Come on, Dr. Wu

Chapter 132 General Surgery? Emergency! (Ask for monthly ticket)
After hearing Che Liming's words, her husband, who was rushing towards his wife at a loss, quickly said, "I, she is my wife."

Che Liming nodded. Although patients' family members cannot enter the intensive care unit, the doctors and nurses in the intensive care unit sometimes need the patients' family members to prepare things for the patients, and may also need to sign or something, so there must be a family member. Go ahead and explain things clearly.

"Calm down, the patient is in good condition now. After all, a piece of liver was cut off, so damage is inevitable. After a period of recovery, his complexion will recover a lot."

To be honest, Che Liming is definitely a conscientious person.

Normally, it is actually best not to say these words. After all, no matter what your thoughts are when you say these words, you may just want to comfort and reassure the patient's family, but the patient's family will not This is really their only understanding. They will think that at this moment, when the patient leaves the operating room, there will be no problems.

If there really is a problem later, I will hold on to this point in your life and say it’s because you said she was fine before, but now it’s like this. Didn’t you cause trouble later on? Must be responsible.

There are too many examples of this kind. At Che Liming's level, not many dare to say this.

After all, no matter how good the surgery is, many risks in the later stages are uncontrollable.

Don't blame the doctors for being cautious in their words and actions. They are just trying to protect themselves. Of course, they have to understand it themselves. Just like now, if Che Liming dares to say this, it must mean that the operation went smoothly. The main reason is that there is no In case of sudden situations and changes, patients will definitely be able to recover slowly, and the risks have been controlled to a minimum.

For another example, before surgery, if someone tells you that there will be no problems 90% of the time, that’s fine. Don’t try to convince them that the surgery will be successful. Otherwise, just do whatever it takes. Yes, in that case, the doctor will really be scared to do it for you. Ninety-nine percent of the time, this is what the doctor said after he got used to being cautious in his words and actions. That point is not about the risk to the patient, but about the leeway left for himself.

"Don't worry, husband, I'm fine. Mom, don't worry, I'm fine."

The daughter comforted her husband and mother. At this time, she had been awakened from anesthesia, but she had no strength at all and was in great pain. However, seeing the appearance of her husband, mother and other people, she actually took the initiative to comfort her, even if it was her. It was very difficult to make a sound, and my husband felt even more distressed when he saw his wife's face throbbing in pain.

"Stop talking, let's go to the intensive care unit first. The patient needs to take a good rest."

Operating room.

After all the hepatic artery anastomosis was successful, Yu Shifu began to restore the patient's hepatic artery blood supply.

At this time, the patient is still in an anhepatic state. This state is simply too dangerous for the patient. The longer the time goes on, the greater the risk the patient will face. Therefore, other pipelines can be released first, and the blood supply status must be removed as soon as possible. of recovery.

Open the blocking valve on the liver supply artery and close the extracorporeal circulator installed before transplantation. Soon, the patient's blood begins to flow from the hepatic artery into the liver. After completing the circulation, it flows back to the patient's body along the infrahepatic vena cava to provide blood circulation. It’s done.

Seeing that the blood supply to the liver was restored, and there was no bleeding or blockage in the donor liver, Yu Shifu and the others could not help but breathe a sigh of relief. This was a staged victory. The most critical revascularization had been overcome, and the operation was considered to be mostly successful. Later, I was able to slow down a bit.

Of course, the pace of surgery cannot be slowed down.

Yu Shifu and Duan Hao began to anastomose the biliary arteries, bile ducts, and lymphatic vessels one by one.

The reconstruction work is proceeding in an orderly manner.

The anastomosis of these tubes is not much easier than the anastomosis of blood vessels. It is even more difficult. Time passes slowly. In the observation room, Vice President Rong and the others are not willing to leave after watching half of it. They all ordered lunch boxes and ate directly in the observation room. While watching.

The work of anastomosis can be said to be the most challenging work for doctors.

Keep your mind steady, your hands steady, and your eyes bright.

As the anastomosis work progressed, Yu Shifu and Duan Hao had already put on microscope glasses. The No. 0 thread hanging on the needle holder was almost invisible. Even Wu Xiaofu did not dare to rely on the naked eye. , the suturing work can be completed. The use of microscopes not only ensures the smooth progress of the anastomosis work.

It is also protecting the eyes of the practitioner.

At this intensity, if you don't use microscopes, you will really be blind.

Yu Shifu and the others were weaving in and out of the pipeline, and Wu Xiaofu became a little anxious when he saw it. The line was too thin to see clearly.

