Come on, Dr. Wu

Chapter 213 The 1st Skilled Hand in the 1st Affiliated Hospital

Chapter 213 The most skillful person in the First Affiliated Hospital
Hepatobiliary Surgery D Area.

Wu Xiaofu has already posted in the small group about the pre-operative discussion. The pre-operative discussion must be reflected in the case and must be included. Otherwise, it will be a violation of the medical records and according to the medical record standards.

Preoperative discussions must involve at least three of the chief physician, deputy chief physician, attending physician, and resident physician. The resident physician explains the medical history, surgical methods, etc., while others make evaluations and suggestions, and finally the director decides on the surgical procedure.

Of course, this is the rule, but clinically, it is not true that every operation will bring these doctors together for preoperative discussions. Unless it is a special medical record, otherwise, it is basically the director who will Once the surgical procedure is decided, the resident doctor or attending doctor is responsible for the rest.

Wu Xiaofu summoned them this time for the patient who was transferred from Director Mao today.

Gallbladder cancer removal, liver transplantation.

This is not a small operation. If Wu Xiaofu was confident before, he would just do it. But now that he is leading a team, he must give the team members the opportunity to learn and grow. Having pre-operative discussions is not just responsible for the patient.

It also gives doctors an opportunity to learn, especially this kind of surgery with learning significance.

For tomorrow's surgery, as long as there is nothing wrong with the team, Wu Xiaofu is ready to take them to the operating room.

When Wu Xiaofu and Chen Zhendong came back, Zhang Xuewen, Feng Lingling, Yuna, Deng Yimin and Lu Xu were already waiting for Wu Xiaofu and the others.

On the new Monday, Wu Xiaofu's team members are finally here.

Seven people were definitely not as many as Zuo Hui and Mao Qi's group, but it was enough.

Wu Xiaofu's team works two shifts a month. In other words, the four people behind him, Feng Lingling, Yuna, Deng Yimin and Lu Xu, only need to work two shifts every month. This shift is not too stressful.

On the way back, Wu Xiaofu had already asked Chen Zhendong. After he came back, he would also go to the outpatient clinic. That is to say, there are currently three people in the group who have to go out to the outpatient clinic, Wu Xiaofu, Zhang Xuewen and Chen Zhendong. There are three outpatient clinics. This is basically not the case. Worry about the patient.

What's more, given the relationship between Wu Xiaofu and the emergency department, if there are any high-quality cases, the emergency department will basically give priority to Wu Xiaofu.

Ten hospital beds have been provided, seven doctors are in place, the professional title configuration and echelon are also very good, and there are no patients to worry about later. In other words, this group has almost no basic problems behind it.

"Boss."

When they saw Wu Xiaofu coming back, Feng Lingling and the others greeted him.

There will be two operations tomorrow. The one with bile duct stones is basically no problem. Wu Xiaofu is going to let Zhang Xuewen do it, and then Feng Lingling and Deng Yimin will do it. The pre-operative discussion will be done.

The most important thing is this patient with gallbladder cancer.

"Boss, do you really want to do this surgery?"

When Chen Zhendong listened to Feng Lingling reporting the medical records, he couldn't help but exclaimed, "extended resection of gallbladder cancer plus liver transplantation is still laparoscopy. Even if it was an operation before the First Affiliated Hospital, such a major operation was rarely performed, let alone laparoscopy, which is difficult." How big it is.

Now Wu Xiaofu dared to perform such an operation. Even though he had seen Wu Xiaofu's power during the previous liver transplant, Chen Zhendong would not believe that Wu Xiaofu could achieve this level.

If he was so powerful, why would he be staying in the First Affiliated Hospital?

Zhang Xuewen looked at Chen Zhendong's startled look and felt a little unswerving. He picked up a magazine and threw it in front of Chen Zhendong. Lin Yuxiu's medical records were also stuffed in it.

Ah!
What do you mean?
When Chen Zhendong took the magazine, he discovered that this was actually the issue of NEJM after the National Day. The first edition was a paper on laparoscopic extended radical surgery for gallbladder cancer plus liver transplantation. Not to mention, Chen Zhendong also published the paper in this issue. I really haven't seen it.

