Come on, Dr. Wu
Chapter 358 Chapter 356 Talent
Chapter 358 Talent
What?
Yu Shifu was stunned when he heard this, and looked at Wu Xiaofu unhappily and said, "Okay, you are just an ordinary ward, and you want to set up an interventional team. Then, as the deputy dean, do I have to set up an interventional department under me?"
Wu Xiaofu hurriedly smiled and said, "That's right, with your reputation and status, it wouldn't be too much to set up an interventional hospital, let alone an interventional department."
"Stop smiling at me. If you want to do something, just find a way yourself. Why are you looking for me? I have a lot of things to do. If I don't go back, your master's wife won't let me into the house. Get out of here.
It's like you are the teacher and I am the apprentice, working for you day after day."
Yu Shifu walked away complaining, and when he reached the door he turned around and said, "By the way, your master's wife asked you to come home for dinner tonight."
"okay."
After sending Yu Shifu away from the hospital, Wu Xiaofu finally finalized the matter on the way, but he still had to find a way to find the talent himself.
You have to know that there is a shortage of high-end talents now. Which hospital would not want to seize such talents? How could they let them go? As for the doctors in their own hospitals.
Originally, Wu Xiaofu wanted Yu Shifu to transfer a chief physician with good interventional skills from within the hospital, but Yu Shifu also had a point. The entire hospital needed more than just Area F to develop. If he did that, it would be detrimental to unity.
So, the final word is, if you have the ability, you can recruit people from outside. If you can recruit them, the hospital will definitely renew the procedures. Such talents will be accepted even by the First Affiliated Hospital.
In the end, it seems that you still have to work hard to provide yourself with food and clothing.
However, with Yu Shifu around, Wu Xiaofu does have some power to poach people.
He looked around at these high-end intervention talents in Donghai, but he couldn't make up his mind for a long time.
What Wu Xiaofu wants is someone with mature skills and potential for improvement. It would be best if the current treatment in this hospital is not very good. The scope is narrowing step by step, and it is not easy to get a suitable one.
With such ability and potential, every hospital would see him. He would be treated well and it was finally Wu Xiaofu's turn to recruit him.
But this is not something that can be rushed. We need to wait and see and take it slow.
night.
Wu Xiaofu came to Yu Shifu's house for dinner, and the food cooked by his master's wife was indeed delicious.
"Master's wife, when will Sister Xin come back?"
Xiao Xin is the nickname of Yu Shifu’s daughter, and Wu Xiaofu calls her Sister Xin. Next Sunday is Mid-Autumn Festival, and she will definitely come back to celebrate it.
"Don't worry about that damn girl. It's good enough that she can come back on the Mid-Autumn Festival."
The two men obviously no longer had any expectations for their daughter who had been used to being wild.
"By the way, Xiaofu, how are you spending the Mid-Autumn Festival? If you are alone, then come to my house."
"My parents will be here during the Mid-Autumn Festival. However, on the 14th, they want to come visit the teacher. I hope the teacher's wife won't find me annoying then."
"That's great. I'll prepare a few of my specialties. I don't know what your parents like, so tell me and remember them so they don't dislike it."
"No, my parents don't have any dietary restrictions, so anything is fine. The cooking skills of the master's wife are so good, everyone who eats it will give her a thumbs up."
The master's wife was also very happy to hear this, and kept picking up food for Wu Xiaofu.
"Xiao Fu, what do you think of this one?"
A resume was placed in front of Wu Xiaofu. Wu Xiaofu took a look at it and his eyes lit up.
It turned out to be an intervention talent. After all, he was a real teacher. Although he said he didn't care, his body was quite honest. He found one that night and also provided my resume.
He graduated from Tunghai Medical University with a bachelor's, master's and doctoral degree. He holds the title of associate chief physician and has twelve years of work experience, all of which are in interventional medicine.