Wu Xiaofu has never used Line 0, and I really want to go there and experience it myself.

You can't see the sunset or moonrise in the operating room, but time will not stop as the operation proceeds. After the final biliary anastomosis is successful, it is already seven o'clock in the evening.

The operation started before nine o'clock, and now it has been ten hours.

This is quite fast. It is not unusual for a liver transplant operation to take more than twelve hours. Fortunately, everything went smoothly. The entire operation is now in its final stages.

Yu Shifu gave up his position and stamped his numb feet. Even though he was covered by a mask, he could see that Yu Shifu's face was a bit pale. Wu Xiaofu had to wipe his sweat off countless times during the operation, and For more than ten hours of surgery, Yu Shifu didn't drink any water, which shows how much energy was consumed.

In fact, when a liver transplant is performed, it is not only the patients and their families who suffer a great loss of vitality, but also the doctors.

Unlike other surgeries, where the situation is not critical and the time is too long, the surgeon can go to Bala for a few bites of food and use the toilet midway. However, liver transplant surgery is different. Time is life, and it cannot be delayed, let alone It’s time to eat, and I have to hold it in even if I want to go to the toilet.

After taking off the surgical gown, you could see that Yu Shifu's entire back was soaked. Sitting in the corner of the operating room, his heart dropped a little at this moment.

In fact, the surgeon is really no less worried about the patient's condition than the patient's family.

Wu Xiaofu took over the next job, and Duan Hao was not much better. He was just much younger than Yu Shifu, and he could still endure it. A normal person could not stand for ten hours, let alone one with high intensity and mental stress. Ten hours of work, which is why most surgeons choose male doctors.

Such intense work is really a big test for female doctors.

It's not that all female doctors can't resist, but it's just that they have different congenital conditions after all. Wu Xiaofu is very familiar with the work of closing the abdomen, and the instruments have been changed. At this time, he is helping Wu Xiaofu to cut the thread, and Duan Hao is checking. After there were no problems, Wu Xiaofu was asked to sew his skin and then stepped down.

After the wound was wrapped, another hour passed.

Yu Shifu went out to explain to the patient's family, while Wu Xiaofu, after the anesthesiologist woke the patient up from anesthesia, checked that the vital signs were stable and began to escort the patient to the intensive care unit.

The body is also very tired, but the spirit is really exciting.

When leaving the intensive care unit, Wu Xiaofu had only one thought in his mind, that is, he actually participated in a liver transplant operation today!

Liver transplant surgery!

No other soul has ever had such an operation. The requirements for organ transplant centers are very high, and only some top hospitals can operate them. North District, for example, is not qualified to operate an organ transplant center, let alone perform organ transplants. After a transplant, don’t think too much about further studies. Doctors in your own hospital may not get your turn, let alone you who are here to study alone.

"Doctor, doctor."

Wu Xiaofu subconsciously turned around and saw that it was the patient's son. His heart skipped a beat. He couldn't have something happen to him right after he was sent to the intensive care unit.

"What's wrong?" "It's okay. I just wanted to ask you about my dad's condition. Did you also go through the surgery with me?"

Wu Xiaofu was relieved. It was not just the patient's condition.

"The patient's operation was successful. However, as we told you before the operation, the operation is only half the success. The follow-up depends on the patient's recovery. The most important thing is rejection. As long as there is no serious rejection, Without liver failure, the patient’s recovery will be impressive.”

Wu Xiaofu also felt a sense of accomplishment when he witnessed with his own eyes that a failing liver helped the patient regain a new life after transplantation.

But like Wu Xiaofu said, rejection.

This is the nightmare of all organ transplants. Many transplant operations are performed beautifully, but the occurrence of rejection is enough to wipe out all previous efforts. Therefore, whether it can ultimately succeed depends on subsequent development.

Of course, almost every patient has rejection, and it depends on the severity. If it is only mild, it can be solved by drug control.

This is also an important part of ensuring the success of organ transplantation.

"Then let me treat you to a meal. You performed a day's surgery on my dad. It was too hard. I should express my gratitude to you. Director Yu and the others, why don't you contact me?"

Wu Xiaofu shook his head, "Forget it about eating, there are rules for this."

After walking a few steps, Duan Hao called.

There is a good noodle shop outside the hospital, which is open 24 hours a day. It is almost nine o'clock, and there are still many people.

The doctors in the hospital are very willing to patronize this restaurant. The food is really good.

