Come on, Dr. Wu

Chapter 151: Human and pliers merge into one!

This sister-in-law is a real sister-in-law.

It's not impossible to sell a prime floor with such a good decoration for twenty-eight, but selling only eighteen would be a real blow.

But what is eighteen times one hundred and six?

Three thousand?

Wu Xiaofu looked at Wu Bin, no matter how strong our father is, he may not be able to bear such a thing.

"Is this too little?"

Wu Bin was naturally satisfied with the price, but he was a little embarrassed to buy it at this price.

Hou Ziling waved her hand generously, "We are all part of the same family. My uncle also kept it. It was just right to sell it to Xiao Fu. When he bought it, it was cheaper than this. I gave him too much, and I was embarrassed to let him take it. Well, if you are satisfied, let’s just settle it and let Xiao Fu pay it slowly. With Xiao Fu’s ability, it will be done in a few years.”

My sister-in-law really looks up to him!

Although it is said that there is no phone in the preparation team, and there is basically no need to go to the hospital, but after such a long time, few preparation teams can live a peaceful day, and there are basically emergency surgeries, and those who are on duty in the outpatient department naturally do not have time. Wu Xiaofu was also mentally prepared for the operation, but he didn't expect that it was Duan Hao who called this time. It seemed that his condition was also very difficult.

"Xiao Fu, there is an operation. You go first. I will be there in a moment."

Wu Xiaofu called Zheng Hua and rushed directly to the hospital.

"That won't work. It's so cheap, so you have to pay something. Let's pay half of it, and let the rich man get a loan for the rest."

It seems that we still don’t understand much.

With this condition, it wouldn't be too much to give him another car. Unfortunately, even if his father buys it, Wu Xiaofu can't drive it. His conditions are not enough for the lottery, and neither can the tram.

With Wu Xiaofu here, Wu Bin may not be able to do much. After so many years, Wu Bin can't really cut off contact with the East China Sea. This time Wu Bin came here, he probably had the same idea.

half!
Everyone looked at Wu Bin. Hou Ziling knew Wu Xiaofu's potential. He was really investing in Wu Xiaofu by selling face this time. He also heard Duan Hao say that Wu Xiaofu came from a pastoral area. He originally thought that his family background should not be too rich, so That was the one who suggested payment like this, but now that I look at it, it doesn’t seem like this.

Wu Bin and Sarilang said they wanted to wander around the East China Sea by themselves, so that Wu Xiaofu would not have to worry about them.

Wu Xiaofu did not affect their world, and Wu Xiaofu did not believe that Wu Bin had other ideas when he came to Donghai this time.

Duan Hao's voice came from the phone. The emergency department is now divided into five groups: day, night, afternoon, off, and preparation shifts.

"Well, I have been admitted to the ward. The appendix is ​​perforated during pregnancy and requires emergency surgery. I have already called Director Duan. I am a little busy here. You go see the patient first and make preoperative preparations."

Even if it is half, it is not a small amount. Even if it is not easy for their family to take it out at once, Wu Bin actually has it.

After Wu Xiaofu tested his father's family background, he suddenly felt a little regretful.

Wu Bin insisted, Hou Ziling said nothing more, and the matter was settled. Qu Ying was also a little stunned at this time. It seemed that the strength of the parents-in-law's family was not low, so she was naturally happy. With the house, with Wu Xiaofu's ability , her father shouldn’t be too embarrassed when she plans to propose marriage later.

The procedures cannot be completed on weekends. Wu Xiaofu has to prepare for work on Sundays and has to go for emergency surgeries.

Sunday.

Wu Xiaofu was stunned when he heard this. Three thousand in a few years was something he didn't even dare to think about.

Wu Xiaofu was shocked. Dad, I haven’t seen you for a few days. Is this something bad? Can we still keep our cattle and sheep?
According to Wu Xiaofu's calculations, if he really sold all his family's properties, he would be able to get the full amount, but if he didn't sell some properties, half of it would be difficult.

"Don't worry, your dad has made a lot of money recently, let him pay."

Li Ming was on duty. Wu Xiaofu passed by and said hello, "Teacher Li, are there any patients?"

Perforated appendix during pregnancy!

Wu Xiaofu's heart also sank. This is a bit dangerous. Perforated appendix is ​​inherently dangerous. After all, it can cause peritonitis. Infection is always a catastrophe for humans. What's more, perforated appendix during pregnancy may cause inflammatory reaction and diffuse peritonitis. It can cause fetal hypoxia, induce uterine contractions, and lead to risks such as miscarriage and premature birth.

It may also cause septic shock, which will increase the mortality rate of pregnant women and fetuses. No wonder Duan Hao has to come in person. Wu Xiaofu really can't say that he can guarantee the safety of mother and child.

After changing into a white coat, Wu Xiaofu went straight to the ward.

