Come on, Dr. Wu

Chapter 337 There is a problem!

"Boss is awesome!"

Jiang Bei and Cheng Shi sighed as they sent the patient away. To be honest, they already admired Wu Xiaofu greatly before, and now they were completely conquered by him. From now on, if anyone dared to say anything bad about Wu Xiaofu or question him, they would fight back.

What's more, Wu Xiaofu has brought them away from the suffering of medical records.

While the imaging examination was in progress, a nurse from the operating room came over to pick up the patient. However, the patient's current condition was not suitable for movement, so after thinking about it, it was decided to use the emergency department's medical vehicle to send the patient to the operating room first.

Following with the operating room nurse, the three of them quickly escorted the patient through the green channel and directly into the operating room. However, there was still a problem. That was the patient's family members had not arrived yet, and all the signatures were done by the patient's friends.

Emergency Department.

Duan Fei looked at the anxious people in front of him and felt helpless.

“Can’t you still contact the patient’s family?”

The people in front of them looked about the same age as the patient. The patient was 27 weeks old, and these people looked to be in their twenties. They had dyed hair and had tattoos like the patient. After the patient got into trouble, they were the ones who escorted the patient here. Because it was a vicious assault case, the police have also arrived.

Several people claimed that they were the patient's brothers in life and death, and the patient's deposit was collected by several people. It can be seen that they are very loyal, but they were not in a good mood at the beginning and yelled at Duan Fei. Duan Fei has been working in the hospital for many days and has seen many such situations. Either out of understanding or for the sake of hospital order, he responded calmly.

Later, as they watched the doctor actively arrange treatment for the patient and send him to the operating room, they were no longer as anxious as before.

However, the surgery requires a signature. The patient is basically in a coma, so he definitely cannot sign it himself, so we can only ask the patient's family to sign.

However, several people tried to contact the patient's family, but they were unable to get through.

They didn't know the patient's parents and only had the phone number of the patient's sister, but they couldn't get through after trying several different cell phones.

Several people also knew that the operation had to be done quickly, so they said directly that they would not wait for the patient's family. They would collect the operation fee, sign their names, and take responsibility if there were any problems. Now they surrounded Duan Fei, wanting the operation to be performed as soon as possible.

Originally, Duan Fei was a little angry about the attitude of these people, but seeing how loyal they were, he felt a little more understanding in his heart. After all, he was still worried about the patients.

After thinking about it, Duan Fei still called Duan Hao and asked his friend to sign. If something went wrong and the patient's family came to the rescue, the hospital would not be in the right and would probably be sued. Duan Fei could not afford such responsibility and could only report it to his superiors.

Although Wu Xiaofu said that the patient's condition was actually okay, it was only relative. There were three cuts and six holes in the abdominal cavity. Even if the aorta was not injured, it would be enough to cause death from blood loss over time, so the sooner the better.

After Duan Hao received the surgery order, he did not hesitate too much and called the medical department to report.

The process is like this: the junior doctor finds the senior doctor, the department director reports to the medical department, and after obtaining the consent of the medical department and the dean in charge, the operation can be performed.

The First Affiliated Hospital has rich experience in such matters, so they simply instructed to perform the surgery first, and then arrange for people to follow the procedures during the operation.

Things became simple after Duan Fei got Duan Hao's affirmative answer.

"Okay, send a representative to sign with me now. Let's do the surgery first, and then proceed with the procedure during the operation. You also need to continue to actively contact the patient's family."

After hearing Duan Fei's words, the patient's friends felt relieved and quickly agreed and followed Duan Fei to sign.

Wu Xiaofu had already entered the operating room at this time. As for matters such as signing, that was Duan Fei's business. It was not the first day he knew Duan Fei. If these things could not be handled, Duan Fei would definitely call him before the operation. Since he didn't call, he just had to prepare for the operation according to the normal process.

beep!

"Boss, it's already signed."

The message alert on the phone rang. Wu Xiaofu took a look and replied with an OK smile. He still trusted Duan Fei's ability to do things.

