Come on, Dr. Wu

Chapter 269 The Place Closest to the Morgue
At this point, the operation was basically over. Director Huang and the others shouted excitedly as they watched the operation go so smoothly.

Wu Xiaofu's smile became more and more intense.

Although Wu Xiaofu seemed to be doing it smoothly and easily, those who know the situation know that during the operation they must always pay attention to whether the mesenteric blood vessels are protected, whether the intestinal tract is ischemic, whether the surrounding blood vessels and nerves are protected during the reduction, etc. If any detail during the operation is not handled properly, it may lead to problems with blood supply and intestinal function.

These may also cause some serious complications, bringing serious follow-up effects to Qiqi.

My eyes were fixed on the electronic screen for half an hour.

We really are racing against time. In fact, it's mainly the first half. After the small intestinal torsion was resolved, we are not so anxious anymore. But we dare not slow down either. Qiqi is only two months old. If the abdominal cavity is opened for a long time, it will have a significant impact on Qiqi's systemic circulation.

This is something doctors need to avoid.

And half an hour is definitely the fastest current record for this operation. It is very likely that Qiqi will have a healthy life like Xiaoyu in the future.

Looking at Wu Xiaofu, Director Huang began to feel pain for Fei Jinpeng. Such a great doctor, but he could only have him for a short time. Perhaps Director Huang was beginning to feel the same way as the dean.

Wow!

The operation is over, but the child's crying has not stopped, but has become more and more intense. However, this is also normal. The benefits of general anesthesia are not just general anesthesia, but also make the brain lose all sensation of the surgical area.

Spinal anesthesia is different. In addition to the pain, most of the sensations associated with the operation are still present, such as touch, hearing, etc. Although the child is only two months old, this period of time is when the child's nerves are most sensitive. I guess the child must be scared by this kind of fiddling.

Fortunately, children have another advantage, which is that they have a short memory. Once the fear of surgery is replaced by something happy, everything will naturally pass. Wu Xiaofu did the same.

When I came into the child's sight, with just a few movements and a few faces, the child successfully stopped crying.

Hee hee hee!
Listening to Qiqi's bell-like laughter, Wu Xiaofu couldn't help but laugh. It was so nice.

Outside the operating room.

Qiqi's parents had been waiting for Wu Xiaofu according to the time. When they saw Wu Xiaofu come out so soon, in less than an hour, they were really scared. They thought, could something have happened to him? This is the normal thought of the patient's family.

After all, in their concept, surgery is a very troublesome thing that should take a long time. If it is completed quickly, it might bring bad news.

Fortunately, Wu Xiaofu took the initiative to speak without them asking any more questions.

"The surgery went well."

smoothly!

Qiqi's parents breathed a sigh of relief at the same time, and were even more grateful in their hearts. Fortunately, they finally chose to trust Wu Xiaofu and stayed here for the surgery. Just now, they checked a lot of information about congenital intestinal torsion, Wu Xiaofu's information, and various surgical information.

Although they couldn't quite understand it, there were some explanations that gave them a vague understanding.

It’s difficult. It’s really difficult.

It's dangerous. Really dangerous.

The challenge for doctors is indeed huge.

They were really surprised that Wu Xiaofu could give them such a satisfactory answer.

"The intestines?"

"It's okay. Fortunately, the blood circulation has been restored after the intestine was untwisted. However, you still need to be careful in the near future. The anesthesia hasn't worn off yet, so I'm afraid you will still feel pain for a while after you return to the ward. By then, you may be more tired."

Well, in Wu Xiaofu’s impression, coaxing children seems to be really tiring thing.

Qiqi's parents don't care. For them now, no matter how noisy their child is, they feel extremely happy. They almost lost the healthy Qiqi.

"Thank you, Doctor Wu, thank you."

It was already dinner time when he got home. Thinking of today's gains, Wu Xiaofu couldn't help but smile.

