Come on, Dr. Wu

Chapter 141 % talent, % hard work

The morning meeting will continue.

Half an hour for the nurse and three minutes for the doctor. The morning meeting ended immediately and they were about to go for ward rounds. Wu Xiaofu directly grabbed Wu Qingting beside him.

"Brother Wu, are you interested in liver cancer resection?"

Director Zhang has no class today, and Wu Qingting is free. Wu Xiaofu wants to perform a liver cancer resection for Lan Mu, and he can't do it alone. Zheng Hua has just arrived, and Wu Xiaofu doesn't dare to bear too much of a burden, so he still needs to find someone who can help. It was a pleasure working with Wu Qingting last time.

Wu Qingting raised his eyebrows and looked at Wu Xiaofu with envy in his eyes.

They are all human beings, even younger than him. Look at them, the exit is to remove liver cancer. Now that he is going to have a gallbladder and appendix surgery, Director Zhang has to keep an eye on him. Wu Xiaofu is simply envious of someone who dies without paying for his life, but that’s just envy. , Wu Qingting now really admires Wu Xiaofu's ability.

The last time I was willing to help Wu Xiaofu, it was just for today. This is a great opportunity to learn. Wu Qingting knew that Wu Xiaofu had performed two liver cancer resections before. Director Zhang didn't even dare to say that he had this ability. Naturally, Wu Qingting I won't miss this opportunity.

"Okay, I'll listen to your arrangements later."

Get it done.

"Old Xiong, please make a bed. Our emergency room really can't accommodate the diseases you treat."

Wu Xiaofu's eyes twitched when he heard this. What could he do? Only my eyelids can move.

……

If a resident doctor of yours dares to make an appointment to have liver cancer removed, can he be assigned a liver transplant every day?
But facing Wu Xiaofu, Lin Shaoyuan could only sigh. At this age, he had never seen such a person with the qualifications to completely remove two liver cancers.

There was disinfectant hanging in the corridor of the ward, and Wu Xiaofu picked up a bottle.

"Who did the assistant find?"

A group of people rushed towards the ward in a mighty manner. The fat man Zheng Hua followed behind Wu Xiaofu. He had really good eyesight.

For example, if a department has no beds and is unwilling to accept emergency patients, the director is the director. Qiu Ying and the others can't say anything. At this time, it's time for Lin Shaoyuan to sell face.

Like now.

Ah!
Lin Shaoyuan looked at Wu Xiaofu with a somewhat complicated expression. Fortunately, Wu Xiaofu, the resident doctor, said that if it had been anyone else, he would have kicked him.

"Brother Wu and Zheng Hua will follow me later."

Duan Hao took the medical record from Wu Xiaofu, glanced at it a few times, and nodded. It was not difficult, at least it was not difficult for Wu Xiaofu. Compared with the two cases in Haining County, this one was definitely simpler.

"active."

Lan's mother was the patient they took in when they went to the countryside. Lin Shaoyuan naturally knew about it and knew a little about the condition, but he didn't expect Wu Xiaofu to follow him until now. Lin Shaoyuan was naturally happy to see this kind of thing happen. He didn't have to worry about the surgery or technique. Well, what else are there to worry about? Lin Shaoyuan also knows Wu Xiaofu's temperament. Wu Xiaofu will not do anything that is uncertain.

"Teacher Lin, Teacher Duan, this is a patient with liver ca. In situ, the right lobe of the liver is about 5 centimeters. We are preparing for surgery today. We have contacted the operating room and made preoperative preparations. It will start at half past nine."

The weekly ward round is when the directors check the ward. As the people with the greatest responsibility for the emergency department, Lin Shaoyuan and the others are responsible for every patient who enters the emergency department, discovering and solving problems in a timely manner, and Some problems that cannot be handled by the people below will be raised on Tuesday, and Lin Shaoyuan will be responsible for coordinating and solving them.

"Okay, call me if you need anything."

"How is the patient?"

The ward class last night was Qiu Ying, and she began to introduce them one by one.

"This is a patient who was hospitalized in a coma. It was caused by the elderly man not paying attention to controlling his blood pressure. After treatment, his blood pressure has been controlled, but his heart is affected. He is going to be transferred to the cardiology department for treatment today."

Arriving at Lan Mu, Wu Xiaofu hurried forward.

The direct transition to the next one was so simple that Zhu Yun and the others were a little unbelievable. Even if he took over a liver cancer resection patient, it wouldn't be that simple, right?

The image of Wu Xiaofu and him at the beginning came to mind. Well, just keep an eye on this kid since he was young.

Liu Wenyin secretly gave her a thumbs up, with one meaning in her eyes: You are awesome.

On the contrary, Peng Xia's face, who was following Liu Wenyin, changed a little. What joke of the century had he heard? If a resident doctor wants to perform liver cancer resection, he should still be the surgeon!

