Come on, Dr. Wu

Chapter 345 The First Interventional Surgery

999!

Wu Xiaofu was shocked when he heard this, and went straight to the CT room without any hesitation.

In the entire hospital, only the outpatient CT room is directly called the CT room. If it is an inpatient department, a prefix will be added.

To be honest, this was the first time Wu Xiaofu heard the code 999 in the hospital, because generally speaking, hospitals rarely use codes to indicate a case. If they do, it means it is an emergency.

During pre-job training, some important things will be emphasized, such as the number 999. Teachers will ask them to keep it firmly in mind.

When a hospital broadcasts "999", it usually means that a patient has an emergency and needs immediate rescue or rescue. In this case, the hospital will quickly activate the emergency plan, and medical staff will also respond quickly to provide emergency treatment to the patient.

In addition, "999" may also represent the emergency communication code within the hospital. Within the hospital, different digital codes represent different emergency events, such as emergency situations in the operating room, emergencies in the intensive care unit, etc. Medical staff send and receive these codes through the internal communication system to quickly respond to and handle various emergencies.

In some cases, "999" may also be used on the broadcasting system to inform other personnel in the hospital of the emergency and remind people to take necessary measures, such as evacuating and finding emergency equipment.

This broadcast method ensures that in an emergency, everyone can get information in a timely manner and take appropriate actions.

In short, no matter what the situation is, when the hospital broadcasts "999", it means that an emergency has occurred and medical staff and other personnel in the hospital need to respond and handle it quickly. The existence of this emergency broadcast system is intended to maximize the safety of patients' lives and the quality of medical care.

When faced with such an emergency broadcast, both medical staff and ordinary patients and their families should remain calm and follow the hospital's instructions.

Now, if 999 is broadcast on the radio, it is very likely that a patient is in critical condition and there is no time to call for help. This is the only way to gather nearby medical staff for rescue.

Wu Xiaofu ran to the door of the CT room. He was quite close to the room at this time, so he arrived quickly.

When he arrived, he saw a circle of people gathered around, but most of them were patients or their families.

"Come on, make way. Don't crowd around. This will affect air circulation and delay rescue. Come on, evacuate the patients and their families quickly."

When Wu Xiaofu saw this, he hurriedly shouted. The family members who were watching saw Wu Xiaofu coming and shouting, and they subconsciously made way for him, but they still wanted to continue to gather around and watch.

People all have a curiosity mentality, and joining in the fun is an instinct. However, during rescue, do not watch, because once the patient is in critical condition, his breathing will inevitably be affected. If there are people gathered around at this time, the air circulation will be affected, which is very harmful to the patient.

Moreover, they will become obstacles for medical staff to come and rescue, so in this situation, it is very necessary to let people cooperate in evacuating unrelated personnel.

There were actually security guards nearby, but it was obviously the first time they had encountered such a situation, and they didn't even think of evacuating the crowd.

After hearing Wu Xiaofu's words, they quickly began to cooperate and guide the patients and their families to leave.

At the door of the CT room, several doctors and nurses were performing cardiopulmonary resuscitation, and one doctor was still listening to the patient's stethoscope. The whole scene seemed urgent and chaotic. The other doctors should not have arrived yet, and the medical staff who were performing the rescue should be from the imaging department.

"what's the situation?"

Wu Xiaofu came closer and asked hurriedly, while observing the patient's condition.

His face was blue and purple, and he looked as if he was suffering from lack of oxygen. Although cardiopulmonary resuscitation was being performed, one could hardly see the beating of his heart. It was probably because both his heartbeat and breathing had stopped.

I looked at the patient's pupils and saw that they were shrinking rapidly, which was obviously accompanied by brain injury. I'm afraid the nerve center has been affected.

When they saw Wu Xiaofu, the medical staff in the CT room were all happy. After all, they were not professionals in rescuing patients, but they all knew Wu Xiaofu. With Wu Xiaofu around, they felt less pressure.

"The patient had a thoracic tumor with extensive metastasis. He came for a CT scan this time. He suddenly fainted right after the contrast agent was injected. His heartbeat and breathing stopped very quickly. We are still unclear about the initial cause. Could it be an allergy?"

This situation occurred just after the contrast agent was injected. The doctor in the imaging department could not help but panic, and he could not help but associate the patient's sudden illness with the contrast agent. There are still many cases of contrast agent allergy. However, in the patient's case, it should not be the first time to inject contrast agent. The sudden illness this time cannot be ruled out as other situations.

