter seems to be very familiar, but he can't remember where it came from for a while.

"Director, the patient's family still recognizes you." Ji Xiang was afraid that there would be any deviation in his memory, so he hurriedly reminded.

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

「……」

Ji Xiang felt weird.

Clinically, let alone a big director, even I have seen a lot of life and death.

The operation was also done, and I did my best, but I encountered a problem after the operation, and the patient's family didn't say why Director Geng was so uncomfortable.

"Xiaoji, you don't know." Director Geng choked up and said, "I wasn't going to do the previous surgery, but I still did it. The patient recovered well after the operation, and the family sent me a chicken."

Ji Xiang looked at Director Geng silently.

Although he looked a little greasy, he could tell that he was telling the truth.

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

When it comes to human life, anyone will be under a lot of pressure. Even if he had done 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, there was still 200 yuan. That's not going to work, I know it's going to be difficult. I drove to Tunzi that day to get the money back."

"As soon as I entered the patient's house, my heart was sour. His parents were paralyzed in bed, and his daughter-in-law was taking care of them at home. He cut off a kidney and a half, just in time to get out of the ground again."

"If you don't work, you can't do it, people will fall, and so will your family."

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

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

The gauze was very rough, Director Geng was very hard, his nose was bright red, and bloodshot could be faintly seen.

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

"There is only half of the waist left, is it all cut? He has to undergo dialysis all year round, and his family can't afford it, so he doesn't have this condition." Director Geng's eyes were red.

Ji Xiang was speechless.

"Come on stage." Director Geng said, "You are smart, I am not in a good state today, your young eyes are good, after opening the peritoneum for a while, you can see kidney bleeding, you try to find the blood spot."

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

Ji Xiang sighed deeply in his heart.

He knew that what Director Geng said was only a possibility and the best wish.

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

"Director, I'll do my best, do my best." Ji Xiang soothed him and asked, "I heard that the interventional department can do hemostatic treatment, let's ......

"It's only a provincial city, it takes four or five hours to send it over now, do you think the patient can survive for so long?"

Director Geng sighed and prepared to change his clothes.

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

I hope that I will have better luck, and I hope that the patient's luck will be better, Director Geng prayed blankly in his heart.

"Professor Zhou, you did a great job! I really deserve to be the top expert in China, today I am a knife to pull my ass, and I have opened my eyes!"

Suddenly, there was a sound of praise outside the door.

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

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