Come on, Dr. Wu

Chapter 353 A New Week

If a patient comes to him for treatment, Wu Xiaofu will definitely not refuse.

What's more, although the splenic hamartoma surgery also involves splenectomy, Wu Xiaofu had never come into contact with this type of patient before, so he was still very interested.

Then he told the patient the time and asked him to come directly.

There is no need to make an appointment, because the patient may not be able to get one. It is really difficult to get an appointment with Wu Xiaofu now. For patients who are liked by Wu Xiaofu on the blog, or some follow-up patients who have Wu Xiaofu's contact information, Wu Xiaofu will consider the situation and let them come directly to the inpatient department.

At that time, hospitalization and surgery will be arranged depending on the situation.

For some patients who came for follow-up visits, they had already taken X-rays, so Wu Xiaofu asked them to bring them over for a look and gave them follow-up medical instructions. They did not need to register anymore, and the registration fee was waived. Of course, these were patients who had contacted Wu Xiaofu in advance and made appointments.

If he went straight to the inpatient department and asked Wu Xiaofu to see him without saying anything, Wu Xiaofu would directly refuse.

Some rules cannot be broken, and reasonable flexibility is acceptable, but once this kind of direct approach is set, Wu Xiaofu will never have any rest time in the future, and the outpatient system will be completely messed up.

night.

Peace Hotel. In the afternoon, Wu Xiaofu sent a message to Cheng Shi and others, asking them to come over for dinner. When they heard that it was the Peace Hotel, Cheng Shi and others were very happy. To be honest, although this is not the most high-end restaurant in Donghai, it must be one of the few restaurants in Donghai that serves delicious food.

Although the food in the cafeteria of the First Affiliated Hospital is good, it is just good and cannot be compared with here. They have suffered a lot for a week and they are very happy to improve the food here.

“How’s your week been?”

After sitting down and waiting for the food to be served, Wu Xiaofu looked at the few people and said with a smile, "We are all of the same age. Although Wu Xiaofu sometimes seems stern and a little distant, when they really sit down, Wu Xiaofu smiles and everyone feels that Wu Xiaofu can talk about his true feelings again."

"Boss, it's fulfilling."

Jiang Bei spoke directly. Jiang Bei and Wu Xiaofu had spent the longest time together, so she had no scruples. She also knew Wu Xiaofu's rules: he was a leader at work and a friend after get off work, so they could say whatever needed to be said. Well, that was what Wu Xiaofu had told them before.

Jiang Bei implemented it directly, otherwise she would be considered stupid. If the leader said so, could you listen to him?

However, this is a very tactful way of saying it. It actually means being busy.

As soon as this was said, everyone else started nodding their heads. They started working from Monday, basically going to work in the morning and coming back in the evening. Then they had to go to the gym to practice when they got home at night. It can be said that they dared not waste any time at all. On Thursday, they had to work the night shift, so they were even busier.

They hardly get enough sleep every day and are always on edge. Especially on weekends, they have assessments to worry about, which makes them feel exhausted all the time.

Now that the assessment is over and they have been given a day to rest, they feel a little more relaxed.

But it was just a little bit, because this was just the beginning. It was said to be catching up on sleep, but it was just lying in bed for another hour or so, and then everyone got up and did whatever they needed to do in their own rooms.

Those who read books read books, those who write articles write articles, and those who attend classes attend classes.

Well, silently roll.

This is the daily life of medical students and also the daily life of doctors. Although they have just started their internship, they adapt quickly, especially with the goal of staying in the hospital, which pushes them forward.

"It's right to be fulfilled, because your life will become more and more fulfilling in the future. You are still interns now, just assisting senior doctors in doing some work. You haven't officially taken shifts, seen patients, or taken care of patients by yourself. Relatively speaking, there are not so many things you need to be responsible for, and the psychological burden is not that heavy.

When you become residents in the future, you will realize how fulfilling this job is. It is normal for your seniors not to go home for a week. Some of the local ones have been chased by their family members because they have not been home for a long time, thinking that they have mistakenly joined a pyramid scheme. It is impossible to go to work and not go home.

The title of resident doctor is really appropriate, so cherish the present time, it is really your last leisure time. "

After listening to this, everyone suddenly felt that the food on the table no longer smelled good.

They felt that Wu Xiaofu's timing of appearance was wrong. If he had appeared before they applied for the college entrance examination, there wouldn't be so many things to deal with. They would just find another way out. Was this going to work or risking their lives?