"what's the situation?"

At this moment, many medical staff came running over. The ones rushing to the front were the medical staff from the emergency department, which was also the RRT team of the emergency department.

This is an emergency team specially formed to deal with acute and serious illnesses, and it is composed of experienced medical staff.

The current emergency RRT team is led by Su Ruohua, deputy director of the emergency department. Su Ruohua happened to be on duty today. After hearing the broadcast, he rushed over directly. At this time, his professionalism was reflected.

After these medical staff arrived, they immediately started to open the channel, set up monitoring, and brought over the automatic cardiopulmonary resuscitation machine.

"Xiao Fu!"

"Director Su, prepare for the tracheotomy."

Tracheotomy!

Su Ruohua was shocked when she heard that. She looked at the patient and then at Wu Xiaofu. Although she was surprised, she did not say much and asked the nurse to prepare things. They were a professional RRT team and they knew exactly what to bring for this kind of rescue. Tracheotomy was a method that was often used in emergency situations, so they would naturally not forget the relevant equipment.

However, although tracheotomy is commonly used, it must be used with caution. After all, it is an invasive operation. There are a series of risks after the tracheotomy, and there are strict indications. If you find later that the indications are not met, and you perform a tracheotomy on someone, the family members will make a fuss, and it will be difficult for the doctor.

However, the person speaking now is Wu Xiaofu, and even Su Ruohua would not doubt Wu Xiaofu's professionalism.

Since Wu Xiaofu said he wanted a tracheotomy, there must be an indication for a tracheotomy.

"Get things, carry patients, and put on machines."

As soon as Su Ruohua gave the order, the emergency medical staff quickly started to take action. A team of people came over, gently lifted the patient, and put him directly on the cart. It may not even take a second. This is professionalism.

The cardiac compression machine is also ready and can be directly assigned to the patient.

Wu Xiaofu took the gloves and scalpel from the nurse, put on the gloves, and started the operation directly. Tracheotomy is not a commonly performed operation. For many doctors, they may not be able to perform it many times in their lifetime. Usually, it is performed by anesthesiologists, who do it more often.

This was Wu Xiaofu's first time doing this, but he had practiced it many times on a dummy, so he was able to do it with ease.

The principle is very simple. Cut open the cervical trachea, insert a metal tracheal tube and a silicone tube to form another breathing channel. This can solve the breathing difficulties caused by tracheal obstruction and can also ensure that breathing is not affected when the respiratory center is suppressed.

The main reason why Wu Xiaofu performed tracheotomy on the patient was for the latter purpose.

"Blood pressure is 220, 130."

hiss!
With such high blood pressure, everyone almost understood why the patient suddenly fell into a coma. It was most likely that the blood pressure suddenly increased and intracranial hemorrhage occurred. If this was the case, then everything matched up.

"Let me see."

At this time, a doctor came to the front. He was a new doctor. Wu Xiaofu took a look and hurriedly asked him to make way. It turned out to be Xiong Hongye from the Department of Neurosurgery. At this time, Xiong Hongye was still wearing a white coat. He should be nearby and just happened to come over.

No, Wu Xiaofu remembered that today should be Xiong Hongye’s outpatient class, and he rushed here from the outpatient clinic.

Not only Xiong Hongye, Wu Xiaofu soon saw a group of directors from various departments.

Neurology, cardiology, respiratory medicine, gastroenterology, orthopedics, hepatobiliary surgery, etc.

It seems that they all rushed here from the outpatient clinic. This is the meaning of 999. Once the broadcast is made, all doctors who do not have critically ill patients will rush here. The outpatient clinic is naturally included in this list. The outpatient clinic is on the second, third, fourth and fifth floors. It doesn't take long from the time they hear the broadcast to the time they rush here.

call!
"Breathing is back!"

"The heartbeat is back!"

At this moment, a nurse shouted, and everyone couldn't help but breathe a sigh of relief. The recovery of the heartbeat and breathing meant that the patient's life was saved. Although the patient was still in a coma, there was time for subsequent rescue.

"Did the patient fall? There must be a lot of bleeding inside the brain, including bleeding in the cerebellum and perhaps the thalamus."

Xiong Hongye examined the patient and then said that this was a judgment made without the help of machines. People nowadays say that Western doctors cannot treat patients without machines, but in fact this is not the case.

