Come on, Dr. Wu

Chapter 199: Rescue (please vote)

Wu Xiaofu took the initiative to greet Professor Stephanie without waiting for him to say hello.

"Hello, Professor Stephanie, I am Wu Xiaofu."

Stephanie was also looking at Wu Xiaofu at this time. She valued Qu Ying very much, so she naturally cared about Qu Ying's personal situation. Her Chinese boyfriend was also a colleague. The important thing was that this colleague seemed to be quite famous. She had I also checked and found that I could directly pinpoint the individual. Especially recently, Wu Xiaofu has become even more popular, and his reputation has spread abroad.

Moreover, some people in the hospital seemed to be talking about Wu Xiaofu.

The surgical genius of China.

This is what some general surgery experts in the MA Clinic call Wu Xiaofu. When it comes to excellence, it seems that Wu Xiaofu is no worse than Qu Ying, and it seems that he can match up with Qu Ying.

"Wu, I've heard your name a lot lately. Come on, sit down."

The three of them sat down. Wu Xiaofu did not expect that foreign doctors would enjoy it so much. To be honest, the configuration of this laboratory building is really unparalleled. There are libraries, cafes, restaurants, entertainment venues, etc. This is definitely not the case in China. I dare not even think about it. If I dare to do this in a hospital, it would be weird if I didn’t spray you with autism.

Moreover, MA Clinic is obviously a well-known large hospital in the world, but the number of patients seems to be just that, not even as high as a provincial top three hospital.

"Haha, Wu, this is Dr. David from our Hepatobiliary Surgery Department. He respects you very much. Ever since he saw your previous laparoscopic extended radical resection for gallbladder cancer, he has been trying it. I heard you came here today. Anyway, I have to show it to you, so just let me invite you over.”

Wu Xiaofu didn't care, and nodded with a smile. In country M, there is no such thing as professional title promotion. It is generally an appointment system. If you have the ability, you can get promoted. It is not as detailed as in China. In country M, there are only There are two levels: resident doctor and attending doctor. The director is already at the administrative level. However, in country M, the attending doctor can generally perform all surgeries. Yes, there are no level restrictions.

Stephanie also noticed Wu Xiaofu's eyes, and immediately said with a smile, she had been to China, well, in her opinion, the medical treatment in China was just messy. Of course, there were also things that Stephanie envied, such as It is important to say that there are enough cases during the experiment.

Now he just wants to say to David: I cheated, why do you?

"Sorry, my doctoral studies are not over yet. I may not have the opportunity to study here again in the future."

In the general surgery department of ma clinic, Stephanie brought Wu Xiaofu over, and there was actually someone already waiting.

The most important thing is that Wu Xiaofu is young. If he can stay, with the training of MA Clinic, his growth rate and upper limit will be absolutely immeasurable.

"Wu, are you interested in visiting our general surgery?"

"Two hours."

Outside the observation room, Wu Xiaofu looked at Professor Stephanie, "Professor, why don't you try to persuade him? What if something goes wrong?"

"How about it? The environment here is good. Do you want to work here? With your ability, you have the conditions to stay and work here."

Well, age has no meaning in MA Clinic. The most important thing here is genius.

Wu Xiaofu also didn’t expect that there would be such a show. According to his idea, when he came to MA Clinic, he was just a small character. Professor Stephanie met him because of Qu Ying’s relationship, but this David was actually on the scene. You want to compete with him, yes, you want to compete with him, and you say you want to give him advice, but David's tone doesn't mean he wants to give him advice.

If she had such a huge case base, maybe her experiment could proceed more smoothly.

No, what does this David want to do?
"Two hours!"

In her impression, cancer patients in China are not opposed to participating in experimental projects, but country M is different. If you really want to find enough cases to participate in the experiment, you have to bankrupt the experiment, so many experiments are very advanced. Slowly, it was not a joke to say that Wu Xiaofu was asked to stay. Wu Xiaofu's achievements in general surgery impressed some of his colleagues in the MA Clinic.

In the observation room, Wu Xiaofu looked at the patient information in his hand and said to Professor Stephanie with some worry.

"Yes, Wu, just call me David. I have an appointment with a gallbladder cancer patient today and I am asking you to give me some advice."