Entering the operating room, Jiang Bei and Cheng Shi were helping very attentively.

Ordinary beds can be used to transport patients, but once they arrive in the operating room, they cannot continue to sit on the bed. The patient must be moved to the operating bed, which is also one of the hard work in the operating room.

Well, it may also be the most strenuous job.

Because the weight of patients is different, it is easier for children and thinner ones, and it is even easier with the help of a carrying rack. But if it is a patient weighing more than 200 pounds, the people in the operating room will suffer, and usually they have to call on friends for help.

If you are walking in the corridor of the operating room and suddenly hear someone coming out of an operating room and starting to call people and waving at you, even if you are very handsome or even if the other person is very beautiful, well, think carefully, she is not attracted to you, but just because you are strong and can help move patients.

Although the patient in front of us does not weigh more than 200 pounds, according to the patient's friends, he still weighs more than 180 pounds. This weight is not light to begin with, not to mention that there are six knives on his stomach. If there are fewer people, it will easily affect the knives in the patient's abdominal cavity and cause secondary injuries. You know, if secondary injuries really occur, this is iatrogenic injury and you have to take responsibility.

Therefore, to be on the safe side, we must find more people, at least six people, and they must be six strong men. Otherwise, if even one corner is lost, big problems may easily arise.

There was already a male anesthesiologist in the operating room, and the nurses in the operating room could be used as men, and it had always been like this. Cheng Shi and Jiang Bei were there too, and the nurses didn't trust Jiang Bei at first. After all, she was a girl, and it was her first time moving a patient, so they were afraid that she wouldn't be able to do it.

The girl quickly said that she was from Northeast China and was very strong. When the nurses heard that Jiang Bei was from Northeast China, they were immediately happy. That's good, Northeast China is good. They had heard about the fierceness of Northeastern girls and they were no less strong than boys.

He agreed immediately, but there were only five people, so at least two more were needed, one to carry the patient together and the other to protect the patient's head. This was because there was a sheet on the patient's treatment bed, so they could just cover the sheet.

"Doctor Wu, you're here just in time. Hurry up."

Wu Xiaofu came in just in time. The nurse who came out to call for help directly pulled Wu Xiaofu over to help, and then continued to call for help. It was also very easy to grab strong men in the corridor. Doctors who do surgical operations are basically all male, so it was easy to grab one.

Well, he's still a director.

Don't doubt it, in the operating room, no matter you are the director or not, you will still be treated as a laborer when moving patients.

Professors in their sixties have to help move the patients, so what are you, a young and strong person in your fifties, afraid of?

Seven people are enough to ensure that the patient is not injured, and one, two, three people can directly put him on the treatment bed.

"Let's start the anesthesia. Cheng Shi, Jiang Bei, come and wash your hands with me?"

The anesthesiologist started anesthetizing immediately after hearing this. Cheng Shi and Jiang Bei were stunned when they heard this. "Boss, we will be your assistants?"

Wu Xiaofu couldn't help but laugh when he heard this. "Otherwise, why do you think I asked you to come in?"

The two of them were even more delighted. They thought that Wu Xiaofu would have to call people from the department, and at most let them observe or help. But now, they can directly help one or two people.

Follow the boss and you will have meat to eat.

You still have to find the bottom line.

Jiang Bei and Cheng Shi had both performed surgeries before, so they had no problem with the rules in the operating room and the basic knowledge of surgery. They didn't have to worry about some common sense things. While washing their hands, Wu Xiaofu asked them a few questions at random, and he felt more relieved when he saw that they had answered them all.

He was the main surgeon, and Cheng Shi and Jiang Bei were just helping out, so it wasn't a big problem.

Wu Xiaofu is a young man after all. He doesn't agree with the current theory of teaching students. What is the theory of starting with miscellaneous work, tempering the mind, guarding against arrogance and impatience, and then starting to get involved in business step by step? That is to prepare the medical records first, and then think about other things. Surgery is the last thing. This theory may be applicable in the last century, but it really doesn't work now. You have to know how medical students nowadays get through it. Twelve years of hard study, five years of university training, three years of master's degree, and three years of doctoral growth, which adds up to twenty-three years. Twenty-three years of training, really not a year of training.

