Chapter 8 Section 8

As soon as she lay down in the duty room, Xi Ji couldn't help but let out a long and loud sigh. Today I was more tired than usual. The surgery during the day went on until nearly 7:00 pm, and it took a lot of time for postoperative observation and care.Although a large aneurysm resection operation was performed, the patient's kidneys were inherently faulty. After the operation, he had to contact the nephrology department to keep the hemodialysis filter running in the intensive care unit. Cardiovascular surgery patients are mostly old, so the probability of suffering from other diseases is also high.Xi Ji believes that saving their lives is like keeping the balance level. As long as one side is a little bit heavier, the balance will immediately become unbalanced.

Just as she was thinking about this and her consciousness gradually dimmed, the RHS rang.As soon as she picked it up, she was notified that the patient Yoshie Nakazuka had a high fever. Although groggy, there was no time for her to procrastinate. She washed her face with cold water and put on a white robe. During the days on duty, she never had a good sleep.So, can you have a good rest in the dormitory when you are not on duty?That's not the case, Xi Ji even thinks that there is less pressure on duty, and even if he returns to the dormitory, he can't turn off the power of the mobile phone.When a patient has a problem, it is the job of the resident to receive the first call. Therefore, even if he is under the covers, he is worried that the mobile phone will ring at any time, and he never relaxes.Most nights, something happens in the hospital.

Xi Ji was even glad that she was on duty today, and Yoshie Nakazuka was one of the patients she was in charge of. If she was in the dormitory, she would definitely be awakened by the phone again.She was a little afraid of that sound. Yoshie Nakazuka's body temperature rose to nearly 40 degrees. Yuki also knew that she had continued to have a slight fever for a while, but she couldn't find the reason. The other patients in the same room did not have a cold. Fanghui's consciousness is blurred, and her response is also very slow when talking to her. After reviewing the medical records, Fanghui has a large aneurysm in her abdomen. On the other hand, she is also a patient with cholangiocarcinoma.Xi Ji first checked whether there were any new prescriptions for medication in the past few days, but apparently there were none.

Heart sounds and lung murmurs are also important confirmation items.She heard a slight intermittent murmur from the patient's lungs.So, is it a respiratory infection... Fanghui moaned suddenly, the wrinkles between her brows deepened, her eyes were closed tightly, her mouth was half-opened, panting.Like a mask of a jealous ghost girl, her usual gentle and serene expression was gone, making her a completely different person. Xi Ji felt unusual.This is not a problem that can be solved by reducing the fever. The most fundamental treatment must be done. What kind of treatment is it?Xi Ji used all his poor knowledge, but couldn't figure it out.

"Doctor, please give me instructions!" Said Yoko Suganuma, a nurse standing beside her.The opponent is a veteran with ten years of experience. "It's up to you to be overwhelmed now!" This statement hurt Xi Ji's self-esteem, but the other party was right, Xi Ji took a deep breath. She gave all the instructions she could think of, and set about preparing them.The first is blood culture. As soon as he finished what he needed to do, Xi Ji called the attending physician in charge of cholangiocarcinoma.The doctor's surname was Fukushima, and Yuki reported all the information he could convey over the phone, and Fukushima said he would come to the hospital immediately.Although the tone was not unpleasant, after hanging up the phone, Yuki was still surrounded by a sense of powerlessness, fearing that Dr. Fukushima would think that residents were useless.Of course, now is not the time to be uneasy, and she immediately called Yamauchi, who was responsible for Yoshie Nakazuka's large aneurysm.

"Oh, it must be sepsis caused by cholangitis." Yamauchi said on the other end of the phone, his tone sounded quite leisurely. "Please give instructions." "Dr. Fukushima will go there. I think most of them will have an emergency operation. You go and get all the examination materials." About three hours after I hung up the phone call, what Yamauchi said came true, and Fukushima judged that it was necessary to remove the severely inflamed part.The reason it took three hours was because of the trouble getting the family's consent.Yoshie Nakazuka has a daughter, but she, her husband and children are not at home. Fortunately, her sister-in-law took care of the pets at her house. The sister-in-law said that the family stayed at a hotel near Disneyland that night, but they didn’t know which hotel it was, so Xie Ji and the nurses separately called several restaurants to inquire.