Wu Xiaofu naturally wouldn't invite them to dinner for no reason. On the one hand, he wanted to understand their true thoughts, on the other hand, he wanted to give them a shot of prevention, and as a person with experience, he wanted to pass on some experience to them. The most important thing was to tell them what they needed to pay attention to based on their performance this week.

Lin Dongping and his team arrived after dinner. Even the director usually takes one day off on Saturdays and Sundays. Since there are more surgeries on weekdays, there are always some surgeries scheduled on Saturdays and Sundays. The three of them had their own things to do and arrived late.

However, this did not affect their conversation, making the atmosphere at the dinner table solemn.

Xun Qi and the others originally thought it would be a relaxing and enjoyable dinner, but who could have imagined that it would actually be a time to correct mistakes? Well, they shouldn't have had any hope.

on Monday.

The second week has already begun. Compared with the previous season, this season's offer has indeed made many changes, such as the broadcast time. The previous offers required a week of editing and then broadcast on the weekend, but this time it is different. There will be two broadcasts.

First up is the Monday night premiere and Saturday night reruns.

In other words, we can watch the first phase of the second season of Offer2 today.

At the beginning of a new week, Xun Qi and his colleagues' internship life has changed compared to the previous week. First of all, last week, they were not officially in charge of patients. They were mostly doing miscellaneous tasks such as writing medical records and changing dressings. But this week is different. They began to officially take care of patients.

They not only take care of patients, but also see outpatients. They follow their mentors and several directors of the department to take turns seeing outpatients.

Taking care of patients and seeing outpatients at the same time will undoubtedly make me busier in terms of time.

This week, Wu Xiaofu's main task is still surgery.

In particular, the six interventional surgeries that were scheduled previously had basically no problems after preoperative arrangements were made over the weekend. With two surgeries a day, the surgeries will basically be completed in three days, with one surgery in the morning and one in the afternoon on Monday.

In addition to these two interventional surgeries on Monday, there is also a paper man surgery, which is also scheduled for Monday.

The order is to perform the paper man surgery first, followed by an interventional surgery. The second interventional surgery is scheduled in the afternoon.

Interventional procedures always require threading, so if there is a choice, there is no need to perform multiple interventional surgeries consecutively. It is actually reasonable to do two operations a day, like Wu Xiaofu, in the morning and afternoon.

Not to mention that Wu Xiaofu has strong mental strength and physical fitness, he can eliminate the influence of radiation very well. Even ordinary doctors will not have much impact on their bodies. The patient who was consulted in the department before, the patient with neuroendocrine cancer, has been transferred to Area F. Everything has been arranged, and the surgery will be on Thursday.

Compared with the previous six interventional surgeries, the interventional surgery for neuroendocrine cancer is obviously more difficult, so moving it to the back will allow more preparation time and allow Wu Xiaofu to become more proficient.

Mr. Li, a patient with pancreatic stones, actually gained some weight after being hospitalized and cooperating with standardized treatment. Although it is not a big weight, it has exceeded the original 35 kilograms and is close to 40 kilograms.

For these patients, every extra weight gained will improve the safety of the surgery.

At least for now, everything is looking good.

"Don't be nervous. Normal surgery takes about an hour. With the preparation time before and after, you should be able to come out in two to three hours at most. Get a good night's sleep and the surgery will be over."

In the preparation room of the operating room, Wu Xiaofu came over to check on the patient and comforted him.

The patient was undoubtedly nervous. After all, it was his first surgery and he had been informed before the operation that the risks of the surgery would not be too small. He had also experienced so many patients before, so if he said he was not nervous, he would be lying to himself. Perhaps because the temperature in the operating room was relatively low, Mr. Li began to shiver.

Mr. Li felt a little relieved after hearing Wu Xiaofu's words and feeling the confidence in his voice.

I don’t know if it’s the patient’s illusion, but Mr. Li always feels that every time he listens to Wu Xiaofu’s words, he will unconsciously believe it and feel more at ease with Wu Xiaofu.

"Thank you for your hard work, Director Wu."

Wu Xiaofu also said the same thing to the patient's family. In fact, many times, when patients ask doctors how long an operation usually takes, the doctors will tell you the actual operation time, which is the time from the first incision to the final suturing. However, this is not the operation time that patients understand.

They need to take the time from not being able to see the patient to being able to see the patient.

So every time Wu Xiaofu answered, he would clearly state how long the operation would take, plus the time required before and after the operation. In this way, even if they couldn't see the patient after an hour, they wouldn't be too worried.