But when he turned to the back, Chen Zhendong discovered that the author of the paper was actually Wu Xiaofu. He looked at Wu Xiaofu in shock, "You wrote this?"

You know, this is NEJM, and it’s still the first edition. Not to mention that he doesn’t have this kind of treatment. Even Yu Shifu probably hasn’t published the first edition. Those who can be on the first edition are basically the most cutting-edge at this stage. technical theory.

Especially with the advancement of medicine, it is basically getting harder and harder to get on the first page.

Not to mention The Lancet and NEJM, even other sci magazines are not easy.

In less than four hours of meeting, Wu Xiaofu had shocked him several times.

"It was written by the boss. The medical record below is the first case of laparoscopic extended radical resection of gallbladder cancer plus liver transplantation that the boss had done before."

Yuna looked at Chen Zhendong's questioning look and suddenly became angry.

However, they were also a little surprised at this time. If they heard it right just now, Chen Zhendong actually called Wu Xiaofu boss. Didn't this guy have a very bad character? Could it be that he was conquered by the boss in such a short time.

Thinking of this, Yuna and the others admired Wu Xiaofu even more, he must be the boss.

Such a difficult person has been dealt with.

No wonder this guy didn't have much to say after starting the pre-operative discussion.

Chen Zhendong looked at Lin Yuxiu's medical records, combined with the NEJM magazine, and realized that he had recognized a new boss. No wonder he had such a good relationship with David. Birds of a feather flock together.

No, even David may not be able to match this level of surgery.

Wu Xiaofu single-handedly brought the Hepatobiliary Surgery Department of the First Affiliated Hospital to a higher level, and the second edition of the NEJM magazine was actually Wu Xiaofu's paper, "Liver Cancer in Pregnancy."

He didn't dare to do this one either.

Originally, this boss could only be recognized by threats, but now that Wu Xiaofu was shocked one after another, he felt that Wu Xiaofu could indeed afford to be called the boss.

"Okay, that's pretty much it. Do you have any other opinions?"

Wu Xiaofu ignored Chen Zhendong's thoughts. At this time, the preoperative discussion was almost complete. If there were no opinions, then the first one would be arranged tomorrow. Wu Xiaofu would be the surgeon, and Chen Zhendong and Yuna would cooperate.

Chen Zhendong, who talked a lot, didn't speak at this time, let alone the others.

After the operation was arranged, Wu Xiaofu felt relieved. It was almost a little late and he would go straight to get off work. Wu Xiaofu was going to go to school in the afternoon. After all, he was studying for a Ph.D. or a first degree. It would not be good to not go to school all the time.

Not to mention, there is no need to take care of the bed, write medical records, or give medical orders. You will definitely have a lot more free time than when you were a young doctor.

After dinner.

Wu Xiaofu returned to school. Now that the military training for freshmen has ended, classes have begun, and various freshman enrollment activities have also begun in full swing. Recruiting new members for various clubs, sports meets, etc. are all on the agenda.

Wei Ziming was also a little excited to see Wu Xiaofu coming back.

"You are finally willing to come back to class. Although our courses are not compulsory, people basically attend three or four classes a week. It's good for you. You only came to class in the first week, and then basically stopped coming."

During this period, Wei Ziming basically asked Wu Xiaofu once a day, and he really greeted him more often than Qu Ying, which gave Wu Xiaofu the illusion that he was talking about his boyfriend.

"Are you free? Doesn't your instructor arrange work for you?"

Wei Ziming's doctoral supervisor is the deputy director of the Department of Hepatobiliary Surgery Area B, and he is supposed to have a lot of work. I really don't know why Wei Ziming is so free.

"After all, it's the first year of the Bachelor's degree. We should focus on studying. We can wait until the second year of the Doctor's degree or next semester before entering the hospital. By the way, our Principal's Cup football match will start next week. We have to come back to play. You can’t let me go.”

This is Wei Ziming's main purpose. Wei Ziming really cares about this football match beyond expectations.

He shook his head and said, "I know, by the way, what class is this afternoon? Go and listen to one."

