Come on, Dr. Wu

Chapter 245 Academicians start to praise

After leaving the observation room, a teacher led Wu Xiaofu into the operating room.

However, the doctor inside had not come out yet, so Wu Xiaofu had to wait outside for a while. But there was a stool outside, so Wu Xiaofu could just sit down and wait.

"Teacher Wu, we may enlarge your surgery in a moment. Can you take a look?"

Wu Xiaofu looked at the staff. These staff were probably not doctors or administrative staff in the hospital. They were most likely students from the school who were arranged here to get credits or meal coupons.

Of course, this is also an opportunity to meet doctors and learn about surgery.

He looks younger, probably younger than Wu Xiaofu.

"of course can."

Wu Xiaofu also understood the reason why she asked the question. Although they were looking at the big screen, the entire big screen was divided into several small screens. Looking at it this way, their eyes would naturally be distracted, but this was for the judges to see.

What the audience sees is an enlarged screen, which is different from the small screen. Those who can be put on this large screen are all some of the best doctors in various professions.

If it was the hepatobiliary surgery team, Wu Xiaofu would definitely be left out for a while.

But this is the extra-thyroid and breast group. After all, up to now, the number of extra-thyroid and breast surgeries performed by Wu Xiaofu is very limited. Not to mention the doctors in the imperial capital, even the First Affiliated Hospital of Donghai doesn't know much about it. In this case, who can know how the extra-thyroid and breast surgeries performed by Wu Xiaofu are?

So, this questioning situation appeared. First, get Wu Xiaofu's consent, and then see the quality of Wu Xiaofu's surgery. If the quality of the surgery is high, it will be put on the big screen. If the quality of the surgery is not good, it will be ignored.

This competition is, on the one hand, a medical competition, and on the other hand, a display of superb medical skills to the outside world. It is not an arena of personal combat. No one will specifically put a doctor's mistakes on the big screen in order to target him.

The staff was very happy to get Wu Xiaofu's consent and hurriedly thanked him and left.

Squeak!

The door of the operating room opened. Wu Xiaofu looked at the person who walked out. He didn't have a deep impression of him, but he should have seen him yesterday. He smiled and nodded. The doctor who came out also forced a smile in response after seeing Wu Xiaofu.

However, it can be seen that he may be somewhat dissatisfied with the results of the operation, and he is not in a very good mood now. There are four words written all over his face: I am unhappy.

Wu Xiaofu felt a little embarrassed at this time. It was obvious that others were very unhappy, but he was still asking them to force themselves to smile. Wasn't that a bit unkind?
But it’s too late to say anything now. I’ve laughed enough. It’s his turn.

They entered the simulated operating room, which had a layout similar to that of the simulated operating room of the First Affiliated Hospital of Donghai City. They had visited it yesterday. Wu Xiaofu was very familiar with the place, and there was a staff member to guide him.

Before he stood in front of the operating table, several assistants greeted Wu Xiaofu.

Wu Xiaofu still has some reputation in the medical community. Today, he has become a person who cannot be offended even if one does not flatter him. These assistants are all doctors transferred from major hospitals in the imperial capital. They are both skilled and smart. Naturally, they treat Wu Xiaofu differently from other doctors.

"Hello, Doctor Wu. If you need anything later, just tell us."

There are five people, three are surgical assistants for Wu Xiaofu, and the other two are watching the operation, well, also monitoring. Although there should be no cheaters in this kind of competition, but in case, effective monitoring is still necessary.

Combined with monitoring, it's perfect.

"Thanks for your hard work."

Wu Xiaofu shook hands with everyone and smiled. After working for more than half a year, Wu Xiaofu's smile had become so realistic that it looked indistinguishable from the real thing.

"You're welcome."

Standing in front of the machine, the first step is to choose the surgery.

After choosing the surgery, they can prepare well.

There are two ways to choose surgery. For level 4 surgery, you choose it yourself. For surgery below level 4, all surgeries are listed and you choose randomly. The meaning is very clear.

The organizers felt that at this stage, they did not have to know how to perform level 4 surgery, but could choose to do so. However, they had to be proficient in all surgeries below level 4. In fact, this was indeed the case. Otherwise, how could they be called the best young doctors in the country?

There are many types of thyroid and breast surgery.

The original surgery department could not be divided so finely. It was just general surgery. Thyroid and breast surgery still accounted for a very small proportion of general surgery, and the number of surgeries was less than that of the other two departments. But now it is different.

With the development of medicine, thyroid and breast problems are becoming more and more numerous and receiving more and more attention. This department is also becoming more and more fully developed. Today, it has become an important and indispensable department in Grade A hospitals.

It mainly involves two organs, the thyroid gland and the breast.

Many people also call thyroid and breast surgery the surgery within internal medicine, and internal medicine within surgery.

Some people also say that thyroid and breast surgery is the endocrinology department of surgery.

This is because many diseases in thyroid and breast surgery are closely related to endocrine. Whether it is thyroid or breast problems, they are closely related to hormones. Problems with thyroid hormones and related hormones are important factors in the occurrence of thyroid nodules and tumors.

