Do you know who the first "Netflix" surgeon in Chongqing is?

He hasn't seen the hit drama "Surgery", but more than 1 million people have seen his day as a surgeon.

His name is Jiang Yuequan and he is 53 years old. He is the chief expert of esophageal cancer in Chongqing Cancer Hospital, a member of the International Esophageal Cancer Disease Specialized Committee, and a member of the Standing Committee of Thoracic Tumor Society of the World Association of Chinese Physicians. Because of the live broadcast on the network "anti-cancer doctor's day", he became a netizen. We spent half a month of interviews, want to restore the hidden behind the new netizen, the Chongqing Cancer Hospital thoracic surgery director Jiang Yuequan.

The patient painfully recounted his condition, and Jiang Yuequan revealed a look of pity.

Think of yourself as a patient

Telling the truth to the family is his real trick

April 19, "a day in the life of a doctor who fights cancer" on the webcast. On this day, the idol drama "Surgical Wind and Cloud" is still in the air, the network "pink" and "black" war of words is in full swing.

No idol in the star temperament, there is no specially designed twists and turns of the plot, but up to 15 hours of live broadcasts, the peak attracted 947,000 people online at the same time to watch, netizens of a surgeon's real work of curiosity is no less than the TV series. At the end of the live broadcast, *** received 340,000 likes. The live broadcast was edited into a video over the next few days, and the number of hits continued to grow.

Except for Monday when he sits in the clinic, Jiang Yuequan almost always has a surgery as soon as he arrives at the hospital on other weekdays. This Monday morning, we came to Jiang Yuequan's clinic. One patient after another, the only thing we can do is to observe quietly.

At 9 a.m., there was already a long line outside Jiang's office.

Jiang Yuequan sits with his back to the window in the clinic, his hair a little gray, and he looks neither like an Internet celebrity nor an icon. "Doctors also have a sick day, treat yourself as a patient or a patient's family, treat the patient or a patient's family like a loved one to tell the big truth, doctor-patient relationship will never be tense." Jiang Yuequan said, this is his 27 years of practice, with time and action to find out the real trick.

A 51-year-old woman with esophageal cancer walked into the clinic with the help of her son. The son said that his mother had previously undergone surgery for esophageal cancer in another well-known tertiary hospital, and did not expect a lump in her neck four months ago, which is now getting bigger and bigger.

Jiang Yuequan confessed to her son that the condition had worsened and the operation had been irreversible, but the son still insisted on requesting an operation for his mother.

Jiang Yuequan looks at a CT scan of the patient.

"Let's put it this way, there's no real point in doing the surgery or not. Even if you remove the mass, the cancer cells that have spread will still take your mother's life." Jiang Yuequan picked his words more clearly.

"It's not easy for us to come here once, and we want to keep mom alive for a while longer. How long can she live?"

"In my experience, about half a year. Of course, a miracle might live five or six years. The most critical thing is that there is no hospital bed ...... brothers, I still do not recommend surgery for your mother. If you insist on doing your filial piety, I can only suggest staying in a hotel nearby, and when there is an empty bed, I will ask someone to call you."

As soon as the words left his mouth, his son's eyes became wet and he said, "If I had met a doctor like you who treats us like family, my mother might have been saved. He was grateful for Jiang Yuequan's unobtrusive communication and thanked him as he got up to leave the clinic.

Mr. Chen, 68, walked into the clinic accompanied by his wife. The wife said, her husband smokes three packs of cigarettes a day, get up in the middle of the night must drink two or three two high liquor, as a result, now drink water are swallowing difficulties, sleep often choked by saliva wake up.

Jiang Yuequan said, this symptom shall be surgical intervention. The wife heard, and even counted down the husband's bad habits, the husband bowed his head, so that Jiang Yuequan hastened to play for her husband.

The couple left the clinic, Mr. Chen has been silent to Jiang Yuequan thank you, grateful eyes only "wife" can read.

Outside the clinic, waiting patients filled chairs. As of 10:35 a.m., Jiang Yuequan received 36 patients. Almost all patients thanked him when they left.

Jiang Yuequan changes clothes and puts on a hat in the changing room.