"Political theory class."

Um! Isn't it a coincidence? Sister Kong's class was in Sister Kong's class. Wu Xiaofu was very proud of this sister. After so long, the first class he attended after returning to campus was Kong Sichen's class.

After class, Kong Sichen was also surprised to find that Wu Xiaofu, who had not been seen for a long time, actually came to class.

Kong Sichen also knew that Wu Xiaofu basically didn't come to class during this period, not just her class, but other people's classes as well. Now that he came back to take her class, he was actually a little touched.

Kong Sichen has also inquired about Wu Xiaofu's recent achievements, but there is no need to inquire. Even in school, Wu Xiaofu has a small range of communicators. A few listens will tell that Wu Xiaofu is now leading a team in the hospital.

Is this an achievement that a twenty-five-year-old first-year PhD student should have?
It's simply outrageous.

Kong Sichen also took advantage of the free time to see what Wu Xiaofu was doing. Except for the kid who gave her a wink when she first entered the classroom, the guy didn't even look at her during the whole class.

ha?
As expected, she was in her class and her mind was elsewhere. What was she writing?

What are you thinking about when you face the stars?
Is this writing a novel? It's just a matter of reading other professional books, but to start this thing, isn't this not doing the job properly? Kong Sichen felt that after class, she needed to have a good talk with Wu Xiaofu and conduct a political theory with Wu Xiaofu.

You have to pull Wu Xiaofu back from the wrong path in time. After all, that's not how talent is used.

After class.

"Sister, you misunderstood. This is a new book I want to publish, about psychology."

psychology!
Kong Sichen's face softened slightly when he heard this. Psychology is also a part of medicine. From this point of view, it does not mean that he is not doing his job properly. However, Wu Xiaofu still has research on psychology?
"Are you preparing to publish it? Have you contacted me? You are no longer a nobody now. You have to be careful when publishing a book. If the content is not enough, it will easily become a stain on you. Do you need me to help you find someone to check it?"

Looking at Kong Sichen's appearance, Wu Xiaofu also smiled. Kong Sichen asked you to show me first, and I will check it for you.

"Okay, when the time comes, you can help me check. The fire department asked me to be a psychological counselor. A large part of the content of this book is related to post-traumatic stress disorder. I almost finished it today. After I finish writing it, I will send it to the fire department and they will help me publish it.”

Fire!

Kong Sichen looked at Wu Xiaofu, his eyes full of surprise. The fireman could buy it so much. It was obvious that she was even more curious about the gold content of this book. Wu Xiaofu was like a treasure now, even for someone like Kong Sichen. Those who are not very interested in men are willing to explore them.

At night, Wu Xiaofu was working on this first book to be published.

After a final check, with Wu Xiaofu's current mental strength, there won't be a single typo, let alone a big mistake, and there won't be any punctuation errors, and the publisher won't need to proofread it. At ten o'clock in the evening, when it seemed that it was almost done, Wu Xiaofu sent it directly to Duan Zhenyu. The fire department had its own publishing house. After Wu Xiaofu found out, he was ready to hand it over directly to Duan Zhenyu.

Duan Zhenyu was also very happy. After all, Wu Xiaofu said that this book would be of great use to firefighters.

After it is published, Duan Zhenyu plans to give a copy to each of the firefighters below.

If the effect is good, Duan Zhenyu is also planning to apply for it and it can be extended to all firefighting teams.

Wu Xiaofu is confident in his psychological attainments. The most important thing is that he has completed the practice in the fire station where Lin Jiang is located, and the effect is indeed very good. I believe that the effect will not be bad in other fire stations.

on Tuesday.

There is no need for a large ward round today, just Wu Xiaofu and Zhang Xuewen and the others will do the ward rounds. The seven-person team is walking in the corridor. The patients are a little surprised to see such a young Wu Xiaofu taking the lead.

Some patients and their family members had been admitted to the hospital before. Knowing that Wu Xiaofu led the same team as Zuo Hui and Mao Qi, some were just admitted yesterday. Looking at Wu Xiaofu, they were surprised enough.

