Come on, Dr. Wu

Chapter 390: Punch
After this lesson, Feng Lingling is afraid that she will never forget the Luschka bile duct in her life.

In every future cholecystectomy operation, Feng Lingling will guard against the Luschka bile duct like a thief and will never let the same thing happen again.

"Don't be afraid if there is a bile duct leak. We can usually use intraoperative cholangiography to clearly diagnose Luschka bile duct leak.

Once the Luschka bile duct leak is confirmed, all we need to do is find a way to repair it.

Of course, in some cases, such as when the gallbladder bed is severely edematous, sutures can easily cause cutting of fragile liver tissue, which can fail to stop the leakage and lead to the expansion of the residual port tear.

At this point, you should give up suturing and choose to place continuous low-negative pressure double-tube drainage. As long as you take good care of the postoperative care to ensure smooth drainage, the leak will gradually heal on its own.

Nasobiliary drainage may also be placed to speed healing.

So don’t panic if your bile duct is leaking. If it can be sutured, sew it up. If it can be clamped, clamp it up. Put a drainage tube in. At most, bile will leak out for a few days.”

The bile duct leakage, which was originally a very worrying thing, now seemed to be a very common problem in Wu Xiaofu's eyes.

In fact, for Wu Xiaofu, this was indeed a very common problem. While Wu Xiaofu was talking, he had already repaired the bile duct leakage.

You know, liver tissue is very fragile, and the difficulty of suturing to this extent is really imaginable.

But in Wu Xiaofu's eyes, it seemed like it was nothing and was handled so easily?

That's how long it has been.

As expected of the boss, Feng Lingling finally let go of her worries. Thinking about how she felt when the bile duct leakage occurred just now, she couldn't help but feel angry at herself for not fighting back. She had followed Wu Xiaofu for more than a year, but her Qi-cultivation skills were still so insufficient. It was just a bile duct leakage. Just like Wu Xiaofu said, it was no big deal.

Make up for it first, if you can’t make up for it, just drain it.

It's not like there's no solution, why are you in such a hurry?

However, not everyone has such good skills as Wu Xiaofu. After Wu Xiaofu's treatment, Feng Lingling didn't even have to explain anything to the patient after the operation. Even if the patient was checked again after the operation, it is likely that no one would be able to tell what was going on.

Were there any problems with the surgery?
Of course not. The problems that have been dealt with are no longer problems. With Wu Xiaofu's skills, the condition of subsequent patients will basically not be affected.

In fact, sometimes, not saying anything is also for the sake of both parties.

As long as patients don't say anything, they won't have those so-called worries and suspicions, and doctors won't have to face so many questions and doubts.

As for whether there would be any subsequent leaks, Feng Lingling simply shook her head.

Wu Xiaofu said there was no problem, so what else could be the problem? That was not what she said.

Thinking of this, Feng Lingling felt more relieved.

He took the instruments from Wu Xiaofu and started to finish the work. After Wu Xiaofu helped solve the bile duct leakage problem, he stepped down directly.

Feng Lingling's mood also calmed down and she returned to her normal state.

The subsequent finishing steps did not involve any difficulty or risk. They were completed in just over ten minutes and the operation was over.

Emergency Department.

"Doctor, doctor, can you help me look at this list? Is there anything wrong with it?"

"Doctor, doctor."

boom!
Wu Xiaofu was startled when he heard such a loud noise. He looked over and saw a doctor. He was so frightened that he took a few steps back and almost fell to the ground.

On the other side, there was a middle-aged man, with his fist on the machine for retrieving reports.

The machine's peeled screen has shattered. To be honest, the force of this punch is definitely at a professional level. You know, the screen of a machine like this may not be smashed in one go even with an axe without cutting corners.

Now, it was crushed to pieces by just one punch of this middle-aged man.

Ding Ding Ding!
Bright red blood flowed down the middle-aged man's fist, first from the tip of the fist to the wrist, and then from above the wrist, began to drip in the direction of gravity.

This is a pale middle-aged man with a very ordinary face. The only thing that may be eye-catching is the middle-aged man's angry expression.

He was still holding the report bag in his left hand, with a film between his fingertips. He was handing the film to the doctor who had almost fallen to the ground in fright.

