Come on, Dr. Wu

When faced with a patient who is dying from massive blood loss, the most critical step is to quickly take measures to replenish fluids and expand the patient's body volume in order to stabilize the patient's vital signs, and then focus on exploring and eliminating the root cause of the bleeding. After preliminary examination, it was found that the patient's blood loss was as high as 1200ml, which is undoubtedly a heart-wrenching data.

At the same time, the hemoglobin value detected by the emergency department was only a pitiful 62g/l. The situation was so critical and time was running out! The medical staff immediately took action and raced against time to complete a series of intensive and orderly preliminary preparations such as blood matching and fluid replacement.

Immediately afterwards, the patient was rushed into the operating room, where Dr. Wu Xiaofu and his team members, who had been waiting there, had prepared the necessary ligatures.

Endoscopic varicose vein ligation is one of the most mainstream and effective methods for treating esophageal varicose vein bleeding. The key point is how to skillfully use the ligation device. This operation has many advantages such as simple operation, fast implementation speed, and significant hemostatic effect.

Specifically, in the actual operation, it is necessary to start from the cardia and gradually perform the ligation in a spiral shape in the upward direction. For the lower segment with more serious lesions, a more intensive ligation method should be used; if encountering special circumstances, the double-loop ligation technique can also be considered.

However, there are several crucial points in the whole ligation process: first, do not ligature two blood vessels at the same time to avoid unnecessary risks and complications;

Second, when attracting, it is important to ensure that the ideal state of "full house" is achieved, but special attention should be paid to avoid over-attraction;
Third, during the ligation process, sufficient space must be reserved, and attention should be paid to controlling the distance between the transparent cap and the tissue, and it should not be pushed too tight.

Because if it is pushed too tight, it is very likely that it will not be successfully attached to the mucosal tissue. Of course, if you want to master these seemingly simple but actually sophisticated operating essentials, you must go through long-term practice and repeated training to achieve it.

If the technique is not good enough, scar tissue may form in the blood vessels after multiple ligation operations.

These scars will not only complicate the internal structure of the embassy, ​​but will also significantly increase the difficulty of subsequent ligation. Usually, the final effect of this type of surgery is often ideal, but it is undeniable that there is still a certain probability of causing serious complications such as postoperative ring removal and massive bleeding.

Fortunately, the operation went very smoothly, and this patient was experiencing first-time bleeding, so his blood vessels were in relatively good condition. Therefore, although the possibility of massive bleeding cannot be completely ruled out, from various current indications, this risk has been reduced to an extremely low level.

At this time, Wu Xiaofu, who had just completed the operation, came to the interview room. He came to explain the details of the operation to the patient's family. However, when the patient and his family saw Wu Xiaofu walk out of the operating room so quickly, their hearts instantly hung in their throats.

The whole operation lasted only ten minutes, how come the doctor came out so quickly? Did the operation encounter a major setback or even fail? Thinking of this, the patient's family members, who were already extremely nervous, could no longer suppress their fear and worry, and tears welled up in their eyes.

In fact, what they fear most is the occurrence of bleeding complications. But they never expected that the thing they were most worried about would eventually come to them. You know, every bleeding is like walking on the edge of life and death for these patients, and they will lose their precious lives if they are not careful.

As the number of bleeding episodes increases, the potential risk increases exponentially. However, it should be clear that even if it is the first bleeding, there is no risk. In fact, the mortality rate of the first bleeding is as high as an alarming 90%.

Now, whenever they close their eyes, the scene of their old father spitting blood immediately appears in their minds: the scarlet blood spurts out of his mouth like a fountain, splashing everywhere. The shocking scene is like a sharp blade, deeply hurting their hearts, making them feel a chill rising from the bottom of their hearts, chilling their hearts.

"The operation was a success, but we still need to be careful going forward. You know, with this type of bleeding, there's a difference between just one occurrence and multiple recurrences.

In addition, after a detailed examination, we found that the cancer in the patient's body had already metastasized, so the possibility of a liver transplant was almost non-existent. In this case, the only way to maintain his physical condition in the future is to rely on careful nursing. "

Wu Xiaofu sighed helplessly. He really couldn't understand why every time he walked out of the operating room to explain the operation to the patient's family, they would show such a sad expression? Could it be that if the operation was done quickly, it would be misunderstood?
When the patient's family heard Wu Xiaofu say "the operation was successful", they were stunned for a moment, and then they were overjoyed. Their hearts, which had been hanging in their throats, instantly fell back into their stomachs, and they thought to themselves: the situation was not as critical as they had imagined, and the problem was solved so quickly.

The next few operations went very smoothly without any unexpected situations. In this way, Wu Xiaofu worked from day to after eight o'clock in the evening, and finally completed six ordinary operations and one emergency operation.

When he looked up at the clock on the wall tiredly, he couldn't help feeling helpless - he seemed to have completely forgotten that he had agreed with Rong Qiao to discuss important matters.

Wu Xiaofu quickly took out his cell phone and called Rong Qiao back. Rong Qiao's cheerful voice soon came from the other end of the phone: "Haha, I knew you would forget about our business once you were busy! Actually, it's not a big deal, it's just about your promotion." Hearing this, Wu Xiaofu breathed a sigh of relief.

It turned out that Rong Qiao had promised Wu Xiaofu long before he went to Country F that he would help him get a chance to be promoted after he returned. In fact, whether he had been to Country F or not, judging from Wu Xiaofu's current work data, he had basically met the conditions required for promotion. The only thing he lacked was time.