"Director Wu, are you not married? Do you have a girlfriend?"

Listening to the old lady's questions, Wu Xiaofu could only smile. This old lady was brought in by Wu Xiaofu after Mao Qi's room was vacated yesterday.

Not to mention the patients who were undergoing liver cancer resection, this old lady still had a good mentality. No, she started asking Wu Xiaofu personal questions.

"I'm afraid you won't be able to be the matchmaker. Director Wu and his girlfriend are very affectionate."

When Feng Lingling spoke, the old lady was also very regretful and looked like she had missed it.

"Boss, both stations are lined up. Patients with bile duct stones and gallbladder cancer are the first ones."

In the medical office, Feng Lingling said to Wu Xiaofu while giving medical orders.

Um! It’s so good, it’s even ranked first in the queue.

"Okay, Director Zhang, then you can take Sister Ling and Deng Yimin to do the bile duct stone treatment later. I will take Lao Chen and Yuna to do the gallbladder cancer section. Lu Xu will stay behind and call if anything happens."

"Good director."

After the team was established, both Wu Xiaofu and Zhang Xuewen felt that the first operation had different meanings.

Among the surgeries Zhang Xuewen performs, bile duct stones are not actually common. After all, the hospitalization period for bile duct stones is very long, usually about two weeks. The emergency department is not suitable for admitting such patients, so there are fewer operations.

However, for Zhang Xuewen, this is still a piece of cake, and Wu Xiaofu is also very relieved. With Zhang Xuewen's character, if he can't handle it, he will directly say that this is the least pushy doctor Wu Xiaofu has ever seen.

Chen Zhendong was also very happy when he heard that Wu Xiaofu asked him to deal with gallbladder cancer.

After going back yesterday, Chen Zhendong had a thorough understanding of Wu Xiaofu. After getting to know him, Chen Zhendong realized how stupid and stupid the words he said in front of Wu Xiaofu yesterday were.

Who would have thought that this is really a monster.

Be careful with your words and deeds. Chen Zhendong secretly warned himself that in the future, let alone how he behaves in front of others, he must be careful in his words and deeds in front of Wu Xiaofu. He must first learn Wu Xiaofu's skills. Next time he goes to study abroad, he will also brag. of.

Yes, he not only preaches the goodness of foreign countries to the people in the First Affiliated Hospital, but also advocates the goodness of China in foreign countries. Anyway, wherever he is, where is the goodness? Every time he talks about this, the rich expressions on other people's faces are... His biggest motivation.

operating room.

"Dr. Wu, congratulations, I heard that you are leading the team."

Outside the operating room, the doctors and nurses in the operating room all smiled and said to Wu Xiaofu.

The anesthesiologist is Director Cai of the Department of Anesthesiology.

"Doctor Wu, I will cooperate with you in this case."

"With Director Cai here, I feel relieved, so I'll trouble Director Cai."

Standing on the operating table, Wu Xiaofu felt that his mental strength seemed to be stronger and his confidence was stronger. He comforted the patient and just talking could calm the patient's nervousness a lot.

"Teacher Cai, let's go."

Wu Xiaofu took Yuna to wash her hands. The patient's daughter had been successfully matched. Chen Zhendong took Deng Yimin and Peng Xia to get the donor liver.

Before the operation, Wu Xiaofu sent a message to Peng Xia, asking him to come over by himself if he had time. Not long after Peng Xia received the message, he came directly. It happened that the manpower was not too sufficient. With Peng Xia here, Chen Zhendong could Faster.

"is that OK?"

Looking at Chen Zhendong next to him, Wu Xiaofu asked. He had seen Chen Zhendong's previous surgical records. He had taken out a lot of livers, but he still had to ask, if there was a problem, it could be replaced in time.

But when asked by Wu Xiaofu, Chen Zhendong felt insulted.

"Boss, don't look down on me. I can't get a liver easily."

And a little bit arrogant!

Watching Chen Zhendong leave, Wu Xiaofu couldn't help but shook his head. This guy has a weird temper. No wonder he can't find a girlfriend. Yes, Chen Zhendong is not married yet. If you think about it, you will know the reason.

