Chen Wenqiang coughed, and after everyone stopped talking, he learned from Shu Wenchen's style and slowly spoke: "It's good that everyone knows what happened last night."
The suicide of this stomach cancer patient had nothing to do with the medical work of our trauma surgeon.As for how to deal with it, I believe that the hospital will definitely take into account all aspects of factors.I hope that our comrades will not get involved in this matter.Director Zhang, today's major surgery in our group is liver cancer, Director Liang is the surgeon, and Director Li and Xiao Li are the assistants.In your group, Dr.
Wang and Dr.
Yang, have you two sobered up?
”The latter sentence was already loud, and I almost asked if the two of them could go on stage."
Today's patient is testicular cancer managed by Dr.
Liu, so if it doesn't work, I will adjust the people who come to the stage."
Zhang Zhengjie's disdain couldn't hide it.His implication was that the surgery for testicular cancer was performed by Chen Wenqiang, Zhang Zhengjie and Dr.
Liu.Dr.
Wang immediately stumbled and said, "Dean, director, blame me, it was because I was uncomfortable that I dragged Lao Yang to drink."
Otherwise, our one is half an hour and twenty minutes late, and we will take a cold shower. ”How can you do it without surgery?
The patient gave a red envelope yesterday.Dr.
Wang rubbed his hands together and showed Chen Wenqiang an expression of forgiveness.Taking a cold shower in this season, Dr.
Wang is also hard enough.Zhang Zhengjie looked at Chen Wenqiang and others.Chen Wenqiang relented: "Then you two have to ensure the quality of the operation, and you will be responsible for anything else."
Don't blame me for not reminding you. ”"Yes, yes, yes."
Dr.
Wang and Dr.
Yang agreed at the same time."
Director Zhang, you have arranged the operation of your group by yourself.Anything else?
No?
Xiao Li, go and prepare to take the liver cancer patient to the operating room.It's almost 8:20. ”"I'm looking after the house."
Zhang Zhengjie immediately expressed his attitude after receiving Dr.
Yang's expression of forgiveness.He had already made up his mind that except for his four beds, he would not be able to perform any other surgery, and he would concentrate all his energy on "Surgery" and "Local Anatomy", and he would have to pass the examination in the hospital first.Hum!
Only Dr.
Yang and Dr.
Wang, who are not motivated and don't care about their faces, will waste a lot of time getting drunk at this time."
Then you've worked so hard in Cory.There are a lot of patients after surgery, so you should be careful and don't be negligent.I went to the pediatrics first, and then to the hospital.Call if you have something to do. ”Chen Wenqiang got off the night shift today, but he had to pay attention to the physical examination in the canteen, and he had to participate in the follow-up of the patient who jumped off the building.So there are fewer people who say they want to go to liver cancer surgery.But he has Lao Liang, Lao Li, and Li Min, who can help with liver segmentectomy, and they have no problem winning this liver cancer surgery."
Adjournment."
Zhang Zhengjie waved his hand very imposingly and ended the morning meeting.Li Min hurriedly went to find the medical records of the liver cancer patient waiting for surgery, and then beckoned the nurse of the disposal team to go to the ward with him to give preoperative medication.Director Li and Director Liang greeted Li Min, and the two of them went to the operating room first.* As soon as the morning meeting ended, Dr.
Yang put his arm around Dr.
Wang's shoulders and said, "Thank you, King."
Blame me for last night's incident.I'm hating myself now for growing this face and growing so tall, if I was 10 centimeters shorter and half ugly, wouldn't I have to marry that shrew when I went to the countryside. ”Sister Luo turned around and scolded him in her busy schedule: "Then you have to plant the earth."
You were admitted to the medical class in 77, and you felt your conscience and said that it had nothing to do with your teaching in the commune high school?
”Dr.
Yang was angry."
What do you know?
You don't know it's amazing until she scratches your face today, right?
”Sister Luo shook her head: "You, I still haven't figured out how your daughter-in-law became what she is now."
You dislike your daughter-in-law now that she is a shrew, look at Lao Chen and our director, who doesn't hold his daughter-in-law in his palm.When he lived in the flat house, Ren Xiaoyin always got up in winter when Chen Wenqiang had a good stove and boiled water.Do you have that?