Whether it was surgery for congenital intestinal volvulus or congenital anal atresia combined with fistula, it was the first time for Wu Xiaofu to perform these operations. Wu Xiaofu had read some related literature and surgical videos, but precisely because of this, the combination of actual practice with what he had seen before allowed Wu Xiaofu to gain more insights.

Instead of lying in bed, I got up, went to the computer and started typing.

He felt that he could deliver to those top magazines again.

Sunday is Wu Xiaofu’s rare day off. As long as no one calls him, he doesn’t have to go.

For doctors, the happiest thing on weekends is undoubtedly to be able to catch up on some good sleep, preferably to make up for the sleep they missed during the week.

Unfortunately, before nine o'clock, someone pulled Wu Xiaofu out of bed.

"Su Yu, what's wrong with you? Are you okay? Do you have so little time for study? Tell me, why did you appear in Jinhu? Do you want me to call your teacher and ask her to give you more homework?"

Su Yu's smile froze on her face, with two rows of silver teeth showing, like an angry little female cat. The next moment, it seemed that she was about to bite. At this moment, her eyes were staring at Wu Xiaofu's left and right arms, as if she was thinking about which arm would be more suitable for biting.

However, Wu Xiaofu was prepared for this and put a finger on his forehead to directly block his attack.

Su Yu waved her arms and shouted loudly.

"Wu Xiaofu, you big pig's hoof, your lovely sister came to see you, but you are so ungrateful, I want to bite you to death, let me go, and you still give me homework, do you think I am an elementary school student? Come on, let me go if you have the guts."

Wu Xiaofu was also a little helpless. He knew that his plan to catch up on sleep had failed.

He went back to bed and rubbed his face.

"Tell me, what are you here for?"

Su Yu also forgot what happened just now and went straight to visit Wu Xiaofu's room. "Brother, I'm afraid you'll be lonely and cold on the weekend, so I'm here to play with you. I've already done some research before coming here. The lotus flowers and the water forest here are both nice."

Hearing this, Wu Xiaofu looked at Su Yu with a little suspicion, "Are you sure you're not lonely and cold, so you asked me to play with you? Su Yu, if you really can't make it, don't be picky, find a boyfriend, and don't let me cause trouble all the time."

call!
The kitten was angry, and Su Yu pretended to cry, "If you bully me, I will complain to my aunt, just wait and see."

Wu Xiaofu really couldn't do anything about Su Yu. "Okay, go, go, wait for me to wash up, you go buy breakfast, the buns downstairs are good, bring me one back."

ha?
Su Yu gave Wu Xiaofu a look that said "go eat shit", but after watching Wu Xiaofu walk into the bathroom, she hesitated for a moment and finally went downstairs, muttering to herself, I'll just tolerate you this time.

The lotus flowers in Jinhu Lake are indeed beautiful, but the timing is wrong.

Su Yu drove here. The two of them walked into the town. Looking at the scenic area in front of them, Wu Xiaofu couldn't help but look at Su Yu.

"Didn't you make a strategy before coming here?"

Su Yu couldn't help but feel a little aggrieved when she heard this. "Before I came here, I just wanted to see if there were any fun places in Jinhu. I didn't expect that it's already April and the lotus flowers haven't bloomed yet."

“Your lotus flowers bloom in April!”

According to the staff, if they want to come, they have to come in June at least. Wu Xiaofu and Su Yu had a disappointing visit. However, in addition to lotus flowers, Jinhu also has a water forest, some nice parks, several nice temples, and some nice farmhouses.

It only took one day in total, and the two of them had a lot of fun.

At dinner time.

"It's over now, when are you leaving?"

Su Yu paused for a moment and looked up at Wu Xiaofu, eyes full of disbelief.

"Wu Xiaofu, are you still a human being? I am your biological sister. I came all the way here to see you, and you are actually going to chase me away? I will call my sister-in-law and aunt and tell them that you are bullying me."

"and many more."

Wu Xiaofu was also a little helpless, "Tomorrow is Monday, you have to go to school too."

