Come on, Dr. Wu

Chapter 276: Justice Cat, Bravely Fights the Beating Doctor!
The assistant is Yuna.

After not seeing each other for two months, Wu Xiaofu discovered that Yuna had made great progress. It seemed that Yuna and the others did not slack off during his absence.

Yes, neither Yuna nor Feng Lingling are lazy people.

What's more, entering the First Affiliated Hospital of Donghai is equivalent to entering a concentration camp for high-rollers. If you don't roll, you will be eliminated and left behind. Yuna and Feng Lingling are both proud and arrogant people. Not only will they not allow themselves to be at the bottom, they will also always strive to be at the forefront.

Especially Yuna. Feng Lingling is already a regular employee and the pressure is relatively less, but Yuna is different. Up to now, she is only on a scientific employment contract and is at risk of being dismissed at any time. She must perform well.

In order to get the next employment contract at the First Affiliated Hospital of Donghai, the struggle is extremely fierce.

"Senior sister, are there any recruitment quotas released this year?"

Yuna's eyes lit up when she heard that.

"In August, it is said that a number of positions for the academy will be released in August. Among those of us who previously signed the departmental employment contract, 10% should have the opportunity to be transferred to the academy employment contract. However, you also know how fierce the competition is."

Yuna looked at Wu Xiaofu eagerly. In July last year, Wu Xiaofu was just a small employee, but now it was different. Wu Xiaofu was the leading doctor of the general surgery department of the First Affiliated Hospital of Donghai City, a disciple of the vice president Yu Shifu, the top doctor of the First Affiliated Hospital of Donghai City, a rising star in the Chinese medical community, and a medical master in the world.

A word from Wu Xiaofu is more effective than any work she does.

Only 10% of the people have the chance to get a contract with the school. The fierce competition is enough to make many people despair. Yuna is one of them. If it was just a simple written test, Yuna would not be afraid. Although she may not be the first, she would be among the top few.

But there is still the interview. Even if Yuna is pretty, she won't have much confidence in this interview.

Now is the time to test our relationships. Although our teacher is Yu Shifu, there are differences in closeness. It would be safer for Wu Xiaofu to say something.

In other words, she acted too late at the beginning. If she had become Wu Xiaofu's girlfriend, maybe Wu Xiaofu would have gotten her a job directly, and she wouldn't have to worry about all these.

"Then I'll go and tell the dean after the surgery. I just happen to have something to tell him."

"Thank you, boss."

Yuna was naturally delighted when she heard this, as it meant everything was settled.

It's no wonder that Yuna is so happy. If the establishment is a stable job, then the hospital employment is a formal employee. The department employment is the most pitiful, a temporary worker. Once the hospital starts to lay off people, the first step to be eliminated is to hire temporary workers.

Moreover, the amount of money earned is different, and scientific employment does not come with five social insurances and one housing fund. This is the most fatal thing. There is not even the most basic protection. At that time, Yuna stayed as a stopgap measure in order to save the country in a roundabout way. Now it seems perfect.

Wu Xiaofu also smiled. In fact, the appointment was just a way to repay favors. Even though Yuna was the vice-president's disciple, sometimes, the vice-president's disciple was not very useful. The relationships in all aspects were enough to make Yu Shifu ask Yuna to wait for another year.

"Senior sister, how are you doing with pancreaticoduodenal surgery?"

Hearing Wu Xiaofu's question, Yuna's face was a little bitter, "Boss, you think too highly of me. How well have I mastered this? I'm just at the very beginning. It's good enough that I can perform liver cancer resection surgery. Pancreaticoduodenal surgery is still a long way to go. Not everyone has your talent."

"What do you mean by talent? I am also a hard-working player, okay?"

"Okay, okay, hard-working player, then you have to teach me well."

My senior sister, Wu Xiaofu, must have taught me with all her heart. The previous steps of this operation are basically the same as the usual pancreaticoduodenal surgery. Because the entire pancreas needs to be removed, the reconstruction of the duct is just a little more complicated.