You are good to her, can she become a shrew and see everyone as a vixen?
”Sister Luo was so scared that Dr.
Yang had nothing to say.She walked out with the keypad, and said to a few little nurses around her, "You guys are a little bit more thoughtful, don't just look at the head and face when picking a man, you have to pick the dean and the director."
When twenty years have passed, you will know that what I said is a good word. ”Xiao Jiang said: "It's still twenty years, and you won't wait for the birth of a child to know if the man still holds you in the palm of his hand." ”"Hey, Sister Nuan has been discharged from the hospital, is she going home or going back to her grandmother's house?""
Back to her grandmother's house.Dean Chen and I accompanied her in the court's divorce.Okay, you're chatting like this, waiting for me to deduct your winnings, aren't you?
Hurry up and do whatever you need to do, so many postoperatives, is the big infusion ready?
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Are the medicines on the table?
Check not?
”The head nurse put away the pen in her hand, and her attitude was gentle and the tone of her speech was good, but the content was scary.The little nurses immediately dispersed and went to their respective posts.* On the outer wall of the morgue, Wang Qiuyun wore a filial piety belt on her head, wore a white dress, and burned paper with a little girl who was dressed like her but was unusually beautiful."
Mom, is Dad dead?"
The little girl speaks glutinously, which makes people feel pity when they look at it."
Yes."
Wang Qiuyun's eyes were lined with strings.If he had known that his husband had the will to die and had such an arrangement, why would he take such a step forward, so that he would still have such a knot in his heart when he died.She secretly swore in her heart: Brother Zhu, when I raise my daughter and find her a good family, I will go to you."
Mom, if you're dead, you'll never see each other again?
Mom, I don't want Dad to die.I want Daddy. ”The little girl grinned and cried coquettishly.Wang Qiuyun hugged her daughter and cried mournfully."
I knew I had to come to you."
Wang Chunyan appeared behind the mother and daughter who were crying and dying.Reach out and throw stacks of yellow paper into the brazier to be extinguished, then grab the wooden stick thrown aside, and pick up the yellow paper to make the paper in the brazier breathe and burn faster."
Qiuyun, after burning these papers, you should quickly take your daughter and hide.""
Sister, the day after tomorrow for the funeral, I want to take the pearl to see him off.""
What send!"
Wang Chunyan categorically vetoed.But seeing her sister's face, she still felt sorry for her own sister, and said in a calm voice: "Shao Tiezhu gave you all the money when he died, do you think that those people in your mother-in-law's family can let you go?"
They are not allowed to wait for you at the funeral home when you are cremated the day after tomorrow?
Do you think you'll be able to keep the pearl yours if you have that agreement?
Snatched the pearl and asked you for money, but you didn't give it?
”"Sister.He said it would be fine. ”Wang Qiuyun snorted."
You're stupid again, aren't you?
Now that her grandmother is taking the child away, she said to the eldest guy that the old son is dead, and she is reluctant to take this only granddaughter away from you, do you think everyone will persuade you to give the pearl to her grandparents?
Will you be advised not to remarry with children in order to live a good life?
”The little girl didn't understand what she understood, hugged her mother's neck and continued to cry: "Mom, I don't go to my grandmother's house, my brothers bullied me and pulled my hair." ”"Okay, let's not go to grandma's house."
Wang Qiuyun hugged her daughter tightly and gently stroked her daughter's back to comfort her."
Sister, I don't want to marry again.""
Is it up to you?
Or is it up to me?
”Wang Chunyan looked at her sister's sad face, and could only patiently persuade her: "If you want me, I will agree with you."
But Qiuyun, you are so young, and Pearl looks like this, when she grows up a little more, will you be able to protect her if you don't remarry?
You can't even protect yourself.You listen to your sister's words, take the pearl and hide first, don't be watched by her grandmother for the past two days.You have to remember that Shao Tiezhu wants your mother and daughter to be well the most.I'll talk about other things. ”"Hmm.I listen to my sister. ”Wang Qiuyun is not stupid, and knows that the most important thing to hide now is her daughter's grandmother.She whispered yes and stood up with her daughter in her arms."
Pearl, shall we go in and see Dad one last time?""
