Come on, Dr. Wu

Chapter 186: Giving patients the right to choose

Saturday.

This is the day when Wu Xiaofu’s hepatobiliary clinic opens for the first time.

After getting up in the morning, Wu Xiaofu took a look from his backstage. Since it was his first time to visit a doctor, there were only sixty numbers allocated throughout the day. The numbers were allocated three days in advance, but now all of them have been called out.

The number is empty!
Wu Xiaofu was also a little surprised when he looked at the outpatient clinic number that had been vacant. Although the hospital opened this outpatient clinic to Wu Xiaofu according to the scale of the specialist clinic, Wu Xiaofu's professional title was listed here. When the patient saw his resident physician title, It should be daunting.

He performed the first laparoscopic extended radical resection of gallbladder cancer, but now it is still being carried out between hospitals. Ordinary patients probably don’t know about it yet. Or rather, the outpatient clinic of the First Affiliated Hospital is so awesome. Look at it. Looking at the situation in other outpatient clinics, Wu Xiaofu felt that he might have thought too much.

Some of the outpatient clinics opened by the attending doctors were also canceled.

Or was it simply because it was difficult to apply for the No. 1 Affiliated Hospital and no one else could be assigned, so he was assigned the call?
Without thinking too much, he gathered his mood and headed towards the third floor where the outpatient clinic was located.

Although the number of outpatient clinics in the First Affiliated Hospital is usually one hundred per day, it is really a tiring pace. Even sixty numbers are enough for Wu Xiaofu to deal with.

The outpatient clinic starts at eight o'clock, and until twelve o'clock, it lasts four hours, two hundred and forty minutes, thirty numbers, and one number only lasts eight minutes.

It is definitely enough for ordinary patients, but for slightly more severe patients, this time may not be enough.

When we arrived at the outpatient clinic, the visiting nurse had already opened the clinic.

And outside the clinic, there was already a long queue.

"Come on, give me a moment."

Seeing that the door had been blocked, Wu Xiaofu hurriedly said that although there were nurses making arrangements for the outpatient clinic every day, the force was not that strong and it had to be done voluntarily. No, patients should still block the door.

"Young man, the doctor isn't here yet. There's no point in squeezing through. Just wait in line at the back."

Ah!
Wu Xiaofu was also stunned. He was being treated as a patient. He quickly pointed to the photo on the electronic screen and said, "I am the doctor. Come on, let me go in first."

doctor!

Everyone couldn't help but be stunned, this turned out to be a doctor! At such a young age, can I see a doctor?
Yes, many of them were indeed unable to get a specialist account, so they were linked to Wu Xiaofu. In the backend of the hospital’s public account, Wu Xiaofu’s account was shown as a special outpatient clinic, but the registration fee was similar to that of a regular account. This made many people I'm interested, but I can't register with other experts, so why not try this one.

Wu Xiaofu might not even know that he was being tested.

Just seeing that Wu Xiaofu came so early, I was even more sure that Wu Xiaofu was a mixed bag. Among those big experts, who didn't say they would open the clinic at eight o'clock? I'm a free man, don't I need to do ward rounds?
However, after hearing Wu Xiaofu's words, the patients still got out of the way. Wu Xiaofu was finally able to enter the clinic this time, plug in the key, and prepare to call the number.

"Boss!"

At this moment, a familiar voice sounded. Wu Xiaofu looked up and saw that it was Peng Xia.

"Hey, why are you here?"

Peng Xia glanced at the opposite side of Wu Xiaofu. Sure enough, there was no one there, and he immediately became happy, "Boss, I didn't just want you to go out to the clinic. I don't have any classes, so I just came here to study."

After saying that, he entered the consulting room and came to the opposite side of Wu Xiaofu.

Wu Xiaofu also laughed when he heard this. Otherwise, this kid is smart. After letting go of his pride, he can do everything online.

Wu Xiaofu didn't tell anyone about his outpatient appointment today, and Zheng Hua probably didn't necessarily know about it. Peng Xia noticed it first and rushed over to help. Well, there is a future.

"Okay, if you help me, it will save me some effort."

Huh! This little doctor is so impressive that he even has a resident doctor! He can still be the boss! Could it be that there really are two brushes!
When the patients saw Peng Xia's behavior, they immediately hesitated. He looked like an expert.

"Dr. Wu's medical skills are amazing. His surgeries are even better. I was the one who performed them. Now, I'm here for a review."

Finally someone in the crowd spoke.