Western medicine mainly relies on questioning and physical examination. Through these two methods, some common diseases can be diagnosed with a high degree of accuracy. The reason for the examination is to increase the probability to 100%. One is to give the patient accurate treatment, and the other is to keep evidence in case of any emergency.

Western medical examinations, especially some examinations, are indeed expensive, but they are undoubtedly used to save lives. It is precisely because of these examinations that too many misdiagnoses and wrong diagnoses can be reduced, and the patient mortality rate can be reduced.

This is also the biggest difference between ancient and modern times. Compared with ancient times, the mortality rate of modern patients has been reduced a lot.

Just like now, the possibility that Xiong Hongye said is actually very close, so we can just carry out treatment accordingly.

However, now, right at the door of the CT room, it is necessary to do a CT scan and then perform the operation, both for the patient's good and for insurance reasons.

Because it is still unknown whether there will be other injuries in the brain and how much bleeding will occur.

After the examination, the patient's surgical success rate can be increased and the possibility of disputes afterwards can be minimized.

"The patient fell suddenly, and even his family members were not prepared. The patient landed on the ground with the back of his head."

The doctor from the imaging department suddenly said, and Xiong Hongye nodded, "Perform a CT scan immediately and notify the operating room to prepare."

"Give me a furosemide!"

"Give……"

……

Examinations must be done, but other measures must also be taken. The heads of various departments hurriedly prescribe medication based on their own judgment to buy time for surgery and improve the patient's current symptoms and signs.

The blood pressure must be lowered, otherwise, there is a possibility of other bleeding at any time.

When a patient suddenly falls ill, damage to the gastric mucosa is almost inevitable, and it is also necessary to give some medication urgently for protection.

The patient's primary disease is a thoracic tumor, accompanied by a vascular tumor and many other metastases. No one knows whether it has ruptured at this time. Emergency intervention and preventive medication are also necessary.

Pushing into the CT room, a group of masters followed into the operating room. The director of the imaging department also came and performed the operation personally, while other directors talked about the faults they wanted to look at. In this way, not only were the movements fast and accurate, but there was almost no risk of missing out.

However, the situation seems to be more serious than they imagined.

The patient's tumor showed signs of brain metastasis, and thalamic hemorrhage and cerebellar hemorrhage were also confirmed. The amount of bleeding was considerable, so surgery was necessary. However, if the tumor metastasized to the brain, the difficulty of the surgery would be increased.

While saving lives, Xiong Hongye also had to consider the safety of the brain tumor, or whether to remove the brain tumor altogether.

Not only that, the patient's chest tumor was accompanied by a vascular tumor, one of which had also ruptured and required emergency treatment. Therefore, while performing brain surgery, chest surgery must also be performed at the same time.

There are also tumors that have metastasized to the liver, which are also affecting the patient's vital signs, so it is best to treat them together.

In so many cases, to be honest, it would be a miracle if the patient could be saved.

"Let's go into the operating room." Xiong Hongye nodded, which meant that he already had an idea in mind, or at least he had some confidence. It was a last-ditch effort. If the operation was not performed, the patient's condition would basically be like hanging on for today.

This is not a night shift, just maintaining the patient's vital signs until tomorrow.

If it can save lives, no one will give up that glimmer of hope.

"I don't have any problem here either."

The director of thoracic and cardiovascular surgery also nodded and said that this meant they could perform the operation together. Wu Xiaofu also nodded when he saw this and said, "After you finish here, prepare the interventional room. I will deal with the liver tumor, which should not affect the subsequent recovery."

Liver tumors mainly affect the patient's recovery. Don't underestimate this. No matter how well the operation is done, liver tumors will affect blood supply and blood pressure, and may also ruin the previous operation.

And this tumor on the edge of the hepatic aorta is indeed suitable for interventional treatment.

"Let us work together to plan the postoperative treatment plan."

The other directors also nodded in unison. Since there were no problems, they would send the patient directly to the operating room. Director Xiong made the final decision. The operating room staff had already arrived and took the patient directly into the operating room through the green channel.

Although the patients and their families had been evacuated, they were still watching from a distance. It must be said that the scene that just happened really shocked them. With just one broadcast, so many people came, and they were all directors of various departments.

Rescue, treatment, examination, etc. are all carried out quickly.