However, these were minor problems for Wu Xiaofu. Because he had to teach Yuna carefully, Wu Xiaofu slowed down the progress a little. After the pancreas and duodenum were removed, Wu Xiaofu began to perform pancreatic jejunostomy. In this step, Wu Xiaofu used a telescopic pancreatic jejunostomy with an internal support tube for pancreatic duct drainage.

This is done to reduce the chance of pancreatic duct obstruction. After all, pancreaticojejunostomy is a broken-end anastomosis. During the repair process, if the drainage is not smooth, congestion will form. Even if it is not completely blocked, it may affect the body's function.

In order to reduce the occurrence of pancreatic fistula after pancreaticojejunostomy, pancreatic duct obstruction can also be used.

Pancreatic fistula is actually the outflow of pancreatic juice through non-physiological pathways after the pancreatic duct ruptures.

So, this fistula can actually be a leakage.

Therefore, in order to prevent leakage, the pancreatic duct can be blocked on the side where pancreatic fistula may occur. However, this is different from pathological pancreatic duct blockage and can be solved by technical means.

Of course, the quality of this operation is reflected in the word "technology".

Wu Xiaofu explained in detail, but Yuna didn't dare to learn it all. According to their experience of following Wu Xiaofu in performing surgery, they only needed to learn about 50% to 60% of it, such as pancreatic duct blockage and pancreatic duct drainage, and they just needed to do it according to their ability.

Why does the quality of surgery vary from one hospital to another but from one doctor to another?

This is where the difference lies.

Wu Xiaofu is a man of great skill and courage, and he dares to do anything. As long as it is beneficial to the patient, Wu Xiaofu can decide according to the situation and perform the operation according to the disease. But they can't do that. If any of these are not done well, there will be serious sequelae, which is worse than not doing it perfectly.

However, whether to learn or not is Yuna’s business, and Wu Xiaofu must explain it clearly to them.

Wu Xiaofu performed a pancreaticoduodenectomy operation which took more than two hours to complete.

"Doctor Wu, you've regressed. According to your previous style, you should have finished within an hour."

The anesthesiologist began to wake Wu Xiaofu from anesthesia and teased him.

Wu Xiaofu was also a little annoyed when he heard this. "You guys are exaggerating more and more. My last best record was just over an hour, but you took me dozens of minutes. According to what you said, I'm afraid I can finish the operation in half an hour in the future."

"That's right. We have great confidence in Doctor Wu. What do you mean by half an hour? Doctor Wu, let me tell you, let alone half an hour, I wouldn't be surprised even if you could complete the operation in ten minutes one day."

The others also laughed when they heard this.

Not to mention, neither the anesthesiologist nor the nurse disagreed with what was said. Although they all knew it was a joke, others could not complete it, but it was different for Wu Xiaofu. This was a teaching operation, so it was normal to be a little slow, but Wu Xiaofu had performed various types of operations before, and the time was gradually shortened.

"Okay, take the next one, let's finish it quickly and then go eat."

There are also differences between tertiary hospitals, especially in the operating room. Without talking about other things, in terms of surgical coordination, Donghai First Affiliated Hospital can definitely be ranked among the top three in the country.

The interval between two operations here is no more than ten minutes, which is just enough time for the surgeon to go to the bathroom.

This is not possible in other places. When Wu Xiaofu was studying for his master's degree in the North District, it was common for operations to take half an hour to complete. In some hospitals further down the road, the time would be even longer.

The second operation was to remove gallbladder cancer. It was just simple gallbladder cancer, detected through physical examination. I was lucky. It was in the early stage. Although the prognosis of gallbladder cancer is very general, after surgical removal, at least the survival period and quality of life are much better than those with ordinary medicines.

Under laparoscopy, the swollen and adhered gallbladder appeared in front of everyone.

"how about this?"

Yuna was a little tempted, but after thinking about it, she decided not to. Laparoscopic radical resection of gallbladder cancer is an international problem even now, and it is very difficult to dissect it. She wanted to give it a try, but if it was exposed, she would not mind taking the responsibility, but she would feel bad if Wu Xiaofu's reputation was ruined.

