Come on, Dr. Wu

Chapter 385: Duan Pengzi

If it was just this time that she was scolded like that, it would have been fine, but it happened several times this morning. No matter how strong Zhong Beibei was, her eyes were covered with tears.

However, she still forced herself not to let the tears fall.

After all, Duan Hao did it for them, and Zhong Beibei was also sensible and could accept it in her heart, but she just couldn't adapt to it emotionally.

She listened to what was said and had a deep memory of today. Zhong Beibei swore that no matter what kind of patient she met in the future, as long as thrombolysis was required, she would treat the patient skillfully without any delay or mistake.

Wang Hu was on duty today. Looking at this scene, he couldn't help but shook his head.

"Boss Duan is still Boss Duan. His temper has not changed over the years. I was wondering how Boss Duan could possibly change his temper. It turns out that not everyone has the face that Boss Wu has. Look, Duan the sprayer is back again."

That’s right, before Wu Xiaofu came, Duan Hao had a nickname, called Duan Penzi.

Almost everyone, including Wang Hu, had been scolded. You have to know that Duan Hao at that time was only the boss of the surgical team, not the director of the emergency department. But he couldn't control his temper. Anyone who worked under him would be scolded if there was any problem. At that time, many young girls in the emergency surgical team were scolded to tears by Duan Hao.

So, in the emergency department, during those years, they could see Duan Hao scolding people almost every day.

The situation did not get better until Wu Xiaofu came. Wu Xiaofu performed so well that Duan Hao had no place to criticize him. Later, he seemed to like him even more, and even other people stopped criticizing him. Wang Hu and others were very grateful at that time. Wu Xiaofu was indeed a genius doctor. He cured all of Duan Hao's chronic diseases.

I thought it was cured, but now I see it has relapsed again.

A glance swept over him, and Wang Hu quickly turned around to go back to work, but he didn't dare to watch the fun. When Duan Hao was scolding people, even the dogs passing by would be covered with saliva, let alone him.

Others also trembled and hurried away.

At the end of the day, all eight people were in a daze. It was already past midnight. Because it was the first day, Duan Hao said that he would give them some time to adapt. He asked them to go home early and have a good sleep today, and then prepare to work late tomorrow.

It’s past midnight! Yes, technically speaking, it’s already Tuesday.

Even so, I still got off work early.

It is conceivable how abstract this breakfast is in Duan Hao's eyes.

"Puff puff!"

Facing the evening breeze, a series of sounds came out of Song Tiantian's mouth. Facing everyone's strange gazes, Song Tiantian didn't think there was anything wrong.

"This is very stress-relieving. I haven't felt this way for a long time. I was totally confused today. I felt like a piece of shit. This helps me sober up a little bit."

Everyone nodded subconsciously when they heard this. Not only Song Tiantian felt the same way, but they did too.

Puff puff!
Everyone tried to learn it. It was okay for boys, but it was not okay for ladies. But who cares about this now? It’s just to relieve stress.

Although they had been hungry for the whole night, they had no appetite to eat.

They felt like their stomachs were full of Duan Hao's saliva, and they were full of it.

Normally, after being criticized during the day, the eight of us would reflect on the situation at night and wouldn’t be able to sleep at all. But today was different. We fell asleep as soon as we hit the bed. We were too tired.

As for Wu Xiaofu, he was still fighting hard in the operating room.

I have a big job on my hands.

The emergency patient with esophageal venous bleeding due to liver cirrhosis was pushed directly into the operating room. Wu Xiaofu had just finished the operation, so he took the case directly.

Today's class is in zone F, and Wu Xiaofu is the most confident one.

This is not the first time the patient has bled. According to the patient's family, this is the fourth time.

This is what happens with cirrhosis. Bleeding is one of the most common complications of cirrhosis. Because of cirrhosis, the patient's blood vessels have almost become brittle, especially the blood vessels in the digestive tract. The esophageal fundus veins are the places where bleeding is most likely to occur in cirrhosis.

Bleeding from cirrhosis can only happen once or countless times.

As for how many times this countless times is, no one can tell for sure. It could be once, twice, or three times, or at most ten times.

Because no one can escape from death so many times.

