Come on, Dr. Wu

Chapter 95 Game?

If the hemoglobin is lower than 90, it is already the blood transfusion indicator, and now the patients have dropped to more than 70.

There must have been bleeding, otherwise, the hemoglobin would not have dropped so quickly.

"Where's the gastroenterology department? Tell them we'll transfer the patient over now."

Zhu Yun was also anxious. There was no bed at all. If he had been admitted to the Department of Gastroenterology and had special in-patient education, this kind of thing might not have happened. If something really went wrong with the patient, Zhu Yundong would have to take the blame. In this situation , it’s strange that Zhu Yun can be calm.

Although this is said, treatment must be carried out in an orderly manner.

"Quickly match the blood..."

The doctor from the Department of Gastroenterology also came over quickly. Seeing this, he also knew that the situation was urgent and said, "Go directly to the endoscopy room."

Excluding other possibilities, the biggest possibility now is gastrointestinal bleeding, which is possible in the gastrointestinal tract. If you want to know where the bleeding is, a gastroscopy is the best way, and the current gastroscopy technology is also very mature. If After bleeding is discovered, it can be solved directly by gastroscopy.

To be honest, the current situation of general surgery is indeed miserable. The emergency department is competing for the work of general surgery, and gastroenterology is also competing for it. Gastroenterology can also solve the problems of gallstones and cholecystitis. Endoscopic minimally invasive gallbladder preservation surgery is now developing. But he is very mature. Although he has been told that his gallbladder has been removed, it will not have any big impact.

But who would be willing to cut off this thing if it can be kept? Endoscopic minimally invasive bile preservation surgery is becoming more and more popular now.

Seeing the patient being picked up, Zhu Yun also breathed a sigh of relief. No one wanted to have a patient have problems in his class. During the internship, there was a teacher. Even if the patient could not be transferred to another department, he would still have all the means. No matter what, we have to let the patient survive until the next doctor comes after the shift.

Well, all the bamboo shoots on the mountain are gone.

Wu Xiaofu was still a little regretful. There was an outpatient clinic in the afternoon. Otherwise, he really wanted to go to the gastroenterology department to learn endoscopic surgery.

With the development of medicine, internal medicine and surgery are actually not so divided. Cardiology competes for the work of cardiac surgery, gastroenterology competes for the work of general surgery and gastrointestinal surgery, the department of internal medicine competes for the work of external surgery, and the emergency department competes for all kinds of work. Work, well, only technology has developed, and there are no absolute boundaries between diseases and surgeries.

However, it's quite good. Development can only occur when there is competition. No, each department is now improving its own technology.

Not to mention, as a surgeon, if he doesn't perform surgery for a period of time, his hands will feel itchy and panicked. Wu Xiaofu is in this state now. After get off work, why don't he go to the operating room?
  There were more outpatients in the afternoon than before.

Especially when it's time to get off work, there seems to be a tendency to hide. However, unlike the clinic next to it, Wu Xiaofu gets off work on time and doesn't register at that time, so it's useless no matter how much he does.

"Doctor, doctor, look quickly, he's in terrible pain."

A patient in his thirties was brought in with help, holding his right abdomen. His face was covered in cold sweat, and the beads of sweat could be clearly seen. Wu Xiaofu's brain was working rapidly and he had pain in his right abdomen. There were only a few possibilities. Radiating pain was ruled out. It was the hepatobiliary appendix. Looking at the patient's appearance, Wu Xiaofu's experience told him that he was probably a gallbladder patient.

"Come, lie down."

The patient was asked to lie on the diagnosis and treatment bed. Sure enough, there was tenderness, rebound tenderness, muscle tension in the right upper quadrant, and a positive Murphy's sign.

"When did it start? Have you had any nausea or vomiting?"

"It started in the morning. I took some painkillers and it felt better. In the afternoon, the pain became worse. I vomited twice and there was bitter water."

"Are you feeling flustered or palpitating?"

"Fortunately, I don't feel anything. I just feel that my heart is beating fast. No, it feels like my heart is about to jump out through my shirt."

Wu Xiaofu took a look. Of course, this was all an illusion. It was normal for the heart rate to increase due to pain. Although the heartbeat was strong, it was not that strong.

"Besides the pain in the right upper quadrant, are there any other discomforts?"

"I also feel pain in my shoulders and back, coming and going, and it's very throbbing."

This is the typical radiating pain caused by gallbladder stones. It can basically be determined at this point in the consultation and physical examination.

"Have you had gallbladder stones or gallbladder polyps before? Have you ever had any pain?"

"No, this is the first time. I haven't had a physical examination in two or three years. Doctor, do I really have gallbladder stones?"

"Let's go get a color ultrasound."

