Come on, Dr. Wu

Chapter 270 Science fiction movie?
Wu Xiaofu no longer had time to take care of his own patient, and hurried over with his people to see if he could help.

"This is Dr. Lu's father."

Dr. Lu’s father!

Wu Xiaofu looked at the man standing aside with a haggard face.

Doctor Lu is from Dongshan. He is tall and strong. He was a targeted student. After graduation, he moved around for a few years and finally came to work at Jinhu County Hospital. It has been six or seven years now.

The male doctor, who was in good health, a student with a specialization in medicine, and a chosen one, was directly assigned to the emergency department.

Everyone who knows about the work in the emergency department knows that it is really tiring and you hardly have any time for yourself.

Because he is the only son in the family, Dr. Lu's parents later came to Jinhu and settled down here. Dr. Lu also got married and had children here. I heard that his family just had a daughter last year, so their life can be considered complete.

However, Dr. Lu's father's condition became more serious every year.

The complications of liver cirrhosis are becoming increasingly serious. Not long ago, he developed hepatocerebral disease, and was admitted to the hospital directly. From the general ward to the intensive care unit now, his health has not improved, but is becoming increasingly worse.

Judging from the current situation, the patient should be suffering from hepatocerebral attack, and rescue efforts have begun.

Dr. Lu, a tall man of about 1.80 meters, who is usually known for being reliable and confident, is standing aside at this moment, with a look of helplessness on his face.

Wu Xiaofu was also confused. The most helpless thing about being a doctor is that he can save anyone but is powerless to treat the illness of his own relatives.

Drop drop!
The monitor was still beeping, and Wu Xiaofu was also staring at the values ​​on the monitor. Rescue is not surgery. No matter how capable Wu Xiaofu is, he can't help much at this time. The doctors who can be transferred to critical care are basically doctors with rich rescue experience and are no worse than Wu Xiaofu.

Wu Xiaofu can provide advice at appropriate times, but he cannot rashly interfere in their work.

call!
At a certain point, Wu Xiaofu couldn't help but breathe a sigh of relief. The patient's various indicators were recovering, which showed that the rescue work was effective. The thing that doctors fear most when performing rescue is that the patient does not respond to their efforts.

As long as there is a response, everything will be easy and there is a possibility of getting it back.

Just like now, the rescue doctor was visibly happy after seeing this signal.

Sure enough, not long after, the patient's various indicators finally returned to the warning line and began to stabilize.

"dad!"

Doctor Lu was already in tears as he watched his father being pulled back from the brink of death. He was so excited that he leaned against the window. God knows what kind of torment he went through in just these few minutes.

No one disturbed Dr. Lu. Although the patient's life was brought back to life, he was in the late stage of liver and brain disease and could not respond to any of Dr. Lu's instructions. The doctors and nurses could only look at the father and son with sadness.

Wu Xiaofu took a few steps forward to the patient's bed and felt the patient's pulse.

"Doctor Wu!"

The rescue medical staff then saw Wu Xiaofu and hurriedly greeted him. Wu Xiaofu nodded in response. For these medical staff, just a few minutes was like a century. The energy consumed in just a few minutes was more tiring than several hours of exercise.

Especially the mental exhaustion made them a little dazed.

This is why it is so difficult to be a doctor or nurse in the emergency department or critical care unit and why no one wants to do it. Their moods are always up and down and rescue operations are very exhausting. Many people will never understand the feeling of risking their own lives to save lives.

"Doctor Wu."

Doctor Lu also noticed Wu Xiaofu at this time. After calming down, he greeted Wu Xiaofu.

Wu Xiaofu had already felt the patient's pulse at this time. Well, it was very bad, but fortunately, the liver had not yet completely failed. This meant that the patient's liver and brain disease could still be reversed.

Hepatic encephalopathy is the most serious complication of cirrhosis. It occurs on the basis of severe liver disease, and the disorder of blood ammonia metabolism leads to abnormalities in the patient's brain and nerve functions. Therefore, once it breaks out, it is mainly characterized by various neuropsychiatric symptoms and signs.