Every bleeding due to liver cirrhosis is a battle with death. If the patient is sent to the hospital in time, he or she may be saved. If the patient is not sent to the hospital in time, most of them will die on the way to the hospital, or even die at home.

Moreover, the intervals between bleeding episodes in cirrhosis will become shorter and shorter.

The time between the next bleeding and the last bleeding may be several months or just a few days, and the next one will only be closer.

Therefore, for patients with cirrhosis and bleeding, the quality of life can really be described as painful.

Generally speaking, patients with bleeding cirrhosis, after arriving at the hospital, only need to fast and receive intravenous drips. If the amount of bleeding is large, blood transfusions are required to replenish blood volume, and some drugs to reduce portal vein pressure are used to prevent further bleeding. If these do not work, then an air bag will be used for compression to stop the bleeding, and complications such as aspiration pneumonia and hepatic encephalopathy must be prevented.

However, these are basically used for the first and second bleeding.

As the number of bleeding episodes increases, ordinary methods are basically useless because the fragility of blood vessels has long reached a certain level. Some blood vessels have even become mushy. Medication alone is simply not enough to deal with the problem. As for airbags and the like, they can be used, but they can only save lives temporarily. The side effects are too great.

This patient has already had bleeding for the fourth time. Conventional means are definitely not effective in saving him.

Endoscopy?

Wu Xiaofu took a look at the patient's X-ray and directly rejected it.

Given the current vascular condition, endoscopy is of little use. This is already the type of uncontrollable gastric varicose bleeding, and interventional treatment is the only effective rescue measure.

So Wu Xiaofu took the patient directly into the interventional room.

A needle is used to pierce the blood vessels on the surface of the body through the skin, and a thin tube is sent to the vicinity of the bleeding blood vessel to block the blood vessel upstream. This operation is called percutaneous transhepatic portal vein puncture and gastric coronary vein embolization. The advantages of this method are accuracy, small damage, and rapid hemostasis.

Of course, the difficulty is also relatively higher.

Especially given the patient's current vascular condition, after the needle enters the blood vessel, it may rupture other parts of the blood vessel before reaching the designated location. Therefore, the increased difficulty requires the operator to have more advanced operating capabilities.

Wu Xiaofu took great pains to complete the operation and finally stopped the bleeding.

But there is another situation. Wu Xiaofu found a tumor in the patient's liver. After communicating with the patient's family, he learned that the tumor was around the blood vessels. If it was not treated, it would not only worsen the patient's condition, but it would also likely become the culprit of the next bleeding.

Wu Xiaofu's suggestion was to remove the tumor at once. Naturally, the family members had no objection. How could they not be willing to have a surgery to solve a big problem?

Therefore, the duration of this operation was slightly extended.

Prophylactic coronary embolization.

This is the name Wu Xiaofu came up with for his operation. During the operation, he discovered areas of the patient's blood vessels that might bleed. These blood vessels were much more fragile than other areas. He was afraid that these areas would become the next culprit of bleeding soon after the patient was discharged from the hospital.

Wu Xiaofu thought about it and decided to try preventive embolization.

Directly embolize this area and see whether the bleeding time of subsequent patients will be longer than the last time. If it is prolonged, it means the necessity and feasibility of preventive coronary embolization.

To perform such an operation, Wu Xiaofu naturally needs to communicate with the patient's family.

After hearing what Wu Xiaofu said, the patient's family had no objection. Seeing the patient being sent to the hospital again and again, and the intervals between bleeding becoming shorter each time, they were also afraid. Now that there was hope of prolonging the patient's bleeding intervals, they were willing to take a gamble no matter what.

Because there are patients with bleeding due to cirrhosis in their family, they have relatively more understanding of bleeding due to cirrhosis.

They know that if the bleeding occurs again next time, the patient may not be able to escape.

Therefore, this interval may be the patient's last survival time. Even if there is a slight hope to extend this time, they must try their best.

The research surgery was carried out and Wu Xiaofu's time was delayed a little longer.

When I got off work, it was already past midnight.

After walking out of the interventional room and returning to the department, I was about to go home. When I passed by the emergency department, I saw Duan Hao and others were eating, so I had a bite.

While eating, I heard Wang Hu and others talking about Duan Hao's insults.

To be honest, Wu Xiaofu had never seen Duan Hao scold anyone before, so he was a little surprised when he heard this.

