Chapter 211 I’m Still Most Afraid of Death
In the blink of an eye, it was the next day, Friday.
Before eight o'clock in the morning, Yu Zhiming arrived at the Department of Neurosurgery and saw Dr. You Weixian waiting for him in front of the building.
He first followed Dr. You to see the patient.
A sixteen-year-old boy, skinny and looks like he is thirteen or fourteen at first glance.
Doctor You told Yu Zhiming that the boy had become aware of things, but whenever he fantasized about sex, he would become so excited that he would either suffer from severe headaches or faint.
But imagining that thing was like an addiction. Although his body did not allow it, the boy repeatedly violated the taboo.
This caused his health to deteriorate.
His family took him to a large hospital for examination, where they finally discovered cerebral vascular malformation.
I used to think that he was just too weak.
Yu Zhiming already knew Dr. You's surgical plan, which was to create a thin bypass from the anterior cerebral artery, directly passing over the curved deformity of the cerebral branch artery, and then bridge the blood vessels.
The difficulty of the operation lies in the vascular bridging at the end of the bypass.
What Yu Zhiming needed to do was to perform two precise punctures to accurately find the bridging point of the blood vessels.
Dr. You needs to maneuver carefully in the narrow space created by Yu Zhiming's puncture, similar to performing microvascular bridging under minimally invasive conditions.
Brain damage is essential in this process.
But compared with the boy's future growth, in Dr. You's words, it is the lesser of two evils, which is acceptable.
Compared with Dr. You's delicate vascular bridge surgery in a very small space, the brain puncture that Yu Zhiming has to perform is relatively simple.
Within the path planned by Dr. You, the surgeon avoided the blood vessels and made two punctures directly to the vascular bridging point.
Dr. You then took Yu Zhiming to visit an operating room in the neurosurgery department.
"Doctor Yu, this operating room number five is located on the westernmost side of the floor and is relatively quiet."
"I plan to start the operation at 3 or 4 in the morning when it's the quietest. By then, there will be no one else in the entire operating area except our operating room."
"Doctor Yu, what do you think?"
Yu Zhiming felt the quietness of the operating room, pondered for a moment, and met Dr. You's expectant gaze.
He said slowly, "Under the conditions of craniotomy, we can try to detect the puncture path..."
After obtaining Yu Zhiming's consent, Dr. You scheduled the boy's cerebral bypass surgery for 2 a.m. on Sunday...
Yu Zhiming left the Department of Neurosurgery and hurried back to the Qi Yue Medical Research Center to begin preparing for today's welfare physical examination.
As soon as he entered the large office, Zhou Mo came to greet him.
"Doctor Yu, yesterday, the Medical Department did not agree to the unreasonable demands of the deceased's family and clearly informed them that the hospital was not at fault."
"If they have objections, they can go to court and file a lawsuit."
Zhou Mo said excitedly again: "The police also came yesterday and warned them to negotiate reasonably and legally to fight for their rights."
After a pause, she added solemnly, "Although the police have intervened, we cannot let our guard down."
"Especially you, Doctor Yu, you must be more careful."
Yu Zhiming was puzzled and asked, "Zhou Mo, I'm not the attending physician of the deceased. Why should I be more careful?"
"Don't you have any gossip?"
Zhou Mo raised his eyebrows and said, "Doctor Yu, you must know that besides the director, you are the most famous person in our center."
"You're even more famous than the director. You could even be called the face of the center."
"If someone really wants to harm our center, the director and you are the biggest targets."
Yu Zhiming nodded slightly and looked at Qiao Lei beside him.
"Qiao Lei, it's time for you to show off."
Qiao Lei straightened his body and started bending his arms again.
"Doctor Yu, I will stay with you closely for the next few days and will not let anyone with ill intentions get close to you."
"Doctor Yu, I am your iron wall."
Yu Zhiming resisted the urge to curl his lips and said, "Let's go, the physical examination begins..."
Because he had work arrangements in the evening, Yu Zhiming had lunch and a break at noon, and it only took him half an hour to get back to the physical examination work.
He consciously sped up his work efficiency, and at 5:10 pm, he finally completed the physical examinations of 120 people.
During today's physical examination, Yu Zhiming's greatest achievement was the discovery of cardiovascular problems in 15 people.
Cancer and suspected cancer, not detected...
After completing the physical examination, Yu Zhiming didn't even have time to rest, and rushed to the general surgery department with Qiao Lei...
Yu Zhiming, feeling like a spinning top, met Dr. Cui Zhitan, Dr. Wang Jiangyue, Dr. Wang's patient and the patient's family in Dr. Cui Zhitan's office.
Dr. Wang Jiangyue, 48 years old this year, has her hair tied in a bun. She is neither fat nor thin and looks like a good wife and mother.
"Dr. Yu, thank you for taking the time to help me."
Dr. Wang thanked the patient gratefully, but before he could say the next sentence, he was interrupted by the patient's daughter.
"Doctor Yu, are you thirty years old?"
"Is he the deputy chief physician?"
"How many times have you performed this type of surgery on my mother? Is there a record of failure?"