Therefore, once a patient with cirrhosis develops cognitive impairment, we must pay attention and send him to the hospital as soon as possible. If it is too late, the result may be irreversible, just like the situation just now. If the rescue is not timely, it is very likely that the patient will die.

The process goes from normal cognitive function and complete consciousness to gradual coma. Some cases may be slower, but for many, it is just like being hit with a stick and soon the person knows nothing.

Medically, hepatic encephalopathy is divided into grades IV according to its severity. The symptoms of each grade are different. The initial and lightest stage is grade I, which only manifests as mild euphoria or depression. However, at this time, we must also pay attention to shortening the time, as it may induce flapping tremors, which is also very dangerous.

The next level is Level II, where the person becomes tired or indifferent, and may even have slight personality changes, disordered behavior, and slurred speech.

When it reaches level III, it is more serious. At this time, the patient cannot even stay awake and cannot open his eyelids. He will become drowsy to semi-comatose, with confusion and disorientation.

The last is Grade IV, which is the patient’s current condition. It is usually the most serious and the patient falls into a coma directly. The patient does not respond to language or strong stimulation.

If the patient suffers from severe liver failure, then this condition may really be irreversible. In this case, perhaps there is another word that is more appropriate - dying.

So the patient is lucky. At least, there is still a possibility for doctors to bring him back to consciousness from coma.

"No one in the family is good enough?"

Wu Xiaofu looked at Doctor Lu and asked softly. Doctor Lu nodded with a sad look in his eyes. Yes, even his own son was not worthy of this model, let alone other people. Cirrhosis of the liver is progressive, and the only cure is actually a liver transplant.

As a doctor, Dr. Lu knew all of this very well, so he started working on it a long time ago.

Not only was the matching done early, but a queue was also arranged for the father.

But whether it was the former or the latter, it was basically all bad news, which did not give him any hope at all.

He nodded. This answer was actually predictable. Liver transplantation would not give you the green light just because you are a doctor. Dr. Lu was just one of the family members who could not wait for a liver source and whose relatives could not match him.

"I will ask the Department of Gastroenterology of the First Affiliated Hospital of Donghai to come up with a detailed treatment plan based on your father's condition."

If a liver transplant is not possible, then the only options are maintenance and replacement therapy.

Treatment with drugs such as lactulose oral solution and calcium gluconate injection can effectively improve symptoms such as abdominal distension and loss of appetite caused by hepatic encephalopathy. Hemodialysis, peritoneal dialysis, etc. can effectively remove metabolic products from the body, reduce the burden on the liver, and help alleviate the condition.

In addition, patients should pay attention to rest in their daily lives, maintain adequate sleep, avoid staying up late for long periods of time, and eat some light and easily digestible foods, such as millet porridge, soft noodles, etc., which are beneficial to replenish the nutrients needed by the body.

Wu Xiaofu also knew these, but how to combine them, when to use which medicine, how to use it, when to perform dialysis, the frequency, time and so on, all these require a strict treatment plan.

It's like a chemotherapy plan for cancer.

Different hospitals have different chemotherapy plans, and advanced and complete treatment plans have different effects on patients.

In these aspects, Donghai First Affiliated Hospital is undoubtedly at the forefront in the country.

So, after hearing Wu Xiaofu's words, Dr. Lu was really grateful.

"Thank you, thank you Doctor Wu."

When Wu Xiaofu was seeing other patients, Dr. Lu had already left. He still had work to do today. According to his colleagues, Dr. Lu had a child at home and his wife needed someone to take care of her, let alone come to the hospital to take care of the elderly.

In the hospital, Dr. Lu is the only one who takes care of my father. During this period, Dr. Lu is basically not at home. He accompanies his father after get off work and rushes to the emergency room at work. For example, this morning, when my father had a problem, Dr. Lu could only ask the doctor who took over to help for a while.

I don’t know how much sleep Dr. Lu can get every day during this period.

Wu Xiaofu felt helpless when he heard this. In fact, it's not just doctors, but people in many other professions are the same. It's just that it's really sad to talk about it.