The people in the emergency room were also shocked, and only calmed down after they saw the situation clearly.

However, many patients and their families gathered around. It is human nature to watch the fun. They could see that this patient might have some violent tendencies, but the target was obviously the doctors, not them, so he would not hurt them.

As for why the middle-aged man was like this, the onlookers had no doubts.

In fact, such situations are not uncommon in the emergency department, but few are so extreme. Usually they just make a noise or wave their fists at other people. There are still a few people who directly hit the machine like this.

After all, he was the first one to be hurt.

Those who come to the emergency department are usually seriously ill or in critical condition. These patients may die here if they are not careful. If someone were to wait here every day, they would find that every day an indefinite number of patients would be pushed to the morgue in the emergency department of the First Affiliated Hospital.

The middle-aged man in front of him might have some emergency and was already in a bad mood. And then, this female doctor, somehow, offended the middle-aged man and the current scene occurred.

Well, the chain of reasoning is sufficient, so that should be the case.

Wu Xiaofu couldn't help but shake his head as he looked at the dazed middle-aged man, the frightened female doctor, and the crowd of spectators who seemed to be watching the fun.

"Boss!"

At this time, the medical staff working in the emergency department also heard the noise and came out.

When Cheng Shi and Jiang Bei saw Wu Xiaofu, they both shouted in surprise.

Wu Xiaofu nodded to them and said, "Go, get some gauze."

When Jiang Bei saw the middle-aged man still pumping his fist in front of the machine, she understood something and hurried to prepare things.

Wu Xiaofu took a few steps forward, approaching the middle-aged man, but stopped one step away from the middle-aged man.

"Hello, we will talk about other things later. Please come with us first and take care of your hand. Your hand is bleeding."

Bleeding!
The middle-aged man slowly came back to his senses, looked at Wu Xiaofu, then looked at his right hand, and watched the bright red blood dripping, and then he reacted. A stinging feeling surged into his heart.

"Hiss, it's bleeding, hurry up, stop the bleeding for me."

Looking at the middle-aged man's reaction and hearing these words, Wu Xiaofu breathed a sigh of relief. He was really afraid that the patient's nerves would be disturbed by the stimulation. You know, if that were the case, worse things might happen.

Now he knows to deal with the bleeding first, which shows that he is still rational.

Wu Xiaofu took the middle-aged man into the disposal room without saying a word, and the onlookers, seeing that there was nothing to eat, dispersed.

Duan Hao also came out at this time, looked at the female doctor who was still looking shocked, and shook his head.

"Xiao Jiang, are you okay? Come with me."

Disposal indoors.

Wu Xiaofu bandaged the middle-aged man's wounds. They were just critical injuries and scratches caused by smashing the glass. There was no glass residue in the wounds. Wu Xiaofu rinsed and disinfected them, then bandaged them up.

Although a lot of blood was shed, the patient did not injure any nerves or large blood vessels. Those minor hemorrhages do not need to be taken care of too much. They will heal in a short while if they are bandaged.

As for the scratches, they are all small cuts and not worth stitching. Just let them heal slowly on their own.

"It hurts, right? What are you thinking? You can't get along with the machine."

The middle-aged man was also feeling a little regretful at this time. He was so angry that he couldn't control himself and punched out.

He usually has this problem. When he gets angry, he wants to vent, but usually he just smashes the wall. There is a sandbag specially placed at home for this purpose. When he is angry, he hits the sandbag a few times to vent his anger.

But who would have thought that this bad habit would be formed and today I directly became a machine.

Thinking of the broken screen of the machine, the middle-aged man couldn't help but twitch his mouth. He heard that there were no cheap machines in the hospital. I'm afraid that this punch would cost him a lot of money.

Thinking of this, the middle-aged man felt really distressed and painful.

Duan Hao walked in with the female doctor. "What's going on?"

Duan Hao first nodded to Wu Xiaofu, then asked. The middle-aged man was also a little angry after seeing the female doctor. Everything has cause and effect. If this female doctor had not ignored him, he would not be so angry and break the glass.

Looking at the female doctor, the middle-aged man said indignantly.

