Come on, Dr. Wu

Chapter 379 It’s all here
"Don't worry, I'll arrange it."

Wu Xiaofu looked at Jiang Bei and said, "Tell Director Chen to add another operation."

Jiang Bei nodded when she heard that, but secretly thanked Wu Xiaofu on behalf of Chen Zhendong in her heart.

A few days ago, Chen Zhendong told them that his girlfriend from abroad had returned, and these days he must get off work early and go spend time with his girlfriend.

But he didn't say this to Wu Xiaofu. After all, given how busy Wu Xiaofu is, to be honest, he usually wouldn't listen to anything that wasn't spoken to him.

Therefore, Chen Zhendong could only consider himself unlucky. You said it would be great if you could take a few days off, but now it’s good. This is the first job that Wu Xiaofu found for him today, and who knows how many more there will be in the future.

Sure enough, Chen Zhendong was performing the operation at full speed, and he put on a mask of pain when he received the call.

"No!"

Wu Xiaofu didn't know this, and in fact he wouldn't care even if he knew, because, apart from him, Chen Zhendong was the only one who could perform the intrathecal analgesia device placement in area F.

Who else but him? There is no way to blame him.

Patients come one after another.

Soon Wu Xiaofu took on a second job for Chen Zhendong.

This was a 65-year-old male patient transferred from the emergency room. As soon as he entered the clinic, Wu Xiaofu could tell how bad the patient's condition was without even asking any questions.

Jaundice, abdominal pain, fever.

This is the standard Charcot triad in medicine, and the symptoms are not mild. The jaundice is so severe that the patient has become a yellow man. He also has severe abdominal pain and was brought here by his family in a wheelchair.

Today is the consultation day for Area F, and Peng Xia is on the second-line shift. When it comes to situations like this on Friday, usually Peng Xia will directly see minor illnesses, and will transfer major illnesses directly to the outpatient clinic.

"Temperature 39."

Wu Xiaofu asked Jiang Bei to take the patient's temperature. When she came up, the emergency department had already taken it, but Wu Xiaofu usually took the patient's temperature again out of habit.

Because the patient's body temperature can, to a certain extent, reflect the patient's condition and the degree of disease progression.

The patient's symptoms have appeared for three days now, and the temperature has risen to 39 degrees. It is obvious inflammation, or there must be some other hidden factors.

“Sashimi!”

Wu Xiaofu understood what was going on when he heard this. He didn't know when Donghai started to align itself with the international diet. The Chinese, who never ate raw food before, are now starting to eat some strange raw food.

Sashimi, raw beef, various sashimi and so on.

Especially sashimi, there is a lot of it.

But this is undoubtedly the worst eating habit. Not only when surviving in the wild, but also when eating it on a daily basis, it is easy to breed a series of parasites.

In fact, these foods, even if they are not cooked thoroughly, may allow parasites to survive and then affect the body, let alone if they are eaten raw.

If it is a parasitic infection, it is easy to explain. Even bile duct obstruction may be caused by parasites.

After a series of interviews and physical examinations, Wu Xiaofu considered that the patient had acute suppurative cholangitis, a very dangerous disease that could lead to infectious shock if not treated promptly.

Then I went to the ICU to save my life.

Of course, the patient underwent color ultrasound in the emergency room, and it was determined that the cause of the disease was common bile duct stones obstructing the common bile duct, resulting in poor bile excretion.

In this case, the treatment is very simple, just relieve the obstruction directly.

As long as the obstruction is relieved in time and bile excretion is unimpeded, the patient's jaundice, abdominal pain and infection problems can be relieved.

"Jiang Bei, call Director Chen and arrange surgery for the patient as soon as possible."

"I know."

Jiang Bei said to herself and hurriedly called Chen Zhendong. The bile duct obstruction required the patient to undergo endoscopic retrograde pancreaticocholangiopancreatography, also known as ERCP, in a timely manner.

This is basically the current treatment guideline for bile duct stones. Using ERCP technology, the patient's common bile duct can be successfully opened and common bile duct stones can be removed.

However, the presence or absence of parasites and their treatment can only be determined during the operation. Jiang Bei and Chen Zhendong explained it clearly and I will not interfere any more.

However, at the end of the call, she seemed to hear Chen Zhendong gritting his teeth.

Blackjack.

Originally, Chen Zhendong had six operations to perform today. If he wanted to get off work, it would have to be after 6pm. Now, one more operation has been added, and now he has to finish it all by 9pm.

What a shitty girlfriend.

