Come on, Dr. Wu

Chapter 125 A single bet is not a bet

To give you a simple example, there must be many people around me who have obviously gone to the doctor with an electrocardiogram or color ultrasound, etc., and then the doctor frowned, asked you to check again, and even named you. Find someone.

If your condition is really urgent, the doctor may call you directly to say hello.

The same examination, the same instrument, and different doctors will produce different results.

The electrocardiogram scan relies entirely on machines, but it is not completely operation-free. It would only be a regular electrocardiogram. If you have heart disease, the nurse responsible for scanning electrocardiograms in the general department may not be satisfied.

Therefore, doctors in the cardiology department must not only be able to read electrocardiograms, but also be able to perform electrocardiograms.

When Yu Xiaoze was studying abroad, he focused on learning this, and he was very good at it. This is probably what makes Zheng Xinxue most satisfied. Yu Xiaoze also eliminated the previous haze in electrocardiogram operation.

It seems that Jia Yu and the others are very stressed.

Next comes the complicated operation.

Yu Xiaoze was worried and pulled out the interventional stent directly.

This is actually different from normal interventional surgery. It is just a simulated blood vessel condition that allows people to insert the guide wire into the blood vessel and successfully deliver the stent to the desired place.

The key points of this step may be two.

One is to be absolutely familiar with the human body, especially the heart and blood vessels. After all, people say there is a blockage here. If you don't open the blocked area, but open other places, this is a medical accident.

Then there is proficiency. The guide wire is not your hand. You can go wherever you want. If you don't have absolute proficiency, you will even be like a naughty child. If you want it to go east, it has to. Go west.

Moreover, the blood vessel wall is actually very fragile. If the blood vessel wall is accidentally punctured, it will be impossible to save the person and cause massive bleeding.

The seriousness of arterial bleeding is self-evident.

Therefore, this operation is not without risks. Basically, the senior deputy director starts the operation. Even the attending surgeon may have to practice hard in the practice room, and then follow the director to learn more during surgery. The combination of the two can lay the foundation for your own surgery in the future.

Yu Xiaoze has been doing a lot of surgeries this week, seeing a lot of things, spending a lot of time in the practice room, and almost never slept at all.

Efforts will naturally be rewarded. The model is much simpler than the human body after all. As long as you practice more, this second point will be no problem.

In fact, most of the points where coronary arteries are blocked are only a few places, and the current test is the same.

Yu Xiaoze entered from the radial artery and moved very slowly. Wu Xiaofu also watched carefully. Wu Xiaofu was also very interested in cardiac interventional surgery. Wu Xiaofu had also dabbled in this operation and was very interested. Interventional surgery is the development trend of many surgeries. , is also the starting point for internal medicine and surgery.

The Department of Cardiology did not have any surgeries before. It was precisely because of the emergence of intervention that it started.

So now, the responsibilities of medicine and surgery have to be divided step by step. Fortunately, the procedures that both sides can perform are developing, and there are more and more places they can cover. Otherwise, the two sides may have to fight over the surgery. stop.

Large hospitals all have heart centers, and cardiology and cardiac surgery departments are divided into small ones and not everyone.

This is the case in the First Affiliated Hospital.

Lin Yue, the chief director of the heart center, is also the deputy director of the entire department of internal medicine. Not only is she an expert in the heart, but she is also in charge of the power of the hospital. Many times, people in the hospital cannot see her face, not in the hospital. There are so many lectures on the way to the meeting.

Every week, there will be a conference in the Department of Cardiology and Cardiac Surgery, which Lin Yue personally presides over.

Not to mention, this heart center, which combines cardiology and cardiac surgery, is really the largest department in the hospital. Lin Yue may have a higher weight than Yu Shifu.

The cardiology department has three areas ABC, and the cardiac surgery department has three areas ABC. It also has an independent cardiac intensive care unit, its own catheterization center, and other supporting facilities. Taken together, it is the largest department in the hospital. Not an exaggeration.

Zheng Xinxue is the chief physician in the cardiology area A in the Department of Cardiology.

She also has a high prestige in the Department of Cardiology. It can be seen that she likes Yu Xiaoze very much. Although she is usually strict, she is not weak in cultivating Yu Xiaoze.

In fact, these doctors, like teachers, cannot help but want to cultivate more good seedlings when they see them.