Similarly, the same is true for the breast, which is closely related to estrogen, progesterone, etc.

People often say take a step back with breast nodules and endure a while with thyroid nodules.

What it means is that anger can easily cause endocrine disorders, and after endocrine disorders, these two organs are most likely to have problems. To this day, thyroid nodules, thyroid cancer, breast nodules, and breast cancer are really emerging in an endless stream and are not uncommon.

The number of cases is perhaps no less than that of hepatobiliary surgery.

Moreover, the trend of younger people becoming cancer patients is becoming more and more serious. If you go to the breast and thyroid surgery department, you will find that young people are suffering from breast cancer and thyroid cancer.

Ah!
Thinking of this, Wu Xiaofu felt that he might have an idea for his next topic, and memories were churning in his mind.

A drug and related theoretical research slowly emerged. This is a drug that prevents the occurrence of breast cancer and thyroid cancer. It can also ablate thyroid and breast nodules. In another memory, it is also very popular.

Moreover, the theoretical research is very complete and perhaps it can be put on the agenda after this competition.

Similar to rectal cancer, the genetic tendency of thyroid cancer is becoming more and more recognized, so this medicine is very necessary.

My eyes fell on the machine and what appeared were thyroid and breast related surgeries.

Wu Xiaofu directly searched for breast cancer and thyroid cancer related information.

Breast cancer surgery: radical mastectomy, modified radical mastectomy, breast-conserving surgery, sentinel lymph node biopsy, flap transfer repair, breast reconstruction after breast cancer surgery (including prosthesis reconstruction, latissimus dorsi breast reconstruction, rectus abdominis myocutaneous flap breast reconstruction, inferior epigastric artery perforator flap breast reconstruction), nipple reconstruction, nipple transplantation. Options: neoadjuvant and adjuvant treatment for breast cancer: neoadjuvant chemotherapy, postoperative adjuvant chemotherapy, endocrine therapy, targeted therapy, embolization chemotherapy for locally advanced breast cancer.

This is an option after surgery. You should know that after the surgery, they are required to provide a post-operative medical instruction and a complete post-operative treatment plan. They can just verbally state it and the machine will record and score it directly. However, this score is different from the surgical score.

When two doctors have the same surgical scores and are ranked together, there is a conflict. The treatment plan score comes in handy at this time. Whoever has a higher treatment plan score will be ranked first.

I have to say that the organizers were very thoughtful. Wu Xiaofu thought it was a good idea. We can't just go into the details of the surgery to see who did a better job. That would be too subjective and not good.

Thyroid/parathyroid surgery: radical thyroid cancer surgery, functional neck lymph node dissection, laparoscopic thyroid surgery (transoral and transthoracic approach), nanocarbon parathyroid negative contrast, recurrent laryngeal nerve monitoring, parathyroidectomy, parathyroid transplantation, microwave ablation of benign thyroid nodules.

"Radical thyroidectomy, complete resection of the left (affected) thyroid gland, subtotal resection of the contralateral thyroid gland, with central lymph node dissection on the affected side and 3rd or 4th lymph node dissection, laparoscopic thoraco-breast incision."

Wu Xiaofu slowly chose the surgery and described the surgical method.

After hearing this, the pupils of several assistants suddenly shrank. They knew that Wu Xiaofu was not specialized in thyroid and breast surgery. Who could have thought that Wu Xiaofu could perform such a big operation right from the start? This was considered the most difficult operation in thyroid and breast surgery. Was Wu Xiaofu so confident in himself?
It doesn't matter if it's done slowly, but if the operation is not successful, it will be a loss of face. What's more, this is Wu Xiaofu's first competition. If this operation is not successful, it will definitely affect the subsequent operations of the hepatobiliary surgery team. This is not worth the loss.

You should know that thyroid and breast surgery is definitely not simpler than hepatobiliary surgery.

Both thyroid and breast surgery are delicate operations that test operability. The difficulty of operation may be higher than that of hepatobiliary surgery. What's more, Wu Xiaofu chose the most difficult thyroid cancer surgery.

Is it self-confidence or bravado?
However, regardless of whether they were being brave or not, it was not the turn of these assistants to persuade Wu Xiaofu. They were not here to be persuasion experts, but to be assistants.

Without hesitation, start preparing.

Wu Xiaofu also went to wash his hands directly. Hand washing is also included in the scoring. The principle of sterility is the cornerstone of surgical operations. If sterility cannot be achieved, no matter how well the operation is performed, it will be useless, and it may even be better not to do it.

After washing my hands, the operating room was ready.

Wu Xiaofu's expression didn't change much at this time. He had performed thyroid cancer surgery several times. He always liked to run to other operating rooms after finishing the surgery or during the intervals between surgeries.

Especially in the operating rooms of thyroid and breast surgery and gastrointestinal surgery, I see quite a lot of thyroid and breast surgery and gastrointestinal surgery operations.

Sometimes when I meet a familiar teacher, I can directly play with him.

He performed a surgery here and a surgery there. To be honest, in these few months, Wu Xiaofu had not completed all types of surgeries in thyroid and breast surgery and gastrointestinal surgery, but he had considerable experience in important surgeries.