It's a good match. As for ability, since Yu Shifu was able to recommend him to Wu Xiaofu, his ability must be good.
"You are lucky, I asked for you and a classmate recommended it to me.
However, this Zhao Xin also has problems. He violated regulations during an operation before and the patient had problems, so he was suspended from practicing. He was only recently reinstated and is looking for a job. But you also know that few big hospitals dare to hire such a person, and he is unwilling to go to small hospitals.
If you hadn't told me, I wouldn't have used it. You should think about it yourself. There is no problem with the technique. It's a good material and should meet your requirements.
If you think it's okay, I'll arrange for you to meet him."
"Meet me, let me take a look first. Thank you, teacher. I was just having a headache about where to find one, and you solved it for me."
Now that his worries were gone, Wu Xiaofu's appetite improved a lot and he ate one more bowl.
While Wu Xiaofu was feasting here, Cheng Shi and Jiang Bei were still working hard in the department.
Cheng Shi was on night shift, and Jiang Bei was also working overtime. They had admitted quite a few patients during the day, and their medical records and medical instructions all needed to be processed today.
There is also a patient who is going to have surgery tomorrow and needs to sign the necessary instructions before the operation. Cheng Shi originally said he would help with it, after all he also had to work the night shift and it might be something he could do on the side. However, Jiang Bei did not dare to trouble Cheng Shi.
No one has less work than anyone else, and Cheng Shi has a lot of work too.
It was not until this week that they realized how happy they were last week. Last week's busyness and tiredness were an illusion. This week they are really tired and busy.
Not only Cheng Shi and Jiang Bei.
At this time, Xun Qi and his colleagues were mostly staying in the medical office working overtime.
This is not to say that the doctors in the department handed over all the work to them in order to make it easier, but that they only had so much work to do. During the day, they almost always went out to the outpatient clinic for half a day or a whole day, and when they came back, they found that the patient they had been admitted to the hospital had already been admitted.
Next, they need to ask about the patient's medical history, fill in the doctor's orders, write medical records, and then wait for the patient's critical examinations to see if there are any problems. If there are any problems, they will ask for a consultation or solve them themselves. If everything is fine, there are other preoperative or postoperative patients, and there are also tasks such as changing dressings.
It’s really a lot.
Now Cheng Shi and Jiang Bei each have three beds, but the transition is fast. Moreover, they have never experienced such a heavy workload before. They strive to be meticulous in their work and dare not make mistakes, so they are inevitably slow in their work. As a result, they have to spend more time to make up for it.
In fact, it's not just these interns. Look at the department, in addition to them and the doctors on duty, there are many people who stay to write medical records.
In other words, this is actually the daily routine of all doctors in large hospitals.
In the First Affiliated Hospital, if you say you don’t work overtime, almost no one will believe you, thinking you are skipping work.
Of course, things might get better after becoming the director. As long as he is not dragged in late at night to perform surgery, he can basically be away at night, just like Wu Xiaofu, who can eat at Yu Shifu's house with peace of mind.
However, such times are really rare.
Ding-ding-ding-ding-ding!
Wu Xiaofu checked his phone and saw it was Peng Xia calling. He knew it was another job, because Peng Xia would never call him unless it was necessary and she could handle it herself.
"Boss, there is an emergency surgery." There was no need to say anything more. Wu Xiaofu said hello to Yu Shifu and went straight back to the hospital. Area F now had three groups, and doctors from each group were on duty. As long as there was a surgery and the doctor on duty couldn't handle it, the doctor on duty would have to go and solve it directly, just like now. This situation was too normal in the First Affiliated Hospital.
The ambulances of the emergency department of the First Affiliated Hospital never stopped all night, and the corridors were filled with patients. After the consultation, there were one or two ambulances that needed emergency surgery, even if the proportion was small and distributed among the wards of various departments. It was okay for ordinary gallbladder cases, as long as Peng Xia was cured. But if the case was more serious and Peng Xia could not complete the operation, then Wu Xiaofu had to come.