You die!
How can she go in and see her at such a young age?
Are you going to scare her?
That's the 11th floor. ”"Sister, I just scrubbed him clean and changed his clothes.There was nothing on his face, and the pearl would not be afraid. ”Wang Qiuyun looked at the corpse and knew that her husband remembered to cherish the face he liked when he was dying.The whole person was broken to pieces, but there were no other injuries except blood on the mouth and nose.Lao Zhang, who was confined to the mortuary, was an ancestral owner of this trade, and he said that he landed on the ground first with the back of his head and the whole back."
You're not afraid of scaring the child, just let it be."
Wang Chunyan sighed angrily.This girl has had a good idea since she was a child, and she likes to be competitive, and her mother is a temper for her, I don't know how many times she has pinched and twisted, and how much suffering she has suffered has been to no avail.But the fact that she got married immediately scared her.Alas, after struggling outside for ten years, I ended up like this, and I suffered for ten years in vain.She continued to throw paper into the basin, muttering in her mouth: "Shao Tiezhu, Shao Tiezhu, don't blame me for always looking down on you."
You are a poor boy from a working family, who has no money, no power, and no endurance, so you should find a stupid woman with a similar background to you, and live a poor life with a lifetime of stumbling and stumbling.But you are not unwilling, you want to marry a beautiful daughter-in-law for nothing.But how can there be such a cheap thing in the world that a poor boy like you can easily achieve his wish?
You must know that beautiful women are all prepared by God for men who are powerful, rich and capable.God gives a woman a beautiful face for the sake of those capable men he prefers.I know you've been fighting with me and trying to prove that you're capable of giving Qiuyun a good life.Hungry and full to drive to make money, hard-earned money is so easy to earn?
Look, a stomach ulcer has turned into stomach cancer, isn't it?
This is God's disgust that you don't understand things and crossed the line.Don't hate God, think about your parents, brothers and brothers, even they can't see that you can earn money and live a good life.So, you take these coins to the underworld to bribe the reincarnation of the tube, and vote for a good family in the next life.Whether you have money or power, no matter how bad you are, you will be able to be spoiled as a baby.Don't be like this in this life anymore, those who already have several sons, where would they care about you as a leader.I said you're ten years younger, and you don't have to hate me.You feel your conscience and want to buy a stove or tricycle for roasting sweet potatoes without my help.Can't you two sell ice cream in winter with a box?
Alas, I don't say anything about you anymore.Although you dragged my sister to accompany you and suffered for more than ten years, I think you finally knew that you would give all the money to my sister's sake, and people would die and die, and I really won't say anything about you anymore.Don't worry, Qiuyun and Pearl will help you watch, that's my sister-in-law and niece.I won't only recognize money like your wolf-hearted parents and brothers.You can use these coins well, and you will no longer be a poor ghost in the underworld. ”Wang Chunyan was nagging in her mouth, and the movements under her hands were not slow.After she burned all the yellow paper prepared by Qiu Yun, she took out two large bundles of colorful and green banknotes with billions of denominations from the black plastic bag she had carried, as well as gold paper, silver paper stacks of ingots and other things.This is bought with real money, but it is much more expensive than the jute paper burned by Wang Qiuyun.She tore open the paper rope, shook off the banknotes, and threw them into the brazier in small stacks, occasionally throwing in a gold brick or a few gold and silver ingots.After she had burned all the sacrifices, she noticed that Wang Qiuyun had not come out with the pearls, so she had to go into the mortuary with her head.* Wang Qiuyun stood in front of Shao Tiezhu with her daughter in her arms.The white corpse cloth was lifted to her neck, and Wang Chunyan glanced at it and saw that Shao Tiezhu was the same as his sister said, his face had not changed, but if he paid a little attention to the underside of the hat, he would find that his head was deflated."
Qiuyun, you've been watching it for a long time, and I told you that Pearl can't stand the yin energy here.Let's go, and give me the baby. ”"Sister, I'll take another look."
Wang Qiuyun dodged the child in her arms, begging Wang Chunyan with tears in her eyes and refusing to move."
How many eyes have you looked.Are you trying to make him feel uneasy?