"I've been very idle these few days. I finally got a day off, so I plan to play here for a few days. You pay for all the expenses, just consider it as my wages."

"Labor charges!"

"Yes, labor fees. You left Donghai and came to Jinhu. Who knows if you will hook up with some young girls or nurses? Do you think I am here to have fun? No, I am here to help my sister-in-law keep an eye on you to prevent you from making mistakes. Do you think I should pay the labor fees?"

Wu Xiaofu rolled his eyes at Su Yu.

"Thank you."

"You're welcome. I saw a nice hotel at the time. You can book it for me later."

"Why stay in a hotel? My second brother lives in a big house here. I can just take you there."

"I don't want to. My second brother is so nagging. Brother, I tell you, it's a good thing you're not an official. Otherwise, you would become like my eldest and second brothers, lecturing people as soon as they speak. I don't want to live with my second brother. I have contacted him before coming here. He said he was busy today and asked me to come find you. I can just go and have lunch with him tomorrow at noon."

"Are you sure your second brother is busy, not disgusted with you."

"go away."

……

Wu Xiaofu didn't look for a hotel either. Instead, he asked someone to find a room for Su Yu in the guesthouse. With Wu Xiaofu looking after her, it would be safer and the conditions would be better. Wu Xiaofu was worried about Su Yu living outside alone. This young lady was here to find him, so he had to be responsible for her safety.

on Monday.

Wu Xiaofu came to the hospital as usual. There were many surgeries scheduled today. The patients who underwent surgery last week had basically been examined and were ready to be scheduled for surgery this week.

During the ward rounds, Wu Xiaofu first took a look at the patients who had undergone surgery last week. Although there was no intensive care unit, those patients had basically passed the critical period of one or two days after the surgery and had basically recovered well in the past few days.

Mr. Jiao also recovered very well. The bullet was removed, his body circulation was restored, and even his mind was clear. He was able to thank Wu Xiaofu in person. If it hadn't been just two days since the operation, he would have wanted to get out of bed and walk.

After checking everything, Wu Xiaofu was relieved and went straight into the operating room. The first surgery was the first outpatient he saw last Wednesday.

The test results of the old man with typical signs of wasting have come out: colorectal cancer with gastric metastasis.

In fact, the chance of gastric metastasis of colorectal cancer is still small, and it is rare in clinical practice. This situation is basically greatly affected by the patient's eating habits and living environment. Wu Xiaofu also learned about the patient's condition again.

The patient's hometown is in the north, and he loves to eat sauerkraut. After coming to Sujiang, he has not given up this habit. Not only does he like to stew sauerkraut, but even his pickles are mostly sauerkraut. This is not just an ordinary love.

To be honest, you should really eat less sauerkraut. It tastes delicious when you eat it over a long period of time, but if you eat too much, it can easily breed various diseases.

Sauerkraut is a pickled food that contains a lot of acidic ingredients. Eating it in large quantities may irritate the gastric mucosa, especially if you already have stomach diseases. It is more likely to induce discomfort symptoms such as bloating, acid reflux, and stomach pain.

Moreover, this kind of pickled food itself is quite harmful. It contains a large amount of nitrite and nitrosamine, which are not easy to metabolize and may cause diseases. Long-term consumption may cause cancer, such as stomach cancer and colorectal cancer. Moreover, these are basically leached out of salt. High salt intake may cause high blood pressure, cardiovascular and cerebrovascular diseases. Over time, resistance will also decrease.

This old man now suffers from colorectal cancer with gastric metastasis, which is most likely related to this eating habit.

Moreover, pickled foods are difficult to metabolize, and the old man’s kidney function is not very good.

The old man's condition is already in the late stage, but there is still a chance for surgery.

The late stage of gastrointestinal cancer is very different from the late stage of cancer in other parts of the body. Even if part of the stomach is removed and most or all of the colorectum is removed, the basic digestive function can still be maintained.

Even if it cannot be maintained, it can be replaced.

