Come on, Dr. Wu

Chapter 318 Risk Sharing
"Boss!"

Peng Xia was also a little excited at this time. Although she had to work overtime late at night, this was another world-first operation. How could Peng Xia not be happy to be able to participate?

Speaking of which, Peng Xia feels that he is really lucky.

Wu Xiaofu has performed many surgeries that were the first in the world, one, two, three, four, anyway, a lot. Many of them were the first surgeries in the First Affiliated Hospital of Donghai University, and he actually participated in quite a few of these surgeries.

Thinking of this, Peng Xia felt happy again.

It turned out that he was Wu Xiaofu's direct descendant. Look, when there was such an operation, the first person the boss thought of was him.

Wu Xiaofu didn't know what Peng Xia was thinking, otherwise he would have replied, "You are the youngest and the most hardworking in the entire group, so who else should I call if not you?"

The operation is very simple: laparoscopic release of incarcerated intestinal tube of right-sided obturator hernia + laparoscopic obturator hernia biological patch repair.

The first difficulty of laparoscopic obturator hernia surgery is accurate positioning. The hole must be made with extreme caution because there are many important blood vessels and sciatic nerves around the obturator hernia. If they are injured during the hole making, the operation will be ruined.

You know, although both are laparoscopes, the space under the hernia surgery mirror is very small. If the blood vessels are directly damaged, it will be very difficult to stop the bleeding, and the only option is to change from using the mirror to surgery, which would be a bit embarrassing.

As for the nerves, that is even more difficult.

Especially for the sciatic nerve, after obturator hernia surgery, symptoms such as leg numbness and pain may become more severe. It is very likely that the sciatic nerve was damaged during the operation or the compression was increased.

After drilling holes and placing the mirror, the second difficulty comes: separation of structural tissue.

This operation not only solves the hernia, but also protects the blood vessels and nerves affected by the hernia. Therefore, before treating the hernia, the important nerves and blood vessels must be separated out, and the intestines must also be arranged reasonably, and it is best to send them back.

Because the time is still short and there is only some intestinal obstruction, but it has not reached the level of necrosis, so the intestine does not need to be removed beforehand.

Just push it back through the hernia tunnel.

The third is the treatment of hernia.

The most important thing in treating hernia is to remove the hernia sac. After the hernia sac is removed, the passage is unblocked and the hernia will naturally heal. However, compared with ordinary hernia, the hernia sac of obturator hernia is more difficult to treat.

Peng Xia felt a little scalp-tingling when he saw how Wu Xiaofu handled the situation.

It was so thrilling. Although Wu Xiaofu did not damage the blood vessels, nerves and other tissues under the microscope, it was not because of good protection, but because Wu Xiaofu's technique was indeed good.

"Don't follow my example. You have to be careful when you peel the skin off during surgery. It's easy to make mistakes if you do what I do. I just want to save time for the patient."

Peng Xia nodded hurriedly. Are you kidding? He wouldn't dare to do that.

Wu Xiaofu is a man of great skill and courage, and he doesn't want to be taken to court.

Originally, Peng Xia thought that this world's first laparoscopic obturator hernia surgery would take at least two hours to complete. However, Wu Xiaofu managed to complete it in just half an hour, including the time required for everything.

Looking at Wu Xiaofu in front of him, Peng Xia suddenly had an idea.

If only God could give him a superpower like copy and paste, he wanted to copy all of Wu Xiaofu's surgical skills to himself. If that were the case, he would really just do it.

After the operation, the patient will recover slowly.

Laparoscopic surgery is almost always performed under general anesthesia, and this patient is no exception.

"My father is my aunt's younger brother, my mother is my uncle's younger sister, my father likes my mother, it's too messy, our family is too messy..."

Hahaha!
Wu Xiaofu was about to leave the operating room, but when he heard the patient suddenly speak, he couldn't help but laugh.

Not only Wu Xiaofu, but everyone in the operating room couldn't help it at this moment.

As expected, in the future, I must build a good relationship with the anesthesiologist before the operation, tell him that the dosage must be accurate, and try to wake him up just after the operation. Otherwise, the risk is too great, and some of my inner thoughts and some confused words may be revealed before I wake up from the anesthesia.

"That day, I saw the woman from my neighbor's house let a man into her house while her husband was away on a business trip. What a guy..."

Yes, there is melon!

Everyone stopped moving, even the nurse who was about to push the patient to the anesthesia recovery room stopped. As expected, this truth serum is really an anesthetic. Look, after one injection, no secrets can be hidden.

What happened?

Everyone listened carefully.