When Wu Xiaofu came over, Yu Shifu and Duan Hao had already sat down to eat. Wu Xiaofu was so hungry that his chest pressed against his back. He quickly sat down. His Duan Hao had already helped, and Wu Xiaofu started directly. dazzle.

Really, after a hungry day, all the delicacies are not as good as a bowl of noodles.

Just like after a hangover, I really have no appetite for big fish and meat. On the contrary, this bowl of noodles is really delicious. Moreover, after being hungry for a day, it is not suitable to eat something too greasy.

"Xiao Fu, how are you? How do you feel about your first liver transplant surgery?"

Yu Shifu wiped his mouth with satisfaction, burped, looked at Wu Xiaofu and said, Wu Xiaofu was already showing off his second bowl, which made Yu Shifu envious. He was young and had a good appetite.

"Teacher, this is so shocking and wonderful. Can you take me with you next time?"

The opportunity is rare. For such an operation, one machine is not enough. We must strike while the iron is hot and ask for another one from Yu Shifu.

Duan Hao couldn't stand it, "That's enough for you, I'll be in line first."

Even Duan Hao couldn't guarantee that he would be able to participate in such an operation. Duan Hao knew Wu Xiaofu's ability, and this junior brother was trying to grab a job.

"There's no conflict, let's go together. It's quite pleasant to work together on this one, right, teacher."

Wu Xiaofu looked at Yu Shifu eagerly. If it weren't for his wrong identity, he would have wanted to show off to Yu Shifu. He really wanted to learn liver transplantation.

Duan Hao also looked over, not to mention, it was really a pleasure to cooperate, but the boss still had to speak.

"There are so many directors in the general surgery department, but I am the deputy director in the general surgery department. I have to hold a bowl of water evenly. How can I take you to every stage? Let's talk about it next time."

Yu Shifu directly put it off. Liver transplantation is rare. Not to mention, not every one will be performed by him. Even if he is the chief surgeon, all aspects must be considered. Wu Xiaofu is not the only one who wants to learn liver transplantation, and he also needs to be trained. It's just that Wu Xiaofu and Duan Hao always have a bowl of water.

However, Wu Xiaofu's performance in this operation was really good and remarkable. Vice President Rong should have seen it in the observation room.

With such a performance as the foundation, if he focuses on cultivating Wu Xiaofu in the future, no one will say anything.

The resources are all obtained by oneself. In the hospital, many resources are given on the surface, and it is not that he can give them if he wants. If Wu Xiaofu cannot show his due value, who can be convinced.

Fortunately, Wu Xiaofu did not lose his temper.

"At the end of next week, your internship will be over."

Seeing Wu Xiaofu finally showing off the noodles in the bowl, Yu Shifu suddenly asked, and Wu Xiaofu nodded quickly.

"Then what are your thoughts about the future?"

Wu Xiaofu was a little confused when he heard this. What do you think? Does he have ideas?
If nothing unexpected happens, he will be able to occupy one of the quotas for this show. However, he does not dare to give himself a guarantee until the last moment and when the dust settles.

"The teacher is asking whether you want to go to the emergency department or the general surgery department."

Wu Xiaofu majors in general surgery, so he can go to the general surgery department or the emergency department.

However, the information revealed by Duan Hao's words still made Wu Xiaofu feel refreshed. In other words, he was sure that he could really stay!

Simply awesome! Even though I had expected it, I couldn't help but tremble in my heart.

General surgery! Emergency Department!
To be honest, if he were in the North District, he would definitely choose general surgery without hesitation, because there are too few surgeries in the emergency departments of major hospitals in the North District, and too few can be performed. Surgeons, after all, perform operations. How can it be done without surgery, but the First Affiliated Hospital is different. The emergency department here has a lot of hands, and even more opportunities.

Unlike the general surgery department, which has a large number of talents, the emergency department is actually still in a state of shortage of personnel.

After such a long time, Wu Xiaofu has made a big name in the emergency department. With the care of Duan Hao and the others, Wu Xiaofu feels that he can still get some surgical opportunities, but it is different when he goes to the general surgery department. It is best to have more surgery. As an assistant, there are so many directors, and it's probably not his turn to be in charge of surgery or surgery.

Therefore, I still need to practice more in the emergency department to really improve my professional title and strength.

At that time, general surgery was his best choice, rather than sitting on the bench now.

"I feel the atmosphere in the emergency department is quite good."

Duan Hao was overjoyed when he heard this, "Teacher, we agreed to respect Xiao Fu's choice."

(End of this chapter)