Wu Xiaofu saw that Yuna was in a conflicted mood, and immediately gave the electric knife to Yuna.

"Come on, take your time. When I say stop, you stop. I'll give you instructions. Don't worry too much. When I go to see the dean this afternoon, I'll tell him that you can perform laparoscopic radical cholecystectomy. When Dean Rong hears this, he may even give you a bonus, not to mention hiring you."

Yuna also thought it was outrageous. Wu Xiaofu really dared to blow her up. However, Yuna was not a hesitant person. Since Wu Xiaofu had said this, she would definitely not refuse.

With the electric knife in hand, Yuna took a deep breath before operating it.

After gallbladder cancer occurs, the gallbladder becomes swollen, the tissue becomes more brittle, and the bile in the gallbladder contains cancerous fluid, which changes the composition of the gallbladder and adds many unknowns.

In some parts, it looks like the ligaments are just attached to the gallbladder, but once you peel off the ligament, there may be a hole. Therefore, since Wu Xiaofu performed the first laparoscopic radical resection of gallbladder cancer, although many hospitals have also started the operation, many accidents have occurred.

Up to now, more than half a year has passed, but around the world, when gallbladder cancer is encountered, open surgery is still the main treatment.

Yuna has begun to peel off the tissue around the gallbladder. Looking at Yuna's operation, Wu Xiaofu's face is filled with admiration. What Wu Xiaofu appreciates most about Yuna is that Yuna has a big heart.

After all this time, Wu Xiaofu has never seen Yuna's hands shaking during surgery.

A true big-scene player, this was the reason why Wu Xiaofu dared to let Yuna take the lead. Moreover, before this, Yuna had performed more than a dozen laparoscopic radical cholecystectomies with him. With such a large number of operations and Yuna's hard work, I'm afraid her foundation had already been extremely solid.

"Be gentle here. Look at the lines and the adhesion tissue. It's obvious that they are not attached but grown together. In this case, there is no need to peel it off. Just start cutting from the neck and break it off. Yes, go slowly. Be careful of the blood vessels underneath. Cut layer by layer."

……

Wu Xiaofu talked from time to time. Yuna was a little worried at first, but as she saw that the operation was going more smoothly under Wu Xiaofu's command, she gradually felt relieved. After more than an hour, the gallbladder dissection was completed.

Just like a raw egg, after peeling off the shell, the round shape inside is still covered by a thin film. The seemingly fragile gallbladder has retained its integrity at this moment without any sign of breaking.

Yuna couldn't help but laugh when she looked at her results. She actually succeeded in the peeling. Although it was Wu Xiaofu's command, she was the one who did it. With this success, she wouldn't need Wu Xiaofu's encouragement next time. As long as Wu Xiaofu stood by her side, she would still dare to operate on gallbladder cancer.

Building confidence and accumulating experience cannot be compared with watching videos or learning basic knowledge.

"Good, ligate the blood vessels and start the resection."

Because the condition of the cancer was not serious, a section of the bile duct was cut upwards, and then the broken end of the bile duct was anastomosed to the jejunum to allow the bile to enter the intestine directly. The operation was almost over.

Yuna suppressed her pounding heart and began to tie off her blood vessels.

At this stage, it is actually not difficult for her. You know, she has had a lot of gallbladder removed. Now that the gallbladder tissue has been removed, the follow-up procedures are very similar to gallbladder removal.

Until the time of bile duct-jejunostomy, everything went smoothly for Yuna and Wu Xiaofu seldom made a sound.

Choledochojejunostomy is another difficulty, because after a section of the bile duct is cut, the length of the bile duct stump is actually limited, which makes choledochojejunostomy difficult. In human surgery, anastomosis is never a simple operation.

A bile duct and jejunal anastomosis like this one is not comparable to simple operations like vascular and nerve anastomosis.

Clinically, there are many cases of sequelae such as intestinal fistula after intestinal anastomosis.