This is also the reason why the doctors from the First Affiliated Hospital of Donghai who came to join the thyroid and breast surgery and gastrointestinal surgery teams have great confidence in Wu Xiaofu, because they know Wu Xiaofu's level.

Because Wu Xiaofu chose laparoscopic surgery, only two assistants were needed on stage, one to help Wu Xiaofu hold the mirror, and the other to assist him. Normally when they are actually performing surgery, the second assistant is dispensable, but this is a competition, so it is necessary. Sometimes, it can save some time.

The operation has already begun, from the moment the hands are washed, and the patient is already under anesthesia.

Stand in the position of the main surgeon, adjust the patient's position, lay the drape, and connect the laparoscope.

Thyroid cancer is a very common malignant tumor of the head and neck. The most common type of thyroid cancer is papillary thyroid carcinoma. The types of simulated surgeries are also papillary thyroid carcinoma. Therefore, when considering surgical plans or postoperative treatment plans, just consider this type.

Radical surgery generally requires total resection of the affected thyroid gland and subtotal or majority resection of the contralateral thyroid gland, including resection of the isthmus, and then neck lymph node dissection, so that the cure is the most thorough.

It is just like a radical resection in hepatobiliary surgery, in which all areas with cancerous lesions are removed.

Standing on the operating table, opening the incision, and simulating everything about the patient, Wu Xiaofu had everything under control.

Confidence. Several people in the operating room couldn't help but look at Wu Xiaofu at this time. They felt a sense of confidence from Wu Xiaofu. They originally had various emotions such as curiosity and suspicion, but at this moment, all these emotions were cleared away, and they began to devote themselves to the operation involuntarily.

Laparoscopic thoraco-breast approach.

Wu Xiaofu has performed this step more than twenty times so far. In total, he has performed thyroid surgeries in the tens, the most common of which are laparoscopic surgeries. Among laparoscopic surgeries, the most common one is the thoraco-breast approach. Starting from here, he is absolutely familiar with it.

Someone in the observation room outside soon noticed Wu Xiaofu.

There is no way. The surgery chosen by Wu Xiaofu is the most difficult one in the second round of thyroid and breast surgery group. There is also another surgery that is the same as the one chosen by Wu Xiaofu. These two are actually the targets of observation by the judges in the observation room.

After all, the courage to choose such a difficult operation itself represents a kind of confidence. No one who can stand here is a fool, at least there is no fool who has no confidence and tries to be strong.

"Is that Doctor Wu from the First Affiliated Hospital of Donghai?"

An academician judge asked the judge next to him. The judge next to him came from the East China Sea, so this question was naturally the right one. The academician judge next to him nodded, also a little confused.

Wu Xiaofu is Donghai's hope for winning the championship, but they didn't expect that Wu Xiaofu would actually participate in the thyroid and breast surgery group competition. That's fine, as he is young and likes to play, which is understandable, and he wants to show off, which is also understandable.

But you could have just chosen an ordinary nodule cleaning. It's a bit scary to have such a big operation right away.

Seeing Academician Liu nod, Academician Wang, who had spoken earlier, couldn't help but sigh.

"Heroes emerge young. I heard that Dr. Wu is an expert in hepatobiliary surgery. I have read some of his articles and surgery videos, but there is no discussion about his thyroid and breast surgery on the Internet. The First Affiliated Hospital of Donghai is very secretive. Old Liu is the same. When we were having dinner together yesterday, we discussed Dr. Wu and you were also hiding it."

This!
Academician Liu felt that he was wronged. He wanted to speak out, but he also had to know.

But seeing Wu Xiaofu's familiar laparoscopic approach to the thoracotomy, Academician Liu couldn't say that he didn't know it. This was his own doctor and he couldn't lose face. Without changing his expression, he spoke slowly.

"Old Wang, Doctor Wu, at the age of 26, has a chance of winning this time. His talent level is no less than Wang Buyi. At that time, I heard that the three general surgery departments of the First Affiliated Hospital were vying for him, which shows that he is very good at all three surgical operations.

This means that even the good ranking of the thyroid and breast surgery group will be taken by Dr. Wu."

After hearing what Academician Liu said, several other academicians became even more interested. They thought that Academician Liu understood Wu Xiaofu's ability and felt that Wu Xiaofu could get a ranking. They were even more awe-inspiring. If Wu Xiaofu really got the first place in thyroid and breast surgery, it would be a shame for other hospitals.

However, I think they also think it is impossible. Everyone has their own specialties and it is impossible to be expert in everything.

It is possible to get a good ranking.

"Come on, zoom in on the screen."

Now that things have come to this, everyone naturally wants to take a good look. Academician Wang directly asked someone to enlarge Wu Xiaofu's surgery on the screen. Academician Liu broke out in a cold sweat and prayed in his heart that Wu Xiaofu was really confident and didn't let his words fall to the ground.

He doesn't aim to be in the top three in the thyroid and breast surgery group, but at least he has to be in the top ten. Otherwise, he's being too arrogant and it will be difficult for him to step down.

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(End of this chapter)