Finally, Fukushima explained the situation to Yoshie Nakazuka's daughter on the phone and confirmed that the other party agreed to the operation. The entire contact process took more than an hour. "Her daughter is crying and seems to regret going to Disneyland." Fukushima said after hanging up the phone, as if he had done something he shouldn't have done. Xi Ji also wanted to help with this operation.The inflamed part was removed first, but other parts were also eroded by cancer cells, but Dr. Fukushima judged that the first priority was to remove the cause of the high fever.

The operation took more than two hours.On the way Nakazuka Yoshie was sent to the intensive care unit, Xi Ji recognized a man and a woman in the corridor. She had met them several times. They were Fanghui's daughter and his wife, and the daughter looked worried. Yuki was observing the postoperative situation in the intensive care unit, when Yoko Suganuma came and said that his daughter and his wife wanted to see Yoshie Nakazuka. "But she's asleep now, and will be asleep for hours." "I told them, but they said it's okay. That's right, I probably want to see the appearance first, for peace of mind." Yoko Suganuma's tone was obviously teasing the couple's self-satisfaction.

A few minutes later, Yoko Suganuma led a couple in.Both were rubbing their hands, which had probably just been sanitized at the entrance. The two stood side by side beside Yoshie Nakazuka, and Yuki approached them. "I think the attending physician should have explained it, and we need to continue to observe for a while, and the fever should subside." Xi Ji said, looking at the couple in turn. "Dr. Fukushima said that surgery for cholangiocarcinoma is temporarily unavailable. Is that true?" asked the wife. "I think in this regard, I can only trust Dr. Fukushima's judgment. However, this operation did consume a lot of physical strength for Ms. Nakazuka. The operation requires physical strength." Xi Ji replied cautiously.She couldn't say much about cholangiocarcinoma.

"In this case, what about the aneurysm?" This time the husband asked. Xi Ji looked at the man. He was wearing glasses, a small man, about thirty-five years old. "Large aneurysm surgery will also cause a great burden on the patient. I think Ms. Nakazuka cannot afford it according to the current situation." She also discussed this matter with Yamauchi on the phone. "So, will the operations on both sides not be carried out for the time being?" The husband asked further. "Yes. The most important thing is to get out of the current situation first."