Wu Xiaofu did not mention the specific diagnosis. Modern medical treatment is a combination of chief complaint, physical examination and auxiliary examination. Only in this way can it be objective and accurate. Easily making a diagnosis and doing treatment easily can lead to problems in communication between doctors and patients.

The patient was also very talkative and even took the order for examination.

After returning, looking at the color ultrasound results, Wu Xiaofu began to explain, "The acute inflammation is obvious, and there are stones in the gallbladder and bile duct. The stones in the bile duct are not small, so I need surgery."

For intrahepatic bile duct stones, if the stone exceeds three centimeters, the indication for surgery is already obvious.

"Ah! Do you really need surgery?"

"Well, you will need surgery sooner or later. You have multiple intrahepatic bile duct stones, and the big ones are more than three centimeters. This inflammation should be caused by intrahepatic bile duct stones. If they are not removed, inflammation will be stimulated repeatedly in the future. , pain is secondary, and it is likely to cause bile duct atrophy and stenosis, distant bile duct expansion, or cause local liver tissue atrophy and fibrosis, and the risk of cancer caused by stones cannot even be ruled out."

Ah!
  Hearing what Wu Xiaofu said, the patient immediately began to shake his head, "Doctor, do it, do it quickly. In fact, I was prepared when I came. The friend who worked with me had similar symptoms to me at the beginning. I postponed the surgery, but later I heard that there was some kind of perforation, which almost killed me.

This is too scary. There is such a thing as cancer. We can’t delay it. When can we do it? My wife is also here. Since we can do it, let’s do it as soon as possible. "

Wu Xiaofu also nodded when he heard this, "Intrahepatic bile duct stones larger than three centimeters generally cannot be eliminated on their own, and choleretic drugs are not very effective. The surgical effect is still very satisfactory, and now all operations are performed laparoscopically. , safe and efficient, and the postoperative recovery period is short, but it is prone to other complications and risks."

"Laparoscopy? Doctor, does that require general anesthesia?"

"Right? What, have you had other surgeries before? Are you saying you don't tolerate general anesthesia?" This situation does exist. General anesthesia tests the patient's cardiopulmonary function. If the cardiopulmonary function is not good, the risks of general anesthesia will increase. It will improve a lot, so before surgery, anesthesiologists usually have to conduct a full assessment. If your cardiopulmonary function cannot tolerate general anesthesia, your surgery will be stopped without any ambiguity at all.

The doctor begged grandpa and sued grandma to no avail. He finally managed to stop you, but he still told you these things.

"That's not true. I haven't had any surgery before. It was just like the one I played with when I was a kid. It was done under general anesthesia. I heard that people don't know anything all of a sudden. People are so worthless. It's so scary. We Can you not use general anesthesia? It’s just a belly surgery, so just anesthetize my belly.”

It turns out that I was afraid of this.

Needless to say, most people nowadays are really repelled by general anesthesia. On the one hand, they are afraid of becoming a fool, and on the other hand, they are afraid of not waking up if they fall asleep.

The risk of general anesthesia is indeed higher than that of other anesthesia, but with the current level of anesthesia, this problem will basically not occur. The probability is not even one in a thousand. In fact, there is really no need to worry too much. .

"If you want to do laparoscopy, you can only do it under general anesthesia. If you want to do it under semi-anesthesia, you can only do it through laparotomy. The trauma will be larger and the recovery period after surgery will be longer. Moreover, your consciousness will be awake during the operation. We are here to help you." You can feel something in your stomach even if it's being stirred up, aren't you afraid?"

As Wu Xiaofu said this, the patient's eyes lit up.

"That's good, that's it. I've heard people say it. In fact, the wound caused by the mirror is not much better than surgery. It just means you have to stay in the hospital for a few more days. Mine is considered a work-related injury and I can claim compensation."

Wu Xiaofu was also a little helpless. Why did he get more and more excited the more he heard this? If he didn't want to stay in the hospital for a few days less, why would he want to stay longer? You will suffer the consequences if you can get retribution.

However, the hospitalization time for laparoscopy and surgery for bile duct stones is probably about the same. After all, most patients require an indwelling T-tube, and generally the tube must be removed before they can be discharged from the hospital.

Looking at it this way, well, there seems to be nothing wrong with what the patient said. As for whether the damage caused by laparoscopy or surgery is more serious, this is a matter of opinion. It mainly depends on the severity of the patient's condition and the skill of the surgeon. .

"Okay, if you agree to do it, then I will hospitalize you right now, and then arrange for a pre-operative examination. By the way, our Director Duan happens to have an operation tomorrow, so I will ask you if I can add you."

"Ah, you didn't do it?"