Insisted on communicating personally with family members

Family members mistakenly thought the patient had died on the operating table

Sitting in the operating room until 10:40 a.m., he said, "I'm not sure if I'm going to be able to help. Help wanted: a female esophageal cancer patient's surgery has encountered a tricky problem and needs his immediate guidance.

At about 1 p.m. in the afternoon, this surgery was done. The patient was sent to the ICU ward. Jiang Yuequan did not go to lunch, chose to go to the ward to find the patient's family.

In "Surgery", the beautiful female attending physician always leads a bunch of deputy chief physicians, and often reprimanded the trainee doctors; Jiang Yuequan in the real world, alone, with an anxious look in the full ward looking for the families of surgical patients, and bumped into nurses nodded in friendly greeting.

"Fortunately, you are in the ward, afraid that you went to dinner, some things must be said to you first ......" see the patient's family, Jiang Yuequan opened the door.

The patient's family member is a big man, heard this, eyes a moment of bleak, almost about to cry out: "My wife is not dead on the operating table?"

This question, Jiang Yuequan in turn caught off guard.

"If the wife is not dead, you as the main surgeon is not personally come to me?" It turned out that the patient had already had two or three previous surgeries, and each time the nurse communicated with the family after the operation. This time it was the attending surgeon who came, and the family naturally thought: is the situation particularly bad?

But this is actually just a habit of Jiang Yuequan. For 27 years, he has insisted that after the patient is pushed into the ICU, he must personally communicate with the family about the surgery and post-operative matters.

Jiang Yuequan explains the condition and surgical treatment to a patient's family.

After more than 10 minutes, the family member breathes a sigh of relief, the anxiety on his face gradually turning into relief.

In fact, in most surgeries, it is the nurse who is responsible for communicating with the patient's family before and after the surgery. Like Jiang Yuequan, who insisted on meeting with the family personally after each surgery, is rare.

Don't like to fight with death

Preferring to be called "the one who wrestles with God"

From the time of that live broadcast, our interview with Jiang Yuequan spanned more than half a month. During this period, we talked to Jiang Yuequan several times, how to understand the surgeon as a professional understanding?

"Some people say that doctors are people who fight with death. This sentence, I do not like. Why? Death comes from hell, and wrestling with death is a bit of a strange allegory, as if to refer to a patient being in hell. I think it would be more accurate to describe surgeons as people who wrestle with God." Sometimes, even the best efforts on the operating table can't keep a patient from going to heaven, but surgeons find ways to make the process easier, Jiang said.

Jiang Yuequan during surgery.

What qualities should one possess to be a surgeon, we asked.

"The profession of a surgeon is very special, and one must be decisive and very careful, and any possibility must be confirmed. Internal medicine doctors diagnosis and treatment can provide many possibilities, surgeons are different, surgery must be decisive, no other possibilities exist." Jiang Yuequan said.

So a good surgeon, in addition to being deft with his hands, must think more directly.

Dreams of a future without scalpels

Surgeons are only responsible for traumatic stitches

On the day of the live broadcast, Jiang Yuequan performed three difficult surgeries.

During the broadcast, a netizen asked what Jiang Yuequan's dream as a surgeon was. The netizen received a reply that the surgeon does not move the scalpel, is Dr. Jiang's dream in this life.

The number of likes went wild after this reply.

How do you understand this? Jiang Yuequan said, each surgeon is not trying to give the patient surgery, but the patient's symptoms need to do surgery in order to alleviate or cure; the current medical technology if the continued development of about 50 years, surgeons to do surgery will be limited to traumatic stitches, and cancer and other diseases to take a number of high-tech drugs can be treated.

He believes that if he traveled 50 years from now, the patient lying on the operating table undergoing an esophagectomy for esophageal cancer would not need him to operate.

Will surgeons be able to wait or see the day they put down the scalpel 50 years from now? No one dares to say, because it's a dream, so it's beautiful.

Currently, in the circle of surgeons, VR surgery is being introduced, which more or less makes the work of Jiang Yuequan and others more meaningful and challenging to explore the fun.

After an operation, Jiang Yuequan scrutinizes the surgical records and finally signs his name.