Some of Wu Xiaofu's previous surgical patients were due to return for follow-up consultations. When they saw Wu Xiaofu out of the clinic, they happened to register.

No, with these patients speaking out, Wu Xiaofu's situation was finally suppressed.

Wu Xiaofu clicked on the buzzer.

"Okay, close the door. Whoever I call later will come in. There are also lesbian patients, so privacy is still important."

When the family members of Patient No. 1 heard this, they immediately closed the door. Yes, they listened to the doctor and protected privacy.

Patient No. 1 is an old lady with a slightly yellow complexion.

Although Hua Guo is a yellow race, the natural yellowness of the skin is obviously different from jaundice.

Moreover, the complexion of patients with jaundice is drier, which is also a big difference, and the pathology is still obvious.

When the patient came in, he was still holding his stomach. He was only sixty-nine years old. He probably wouldn't be able to walk without support. His movements were obviously hindered, and his abdominal pain was naturally severe.

"Come, sit down, put your hands up, yes."

Wu Xiaofu asked the patient to sit down and put his hand on the pulse pillow he brought.

Wu Xiaofu has never fallen behind in diagnosing the pulse, and is getting better and better. Wu Xiaofu is also planning to publish a book in the future. However, he still needs to accumulate experience in the clinic. This specialist clinic can be said to be just in time. The patients are more specialized and it will be easier to borrow later. This improves the ability to diagnose pulse.

"What's wrong with you?"

When the old lady heard this and was about to open her mouth, her daughter who came with her immediately grabbed the right to speak.

"Doctor, my mother has been having stomach pains for a year or two. She was diagnosed with gallbladder stones before. However, she is almost 70 and doesn't want to do surgery anymore, so she just treated her conservatively. However, during this time, the pain became more and more severe. It’s amazing. This week, my face has turned yellow, I have a fever, and my stools have turned white. I didn’t think it was going to work, so I came to the hospital quickly. Doctor, please help me, if it doesn’t work, let’s do surgery.”

The patient's daughter was immediately impatient and spat out her words like beans.

Wu Xiaofu looked at the patient and saw him nodding, and he knew it. Pain is caused by blockage, and pain is unavoidable when stones are blocked in the gallbladder.

But the fever, jaundice, and changes in stool cannot be explained only by gallbladder stones.

Combined with the pulse, it was basically bile duct stones.

I didn't feel any signs of depression, which was fine.

"Come, lie here and let me check."

Consultation and physical examination are indispensable. If you are an experienced expert, you may really be able to skip this set of procedures and just place an order for an examination based on experience. But Wu Xiaofu has just opened a specialist clinic, so he cannot get used to it. With this kind of care, there are only thirty numbers in one morning, and you can still see it, so you need to be meticulous.

The tenderness, rebound tenderness, and muscle tension are all in the right locations, and no other injuries were found during physical examination. The probability of diagnosis is actually over 90%, not to mention that he had gallbladder stones during previous examinations. No need to think too much.

Sit down again.

"The preliminary diagnosis is bile duct stones. In this case, surgery will definitely be required. Do you want to check first and then be hospitalized? Or check after hospitalization."

The patient's daughter just said that she wanted to have surgery directly, and Wu Xiaofu didn't ask any more questions. However, whether to check and confirm the diagnosis first, or to check after hospitalization, we have to ask the patient's opinion. According to the routine, we should actually check first. Yes, but Wu Xiaofu felt that it was really unnecessary, because he would have to be hospitalized whether he wanted to be examined or not, and it would be easier to be hospitalized for examination, so it would be better to make it more convenient for the patient.

Now, if a color ultrasound is performed in the First Affiliated Hospital, if the emergency department is not opened, the appointment will have to be made a few days later.

The patient's situation is really not suitable for delay. In fact, bile duct stones are very afraid of procrastination. If the stimulation time is too long, the probability of the emergence of bile duct cancer lesions is still very high.

"I can be hospitalized directly! Thank you, doctor, for hospitalization. I can be hospitalized directly for examination."

The patient's daughter was obviously a sensible person and immediately requested hospitalization. Wu Xiaofu also smiled and signaled to Peng Xia, who was about to finish recording the case and issue a hospitalization order.

In fact, whether to check first or to be admitted first depends on the hospital and the situation.

If you are in a small hospital, you must check it first. After all, if you have a serious illness that cannot be treated in a small hospital, you must come to a big hospital. If you are hospitalized, you have to be discharged and then admitted to the hospital. Trouble, it is more convenient to check first.