No need to ask any questions, Wu Xiaofu knew he had found the patient just by hearing the screams.

After saying hello, I opened the curtain and saw a pregnant woman lying on the hospital bed. Her face was pale, she was screaming in pain, and her sweat was stained on the wet quilt.

Painkillers are still difficult to use. Not only are doctors unable to use them, but even pregnant women and their families are unwilling to use them.

Obviously everyone has done some research and knows that taking medication during pregnancy is not good for the child.

Wu Xiaofu quickly asked about the condition of the pregnant woman. The pregnancy was already seven months and twenty-eight weeks. At this time, the fetus was basically formed.

This is good news for Wu Xiaofu. If you perform an appendectomy in the first trimester, the risk of miscarriage remains high. However, in the later stages of pregnancy, when the fetus is basically formed, the risk of miscarriage is not that great. Moreover, medication may affect the fetus. It will also decrease a bit, and there will always be situations during pregnancy where you have to take medication.

For example, now, both pregnant women and doctors do not want to have any impact on their children due to medication.

The pregnant woman got appendicitis in the early stages of her pregnancy. She was afraid that the operation would affect the child, so she kept carrying it. After intermittent attacks, the pain was finally unbearable. When she came to the hospital, she found that there was a perforation. She did not need surgery. Even if it doesn't work, even after surgery, I can't say that the fetus will not be affected.

After all, after the perforation occurs, the contents and pus of the appendix have flowed into the pelvic and abdominal cavity, causing direct or indirect effects on the fetus.

Surgery must be done, and the sooner the better. After all, if done a few minutes earlier, the risk to the fetus may be reduced even more.

However, the risks of surgery must be clearly explained before doing it.

Appendectomy during pregnancy is much more risky than ordinary people, and there are too many uncertainties. Many experts have fallen for this kind of surgery. It obviously went smoothly, but it ended up killing two people. This may be part of the reason. The reason why Hao Hui came in person was because he was afraid that Wu Xiaofu wouldn't be able to withstand it.

It was very painful for the pregnant woman and her family members to hear that surgery was necessary.

"Doctor, can I do the surgery without anesthesia? The child is already seven months old. If there is any impact on the child due to anesthesia, I will feel uneasy for the rest of my life."

The pregnant woman suddenly said, Wu Xiaofu was shocked.

It is true that maternal love is great, but no matter how great maternal love is, pain will not be discounted because of it. If an operation is performed without anesthesia, the pain alone may stimulate a pregnant woman to miscarry. At this time, it is not just Wu Xiaofu who has to consider It’s not about your own risk, but just considering the risk to pregnant women, it won’t work without anesthesia.

Zheng Hua also rushed over. When he heard this, he also hurriedly started to persuade. Not to mention that a pregnant woman is not Guan Gong, even if she is Guan Gong, she would not dare to do it like this. Removing the appendix is ​​much more painful than cutting out a piece of poisonous flesh or removing bones to heal the wound.

"No, I'm not afraid of pain. Doctor, I will definitely be able to bear it. Just do it for me. We are not too young. If something goes wrong with the child, we really don't know if we will have a chance to have a second child. ah."

The pregnant woman is thirty-five years old. At this age, she is actually neither too old nor too young. Even if she is an advanced maternal age, she is already on the sidelines. She is pregnant at this age. He can also understand that it is not easy for the pregnant woman to say.

But no matter how difficult it was, Wu Xiaofu could not ignore the lives of the big and small out of sympathy.

Looking at the two family members of the pregnant woman, one is the mother-in-law and the other is the husband. The mother-in-law is silent at this time and cannot tell her specific thoughts. The husband can only worry when he looks at his wife who is in unbearable pain.

Facing Wu Xiaofu's gaze, her husband gritted his teeth.

"Wife, the child is gone, we can have another one, but if something goes wrong with you, it will really be too late. Listen to your husband, just do what the doctor says and take anesthesia. This is not the time for you to be brave. The pain without anesthesia is unbearable, and you have heard from the doctor that the risk without anesthesia may be higher than with anesthesia."

Listening to the pregnant husband's words, Wu Xiaofu nodded. This is what a husband should say at a critical moment.

But the pregnant woman is also stubborn, and she doesn't agree to it at this time.

Wu Xiaofu's brows knitted together. This was the first time he encountered this situation. He asked Zheng Hua and his family to continue working on the patient. Wu Xiaofu walked out of the ward and called Duan Hao.

"Xiao Fu, I'm here."

Hao also happened to come over at this time, and Wu Xiaofu breathed a sigh of relief, "Brother, pregnant women..., pregnant women don't want to have anesthesia now. I was wondering, is local anesthesia okay?"

Duan Hao also frowned at this time. This was to artificially increase the difficulty of the operation.

"I'm going to see the patient first."

However, Duan Hao's persuasion was useless. This pregnant woman was really determined. She didn't know whether to say she was stubborn or what.

