Come on, Dr. Wu

Chapter 338 Teaching
At this time, Cheng Shi and Jiang Bei finally understood the value of being the champion of the World Surgery Competition.

His surgical efficiency is better than any other director they have ever seen.

I was lucky enough to see it on my first day, it was worth it.

Wu Xiaofu didn't care about what the two were thinking. He anastomosed the blood vessels, sutured the damaged tissue, and removed the damaged tissue. After checking that there were no hidden dangers, he started the next incision.

The next two incisions, although not as critical as the first, are more troublesome.

One damaged the intestines and the other damaged the kidneys.

In case of intestinal damage, you have to be careful when removing the knife. Moreover, because the intestine is damaged, something has already flowed out of the abdominal cavity. The visual impact is secondary. Whether to repair or remove it requires careful consideration.

Fortunately, the knife only made a cut, and did not cut the intestine in half, so there was no need to remove it, and it could be repaired directly.

However, intestinal repair looks easy, but it is really not easy to do.

After all, repair is only one aspect, but we also have to ensure that it can recover. The intestine has many folds, and the outflow is also a source of pollution. The risk of postoperative intestinal infection is also high. When suturing, we must pay special attention to the density and tension of the stitches. The chance of necrosis after intestinal anastomosis is still very high.

At that time, the abdomen will have to be opened again, which is a result that no one wants to face.

Therefore, never underestimate intestinal repair.

Wu Xiaofu took a look at the edge of the intestinal wound caused by a sharp weapon. At first glance, there seemed to be nothing wrong. After all, the knife was very sharp and the blade was very neat. But in fact, a closer look revealed that the edge of the intestinal wound had turned red, and a little further away, it was a little white.

The edges of this kind of wound must be cut off when suturing.

The intestine is the most abundant organ in the human abdominal cavity. It is okay to cut a section, not to mention that it is just a small cut. No matter how loose it is, you don’t have to worry about not being able to hold it. So, just cut it, don’t worry too much, and don’t hesitate.

Especially when cutting, don't be too picky. There is no need to practice your technique and eyesight at this time. It is okay to cut more. Cutting less may cause problems. This is skin repair before suturing and repair, not tumor cutting, so there is no need to be so particular.

Well, in the eyes of Jiang Bei and Cheng Shi, it was as if Wu Xiaofu was not cutting an organ. It was intestines, and he cut it so casually with the knife. He took the knife, cleaned the area around the wound, cut the edge of the wound, cleaned it again, and sutured it.

The knife on the other side injured the kidney.

However, the severity of the damage to the kidney also depends on the severity. For example, in the patient's case, it is only a renal contusion and laceration, so there is no need for surgical repair. Just keep the surrounding areas free of hidden dangers, remove the knife, close the abdomen, and then let the patient recover on his own.

Mild to moderate renal contusions are generally recoverable.

The patient is not too old, and as long as he cooperates with the treatment in the later stage, it will basically not affect the recovery and normal function of the kidneys.

"Come on, come on."

All the serious work was done. Wu Xiaofu looked at the time. It was less than half an hour, so he was not in a hurry and gave up his position directly. Wu Xiaofu had also finished flushing the abdominal cavity and deep suturing. The only thing left was the subcutaneous and epidermal suturing. As the surgeon in charge, it would be best not to monopolize this kind of work.

As long as time and circumstances permit, it will be given to the assistant. After all, this may be the only opportunity for a surgical assistant to stand in the main surgeon's position. If a doctor wants to grow, he needs such small operations to maintain and improve his skills.

Cheng Shi and Jiang Bei were also very happy to hear this and looked at each other.

"Sew one each first?"

The two hit it off immediately. There were three incisions in total, so they could just sew one each.

The nurse on duty glanced at the time and didn't say anything. Wu Xiaofu still had face. Although it would make them finish a little later, it didn't matter much. The operation had only lasted half an hour. Even if Jiang Bei and the others took half an hour to sew, it would only be an hour, which was completely within their acceptable range.

The instrument nurse also put down her things and put on an extra needle holder, giving one to Jiang Bei and Cheng Shi respectively.