Yu Xiaoze is undoubtedly a good prospect, otherwise, he would not have such a strong foundation and qualifications.

The reason why good seedlings are good seedlings is because they have a solid foundation and high understanding. They can understand everything at once and teach with twice the result with half the effort. Wu Xiaofu and Yu Xiaoze actually fall into this category.

"good."

Looking at Yu Xiaoze's operation, Xiong Hongye praised Zheng Xinxue, and even Jingwei and Lin Shaoyuan nodded. When doing interventional surgery, unless it is to save lives, other times, slowness does not matter, the important thing is stability. Now Yu Xiaoze is outstanding. Stable word.

For doctors, only with a steady heart and steady hands can they stand firm.

In medicine, rushing for quick results is a waste of time.

"Teacher, I'm done."

Yu Xiaoze stopped what he was doing and spoke to the four instructors. Zheng Xinxue nodded and started to ask questions.

"This is getting better and better!"

Wu Xiaofu and the others looked at Yu Xiaoze and couldn't help but say, they were under a lot of pressure. I'm afraid Yu Xiaoze couldn't deduct a few points. Except for the first operation, which was disrupted by Zheng Xinxue's question and deducted a few points, almost everything else was deducted. It is a perfect level, and the fourth operation is a cardiac color Doppler ultrasound.

For this, Yu Xiaoze is actually more skilled.

At this time, the experience of studying abroad has highlighted its advantages. When Yu Xiaoze was a graduate student at NJ University, he did a lot of cardiac color ultrasound. At this time, in the fourth operation, Yu Xiaoze's score was probably lower than the top three. Still tall.

This adds up.

Feng Lingling, Fu Jie, and Qu Ying all changed their expressions. Five assessments have been completed three times. This is the fourth and penultimate time.

If they don't increase their score now, they will really have no chance.

Thinking of the heartless Yu Xiaoze before, yes, who would really give up in the face of such an opportunity, and who wouldn't be the same, and who wouldn't silently work hard.

“This assessment is done on the spot. Unlike previous assessments, there is no need to wait until the end. Each student’s score will be determined directly after the assessment.

Four operations, each operation is worth one hundred points, and the total score is four hundred points.

Each operation is scored once, four of us score together, and the final average score is taken.

Now the scores of Yu Xiaoze are announced. The first operation of pericardiocentesis is divided into 364 points. The second operation of electrocardiogram is divided into points. The third operation of coronary intervention stent is divided into points. The fourth operation is divided into points. Ninety-nine, total score . "

364!

Score on the spot!

It is said that for top students, even if they don't get full marks, they have to get more than 390 points, otherwise, they are not considered high.

But can this be the same? Among the people present, who dares to say that he can pass the exam higher than Yu Xiaoze!

Everyone looked at Yu Xiaoze, what a good guy, he usually looks careless and indifferent, but at the critical moment he really dares to get high scores.

"Oh, I didn't do well in the exam. I didn't do well in the exam. I'm probably going to be at the bottom again this time."

Sitting back next to Wu Xiaofu, Yu Xiaoze shook his head and became humble, and returned to his previous appearance. Wu Xiaofu was not polite. He and Jia Yu looked at each other and punched each other.

It's also installed, so I'll save it for the New Year.

"Spare your life, spare your life."

Although it was a joke, everyone was nervous. They still didn’t know who the second one would be. You must know that this lottery was not drawn by them, but by four teachers. Yu Xiaoze was the first one they drew. Yes, no one knows who is second now. We are waiting for the verdict.

It's more painful than smoking together.

The most important thing is that with Yu Ozawa Zhuyu in front of them, it's a bit difficult for them. If they get low in the exam, they feel unhappy, and if they do too badly, it will be even more embarrassing.

Therefore, no one is willing to take the second place.

"The second one is Feng Lingling."

As soon as the voice stopped, Wu Xiaofu and the others looked at Feng Lingling. At this time, Feng Lingling also frowned and twisted her delicate hands slightly. It was obvious that she was not as calm as she looked.

"come on."

Luo Fei and Qu Ying shook their fists at Feng Lingling, and Feng Lingling took a deep breath, nodded and left.

I have to say that this girl's tenacity cannot be underestimated.

Feng Lingling took the general surgery exam. The main thing is the longitude and latitude assessment. Everyone is also looking forward to what this first operation will be.

