Chapter 100 The little ugly one is actually me!
Oncology Department, Thoracic Tumor Ward.
Chai Jiang looked at the scorching sun high outside the window, felt the waves of heat rushing towards his face, and the horrifyingly high temperature that was so obvious to the naked eye that the air was almost distorted, and his expression visibly wilted.
"Hey! Chai Jiang, I didn't expect that you would go to other departments for consultation today. It seems that our director still values you very much. You have to work hard to perform well. Hehehe!" A short-haired, round-faced young man in a white coat walked to Chai Jiang, stretched out his hand and patted Chai Jiang on the shoulder with a smile and a teasing look on his face.
"What do you mean by being able to diagnose or not... I just went to the internal medicine inpatient department to check on the situation." Chai Jiang drooped his eyelids and his tone was a little unpleasant.
The words "medical diagnosis" sound very high-sounding, and in fact, they are very high-sounding in most cases. Especially when encountering a difficult and complicated case, when the directors and deputy directors of various departments come to diagnose and examine the patient, he still feels very excited and honored, and feels that he can learn 100% of the experience from the directors and deputy directors!
However, this expert consultation led by the big guys had little to do with him as the attending physician. As an attending physician who had just graduated from junior residency and was only slightly higher than a resident, Chai Jiang was still considered a rookie in the oncology department.
Not to mention the other departments of the oncology department, there are three chief physicians, six deputy chief physicians and more than a dozen attending physicians in the thoracic tumor ward alone who have more experience than him and have been in the hospital longer. As an attending physician who was promoted this year, he is really only slightly better than the residents who have only been in the hospital for one or two years.
This also means that many times, all the work that others are unwilling to do is assigned to him...
For example, today's general internal medicine patient came for a consultation. It was said to be a consultation... but in fact, the general internal medicine doctor opposite had already called and said: the patient had already undergone tumor surgery in the thoracic surgery department of another hospital, and now came to the Sixth Hospital just to do a simple chemotherapy. The chemotherapy prescription for the patient has already been written by the doctors in other hospitals, and they are just waiting for him to come over and act as a tool to copy the prescription again.
Although the doctor from the general internal medicine department didn't say it so directly, the implication was that they just wanted a tool!
You should know that it is true that general internists are internal medicine doctors and can also prescribe chemotherapy. However, some special chemotherapy drugs can only be prepared by the small pharmacy in the oncology department. As for doctors in other departments who want to use these chemotherapy drugs, they can only ask the oncology doctor to come over.
After all, chemotherapy drugs not only work on cancer cells and healthy cells in the patient's body, but can also be harmful to medical staff if used carelessly.
Therefore, according to the standard operation of the Sixth Hospital, not only do you need to wear protective clothing when preparing chemotherapy drugs, but you also need to wear gloves and protective clothing when giving them to patients.
That is to say.
Once Chai Jiang takes over the order for a general internal medicine patient consultation, he will not only have to go to the other department today, but will have to report to the other department every day thereafter!
And they have to carry a medicine box, wear protective clothing and gloves.
If it is in the oncology department, these operations should be performed by the department nurses.
Chai Jiang looked at his colleague with a dark face and a look of despair, "Do you think that patient is ill? He chose to stay in the general internal medicine department instead of coming to our oncology department when he was ill? I have never seen such an outrageous thing in all my years of work! Doesn't that person know that the fee for cancer treatment in our oncology department is much cheaper than going to the general internal medicine department!"
The most important thing is that in the internal medicine building opposite, the general internist did not choose to transfer the lung cancer patient to another department!
Chai Jiang: I really got my butt cut with a knife, and it opened my eyes!
"Hehehe, Chai Jiang, stop complaining... We all work in the hospital, so isn't it all the same? You should hurry to the general internal medicine department. Wait for the deputy director or director to look for you. If you don't see them, be careful they'll tell you you haven't been back for so long!" The short-haired, round-faced young man adjusted his work badge and said with a smile, "I have to go to the operating room with Director Xu and the others to perform a thoracotomy later! I have to prepare the patient's information and medical records early."
