Come on, Dr. Wu

Chapter 354 Master's tutor!
Because the pancreas is not the gallbladder, its structure is more complex and recovery after injury is more difficult.

If you really want to open the pancreas, remove the stone, and sew it up, it will be very demanding, and you have to consider more follow-up issues.

Now direct resection is not so troublesome, direct pancreaticoduodenectomy can be performed.

Wu Xiaofu and Peng Xia collaborated on this operation more than dozens of times.

After starting the operation, Wu Xiaofu began to speed up the process. After all, given the patient's condition, the sooner the operation is over, the better. The longer it is delayed, the greater the surgical injuries and anesthesia injuries will be for the patient. The earlier the operation is ended, the greater the risk to the patient.

Liu Lin watched Wu Xiaofu's smooth operation. It didn't look like a laparoscopic surgery, but rather like he was cutting inside the stomach with a scalpel, effortlessly.

This was the first time he had watched Wu Xiaofu perform surgery since he came to the F Division of Hepatobiliary Surgery. Especially at such a close distance, he had only one thought in his mind: "He lives up to his reputation."

"I need to remove the pancreas."

When Wu Xiaofu's voice sounded, the anesthesiologist, the instrument nurse, the patrol nurse and Peng Xia were all cheered up.

Wu Xiaofu certainly didn't say this for no reason, this was a signal.

For anesthesiologists, starting to remove the pancreas will cause changes in the patient's systemic indicators. If there is any danger, this is the first hurdle. A sudden increase in blood pressure and heart rate is possible. Anesthesiologists must prepare drugs in advance and intervene directly at the first moment of change.

The instrument nurse has to prepare a set of instruments for removing the pancreas and deliver them as soon as possible. This is not the first time that this instrument nurse has cooperated with Wu Xiaofu. She knows how efficient Wu Xiaofu is, so all the preparatory work has to be done in advance.

The nurse on duty quickly prepared specimen bags and other items.

As for Peng Xia, the mirror must be held steady and the angle must be chosen properly to provide the best assistance to Wu Xiaofu in cutting the pancreas.

Not long after Wu Xiaofu finished speaking, he reached out for the equipment and started.

Liu Lin stared with wide eyes, wanting to see how Wu Xiaofu was going to cut off the pancreas and duodenum together.

However, Liu Lin soon discovered that she seemed to have overthought.

This is not a fantasy film, this is a realistic documentary.

Wu Xiaofu seemed to be cutting a lump. He separated all the surrounding blood vessels, nerves and other tissues and then cut it with one knife.

Drop drop!
As expected, the monitor started to make sounds, and the anesthesiologist rushed into action. After a few seconds, everything returned to calm.

There were actually two teams cooperating with Wu Xiaofu in the surgery, because the surgeries performed by Wu Xiaofu have always been among the more difficult ones in the hospital, so a suitable and mature surgical team was very important. However, considering the issue of shift changes, there were two teams.

It can be changed at any time, just like when some critical situations occur, there is no need to say much, just understand directly, this is tacit understanding.

Pancreaticoduodenectomy is usually combined with subtotal gastrectomy and gastrojejunostomy.

This is a complex and very traumatic abdominal surgery. It is called the Mount Everest of the surgical world, and it is not just talk. The resection range of pancreaticoduodenectomy includes part of the pancreas or the entire pancreas, the entire duodenum, the lower end of the bile duct, part of the stomach and the upper end of the jejunum. Such a large-scale resection is also the reason why no one was willing to perform surgery on Mr. Li before.

It's a serious blow to one's vitality. Even people of normal weight can't bear it, let alone a paper man weighing only 35 kilograms.

After large-scale resection, anastomosis of the common bile duct, pancreatic duct, stomach and jejunum is required.

Therefore, this operation includes pancreaticoduodenectomy, subtotal gastrectomy, gastrojejunostomy, common bile duct and pancreaticojejunostomy.

One hour, only Wu Xiaofu dared to say so.

Before, when Liu Lin heard Wu Xiaofu tell the patient that it would take an hour, she thought he was comforting the patient. After all, for such a major operation, one hour was too tight.

But as the operation progressed, Liu Lin realized that she had been careless.

In less than fifty minutes, the operation was completed.

Wu Xiaofu checked it one last time, pulled out the mirror, and looked at Liu Lin, "If you don't cooperate with your senior brother, shut up."

Liu Lin finally understood what Wu Xiaofu meant when he asked her to do it. Seeing that the operation was almost over and Wu Xiaofu hadn't spoken yet, she thought Wu Xiaofu had forgotten. It seemed that was not the case. He was just going to let her cooperate with Peng Xia to sew up the incision.

