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Jiang Xu glanced at Shen Fangyu, who turned around and said to Sang, "Does it look good?"

"It looks good." Yu Sang subconsciously answered, and only after he finished speaking did he realize that the person who asked him was Shen Fangyu. He looked at Shen Fangyu with an expression like he had seen a ghost, and then turned his searching eyes back to Jiang Xu's face.

"Teacher Jiang!" Shao Le called him at the door.

Jiang Xu nodded at Shao Le, and hurried out of the office before the question mark appeared in Yu Sang's head, leaving Yu Sang who was confused, patted his forehead, and said to himself: "It must be an auditory hallucination."

"What's the matter?" Jiang Xu asked Shao Le.

Shao Le handed a stack of documents to Jiang Xu, "The patient transferred from the lower-level hospital this morning is suspected to have primary unilateral ovarian cancer."

"Is there any transfer?" Jiang Xu glanced at the B-ultrasound checklist.

"The metastases were sorted out in the previous hospital, but I haven't found it yet." Shao Le asked, "Should we do it again?"

Jiang Xu didn't answer him, he went through the case quickly first, then frowned slightly and said, "The patient is only seventeen years old?"

Too young.

Jiang Xu picked up the CT film again and looked at it against the light. After a long while, he put the CT film back into the bag and flipped through the previous inspection results page by page.

"That's all?" he asked Shao Le.

"The patient gave only these," Shao Le said: "I saw almost all the examinations that should be done. The B-ultrasound showed cystic lesions, and the CT enhanced the echogenic area. It really looked like a malignant tumor."

Jiang Xu showed the B-ultrasound sheet to Shao Le, "Do you think the boundary outline is too clear, and the blood flow in the cyst wall is very rich."

"ah?"

Jiang Xu said to Shao Le: "Ask the patient if she has any gastrointestinal symptoms, prescribe an urgent gastroscopy and colonoscopy for her, do another B-ultrasound, and ask the doctor to focus on the ovary without the lump."

"Teacher Jiang..." Shao Le heard his implication, "Do you suspect that they misdiagnosed?"

Jiang Xu was a little silent, he glanced at Shao Le, and handed the documents back to her, "Just rule it out, I hope I'm thinking too much, has the patient come, I'll go and see."

"Here we come." Shao Le put away all the materials and prepared to take him to the ward.

"Jiang Xu!" A familiar female voice interrupted the two of them.

Hearing the sound, Jiang Xu looked up and found that it was Yan Hua who called him. She changed into a light gray windbreaker today, and stood beside a man with dyed green hair and tattoo stickers all over his arms, wearing only a trendy sleeveless sleeveless shirt. Girl in vest.

Very individual.

Yan Hua dragged the little girl to Jiang Xu, she saw that Shao Le was following Jiang Xu, the two seemed to be working, so she asked, "Busy?"

"To see a patient." Jiang Xu said, "What's the matter?"

"There is a patient in the association." Yan Hua pointed to the girl beside him, "Is Shen Fangyu there? If you are busy, I will do the same to him."

In the women's rights protection association they joined, many people who needed help were sick, and obstetrics and gynecology were often involved in departments where all patients were female.

In the past, Yan Hua often brought patients here, but she was the first one to dress so uniquely.

"He was here just now." Jiang Xu glanced at the goose bumps on the girl's arm that even the tattoo stickers couldn't stop, "Take her to the office first, it's cold outside. If Shen Fangyu can't be found, I'll be back in a while."

"OK."

Seeing Jiang Xu and Shao Le walking away, Yan Hua patted the shoulder of the girl beside him, "Let's go."

The girl didn't move, she refused to move as if she was nailed in place, Yan Hua sighed, took her hand, and the little girl moved.

"How grown up, I still have to lead him when I walk."

The green-haired girl turned her face away, apparently not intending to answer Yan Hua's question.

Knocking on the door of the office, Shen Fangyu just stood up to pick up the coffee. Seeing her coming, Shen Fangyu said unexpectedly, "Yan Hua?" He boasted casually, "Your dress is pretty."

After finishing speaking, his eyes fell on the top of the girl Yan Hua was holding, and he admired the highly saturated, green hair like green weeds for half a second. He nodded his chin and asked, "Your sister?"

"Thank you," Yan Hua smiled, pointed to Shen Fangyu and introduced to the little girl, "This is Dr. Shen, who is also a member of the association."

Hearing this, the little girl raised her eyelids, and gave Shen Fangyu half of her eyes in an extremely perfunctory manner. The deliberately exaggerated eyeliner was particularly eye-catching.