The patient is over sixty years old. Gallbladder cancer involves the bile duct. Although the liver has not been affected, judging from Wu Xiaofu’s long-term surgical experience, the liver blood vessels must be involved. Under such circumstances, the liver involvement cannot be determined. See David's intention was to compete with Wu Xiaofu and try to finish the operation faster than Wu Xiaofu within two hours.

However, I was very happy to communicate with Professor Stephanie. Stephanie's knowledge accumulation and sharp thinking are definitely not comparable to ordinary people, even Wu Xiaofu is ashamed.

Fastest!
Wu Xiaofu fell into memories. It took a long time to do the first one, but it became easier and smoother after that. Even if he even had a liver transplant before coming to M country, it didn't take three hours. Now he is doing laparoscopic gallbladder cancer enlargement. Radical surgery takes about two hours.

As for whether Wu Xiaofu would stay if such an opportunity really came up, Stephanie felt there was no doubt.

It's a pity that Wu Xiaofu thought too much. The people of country M are open to the public, but the laboratory of country m is not.

Therefore, Wu Xiaofu still felt that this forced bet had to end.

But the doctor in country M is different. He really dares to take risks. Of course, this is also because the legal rights of the consent form for surgery are really high.

Laparoscopic extended radical resection of gallbladder cancer is undoubtedly a level 4 operation. Dr. David can independently try this operation, which shows that he is also the authority of MA Clinic.

Ah!
What does Stephanie mean? Of course Wu Xiaofu is interested. In terms of hands-on ability, doctors from country M are really unique. This is what Wu Xiaofu needs to learn. They often don’t have too many worries after the operation starts. Doctors from China are very good at performing surgeries. Sometimes, due to the safety of surgery, surgical thinking tends to be conservative, and where risks are taken, palliative treatment is automatically preferred.

Before the operation started, Wu Xiaofu wanted Professor Stephanie to say something to stop him. After all, Professor Stephanie was probably the only one present who could speak.

"Wu!"

Wu Xiaofu actually had this intention when he came over this time. It would be great if their laboratory could be visited.

However, David obviously did not believe in evil and went straight into the operating room.

A doctor in his thirties immediately hugged Wu Xiaofu when he saw him. Wu Xiaofu was caught off guard by this enthusiasm.

Ah!
Wu Xiaofu was also stunned when he heard this, can this be compared?

I am envious, but Wu Xiaofu really has no idea of ​​staying and working in country M. Medical treatment in China is also advancing rapidly. In the future, it may not be possible to surpass country M. The most important thing is that there are not enough people in China to save. How can there be When you have free time to come to country M, you can at most just come and see the high-precision technology.

"Wu, how long will it take at the fastest for you to undergo laparoscopic radical surgery for gallbladder cancer?"

David was startled when he heard this. To be honest, this answer was something David had not expected, but he didn't think Wu Xiaofu would lie to him. After all, it was not a secret. He would be able to know Wu Xiaofu's fastest speed later. However, the two Hours later, David gritted his teeth and said, "Okay, let's see who is faster in two hours."

He was clearly telling Wu Xiaofu: Come, let’s see if I am doing better or if you are doing better.

You can earn more, it’s easier, and you have more development prospects. Why don’t you agree?

Wu Xiaofu felt relieved when he thought of the family doctor system in country m.

Not to mention other things, this workload, this configuration, this enjoyment, Wu Xiaofu is indeed the end of the world.

Although Wu Xiaofu did not dare to underestimate David's strength, after all, he was undergoing surgery now. The patient was over sixty years old and could not withstand the hardship. If something happened, Wu Xiaofu would not be happy.

When Professor Stephanie heard this, she gave Wu Xiaofu a reassuring look.

"Don't worry, Wu, David is a genius in general surgery just like you. He has already completed several cases of this operation. There will be no problem."

Wu Xiaofu was even more helpless. He had never doubted David's ability. At this time, he also remembered that this was the general surgery genius who had become famous at MA Clinic some time ago. I heard that he had four or five Willow Leaves articles in his hands. At this age and with this paper ability, he is not a genius. Although I have never seen the ability in his hands, he will definitely not be bad.

But ability is ability. You really have to complete the operation within two hours. It's not that Wu Xiaofu underestimated David, but it really feels a bit unreliable.

Well, compared to that kind of surgery, it would be unreliable even if you want to get off work.