They seemed to see the gates of hell, where the King of Hell was staring and waiting for the patient's other foot to step in, but the patient's other foot was pulled out by the doctors. For some reason, they couldn't help but feel like crying at this moment.

Patients and their families can see that these doctors are really doing their best to rescue the patients. At the same time, they are also grateful that they or their relatives are also receiving treatment in this hospital. If they ever have any problems, there will definitely be such a group of medical staff to rescue them and save their lives and those of the Lord of Hell.

They used to feel confused about the doctors' inaction, but now they know that there is a group of people who are really willing to fight for them.

The whole process actually didn’t take long, only about ten minutes.

Wu Xiaofu called the interventional room and asked them to prepare. Xiong Hongye's operation would not be very fast, and it would be good if it could be completed in eight hours. However, the interventional room had to prepare in advance so that the interventional surgery could be arranged for the patient as soon as possible after the patient came out of the operating room.

The nurse in the operating room has already made arrangements and will call Wu Xiaofu when the operation is almost over.

Wu Xiaofu went home directly. Eight hours later, when he received a call from the operating room, he had already fallen asleep. He got up and walked to the hospital.

After the patient leaves the operating room, he or she is sent directly to the interventional room.

Wu Xiaofu took over and started the interventional surgery directly. This time the patient was really lucky because when Xiong Hongye was treating the patient's intracerebral hemorrhage, he actually removed the patient's brain tumor as well. Although it may not be completely removed, it will definitely significantly prolong the patient's survival period.

The patient's chest tumor had to be treated, and today's examination was also in preparation for surgery.

The thoracic surgery performed at the same time also treated the patient's chest tumor.

In other words, theoretically, the only tumor remnant in the patient's body is the part of the tumor at the edge of the hepatic aorta.

If Wu Xiaofu had treated it through intervention, this day's efforts would have been equivalent to giving the patient a radical treatment.

"Doctor Wu, we're ready."

In the interventional room, strictly speaking, this was Wu Xiaofu's first interventional surgery. Although the patient's physical condition was poor, the patient's tumor was the best in terms of location and indications for intervention.

So, judging from the symptoms alone, this operation is actually very simple.

Starting from the femoral artery, at this moment, Wu Xiaofu felt that operating the guidewire was as easy as moving his arm, and he reached the hepatic artery without much hindrance along the way.

The people in the observation room of the interventional room were shocked to see how smoothly Wu Xiaofu's operation went.

If intervention were that simple, intermittent hysteresis would not have developed.

It has only been a few minutes since Wu Xiaofu started, but he has already started the ablation.

Wu Xiaofu used the ablation needle to adjust the temperature of the tumor, resulting in the killing of the tumor. He did it with ease, and there was no sign of awkwardness at all. No one would guess that Wu Xiaofu was a novice, as this was his first interventional surgery.

This level of proficiency can only be achieved by veterans.

Fourteen minutes later, the operation was over.

The medical staff in the interventional observation room all had dazed looks in their eyes. Well, at this speed, let alone any damage caused by the interventional surgery, Wu Xiaofu had already finished the surgery, not to mention the radiation damage. The degree of harm could probably be solved by having a meal and taking a nap.

You can really tell the high level of proficiency just by looking at it.

All the resentment they had about being dragged by Wu Xiaofu to undergo surgery in the middle of the night was gone. When Wu Xiaofu came out, they looked at him with surprise in their eyes.

"Director Wu, what kind of freak are you? Are you sure you haven't done interventional surgery in other hospitals before? Why do I see that you are more skilled than Director Feng?"

In the First Affiliated Hospital, Wu Xiaofu definitely had never performed surgery as the lead surgeon. After all, they were in charge of the interventional department and they definitely knew who did what.

Therefore, they could only reasonably suspect that Wu Xiaofu had performed interventional surgeries in other hospitals and practiced as the surgeon secretly.

Otherwise, such proficiency would be really horrifying.

"Which hospital's interventional room can I mess with? Okay, I'm still dragging you to do surgery at this late hour. I'll treat you to dinner next time. Now I'm leaving."

The operation was successful, but the patient would not wake up for a while.

After leaving the interventional room, the patient was sent to the neurosurgery intensive care unit. The patient's family had been running around all day and were still waiting outside the interventional room. When they saw Wu Xiaofu come out and heard Wu Xiaofu say that the operation was successful, they cried with joy.

If you ask what kind of night shift is the most frustrating, Cheng Shi and Jiang Bei may already have the answer.