Operating room.

The patient was pushed in and anesthesia began. Wu Xiaofu's assistant was still Peng Xia. Now Peng Xia was assigned to Wu Xiaofu's team. Three more doctors came in. Basically, Wu Xiaofu would take Peng Xia with him for every operation, and then choose one of the three doctors.

Trainees are given priority, followed by trainees, and interns are last.

After all, this is the order of surgical experience from high to low.

The intern who performed this operation was Liu Lin, a fifth-year intern. Wu Xiaofu had originally told these fifth-year interns that if they wanted to prepare for postgraduate entrance exams, they could study in the department's demonstration room and just need to tell him or other doctors. He would not assign them too many internship tasks.

After all, we've all been through this. If you study medicine without taking the postgraduate entrance examination, there's basically no bright future. Just understand each other. Besides, even if you ask them to do some work, they can't do too much. It's just some odd jobs that anyone can do. There's no need to pile it up in their hands.

I'm not familiar with the process yet, it's so slow.

However, this little girl named Liu Lin is quite concerned about the interns. This time, the trainees and regular trainees all have their own tasks, so she took the initiative to ask to come.

"Hey, they all want to use every minute to prepare for the postgraduate entrance examination. You are so careless that you even want to come to the surgery. In fact, there is nothing to do. You may only watch laparoscopic surgery for an hour. It is better for you to study hard now and wait until you pass the postgraduate entrance examination and work, and then go to the surgery."

Liu Lin also smiled when she heard this, "Boss, you are really different from other teachers. Other teachers say every day that internship is equally important and that we cannot skip internship just because we are preparing for the postgraduate entrance examination. They also try their best to arrange internship tasks for us. But you are so good that you even advise me to prepare well for the postgraduate entrance examination.

Don't worry, sir. I am still very confident about the postgraduate entrance examination. I can study harder at night, but the opportunity to perform surgery with you may only come a few times, and I don't want to miss it. This kind of learning opportunity may benefit me for the rest of my life."

Uh!
It's a really sweet thing to say, but there's nothing wrong with what he said, and it makes sense.

Liu Lin is a fifth-year intern. Even if she passes the postgraduate entrance examination, she may not be admitted to this hospital as a graduate student. Even if she passes, she will not be able to work in Wu Xiaofu's department. In the future, her chances of staying in the First Affiliated Hospital or even in Wu Xiaofu's department will be even smaller.

From this perspective, this period of time may really be the only opportunity for Liu Lin and Wu Xiaofu to work together.

Very sober.

"Just know what you're doing. Come on, get on stage. Since you said so, I'm going to make you do some work on this stage."

Laparoscopic surgery is actually a surgery performed by two doctors, one holding the mirror and the other using the knife.

Peng Xia and Wu Xiaofu have been working together for so long that they have already developed a very good understanding of each other. After Wu Xiaofu announced the start of the operation, the operation went smoothly.

Liu Lin was watching the operation from the side, wearing surgical gown, ready to help at any time. After all, Wu Xiaofu said that he would let her do some work.

There are two situations in which surgery is performed for pancreatic stones.

The first one is to preserve the pancreas and remove the stones, which is the same as the gallbladder-preserving and stone-removing surgery. However, if this is done for pancreatic stones, the consequences will be greater than with gallbladder-preserving and stone-removing surgery.

Because the most common complication after gallbladder preservation and stone removal is stone regeneration, the chance of malignant recurrence is still small.

However, pancreatic stones are different. Not only is the possibility of recurrence of pancreatic stones greater, but due to stimulation, the possibility of malignant lesions is also greater. In this case, preserving the pancreas and removing the stones will undoubtedly do more harm than good.

Of course, the specific situation also depends on the patient's pancreatic condition.

If the patient's pancreas is still functional, after all, it is an important component of the digestive system. If the patient cooperates in the future and the mechanism of stone formation is blocked, it is not impossible to preserve the pancreas and remove the stones.

However, Mr. Li's pancreas has completely lost its function. In this case, there is no need to preserve the pancreas and remove the stones. He is more suitable for the second surgical method, which is pancreatectomy.

Although pancreatic resection will definitely have a great impact on the patient's postoperative prognosis and quality of life.

But before that, patients can only think about saving their lives. Do these things still matter?

It doesn’t matter anymore. Moreover, with the current medications, patients can slowly adjust their quality of life.

Direct pancreatic resection is obviously simpler than preserving the pancreas and removing stones.

(End of this chapter)