You can just use it right away. They have the basic knowledge but lack practice. As long as you watch them carefully, practice is the fastest way for them to grow. Of course, you still have to guide them and can't just let them go, otherwise you'd be a bit too aggressive.

"Cheng Shi, you come and disinfect."

Cheng Shi is the type of person who is serious, responsible, rigorous and careful, and the same goes for disinfection. Therefore, Wu Xiaofu is still confident about Cheng Shi's disinfection. In fact, it is true. Except that Cheng Shi's disinfection is a little slower than Wu Xiaofu's, I'm afraid his disinfection is cleaner than Wu Xiaofu's.

"Jiang Bei, you come and spread the sheets."

The doctor and the nurse worked together to lay the drape. Although Jiang Bei was a girl, she was quick-witted and had strong hands-on skills, so she had no problem laying the drape. It was the first time for both of them to follow Wu Xiaofu in performing surgery, so Wu Xiaofu still wanted them to have more sense of participation.

Although it was just a simple disinfection and laying of sheets, the two of them felt energized after finishing it.

Cheng Shi stood opposite Wu Xiaofu, and Jiang Bei stood beside Wu Xiaofu, one in front and one behind, looking like they were going to have a big fight.

Wu Xiaofu smiled and understood, as he was like this at the beginning too.

"here we go."

After a few instructions, the operation began. The instrument nurse handed over the scalpel. Cheng Shi didn't need to explain anything. He asked for gauze and took the suction device. The assistant was very self-disciplined. Jiang Bei was not willing to be left behind. She took the retractor and was ready to start at any time.

Wu Xiaofu felt more relieved when he saw this scene.

It is not the first time for the two to perform surgery. In fact, most of the time, they can still rest assured. The interns recruited this time are really different from the last time. Last time, perhaps for entertainment effect, the program team deliberately recruited some interns with master's degrees, scientific research, and those who studied abroad. Most of these interns have no clinical experience, so the program seems to have a lot to complain about, but also room for growth.

Each program witnesses their growth, and it is also easy to see from the program their process of making mistakes, correcting them, and growing.

But this time the program is different, as it basically recruits clinical and master's degree interns, so they are not lacking in hands-on skills. There may seem to be a contrast, but it is not big, because the first season was not that popular, with only a few million viewers at most.

But this season is different. The box office revenue is at least tens of millions, which directly overwhelmed the audience of the first season.

So just forget the impression of the first season and welcome the excitement of the second season.

In Wu Xiaofu's opinion, this season will definitely be more exciting than the first season, because most of the people watching the show are ordinary people, and what they want is a doctor with superb skills, even if the doctor has just entered the hospital.

Because when they go to see a doctor, many of the people who directly treat them are actually doctors who have just entered the hospital.

They don't want these doctors to be green hands who don't know anything and can only use them for training, even if it's just changing the dressings.

After watching this season of the show, I'm afraid that when these people go to the hospital for treatment again, their trust in these young doctors will increase a lot, which can greatly reduce the conflicts between doctors and patients. This is the true meaning of this show.

The three knife wounds are distributed in a right triangle. To treat a knife wound, it is not just about pulling out the knife and stopping the bleeding. Especially when dealing with a knife, you cannot just pull it out directly.

After the knife is inserted, the blade is fixed, and as long as there is no major movement, there won't be much damage.

But if it is pulled out, it will be equivalent to another scratch, and the knife is inserted, it fits perfectly with the internal organs and tissues in the abdominal cavity. Even if there is some bleeding, it will not be too urgent. But if it is pulled out, a cavity will be formed, and the condition will be acutely aggravated. No one can predict what consequences will occur, so the safest way to deal with it is to make an incision at the edge of the wound.