Cheng Shi and Jiang Bei had worked night shifts before, and had even performed surgeries all night long.

But at this time they realized that a whole night of surgery and a whole night of not sleeping was better than having to get up just after falling asleep when a patient showed signs of illness, and then lying down again, and having to get up again when they were about to fall asleep.

Going back and forth like this all night is really torturous.

"Hey, what big dark circles you have, your class deserves some damage!"

Wu Xiaofu couldn't help but smile when he saw the two of them. Their eyelids were fighting at this moment, "Boss, we underestimated this night shift. It's okay if it's a big deal, but it's all small. But they just don't let you sleep. You didn't fall asleep many times in the whole night, and you only slept for three or two minutes. It's too torturous."

"Then can't you two have one in the first half of the night and one in the second half?"

"Ah! That's right!"

"Two idiots, usually quite smart, but they can't adapt at this time."

Actually, there are a lot of small things to do at night. Peng Xia and the others are used to it and basically have their own way of working. They can get through it. But Cheng Shi and Jiang Bei are different. It is the first time for them to adapt to this rhythm. Even if Peng Xia takes away the task of consultation and lets them deal with small things, they are still very busy.

Wu Xiaofu originally said that although it was the first time for the two of them to work the night shift at the First Affiliated Hospital, there shouldn't be much of a problem if the two of them worked together. Who would have thought that these two would not be able to adapt and insisted on working together without even separating.

One person can actually stay energetic for a few hours.

"In your condition, you can still go with me to the outpatient clinic. Don't write the wrong prescription. I'd better ask someone else to go with me."

Although they are only asked to write a prescription during outpatient treatment, if they are careless, they may make the wrong prescription or write the wrong medical record, which is very troublesome.

"Uncle Master, I'll go with you."

Upon hearing this, You Zhiyi hurriedly raised his hand. Cheng Shi and Jiang Bei, who originally looked tired, immediately perked up.

"No, we can do it. Don't worry, boss. We are young, so this level of strength is nothing. We will follow you right away."

Looking at the two people with strong spirits, Wu Xiaofu couldn't help but shake his head. To be honest, if it weren't for the outpatient training, which would help their weekend assessment, he would definitely have to find someone else to go. Now he could only pay more attention to himself when he was in the outpatient clinic.

However, in order to relax a little, "Xiaoyi, you should go with us."

Seeing Cheng Shi and Jiang Bei not giving him any time at all, You Zhiyi thought he had no chance again. But now he sees that his uncle still loves him.

"Okay, uncle."

When Cheng Shi and Jiang Bei saw this, they became even more alert. If something went wrong today, the throne could be usurped at any time.

When Wu Xiaofu was in the outpatient clinic, the department's morning meetings and ward rounds were taken over by Deputy Director Zhang Xuewen, so he usually just walked around the department and then went directly to the outpatient clinic.

"Boss, you guys became famous again yesterday!"

Hospital 999 is destined to not be low-key. Feng Lingling pointed at the mobile phone and said to Wu Xiaofu, it seems that the incident of rescuing the patient yesterday has been on the news.

But, it is news, it is fast.

"What did you say?"

"It was from Donghai TV. The article was quite touching. It was considered as a publicity for our hospital. They also gave you a close-up, saying that it was 999 again. It not only described the whole process of our rescue, but also gave some popular science about what hospital 999 is. It is very popular now."

Wu Xiaofu smiled and nodded. This was also for popular science purposes and would benefit both the hospital and the patients.

"By the way, how is the patient? Any news?"

"The patient is currently in stable condition, um, that's what the report says. How about I go over and take a look later?"

"Come over after you finish your rounds. I performed an interventional surgery on him, so I need to keep an eye on the follow-up."

"Okay, Boss, you really can intervene without telling me. Otherwise, I would have to go check it out in the middle of the night."

"You should get your beauty sleep."

Outpatient.

With You Zhiyi and the other three around, Wu Xiaofu can relax a little. He basically doesn't have to worry about the computer and just focuses on taking care of the patients.

The six interventional patients scheduled for today have also arrived. Wu Xiaofu took a look at the examination and found that there was no problem, so he asked Jiang Bei to hospitalize them. After the main operation yesterday, Wu Xiaofu was more confident. After these six operations, the neuroendocrine cancer patient who was just transferred here should be able to be easily treated.

(End of this chapter)