There are many cases where the problem can only be solved by another laparotomy.

You should know that the second laparotomy may be different from the first laparoscopy. Because the original channel is damaged by the mirror, adhesions and fusions, and the tissue structure has changed, it is very difficult to perform endoscopic operations through the original channel again. Therefore, after intestinal fistula occurs, laparotomy is basically performed.

The emergence of secondary pain has caused many doctors to go from the operating table to the defendant's bench in court.

Even if Wu Xiaofu was performing the bile duct and jejunum anastomosis, he had to be careful in the operation. Therefore, at this step, Yuna inevitably became nervous, but Wu Xiaofu still encouraged her.

Yuna's anastomosis technique is not bad, Wu Xiaofu just asked her to correct the improper operation in time.

Fortunately, in Wu Xiaofu's opinion, Yuna's skills were satisfactory until the anastomosis was completed.

However, the operation was almost over.

In the restaurant, in fact, other people were eating at about the same time. After seeing Wu Xiaofu, everyone greeted him warmly. You know, Wu Xiaofu was back in the operating room after two months. After being away from home for so long, the treatment he received when he returned home was always different.

What's more, Wu Xiaofu returned home with honor.

After eating and chatting for half an hour, Wu Xiaofu and Yuna returned to the operating room.

Compared with the previous two operations, liver cancer resection is relatively simple.

This time, Wu Xiaofu directly let Yuna perform the surgery.

Primary liver cancer, in situ liver cancer, six centimeters in diameter, no metastasis to other organs, and no lymph node infiltration. This type of surgery is most suitable for Yuna to perform. With Wu Xiaofu by her side, there will be no problems.

After three hours, the operation was over.

"Boss, I really made a fortune today. What did I do? I performed a laparoscopic radical resection of cholecystitis and a radical resection of liver cancer. If I tell Lingling about this when I get back, she will be so jealous of me."

Wu Xiaofu couldn't help but shook his head, "Go back and sort it out, remember today's feelings, I'll arrange it for you in the near future, do it a few times, and it will be almost done, ok, I'm leaving first."

After leaving the operating room, Wu Xiaofu first went to the dean's office.

It was not Wu Xiaofu who took the initiative to look for Rong Qiao. After Wu Xiaofu came back yesterday, he called Rong Qiao, and Rong Qiao said that he was in a meeting outside. Wu Xiaofu had been planning to take the initiative to visit him, but now, that plan has fallen through.

However, Rong Qiao told Wu Xiaofu to find him in his office this afternoon. He had to congratulate Wu Xiaofu on behalf of the hospital and tell Yuna about the hospital's employment.

In the dean's office, besides Rong Qiao, Rong Xinxin was also there.

"Dean, Sister Xin."

"Xiao Fu, well done. You have brought honor to our hospital this time. Master and apprentice on the same stage, it was really a great honor for Old Yu. I called you here this time, not only to congratulate you, but also to tell you that you have brought honor to the hospital. The hospital will definitely express its appreciation. You will know when the bonus is distributed next month.

As for the National Science and Technology Award, the hospital is also pushing you. This is also your teacher's intention. It's not that they are giving up their position to you, but your RC1 is indeed more competitive than Lao Yu's project. Moreover, Lao Yu is not unwilling to comment. Maybe it will be another master and apprentice on the same stage. I can't say more. It makes me feel jealous.

Xinxin wants to ask you to do a column promotion for the hospital. Please cooperate with us later."

Rong Qiao and Wu Xiaofu did not beat around the bush and went straight to the point with a bunch of solid stuff. Except for the third thing, almost all of them were good things. Bonuses and honors were what Wu Xiaofu wanted. As for promoting him, Wu Xiaofu did not think much about it. Yu Shifu and Rong Qiao had their own considerations.

That's the propaganda thing.

"Sister Xin, let's forget about the publicity. I just got back and have a lot of things to do."

"No."

Rong Qiao and Rong Xinxin spoke almost at the same time.

