Come on, Dr. Wu

Chapter 124

What a perfect start?
  Is this kid too smooth? It’s not okay for young people to be too smooth.

"Wait a minute, teacher, don't think that young people can't go too smoothly, and make it more difficult for Xiaofu. It's not easy to meet a genius, and then let you make it more difficult."

Duan Hao knew this teacher's temperament.

He was also a genius at the beginning, but Yu Shifu felt that young people couldn't go too smoothly, so he insisted on making it more difficult for him. First, there were difficulties in the subject, and then he arranged for people in the hospital to give him more difficulty. When you perform a difficult operation, you ask your colleagues to cause trouble for him. During the operation, he is asked to be an assistant. During that time, he felt like he was sick of being an assistant. He even gave up his face in order to get a main surgeon.

Later I found out that it was Yu Shifu who had done this. He lived a good life in the hospital and gave him a living legend about the harem.

Duan Hao didn't want Wu Xiaofu to follow the same old path, although he felt that with Wu Xiaofu's late-stage social disorder, these things didn't seem to be difficult.

"What are you talking about? What are you talking about? Didn't I tell you all the time? Isn't that to train you and train your business skills?"

"Can't watch it yet."

"Okay, now that you have grown up, you dare to lose your temper with me, your master."

"I pinched it, and my hands were sore."

"No, look."

At the critical moment, Yu Shifu felt that it was more important to see how this new disciple cut his liver. As for Duan Hao, he could just fight later.

The screen was pointed at the surgical field again, and Yu Shifu could also see that although Wu Xiaofu was a little random, the direction of the knife was still consistent with the direction of a lesion.

Cancer lesions actually start from a cancer cell.

After infinite division, the organs are infiltrated and lesions begin to form. At the beginning, it is a cancer cell, and subsequent lesions also start with this cancer cell as the center. Although there are also long and eccentric lesions, liver cancer lesions are basically They are round or oval in shape and rarely grow irregularly.

Wu Xiaofu is now drawing a circle and cutting the lesion downward.

However, is this really a dare? He was very cautious in everything he did. Wu Xiaofu felt that the rhythm and frequency did not change. He was so confident.

People like Wu Xiaofu belong to high-profile doctors.

"Send for inspection."

A piece of liver the size of a goose egg was put into the tray by Wu Xiaofu. After giving instructions, the inspector hurriedly took the piece of liver to be sent for inspection.

Wu Xiaofu started to deal with the bleeding points as usual, but Yu Shifu couldn't sit still.

At this time, Yu Shifu was in the bathroom. He was originally having a meeting, which was boring. Don't be surprised. People of Yu Shifu's level also played with their mobile phones during meetings. Even during meetings, that was when they had the most leisure time. , no, Duan Hao sent a message and replied immediately.

During the video, Yu Shifu even excused himself to go to the toilet and came out directly.

He didn't expect that this video would be so long, and it was something that he actively requested not to end. Now when he was waiting for the test results, he felt like he was constipated.

Looking at Wu Xiaofu's calm and leisurely way of dealing with the bleeding spots, he even wanted to hit him.

You've also had your blood vessels ligated, so I'll give you what you can.

Unfortunately, as we all know, it is impossible for people on the screen to jump out of the screen and hit them.

"Clear edges."

call!
  Everyone breathed a sigh of relief and looked at Wu Xiaofu with admiration in their eyes.

One may be a coincidence, but the two are different. Two times, both are perfectly removed. At this age, it is a rare occurrence in a thousand years.

Are they watching an operation?

No, they are watching a medical superstar rising.

Duan Hao was amazed in his heart. Yu Shifu was finally no longer constipated, but his face looked a little weird. This was a real treasure.

"Lao Yu, did you fall into the toilet? The meeting is over. I'm going to catch you with an ear spoon."

A voice appeared in the toilet, and Yu Shifu quickly turned off the video and walked out.

"Get out of here and take pleasure in me, right?"

Seeing Yu Shifu coming out, the chief surgical director of the city hospital also laughed, "You guy, I know you came out to hide and relax, but this time it is really boring, but you can stay like this in the toilet It’s been bad for a long time, are you constipated?”