After the rounds, Wu Xiaofu called the director of the gastroenterology department of the First Affiliated Hospital of Donghai and sent him the medical records of Dr. Lu's father. As for the physical examination, Wu Xiaofu performed it himself and explained the specific situation. The director of the gastroenterology department basically understood the situation and promised to come up with a detailed treatment plan soon.

A good treatment plan would ultimately allow Dr. Lu's father to wait a little longer.

Maybe there will be a liver source during this period of time. It is always a hope.

Emergency Department.

Wu Xiaofu came for a consultation. The person who called was Dr. Lu, who was rescuing a patient with a tired look on his face.

In the emergency room, a patient covered in blood was lying on the bed.

Doctor Lu asked for thick gauze and was now performing packing and compression to stop the bleeding. This is the most commonly used method of stopping bleeding in case of severe abdominal hemorrhage, but those who use this method of stopping bleeding are basically in critical condition.

"what happened?"

"Doctor Wu, the patient was stabbed in the abdomen. My preliminary diagnosis is that both the intestines and spleen are damaged. The bleeding is severe and the intestines have fallen out. I used gauze to protect it."

Wu Xiaofu couldn't help but frown when he heard this, asked for gloves, and hurried forward to check the situation.

Sure enough, the patient's clothes had all been cut open, and the piles of gauze had not even been cut open before being stuffed into the patient's abdomen. Even so, the white gauze was now soaked with blood and dyed red.

Even Dr. Lu's pure white coat was now full of blood.

Looking at the monitor again, the beeping sound never stopped.

The blood pressure has been dropping. The dual channels have been opened, fluid is being replaced, various pressor drugs are being used, and blood preparation has been completed. The heart rate has actually started to drop at this time, which shows that the amount of bleeding is too large and the compensation stage has been passed.

"anesthetic."

"Knife."

The patient was stabbed with a knife, but the family members were so confused that they actually pulled the knife out. To be honest, if the knife had not been pulled out, the situation might not be as critical as it is now.

Now Wu Xiaofu is going to extend the wound downwards along the patient's incision.

Seeing Wu Xiaofu's operation, everyone was stunned. Could it be that he was going to perform surgery in the emergency room? It was too absurd.

Fortunately, Wu Xiaofu just expanded the wound and then stopped, which made them feel relieved.

The emergency room is really not a place for surgery. The sterile environment is too poor. Even if the person is saved, the risk is great, and it will be difficult to explain what will happen later. After all, this is against the rules. You can save people and take some risks, but the rules are there, and the risks and benefits are not necessarily proportional. With this in mind, you should think twice before acting.

However, Wu Xiaofu only opened such a small opening, what does that mean? At most, it is just enough to put a hand in. However, they don't need to ask more, they will know soon.

"Come on, let it go slowly."

Wu Xiaofu placed his hand on the patient's abdomen, and the patient's condition was naturally clear at a glance.

Spleen ruptured, intestine ruptured.

The main cause of the bleeding was the spleen. The splenic artery ruptured and the bleeding was rapid. It was only because of Dr. Lu’s quick eyes and hands that he applied pressure to stop the bleeding, thus slowing down the bleeding. Otherwise, he would have died by now.

It is too late now for either examination or surgery. The patient's splenic artery must be sutured or ligated as soon as possible to buy time for surgery.

Dr. Lu was also stunned when he heard Wu Xiaofu's words.

Take it off? According to Dr. Lu's experience, if he keeps pressing like this, the patient might be able to live a little longer. If he lets go, he will probably die in a few seconds.

However, thinking of Wu Xiaofu's miracle, Dr. Lu did not ask any more questions and slowly let go of his hand.

Without Dr. Lu's pressure, the patient's bleeding volume increased rapidly.

However, Wu Xiaofu did not let this situation continue. In less than a second, Wu Xiaofu's hand had reached his abdomen. With Wu Xiaofu's strength, he was able to grab the blood vessels directly at the moment they were filled.

Stopping bleeding with bare hands is now considered Wu Xiaofu's specialty.