Liu Lin stepped forward and took the tweezers. Because it was a round hole, it usually had to be aligned, and then the deep tissue had to be aligned with tweezers, and then sutured. Suturing was definitely Peng Xia's job, and only she could do the alignment.

"You come."

Who would have thought that Peng Xia would hand the needle and thread directly to Liu Lin. Having worked with Wu Xiaofu for so long, Peng Xia knew Wu Xiaofu too well. Since Wu Xiaofu had said that Liu Lin should be the master of the job, it would naturally not be the job of aligning the cuts, so the sewing was given to Liu Lin.

Liu Lin was a little surprised when she heard that. She could be said to have a family background in surgery. Both her parents were surgeons. She had interned in the hospital during summer and winter vacations. Her suturing skills were actually quite good and her mentality was also good. She just had some shaking hands at the beginning, but later she was basically very steady.

This time Wu Xiaofu gave her a chance, she must show it.

Moreover, she still had something to say to Wu Xiaofu later. If she showed off this skill, she would have the confidence to say the rest.

Thinking of this, Liu Lin took a deep breath and started the operation.

Peng Xia watched Liu Lin's operation and nodded. To be honest, there is really only so much that one can do during the fifth year internship. Basically, one can just write a medical record, change the medicine, and pull a hook during surgery. For other things, even if the students feel they can do it, the teachers dare not let them go.

Wu Xiaofu was taking off his surgical gown. He glanced at him out of the corner of his eye and was a little surprised. This kid, is he like this in his fifth year?
Thinking back to when I was in my fifth year of college, I was thinking about how to avoid internship every day, and my study for the postgraduate entrance examination was also haphazard. As for the opportunity to go to school, not to mention that I had never taken it, even if the teacher dared to let me go, I really couldn't come at that time.

Even though there are practical classes in college, there are also special practice rooms where you can practice suturing.

But practice and getting started are really different. No one can master it without practicing for a period of time in the emergency room. It is obvious that this girl has practiced before, and she must have been guided by someone. She is meticulous and has obviously mastered a style.

In this school of thought, there are many types of suturing methods, such as random suturing, loose suturing, tight suturing, obsessive-compulsive cosmetic suturing, etc.

This girl has intermittent obsessive-compulsive disorder.

Well, each stitch is at the same distance from the skin edge, and the spacing between each stitch is also very precise, with basically no big mistake, so the effect after suturing is beautiful. Of course, there are four cuts, and each cut only requires one or two stitches, so Liu Lin can't show off too much.

"Yes, I have practiced it before."

Outside the operating room, Wu Xiaofu was typing in medical instructions on the computer in the operating room. The department usually had a complete set of postoperative medical instruction templates. If Wu Xiaofu did not give any instructions, Peng Xia would follow that set and add to or modify it according to the situation.

But in some special cases, Wu Xiaofu will personally give medical advice. For example, the patient is still underweight and needs fluid replacement after surgery, but the amount of fluid cannot be too much, for fear that the patient will not be able to take it and cause kidney overload damage. The speed of fluid replacement also needs to be adjusted. Wu Xiaofu has detailed suffixes, which makes the nurses suffer.

When Liu Lin came over, Wu Xiaofu was generous with his praise, and Liu Lin was obviously excited when he heard it.

"Thank you for the compliment, boss."

Then he stood still. Wu Xiaofu took a look and said, "Is there anything else? I don't have anything else here. The next one is an interventional surgery. If you want to watch it, just go to the interventional room."

Liu Lin nodded quickly, "Boss, I heard that you will be supervising graduate students next year?"

Ah!
Wu Xiaofu was stunned when he heard this, but when he looked at Liu Lin again, his expression was full of meaning.

Master's supervisor, normally an associate chief physician cannot become a master's supervisor. He has to be a chief physician, and he has to have a certain amount of articles. There are strict standards for this. If you can't even do it yourself, how can you teach students?

But there are always exceptions. Rong Qiao mentioned this when he met Wu Xiaofu before.

Leading students, Wu Xiaofu was a little confused. He had just graduated from school for more than a year, and he could lead students? But when it came to leading students, Wu Xiaofu was not afraid. After all, the few people Wu Xiaofu had led had grown well in the past year.

Although being a master's supervisor is a little different, what you need to teach is not only clinical matters, but also scientific research.

However, Wu Xiaofu naturally would not refuse such a good opportunity for advancement. He would just let Rong Qiaoding do it and he would obey the arrangement completely. Now Wu Xiaofu is not only the apple of the eye of the First Affiliated Hospital, but also the apple of the eye of the Donghai Health Commission. Although he cannot be said to be a business card of Donghai, he is definitely a pearl in the medical community of Donghai.