"Come on."

Lian Jingwei pointed to the lottery box in front of him and said, Feng Lingling's face tightened slightly and she put her hand into it.

Abdominal puncture!

Right, right, really right.

Yu Xiaoze had pericardiocentesis for the first time, and she had abdominal puncture. She guessed it right, she guessed it right.

Even though Feng Lingling is twenty-eight this year and is already a postdoctoral fellow, she can't help but feel happy that she suddenly got the right topic. Yes, the abdominal puncture she was most prepared for just now was the abdominal puncture. From the beginning to the end, she performed three demonstrations in her mind. Back then, Feng Lingling almost always thought of the questions that might be asked during abdominal puncture. If she asked herself in this subject, it would not be a problem to surpass Yu Xiaoze.

The pressure was immediately relieved a lot.

As one of the four major punctures, abdominal puncture is not much simpler than pericardiocentesis, but because it is an operation that medical students often practice, it makes them more proficient.

Everyone was secretly relieved when they saw that Feng Lingling got abdominal puncture. This was a normal draw.

Yu Xiaoze collapsed. Someone had an abdominal puncture, but he had a pericardial puncture. God, how unfair it was.

Feng Lingling has already started to operate, and everyone is watching carefully. They are sure that this is the one they will draw later. It is okay to take a closer look now.

Abdominal puncture is an operation that is used too much in clinical practice.

Not long after Wu Xiaofu entered the emergency department, he had already done a lot of abdominal punctures. The first time was to identify the one with ruptured spleen to see if there was abdominal bleeding.

This is also a major role of abdominal puncture.

Abdominal puncture is generally divided into two uses, one is diagnostic puncture and the other is therapeutic puncture.

Diagnostic puncture is like the one before Wu Xiaofu. The puncture needle is inserted into the abdomen. If the blood does not coagulate when taken out, it means there is a large amount of bleeding in the abdominal cavity. This is an important basis for diagnosing acute intra-abdominal liver and spleen rupture and bleeding. If the patient is in critical condition, there is no need to do anything else. With this auxiliary examination, emergency laparotomy can be performed directly.

In addition to such diagnostic puncture, there is also abdominal puncture for peritoneal effusion, which is of a differential nature. These two major diagnoses are the most commonly used. There are others. Whether to perform abdominal diagnostic puncture depends on the situation.

Then there is the therapeutic puncture, the most commonly used is the extraction of ascites.

It is most commonly used in gastroenterology and general surgery. Patients with liver cirrhosis and liver cancer often have ascites. If the ascites is not aspirated regularly, breathing difficulties, ischemia and hypoxia will occur, which can be life-threatening.

"What are the causes of ascites?"

"The causes of ascites can be divided into three types. The first type is leakage ascites. Common causes include: hepatic origin, cardiogenic origin, venous obstruction, nephrogenic origin, nutritional deficiency, chylous origin, etc.;

The second type of exudative peritoneal effusion, common causes include: spontaneous bacterial peritonitis, secondary peritonitis (including cancerous peritoneal effusion), tuberculous peritonitis, pancreatogenic, biliary, chylous fungal peritonitis, etc. ;
  The third type of bloody peritoneal effusion, common causes include: acute portal vein thrombosis, hepatocellular carcinoma nodule rupture, traumatic rupture of the liver, ruptured hepatic aneurysm, ectopic pregnancy, etc. "

Wu Xiaofu and the others nodded at the standard textbook answer. The mastery of book knowledge was Feng Lingling's greatest advantage. Among the ten people, Feng Lingling had the largest reserve of knowledge. Asking such a question was not a problem for him. .

"Any more?"

The same question was asked by Yu Xiaoze just now, but this time Feng Lingling did not hesitate, "No more, teacher, I have completed the operation."

Liso!

Lian Jingwei nodded, Feng Lingling did it very neatly. You know, Feng Lingling may have understood the step-by-step operation of abdominal puncture before, but she had only done it a few times. Now she can To be able to be so agile, you must have practiced a lot.

In terms of hard work and perseverance, Feng Lingling has to be admired by several people here.

Yu Xiaoze knew that he must have been surpassed in this first subject.

"Come on."

Lian Jingwei said again, looking at Feng Lingling with very satisfied eyes.