"Hmph, do you believe me when I say I found a baby in the toilet?"

baby!

Duan Hao watched Yu Shifu hang up on his own initiative, and also put away his phone. Watching Wu Xiaofu start to finish, he had mixed feelings in his heart for a while. Wu Xiaofu's growth rate is a bit scary. This time, Wu Xiaofu was originally cultivated with the gallbladder appendix. , the result was good, the liver cancer was directly removed.

What will happen after this? What if Wu Xiaofu asks for something else? If Wu Xiaofu dares to do it, he may not be able to get it.

There are quite a few cases, but the hospital has to agree.

His eyes fell on the director of the county hospital, and perhaps these cooperative hospitals.

Outside the hospital.

"Why don't you stay one night before leaving? You have to have a meal anyway!"

"There is still something going on in the hospital. We have to rush back as soon as possible. Okay, you all can go back and contact us next time."

In the car.

Wu Xiaofu was still thinking about asking his junior brother to drive, but Duan Haofei refused to let him go, saying that it was a one-day operation and he didn't dare to let him go because it would cost his life.

In fact, he was still concerned, Wu Xiaofu felt clear in his heart.

When we went back, it was already evening.

Wu Xiaofu was sent to the apartment by Duan Hao, and then left by himself. Wu Xiaofu looked at the running shadow and had to sigh, our full-time driver is the executive deputy of the emergency department, who can compare?

"Brother Fu, what's going on?"

When he didn't come back yesterday, Yu Xiaoze and Jia Yu asked Wu Xiaofu what was going on. After all, Wu Xiaofu didn't work the night shift. Wu Xiaofu just said he was leaving the hospital. When he came back, Yu Xiaoze and Jia Yu couldn't suppress their gossip souls. When he saw Wu Xiaofu coming back, he quickly sandwiched Wu Xiaofu on the left and right.

"Throwing knife?"

The two of them were stunned. Did Duan Hao take Wu Xiaofu to throw a knife?
  How to compare? Can it be compared?
  They are all assistants here, and they are happy to be able to cut threads and sew skin for a long time. Wu Xiaofu is better off, he just does the surgery by himself in the First Affiliated Hospital, and then they go to the flying knife. It is really infuriating that people are more popular than others. .

Seeing the two of them like this, Wu Xiaofu still felt that he should not tell anyone about his surgery, otherwise, they might not be able to sleep tonight.

The next day.

It was already Friday. In the park, Wu Xiaofu was running when he met Qu Ying.

Looking at Qu Ying's complicated eyes, he was stunned for a moment, "What's your expression? We haven't seen you for two days. Do you miss me?"

Qu Ying sighed, "Xiao Fu, I have also heard that surgeons, perhaps because of high pressure, have some ways to relieve stress, but you have just started working, so you can't be led astray. I heard Yu Xiaoze say that you stayed up all night."

ha?
  Wu Xiaofu immediately understood something, what a way to release stress, it was quite tactful.

It’s really hard to laugh or cry, this can all be misunderstood.

"What are you thinking about? Teacher Duan and I went to the cooperative hospital for surgery."

Ah!
  That's it!
  Qu Ying was startled when she heard this, and then she felt a little embarrassed. She had been doing it for a long time, but it was a mistake. Fortunately, she had been worried for two nights, and she was afraid that Wu Xiaofu would be swept away.

"Do not laugh."

Seeing the evil smile on Wu Xiaofu's face, Qu Ying hurriedly said, she also came for a run yesterday just in case she bumped into Wu Xiaofu, but she ended up making a big red face again. "I'm going to have breakfast, you can keep running."

After saying that, Qu Ying left as if running away.

This day was still a day spent in surgery. Liu Wenyin's surgery was carried out for a whole day by two people and one person at a time. It was all for the appendix and gallbladder, and it was almost not difficult.

It's just that Liu Wenyin was a little surprised. After not seeing him for a few days, Wu Xiaofu had practiced some magical skills. He had made too much and too fast progress.

Wu Xiaofu didn't know what Liu Wenyin was thinking. In the blink of an eye, the third week of their internship was coming to an end. Because of the program, their internship period was only one month. That is to say, after this week, there will be another week next week. This internship is about to end completely.