But Stephanie had already said this, what else could Wu Xiaofu do? If she continued to say so, she would really look down on David.

Forget it, maybe David really can do it.

Thinking of this, Wu Xiaofu stopped thinking about it and glanced at the observation room in front of him. The observation room here was also different. It was not the domestic kind of staying in the room to see the surgical field through the monitor, but standing directly in the operating room. On the second floor, from the first perspective, through the glass, you can directly see the first scene of the operation.

Wu Xiaofu was very satisfied with this perspective. To be honest, he could see and learn much more than standing in the observation room.

Moreover, there is also a microphone connected to the operating room, so you can talk to the operating room at any time. As long as the surgeon in the operating room is willing, the sounds in the operating room can be heard outside.

"Takeru, I'm starting."

David's voice came over, and he saw that he had already started the operation.

David also brought two resident doctors. Well, they seemed to be a little older than Wu Xiaofu. They should be the kind who had completed their entire studies, that is, the kind who had completed their training with a bachelor's degree, a master's degree, and a doctorate.

The various systems may differ, but the procedures are nearly the same.

Positioning, anesthesia, disinfection, and draping.

It was obvious that David really wanted to compete with Wu Xiaofu. No, he didn't have the relaxed attitude of doctors from country M when dealing with surgery. At this time, he also accelerated the progress, as if he was in a hurry.

Stephanie also frowned when she saw David like this.

Although Stephanie does not perform surgery, it does not mean that she does not understand that she actually has the power to operate. However, human energy is limited after all, and there must be choices. If she wants to achieve results in her experiments, she must Stephanie is very confident in investing her time in the place she likes more.

But looking at David's current rhythm, Stephanie felt a little uneasy.

She also didn't expect that Wu Xiaofu would put so much pressure on David. You know, David is definitely a genius among geniuses. No matter how difficult the operation is, after careful consideration, it can be done once or twice, laparoscopic gallbladder cancer Few people had done radical surgery before, but David also mastered it.

However, David stopped here before. Extended radical resection was too difficult, and the difficulty of the operation was much higher than that of laparoscopic radical resection of gallbladder cancer.

It wasn't until Wu Xiaofu completed the first extended radical surgery for gallbladder cancer that David became obsessed.

David has always believed that he can do what others can do, and he can do what others can't do, and he will do it better and better. His arrogance is more than excessive. Stephanie and David's mother are friends. , David's mother is also a professor at MA Clinic. She has been very good to David since she was a child. David often shares some things with her. People say that David is closer to Stephanie than to his mother.

Therefore, many of David's ideas and understanding of David are better than those of Stephanie.

David had previously expressed his desire to meet Wu Xiaofu and compete with Wu Xiaofu. Therefore, this time after Stephanie heard Qu Ying say that Wu Xiaofu was here, she directly said that she wanted to meet Wu Xiaofu and give David this opportunity. However, she didn't expect that David would actually meet his opponent.

Stephanie knew that David had completed several laparoscopic extended radical resections for gallbladder cancer, and the success rate of the surgery was guaranteed.

With this eager look now, it can only be due to a lack of confidence in time.

Be brave!

No one needed to remind Stephanie that such a word appeared in Stephanie's mind. As a doctor, Stephanie knew how scary this word was to doctors and patients. Being aggressive would make doctors lose their due calmness, and it also represents the doctor's dignity. Because of the lack of self-confidence, a doctor without confidence stood on the operating table. Fortunately, the patient did not know, otherwise, he would not know how panicked he would be.

Looking at Wu Xiaofu, "Wu, can you really complete the operation in two hours? I remember that your previous operation took more than four hours."

Wu Xiaofu nodded, "Well, that was my first laparoscopic radical surgery for gallbladder cancer, so it took a little longer. Before coming here, I also had a laparoscopic radical surgery for gallbladder cancer and a liver transplant. It took less than three hours.”

hiss!
When Stephanie heard this, she suddenly took a breath of air and looked at Wu Xiaofu with shock in her eyes.

"Less than three hours?"

Most liver transplants would take longer than this. What speed was this? She knew that David had really met his opponent this time.

"Wu, congratulations to you. I'm afraid you have once again reached the peak of general education. Have you submitted any articles?"

"Well, I have already voted for NEJM."