"Then let's give it local anesthesia."

Wu Xiaofu nodded. In fact, appendectomy was done under local anesthesia before. However, the situation of pregnant women is different from that of ordinary people. The risk of local anesthesia is still higher. Moreover, if it is done under local anesthesia, it can only be removed. This is something that needs to be considered. Duan Hao nodded, and Wu Xiaofu directly called the patient's family members and began to explain the risks.

The mother-in-law still said nothing, and it seemed that the husband was the one who made the decision.

The husband and the patient immediately became happy when they heard that it could be done without general anesthesia, "Local anesthesia is good, local anesthesia is good, just choose local anesthesia, please doctor."

After signing the consent form, Wu Xiaofu began to prepare.

I've already made a call to the operating room, and now I've just signed the consent form and come directly to pick him up.

In the operating room.

"Xiao Fu, come on, I'll watch it for you."

Duan Hao said, although it is troublesome, in Duan Hao's view, the risk is actually controllable, at least according to his level. The patient has just had a perforation and the condition is still in its early stages, so the impact on the uterus will not be too great. , and the patient’s willpower is good, which is the most important thing.

Wu Xiaofu is usually used to doing ordinary gallbladder appendix exercises, but this time it was just a matter of intensity to exercise Wu Xiaofu's ability to withstand stress.

Wu Xiaofu didn't refuse either.

Start anesthesia.

When Wu Xiaofu said local anesthesia, he did not mean local infiltration anesthesia. In the last century, some people used local infiltration anesthesia for appendectomy, but the level of pain was simply unbearable. Even wounds on the hands usually had to be sutured. During the injection, local infiltration anesthesia will cause pain very quickly, let alone the intra-abdominal operation of appendectomy.

Compared with general anesthesia, spinal anesthesia has much less impact on the fetus. However, spinal anesthesia during pregnancy makes it difficult to adjust the position. The person who is in trouble is Liu Wengui. The anesthesiologist for this operation is an old acquaintance Liu Wengui. Thanks to his superb skills, After two failed attempts, anesthesia was finally successful.

Mark lines, wash hands, disinfect, spread towels.

"Sister, give me an angle to the left."

After standing still, Wu Xiaofu said to the patrol station that appendectomy during pregnancy is different from appendectomy for ordinary people. After all, there is an extra child in the pregnant woman's belly, and the position of the appendix will definitely shift, which will affect the search. Some difficulties, at this time, will test a person's experience and ability.

If the operating table is tilted to the left, the patient's uterus will also move to the left, and the appendix is ​​located on the right abdomen. This will provide a larger space, which is conducive to finding the patient's appendix and facilitates the operation. In this way, during the operation, the uterus The stimulation will also be reduced. A small change in body position can provide so much convenience, which is definitely worth it.

However, you have to stand still before moving the bed. After all, the patient has a bulging belly, and the body is not as stable as ordinary people. If the patient falls due to the tilt of the operating table, it will be very troublesome. Although sex is small, it must be avoided if it can be avoided.

Duan Hao looked at Wu Xiaofu's move and nodded. This step can't be done just by being careful.

To be honest, he is really getting more and more relieved about Wu Xiaofu. Wu Xiaofu can think of things that he can't even think of. If it weren't for his ID card, Duan Hao would have thought that Wu Xiaofu had made his age many years younger. This The level of mental maturity is not something that a twenty-five-year-old can possess.

"Knife."

Wu Xiaofu put the tip of the knife against the patient's right side of the rectus abdominis, just above McBurney's point, and began to lightly scratch the skin.

After all, it was a pregnancy surgery, so Wu Xiaofu did not dare to make the opening too small. Five centimeters was Wu Xiaofu's expectation.

The subcutaneous tissue and muscles are bluntly separated, and the fascia is incised with electrosurgery.

Zheng Hua cooperated on the side. As his abdominal cavity opened, Zheng Hua sweated for Wu Xiaofu.

Even though it was just an appendectomy, Zheng Hua began to feel nervous unconsciously when the word "pregnancy" was added to it.

Fortunately, there was no sound coming from the monitor at this time, otherwise, I would have been even more worried.

At present, the patient's condition is very good. Wu Xiaofu has entered the operating state at this time. External events can no longer affect Wu Xiaofu. Maintaining vital signs is the job of the anesthesiologist. His task is to Under the condition of ensuring quality, the operation is completed as soon as possible.

"Curved pliers."

Wu Xiaofu stretched out his hand to explore his abdominal cavity and shouted directly. Everyone was stunned, is this okay?

Duan Hao felt that Wu Xiaofu was a bit pretentious, but Wu Xiaofu didn't care about this. The medium-sized curved forceps were inserted into the abdominal cavity. At this moment, Wu Xiaofu felt that the curved forceps had become a part of his body.

Human clamps become one!

(End of this chapter)