By then, the final results will be known as to who will stay.

Saturday morning.

The assessment came as scheduled.

In the practice room, Xiong Hongye, Lian Jingwei, Zheng Xinxue, and Lin Shaoyuan were the chief examiners, watching Wu Xiaofu and the others perform operations.

Each person selects four operational contents and performs the operations, and four teachers grade them on the spot.

These operations include simple chest puncture, lumbar puncture, bone puncture, incision and suture, etc.

There are also complex laparoscopic operations, cranial microscopic operations, cardiac interventional operations, etc.

Although it was a draw, after seeing Yu Xiaoze draw two simple contents and two complex contents, Wu Xiaofu and the others knew that it must be two to two. How could it be such a coincidence? This must be a secret operation. Four Wu Xiaofu thought it must be them. The first two boxes contained notes with simple operations, while the last two boxes contained notes with complex operations.

Yu Xiaoze and the others are almost regular visitors to the practice room this week. In fact, not only this week, but also in the previous two weeks, they also practiced in the practice room.

It can be said that except for Wu Xiaofu, who practices practice, Yu Xiaoze and the others can only practice their skills in the practice room as much as possible.

After all, the teachers have said that if you don't practice your skills well in the practice room, how can you get surgery.

But some people practice directly on real models! It's such a double standard, but we don't dare to say it, and we don't dare to ask it either.

Yu Xiaoze was the first one to stand up. During the last outpatient assessment, he laughed at Wang Junsheng for being the first to go up. The result was not good, and he was the second one. This time, it was even more unlucky. The lottery was drawn, and the number one lottery was directly It’s him, it’s hard, I’ve never been so accurate when buying lottery tickets.

He didn't even get the first place in the exam, so he got the first place in the lottery. Facing the looks of four teachers, he felt even more stressed.

Forget it, die early and be reincarnated early.

Even so, it is still very stable to operate.

Yu Xiaoze's first operation was to penetrate the heart.

That's right, it's cardiac puncture, the full name is pericardial puncture. People usually hear about chest puncture, abdominal puncture, lumbar puncture, and bone puncture. These four major punctures are the content of the medical examination, and they are basically familiar with it, but Yu Xiaoze He never expected that this time he would win the lottery. He seriously doubted that this was not a lottery, but a designated operation under the guise of a lottery.

What a coincidence!
  He was a cardiologist, so he just wanted to perform a pericardiocentesis. Luo Fei didn't believe it if there was nothing wrong with it. Luo Fei was already thinking about the pericardiocentesis.

Pericardiocentesis is a diagnostic and treatment technique that uses a puncture needle to directly penetrate the pericardial cavity. Like the other four major punctures, it must be performed under aseptic techniques, with local anesthesia of procaine. The puncture site should not be too deep to avoid puncturing the atrium. , ventricle or puncture of the coronary artery causing massive hemorrhage in the pericardial cavity.

Well, compared to the other four major punctures, pericardiocentesis is indeed very risky. Some small hospitals, for example, basically do not carry out this technology, and no patient is willing to do such a dangerous operation. This is a heart attack. Ah, when doing it, the consent form signed is no less than the number of pages for interventional surgery, or even more.

Of course, it must be done, and pericardiocentesis is still very helpful in diagnosis, especially for patients with pericardial effusion.

Patients with pericardiocentesis can understand the nature of pericardial effusion by testing the fluid in the pericardial cavity, and identify the cause of pericarditis based on the nature of pericardial effusion. Although there is a certain risk, if the operating procedures are strictly followed and carried out carefully, it is still possible. A relatively safe method of diagnosis and treatment.

Whether it is done or not and whether anyone is willing to do it is another matter, but the cardiologists in the First Affiliated Hospital all need to master this technology.

Yu Xiaoze was naturally no exception. During this period, he was also practicing.

Although it seems that this first operation is more difficult, Yu Xiaoze is still in good condition. Even on the model, Yu Xiaoze controls the depth and sequence very accurately. Zheng Xinxue has already begun to nod, Wu Xiaofu He also lamented in his heart that no matter how good his surgery was, he might not really do better than Yu Xiaoze and others in the exam now.