"Even good wine needs a bush, Xiaofu, this is also a step for you to compete for the National Science and Technology Award, you can't refuse it. Don't worry, Xinxin won't take up too much of your time."

"Yeah, Xiaofu, I won't take up too much of your time, just help me out."

Well, the father and daughter had talked so much, what else could Wu Xiaofu say? He was supposed to accompany Qu Ying to go shopping, but ended up being tormented by Rong Xinxin for two hours, and it was already six o'clock when they finished.

Forget about shopping, and you can just have dinner.

Expansion!
Emergency Department. When Wu Xiaofu left, he went out of the emergency department. When he came back, he was going to call Duan Hao and Hou Ziling to have dinner together, and also to say hello to Zhu Yun and the others.

However, just as I passed by the emergency department lobby, I saw some commotion.

My goodness! Looking at the scene in front of him, Wu Xiaofu's eyes narrowed. Wang Hu, who was 1.78 meters tall and had a strong build, was actually hit by a punch in the face. Everyone in the hall screamed, and before they could react, they saw Wang Hu taking off his white coat and knocking the man opposite him to the ground.

Wu Xiaofu then turned his gaze to the man opposite Wang Hu. He was a middle-aged man, about 40 years old, tall and thin. His face was originally full of anger, but now it was full of confusion. Perhaps he did not expect that Wang Hu, a doctor, would dare to fight back.

Not only did Wang Hu fight back, he even tried to bully the man, so the man quickly used his hands to protect his face.

"The doctor hit someone. The doctor hit someone."

……

Hearing the noise, other colleagues in the emergency department also reacted. How could a fight break out like that? Not daring to be careless, the doctors and nurses hurriedly pulled Wang Hu away. As a doctor, they had to consider the impact after all. No matter if there was a reason or not, if this was posted online and something malicious was said, Wang Hu might really have to take off his white coat.

Moreover, there is no need to post it online, you can tell how bad the situation is by looking at the scene. Many patients have gathered around and have begun pointing fingers at Wang Hu. People always favor the weak, and judging from the current situation, the middle-aged man lying on the ground with an aggrieved look on his face is obviously more like a weak person.

There is also empathy. The middle-aged man should not be a hospital employee, at least Wu Xiaofu has never seen him. He is most likely a patient. Patients will naturally sympathize with each other. After all, they all have the same idea. They all come to the hospital to see a doctor. If they were not severely bullied, how could they possibly fight with the doctor?

In addition, many patients nowadays are prejudiced against doctors, and one or two people in this group are causing trouble.

Wow, a group of patients who were originally just whispering have now publicly denounced Wang Hu. They don’t know the middle-aged man, but there are still a few who know Wang Hu. Now these patients all know that Wang Hu is a doctor in the emergency department of the First Affiliated Hospital.

The current situation is that one is standing and the other is lying. It is obvious that the doctor hit someone.

"How can you hit someone? Aren't you doctors here to cure illnesses and save lives? Is this how you cure illnesses and save lives?"

A young woman suddenly stood up at this moment.

Maomao is an internet celebrity who mainly does live broadcasts of pet products and sells goods. A few days ago, Maomao was bitten by a pet at home, so he came to the hospital for an injection. However, the live broadcast cannot be stopped, so he kept on broadcasting.

Maomao appeared earlier than Xiaofu, so the whole process was recorded by the camera.

However, Maomao did not expect that the scene of the doctor beating people appeared in the live broadcast, which actually directly brought up the popularity of the live broadcast. Watching the number of people in the live broadcast room increase rapidly, most of them had just come in, and seeing the barrage saying that the doctor beat people, they all started to ask what was going on.

Maomao's heart was also pounding at this moment. She felt that great wealth was coming. She had to do something to seize this wave of popularity. If she didn't take what heaven gave her, she would suffer the consequences.

Looking at the public opinion, Maomao naturally stood on the side of the majority and stood up directly.

A righteous cat who bravely fights against the doctor who beats people.

Changing the title is worth a ton of gold.

(End of this chapter)