But this situation does not exist in the First Affiliated Hospital. If you can't even see the First Affiliated Hospital, you will have no choice but to go abroad.

Then there is the situation of hospital beds. Sometimes they are not admitted directly. To a large extent, the hospital beds are limited and require coordination. However, here, Wu Xiaofu is very different. He can now receive admission into two wards, the emergency ward and the hepatobiliary hospital. Wu Xiaofu has already greeted Wu Xiaofu in both wards of the Pancreatic and Spleen Surgery Ward, and will reserve beds for Wu Xiaofu, so there are plenty of beds.

He has confidence in his own surgical ability and confidence in his bed space. When the two are combined, he dares to accept patients that other experts don't want to accept. He also dares to accept patients that other experts dare not accept.

"next."

In fact, the overall examination time for this patient was less than five minutes. If Wu Xiaofu dismissed the patient with a checklist, the patient's daughter would probably have to yell at him twice because of his short temper. A young doctor has no human rights, but It's different now. I was admitted directly to the hospital and I was absolutely satisfied. After I left the hospital, I was all smiling. The other patients I saw were filled with joy.

It came out so quickly and you are so happy. Is this a good result? Or can the doctor speak?

The second patient came in quickly.

In fact, experienced doctors can get a lot of information from the first glance of a patient during a consultation.

For example, there is a big difference between the yellow and yellow complexion of patient No. 1. The yellow complexion of liver disease is related to metabolism and makes it appear darker. This is a serious manifestation of lack of energy and spirit. This kind of manifestation makes the doctor recognize it almost at a glance. It can be determined that he has entered the decompensation stage of liver disease.

The body can no longer effectively regulate the liver and can only watch the liver decline until it loses its function.

And all doctors can do in many cases is to maintain treatment for patients so that the decline can be slower.

Having a slightly bigger belly but a thin body is also a major feature of liver disease. A big belly is not fat, it is just due to poor metabolism, hepatosplenomegaly and water accumulation.

Walking is more difficult than the old lady in front of me. The old lady in front of me is unsteady just because of pain. This woman is obviously suffering from fatigue.

"sit."

If you take a pulse, you will find that the pulse of liver disease is more obvious than that of biliary tract disease.

"Why are you feeling uncomfortable?"

Wu Xiaofu had actually seen the patient's previous medical records from the system. He had chronic progressive liver disease caused by industrial poisons. It had been almost five or six years until now. He had been treated and kept getting worse, until he was in the decompensated stage of cirrhosis.

The liver is used to detoxify, but many people actually poison their liver.

For example, when you are engaged in agricultural work, you can apply pesticides without any protection. You can be in a field full of pesticides, allowing the pesticides to volatilize from the ground surface, evaporate from the air, and then enter the respiratory tract and the body, causing the liver to bear an unbearable toll. It hurts. In fact, the human liver is still very powerful.

Just once or twice, or just a few times a year, the liver can take care of it for you.

But if you keep doing this for a long time, every day, not to mention human liver, even bear liver can't bear it. This is the case for the patient in front of me. Today, it seems that it is already too late. All we can do is review it regularly and adjust the medicine regularly. The ascites was drained regularly and maintenance treatment was carried out. I really waited until the day when my liver could no longer hold on anymore, and then I thought about liver transplantation.

In fact, this is not only the only way for the patient in front of me, but also the only way for most patients with liver disease.

Supportive treatment is to make up for whatever is missing, and to make up for whatever is missing.

The next step is to reduce the pressure on the portal vein to prevent the blood vessel from bursting, causing internal bleeding and affecting life.

Then for other things, it seems that there really aren’t many solutions.

"Doctor, I've been very flustered recently, and I can't sleep well. It's time for a reexamination, so I just came to check on you."

Palpitation is also a very typical symptom of patients with liver disease. It does not mean that there is a big problem with your heart, but it is the cause of the compression of ascites.

For patients with this kind of chronic and persistent disease, Wu Xiaofu could not do much. He prescribed examinations and re-examinations mainly looked at liver function. Enzyme lowering was also an important part of supportive treatment.

The next thing to look at is the condition of ascites, which needs to be checked.

This is a set of procedures that both patients and their families are familiar with, so it doesn’t matter who they call. Let’s listen to a few words of reassurance and go for an examination. After the examination, it is estimated that the patient will not come to Wu Xiaofu again. He will definitely have to He called the chief physician he had been seeing for a review. After Wu Xiaofu determined that the patient would not deteriorate too much, he prescribed a check-up for the patient.