Among the eight people, the one Lian Jingwei wants to keep the most is Feng Lingling. With Feng Lingling's qualifications, it will be a matter of time for her to grow up. She has the highest academic qualifications and the most rare thing is that she has a strong foundation in scientific research. This is really rare for a clinician. , Feng Lingling has a bright future.

That is to say, Wu Xiaofu appeared, which made Lian Jingwei very entangled. Otherwise, Lian Jingwei would not have thought too much about it.

The second subject.

The abdomen was incised and sutured.

The test was actually about basic operations, and I made the right bet again!

A smile appeared on Feng Lingling's face, making everyone stunned. Is this girl too arrogant? Does she think it is easy to incise and sew her abdomen?
  In fact, the incision and suturing of the abdomen is really not simple.

Different from abdominal puncture, abdominal puncture only needs to keep the principle of asepsis in mind and extract the abdominal fluid in the model. Teachers will not look at it too strictly, but abdominal incision and suturing are different. This is what these doctors Things you often do cannot be done step by step according to the order in the book.

What you need to choose may not only be the principle of sterility and whether the steps are perfect, but also the spacing, depth, etc. of the sutures, and even whether they are beautiful or not.

Therefore, this abdominal incision and suturing may be more difficult than abdominal puncture. Feng Lingling actually laughed.

"Brother Fu, Sister Ling is stable again. She must have practiced a lot."

"It's not that she didn't practice less, it's because she got the questions right."

Press the right question!
  Everyone was startled when they heard this, thinking that Feng Lingling's demeanor and smile were just like when they were trying to get the right questions in the exam?

Looking at Wu Xiaofu, they were amazed. They didn't expect that Wu Xiaofu could see it at a glance. What kind of observation skills? It was too scary. He subconsciously sat far away, and he could see through people's hearts.

When Wu Xiaofu saw this, he immediately rolled his eyes at them, trying to clear up their doubts about why they were treating him like this.

"Hmm! A bit ugly."

Lian Jingwei looked at Lin Shaoyuan and frowned. Feng Lingling's sewing was meticulous, but Lian Jingwei and Lin Shaoyuan looked at her with straight frowns. It was indeed ugly.

That's just the level of an intern, worse than a resident doctor.

Wu Xiaofu looked at Yu Xiaoze who was smiling, "Aren't you worried this time?"

Yu Xiaoze quickly stopped his smile and said, "What, Brother Fu, what are you talking about?"

whispering sound! Be careful.

Not to mention, some stitching techniques cannot be practiced on models. For example, Feng Lingling’s stitching is really ugly. You may not feel it on a model, but it is easy to see it on a person. There are four experts here, and they can naturally tell the good from the bad at a glance. As for them, although they may not be able to sew better than Feng Lingling, it does not prevent them from laughing at Feng Lingling.

However, the level of stitching is indeed quite different.

When Wu Xiaofu was a graduate student, his sewing was better than this. I am afraid that this week, although Feng Lingling had practiced a lot and had undergone surgery, it was difficult to practice it for a while. This must be a deduction. The exact amount of deduction depends on Lian Jingwei and the others.

"Teacher, I'm done."

Feng Lingling looked at everyone and lowered her head slightly, but she swore in her heart that she would participate in more surgeries and practice hard in the future. If she couldn't help it, she would have to go to the emergency room to see Wu Xiaofu more. This stitch was indeed a bit difficult to discern. She felt ashamed when she saw it.

"Come on."

Lots were drawn for the third time.

Looking at the contents of the signature, Feng Lingling's smile appeared on her face again.

A single bet is not a bet.

This is the third bet.

Laparoscopic surgery.

Yes, Feng Lingling had practiced well, and she made the right bet again this time.

"No way, she made the right bet again?"

Yu Xiaoze and the others looked at Feng Lingling's smile and couldn't help but be stunned. This smile was so familiar.

"seems like it."

They didn't expect that in this assessment, they discovered another magical thing about Feng Lingling. This question is so powerful. If they had known that Feng Lingling had such great magical skills, they would have wanted to ask for advice earlier. No wonder Feng Lingling had previously I ranked first in all the written tests, and this question is absolutely amazing!
  　I feel like I have a cold. Today is just one chapter, 5,000 words. I will continue with more chapters tomorrow.

　　
  　
  (End of this chapter)