Chai Jiang: “…………”
Chai Jiang felt even more uncomfortable with the breath stuck in his throat. He also wanted to follow his team director and deputy chief physician to the operating room for surgery!
No matter how much I complain, I am unwilling to go to the general internal medicine department.
Chai Jiang simply packed up and prepared to set off.
Coming down from the cool and air-conditioned surgical building, a rolling heat wave hits me in the face!
With tears in his eyes, Chai Jiang ran to the internal medicine building next door, under the scorching sun hanging high outside the window.
Looking at the elevator sign, Chai Jiang pressed the elevator button and waited for the elevator to ding when it arrived at the general internal medicine floor.
Chai Jiang then sighed, straightened his white coat, and walked towards the general internal medicine inpatient department.
It’s not the battle that counts, no matter how hard he tries, as a thoracic oncologist, he can’t lose face!
…………
After Su Tang finished the call, she stayed at the door of the nurses' station waiting for the oncologist.
It’s not that she was unwilling to go outside and greet the other party politely.
But the rule is that at least one doctor must remain in the department, so that she cannot leave the department without special circumstances or when there is no one to replace her.
So just as Su Tang was waiting impatiently and wanted to take out her cell phone to call the oncology department again.
Only then did I see a slightly thin man wearing glasses, about 1.78 meters tall, walk into the department. He was wearing a white coat and had a work badge of the Oncology Department hanging on his chest.
Su Tang's eyes sparkled as she rushed to the man, quickly glanced at the name tag on his chest and said, "Doctor Chai, you're finally here! The patient has been waiting in the ward for a long time. I'll take you to see the patient now. Here are the patient's previous information and the chemotherapy prescription that the previous doctor wrote."
Su Tang handed the medical records of Wei Feng that she had prepared to Chai Jiang, and smiled, revealing a beautiful mouthful of white teeth. Under the light, the white teeth were so white that they were dazzling. Chai Jiang, whose face was already somewhat dark, looked even darker.
"Are you the patient's attending physician? Where is your superior doctor? Why isn't he here?" Chai Jiang didn't even flip through the medical record folder in his hand. He simply scanned the words written on the work badge on Su Tang's chest - 'Resident Doctor', then retracted his gaze and said expressionlessly.
In a department, it is generally divided into different treatment teams according to the number of chief physicians and deputy chief physicians.
Each group is divided into three levels, and the leader must naturally be the chief or deputy chief physician.
The attending physician is the middleman responsible for coordinating routine affairs, making simple decisions, and making routine arrangements.
The last person at the end of the team is the attending physician, who is usually a resident or a low-qualified attending physician. He or she only needs to conduct basic examinations of the patient and write medical records.
For things like consultations, which require coordination with doctors from other departments, the Sixth Hospital must at least arrange for an attending physician.
Even though he is just a tool, Chai Jiang feels that he needs to get the respect that a tool deserves!
Chai Jiang's face was not looking good. Su Tang could tell what he was thinking at a glance. However, she remained calm and said with a smile, "Doctor Chai, our department has a small number of doctors. It is different from other strict departments with a large number of doctors in the Sixth Hospital. We don't have so many rules. There is only one superior, the director. He is now in the outpatient clinic... I am currently in charge of this lung cancer patient."
"The patient is in the ward in front. Please follow me this way, Doctor Chai..." Su Tang smiled and pulled Chai Jiang's white coat sleeve and walked forward without waiting for him to refuse. She said as she walked, "This patient had undergone surgery in other hospitals before, but the effect was not good. Now, in addition to treating cancer, he comes to the Sixth Hospital mainly to regulate his body. He hopes to get treatment with both Chinese and Western medicine to solve his disease problem."
"Doctor Chai, we don't have enough doctors in our department. If you think the treatment plan I wrote is not suitable, you can give me some advice... The treatment plan I developed, as well as the medication, acupuncture, etc., are all at the back of the medical record. You can take a look!"
Chai Jiang: “…………?”
Chai Jiang was a little confused for a moment. Why did he feel like he understood something, yet also seemed to understand nothing?