You care about the problem, are here

The day of the live broadcast, when the netizens asked questions, the screen can not see Jiang Yuequan's answer, instead, the hospital staff appeared in the main screen in the small window, from the background of the netizens concerned about the issue of the selection of the oral answer.

Jiang Yuequan said he picked some of the live broadcast day, netizens concerned about the live broadcast of the unanswered questions, and now through the slow news - Chongqing Evening News platform for into the answer.

Q: As an anti-cancer doctor, would you please introduce your healthy lifestyle to keep away from cancer?

Answer: Normal intake of food, not too hungry and not too full; quit smoking; eat less or preferably not to eat fried and other industrially produced food; and stay away from polluted living environments.

Q: In the video, you look so handsome doing surgery! Do you have to stand all the time to do surgery? Also, what's the longest time you've done surgery in a row?

Answer: Many people think that we stand all the time when we do surgery, but that's only half true. Surgeons actually take breaks between surgeries. For example, some need to wait, you can sit on the operating table side of the bench, a little movement of the hands and feet or go to the restroom and so on, or even according to the process of surgery and the actual situation, leave the operating room to eat something, or to the lounge couch to lie down a little bit is possible. One day at the end of last year, I did five major surgeries from 9:00 a.m., ending at 4:00 a.m. the next day, with a cumulative length of 19 hours.

Q: Some reports say that there are surgeons doing surgery, exhausted and collapsed, and even more people stand too long and focused, which unexpectedly triggered the disease, the patient did not get out of the operating bed, but he or she on another operating bed. This phenomenon, what do you think?

A: You said this phenomenon, I did see some media reports. I think the spread of all this information is suspected of hype. You think, do surgery doctors are exhausted paralyzed or tired to sudden illness, its physical condition must be very bad. In such a state, how can you stand up to the patients who have entrusted their lives to you? If you have to label a surgeon doing surgery for a long period of time, it would be more reasonable and apt to use the analogy of reasonably pushing one's limits.

Q: What do you do to nourish your inner peace when you're always dealing with bloody organs?

Answer: There are no two identical patients in the world, because even if the disease is the same, the body reacts differently. This is a source of stress for doctors. To be honest, the feeling is very uncomfortable. Every time you go home after surgery or sleep on the couch in the office, the only thing that allows a surgeon to sleep soundly is to be supported by the strong heart that was there before the surgery. Toughness is not born out of thin air, nor is it something that can be readily given to you by family members such as cigarettes, wine, wife and children, and certainly not sleeping pills, which are regular and normal data on the patient's cardiac monitor.

Q: You sewing surgical needles so fast that you can not see clearly, this kung fu is how to practice?

A: When I was studying, I installed radios and cameras, and when I became a family man, I installed houses, installed switches and repaired faucets and other things. The dexterity of these hands became dexterous in this way over time, and after taking the scalpel the fineness was further strengthened in surgery. Normally, I do a lot of surgeries, and this afternoon I did two more. Now, I can do everything from changing a tire to sewing. Hey, now that I'm getting older, if my physical strength allows it, I can still install a house by hand.

Q: Over the years, among the countless number of patients, who is still fresh in your mind?

A: There was a patient surnamed Cheng who suffered from hereditary osteochondroma. The tumor was huge and difficult to remove. A well-known tertiary hospital in the main city suggested going to Beijing for treatment. The patient chose another well-known tertiary hospital in the main city and was hospitalized for about half a month and was told that he could not do this kind of surgery and it was better to go to Shanghai. At that time, the patient's wife was pregnant and unfortunately became seriously ill. The couple had not been working long and had a low income. It was unrealistic to go abroad and finally found me. I led the team to successfully resect the tumor, but after the operation, it was found that the osteoma was malignant, which was the first malignancy in the patient's family.

Three months later, the tumor continued to grow, making a second surgery even more difficult. Xiao Chen was eager to live and see his son born. We successfully completed the second surgery after careful preparation. Currently, more than 5 years later, his tumor has not recurred and the family is very happy.

Q: My dream is also to be a surgeon, can you give some career advice?

A: Surgeons need to have comprehensive medical knowledge and a strong heart. Children, please remember this sentence, before becoming a surgeon, you should really think about whether you are suitable to be a surgeon? You should really love this profession and have the spirit of giving!