"Big Banana, a big banana, you feel so wonderful..."

Everyone looked at each other, and any slight emotion from working overtime at night had disappeared without a trace because of this episode.

"Doctor Wu, I should record a video for the patient. What do you think she will look like when she wakes up and sees this video?"

A young nurse winked at Wu Xiaofu and said something, and Wu Xiaofu couldn't help but shook his head.

"You are so mean. Record it quickly and send me a copy later."

It was all a joke. However, the patient woke up pretty quickly. Wu Xiaofu had just come out of the shower and thought that if the patient woke up, he would go over to check on him and settle him down. If not, he would leave right away. Unexpectedly, the patient woke up in time.

Anesthesia recovery room.

"No way, doctor, am I really that embarrassed? Ugh, you must not tell anyone about this, or I will be too embarrassed to see anyone."

As soon as Wu Xiaofu came in, he heard Grandma Wang's voice.

"Grandma Wang, how do you feel?"

When Granny Wang saw Wu Xiaofu, she quickly said, "Doctor Wu, I heard these doctors tell me what I just said. I was just trying to coax my grandson. I was used to saying that. As for the big banana, it was because my grandson liked to listen to it. I sang it more. Who would have thought that I would sing it here?

The first sentence was what my grandson said to me before, it was not my own idea. There was also the matter about the neighbor, which I had not planned to say. If it was misunderstood, or if it affected the relationship between the couple, it would be bad. "

Wu Xiaofu smiled and shook his head. "These are all trivial matters. We are all professionals. We won't laugh at you or tell anyone. How do you feel? The operation was successful. If you are completely awake, we will go straight back to the ward."

Granny Wang was naturally very grateful.

A young nurse was looking at the anesthetics at this time and was eager to try them. Wu Xiaofu also found it interesting.

"Why? You want to try it? This year's physical examination has already begun. When you do the gastroscopy, I'll do it for you and see what you say. Don't worry, I'll record the video."

The young nurse couldn't help but grumble when she heard this, "Doctor Wu, you've also become a bad person. I still want to maintain a good reputation in the hospital. If you really say something weird, I won't be able to find a partner."

After returning home, Wu Xiaofu did not rush to bed, but finished his paper first.

Tomorrow is Saturday. Sleeping a little later will not affect the overall situation. As a doctor, you must be able to work hard. The prerequisite for working hard is to be able to stay up late. If you are not able to stay up late, how can you secretly become stronger while others are sleeping?

Doctors tell patients not to stay up late, smoke, or drink. It's hard to stick to them. I still have to go to the hospital on Saturdays.

For patients with endometriosis, the results must also be looked at. The patient's blood test, color ultrasound, electrocardiogram, etc. before surgery are all must-see.

If you have any problem, please consult and solve it immediately.

The operating room is very busy, and the anesthesiologist would like to stop a large number of surgeries every day, but the doctor also needs to arrange all the patients as soon as possible, so various preoperative issues must be dealt with in advance.

If you have high blood pressure, please consult a cardiologist and lower your blood pressure as soon as possible.

If your blood sugar is high, please consult an endocrinologist and lower it as soon as possible.

If there is a problem with the cardiac ultrasound, please ask the cardiologist to take a look and write an opinion that it will not affect anesthesia to prevent the anesthesiologist from making any further comments.

If there are any problems with the vascular color ultrasound, you should see the interventional department as soon as possible to avoid the surgery being affected by the vascular problem.

There are other things. In short, the anesthesiologist must not be given any opportunity to stop the operation.

Of course, there are also directors who can force surgery just by looking at their faces, but if something really goes wrong with the patient, the director will have to take the responsibility, which no one wants to do.

So, the risk has to be shared.

In the consultation opinion, all departments have written that there is no problem, so if there is a problem with any system during the operation, just find the corresponding department.

So, do you think the surgeon really can't handle problems with other systems?

No, it’s just because of the medical insurance card reimbursement and risk sharing.

As for whether those examinations are necessary, they are really necessary. The risk of anesthesia actually accounts for a large proportion of the surgery.

Wu Xiaofu has seen it with his own eyes. Because many examinations were omitted before the operation, there were too many cases of cardiac arrest, infarction, respiratory depression, etc. not long after the operation began.

Maybe these inspections do cost a lot of money, but the risks are there. Do you really want to take these risks just to save the money?
Perhaps you would say, as a doctor, can’t you determine whether these problems exist without examination?

In fact, most of them can be seen, but it is useless. The current medical environment is tense and no one will believe the doctor's subjective judgment in court. They will only believe the evidence on paper.