Hearing what Wu Xiaofu said, Stephanie no longer had any doubts. Since the article had been submitted, it would definitely be published soon. Wu Xiaofu would definitely not brag about this kind of thing.

Thinking of this, Stephanie's understanding of Wu Xiaofu became deeper.

only.

Stephanie looked at David, feeling a little worried. She knew David too well. In order to defeat Wu Xiaofu, he would definitely fight for time at all costs.

Advise David?

Stop making trouble. If David had listened to the advice, he would no longer be David. If he said anything at this time, I am afraid it would only make David more competitive.

Great!

At this time, David had already begun to dissociate the fascial ligaments around the gallbladder in the abdominal cavity.

Looking at David's operation, Wu Xiaofu couldn't help but secretly praise him. His freeing skills were no worse than his. In terms of beauty, he might be a little worse. However, Wu Xiaofu could see that this didn't mean that David couldn't free. More beautiful, just because David was competing for time, so he sacrificed a certain degree of beauty and asked for time.

But, is this really okay?
After admiring, Wu Xiaofu frowned again, especially when he saw the gallbladder that had more than doubled in size. Is such a speed requirement really not going to hurt anything? Break something? Fortunately, it turns out that Wu Xiaofu really overthought it.

David's foundation is indeed very good. Even in such a hurry, he was still able to avoid important parts steadily, and he controlled it very well. Not only did he not hurt the blood vessels around the gallbladder, he also did not puncture the gallbladder. He was quickly relieved. Fast forward to the treatment of the common bile duct.

However, David seemed to be getting more and more impatient.

Because time was passing quickly, David was still looking at the time on the electronic screen while performing the operation.

You know, this is a big taboo for doctors. Except for the necessary operations that record time and need to be aware of it, surgeons basically keep their eyes from the surgical field at other times. David is really like this now. It's a little less rigorous. After all, people's energy is limited.

Surgery is about saving lives, so investing 100% of your energy is not enough, not to mention that you also have to spend some energy on calculating time.

After all, David's patients were not models, but real patients.

"Xiao Fu."

Qu Ying also saw Wu Xiaofu frowning and stepped forward to hold Wu Xiaofu's hand. Wu Xiaofu immediately opened his brows.

"It's okay."

In fact, Stephanie's frown was deeper than that of Wu Xiaofu. As a bystander, if Wu Xiaofu could see things clearly, Stephanie could also see them clearly.

Not to mention Stephanie, even the two assistants on the operating table, as well as the nurse and anesthesiologist cooperating with David's operation were a little uneasy at this time.

This is not the first time that they have cooperated with David, especially the two assistants. These two assistants are almost David's regular assistants. As regular assistants, they have never seen David doing surgery like this. They have always been It's a leisurely stroll, giving people a feeling of confidence, but today, even if the operation was rough, it was still rushed. Is this operation really so dangerous? The patient must end the operation as soon as possible.

However, the medical records were prepared by two assistants, who looked at each other and shook their heads.

The meaning is obvious, no, it should be able to last four or five hours.

Although they were careful to remind him, the two assistants thought about it and still did not cause trouble. This was David. How could anyone else say anything? Let alone ask David to slow down. David would not listen to even the slightest suggestion. Yes, but everyone on the operating table felt increasingly uneasy.

Secretly praying that there would be no accidents during the operation, otherwise, they would be in trouble together.

Ah!
At this moment, everyone on the operating table froze, and even David's movements slowed down.

Located in the center of the surgical field of view is the portal blood vessel, but the portal blood vessel at this time is not what they usually see, but is invaded by the tumor.

The hilar blood vessels that were directly invaded were already wrapped by the extension of the tumor, just like the one Wu Xiaofu encountered when he performed his first extended radical surgery for gallbladder cancer.

However, Wu Xiaofu was lucky in that operation. After the peeling, there was no tumor covering the hilar blood vessels, so he was not directly removed.

I just don’t know if things will be different this time.

Wu Xiaofu frowned again. Sure enough, as he had thought before, when he looked at the medical records and combined with the patient's symptoms, Wu Xiaofu felt that there must be a problem with the patient's liver blood vessels.

When hemoglobin is below 70, blood pressure often rises temporarily.