In other words, Wu Xiaofu does not work in the emergency room, otherwise, Wu Xiaofu's skill of stopping bleeding with bare hands would be worthy of a special topic.

"Wire."

It is definitely too late to sew. With Wu Xiaofu's ability, it is not impossible to anastomose it, but it will definitely take more than one or two seconds. Now he can only ligate the splenic artery to stop the bleeding.

The left and right spleens must also be removed, and the splenic artery ligated, and it won't make a difference.

He grabbed the artery with one hand and took the suture handed to him by the nurse with the other hand and started to tie it directly.

One-handed knot tying is an essential skill for old surgeons.

After all, the doctor's hands are much more flexible than those girls on the Internet who get their tongues tied.

Doctor Lu and the others just watched as Wu Xiaofu showed off his extreme skills to them.

No, it's not a show of skill, it's a miracle.

Especially Doctor Lu, who was closest to Wu Xiaofu and saw with his own eyes that Wu Xiaofu and he took over the baton. He just reached out and put his hand into the patient's stomach, and then saw that the blood pressure on the monitor had slowed down.

How could Dr. Lu not know what this situation meant?

It is very likely that Wu Xiaofu manually muted the microphone at the bleeding part, but is this possible?

Now they didn't even know what was going on in their stomachs, and Wu Xiaofu stopped the biggest bleeding with just a rub? Really just a rub, not even a second.

That’s fine. It’s probably because Wu Xiaofu is experienced and lucky, so it’s understandable.

But what the hell is Wu Xiaofu's one-handed ligation technique?
Is this a science fiction movie?
Being able to manually mute the microphone is enough to make people's head drop, not to mention that they have to ligate blood vessels. Fortunately, Wu Xiaofu doesn't have to anastomose the blood vessels, otherwise they really have to rub their eyes to see if they are dreaming.

"Tell the operating room to come and pick up the patient."

Under the gaze of Dr. Lu and others, Wu Xiaofu reached his hand out of the patient's abdominal cavity and spoke to everyone.

"Oh, OK, I'll call the operating room right away."

Doctor Lu hurriedly made arrangements. Although Wu Xiaofu might have ligated the large bleeding blood vessels in the patient's body, given the patient's current condition, even those small bleeding blood vessels and other injuries would be enough to drag the patient into the abyss.

Now surgery must be performed as soon as possible to remove the patient's injuries and save the patient's life.

"The blood bag is back."

At this moment, the nurse who went to get the blood bag also came back.

Wu Xiaofu also breathed a sigh of relief. The patient's blood volume had now dropped to freezing point. It was not enough to just supplement with crystalloids and colloids. Now that the blood bag was back, the success rate of the operation could be greatly improved.

Dean Fei Jinpeng also heard the emergency news at this time.

It wasn't that someone heard it over the phone, but in such a short period of time, Wu Xiaofu's miraculous operation had spread throughout the hospital group.

Fei Jinpeng hurriedly inquired about it. When he heard what was circulated in the group, he found that it was not exaggerated at all. In fact, what Wu Xiaofu did was even more exaggerated than that. Fei Jinpeng was a little stunned, and then he was ecstatic.

To be honest, he had seen normal things being spread as if they were miraculous.

But this is so miraculous that it makes people a little hesitant to spread it. This is really the first time.

However, no matter what, this is a good thing for Fei Jinpeng and Jinhu County Hospital.

Without delay, Fei Jinpeng asked the hospital's publicity officer to take action immediately.

What a huge publicity point this would be! As long as Wu Xiaofu's operation was successful, Jinhu County Hospital would become famous not only in Sujiang, but also in the whole of China.

It is said that doctors can snatch lives from the God of Hell, but doctors all know that most of the time, the God of Hell turns a blind eye.

But this time it’s different. Wu Xiaofu really is snatching someone from the hands of the King of Hell.

Based on the situation he just heard from the emergency department, according to past practice, let alone going to the operating room, being able to push the patient into the emergency room would be an improvement, as it was too dangerous.

However, the more dangerous the situation is, the more miraculous it is if the person is saved.