Check the condition around the patient's incision little by little. If a blood vessel is broken, repair the blood vessel; if an organ is broken, repair the organ. If it doesn't work, remove it. You can also fill or clamp the wound first, then open the space, take out the knife, and then sew it.

Wu Xiaofu did not do it too simply. There is still a difference between teaching surgery and daily surgery.

The movements were still very fast, but every step was performed strictly in accordance with the surgical procedures.

The order of the three cuts is based on the principle of urgency, that is, the area with the most serious damage or that is close to important organs should be addressed first, or the area with the most bleeding should be addressed first. The basis is experience and the examination just done.

Of these three cuts, the one that needs to be dealt with most urgently is actually the top corner of the equilateral triangle.

The spleen is on the left and the liver is on the right. It is actually very dangerous. The person who pulled the knife must be an expert.

Make an incision and treat the surface.

The electric knife began to separate the subcutaneous part. Wu Xiaofu moved very quickly. In just a few strokes, he saw the situation inside the abdominal cavity. Blunt separation of the intra-abdominal tissue was even more efficient, and the knife was soon exposed to everyone's view.

There are several damaged blood vessels here, which are responsible for a major portion of this bleeding.

Don't be in a hurry to anastomose the blood vessels. Find the broken ends of the blood vessels and stop the bleeding. Small and micro blood vessels can be directly coagulated. Secondary blood vessels still need to be protected. Stop the bleeding first, and then mark them with a sharp line. The corresponding anastomosis will be performed later.

"Get ready to take the first knife."

Cheng Shi and Jiang Bei were even more shocked when they saw Wu Xiaofu's actions. It was not the first time for them to follow an operation, but Wu Xiaofu's efficiency was really terrifying. Just like the shortest distance between two points is a straight line, Wu Xiaofu seemed to have omitted many useless links in the middle and went straight to the most critical part.

However, surgery involves many uncertainties. Not many people perform surgery like Wu Xiaofu. It seems that he has fully understood the patient's condition before the operation and is not worried about any accidents at all.

The two of them looked at each other and decided that they must learn this ability to control the overall situation.

The nurses were used to it. The instrument nurse hurriedly prepared the tray and warned people not to reach inside to get the knife, as this was a big taboo in surgical operations, especially trauma surgery.

Firstly, a knife is a sharp weapon, extremely sharp. Even if they wear two layers of gloves, they will get their gloves cut if they are not careful.

Once the gloves are cut, bacteria will directly invade the patient's abdominal cavity, increasing abdominal infection.

Patients who have lost a lot of blood already have weak immunity after surgery. If something like this happens again, the probability of subsequent problems will be too high.

Not to mention the possibility of cutting the gloves, it would be troublesome if the fingers were cut. Not only would it cause iatrogenic injury, delaying the surgery and causing pain to yourself, but these patients are all emergency patients and the infection has not yet appeared.

No one knows whether there is an infectious disease or not. If it becomes a medically transmitted infection, it will be troublesome.

Therefore, when taking out the knife, you must be careful. Hold the handle with one hand, and use tweezers with the other hand to pinch the center of the knife in the abdominal cavity and take it out vertically. At this time, an assistant should pull the hook.

The hands must be steady. Using both hands to pick up the knife can prevent the knife from swinging or falling again. The abdominal cavity is already open. If it falls again, it will be troublesome. The liver or spleen might really fall into the air.

Even if it falls to the ground it's not good.

Therefore, when it comes to getting the knife, Wu Xiaofu absolutely dared not ask anyone else to do it for him, he had to do it himself.

Ding!
The knife fell into the tray, and one third of the work was done.

Jiang Bei also subconsciously looked at the time. It took only five minutes from the time she took out the knife to the time it was taken out.

What a speed! At this rate, the operation will probably be completed in half an hour.

Were all those surgeries they had seen before fake?
You know, let alone three cuts and six holes, even a normal one cut and one hole usually takes more than an hour to process in the operating room, and the steps seem to be the same, but there is a problem with the time!
(End of this chapter)