This is most likely due to the invasion of the portal blood vessels by the tumor. Moreover, according to Wu Xiaofu's inference, it is very likely that the patient's portal blood vessels have been eroded internally. In other words, David may not have the same luck as before. Under such circumstances, the difficulty of this operation has skyrocketed.

If this is really the case, Wu Xiaofu feels that even if he does it by himself, it will take two hours, and David.

Ah!
It also depends on the time!

Wu Xiaofu looked at David's movements, actually looked at the time, gritted his teeth, stamped his feet, and went straight on.

Good guy!
Seeing David's actions again, Wu Xiaofu was shocked.

Slower! Slower!
Things were turning. At this time, Wu Xiaofu finally realized how Yu Shifu and the others felt when he had the surgery. Well, that's it. They yelled to slow down like crazy, but David seemed to have broken the brakes, and he just wanted to Try to peel off the blood vessels as soon as possible.

However, there are two completely different situations between blood vessels that have been invaded by cancer and those that have not been invaded.

Because a simply wrapped portal blood vessel will not be so fragile, but once it is invaded by cancer, the portal blood vessel will basically break at a touch. Wu Xiaofu is not on the operating table now, so the field cannot be opened, and he does not know what the patient's blood vessel is. What's going on? But just by inference, you can tell that the condition of his blood vessels is definitely not good.

In this case, it will be very difficult to peel off, so you must be careful and gentle, so that even if there is damage, it can be repaired in time.

To be on the safe side, you can even do a porta hepatis block.

But David didn't, he just acted recklessly. He was really reckless.

"not good!"

A panicked voice came from the operating room. It was not David's voice, but the assistant's voice, because a stream of blood spurted out in the field of vision, and the entire mirror vision was directly blurred.

Drop drop!
The monitor's alarm sounded, and the blood pressure began to drop.

The anesthesiologist immediately panicked, "What's wrong? What's going on?"

"Portal blood vessel ruptured!"

To die!

At this time, the anesthesiologist no longer cared about comforting David's eighteen generations of ancestors, and hurriedly administered medicine, "What are you waiting for? Stop the bleeding quickly."

David was also stunned at this time, and only then did he react when his assistant called him.

"Quick, turn around and open the belly."

David's level is still good. Although he rarely encounters such a situation and is suddenly frustrated, he still reacts quickly and gives the order directly.

Everyone was busy opening up the abdomen. After all, the portal blood vessels were broken, and Jingye couldn't see anything at all.

A blind man undergoing surgery? Can it be done?
What's more, the narrow abdominal cavity is inherently difficult to operate. Otherwise, Wu Xiaofu would not have become the first laparoscopic expanded radical surgery for gallbladder cancer.

Stephanie in the observation room also cursed at this time: Damn it.

His eyes turned to Wu Xiaofu, "Wu, do you have any idea?"

Stephanie understands the current situation very well. For patients in their sixties, hilar blood vessels are ruptured, which is already very dangerous. If it is converted to laparotomy, the trauma of this kind of surgery will basically mean that there is a high chance that they will not be able to get off the operating table, and a small chance that they will not be able to get off the operating table. You have to leave a will as soon as you get off the operating table.

Wu Xiaofu was helpless at this time. This David was really reckless.

Turn on the microphone.

"Don't open the abdomen yet, transfuse blood, rehydrate, and wait for me."

After saying that, Wu Xiaofu went straight to the first floor. This is also the advantage of this observation room. Students are doing operations below. In order to give students independent space, the teacher watches from above. Once the students are unable to handle it, or if something goes wrong with the operation, The teacher can rush to the rescue immediately.

Everyone who was busy was stunned when they heard Wu Xiaofu's voice.

David's expression also changed, but he did not continue to open the abdomen after all. Instead, he looked at the anesthesiologist, "Prepare for blood transfusion and fluid replenishment, hurry up."

What Stephanie thought of, David could think of.

David wouldn't really care about the patient's life just because of his face, but waiting is actually very dangerous. After all, he is now turning to abdominal surgery and racing against time to save half of the patient's life. But it was Wu Xiaofu who spoke. Ah, that's Wu Xiaofu, David thought to himself, and finally gritted his teeth and believed it.

Although he deliberately competed with Wu Xiaofu, David really recognized Wu Xiaofu's ability.

