This article**: People's Daily Online-Anhui Channel.
Reporter Li Ximeng.
Healer, benevolence.
This old phrase emphasizes the humanistic spirit of benevolence, justice and compassion in the medical profession. A doctor is not only a practitioner, but also a role model of morality. They are fighters, the ward is the battlefield, and whenever there is a life-and-death moment, they are willing to bear the heavy responsibility and fight for the hope of life for the patients.
On January 29, 2024, an operation performed by Professor Wang Shengying of the Department of Head and Neck Breast Surgery of Anhui Provincial Cancer Hospital well explained what is the responsibility of a doctor.
Perspective 1: The patient's mother, Liu Fang (pseudonym).
I don't know if my son is still saved.
More than ten years of hyperthyroidism have made it difficult for drugs to suppress the progression of his condition. Protruding eyes, swollen neck, atrial fibrillation, difficulty breathing, and illness caused my son's young body to wither.
As a mother, although my son will always be in his prime in my eyes, whenever I see him tortured, my heart is still like a knife. I kept telling myself and my son that we had to be strong and that we would always get better.
But what scared me the most happened.
A common cold became the last straw that crushed his son's fragile body. "Third-degree dyspnea, recurrent syncope, and multiple complications. "This is what the doctor told me when I arrived at the hospital. I don't know how medicine it means, I just know that my son has lost a lot of weight, every breath is extremely difficult, and every time he wakes up, the interval between each awakening is longer.
Fear began to creep in.
Seek medical attention, help! From my hometown, I visited many hospitals, including emergency department, endocrinology, cardiovascular medicine, otolaryngology, general surgery, ......I thought of everything I could. And as the condition worsens, in the face of such a serious illness, there is hope again and again, but in exchange for the doctors shaking their heads and sighing again and again.
The breath of life is leaving his son's body with time, and hope is getting slimmer and slimmer. In the emergency room, my son, who had lost his voice, struggled to write "I want to live" on a piece of paper.
At that moment, it seemed that my son's illness had transferred to me, and I was in great pain.
After several rounds, at the First Affiliated Hospital of the University of Science and Technology of China, many doctors recommended Professor Wang Shengying from the West District (Anhui Provincial Cancer Hospital) to me, and they told me that only this doctor could save my son.
The doctors' tone was so determined.
Before coming to Dr. Wang Shengying's office, there was already a long queue at the door. So many people came to him, it must be because of his special medical skills, right? But when will I be in line? Is my son still saved? I stood by the door and kept looking in.
I see you're in a hurry, so come in and talk about it. Professor Wang's words came from inside the room.
Professor Wang Shengying is sitting in the clinic. Photo by People's Daily reporter Li Ximeng.
Professor Wang carefully looked at the cases and examination results I handed over, and my heart was twisted together with his frowning brow. "The condition is complicated and needs surgery as soon as possible, but don't worry, I will save your son's life! Professor Wang said.
When this sentence rings in my ears, it seems like heaven.
Perspective 2: Patient bedside doctor Chen Gongfu.
Professor Wang was admitted to a patient with thyroid cancer and dyspnea caused by hyperthyroidism.
After admission, further examination of the patient revealed that the goiter had a high risk of malignancy and required a limited period of surgery. After understanding the situation, such a complex condition and ** difficulty, I can't help but feel a chill down my spine, this is a contest with death, and a race against time. After reconfirming my condition, I told Professor Wang about my concerns.
The professor understood my concerns, and he knew that any small medical procedure could upset the fragile balance of the patient's body, but he said, "There are always risks in doing what we do. It is precisely because of the risk that we need to take responsibility. Hard bones are hard to gnaw, and if even we don't want to gnaw them, the patient will really be desperate. ”
Professor Wang Shengying is performing surgery on a patient. Courtesy of Anhui Provincial Cancer Hospital.
The professor's words reminded me of the patient's mother's eyes, and I was moved by the expectation and trust in them.
Under the leadership of the professor, a MDT discussion was organized by the whole school. The discussion concluded that the patient had a long course of disease, poor underlying status, and poor drug control of hyperthyroidism. In addition, the progressive enlargement of the thyroid gland for a long time compresses the cervical trachea to form a annular coarctation, with a degree of constriction of up to 60%, and the thickening and hardening of the tube wall leads to a decrease in tracheal compliance.