"How much is your tattoo?" Shen Fangyu looked at Peggy Pig on her arm and said, "It's quite special."

"Who told you it was a tattoo sticker?" The little girl raised her chin so high that she almost looked at people with her nostrils, "I got someone to get it tattooed."

Shen Fangyu looked at Yan Hua's windbreaker, and then at the little girl's pink vest, "Isn't it cold wearing so little?"

"I just said that I would take her to buy clothes, but she refused to say anything and insisted on wearing this." Yan Hua seemed a little helpless at her impoliteness, but her tone seemed a little anxious, "Don't That's all."

She explained: "This little girl is called Ren Han. She contacted our association by herself, saying that she had an ectopic pregnancy, and no one cared about her. Although I have never studied medicine, I know that this disease is very scary. If it goes wrong, you will die. I'll bring her over to find you immediately."

Although the association has been promoting, but financial resources are limited after all, most of the people who received help rarely searched for relevant information on the Internet before being helped, and did not know the existence of the association. This girl is obviously a very trendy girl. Know that you are looking for help online.

And the strange thing is that when Yan Hua and Ren Han met, she refused to go to the hospital without saying anything, and followed Yan Hua like a tail, asking Yan Hua to accompany her to eat and play games with her, and had to lead her when walking.

Yan Hua knew that ectopic pregnancy was not a joke, so he had to cool down and threaten Ren Han, if she didn't go to the hospital Yan Hua would leave her alone, Ren Hancai followed Yan Hua to the hospital reluctantly with a look of death .

"Ectopic pregnancy?" Shen Fangyu frowned, and glanced at the girl who was blowing her forehead bangs. Seeing him looking over, Ren Han rolled his eyes and said impatiently, "What are you looking at?"

Shen Fangyu: "..."

The girl in front of her was high-spirited, but her teeth shivered from time to time, and it was possible to catch a cold...Ectopic pregnancy?

Let alone an ectopic pregnancy, Shen Fangyu doubted that she could even run 1,500 meters.

"Have you been checked?"

Ren Han said, "I won't tell you."

"Ren Han has a bad temper." Yan Hua hesitated to speak, "She is still young, only seventeen years old, don't argue with her." She explained: "I probably haven't had a checkup."

"Let's have a vaginal ultrasound." Shen Fangyu put down his coffee and said lightly, "There's no need to go to the outpatient clinic to register. I'll take you to the emergency room."

"Wait—" Ren Han suddenly grabbed Yan Hua's cuff and hid behind her, "What is a vaginal B-ultrasound...?" She felt a little pain just hearing the term, "You don't want to stick the examination equipment in, do you?" .”

"Yes, but the accuracy is high. It is generally recommended to have vaginal ultrasound if you have sex."

Ren Han's lips trembled from the cold, and he bargained, "Can't we have an abdominal ultrasound?"

Shen Fangyu fetched her a cup of hot water from a disposable cup, Ren Han took it and held it in his palm, looking at him cautiously.

"Abdominal B-ultrasound needs to drink water to hold back urine, and you can see clearly after your bladder is full." Shen Fangyu threatened her solemnly: "You may rupture your fallopian tubes at any time now. The situation is very critical. We can't risk your life."

"I'm not that critical..."

"Ectopic pregnancy isn't critical, so what is critical?" Shen Fangyu stood up.

Ren Han, who was stern and introverted, shook his head again and again, "I'm afraid of pain, I can't do it."

"I'll tell the ultrasound doctor to tell her to be more careful."

Ren Han said anxiously, "I don't want to do it, I don't have sex!"

Shen Fangyu raised his eyebrows, "Then how did you get pregnant?"

"..." Ren Han glanced at Yan Hua anxiously, then looked at Shen Fangyu, and finally gritted his teeth and said, "I...I was wrong, okay, I will do it, can I do it?" She stood up from behind Yan Hua , with a heroic look on his face.

Shen Fangyu and Yan Hua looked at each other, obviously Yan Hua also figured out something was wrong.

"Then let's go." Shen Fangyu made a final decision and walked in the front.

Yan Hua cooperatively pulled Ren Han to follow, and Ren Han was still tugging at her cuff, "Do you really want to do that kind of examination? I don't want to do it. I see that the examinations done by others are all about the abdomen."

"Dr. Shen is an expert, you have to trust him," Yan Hua comforted calmly.

When he got to the examination bed, Ren Hanxin lay down on it as if dead, closed his eyes, and clenched his teeth.