At the very least, Wu Xiaofu is the one with the most potential and ability among the opponents he recognizes. In this case, if people are willing to help save lives, what else can he think and dare to think about.

After all, he is just more competitive, not so bad that he ignores the patient.

Wu Xiaofu was so fast that he didn't even bother to wash his hands. He quickly squeezed out two handfuls of disinfectant foam for free and started applying it.

The nurse who patrolled the desk was also a veteran. The moment Wu Xiaofu came in, she had already prepared the clothes and quickly put them on for Wu Xiaofu. Wu Xiaofu didn't even wait to fasten the back and stood on the operating table. David took the initiative to get out of the way. location.

Holding the operating lever in his hand, at this moment, the field is fully opened.

The situation in the abdominal cavity became clear immediately. He looked at David and said, "Hold the mirror."

ha?
When Wu Xiaofu asked him to hold the mirror, David was stunned.

"What are you waiting for?"

"oh oh."

Seeing Wu Xiaofu's calm expression, David immediately seemed to see his former professor and hurriedly cooperated.

"Portal blocking zone."

The nurse hurriedly handed over the instrument, and Wu Xiaofu didn't waste any time and put it directly into the abdominal cavity.

This!
Everyone looked at the surgical field where they could barely see anything. It was no different from a blind man. What did Wu Xiaofu want to do? What? Do you want to practice blindly?

Portal occlusion is not an easy operation to begin with, not to mention that it is performed under the laparoscopic field of view. No, there is no laparoscopic field of view and the operating space is small. It is simply nonsense.

David felt a little regretful for trusting Wu Xiaofu. This was not an act of chaos.

If Wu Xiaofu could block the liver hilus with this, he would rush to the operating room toilet to eat.

Unlike David, Qu Ying and Stephanie, who were standing in the observation room and watching, were focused on cheering Wu Xiaofu. The former believed that Wu Xiaofu would definitely have a solution and believed in Wu Xiaofu, while the latter did not want the patient to have problems. Otherwise, no matter whether the patient's family members are looking for trouble or not, David's self-confidence will be frustrated, which is likely to leave some shadow, making it difficult to grow smoothly in the future.

Wu Xiaofu couldn't care less about other people's thoughts. At this time, he was also scolding David. What kind of hole was he opened? He never thought that such a dangerous situation would arise. What should he do and what room should be left.

At first glance, I didn’t take a good look at the Chinese art of war. I didn’t think about victory, but thought about defeat first.

Laparoscopy was just a cover. Wu Xiaofu's operating rod brought the portal blocking band to the liver, and the view of the liver automatically and actively appeared in Wu Xiaofu's mind.

The bleeding portal blood vessels are also clearly visible.

However, forget about anastomosis of blood vessels at this time. This is a portal blood vessel invaded by cancer. In the practice room, you only see people using orange peels, pig skins, and rubber to practice suturing. Why don’t you use tofu? Suturing cannot be done at all. The more the suturing, the worse it becomes. The only option is to block the liver portal. First block the blood flow in the liver to stop the bleeding, and then consider other things.

Wu Xiaofu had performed hepatic portal block so many times that he was naturally very good at it.

That is to say, there is something wrong with the hole opened by David, otherwise, it would have been smoother.

For more than ten seconds, Wu Xiaofu moved the operating lever in his hand rapidly. With the final pull, the entire surgical field suddenly became a little clearer.

This is a little bit remarkable, it means that the bleeding situation has improved.

Everyone was stunned, especially David. Is this really possible?

The happiest person at this time is the anesthetist. He can't wait to jump up and kiss Xiaofu and his wife. Oh my savior. The patient who was rushing towards the cliff like a wild horse just now has finally reined in the cliff and is no longer so crazy. Wow, the anesthesiologist was really frightened just now. All kinds of medicines were not working.

Bleeding from portal blood vessels is just like intra-abdominal blood vessel rupture and bleeding in patients with liver cirrhosis. Many of them die without waiting to go to the hospital.

It can be seen how severe the bleeding is, and blood transfusions and rehydration are only a drop in the bucket.

After all, that is losing, not gaining.

"Suck it."

Wu Xiaofu looked at David, who was still in a daze, and said directly. Only then did David react. He quickly wiped the mirror on the liver bed, and his vision suddenly became clearer.

"Really, really stop it!"

(End of this chapter)