She asked the inspector to pull a bench, and she took a pair of scissors and sat down directly, ready to help cut the wires. Jiang Bei and Cheng Shi were even more grateful and quickly expressed their gratitude. Well, the first impression of entering the operating room of the First Affiliated Hospital of Donghai is really good.

The instructor gave me the opportunity, which was great. The nurse was very enthusiastic and friendly, which was great.

You know, they originally thought that they would be given a warning as soon as they entered the operating room, but the result was much better than when they first entered the department. At that time, their status in the operating room was really the lowest and extremely humble.

Well, although it is only their internship, they have already fallen in love with the First Affiliated Hospital.

Both of them have good basic skills, but they have different personalities. Cheng Shi is calm, while Jiang Bei is a little jumpy. Cheng Shi sews slowly and steadily, strictly abides by the sew rules, and strives for perfection in everything without rushing. However, Jiang Bei is a bit in a hurry and obviously wants to finish the sew first and also sew the third incision.

Wu Xiaofu was sitting on the side looking at his phone. When he saw this scene, he didn't say anything.

Although Jiang Bei's suturing is fast and a little sloppy, it basically does not affect the patient's recovery, and the needle and thread are not loose and will not fall off.

Sure enough, Jiang Bei had finished sewing one incision, and naturally began to sew the second incision. When she was one-third of the way through, Cheng Shi finished sewing the first incision, but he did not rush to sew more because the incision was not big and could not accommodate two people to sew it.

Cheng Shi simply took the scissors from the instrument nurse and helped Jiang Bei cut the thread.

Wu Xiaofu nodded as he looked at the harmonious relationship between the two. It is not just talk that makes work less tiring when men and women work together. It has nothing to do with anything else. Boys and girls generally get along better than people of the same sex.

No matter it is a man or a woman, when faced with such a situation, it is inevitable that there will be some sense of competition, and this competition can easily hurt feelings. Don’t say that friendship comes first, even for couples, let alone friends you just met, or friends with whom you have a competitive relationship.

Even though Jiang Bei and Cheng Shi are a man and a woman now, Jiang Bei has a strong sense of competition. On the contrary, Cheng Shi doesn't seem to have much desire to compete. He just wants to do his own thing well. If Jiang Bei is willing to do more, he is also willing to cooperate.

That's good.

As long as Jiang Bei doesn't continue to intensify the competition step by step, the relationship between the two will basically be very harmonious.

After the stitches were completed, Jiang Bei did not rush to bandage the wound, but instead cooperated with Cheng Shi to start bandaging it.

Well, knowing when to advance and when to retreat, Cheng Shi is willing to make concessions for Jiang Bei, and Jiang Bei is now also willing to be humble, so this atmosphere is invincible.

"Boss, it's done."

Wu Xiaofu heard the voice and stood up and came over, "Okay, let's go back after we're done."

Wu Xiaofu did not say anything at the scene. It was the job of anesthesiologists and nurses to transport patients, and there was no need for too many doctors to follow unless special attention was required. The beds and other things had been prepared in the ward. Yuna was on duty today, and Wu Xiaofu had already sent a message to explain before the operation.

Yuna should be able to contact Duan Fei very efficiently.

Outside the operating room.

Several of the patient's friends were waiting. In addition to the patient's friends, there was also a woman. When she saw Wu Xiaofu coming out, she rushed over directly because she had sharp eyes.

"Doctor Wu, is the operation over? How is my brother?"

Wu Xiaofu looked at the few people and had some impression of them. They were all waiting outside the emergency room. He raised his hand to stop the patient's other friends who were also about to come over.

"The operation has been completed and was very successful, but this is an open wound and the patient has lost a lot of blood. The risk of subsequent infection and bleeding is still high. In addition, the patient's intestines and kidneys were damaged. The intestines have been repaired, but there is still a risk of necrosis. Regular observation is required. Once necrosis occurs, a second operation will be required.

As for the kidney, it is only a mild contusion and laceration, so no further treatment is needed. With follow-up treatment, it should be able to recover. However, there are some things that need attention. After returning home, you must listen to the doctor's instructions and strictly follow them."

Hearing Wu Xiaofu's words, everyone breathed a sigh of relief. It was a success, and that was enough. "Thank you, doctor. Thank you, doctor."