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I can tell you, the soul is not scattered for the first seven days of death.He's only been dead for a few hours.If you let him watch you and your daughter cry like this, can he leave with peace of mind!
You come out with me.I told you that Lao Shao's family didn't get a penny from him, and it seems that his family won't care about his aftermath, I told your brother-in-law, he will take a leave of absence from the unit today, and he will do it for you when he comes back.Wang Chunyan pulled up the white cloth sheet to cover her face, and dragged her sister out."
You, find a chance to go to the trauma surgery department in the future, thank you Dean Chen.Last night, he came forward to call the Public Security Bureau and sent all the people from the Shao family to the police station.Otherwise, can you burn paper for him quietly here?
I heard that his parents are making a fuss in the hospital, don't look at you here for a while, then you will be in trouble. ”Wang Qiuyun was so frightened that her face immediately changed, and she walked by herself without her sister pulling it anymore."
Sister, why don't you talk to your brother-in-law and lock them up for a few more days, and I can move.""
Your brother-in-law doesn't have that ability.If you want me to say that those people should also be locked up for a few more days, and scare and scare other people, otherwise no one will dare to come to the hospital ward to make a fuss. ”Wang Chunyan hugged the little girl and tossed it up, frowning and said, "Why are you thin again?"
You take care of the children, don't expect our mother.How did we grow up as children, have you forgotten?
”"Uh-huh.I'm going to take the pearls home and live with them today. ”"Pearl, you're going to listen to your mother in the future, you know?"
The little girl nodded obediently and let Wang Chunyan carry her, and Wang Qiuyun staggered along with her sister's sleeve of clothes.Lao Zhang sighed in the back and locked the door of the morgue.Alas, people, it is not easy to live and die.
*That's really true.It's not easy to be alive either.Whether it's lying on the operating table or standing on the operating table."
Lao Liang, you rest for a while, Xiao Li and I will take our time."
Director Li turned around and walked past the instrument nurse, his actions showed that this request was not to consult Director Liang, but to ask him to immediately back down and hand over the surgeon's position."
Okay, then I'll rest for a while."
Director Liang, who was wiping sweat continuously, immediately took two steps back and gave up the position of the surgeon.He knew that Lao Li was for his own good.The liver cancer patient in August had a reluctant operation, but the accident was similar to what happened now......
Lao Li is afraid that there is a shadow in his heart and he can't get over.This patient is 49 years old, a teacher by profession, a junior high school Chinese teacher, a drinker for many years, and highly admires Li Baidou's style of writing 100 poems.When it falls into concrete life, it is the Lord who hates to get up in the morning and pour half a catty and two pots.It's just that the nature of his work doesn't allow him to go to work until he is half-drunk, so he changes to drinking at home every night.In the past few years, he has opened a cram school after class, his income has increased, and he has more confidence to drink.I don't know where to make a fixed liquor channel for myself, and I don't have half a catty of wine before going to bed every day, that is, I don't want to see the sun tomorrow.During a physical examination on the eve of Teacher's Day last year, he was found to have moderate cirrhosis of the liver and had to quit drinking for half a year.After abstaining from alcohol for half a year, he felt that his body had recovered.This spring, I returned to the old habit of drinking, and I still have more than half a pound a day.He drank harder, and there was a tendency to make up for the lack of drinking in the past six months.But as I drank this, people began to get thinner and thinner, and the faint discomfort in the liver area slowly turned into a pain that could not be ignored.After eleven years, he went to the provincial hospital for examination, and the B-ultrasound immediately gave a diagnosis of liver cancer.He was admitted to the hospital for a CT scan and found that his liver was like a bunch of grapes, densely covered with large and small space-occupying nodules.The largest is nearly 5 cm in diameter, and except for small nodules caused by alcoholism, it is 100% certain that it is a nodular liver mass lesion.The B-ultrasound was done by Dr.
Liang and Li Min to find the director, and those small nodules were dizzy when they looked under the B-ultrasound probe, but it was difficult to determine whether it was alcoholism or diffuse tumors.But with CT enhancement, the effect is completely different.To do this liver cancer surgery or not, during the group discussion, Chen Wenqiang reminded Director Liang."