"what's the situation?"
When he arrived at the hospital, Wu Xiaofu went straight into the operating room. Peng Xia was not there as he had to be on duty. Other doctors in the team came. He was not on duty today and was just listening to the call. As long as there was no emergency, he could sleep well for the night. However, this situation rarely happened as the people who were listening to the call were usually the main doctors on duty.
Peng Xia had to be on duty and needed to perform surgery, so he needed an assistant. Only those on duty could come.
"This is a patient with gallstones and pancreatitis. He got better after conservative treatment a month ago and was discharged home, but his symptoms suddenly worsened tonight.
Abdominal tenderness, rebound pain, muscle tension, nausea and vomiting accompanied by jaundice, hemoglobin 70, increased blood pressure, increased heart rate, and overall elevated inflammatory indicators. After arranging for an examination, it was found that the gallbladder was severely inflamed and the mucosal layer was completely necrotic. "
This is actually purulent, ulcerative and perforated cholecystitis.
It was a case that required emergency surgery. Wu Xiaofu briefly understood the situation, washed his hands, and went to the operating table.
After inserting the mirror, he couldn't help but frown. Just as he said just now, the gallbladder was severely inflamed, the mucosal layer was completely necrotic, and the triangle area was completely frozen.
This situation is very troublesome because when doctors perform surgery, they follow the structure of the organs, separating, exploring and removing the stones step by step.
Now, I can't tell where the gallbladder triangle is, the whole thing is a blur, and I can't tell the boundaries. Not only the gallbladder, but also the bile duct. You know, the gallbladder can be removed, but the cystic duct must be preserved. Therefore, before removing the gallbladder, the cystic duct must be separated to prevent accidental cutting.
But now the gallbladder mucosal layer is severely adhered and is completely adhered to the bile duct. You can't even tell which is the bile duct, which is the gallbladder, and which are other mucosal structures. What will you do?
There is no other way but to separate it bit by bit. During this process, we have to be careful because we don't know the specific structure. The bile duct is very fragile. If you are a little rough, you may injure it. Even if it is a minor injury, it will be very difficult for the patient to recover later.
When the doctor on duty saw this situation, his heart sank. He had also encountered this situation before. He would probably have to give an account of it tonight.
This kind of separation is particularly time-consuming and cannot be accomplished without several hours. It's already nine o'clock, which is basically the second half of the night.
"Boss, the patient is lucky that he is not in shock."
"Yeah, that's okay. We'll try to finish it in an hour. Come on, get to work."
One hour!
The doctor on duty couldn't help but cheer up when he heard this. The boss said one hour, so let's not exceed one minute. Okay, it's nine o'clock now, and it will be ten o'clock in an hour. I will be home before eleven o'clock and can still go to bed before twelve o'clock, so I will be full of energy the next day.
Wu Xiaofu started directly from the belly of the ampulla. In such a mess, he had to find a coordinate, and the belly of the ampulla was just right.
After the incision, two stones with a diameter of about 1.5 cm were directly taken out. These stones were not small. When Wu Xiaofu performed surgery before, he had really seen that kind of stone accumulation, gallbladder stones, bile duct stones. The operation was originally planned to be completed in one or two hours, but it took an extra hour to remove the stones.
Therefore, once gallstones appear, especially if the gallbladder seems to be in poor condition and there are symptoms, it is best not to delay treatment. It will have to be treated sooner or later. If the stones continue to increase in number and become larger, it will not only easily stimulate cachexia, but once the disease occurs, it will also be prone to acute inflammatory purulent lesions.
Not only does the patient suffer, but the operation also becomes more difficult and the subsequent recovery is not good.
After the stone was taken out, the front and back tissue structures could be roughly determined based on the location of the stone, and they were separated step by step. Wu Xiaofu became more and more familiar with it, and his movements became faster and faster. However, when exploring the gallbladder duct, bile overflowed from the opening. He wanted to suture it under the microscope, but found that the tissue was brittle and tender. Ligation was equivalent to cutting, and it could not be completed at all.