"I am a patient who came to your hospital for treatment. I was not feeling well to begin with. It would have been fine if you didn't treat me properly, but you also messed with me everywhere, asking me to have my blood tested first, and then to do an MRI. I have to queue up for all of these. I have been here since around 8 o'clock in the morning, and look at what time it is now.

It’s eleven o’clock.

I feel really bad. The MRI results are out, and I have to continue to queue up to see the doctor. But look at how many people are already queuing up there. When it’s my turn, I don’t even know what time it is. I’m a patient, and I’m in the emergency room. Can you take me seriously? Aren’t you afraid that I might collapse all of a sudden?
I tell you, if I get any problems because of your procrastination, none of you will be able to escape.

You female doctor, I feel bad, I want you to help me check what's wrong with the MRI, why can't you help me, and you are so disdainful of me, are you still a doctor who treats and saves lives?"

The female doctor was also confused when she heard this.

"But I'm a doctor in the ultrasound room. I just went out to get takeout. I didn't even hear what you said. And, even if I heard it, I wouldn't be able to read it. You have to find a professional doctor to see it."

That’s right, this female doctor is a doctor in the emergency color ultrasound room. These doctors in the color ultrasound room also have a duty system and rest during the day and night. When they are on duty at noon, if they don’t want to eat in the cafeteria, they usually order takeout, which is on the first floor and convenient to pick up. It should be the same this time.

I guess I was in a hurry to get the takeaway at that time and didn't hear the patient's voice.

Or maybe she knew that the patient wanted him to see the MRI film, but she didn't want to bother with it. After all, she really couldn't read it, so there was no point in wasting her breath.

As for that, can't you explain it?

In fact, this is also a common problem of emergency doctors. The female doctor in the emergency color ultrasound room has basically been in the room for half the day. I am afraid that she has done color ultrasound one after another without stopping. In the meantime, she has been saying and explaining something over and over again. I am afraid that her patience has been exhausted.

It would be strange if she was still in the mood to explain even though she had already left the ultrasound room.

Of course, when a patient asks you for help, even if you cannot help, you should at least have the right attitude. After all, there was something wrong with this female doctor. It depends on whether she subjectively did not want to pay attention or objectively did not hear him.

However, this female doctor was not at work for the first time and knew how to respond to inquiries from the medical department. She basically just objectively ignored them. After all, there were so many people in the emergency hall and it was so noisy, so it was normal that she could not hear anything.

Now the screen of the machine is broken. It is such a serious matter, the medical department cannot but intervene, and this female doctor will definitely be questioned.

The patient was also a little aggrieved at this time and wanted to say something, but he really knew that the doctors in the color ultrasound room might not be able to read MRIs. After all, he had done color ultrasounds before and knew that the doctors in the color ultrasound room were only responsible for doing color ultrasounds. Apart from reading color ultrasounds, they basically didn't know anything else.

I was unlucky to meet such a color ultrasound doctor.

Now I don't know what to complain about.

But how about the money for this machine?

"Even if you can't see it, you have to tell me. How can I not be angry when you look down on me like this? I tell you, if this machine is broken, you also have a share. Let's each take half."

Wu Xiaofu also smiled. It could be seen that this patient was not the kind of person who would make a fuss. He even wanted to pay for the machine, although he also emphasized that he and the female doctor should pay half each.

"Okay, there will be a special department to deal with these for you later. Let's see the doctor first. You have done the examination, right? Come, let me take a look."

examine!
Correct!
an examination.

The patient hurriedly picked up the film, looked at Wu Xiaofu's name tag, and without hesitation, gave the MRI to Wu Xiaofu.

He recognized the words "Department Director" on Wu Xiaofu's name tag. He must be a great doctor. It seemed that this punch was worth it, as he even got a director to treat him.

After taking the MRI film, Wu Xiaofu hung it directly on the developing board.

Although he is a hepatobiliary surgeon, he is not incapable of reading MRI films. Wu Xiaofu does not have too many shortcomings. After all, Wu Xiaofu has the ability to learn.

Ah!
Looking at the film, Wu Xiaofu couldn't help but hum, but this hum directly made the patient's heart happy.

"How is it, Director? Is my problem serious? I've had headaches for several days, and it feels like something is growing in my head. I checked online, and everyone said I might have a brain tumor."

(End of this chapter)