Moreover, the damage caused by gastrointestinal resection is really small compared to other organs in the body, and the surgical risk is much smaller than that of the liver, lungs, etc.

However, compared with the benefits after surgery and the past experience of conservative treatment, as long as there is an opportunity for surgery, we should still adhere to the principle of surgery as the main option.

Wu Xiaofu explained all the situations to the patient's family. The patient's family came to Wu Xiaofu for medical treatment in the first place and had complete trust in him. They signed the contract without further ado.

Seeing this, Wu Xiaofu arranged it directly for the first show on Monday.

The deputy is still Kang Jinwang.

When Kang Jinwang heard that Wu Xiaofu was going to have this operation, he was actually very surprised, because in most cases, cases with gastric metastasis are treated with palliative care. Even if it is an operation, it is only a palliative operation. After all, if the cancer lesion is to be removed, the resection must be expanded, and the operation is too difficult.

Even if it is not as dangerous as the liver and lungs, cutting a single part is different from cutting a bunch of them.

However, Kang Jinwang didn't dare to make the decision for Wu Xiaofu. He was just a little excited because he was excited to participate in such a high-quality operation.

At 8:10, the operation officially began.

In this type of surgery, the first thing to be treated is the colorectum. The rectum can be completely removed directly. According to the distribution of cancer foci, Wu Xiaofu left a part of the colon, and then the stomach was treated.

Subtotal gastrectomy and gastrojejunostomy.

After the entire organ is cut off, it needs to be placed in a basin and the lymph nodes need to be cleared. To be honest, just by looking at each item, you can tell how huge the project is.

However, if it could be completed in stages, it wouldn't be so worrying.

At least that's how Kang Jinwang understood it. In Kang Jinwang's opinion, Wu Xiaofu seemed to have divided the three parts into three parts for the operation. Kang Jinwang must have warned himself not to think like that. After all, the body is a whole, and the gastrointestinal tract is even more of a whole. No matter where you move, you have to consider the whole picture.

The reason why I have this idea is that Wu Xiaofu just downplayed it.

After the resection, anastomosis and lymph node dissection are completed, a rectal fistula is also required.

The entire operation took one and a half hours to complete.

To be honest, the doctors in the operating room adapted to Wu Xiaofu very quickly. Seeing Wu Xiaofu being so efficient, they were no longer surprised at all and just felt that this was normal.

After the operation here, this old man will stay in the hospital for two days and then go to Donghai to receive experimental treatment with RC1. If it is effective, I believe the rest of his life will be wonderful.

In the operating room of the hepatobiliary surgery department next door, there was a bile duct cancer case and a liver cancer case waiting for Wu Xiaofu to perform.

When Wu Xiaofu finished, it was almost noon.

Su Yu was waiting for Wu Xiaofu at the hospital entrance, and the two went to find Wu Mingjie together.

"Haha, Xiaofu, you really helped me a lot."

Wu Mingjie was obviously in a good mood these past two days. With Wu Xiaofu's help, Wu Mingjie directly got the support of Jiao Yang, and his voice was more than increased.

The three of them were having dinner. Su Yu was already pouting her lips to the sky. She was clearly invited to dinner, but Wu Xiaofu and Wu Mingjie ended up chatting animatedly about business matters, which were confusing and they had excluded her from the conversation.

"I say, that's enough for you two."

Wu Mingjie finally smiled, "Haha, sorry for neglecting our little Su Yu. I won't say any more. Come, let's eat."

After dinner, Wu Xiaofu went straight into the operating room.

The first surgery in the afternoon was the breast cancer surgery that had been agreed upon last week. At that time, Wu Xiaofu had promised the patient that he would help her preserve her breast.

Fang Ying assisted Wu Xiaofu.

This operation is quite difficult, and Fang Ying did not dare to ask to be performed. Breast-conserving surgery has always been a controversial topic. In most cases, the operation ends with mastectomy.

After all, this is safer and more secure.