The female doctor in the examination room and Shen Fangyu looked at each other and understood what he meant, "Turn up your clothes a little bit," she said to Ren Han.

Feeling the rubbing of the cloth, his abdomen was exposed to the air, and suddenly it was cold, Ren Han's whole body trembled like chaff, and the hostility from before was gone, and the eyeliner that rubbed the flowers looked a little pitiful.

Then the warm gel landed on her abdomen, she opened her eyes suddenly, and saw the emergency imaging examiner rolling the B-ultrasound probe on her abdomen, while Shen Fangyu was looking at the picture on the screen.

"You lied to me!" Ren Han sat up angrily, obviously agitated.

Shen Fangyu looked at the screen with somewhat frozen eyes.

"Lie back," he said.

"I won't check anymore!" Ren Han stood up angrily, and glared at Shen Fangyu angrily, "I'm not pregnant, it's fine, I lied to you, I just want someone to care about me! You don't want to talk to me!"

Shen Fangyu turned his head when he heard the words, looked at her for a while, and said again, "Lie back."

Ren Han wanted to say something more, but was stunned by his eyes. That look was obviously not very majestic, but somehow it made her a little scared. In the end, Ren Han stomped his feet and lay down.

Shen Fangyu tapped a spot on her abdomen, and said to the examiner, "Look here again."

The vision that flashed by just because Ren Han got up was fixed in the B-ultrasound examination machine at this time. Shen Fangyu's gaze was frozen on the blurry black and white image for a while, and he exchanged a glance with the radiology examiner.

Shen Fangyu originally wanted to scare Ren Han, telling her to remember the lesson and stop pretending to be sick, but he didn't expect to let him check out something wrong.

Ren Han's abdomen did not have a gestational sac as he expected, but there was a fibroid in her uterus.

Uterine fibroids are benign tumors with a high incidence rate. They are common in women of childbearing age. It is not a serious illness. However, Ren Han's fibroids are a bit large, so it is best to have an operation.

"Is there a lot of menstrual bleeding?" Shen Fangyu asked, "Does it last long?"

Seeing him say this, Ren Han panicked, "I..." She bit her lower lip and said in disbelief, "Is it really sick?"

"you answer me first."

Ren Han hesitated for a moment, then nodded.

"Let's have a blood test," Shen Fangyu said, "If there is secondary anemia, surgery is recommended."

"Surgery?" Ren Han jumped off the examination bed suddenly, never expecting that he pretended to be sick, "How is it possible? I am very healthy, how can I have an operation?"

"Doctor Shen!" She remembered being polite now, and said in a panic, "Am I going to die, is it serious?"

Yan Hua surprised her and made her look a little nervous, "Is it really that serious?" she asked Shen Fangyu.

The three of them walked back to the obstetrics and gynecology office. Shen Fangyu handed the checklist to Yan Hua: "Take her for a blood test first."

This time, Ren Han didn't hesitate anymore. Before, it was Yan Hua who was pulling her, but now she was pulling Yan Hua. She grabbed the checklist and ran out in a hurry, obviously a little scared.

Almost as soon as the two left, Jiang Xu came back. He saw Shen Fangyu in the office and asked, "Did you see Yan Hua coming?"

"Pretend to be sick," Shen Fangyu said, "It turned out that the uterine fibroids were not small."

Jiang Xu nodded, "Minor surgery."

Seeing his frowning, Shen Fangyu asked, "What's wrong?"

Jiang Xu shook his head, thinking of the girl he saw just now.

The girl who was transferred was called Ren Miao. She was pale and had deep eye sockets. When she spoke, she was soft-spoken and very polite. Her big eyes were like Barbie dolls. She was a very likable girl.

But her fate is not as lucky as Princess Barbie.

She is also only seventeen years old.

Some people are pretending to be sick at the age of seventeen, while others are fighting terminal illness at the age of seventeen.

At nine o'clock in the evening, Jiang Xu was sitting at his desk. Shen Fangyu came over and snapped his fingers in his ear, "Go home?"

Jiang Xu let out a "hmm", but he didn't move.

Shen Fangyu followed his gaze, and there were several checklists on the table.

A suspected tumor was also found on the other ovary of the little girl, and there was also a lump in her stomach.

There was indeed a misdiagnosis in the lower-level hospital. Ren Miao’s disease should not be primary ovarian cancer, but very likely metastatic ovarian cancer. The ovarian tumor is more like a metastatic focus, and the real primary tumor is most likely to be a tumor located in the stomach. .