Yu Zhiming glanced at the girl who was asking questions aggressively. She was about twenty years old and looked like a college student. He did not say anything to her. Instead, he frowned and looked at Wang Jiangyue.
"Doctor Wang, haven't you explained the situation clearly? Is this because we haven't reached a consensus yet?"
Wang Jiangyue looked embarrassed and quickly explained, "Doctor Yu, we had already agreed on this before you came."
"It's just that my classmate's daughter is too worried about her mother. I hope you won't mind, Doctor Yu."
Although the patient's daughter was somewhat resentful of Yu Zhiming's neglect of her, she could not speak again in front of a room full of elders, especially her parents.
But the questioning look on her face became more and more obvious.
Wang Jiangyue looked at the patient and her husband, and noticed obvious hesitation and worry on their faces, which made her heart skip a beat.
She took a deep breath and said in a deep voice, "I've said everything I should have said before. Now that Doctor Yu is here, please ask any questions you have."
The patient's husband smiled awkwardly and said, "Doctor Wang, this is cancer surgery after all. No matter how cautious you are, it can never be too much."
He looked at Yu Zhiming again, and said cautiously, "Doctor Yu, you are really young."
"At such a young age, he is highly regarded by Doctor Cui and Doctor Wang. His medical skills must be superb."
Yu Zhiming thought what this person said sounded nice, but he actually understood that the other party was questioning his age and ability.
It's no wonder. He is only 26 years old and looks like a young man who just graduated with a doctorate from medical school.
It is indeed hard to believe.
Especially when it comes to cancer surgery that is a matter of life and death, it is normal for patients and their families to think too much when the time comes.
Yu Zhiming thought about it from the other person's perspective and suppressed a lot of unhappiness in his heart.
"There's a lot of information about me on the hospital website and online. I'm sure you've all read it, right?"
"I'm best at internal organ exploration, and I can detect some early-stage cancerous changes in the organs."
"Specific to your situation..."
Yu Zhiming pondered for a moment and said, "I can determine the infiltration and cancerous range of colon tumors."
"However, I need to make it clear that I cannot make a 100% guarantee, and there may be omissions and errors."
"So, the waiver agreement must be signed."
Hearing this, the patient's daughter couldn't help but speak again, "Doctor Yu, you can't guarantee it, which means..."
"Are you risking my mother's health and life? Are you experimenting?"
Yu Zhiming saw that both Dr. Cui and Dr. Wang looked a little unhappy.
He also noticed that the patient and her husband had no intention of stopping or explaining what their daughter said.
Yu Zhiming smiled softly and nodded, "Indeed, this is an adventure for you, but an experiment for us."
"You can choose a safer method, which is conventional tumor and bowel resection surgery, plus fistula surgery."
As he said this, Yu Zhiming saw that the patient's face turned paler again.
"There are rarely two options in this world: safety and risk, ostomy and no ostomy. You always have to make a choice."
Yu Zhiming then added, "I have to make one thing clear: there is no guarantee that there will be no fistula."
"Perhaps based on my examination, more intestines may need to be removed."
Seeing that the family of three was in hesitation and struggle, Yu Zhiming turned his gaze to Dr. Cui and Wang Jiangyue.
"Doctor Cui, Doctor Wang, why don't we ask them to reconsider this a little longer? After all, this isn't a minor surgery."
Wang Jiangyue saw that Yu Zhiming was about to refuse, and quickly said to the patient, "We are old classmates from elementary school and middle school. Would I harm you?"
"I'll give you another half an hour to think carefully and make a final decision."
Wang Jiangyue looked at Yu Zhiming again, pleading, "Doctor Yu, Doctor Cui, I still have some Rainforest Longjing tea. Why don't you come over and have a taste?"
Seeing Teacher Cui looking at him, Yu Zhiming nodded gently and said, "Okay, let's go have some tea together..."
Cui Zhitan, Yu Zhiming and Qiao Lei followed Wang Jiangyue to her office.
This is a large office where two chief physicians and one deputy chief physician work together.
There was no way, the Huashan Hospital office was quite busy.
Only senior chief physicians and department heads have their own separate offices.
Especially the general surgery department, as a famous large department of Huashan Hospital, has a large number of medical staff and the office is even more crowded.
Wang Jiangyue apologized while preparing to make tea.
"Doctor Yu, I'm so sorry. We had already agreed on this, but I didn't expect them to hesitate at the last minute."
Yu Zhiming said casually, "Doctor Wang, the main reason is that I'm too young and can't convince others."
"Especially for cancer surgery, patients inevitably have many concerns."
He touched his upper lip and said, "Do you think I would look more mature and stable if I grew a beard?"
Wang Jiangyue glanced at Yu Zhiming, imagined what he would look like with a beard, and said with a smile, "You don't look good with a beard."
She handed a cup of tea to Yu Zhiming very formally.
"Doctor Yu, please have some tea..."
Half an hour later, Wang Jiangyue, Yu Zhiming and others returned to Dr. Cui's office on time.
The patient slowly stood up with the support of her husband and daughter on both sides.
"Jiang Yue, at the last moment, I realized that compared to cleanliness and various discomforts, I am still most afraid of death."
"I choose... a safe surgical option..."
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(End of this chapter)
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