The woman came up to shake hands with Wu Xiaofu, tears welling up in her eyes. The man who rushed over first said, "Doctor, this is my eldest brother's sister."

Wu Xiaofu nodded to show his understanding. At this time, Cheng Shi and Jiang Bei also came out. After a brief explanation, the three of them took the elevator and left.

"Cheng Shi's suturing technique is very solid, but in the future, you have to adjust the speed according to the situation of the operation. If it's urgent, you should go faster. Jiang Bei, you have just started the operation, so you still need to pay attention to some details. Don't sew too quickly. You should have seen Cheng Shi's suturing just now. You can tell which one looks better. I don't need to say more. Pay attention next time."

The two of them nodded hurriedly. Jiang Bei was actually also speechless. Cheng Shi was a man, but his stitching was like embroidery. How could it look so good? With three incisions, it was obvious that Cheng Shi's was much better looking.

Back in the ward, the two interns who had participated in the surgery were obviously more motivated.

Yuna asked those who helped her to work more efficiently. Yuna directly handed the surgical patient over to the two of them. She just watched over the rest of the time. The medical records, medical instructions, etc. were all handed over to the two of them.

Naturally, the two of them agreed readily, and this was considered the beginning of the bed management.

Yuna looked at the two of them and felt that they were lucky. According to the normal process, the program would last for one month. In the first week, they should start by writing medical records, changing dressings, and then admitting patients. As for surgery, it would not happen this week.

Now, they go straight to the surgery, the process goes so fast.

in the group.

Cheng Shi and Jiang Bei had wanted to share today's gains with their friends, but who would have thought that they were both banned from speaking. Jiang Bei immediately understood something and felt even more depressed. Who could understand the feeling of having to speak out?

When they returned home in the evening, the two wanted to make a dinner appointment with Xun Qi and the others, but were rejected outright. They also wanted to chat together in the evening, but were avoided directly. As a result, they couldn't show off this wonderful afternoon!

Depressing!
As for the next day, well, the desire to share was not that strong anymore, so Xun Qi and the others began to lift the ban on their conversations.

After the morning ward rounds, if dressings need to be changed, then change them.

Although the patient who had three cuts and six holes had just had surgery yesterday, it was a traumatic surgery and the bleeding was still quite serious. In addition, because a drainage tube was left in place, culture was required, so Cheng Shi and Jiang Bei went together.

"This is so beautifully sewn, especially this one. It should have been sewn by Dr. Jiang, right?"

After opening the dressing and seeing the wound, the patient's sister couldn't help but say that Cheng Shi was fine. Jiang Bei blushed when she heard that. Okay, execution in front of him, right? At this moment, Jiang Bei had made up her mind to practice suturing well. Speed ​​was still necessary, but it also had to look good.

Being told in front of my face by a patient's family member that my suture skills were not as good as a man's. It would have been fine if it was my teacher, but it was a classmate of mine, so I couldn't accept it.

"Yes, it is indeed beautiful. Sister, please take a picture for me. I have to commemorate it. Doctor Jiang, thank you."

The patient also followed suit and praised her, and Jiang Bei had no choice but to lower her head.

However, she suddenly heard a laugh in her ear, and when she turned around, it was Cheng Shi. Wow, this guy can actually laugh.

"What are you laughing at? Do you believe I will beat you up?"

Cheng Shi quickly turned off the microphone, but he couldn't stop smiling no matter what. The patient's sister and brother looked at them and couldn't help laughing. Their eyes were a little confusing. Jiang Bei felt a little embarrassed when she met their eyes. She always felt that their eyes were impure.

"Are you done yet? Let's go get an abdominal biopsy."

At this moment, a voice was heard at the door of the ward. It was Peng Xia's voice. The two of them responded hurriedly and followed.

Ward 12, 36 beds.

Looking at the patient in front of her, Jiang Bei's mind flashed with the patient's information: a 64-year-old male with cirrhosis and esophageal venous bleeding. He was admitted to the hospital from the emergency room and was rescued. But after diagnosis, if he did not undergo a liver transplant, he would be at risk of re-bleeding at any time after being discharged from the hospital.

This is not the first time the patient has bled. This is the case for patients with cirrhosis. Their blood vessels become increasingly fragile and bleeding may occur at any time. After the first bleeding, the frequency of subsequent bleeding will become faster and faster, and the risk will also become higher and higher.