I’m afraid my girlfriend will be asleep when I get back.

And this is just the beginning. Who knows if Wu Xiaofu will arrange other patients for him later? If that's the case, he can only pray that he can go home today.

At this time, Chen Zhendong was even more envious of Wu Xiaofu's surgical efficiency. You know, when he was in the outpatient clinic, he would often assign some urgent work to Wu Xiaofu.

But as long as it is not scheduled after get off work, Wu Xiaofu will basically not get off work later than 7pm.

This is Wu Xiaofu.

Chen Zhendong was a little angry at first, but when Wu Xiaofu arranged the third and fourth for him, he no longer had any emotion.

He transformed into a ruthless surgical machine, just wanting to complete these operations as quickly as possible. In fact, Chen Zhendong should have anticipated this since he entered the operating room today.

After all, his surgery day coincided with Wu Xiaofu's outpatient day and duty day.

But at the beginning he still had some hope, until now, his heart was finally completely dead.

However, when he saw Wu Xiaofu enter the operating room at around nine o'clock, he was happy. Wu Xiaofu was still thinking about him and he couldn't let him be busy until late at night.

Unfortunately, he was really overthinking it. Wu Xiaofu was not here to save him, but to save the patient.

Ten minutes ago, Wu Xiaofu's outpatient clinic was about to end. All the patients with extra numbers outside had already been seen. When he looked at the time, it was already eight forty.

Even after getting off work at this time, Jiang Bei and her friends actually felt a little satisfied.

But accidents always come unexpectedly.

They all turned off their computers, cleaned up the clinic, and prepared to leave, but a patient blocked them at the door.

"Doctor, doctor, you are not off work yet, you are not off work yet, please come and check on my brother. It is better to come at the right time than to come early. There is no one here right now."

As a young man spoke, he pushed the boy in the wheelchair in front of Wu Xiaofu.

Ah!
Wu Xiaofu was very dissatisfied when he saw this scene. If the computer had not been turned off, he would have watched it, but now that the computer was turned off and they came late, Wu Xiaofu really didn't want to add any more numbers.

It’s okay to add an extra number, but at least you have to have the right attitude. Many of the patients with extra numbers I saw today had been waiting since the afternoon and had been waiting for several hours.

Finally, the patient is treated. Wu Xiaofu does not require the patient to wait for several hours, but at least you have to come before he gets off work.

Wu Xiaofu had already gotten off work, but was stuck here again. The form of overtime suddenly became different. Wu Xiaofu refused.

"We're off work now, come over next time."

That’s right, Wu Xiaofu directly refused the treatment, and it was not considered a violation. As long as the outpatient clinic was over, it was reasonable to refuse any additional requests.

Of course, special cases require special treatment. The premise for refusing treatment is that the patient’s problem is not serious, or at least his life will not be in danger due to his refusal of treatment.

The boy, who was less than 20 years old, looked pale and was holding his right abdomen. Judging from the location, it should be the appendix. Appendicitis?
Most likely, but the situation should not be serious, and the inflammation has not worsened.

In this case, they can just go to the emergency room and there is no need for Wu Xiaofu to take everyone back to restart the computer.

"What? No! My brother is in so much pain and you won't let him see it. You are taking human life lightly. Believe it or not, I will file a complaint against you."

The carefree aura that came out made Wu Xiaofu frown even more.

However, he has faced many patients and has seen many such situations, so he naturally will not argue with patients.

"The patient's condition looks OK. It should be an appendix problem. Just go to the emergency room. Our computers are all turned off, so we can't see him."

I thought the patient's family would understand after I said this, but I didn't expect that the patient's family would directly block Wu Xiaofu's route.

"No, there are too many people in the emergency room. My brother is in so much pain, and you are making him wait. They said that you can see him here, too. Please see us quickly, otherwise, I, I."

The patient's family members raised their fists, and Wu Xiaofu was even more helpless. It seemed that he had to find an opportunity to talk to the emergency department. What was going on? Maybe some people in the emergency department were too busy, so they guided the patient to him.

Otherwise, the patient’s family probably wouldn’t know about this place.

"Brother, forget it. I'm actually fine. Let's just wait in the emergency room. I'm much better now. Maybe I'll be fine soon."

The patient's brother interrupted directly, "Don't talk."

His eyes fell on Wu Xiaofu, "Just tell me whether you can cure it or not."

As he spoke, he rolled up his sleeves. Wu Xiaofu was not too scared because the patient's family member was much shorter than him and not as strong as him, and they didn't have any weapons. Wu Xiaofu didn't have to worry at all.