There were two gallbladder patients behind Wu Xiaofu who were undergoing reexamination. They came over when they saw Wu Xiaofu coming out of the clinic.

All are recovering well.

"Dr. Wu, I'm so happy to see you become an expert."

Listening to what the patient said before leaving, Wu Xiaofu couldn't help but laugh or cry. This was like an old father looking after his son.

But if the patient is happy, he is happy, and it doesn’t matter what he says.

The liver and gallbladder clinic focuses on gallbladder stones and chronic liver diseases, and this was the case for 17 visits.

It was not until the eighteenth day that Wu Xiaofu saw his first case of gallbladder cancer.

"Doctor Wu, we are from Xijing. You must save my mother."

Ah!
Wu Xiaofu looked at the patient's family and said, "Rescue" is a bit exaggerated in the hospital, but if one day this word comes out of the mouth of the patient or the patient's family, then the patient's condition will really be critical. To a certain extent.

"Don't worry yet. You should have checked it out. Let me take a look."

The patient is actually only fifty-six years old, but he looks like he is sixty or seventy years old. Cancer is a wasting disease, which consumes a lot of money on the patient's body. The level of aging that ordinary people experience in one year has reached a cancer patient. , it may be three years, five years or even more.

Terminal gallbladder cancer!
Looking at the checklist, Wu Xiaofu was also shocked, but he did not dare to frown. As soon as he came in and asked him for help, he must have come because he knew his reputation. It is possible that he was treated as a life-saving straw. Needless to say, the patient He and his family members were all paying attention to Wu Xiaofu at this time. A small action may cause big fluctuations in the mood of the patient and his family members.

It has only been a month since the onset of the disease for the patient in front of me, but when it was discovered, it was already in the advanced stage.

Gallbladder cancer is called the king of cancers. It is not without reason. It is highly malignant and has a high chance of early metastasis. Many people already have early metastasis when they are first discovered, especially the chance of metastasis in the bile duct and liver. This is the case for the patient in front of me. Not only the gallbladder, but also the bile duct and liver have been delayed.

The left lobe and right lobe of the liver are involved. If you perform surgery, you can only remove the entire liver. What does that mean? It means liver replacement.

You can't really perform liver transplantation at the same time as radical surgery. It doesn't matter whether there is a liver for the patient to replace, but the patient's body may not be able to withstand it.

Radical cholecystectomy plus liver transplantation takes at least ten hours, and extracorporeal circulation is required during liver transplantation.

Considering the patient's physical condition, the risk is extremely high.

The most important thing is, given the patient's condition, how long can he persist even after surgery, and how high is the chance of recurrence?

Extremely high!

Based on the patient's current situation, without surgery, he may still have a year to live at most. This is still the result of radiotherapy, chemotherapy and supportive care. Sometimes doctors think it is cruel to give patients three months, but most of the time, even these three months Months were also spent in pain and torture.

For surgery, the chance of being able to get off the operating table is probably less than 10%.

After a successful operation, the three-year survival rate is probably only 10%. This is why many patients are not suitable for radical surgery at an advanced stage.

The returns are too low and the risks are too great.

When doctors face terminal patients, they almost always persuade them to undergo conservative treatment. However, patients and their families obviously do not want to undergo conservative treatment, but want to undergo surgery to gain a chance of survival rather than just a few months.

Even if it's just one more year.

However, I just don’t know whether this is what the patient wants or what the patient’s family wants.

There is a saying that Wu Xiaofu firmly believes that doctors are not gods. Gods can decide a person’s life and death, but doctors cannot. Doctors and patients only have a cooperative and trust relationship. When facing patients, doctors only need to discuss the medical plan and its pros and cons with the patient. Make it clear that it is up to the patient and their family members to make the choice.

The patient obviously knew about the condition, so Wu Xiaofu no longer kept anything secret.

"Surgery is possible, but at the same time as radical resection, liver replacement is also required. There are two problems: the source of the liver and whether the patient can bear the risks during the operation. The patient is still young, but I can't guarantee that it will be successful. I can walk off the operating table, and I still have a liver source. If I want to do it, it can only be a living donor liver transplant. Is there anyone in your family who is willing to do the matching? "

There is basically no need to think about waiting for a liver source. People who wait for three years cannot wait, let alone the patient in front of them. Moreover, the liver sources waiting for them are generally relatively rejection-prone, and the patients will have to endure cancer pain. , if you still have to resist the rejection of the liver source, your body will not be able to hold on for long. Only close relatives can match the liver. Because the liver source is closely related, the rejection will be relatively small.