Since there are few general internists, he could understand why the experienced attending physicians who have been hospitalized for some time were directly appointed to take on the responsibility of decision-making as the backbone.
After all, the Sixth Hospital is a big hospital. If you want to take the exam to become an attending physician, you have to publish your own provincial core thesis. Occasionally, some doctors cannot write it, so it is normal to take two years later to pass the exam to become an attending physician.
But isn't this general internal medicine?
Why are there Chinese and Western medicine treatments, medication and acupuncture???
Su Tang had white and tender cheeks, and a pair of naturally smiling eyes and brows. She looked at him so clearly, which sent bombs flying into Chai Jiang's mind one after another.
Chai Jiang was unable to react for a moment before Su Tang dragged him into the VIP ward.
"Doctor Su, you are here! Shuangshuang and Wei Feng are waiting anxiously in the room. Please come in with me, and here comes this doctor!"
In the VIP ward, the assistant saw Su Tang and Chai Jiang and immediately smiled and pulled Su Tang and Chai Jiang towards the bedroom.
Assistant: "Doctor Su, you don't know, since Wei Feng drank the medicine you prescribed for him last night, he didn't cough up blood last night... When I was on night watch before, he had to get up at least twice every night, coughing and coughing up blood every time, which made people very worried! But last night he only got up to cough once!"
The assistant's eyes and eyebrows were full of joy: "I thought it was my illusion last night...but I didn't expect that he hasn't coughed up blood for four or five hours until now. On weekdays, he coughs up blood at least once in the morning!"
Although Wei Feng still coughs and coughs up phlegm from time to time, and the phlegm contains blood, it is not much different from the past.
But the number of times I coughed up blood has decreased significantly! It's much better than before!
It was for this reason that Ye Shuang’s smile never faded this morning.
"It's good that it works... It seems that Mr. Wei is more sensitive to Chinese medicine than I thought..." Su Tang nodded with a smile. In fact, when she was taking Wei Feng's pulse this morning, she clearly noticed the subtle changes in his pulse.
This kind of change might be difficult for an ordinary doctor to notice, but as she had climbed to the highest position of Imperial Physician in her previous life and became the head of all the imperial physicians in the palace, she could still clearly perceive the difference.
Wei Feng's pulse now is like an ancient tree struck by lightning and fire. Its branches, leaves and trunk are all scorched by the lightning and fire, but it is trying hard to welcome the spring rain, wanting to sprout and grow leaves again!
Su Tang and the assistant exchanged a lot of information in just a few steps.
Although this information seemed simple, it almost made Chai Jiang think he had gone on the wrong channel.
Acupuncture? Chinese medicine? A combination of Chinese and Western medicine?
Is this really not Chinese medicine? Why is general internal medicine so strange from doctors to patients' families?
If Su Tang hadn't been wearing a white coat, and the little assistant was indeed a family member of a patient in the VIP ward, this VIP ward would have been filled with all kinds of traces of life.
Chai Jiang even began to wonder where these two actors in front of him came from!
However, this thought only swirled around in my mind for a moment before it instantly returned to my brain. Even my brain, which had been working quickly just now, instantly froze into ice.
"You, you, you...you, you guys!" Chai Jiang's eyes widened, and he pointed his finger at Ye Shuang subconsciously. He and Wei Feng, who was sitting on the bed with a shaved head, stammered and could not speak.
Isn't this... Ye Shuang, the top female star who can be seen on various social media, movies, TV shows and variety shows every day? ? ! Why is she here? ! !
By the way! Why did he come to the general internal medicine department for consultation?
Lung cancer? !
Chai Jiang's face was filled with shock, and he subconsciously looked at Ye Shuang's casual clothes and Wei Feng's hospital gown.
"This is Doctor Chai from the Oncology Department, right? Hello, I'm Ye Shuang." Ye Shuang stood up politely and said with a friendly smile, "This is my husband Wei Feng. I'll have to ask Doctor Chai to take care of me from now on."