Therefore, routine preoperative examinations are becoming more and more common.

"Your blood pressure is a little high. Did you not get enough rest these past two days? Or do you already have high blood pressure?"

Wu Xiaofu couldn't help but frown when he looked at the patient's blood pressure over the past two days. The systolic value had reached 160, which was no longer within the limit of ordinary high blood pressure.

"It wasn't high before? Maybe I didn't get enough rest these past two days. After all, I'm about to have surgery. I've never had surgery before, so I'm a little nervous."

He shook his head. If he was nervous, his blood pressure would rise due to insomnia, but it would not be higher than 150.

"Sister Ling, please go see the cardiology department."

Everything else is fine. If there is no problem with blood pressure, the surgery on Monday should go smoothly.

"Hyperlipidemia!"

In the afternoon, Wu Xiaofu received a call from Feng Lingling. The cardiology department analyzed that the patient's high blood pressure was caused by hyperactivity of the liver.

Hyperactivity of the liver is a term used in traditional Chinese medicine and was later used in Western medicine as well. It generally refers to the syndrome of hyperactivity of liver yang, which is mainly due to insufficient yin fluid in the liver, depletion of liver yin and liver blood, or poor reflux of yin fluid in the liver, which weakens its astringent function and causes liver yang to ascend to the head.

Patients mainly show symptoms such as headache, red face and eyes, dizziness, bitter taste in the mouth, tinnitus, etc. They may also experience irritability, dull pain in the ribs, and weakness in the waist and knees.

If these are not due to organic problems with the patient's liver, then they are related to the patient's bad mood and excessive sexual intercourse.

Well, this patient might have both.

But the main reason is probably that the patient's endometriosis has spread to the liver, causing liver problems.

High blood pressure is also related to this.

Once the root cause is found, it can be treated. However, this also shows that the patient's surgery cannot be delayed, otherwise, the patient's liver problems may become more serious.

Thinking of this, Wu Xiaofu directly postponed the surgery to Sunday.

In the operating room.

"Doctor Wu, if you keep asking us to work overtime, we're going to dislike you."

A nurse with slightly more experience said to Wu Xiaofu.

There are generally no surgeries scheduled on Sundays. Although the anesthesiologists and nurses in the operating room are on duty, they generally do not need to come if there is no surgery. They will only call when there is a surgery.

Therefore, Wu Xiaofu directly scheduled the surgery on Sunday, which was actually disturbing other people's lives.

However, most of these words were just jokes, and Wu Xiaofu could handle it.

"Sister Li, I see that the emergency room has received several major surgeries. Although we say that we can rest if there is no surgery, look at the past few years. Which Sundays can you rest normally? Aren't they all pulled in for surgery? I am choosing a free day for you.

Don't worry, after an hour, we will go back to our homes. By the way, Sister Li, is your child going to junior high school?"

"Yes, she will be enrolled next year. We want her to go to No. 9 Middle School, but with her score, it's really hard for her to get into No. 9 Middle School. If we divide the district into different areas, the school in our area is not that good. We have been very worried recently, and we are thinking about how to solve the problem.

Doctor Wu, we all know how powerful you are. If you have any ideas, please help me. I will let my child recognize you as his godfather."

"Okay, Sister Li, you want to get food and drink at the same time. You want Dr. Wu to find a school for you, and you also want to find a future for your child. You won't lose out on either side."

Without waiting for Wu Xiaofu to speak, the anesthesiologist had already spoken. Of course, his main purpose was to help Wu Xiaofu out of the predicament. Things at school were not easy, and the anesthesiologist was afraid that Wu Xiaofu was too shy, so he agreed directly. Trouble ensued afterwards.

No. 9 Middle School is the best junior high school in Donghai. Sister Li wants her child to have a better life. However, what Sister Li said about the junior high schools in the area are not good is not true. The No. 14 Middle School in Sister Li's area is also in the first tier. Although it is not as good as No. 9 Middle School, it is not bad either.

"Sister Li, I can't handle school matters. I was thinking that since we have a good relationship as siblings, I would like to send your child some study materials."

Sister Li rolled her eyes when she heard that. "Thank you on behalf of my child. I want my child to take you as a role model so that she can study medicine in the future. If you send her a few study materials, I'm afraid your position in her heart will plummet."

Once the topic was opened, the atmosphere of the operation became lively.

The patient had not yet completed the anesthesia. When he heard Wu Xiaofu and the others chatting, and saw how relaxed they were, his tense mood also eased a lot.

"Okay, let's get started."

(End of this chapter)