This primary gastrointestinal tumor that metastasizes to the ovary, also known clinically as Külkenberg tumor, is very rare.

Ovarian metastases and primary ovarian cancer are two completely different concepts, which means that the little girl’s tumor has metastasized to distant places, and it also means that her stage has jumped directly from the first and second stages to the fourth stage with the worst prognosis. It is also known as advanced cancer.

"It was discovered too late." Shen Fangyu commented.

Jiang Xu shook his head, "I want to try."

"You go back first." He glanced at Shen Fangyu, gathered the inspection reports together, turned and walked upstairs, Shen Fangyu grabbed him from behind, "The gastrointestinal surgery is on the ninth floor, you want to go up the stairs?"

Jiang Xu glanced at him, but didn't ask Shen Fangyu how he guessed that he planned to go to gastrointestinal surgery.

Although sometimes Jiang Xu had to admit that the tacit understanding between Shen Fangyu and him would often give rise to a very subtle feeling in his heart.

As if he knew him well.

He retreated and turned to take the elevator, the number climbed up bit by bit, Jiang Xu silently walked into the gastrointestinal surgery office on the ninth floor, Shen Fangyu didn't follow, and waited outside the door for him.

"Senior Brother An." When Jiang Xu entered, An Wei hadn't left yet.

When he was in gastrointestinal surgery rotation, An Wei was Jiang Xu's head teacher. The two have been on good terms for years. An Wei and Jiang Xu are hardworking in the same strain, and they are still working overtime at the moment.

"Jiang Xu?" Anwei was surprised to see him, "Why are you here?"

Jiang Xu didn't have too many pleasantries with An Wei, he handed Ren Miao's inspection report to An Wei, "I want to operate on her."

The medical sub-disciplines are detailed. He is most proficient in obstetrics and gynecology, which is the resection of metastatic tumors. However, the prognosis of Külkenberg tumors is closely related to the resection of the primary tumor. Jiang Xu hopes that An Wei can complete this machine with him. Surgery, resection of the primary gastric cancer.

An Wei read the inspection report and was silent for a long time. He pushed the report back to Jiang Xu, obviously rejecting it.

"Senior Brother An..." Jiang Xu said, "Her primary lesion is not serious and can be operated on."

"But the ovaries have bilateral metastases and ascites," An Wei sighed, "I can remove the primary tumor, but can you remove the metastases? How bad is the prognosis of Krukenberg's tumor? Don't you?" I don’t know, if your residual lesion is cut below one centimeter, it’s a ticking time bomb, even if it’s cut below one centimeter,” he shook his head, “it’s a gamble.”

"I'm sorry Jiang Xu," he said, "you should find someone else, I don't want to cause trouble for myself."

Jiang Xu knew An Wei's concerns, he pursed his lips, and said to An Wei: "I have talked with the patient, and the family members are also very cooperative, and they all hope to have the operation."

If you don't have an operation, you can only wait to die. According to Ren Miao's current situation, there is a high probability that she will not survive three months. The operation is her last attempt to prolong her life.

"Jiang Xu, I don't think you have suffered enough." An Wei sighed, and said earnestly: "How many family members of patients are the same before and after the operation. Such a young girl, do you think she Can your family accept death at your hands?"

"This disease progresses rapidly. When the time comes, the little girl's condition will deteriorate day by day. You know that the progress of cancer is slow at first and then rapid. The family members will not think so. They will only say that the person who is seeing improvement will not be cured in your hands. It’s alive, and it’s getting worse day by day.”

"If you want me to say that you shouldn't pick it up in the first place, and you shouldn't give hope to the patient's family. You gave hope in case you don't survive," An Wei said: "When the time comes, the person is gone, so you just wait to collect the wreaths every day." .”

He pointed to a handful of white plastic flowers used for funerals in the corner of the office, and said to Jiang Xu: "Did you see that?" , and a threatening letter with blood on it, I don’t know if it’s paint or real blood, he was so scared that he didn’t come to work, and he had to ask the director for leave if his salary was deducted.”

An Wei said: "It's fine if you have other diseases. It's not surprising that your case is rejected wherever it is sent."

"Senior Brother An, the Kukenberg tumor I had two years ago is still alive." Jiang Xu retorted, "There is hope."

"You're just that one case," An Wei said, "Patients' conditions vary widely. What we look at is statistical probability. In her case, even if the doctor directly says she can't do it or doesn't want to do it, the regulatory authorities can't make a mistake." Come on, I'm just advising you for your own good, let her transfer to another hospital."