In just one night, her husband's condition improved significantly in the Sixth Hospital. Ye Shuang was extremely glad that she had decided to come here for treatment. Therefore, when dealing with the strange Dr. Chai in front of her, Ye Shuang instinctively treated him with a friendly buff, and looked at Su Tang as if she were looking at a relative.
That sweet look filled with sugar made Su Tang subconsciously hide behind Chai Jiang.
Alas, it’s not good for patients and their families to be too enthusiastic, as it puts too much pressure on them!
Su Tang: "Doctor Chai, it's like this... Miss Ye and Mr. Wei's treatment at the Sixth Hospital needs to be kept confidential as much as possible, so I didn't mention their identities on the phone. I just briefly described the patients' symptoms. I also ask Doctor Chai to keep the identities of the patients in my department confidential after you go back."
"Mr. Wei had been treated at the Central Hospital of Country M before, and the surgeon who performed the surgery was Dr. Kent, who specializes in thoracic tumor surgery..."
Seeing that Chai Jiang was a little dazed, Su Tang shook his head helplessly and stretched out his elbow to poke his arm. He forcefully opened the patient's medical record held by Chai Jiang, turned directly to the page of the chemotherapy order written by Dr. Kent, and tapped the medical record folder and said, "So this time we asked Dr. Chai to come to our department for a consultation, just to ask Dr. Chai to prescribe a new prescription according to Dr. Kent's medical prescription..."
Last night, Su Tang and Wei Feng and his wife chatted and discussed for a while. Compared with domestic thoracic surgeons and oncologists, the couple in front of them obviously trust Dr. Kent, who is ranked among the world's famous doctors, more.
Therefore, the two hope that during the treatment period, they can send a copy of the treatment results and weekly physical examination reports to Dr. Kent, who will then adjust Wei Feng's chemotherapy and medication.
After all, every doctor has to adjust the medication according to the patient's physical condition, especially for lung cancer patients like Wei Feng. It is impossible for him to use the same prescription and chemotherapy from hospitalization to discharge, right?
Su Tang expressed her understanding of this, but she also sighed. If the Sixth Hospital also had a thoracic oncologist who was ranked in the top 100 in the world, Ye Shuang and his wife would not have such worries, and they asked the hospital to treat them according to Dr. Kent's plan.
Perhaps Ye Shuang had shocked him too much. After hearing Su Tang's request, Chai Jiang's first reaction was not to become a tool and feel sad about being looked down upon.
But - Wow! She is indeed a star! She was able to find Dr. Kent from the Central Hospital of Country M? ! Isn't he the 102nd thoracic surgery tumor expert on the list of famous doctors in the world this year? ! ! In the entire list of famous doctors in the world, he is ranked fourth in thoracic surgery tumors!
——Quick, quick, quick! Let me see what kind of prescription this big boss can prescribe? ! Let me see! Let me see!!
——This is a great opportunity to learn! Chai Jiang, you must not miss it!
His heart was almost turning into a screaming chicken, but Chai Jiang tried hard to keep a serious face and quickly lowered his head to read the case in his hand.
He carefully read the medical history from the patient's initial condition, to the prescriptions for medicine and chemotherapy prescribed by Dr. Kent, to the discovery of Wei Feng's condition during his first physical examination, to the deterioration after surgery, to the present...
I read it word by word three or four times.
Chai Jiang then frowned and looked at Su Tang with a complicated expression: "You..."
He had seen newborn oxen that were not afraid of tigers, but he had never seen anyone so naive and so courageous.
Even Dr. Kent's surgery and treatment plan failed to improve the patient's condition or prolong his survival.
How dare she, a mere resident in general internal medicine, see such a patient?
Does this girl not even care about her future? !
In major hospitals, there is almost an unwritten rule.
If a patient cannot be cured by a lower-level hospital, the doctor will recommend him to go to a higher-level hospital. If a lower-level doctor cannot cure the patient, the doctor will ask the higher-level doctor for help...
But the condition of the patient in front of me was completely reversed!
If anything happens to the patient in front of her, no one will cover her!