Of course, there is another reason, that is, even if it is surgery, Wu Xiaofu is prepared to use laparoscopy.

That’s right, it’s laparoscopic surgery to perform extended radical resection of gallbladder cancer and liver transplantation at the same time.

As for laparoscopic liver transplantation, living donor liver transplantation is the only option. Wu Xiaofu has a better chance. After all, this way, there is no need for a whole liver transplant, the time is relatively short, and the operation difficulty is also low. Wu Xiaofu can complete the operation as soon as possible, allowing the patient to survive the operation. On the operating table, the patient takes minimal risks, and choosing liver transplantation is also to reduce the patient's risk on the operating table.

Less trauma is not only beneficial to postoperative recovery, but also beneficial to patient safety during surgery.

"If you can match it, I will match it. I can match it. As long as it can save my mother, I can do anything."

Seeing the patient's son's sincere appearance, Wu Xiaofu also had some mood swings. In fact, that's what doctors are like. He sees too many patients. Not only is he insensitive, but his compassion is also divided into pieces. It's hard to be complete anymore. It's really It was actually difficult to have mood swings, but looking at the patient's son like this, Wu Xiaofu really couldn't help but want to take a gamble.

But the patient himself.

Wu Xiaofu's eyes fell on the patient. When the patient heard that his son wanted to be matched, he waved his hand.

"No, absolutely not. I'm already like this. I don't have a few good days to work. Even if I have surgery, how long can I last? I don't want to risk your liver for these few months. I absolutely disagree."

Yes!

If Wu Xiaofu had reached this stage, he would not agree to drag down his relatives again.

"Even after the operation, the survival time and the three-year survival rate are less than 10%. Let's go back and discuss it first. I'll leave my phone number with you. If you make a decision, contact me again."

This!
Seeing his mother's excitement, the son finally said nothing more, looked at Wu Xiaofu, and quickly thanked her.

From the eyes of the patient's son, Wu Xiaofu saw hope. Perhaps Wu Xiaofu was the first person willing to operate on his mother. As expected by Wu Xiaofu, after the patient's son returned, he would definitely persuade his mother to agree. The mother did not want her son to do so. Being dragged down, but many times, the son is really willing to give everything for his mother.

"next."

The patients were seen very quickly all morning, and they were basically ordinary patients.

When I saw the last one, it was exactly twelve o'clock. One characteristic of outpatients is that they are not so urgent. As long as the time is arranged reasonably, there is no need to rush for time for the patients like in the emergency department.

"Doctor, we are here for a review. My dad has had cirrhosis of the liver for many years."

Well, this is not the first time this has happened. Just like Patient No. 2, the number of the previous attending physician was basically not registered, so he was contacted for reexamination first. As for what to check, basically even the patient himself Clear.

However, the situation of the patient in front of me is much more serious than that of Patient No. 2.

His eyelids were drooped and he didn't have much energy. He felt like he was going to fall asleep just sitting down. "Were you so sleepy when you came here last time? Or is it just this time?"

"Ah! No, it seems that in the past week, I have been unable to wake up. Doctor, is this serious?"

It’s been a week!

Wu Xiaofu checked the patient's condition and shook his head, "I recommend that you be hospitalized for treatment. This is already a precursor to hepatic encephalopathy. You must be hospitalized for standardized treatment. As for the specific extent, you will not know until after the investigation."

Hepatic encephalopathy, also known as hepatic coma, is caused by prolonged and severe liver disease. It is often the most serious syndrome among a series of syndromes that occur due to central nervous system dysfunction caused by metabolic disorders. Drowsiness is only the most common, but it is also the most common. It is worth noting that at this time, timely medication can still be corrected. If it is too late, consciousness disorder, behavioral disorder or even coma may occur.

Once hepatic encephalopathy does occur, the prognosis is basically not good, so family members of patients should pay special attention when taking care of patients with liver disease.

If you really show signs of drowsiness, you need to seek medical attention promptly.

Of course, most hepatic encephalopathy has an acute onset and will not give the patient's family and doctors this opportunity. The patient in front of him is considered lucky.

Hepatic encephalopathy!
The patient's family members were shocked when they heard this. How could the patient's family members understand a series of serious conditions of liver disease? They were even more panicked when they heard what Wu Xiaofu said about such serious conditions.