"Brother, you can also scold people? How come I don't know?"

Duan Hao rolled his eyes when he heard that. "What are you talking about? Don't listen to their nonsense. You don't even know my personality. How could I scold someone?"

However, a nurse directly showed Wu Xiaofu the video of Duan Hao scolding Jiang Bei.

This is a video of Jiang Bei being scolded by Duan Hao for not following the correct procedure when she was performing debridement and suturing on a patient. Wu Xiaofu's eyes widened as he saw Jiang Bei shivering under the hair dryer.

Wow, Duan Hao has this side of him!

Duan Hao didn't expect that these guys would actually record a video of him, so he quickly turned his eyes away, "Well, isn't it that your student's operation is not standard? If you don't polish jade, you can't make it into a useful tool. I just taught him a little bit, who said this was a spray."

Wu Xiaofu now understood what it meant when someone said Duan Hao was having a relapse when they passed by the emergency department just now.

Good thing he hasn’t been sprayed, otherwise, no one would be able to stand this big hair dryer.

"Good spray, these kids are just in need of spray. With the training of the senior brother, they will definitely be able to train quickly."

Duan Hao felt helpless when he heard this. He estimated that his image in Wu Xiaofu's heart would plummet in the future.

Before seven o'clock on Tuesday morning, Cheng Shi and his colleagues had already entered the emergency department.

Unlike other departments, the emergency department's shift start time is relatively early, basically around 7:30. Cheng Shi and his team naturally didn't dare to come on time, otherwise, they would be scolded by Duan Hao early in the morning, so they all came more than half an hour in advance.

However, they did not expect to meet Duan Hao so early.

Moreover, looking at the way Duan Hao came out of the director's office, he might not have gone home yesterday. However, after staying up late, he was actually more energetic than them.

"Well, everyone is here. Let's go to the morning meeting."

The morning meeting in the emergency department is different from that in other departments. When Wu Xiaofu first attended the morning meeting in the emergency department, he was a little shocked.

After all, there are so many patients in a day, and yet the nurses and doctors can memorize them all.

In other words, as a nurse or doctor in the emergency department, you have to have a good memory, because the director will ask you about the condition of a patient at any time, and if you don’t know, you will be in trouble.

That's it for now.

The nurse on duty yesterday handed in first. Unlike usual handovers, the nurse on duty today was obviously more rigorous and serious, and a little more cautious. Even Cheng Shi and the others could see this cautiousness. After thinking about it carefully, they knew the reason.

It’s just that I’m afraid of being scolded by Duan Hao.

His illness has relapsed. Just a few minutes before the morning meeting, they heard several people discussing that Duan Hao's illness had relapsed. They should be careful during the morning meeting and not let any loopholes be caught.

However, even so, the nurse was not spared.

When Duan Hao found something wrong, he scolded them a few words, luckily it was just two words. But when it was Wang Hu's turn to take over, it was different. He was scolded like a rabbit by Duan Hao. Cheng Shi and the others were trembling with fear when watching this scene, but they felt much better in their hearts. It turned out that Duan Hao not only scolded them, but others as well.

"Fu Yuanhang, the patient you saw yesterday has already had a ventricular drainage. What do you think should be done next?"

Ask questions anytime and anywhere. Fu Yuanhang's calf trembled subconsciously.

This is a patient Fu Yuanhang saw yesterday, a patient with cerebral hemorrhage. He underwent ventricular drainage in the emergency room and is out of danger. However, for patients with bleeding, it is unknown how long it will take for the patient to wake up, or whether he can wake up at all. Also, yesterday's operation only temporarily saved the patient's life. If he wants to recover, he will have to undergo a series of treatments.

Fu Yuanhang is a neurosurgeon, so Duan Hao handed the patient over to him.

Countless professional knowledge appeared in his mind. Fu Yuanhang quickly organized it and began to narrate.

However, before Fu Yuanhang could get to the second point.

"and many more!"

Finish!
Hearing this, Fu Yuanhang felt desperate. He knew that the scolding mode was about to begin.

There's nothing wrong with starting a new day by getting criticized.

Others also mourned silently for Fu Yuanhang. It was impossible to help in this kind of situation, and Fu Yuanhang had to bear it all by himself.

(End of this chapter)