There can't be any slack.

“What are the indications for pericardiocentesis?”

coming.

During the assessment, there is no need to ask questions. The feeling of déjà vu coming to the medical examination is coming, and Yu Xiaoze has been prepared for it. Fortunately, this was something he just reviewed yesterday.

"Determining the nature of pericardial effusion, relieving cardiac tamponade, treatment of pericardial empyema, and preoperative judgment of pericardial fenestration."

"Any more?"

Yu Xiaoze's breath was different. After answering the questions, what he was most afraid of was the teacher asking if there was anything left.

When the teacher asks, there are two possibilities. One is that it is true. This question is giving you the opportunity to answer again and maximize your points.

Another possibility is a habitual question, but who knows why Zheng Xinxue is asking now. Yu Xiaoze suddenly felt unconfident. This is what is written in the book.

Yu Xiaoze wanted to say no, but he was afraid that there would really be something left, so he hesitated.

Think hard, think hard, but as soon as he thinks about it, the ongoing pericardiocentesis operation will be easily affected.

The movements obviously slowed down, and Yu Xiaoze's level obviously did not support his subconscious operation.

"Gone."

Yu Xiaoze also quickly realized this, and quickly answered no more. He was operating here to quickly regain the lost rhythm.

"Cardiac amyloidosis, do you need a puncture?"

Cardiac amyloidosis!
  Yu Xiaoze's hand movements froze. This was not written in a textbook, but on the knowledge on the road to medicine.

Amyloidosis is a pathological manifestation that appears more and more frequently in modern medicine, mainly due to in-depth research on genes. Most amyloidosis is caused by genetic changes, not only cardiac amyloidosis, but also amyloidosis. Amyloidosis may occur in the intestines, liver, etc.

And it is irreversible, but amyloidosis in the heart is sometimes not visible through ordinary examination methods, let alone its nature, so pericardiocentesis can come in handy. However, those who are willing to do this are really Not much, after all, no matter whether there is a genetic lesion or not, treatment must be started when a genetic lesion is confirmed.

No one wants to risk pericardiocentesis, and most patients are not very receptive to pericardiocentesis.

But the First Affiliated Hospital is implementing it. Last week, Yu Xiaoze heard Zheng Xinxue mention it, but it turned out that he had completely forgotten it. Now, wouldn’t this mean deducting points? Thinking of deducting points, Yu Xiaoze’s heart became even more confused. The rhythm of this operation It's a complete mess.

Everyone was immediately shocked.

Not only are they testing their operations, but they are also given increased intensity and psychological tactics to influence their mentality. We must be vigilant about this.

Everyone hurriedly started to prepare mentally. The points for answering the questions were small. The focus was still on the operation, especially Yu Xiaoze. In fact, it was enough to answer the questions before. If there were problems with the operation due to this influence, then it would be a small gain. , you may be deducted more points.

Wu Xiaofu could almost see the four teachers laughing, it was definitely intentional.

However, it is also understandable that the surgeon is very likely to be influenced by the outside world when performing surgery. Therefore, if you want to become a qualified surgeon, you must have strong psychological quality and practice not only skills, but also It also has to be psychological quality.

It doesn't matter if you lose points now, but it will be troublesome if the patient loses his life in the future.

Yu Xiaoze was affected after all. At the last moment, he forgot to tell the patients what they needed to pay attention to after surgery. This was an unfair deduction.

However, the four teachers didn't give him a chance to think about this, and they just went to the second operation.

Do an electrocardiogram.

After drawing this, Yu Xiaoze breathed a sigh of relief. He always felt that he was doing simple operations, but the difficulty was hellish.

Electrocardiography is also a skill that cardiologists must master.

Don't look at the fact that nurses now perform electrocardiograms in almost every department. That's just because the operation is simple and letting nurses do it can save doctors most of their time. But if they really encounter difficult problems, doctors still have to do it themselves. Patients perform electrocardiogram operations to observe real-time conditions. In some emergency situations, nurses are not just accessories. You can't always bring a nurse with you.

Don't look at it as simple, it's a very knowledgeable thing, but it's not really just a few positions, just put the electrodes up and operate them directly.

(End of this chapter)