If all the liver tissue at the marginal 5 centimeters of the tumor is removed, I can see that his entire right liver is cut out.Although some hospitals have begun to do liver and kidney transplantation, our provincial hospital does not have the technical strength in this area.In order to avoid postoperative liver insufficiency, only 3 cm and up to 3 cm can be removed around the tumor.The rest depends on his life, and there is a way to really have a liver coma. ”Chen Wenqiang reminded Director Liang, who took the risk of taking the operation.In the case of liver cancer surgery in August, the patient developed a hepatic coma and then died.Director Liang didn't know how powerful this operation was, "I mean the right liver has to be completely removed."
You look at these 'grape grains', these are definitely not nodules of cirrhosis.Although there are nodules in the left liver, I tend to think that those small nodules are caused by alcoholism rather than liver tumors. ”"I also say this based on the fact that the left liver is an alcoholic nodule.I don't leave him with a little more on his right liver, and I am worried that my liver function will be affected after surgery. ”Director Li pointed to the CT film and said, "He only has a small amount of ascites at present.If these nodules on the left liver are caused by alcoholism, the patient may still have a way to live.But if it is also a tumor, our operation is a life-threatening charm, and even if he is awake after the operation, he will not live for three months.Of course, there is a string of tumors in the right liver, and if he does not have surgery, his survival time will be about half a year, not more than a year. ”The largest 5 cm tumor is in the middle of the anterior lobe of the right liver, and from the CT image, it is close to the middle cleft of the liver, but there are still a lot of "grape grains" around it.Although most patients who come to the doctor for pain in the middle stage of liver cancer will not have a survival rate of more than one year, after all, 20% of patients can survive for one year after surgery.
*Before the operation, Director Liang took Li Min to explain these to the patient's family.The patient's wife cried for a while and said, "I was mentally prepared that he was going to die of liver cancer."
There is no need to hide it from him, he has something in his heart. ”When the patient heard about it, he began to shed tears in front of them.But his wife said, "Are you not afraid of death?"
How many times have I advised you not to drink, not to drink, but you just won't listen.I wouldn't let you come and see it earlier, and it dragged on until now......"
The woman couldn't go on.The man wiped away his tears but said, "Life and death are fate, let me drink water and not drink, I might as well die early."
I didn't delay it long, but my daughter 'Eleven' got married, so I came to the hospital.Director Liang, my son will be admitted to university next year, can you let me live until the end of the college entrance examination?
Even if it's the afternoon of July 9th. ”Director Liang sighed and elaborated on the relationship between his possible survival time and the operation."
I know you're a sensible person, and if you were someone else who couldn't think about it, I wouldn't have told you that.If the surgery is carried out according to my idea, it is likely that the tumor will be cut clean and there will be no risk of recurrence, but the remaining liver function will be insufficient, and the patient will fall into a hepatic coma and will not wake up after surgery.Because your left liver lobe is also fibrous.If this level is passed, there will be even more terrible, that is, those small nodules in the left liver lobe, which are not nodules caused by alcoholism, but liver cancer nodules.Do you understand what I mean?
”Li Min took out the note book from his coat pocket and outlined the distribution of the patient's liver nodules in three strokes and two clicks.She took the half-page and pointed it to the couple: "This is what Director Liang said about the tumor in the middle of the anterior lobe of your right liver, which is 5 centimeters in size."
This is the left lobe.Normally, the liver's compensatory ability is very strong, and if the right liver is cut off, the remaining small part of the left liver can not meet the body's needs at all.However, with the appearance of fibrosis and nodules in your left liver, we dare not guarantee that the left lobe will play an adequate role after the removal of the right liver. ”The man took the page that Li Min handed him, looked at it for a while, and said, "Daughter-in-law, if I don't have surgery, I will live for half a year."
Why don't we take a gamble and see if I'm the 20%?
”"Bet."
The woman was categorical and followed Li Min to sign.※※※※※※※※※※※※※※※※※※※※ life is here + one * knock on the blackboard: the ability of the human liver to regenerate and compensate is very strong.25% of normal liver tissue can basically maintain physiological function.In case you have half of your liver cut off, don't worry.OK？
**Three shifts for 7 consecutive days, and there is one more chapter (day 1) in the afternoon () that is a little far away