"Jihua is already the top hospital in the country. If Jihua doesn't accept her, who will accept her?"

Anwei glanced at him, "You also know that others won't accept it."

"She's only seventeen years old," Jiang Xu said, "it's the time when her immunity and physical fitness are at their best. If she's lucky, she might not relapse." He rubbed the center of his brows, "She's still so young."

"Where is so much good luck?" An Wei said, "If she was really lucky, she wouldn't have this disease."

"Senior Brother An, you are only responsible for cutting the primary tumor." Jiang Xu took a deep breath, "I will be responsible for any follow-up problems of this patient, including communication with the patient's family."

He assured Anwei: "I will make it clear to the patient that if you have any complaints about the treatment results, you can come to me, and it will definitely not affect you."

"Senior Brother An," he looked at An Wei, "I have to give it a try."

"What if I don't agree?"

"There are so many doctors in gastrointestinal surgery, you don't promise me to find someone else."

Anwei glanced at him, "If you go to someone else, they won't agree."

Jiang Xu's eyes were firm, "I always have to fight for it once."

An Wei looked at his expression and sighed. He didn't talk to him for a long time. Jiang Xu didn't urge him or get up to leave. He just sat next to him and waited for him to think.

After a long time, he said: "During the reincarnation before, Director Hou said that you are very stubborn. I thought it was okay at the time, but occasionally I like to be serious. Only now do I know that his eyes are really poisonous."

He stood up suddenly, bent down to pick and choose among the pile of white plastic flowers given by the patients, and picked up one, "I can do the surgery, but let me tell you, if the family members really make trouble with the hospital in the future, I won't let you go." will help you."

"Thank you brother!"

"Jiang Xu," An Wei said, "I still advise you to think again."

He handed the plastic flowers to Jiang Xu, "We were all panicked when we received the flowers today. We were going to throw them away, but Director Hou may decide to let each person in the department divide one. Remind yourself to be vigilant, remember that saving people is important, but nothing is more important than yourself, I think you should take one too."

Jiang Xu looked down at the grave flower.

"...It doesn't have to be."

"Take it." Anwei stuffed it into his pocket forcefully, "Otherwise I'll regret it."

Jiang Xu knew that An Wei had good intentions, so he didn't refuse any more. Seeing that he had accepted the flowers, An Wei rushed him out, "Okay, let's go," he said while covering his heart, "Hey, Looking at you reminds me that I am doing something stupid again."

Jiang Xu let him push it out, shook his head helplessly, just as he closed the door for An Wei, the cloth suddenly moved, and the flowers in his pocket were taken away, Jiang Xu looked up and saw Shen Fangyu leaning against the door, he said unexpectedly : "You didn't leave?"

He talked with Anwei for a long time, but there wasn't even a chair outside, so he had to stand.

"Well, I'm afraid he'll bully you." Shen Fangyu broke off the flowers in his hand several times, and threw them into the trash can. "The flowers on the graves are also sent everywhere. It's not too bad luck."

"What are you doing?" Jiang Xu disagreed.

"You are not allowed to accept flowers from others," Shen Fangyu said, "If you like flowers, I will order another bouquet of roses for you. This time I will buy yellow ones, okay?"

Jiang Xu understood that Shen Fangyu knew that he was in a bad mood, so he started to run the train with his mouth full, and wanted to make him happy, so he said with a slightly confused look: "Senior Brother An has already agreed."

"Of course he will agree," Shen Fangyu glanced at Jiang Xu, and teased in a slightly teasing tone: "Who can refuse you."

Jiang Xu leaned against the corridor and subconsciously said, "Ah?"

Shen Fangyu frowned, "No, I just think Dr. Jiang is very handsome and caring." He put his hands on Jiang Xu's shoulders and said, "But it would be even better if you could share some of your love with me."

"My love is only for the patients," Jiang Xu replied solemnly, "I still hope that you will not get sick."

"Anyway, there is no hope of being your patient in this life." Shen Fangyu smiled and said, "But you are my patient." He paused, and added, "The most special patient."

"whispering sound."

Hearing this, Jiang Xu smiled and turned his head away. After a while, he looked at Shen Fangyu again.

From the corridor of Jihua, you can see the twinkling stars in the sky outside, falling behind Shen Fangyu in twos and threes, when Jiang Xu looks at him, those stars will fall into Jiang Xu's eyes.

So the light in his eyes was like a star, with some subtle flickering: "My day off has been settled," he invited, "Next week...come home with me?"