"Stay in the hospital, then stay in the hospital, Dr. Wu, we all listen to you."

Seeing the patient's family like this, Wu Xiaofu did not delay and directly arranged for Peng Xia to hospitalize the patient. However, this must be admitted to the Department of Hepatobiliary, Pancreatic, and Spleen Surgery. It is not mainly an emergency. If it was an emergency, Wu Xiaofu would definitely call the Department of Gastroenterology. Consultation is then arranged to a gastroenterology department. After all, gastroenterology is more professional in terms of internal medicine.

After reading all thirty numbers, Wu Xiaofu also stretched his legs. At 12:10, well, it was just a little late. Not bad. Wu Xiaofu was still very satisfied with the results of the morning.

Thirty patient numbers were checked, it took four hours and ten minutes, six patients were admitted, and the patient satisfaction was 100%.

As a doctor, as long as the patients don't criticize you, then you are satisfied.

After all, this is my first time going to a specialist clinic, so why do I need a bicycle?

Looking at Peng Xia, "Let's go eat and continue in the afternoon."

To be honest, Peng Xia's contribution to reading this point is indelible. You know, the job of recording medical orders and writing down medical records was all left to Peng Xia.

If it were just Wu Xiaofu, I'm afraid the time might not go back that far, but if you want to see it in such detail, it's definitely not possible.

In the cafeteria.

"Boss, next time I go to the clinic, I will come with you."

Peng Xia looked at Wu Xiaofu with burning eyes. This was the first time that he came first. But next time he wanted to come, but he might not be chosen by others, so Peng Xia wanted to sell this hammer to Qian. In the growth period of the business, Peng Xia felt that he had gained a lot from the morning's outpatient clinic. If he went to outpatient clinics with Wu Xiaofu a few more times, and he would be on duty alone in the future, nothing would be difficult for him in the outpatient clinic.

What a coincidence that I came here today, Zheng Hua was lazy and didn't follow Wu Xiaofu out of the clinic.

In this case, you can't blame him for stealing. This news will definitely not be hidden for a long time. He knows Zheng Hua well. Once he hears that he and Wu Xiaofu are out of the clinic, he will definitely report it. When the time comes, Wu Xiaofu said Maybe you have to take Zheng Hua with you instead of him. After all, Zheng Hua seems to be closer.

But if he asks for Wu Xiaofu's promise today, then everything from now on will definitely be his.

Moreover, Wu Xiaofu admitted six patients today, and even if only half of them had recent surgeries, if he took one of them, it would still be a profit.

Peng Xia really wanted to have surgery, but during the emergency period, Peng Xia really had limited surgery.

Liu Wenyin did not have too many surgeries to begin with, but he made rapid progress. At this time, he could already perform gallbladder and appendix surgery. However, what Liu Wenyin could really give him a chance to do was only one or two surgeries a week at most, and they were basically all This kind of surgery made Peng Xia a little dissatisfied. Although the outpatient tasks were not light, he felt that he was too busy.

But Liu Wenyin's skills are there, and the limitations of emergency medicine are basically here. Major surgeries are basically out of reach. So let alone the chief surgeon, even his assistants can't do major surgeries. How does this make him grow? Carefully When I thought about it, I had to get closer to Wu Xiaofu, but after Wu Xiaofu went to school, his whereabouts were also uncertain.

This outpatient clinic was an opportunity that Peng Xia finally found, so he immediately grabbed it and came closer.

As long as he has a stable path as an outpatient clinic, Peng Xia knows that whether he is outpatient service or undergoing surgery, he will definitely get a lot of resources from Wu Xiaofu. This is the path to rapid growth.

Looking at Peng Xia, Wu Xiaofu saw a line of words.

"Boss, I really want to make progress."

It is a good thing for young people to want to make progress. Wu Xiaofu also likes it. Peng Xia's understanding is here and he is sensible. What's more, he took the initiative to help today. Wu Xiaofu can't ignore it. He really needs a helper when he goes to the clinic. .

"That's definitely good, but the emergency department is also very busy. You have to adjust your time. If there is no shift, you can come over. Well, you have to rest after the night shift, but don't burn yourself out first."

When Peng Xia heard Wu Xiaofu speak like this, he immediately became excited.

"Thank you, boss."

Seeing Peng Xia's cheerful look, Wu Xiaofu was in a daze. He took the initiative to work overtime, and he could be so happy. He didn't even know how Peng Xia's former classmates lived. They were too busy.

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(End of this chapter)