The most ridiculous thing is that both the director and deputy director agreed!

Afraid of hearing wrongly, he also took a look at the patient card. Yes, he was a liver cancer patient. At this moment, Peng Xia was really shaken. Did he really choose the wrong one? To be honest, sometimes it's hard to admit the excellence of others. Peng Xia did watch Wu Xiaofu's show, but just from those clips, he didn't think Wu Xiaofu was that good.

I'm afraid the show crew deliberately highlighted Wu Xiaofu in order to find a gimmick. After all, he is just a master's student, or a master's student from an ordinary university. How capable can he be?

Even Peng Xia thought that he was unlucky and was not selected during the resume audition. Otherwise, he would definitely be the one staying in the First Affiliated Hospital now.

For some reason, Peng Xia looked down on Wu Xiaofu, and felt a little competitive with him. He felt that Wu Xiaofu must have followed a different path.

Moreover, it is not just him who has this idea, there are many students who have this idea.

The term "civilian Xiangqing" is actually very suitable when used among medical students. However, today's incident somewhat broke Peng Xia's understanding. A resident doctor dared to perform liver cancer resection, which in itself proved a lot of things. He looked at it with cheers on his face. Zheng Hua, Peng Xia felt even worse. If he had not lowered his head at that time, he would have been the one responsible for the operation.

At this stage, what kind of treatment is it to be able to perform liver cancer resection surgery?

However, I thought for a moment, what if Wu Xiaofu failed? He really couldn't believe that a resident doctor could really perform liver cancer resection, maybe he was trying to be brave, yes, he was just trying to be brave.

The group continued to look at the patient, and Wu Xiaofu didn't even notice Duan Fei's envious and jealous expression.

What does Duan Fei think of Wu Xiaofu now? Why does he dislike it? You are both a resident doctor. Are you jumping a little too much? But it is hard for Duan Fei to be right with Wu Xiaofu now. Who doesn't know? , Wu Xiaofu is now a popular person in the eyes of the director of the emergency department. What happened to him last time has not yet passed.

If he is caught out again, he may not really have a job crisis, so he can only wait for an opportunity, waiting for an opportunity for Wu Xiaofu to fall from the altar.

operating room.

Lan's mother has already been sent in. Anesthesiologist Liu Wengui, patrol officer Xiaojin, and instrument Wu Xiaolin are all acquaintances.

In fact, it had been a month, and the people in the operating room were basically familiar to Wu Xiaofu. It was just that these three people had been on stage before, so they were more familiar with each other.

"Have you ever had surgery before?" Zheng Hua is a master's degree student, and he must have had surgery frequently. Hearing this, Zheng Hua nodded quickly, "I've always pulled the hook."

That's appropriate. When Zheng Hua came up this time, Wu Xiaofu wanted a hook.

This kind of abdominal surgery usually requires four people, but two people can do it. When there is a shortage of people, it can be done by four people, which is definitely a luxury. For example, in the emergency department, there are only three people at most, and most of the time it is two people. I did it personally.

"Mom, don't be nervous. It will be done after you sleep. It will be done quickly."

Perhaps due to nervousness, Mother Lan's body was trembling at this time. Wu Xiaofu shook Mother Lan's hand and comforted her softly. Faced with Wu Xiaofu's smile, Mother Lan relaxed a little, "Doctor Wu, I won’t be able to step down, right?”

This is a normal reaction. When someone goes to the operating table, no matter how minor the operation is, the patient's mind will be racing. All kinds of risks will fly by quickly, and he will directly fast forward to whether he will be unable to get off the operating table.

Some people always talk about death lightly, but when they actually face death, no one can avoid it.

"Auntie, don't worry, your children are still waiting for you to go back and take care of them."

child!

Lan's mother felt a little relieved when she thought of her grandchildren. Yes, she still wanted to save her life to look after the children.

Look at Liu Wengui.

"Teacher Liu, give me anesthesia for two hours."

Two hours!
Liu Wengui was shocked when he heard this. Wu Xiaofu really dared to say that liver cancer resection usually takes two to twelve hours. It is simpler and the boss can do it in two hours. But this is only removing part of the liver lobe. On the premise that blood vessels are involved and it can be cured across the board, Wu Xiaofu, a resident doctor, has an unusually strong tone.

But think about how neatly Wu Xiaofu performed surgery before. Well, he is really no worse than the big guys. Yes, listen to Xiaofu. Yes, at least it has been a month and we have cooperated so many times. I have never seen Wu Xiaofu slip up. Well, trust is accumulated. The faster Wu Xiaofu works, the more they like him.

The time required for liver resection varies from person to person and is related to various factors such as the specific surgical method and the doctor's operating skill level.

If the patient only undergoes liver lobectomy, and the doctor is experienced and has excellent operating skills, two hours is normal. The tumor location of Lanmu is indeed very good, and only part of the liver lobe needs to be removed. The scope of this surgery is Small, so surgery time is relatively short.