Although with the help of Xu Ling, director of the Department of Interventional Pulmonary Diseases of Anhui Chest Hospital, the patient's breathing was guaranteed, but the operation was still very difficult.
At 11:05 a.m. on January 29, as the chief surgeon of the operation, the professor stood in front of the operating table, and he prudently dropped the scalpel, and the operation officially began. On the operating table, the professor operated gently, and the operation process was smooth and in one go, and the patient was successfully treated with thyroid cancer combined ** surgery (right side + isthmus thyroidectomy + left thyroid resection + right ** lymph node dissection) + recurrent laryngeal nerve anatomy + tracheotomy.
The operation was successfully completed and the patient was returned to the general ward.
During the postoperative observation, the professor and the team of doctors checked the patient from time to time and adjusted the postoperative medication according to the condition. The head and neck breast surgery nursing team has also delivered excellent answers in the perioperative care of patients with hyperthyroidism and tracheostomy perioperative care.
On the third day after surgery, when the professor led the team to teach ward rounds, he encouraged the patient to try to block the tube and make a sound, and the patient who had walked through the ghost door clearly said the first sentence after the operation: "Thank you!" ”
At that moment, applause rang out in my heart, encouraging the patient and encouraging myself. I remembered a sentence that the professor often said: "We are the 'lantern bearers' in the night, and saving lives and helping the injured should be our due responsibility and the most simple moral bottom line." ”
Perspective 3: Xu Ling, director of the Department of Interventional Pulmonary Diseases, Anhui Chest Hospital.
More than 10 days ago, Professor Wang suddenly contacted me and said that there was a critically ill patient who needed our assistance.
To be honest, after hanging up the **, I was a little apprehensive in my heart, I have been practicing medicine for so many years, and I have never encountered this kind of inter-hospital cooperation. Moreover, the patient's condition is complicated, in addition to the coarctation of the airway caused by the original condition, due to the failure of repeated attempts to endotracheal intubation in the early stage, resulting in adhesion of the patient's endotracheal wall, and re-intubation is tantamount to adding insult to injury.
The risk is too great, what should I do?
If the endotracheal intubation procedure is successful, the patient has a chance to live. But what if it fails? I don't dare to think about it.
Wang Shengying led the medical team to congratulate the patient who was about to be discharged from the hospital. Courtesy of Anhui Provincial Cancer Hospital.
After thinking about it for a long time, as a doctor, I couldn't refuse Professor Wang's invitation, so I decided to lead the team to participate in this **. In order for Professor Wang's team to perform the first sexual surgery, we had to solve the patient's airway management problem first.
Time was of the essence, and in the face of patients' expectations and trust, we also organized a multidisciplinary MDT discussion in the hospital on how to solve the airway problem. After brainstorming, repeated pondering and attempts, it was decided to improve the tip of the ordinary endotracheal intubation, and the modified endotracheal intubation was inserted by performing a bronchoscopic partial incision to narrow the endotracheal wall.
In the end, with the joint efforts of the two teams, the operation was successfully completed.
According to Professor Wang, February 8, the twenty-ninth day of the Lunar New Year, is the day when the patient is discharged from the hospital. It is the wish of the patient's family to be able to go home for a reunion. The patient's mother and her son knocked on the door of every medical worker she could find, expressing indescribable gratitude.
In retrospect, although there were twists and turns in the treatment process, each of us who participated in the first doctor had a strong desire to "cure the patient", and did not evade responsibility, and did not hesitate to spend a lot of time and effort on this. Through this operation, we demonstrated the ability of close cooperation between the diagnosis and treatment team, and it is a vivid embodiment of Professor Wang's spirit of "willing to take responsibility, dare to take responsibility, and be able to take responsibility".
This time is inseparable from the good cooperation between hospitals and the joint efforts of all medical staff. Only by accumulating experience in this kind of crawling and rolling can we practice the hard backbone, iron shoulders, and true skills of the doctors. Professor Wang Shengying said. From his mouth, he explained the secret of the head and neck breast surgery department of Anhui Provincial Cancer Hospital becoming the leading department in the province.