Cherish talents and promote them exceptionally. Although the threshold is more stringent in China, Wu Xiaofu is undoubtedly qualified to be a master's supervisor. After all, Wu Xiaofu has carried out many projects himself, and it would be a pity if such good clinical technology is not passed on.

What's wrong with being an associate chief physician? As long as the higher-ups are willing to make an exception for him and the people below are convinced, then that's all.

However, this matter has not been concluded yet, and Rong Qiao has not given him any specific results. How could Liu Lin know it?
Who leaked the information? This kid must have some connection.

"Where did you hear that? To supervise graduate students, you need to be qualified as a master's supervisor, and I'm not one of them."

"It's not now, but it will be later. I heard what my uncle said."

"Who is your uncle?"

"That's not important. I was just thinking, if you have graduate students, can I apply to be your graduate student?"

"That's very important. First tell me who your uncle is?"

"I don't want people to say that I was admitted to your graduate school because of my uncle's relationship."

"Don't worry, even if your uncle begs me, I will treat everyone equally in the interview. Your uncle can't influence me."

"That's great, my uncle is Feng Tianlu."

Feng Tianlu!
He seems to be the vice president of the First Affiliated Hospital, and is in charge of teaching, scientific research, and drug and consumables management.

Well, whether it is the former power or the latter power, it shows how much power Feng Tianlu has. Although he was not born as a medical student and the possibility of him becoming the dean in the future is very small, he may be the secretary.

"Okay, I get it. If I can really become a master's supervisor, I will not refuse anyone who wants to be my graduate student. As for you, I will not give you any preferential treatment either, so you have to work hard on your own. By the way, this matter has not been finalized yet, so don't spread it around."

Hearing Wu Xiaofu's agreement, Liu Lin was even happier, "Don't worry, Boss. I will definitely work hard."

As for telling anyone, that is even more impossible. Wu Xiaofu is so popular. She would be crazy to tell anyone and only bring trouble to herself.

Interventional room.

Liu Lin went along to watch after all, but she could only watch in the operating room behind the lead plate. Wu Xiaofu went in to perform the surgery himself, and his assistant was the equipment supplier.

That’s right, it’s an equipment manufacturer.

Don't underestimate the equipment suppliers. Although most of them are not professional medical students, they are more familiar with the equipment than even the clinical workers who are used to performing surgeries. Sometimes, if they don't understand something during the operation, they have to make a phone call or ask the equipment supplier to come and ask.

The use of medical equipment is no longer news in major hospitals.

Especially in orthopedics, it is normal to be short of staff in orthopedics. For example, for joint surgery, four or five people are often required. Where can we find so many doctors? So, for this kind of surgery, if you see three or four instrument suppliers helping the surgeon on the stage, don't be surprised. This industry is so competitive.

There are even more competitive ones, for example, the equipment dealer next to Wu Xiaofu is not only an equipment dealer, but also a medical student. He has a medical license and has completed the formalities in the hospital so he can go on stage. He is simply impeccable and he is a graduate student. From this you can see how competitive this industry is.

You have a postgraduate degree and a certificate, but you don't want to be a doctor. You want to be an instrument technician, and you are willing to eat thread. Can you beat them?
However, there is a reason for this. Their income is simply incomparable to that of regular doctors.

Working for a few years and then changing careers is basically the norm for medical students.

This is basically the teaming model in interventional rooms now, with the instrument vendor and the surgeon working together to complete the interventional surgery.

This is an interventional surgery for liver cancer, in which cancer lesions are ablated through the injection of drugs.

This is the simplest of the six operations. Strict surgical planning had been carried out before the operation. The operation is actually very simple. All you have to do is deliver the medicine to the designated location along the blood vessels.

People think interventional surgery is difficult because the blood vessels are observed through angiography, but it is not 3D, and the blood vessels may be punctured if you are not careful. Therefore, you have to be very careful and observe frequently. However, there is no such problem for Wu Xiaofu. The operation was carried out quickly and reached the designated position smoothly.

Inject the drug and observe the effect.

The effect was significant, the operation was successful, and the operation was completed.

"Well, isn't it difficult to intervene? Why does this look so easy?"

Liu Lin asked at the right time, and the medical staff in the interventional room beside her smiled and said, "In all these years, we have only seen a genius like your boss. Others don't perform surgeries like this."

As he spoke, he seemed to realize something and looked to the side. Director Feng, the director of the B area department, had clearly finished the operation early but stayed to watch.

"Director Feng, I'm not talking about you, don't mind it, I just talk too fast."

(End of this chapter)