However, if the liver lobe is removed close to the porta hepatis or close to bile ducts, great blood vessels and other structures, the operation time will be relatively prolonged, and may take 3 hours or more.

If you want to perform hemihepatectomy, not only does it need to remove the liver, but it also involves bile duct reconstruction and intestinal anastomosis, so it will take longer. This is all when the doctor is good. If the doctor is inexperienced and has low surgical proficiency, , I really dare to run for twelve hours for the surgery.

Zheng Hua on the side also had his eyes wide open at this time.

For liver cancer resection, none of the teachers he taught before dared to say that it would be done in two hours. Wu Xiaofu is a urinary!
Zheng Hua silently raised his thumb. He knew that this time he really got it. His professional results were a little worse than Peng Xia's. He originally thought that after entering the hospital, he would definitely not be better than Peng Xia's choice. After all, he is a good doctor. I also like good students. Who would have thought that this thing depends on chance.

Wu Qingting didn't feel anything at all. Wu Xiaofu's confidence was based on successful cases, so it didn't matter.

"Wash your hands."

Wu Xiaofu drew a line and told Wu Qingting and others to wash their hands.

Wu Qingting and Zheng Hua disinfected and spread the drapes. Wu Xiaofu raised his hands and watched the film for the last time. He became more and more aware. Last night, he simulated the operation process in his mind more than once, and even the slight risks that might occur at any time were It was to consider it and think of a response plan to be prepared. Just like Lin Shaoyuan thought, Wu Xiaofu never fought unprepared.

Standing in the position of the chief surgeon, Wu Xiaofu felt calm in his heart.

Even the excitement of the first operation when he first joined the company calmed down. This may be Wu Xiaofu's biggest advantage. It is extremely important for doctors to be calm during operations.

The patient's tumor was located in the left lobe of the liver.

"Scalpel."

Lifting the knife to cut the thread, a familiar feeling came.

The starting position of the knife is about 0.5 cm to the left of the median liver fissure. This position is often used for left lobe surgery. The knife is cut from here without harming the patient's liver, especially for patients with hepatomegaly like Lan Mu. The position is The choice must be rigorous, not only for tumors, this position is also suitable for some patients with liver cysts, intrahepatic bile duct stones or some biliary bleeding.

The opening is five centimeters.

When it comes to surgery, the smaller the incision, the better. If it were the first time for liver cancer resection, Wu Xiaofu would not have dared to perform such an operation. After all, the patient's tumor was only five centimeters, but now Wu Xiaofu has this confidence.

Wu Qingting's eyelids jumped as he watched Wu Xiaofu put down the scalpel.

Isn’t this mouth a little small?
However, Wu Xiaofu didn't say anything when he had his gallbladder removed last time, and even less so this time. After all, Wu Xiaofu performed a blind gallbladder removal for him last time.

Wu Qingting started electrocoagulation to stop the bleeding. The retractor retracted the surgical opening, and the retractor was given to Zheng Hua to assist and absorb the smoke.

Facts have proved that once the location is selected, the lesions are clearly visible.

Even though this is not the first time to see liver cancer lesions, every time I see it, I will frown unconsciously. To be honest, Wu Xiaofu used to like eating offal. Most people on the grassland would make offal from time to time. Wu Xiaofu is also an expert at making sweetbreads. However, after undergoing liver cancer surgery, Wu Xiaofu said that eating it is not a must.

Recalling the patient's imaging examination in his mind and comparing it with the lesions in front of him, Wu Xiaofu once again had a familiar smile on his face.

"Vessel Blocking Band."

coming!

Wu Qingting perked up and began to watch Wu Xiaofu's operation. This hepatic portal block was definitely a magical skill for surgeons. Wu Qingting had been coveting it for a long time, and he wanted to learn it even in his dreams.

However, Wu Xiaofu did it very quickly, and Wu Qingting could barely read 70 to 80% of it, and his brain showed that he was almost good at it, but it was just his brain.

"Atraumatic forceps, hemostatic forceps..."

I have a plan in mind, just like copying my homework, and I really feel like I am a god when I strike.

Wu Xiaofu's movements were so fast that Wu Qingting and Zheng Hua felt a little dazzled. They even wanted to shout: Brother, slow down, those are blood vessels, hey, those are lymphs, don't dare to cut like this.

But before they could shout, Wu Xiaofu had already finished handling it.

The operation was like fast forwarding at double speed, and it had already reached the stage of clearing the lymphatic membrane.

Wu Qingting is a half-genius and half-hardworking type. His doctoral supervisor told him that medicine actually relies on talent. He said that the top doctors are basically 90% talent and 10% hard work. Wu Qingting didn't believe it at first, but after seeing After Wu Xiaofu, he believed it.

(End of this chapter)