Even if a real fight breaks out, Wu Xiaofu is absolutely confident that he can win directly.

"It's really time to get off work."

After he finished speaking, Wu Xiaofu couldn't help but look at the patient's family twice. The patient's family's face seemed to be getting paler and paler, and they didn't look angry.

The emotions were getting more and more intense, and the excitement was a little frightening.

However, before Wu Xiaofu could think, the patient's family member's fist had already reached his face.

Wu Xiaofu was about to resist, but he saw that before the attack landed on him, the patient's family member had already fallen to the ground.

Everyone was shocked.

"Brother, brother, what's wrong with you?"

The reason why the patient was in a wheelchair was not because of severe pain, but because of a congenital problem with his legs. He was so anxious that he almost fell down.

Wu Xiaofu quickly asked Cheng Shi to support the patient, and he quickly stepped forward to check on the condition of the patient's family.

My skin was clammy and my heart was racing…

A sharp rise in blood pressure? Excessive blood loss? Congenital heart disease? …

Various possibilities appeared in Wu Xiaofu's mind, and he looked at the patient, "Does your brother have any genetic diseases, or has he had any illness before?"

When the patient heard Wu Xiaofu's question, he kept shaking his head and said, "No, my brother is in good health and has never been hospitalized. If he hadn't been with me, he probably would never have to go to the hospital in his life."

Ah!
No?

"Is your brother always this excited?"

"Not really. It was just that someone suddenly jumped out while driving on the road. My brother stopped suddenly and almost hit the person, but the person just drove away. That's why my brother got a little excited."

Emergency stop!

Wu Xiaofu's eyes fell on the patient's stomach.

"syringe."

Jiang Bei understood immediately after hearing this, and hurried forward to suction the patient's abdomen.

Sure enough, blood filled the infusion device and uncoagulated blood was actually drawn out.

"Quick, tell the operating room to get ready."

Wu Xiaofu didn't have time to say anything more. He asked Cheng Shi and others to prepare a stretcher, send the patient to the operating room, and called a nurse to open an intravenous access.

The patient's condition is not serious, but this one is serious. It is likely that the spleen has ruptured.

When a person loses too much blood, his emotions will be affected, and he may become agitated and excited.

It actually took less than ten minutes from seeing these two patients to entering the operating room.

Wu Xiaofu took a look at Chen Zhendong's situation and turned into another operating room.

After opening the abdomen, we found that the spleen was ruptured and the damage was quite serious. Without delay, the spleen was removed immediately.

Chen Zhendong was in the operating room next door. He also heard about this. "Humph, you're pushing so many patients to me. Look, you can't even walk anymore."

He was not worried about the patient. It was just a ruptured spleen, so he went straight to the operating room and didn't delay for long. Wu Xiaofu performed the operation himself, so it was difficult for anything to go wrong.

"What are you talking about? I think I heard you say something bad about me?"

Wu Xiaofu's voice suddenly appeared, which startled Chen Zhendong. After looking carefully, he realized that it had been half an hour and it was indeed time to end.

This is probably quite tricky, otherwise it wouldn't be so slow.

"Difficult to do?"

"The blood loss was quite a bit. The patient also had problems, such as an enlarged spleen and liver. Two blood bags were used to replenish the patient."

Chen Zhendong nodded. This was normal. Although most of these impact injuries were caused by accidental force, in most cases, the patients should not have any major problems.

Unless there are some underlying diseases, like this patient, with an enlarged spleen and problems with the physiological structure, it is normal for the spleen to rupture after being impacted.

"Boss, I'm here."

“How many are left?”

"San Tai, you are really crazy. Why did you push so many here today? Seven or eight."

"That's good," he said, looking at the nurse on patrol. This was the nurse from the operating room next door who had just worked with Wu Xiaofu and was also working overtime.

When she met Wu Xiaofu's eyes, she felt something was wrong, "You don't want it?"

Wu Xiaofu smiled immediately and said, "Thank you for your hard work, Sister Xin."

Sister Xin rolled her eyes and said, "You'd better hurry up. Otherwise, I'll ask your brother-in-law to come find you."

Wu Xiaofu didn't care, "Haha, that will be quick, I'll order coffee for everyone."

Sister Xin believed in Wu Xiaofu's speed. After Sister Xin told the other nurses and anesthesiologists, they had no objections.

Since we are here, there is no harm in making one more.

(End of this chapter)