Therefore, once cirrhosis occurs and bleeding occurs, special attention should be paid.

Patients like this who have had bleeding five times are even more of a key target. You know, the last time the patient had bleeding was just a month ago. Therefore, after admitting him this time, we don’t even dare to discharge him from the hospital. For patients like this who have already suffered liver failure, the only option for complete treatment is a liver transplant.

It is definitely unrealistic to wait for a liver source. Even if the patient is lucky, he or she will have to wait for half a year. He or she can only match the liver type with that of a close relative to see if there is a match. As a result, the patient was lucky enough to have a match with his or her daughter, and the patient's daughter was also willing to donate the liver, so the liver transplant was put on the agenda.

This abdominal puncture is the last examination.

The patient has severe ascites due to liver cirrhosis, so routine abdominal puncture before surgery is necessary, because the chance of cancer in such patients is still quite high. Abdominal puncture to check the nature of the ascites will help with the patient's surgical arrangements.

Originally, Peng Xia could handle the task alone with the nurses, but during the ward rounds, Wu Xiaofu asked Peng Xia to take Cheng Shi and Jiang Bei with him. Although Peng Xia was not used to taking care of younger students, she still agreed. After all, this was the boss's order.

In front of the hospital bed.

Peng Xia communicated with the patient and his family. After all, it was an invasive examination, so communication was necessary. Fortunately, the patient had not yet developed serious symptoms like liver and brain disease, and his mind was still clear and did not require any human restraint, which greatly facilitated the abdominal puncture.

Cheng Shi and Jiang Bei cooperated with Peng Xia in making preparations while looking at Peng Xia.

The two did not dare to neglect Peng Xia at all. After all, everyone in the entire ward knew that Peng Xia was Wu Xiaofu's direct subordinate. When Peng Xia first entered the hospital, he happened to be in the emergency department. Soon, he took the initiative to join Wu Xiaofu's team and followed Wu Xiaofu all the way. They heard that Wu Xiaofu would think of Peng Xia whenever he had an operation.

The time spent on Peng Xia's surgery was longer than that of Feng Lingling and Yuna.

Even now in the department, Peng Xia is in the same group with Wu Xiaofu. If he can establish a good relationship with Peng Xia, then when there are any surgeries in the future, just think about them. They will be enough. Other things don't matter. Learning technology is the most important thing.

The two of them naturally want to stay until the end of the show, but the opportunity to advance from the top eight to the top two is not easy to get, so what they have to do now is to seize this opportunity to learn, improve their abilities and skills, and try to stay if there is a chance.

Surgery is all about surgical ability, and how can surgical ability be improved without surgery?

"Brother, you are so skilled."

Well, regardless of anything else, it's definitely right to praise her, Jiang Bei thought so and did so. Peng Xia, who was about to start abdominal puncture, paused when he heard this, looked at Jiang Bei, hesitated for a moment, and handed the puncture needle to Jiang Bei.

Ah!
Jiang Bei was also stunned. Peng Xia looked at Jiang Bei in a daze and frowned, "I'll give it to you, quickly."

Ah!
Jiang Bei was even more surprised. Give it to her? Did the opportunity come so suddenly?

"Thank you, senior brother."

Jiang Bei didn't want to miss the opportunity, so he took it without thinking too much. Peng Xia stood up. In fact, his idea was very simple. Jiang Bei praised him so much just now. In his understanding, she was asking him if he could give her a chance.

The opportunity can definitely be given. It's just a paracentesis, and Peng Xia is almost tired of doing it. Since Jiang Bei dares to ask for it, she should be confident that she can do it well. In this regard, Peng Xia follows Wu Xiaofu and dares to let go.

It's strange. If you say that Peng Xia has low emotional intelligence, it's not true. In front of Wu Xiaofu, his emotional intelligence is very good, but it's hard to say in front of other people. It can't be said that he has low emotional intelligence. It's more likely that he simply doesn't bother to develop his emotional intelligence.

Wu Xiaofu had told Peng Xia to pay attention to this. After all, some people in the department had said that Peng Xia was a bit arrogant.

(End of this chapter)