"But after the fever subsides, you can't have an operation right away? Neither side?" "As things stand, I think so." "If that's the case, how long will it take before the operation?" "Well..." Xi Ji licked her lips. "It depends on Ms. Nakazuka's recovery, and the decision must be made after discussion with the surgeon. I really can't give you an exact time right now." "Want to wait a month?" They have already said that there is no way to give a specific time, and the husband is still asking endlessly. "Depending on what happens next, it may take longer." "Longer..., if it takes longer, the aneurysm may grow bigger than it is now? Won't it break?" "Of course, if you ignore it, there will be such a thing. However, there is really no way to operate now, and we can only wait until Ms. Nakazuka regains her strength. However, judging from the current size, it will not rupture immediately, so you two don't need to worry. " "yes……" After hearing Xi Ji's words, the husband nodded and lowered his head with a painful expression, as if a little anxious. After watching the couple leave, Xi Ji decided to go back to the duty room first.Although it is almost dawn, if I go to sleep now, I can only sleep for an hour at most, but if I don’t lie down for a while, it will be very difficult afterwards. Even if I work all night without sleep, I won’t get any consideration and tolerance. resident doctor. On the way to the duty room, there was a conversation in the corner of the corridor. Xi Ji immediately recognized that it was the couple just now, and slowed down a little. "The Fukushima doctor said that before mom can have the operation, let her go home. Listen to that, if you hurry up, it seems that she will be discharged from the hospital next week." "The possibility is very high. This hospital does not allow patients to be hospitalized for recuperation, which means that if there is no operation temporarily, they must be discharged from the hospital." Xi Ji heard her husband's murmur. "He had a fever as soon as he was hospitalized, but he was discharged without surgery. Why was he hospitalized?" "That can't be helped! I'm so sorry for you." "The plan is messed up. What should I do? Or do I have to take it home and take care of it?" "You can't let Mom alone!" The husband pondered again and clicked his tongue. Xi Ji also understood the situation.Yoshie Nakazuka lives alone. If she is temporarily discharged from the hospital in the current situation, of course someone will take care of her, and her daughter's husband is unwilling to do so. "It's a good bet, how about asking the doctor to perform the operation?" Husbands come up with random ideas.Xi Ji frowned. "Which operation? Cancer? Or aneurysm?" His wife's voice also became sharper. "It's all right. They're all hospitalized anyway, so we should tell them to do something." The husband said angrily. Xi Ji stepped forward, deliberately making loud footsteps. As soon as I turned out from the corridor, I saw the couple standing there with stiff expressions. The husband lowered his head when he saw Xi Ji. Xi Ji nodded to them and pressed the elevator button. An awkward silence surrounded the three of them.Soon, the elevator came, and the door opened in front of Xi Ji. As she was about to enter the elevator, she stopped and looked back at the couple. "I think Ms. Nakazuka should not be discharged from the hospital next week, because there are still many tests to be done, and the most important thing is to break away from the status quo. After all, Ms. Nakazuka has only had a major operation." The patient's daughter's eyes widened, perhaps forgetting that her mother had been operated on only a few hours earlier. Let me take my leave first——After speaking, Xi Ji entered the elevator, feeling really uncomfortable, maybe she shouldn't have said those words. The next morning, actually only two or three hours later, Xi Ji mentioned to Yuan Gong what happened last night.Although he showed a tired expression, he also sighed and said that there was no way. "Every family has its own scriptures that are difficult to recite. As long as the patient can be cured, everything else is open to discussion-few families who can sincerely say this kind of thing. The same is true for surgery. Not everyone prays for the success of the operation. Some people think that if only half of the cure is cured, someone must take care of it afterwards, and it is better to simply fail." "Are you saying that the couple wanted Ms. Nakazuka to die from the operation?" "I didn't say that. However, it is true that they are worried about the postoperative situation. It is natural to be worried. Whether to take the elderly back to take care of them is not a trivial matter." "I thought family was all about taking care of each other unconditionally." "That's why I said, every family has scriptures that are difficult to recite, and doctors shouldn't care so much." Seeing Xi Ji's silence, obviously unable to let go, Yuan Gong showed a wry smile. "Is the princess' sense of justice unacceptable? How about going to change your mood? You haven't had breakfast yet, have you?" Xi Ji was about to say it's okay, but swallowed the words back.Yuan Gong hated others to be brave because of their self-esteem, so she said, then I will come back in an hour and left. Leaving the hospital gate, she walked to the coffee shop across the street, where she planned to have breakfast, while waiting for the red light, while ruminating on what Yuan Gong said just now. Not everyone is praying for the surgery to be successful... For Xi Ji, this was a problem that he could not stay out of.The death of my father came back to my mind again. At that time, did my mother sincerely hope that the operation would be successful... The sound of a puppy acting like a baby came from the side, which brought Xi Ji back to his senses.A coffee-colored dachshund, probably brought by the patient, was tied to the fence in the bicycle parking lot. The puppy rubbed its neck against the fence.Xi Ji found it strange, and upon closer inspection, there was a white thing clamped on the collar, which looked like a note.This is why dogs are uncomfortable. Xi Ji approached the puppy. She loves dogs very much. She petted the puppy's head first, and then helped it remove the note from the collar. It should not be the owner's fault. The note was folded into a small piece, and there seemed to be words on it, so she opened the note casually.