Breast-conserving is equivalent to leaving hidden dangers, just like the case of this patient. Most people cannot guarantee that after breast-conserving, there will be no recurrence for a long time, just like mastectomy.

But in Wu Xiaofu's understanding, all he needs to do is cut it cleanly.

This is the point that others dare not guarantee, but Wu Xiaofu has absolute confidence in himself.

The operation is basically the same as last week's breast-conserving surgery, except that the technical requirements seem to be a little higher.

Surgery, outpatient clinic, ward.

Wu Xiaofu's life seemed to have come from the East China Sea to Jinhu, and then returned to that familiar line.

Su Yu only stayed for three days before leaving. Her graduate student life was not as leisurely as she had imagined. Coming to Jinhu was at most a break from her busy schedule. Anyone who has obtained a master's degree knows that the further you study, the busier you will be.

Especially for those who have ideas.

In the blink of an eye, a month passed. There was a building next to Jinhu County Hospital, which was originally used by other units. However, the county strongly supported the development of the hospital and directly allocated the building to the county hospital.

After the funds were in place, the decoration was completed quickly. It was originally a semi-finished product, but now it is almost usable.

It is hard to imagine that Jinhu County Hospital is now a hospital with four buildings.

Originally, there was only an outpatient building that combined outpatient and administrative functions, as well as an inpatient building that combined internal medicine and surgery, and then an equipment building. Some departments were also placed in this equipment building. This building is an old building, and it is basically recycled, so the cost is lower.

Including the newly delivered building, there are four buildings in total. The internal medicine and surgery inpatient buildings can be completely separated, and the intensive care unit is going to be placed in this building.

Some departments have already started to move in one after another.

It was also the first time that Wu Xiaofu stepped into the hospital. Smelling the slightly pungent smell, Wu Xiaofu couldn't help but frown. The familiar memories kept hitting Wu Xiaofu. Hospitals were like this. It was good to build a new hospital, but there was never enough time for the smell to dry out, so they had to move directly.

These doctors are basically the cheapest formaldehyde absorbers, which are much better than flowers, plants and activated carbon. Of course, it will not have much impact on the patients.

After all, how long can a patient stay in the hospital? At most a month, and most of the time it's only a week or two. This amount of time is not enough to break down the human immune system.

Therefore, the ones who absorb formaldehyde consistently are doctors.

Of course, this has nothing to do with Wu Xiaofu. He just came to take a look. All the patients who moved in were from the internal medicine department.

Two weeks later.

Wu Xiaofu came to the intensive care unit to see a patient.

Patients who are placed in critical care after surgery do not mean that you can just ignore them. You cannot miss them during the daily ward rounds. You have to check on the patients in the intensive care unit after you finish checking the wards.

Today's intensive care units are basically built by doctors and nurses drawn from various departments.

The most important thing is equipment. Doctors and nurses can be trained, but money is the hardest thing to get.

That is to say, when Wu Xiaofu told the secretary about this matter last time, the money was sufficient and the intensive care unit was set up.

Drop drop!
The world of the intensive care unit is different from the outside world and the world of other departments.

Here, we must be prepared for rescue at any time, because the patients placed here may be in danger of life at any time, or even have entered the life support stage.

Of course, the intensive care unit of Jinhu County Hospital has just been put into use, and there are relatively few such patients. Most of them are postoperative patients who have just been transferred from the operating room.

The sound of machine alarms comes one after another. In other departments, you might be a little nervous, but here there is no need to worry at all, because for the patients here, almost every monitor is beeping. If all the indicators are normal, they don't deserve to stay here.

So, some people say that the intensive care unit is the place in the hospital that is closest to the morgue.

"Dr. Li!"

I don't know who shouted, the voice was particularly urgent. Wu Xiaofu was also very familiar with this sound. This was the sound of an emergency. Wu Xiaofu looked over immediately. It was almost a subconscious reaction.

Sure enough, rescue work had already begun on one of the beds.

ps: Everyone, it’s the middle of the month, I’m asking for monthly votes, please, please.

(End of this chapter)