At this point, no matter how skilled you are, they will be of little use because of the organizational structure.
There is tissue adhesion on the gallbladder duct, so it is very difficult to separate it.
Cholecystectomy is said to be a minor operation, but the chance of failure of cholecystectomy is quite high nowadays. It is because of this situation that normal cholecystitis and gallstones are indeed minor operations, but if it is delayed to this extent, it is no longer a minor operation like cholecystitis and gallstones.
However, there are always more solutions than problems. If normal sutures don’t work, use barbed wire or wrap it with the greater omentum.
With the addition of drainage, the effect is still good.
However, the cholecystectomy operation, which was supposed to take ten minutes, took Wu Xiaofu nearly an hour to complete, and even the colleagues in the operating room were very excited.
It was such a pleasure to perform surgery with Wu Xiaofu. Although I had to work overtime, I always felt like I had earned something.
When leaving the operating room, a figure ran over.
"Are you done?"
"Yeah, oh, we were prepared to work hard for several hours, but it was done in just one hour. You guys go ahead and do your work. We'll go back first."
"I envy you guys. We really have been here for hours."
Wu Xiaofu couldn't help but smile when listening to this conversation. He actually became a target of comparison and show-off for others.
In the ward.
Wu Xiaofu looked at the few people who were still struggling and knocked on the table. "Okay, let's continue tomorrow. Let's go. Those who are not on duty, I'll treat you to a midnight snack. Come on, it will be gone soon."
"Long live the boss."
Wednesday.
After a day of surgery, Wu Xiaofu met the person recommended by Yu Shifu in a cafe outside the hospital in the evening.
"Zhao Xin?"
In the corner of the coffee shop, a figure caught Wu Xiaofu's eye. He was a little hunched and looked a little weak. Looking at Zhao Xin's resume, he was just in his early forties. However, the agreed location was there, so after Wu Xiaofu walked over, he was still a little unsure when he asked.
"Ah, Director Wu, right? I'm Zhao Xin. I've seen you on TV. You look so young. Please take a seat."
It was indeed Zhao Xin, but upon closer inspection, Wu Xiaofu could hardly believe that Zhao Xin was in his fifties. His hair was a little grey and he looked a little weathered.
Thinking of the accident involving Zhao Xin mentioned in the resume, Wu Xiaofu couldn't help but sigh.
There is no doubt that this once high-spirited young man must have been unable to get over the psychological barrier of the accident and was repeatedly tortured. In fact, Wu Xiaofu had a close look at the accident last night. Zhao Xin was definitely responsible, but the operation itself was risky and the patient had to be treated in the emergency room.
Zhao Xin was only working in a district tertiary hospital at the time. Although he was very talented and had top skills, and could perform some cutting-edge interventional surgeries, he was actually a little hesitant that time because the patient could not wait to be transferred to another hospital. It was only the second time Zhao Xin performed that operation, and it was more difficult than the previous ones.
Zhao Xin had no choice but to go ahead with it, and there was no time even for an examination.
Zhao Xin was young and energetic, and had been a little proud of himself before. He went ahead with the operation without any examination. As a result, the operation failed. Not only was he devastated, but he also ended up in the dock. In the end, he definitely lost the case, violated the regulations, and was suspended from practicing for three years. To be honest, he is now in a good mood as he has the courage to find a job.
This young man has been so successful all the way and should have been on his way to the top, but he fell halfway and it’s not known whether he can get up again.
Even if Wu Xiaofu gave him a job, it was still unknown whether the shadow of that operation would affect his future surgery.
"I'm sorry to have kept Teacher Zhao waiting for so long."
"No, no, I arrived early. I really cherish this opportunity and am a little excited. You should be able to understand."
(End of this chapter)
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