Ah!
  At this moment, Wu Xiaofu's inner weakness seemed to be touched. This was the first time that a patient asked him this question. Usually, when he was so young, he would directly ask other experienced doctors to do this kind of questioning. This is really the first time, "Don't you worry about me doing this?"

"Then there's nothing to worry about. Isn't it said that in big hospitals, the younger you are, the more powerful you are? They are all masters, doctors, and postdocs. They are all new talents and new ideas. Don't look down upon them. They are better than those old doctors. sharp."

Don't tell me, I'm really touched. This patient definitely doesn't have a problem with the way he thinks about problems. He definitely has a clear mind in the world.

"Not many people have your level of consciousness. Don't worry, if Director Duan can add a channel, Director Duan and I will do it for you."

The main reason was that he didn't have the authority to operate. If he had, Wu Xiaofu would really like to do it himself and just hire an assistant.

It's a pity that this is not a small hospital down there. If you are discovered and kicked out, it will be a trivial matter.

"Okay, then I'll bother the doctor."

After closing the clinic, Wu Xiaofu directly called Duan Hao.

"Teacher Duan, I have a patient with bile duct stones. Can I add another one tomorrow?"

"Well, are you off work? There happens to be a bureau. I'm in the underground parking lot. You wait for me at the entrance of the hospital. Let's meet up."

Game? Why does this smell so familiar?
  Without much hesitation, Wu Xiaofu said hello to Qu Ying and came to the door of the hospital to wait for Duan Hao.

The big Mercedes-Benz stopped in front of Wu Xiaofu. Wu Xiaofu was in awe at the sight. After he decided to stay with this big Mercedes-Benz, he had to sacrifice his family's cattle and sheep to get one and drive away.

"teacher."

"Come on, get in the car."

Wu Xiaofu opened the car door and got directly into the passenger seat, "You're here at the right time. There's a game tonight, and they're all old guys. They started to drink, and I was injured. You're young, so you can block it for me."

what!
  It turned out that he was asked to stop the drinking. Although he said he was a professional counterpart, what kind of bureau was this? He was so conceited. Was it the Dongshan Bureau, the North District Bureau, or the Nanhe Bureau?
  "Don't be afraid, I won't let you drink all the time. I actually don't want to go, but it's hard to refuse such hospitality. They are all partners of the hospital and we will cooperate in the future. It's hard to refuse. We can just go with it."

Wu Xiaofu instantly realized that it really smelled like that, wasn't it the fault of those pharmaceutical agents?

Not to mention, these people can really drink. They have been trained for a long time in the wine shop. The other Wu Xiaofu has been vomited many times. However, although he is here to block the wine, Duan Hao must be Big Tou, he is just a small Tou. He has a pretty good drinking capacity, so he shouldn't get drunk. He can also have a meal by the way, which is nice.

You know, these medical representatives are famous for their generosity. Now who doesn't know that after Lin Shaoyuan's death, the emergency department will be Duan Hao's world. What a big cake this must be. Don't show your sincerity. Wine and food must be Inevitably, Wu Xiaofu’s biggest dream besides his dream of medicine is to be a food connoisseur.

Wu Xiaofu used to be a food connoisseur on the grassland. Now that he has left the grassland, he will be a food connoisseur across the country. The second stop will be the East China Sea. I haven’t posted on Weibo for a long time. I will pick one later. Dish, play to the level.

With so many fans, we can't be left out in the cold, right?

"No problem. I dare not say too much. I'll hold you back for two drinks, but it's no problem."

Duan Hao just smiled when he heard this. Anyone who is used to drinking knows that in the drinking scene, you can't help yourself. Now, I don't know what happened. Moreover, this time he also wanted to train Wu Xiaofu. The previous He was also a teetotaler, but later Lin Shaoyuan took him to such occasions more often, and he became a drunkard.

Needless to say, he later discovered that there were very few male doctors in this hospital who did not drink, especially surgeons.

After a round, if you don't drink two drinks, it means that the relationship is not in place and you can't talk in depth. These medical representatives are also used to talking about things in drinks. Lin Shaoyuan has already explained his thoughts to him. From now on, If the emergency department really falls into his hands, this kind of situation will definitely be inevitable. Even if he is repulsed in his heart, he has to get used to it.

In Duan Hao's opinion, Wu Xiaofu has great potential, good skills, and can talk. If Lin Shaoyuan met Wu Xiaofu first, nothing would happen to him. Moreover, if Wu Xiaofu really became Yu Shifu's student , then these are fellow disciples, not even closer. Since they need to be cultivated, they must be cultivated from an early age.

Therefore, blocking the wine was definitely secondary. He really wanted to train Wu Xiaofu.

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  (End of this chapter)