Coupled with the pen of their publicity officer, this matter must make their Jinhu County Hospital famous again.

It's good to be famous. The era when people are afraid of being famous and pigs are afraid of getting fat is over.

How can you develop if you are not famous? When scammers cheat people, they know to create a great background for themselves first, not to mention a large hospital like theirs that is seeking development.

Jinhu County Hospital is now stepping up its efforts to become a Class III hospital.

But the reality is that such a big hospital is actually supported by Wu Xiaofu and several rural doctors brought by Wu Xiaofu, especially Wu Xiaofu, who is about to leave, and their hospital has not yet been able to fully transform the reputation that Wu Xiaofu has left for the hospital during this period into strength and resources.

If Jinhu County Hospital wants to develop, it must attract the attention of higher authorities, let higher authorities see the value of Jinhu County Hospital, and be willing to support them.

Are the rigid conditions for promotion to a tertiary hospital really that important?
It is important, definitely important.

But many times, it is just a matter of turning a blind eye. Even the King of Hell can do this, let alone humans.

What’s important is that today’s Jinhu County Hospital is worthy of the title of a tertiary hospital.

As for hard power and soft power, they can first give them the title of a tertiary hospital, and then develop them slowly. With this title, their Jinhu County Hospital can retain enough patients and develop sustainably.

In fact, these are all mutually reinforcing.

Moreover, once the reputation spreads, it will not only be Wu Xiaofu's reputation, nor will it only be the reputation of Jinhu County Hospital, but also the reputation of all the medical staff of Jinhu County Hospital. In the future, when you meet your colleagues or other people, it will be an honor to be mentioned.

Only by feeling proud of it can they identify more with the hospital and be willing to make progress together with the hospital.

Thinking of this, Fei Jinpeng felt even happier and sighed secretly: I am so wise, otherwise I would be the dean.

Operating room.

Dr. Lu was brought to the operating table by Wu Xiaofu. In the emergency room, Wu Xiaofu asked the hospital to arrange other people to take his place.

This man was indeed exhausted, so Wu Xiaofu found an excuse to bring him to the operating table. After the operation, he could go back to rest. Otherwise, if he asked for leave from the hospital, he would really have no chance of taking any leave except for weddings and funerals.

Everyone has difficulties, but even Wu Xiaofu felt distressed about Dr. Lu's difficulties. It was said that Dr. Lu had not seen his daughter for several days.

Moreover, they said that Dr. Lu is very responsible and has good skills.

Wu Xiaofu thought that he could also train him. The emergency department is the first major checkpoint of a hospital. The person guarding the gate must have sufficient strength. Otherwise, he would be like an old man guarding the gate, dizzy and dazed. Everyone who came in would rub their eyes, thinking it was an illusion.

When Dr. Lu heard that Wu Xiaofu was going to take him to the operating table, he was also a little excited.

After all, Jinhu County Hospital is only a Class II hospital, and the emergency department does not perform surgeries itself. At most, they treat wounds and change medicines in the emergency operation room, which is very limited.

Doctor Lu is also a man who has some aspirations, and he is only in his thirties.

Because the incision had already been made and it was not a sterile surgery, this operation was bound to be performed by laparotomy.

Wu Xiaofu has performed so many spleen rupture operations that he is very familiar with it. Now he only handles spleen rupture and intestinal rupture. He has also performed more serious cases, such as liver rupture and pancreatic injury.

It's just that this is a little dangerous because of excessive bleeding.

Dr. Lu got into the role very quickly. He doesn't perform surgeries very often, but that doesn't mean he can't do it. Doctors in the emergency department are the most popular in the surgical department. They have sufficient psychological qualities and basic technical skills, so they can get started quickly.

The hospital is always short of doctors. If a colleague from the emergency department is willing to transfer over, basically no department will refuse. Many departments will start to fight for it once they know the news in advance.

Boom boom boom!
At this moment, footsteps were heard outside the operating room, the door opened, and a nurse walked in hurriedly.

"Doctor Wu, it's HIV."

(End of this chapter)