Even when the assistant and Su Tang smiled and said that Wei Feng's condition had improved, Chai Jiang's heart, which was hanging in the air, could not be calmed down a bit. He even suspected that all this was the psychological effect of the patient's family!
Chai Jiang opened his mouth and tried to say something again and again.
But the patients and their families in the ward just stared at him.
Chai Jiang could only frown and said in a businesslike manner, as he would in a normal preoperative briefing: "All these chemotherapy drugs are available in the Sixth Hospital. But according to the formal process, I need to take this medical record back to the director for review, and then the director will prescribe a prescription. But if you two ask me to rewrite a prescription according to the above, then I hope you can sign an agreement for me. This is also the routine operation of the Sixth Hospital under normal circumstances."
"No problem... We are aware of the hospital's concerns." Wei Feng nodded, and with a smile took the paper and pen handed to him by Chai Jiang, and quickly signed his name on the regular template. Ye Shuang, who was a family member of the patient, also wrote his name next to him.
Chai Jiang glanced at the two names subconsciously, sighed and said nothing more.
He nodded to Ye Shuang and Wei Feng, then followed Su Tang to the doctor's office to write down the medical instructions and prescriptions.
Chai Jiang's face was full of worries, but Su Tang felt that it was a bit puzzling.
Su Tang rubbed her cheeks, wondering: Could it be that the person in front of her is worried that Ye Shuang and her husband are too famous, and if Wei Feng's lung cancer cannot be cured, he will be secretly retaliated by Ye Shuang's crazy fans one day?
"But isn't this thinking too much? How can there be so many crazy fans in this world?" Su Tang murmured subconsciously. She never thought that Dr. Chai, who had just met her once, had already started to worry about her future.
"Alas..." Chai Jiang re-transcribed Dr. Kent's medical instructions, then looked at Su Tang who was standing beside him with a smile on her face, completely unaware of the worries. He could only helplessly let out a long sigh in his heart.
At this moment, Chai Jiang made up his mind that if the patient's condition became more serious in a week, he would have a good talk with the fearless Dr. Su in front of him, and let her find a way to send these two Buddhas back to the Central Hospital of Country M! Or at least send them to other directors or deputy directors!
Chai Jiang wrote the prescription and returned to the oncology department with a heavy heart. On that day, even his favorite takeout chicken wings didn't taste good to Chai Jiang.
one day……
Two days...
Three days...
Chai Jiang carries a medicine box on his back and various chemotherapy drugs in his hands every day when he goes in and out of the general internal medicine department. He feels that the pressure is doubling every day!
He felt even worse when he saw the patient coughing up blood from time to time, or seeing napkins stained with red blood in the garbage pile.
But every time he opened his mouth and wanted to talk to Su Tang about this, she would look at him with a happy expression on her face, and she looked completely relaxed and carefree, without a trace of worry.
None of the other attending physicians, deputy chief physicians, etc. in the department could understand him.
After all, when they were in the general internal medicine department, Chai Jiang had agreed with Su Tang and the patient's family that no information about the patient could be disclosed!
In just three days, Chai Jiang felt that his scalp was almost falling off! This was the highest pressure he had ever experienced in the department in the past few years!
Especially when he secretly asked these days whether the patient had improved, and Ye Shuang and others said that it was about the same as the first day, Chai Jiang felt even more pressured.
Ah! The improvement I heard on the first day was indeed a psychological effect of the patient’s family!
He said how could Chinese medicine be so miraculous?!
But just when Chai Jiang made up his mind and planned to have a talk with the director of the oncology department and the director of the general internal medicine department.
He suddenly discovered that the patient, who had coughed and coughed up blood from time to time during the chemotherapy injection, was actually getting better!
——The slightly yellowish skin began to turn red.
——The number of blood-stained tissues seen in trash cans every day is also gradually decreasing.
——The patient's thin cheeks seemed to have grown some flesh.
Chai Jiang: “……???”
Chai Jiang looked at the doctors, patients' families and others in the ward who were chatting with smiles on their faces.
Could it be that Xiao Chou is actually me???