Chen Zhendong's current reputation in the First Affiliated Hospital is not very good. It is probably impossible to find it from the inside, but if it is found from the outside, it will be difficult to find Chen Zhendong's emotional intelligence in the blind date.

Seeing that Chen Zhendong was confident, Wu Xiaofu stopped worrying and took Yuna directly to the stage. This was the first time that Yuna set up the stage for Wu Xiaofu. Wu Xiaofu could clearly feel Yuna's nervousness.

"Sister, are you nervous?"

"Nervous? Who is nervous? I'm just a little cold."

Looking at Yuna's appearance, Wu Xiaofu also smiled. This girl has always been very courageous. This was the first time Wu Xiaofu saw her nervous. Fortunately, Wu Xiaofu interrupted her and relieved her a lot. Yuna was indeed a little nervous. , after all, it was the first time to cooperate with Wu Xiaofu, and it was such a major operation.

Wu Xiaofu is famous for being quick at surgeries. Although Yuna is very confident in herself, she is afraid that she will not be able to keep up with Wu Xiaofu. As a senior sister, she can’t let her junior brother down. Thinking about this, she can’t help but become nervous. .

At the beginning of the operation, Wu Xiaofu made a hole and started pneumoperitoneum.

Yuna followed Wu Xiaofu's rhythm and slowly calmed down. Yuna was also very surprised. Wu Xiaofu always seemed to make people feel at ease. Just standing next to Wu Xiaofu gave her a feeling that there must be no problem.

It is said that Wu Xiaofu's self-confidence is contagious, and it makes perfect sense.

“When you are wandering, you just need to grasp two points, in sequence, to reveal your field of vision.

The order of priority means that we need to free the important parts first, such as the gallbladder and the blood vessels around the liver. This is the most important. We ensure that the large blood vessels cannot be injured. The rest is easy to talk about. As for other parts, it can actually be done. Be bold though.

Exposing the field of view means that our dissection work is to prepare for the subsequent removal of the gallbladder and liver, so we have to think about how to dissociate so that we can get the best surgical field of view and make the subsequent work go more smoothly.

......"

Setting up the stage with Yuna is naturally different from setting up the stage with Yu Shifu and the others. Wu Xiaofu also talked more. He was going to do a teaching operation today. Yuna's talent was higher than Peng Xia. If not Good training is really in vain.

From now on, in the group, Yuna will do the surgery and Feng Lingling will write the paper, even if the group can't work.

Yuna felt even more relieved after listening to Wu Xiaofu's explanation.

However, Wu Xiaofu's movements still made Yuna a little surprised. The swollen gallbladder made Yuna move the mirror carefully, but Wu Xiaofu's tweezers slid on it, surprisingly fast, and the movements were even bigger.

This is such a delicate operation ability, and it didn't even damage the gallbladder.

How about the most skillful person in the First Affiliated Hospital?

That's right, the operating room has gradually given Wu Xiaofu the title of the most skillful surgeon in the First Affiliated Hospital after Wu Yida. I heard that people from the teaching department even cut out many parts of Wu Xiaofu's surgery video and played it. Here comes the instructional video.

The gallbladder was removed, part of the bile duct was kept clean, and the spleen was removed. An hour later, Wu Xiaofu was ready to remove the liver.

"Ask Dr. Chen how things are going there?"

On the other side, Deng Yimin watched Chen Zhendong cut the liver and nodded.

Although this guy is a little annoying, his skills are still good. He is definitely worse than the director who removed the liver, but he is still very good. At least it is enough for her to learn from.

"Xiao Peng, please send the liver over."

Chen Zhendong told Peng Xia to send the rested liver to Wu Xiaofu first.

Peng Xia came directly with the liver, and Wu Xiaofu nodded after seeing it.

Extracorporeal circulation has been started, and Wu Xiaofu has already removed half of his liver. The time is just right.

The most difficult part of this surgery is actually the next operation.

There's so much to cut, and it's definitely not that easy to reconstruct the pipeline.

Even though Wu Xiao was rich and experienced, he was much more cautious at this time.

(End of this chapter)

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