However, since Wu Xiaofu possesses many outstanding advantages, after comprehensive consideration, even without taking into account his experience in Country F, he will be able to be promoted to a higher position in about half a year at most.

But who could have thought that this trip abroad would last nearly half a year, and it took almost a year to go back and forth. What was even more unexpected was that after returning home, Wu Xiaofu encountered an outbreak of a new parasitic disease.

Therefore, for Wu Xiaofu, this overseas exchange not only affects whether he can be promoted to a higher professional title, but it can be said that it has directly delayed the process of his promotion!
Therefore, there was no need for Wu Xiaofu to mention this matter himself, Rong Qiao had already taken active action. When Wu Xiaofu was out having fun, Rong Qiao sent a message, asking if he wanted to send the relevant materials to him, and he would be in charge of it. When Wu Xiaofu came back, he would be able to become a chief physician smoothly. However, Wu Xiaofu did not seem to be in a hurry, and just replied: "Let's talk about it when I get back."

Unexpectedly, on the first day after Wu Xiaofu came back, he did not deal with the promotion, but instead took the lead in busy surgery. This move made Rong Qiao feel a little depressed and helpless, and he muttered to himself: Why does it feel like Wu Xiaofu is the one who wants to be promoted, but I am more anxious than him?

However, despite this, Rong Qiao also understood that this matter was indeed urgent. After all, if he didn't hurry up to help Wu Xiaofu get promoted, other hospitals might mistakenly think that Wu Xiaofu was unhappy working here and was not valued, and then they would come to poach him. Wu Xiaofu was now a treasure in the hospital, and he had to be well treated.

In this case, there was no need to bother Wu Xiaofu to send the materials in person. Rong Qiao simply arranged for others to help sort them out and reported them quickly during the day. As for some of the more core and critical parts, if they could not be sorted out in time, they could only be kept as backup and wait for subsequent supplementation and improvement.

In the medical field, the career path that doctors follow is usually guided by professional and technical titles. This title system is divided into 12 levels, with the 12th level being considered the lowest and the first level being the highest.

For junior doctors, they are generally at the twelfth and eleventh levels; as they gradually accumulate experience and improve their skills, they can be promoted to the ranks of intermediate doctors, and the corresponding professional titles are at levels eight, nine, and ten. Moving up, they reach the associate senior level, covering levels five, six, and seven; and finally, when they reach the senior professional title, they include levels one, two, three, and four.

However, it is precisely because of this strict and hierarchical professional title system that doctors face many difficulties in promotion and appointment. On the one hand, obtaining a higher-level professional title requires meeting a series of strict conditions and requirements, such as academic achievements, clinical experience, and professional ability assessments.

On the other hand, even if one successfully passes these assessments and obtains the corresponding professional title, many hospitals are reluctant to easily grant the appointment due to cost considerations, as this means paying additional salary expenses.

Take Wu Xiaofu as an example. It has only been a little over a year since he was promoted to associate senior professional title. According to the normal process and general situation, it takes at least five or six years of hard work and waiting to be promoted from associate senior professional title to full senior professional title.

But what is surprising is that now, only one year after he was awarded the title of associate senior professional, he is expected to reach the threshold of senior professional. Such a rapid promotion speed is probably unique in the whole country.

Not only that, according to Rong Qiao's opinion, if Wu Xiaofu's current actual performance and achievements are evaluated, he is fully qualified to obtain the higher-level professional title of Class III chief physician.

The title system of chief physician has a detailed classification, including level 4 chief physician, level 3 chief physician, level 2 chief physician and level 1 chief physician. Level 4 is the lowest level in this series, while level 1 represents the highest level. Usually, what people call promotion to the senior level is actually just becoming a level 4 chief physician.

It is worth mentioning that if chief physicians work in hospitals affiliated to higher medical colleges, they often have the title of professor in the education series. Similar to chief physicians, the title of professor is also divided into four levels, namely first, second, third and fourth level professors.

Those experts at the level of first-level chief physicians (first-level professors) are all academic giants and leading figures in their respective professional fields. In terms of rank, most of these people have the status of academicians. After all, only academicians are qualified to meet the corresponding evaluation standards.

In terms of administrative level, they are roughly equivalent to senior officials. For example, Mr. Wu, a famous academician of the Chinese Academy of Sciences, who is known as the "Father of Chinese Hepatobiliary Surgery", is not only a first-level chief physician, but also a first-level professor. His achievements in the field of medicine have attracted worldwide attention and have made indelible contributions to the development of the entire industry.

Second-level chief physicians (second-level professors) are well-known in the medical field! They are often near-masters in their respective fields and have an extremely high status.

These people usually appear in medical research institutions, leading the cutting-edge academic research directions; they may also be based in medical colleges, cultivating generations of medical elites; and many work in affiliated hospitals of medical colleges, becoming the core leadership force of the hospital.

It is not easy to win this honor. One must have made earth-shaking contributions in related fields. And from the administrative level, they correspond to deputy senior officials, which can be said to be powerful. Rong Qiao and Yu Shifu are both at this level, and it is only a matter of time before they are promoted to first-level chief physicians.

Level 3 chief physicians (level 3 professors) are also highly respected experts. They have been working in their field for a long time and have accumulated rich experience and profound attainments. Not only that, they have also achieved breakthrough results in their professional technology and made great contributions to the advancement of medicine.

Some of these people are the heads of major medical colleges or their affiliated hospitals, shouldering important management responsibilities; some are academic leaders, leading their teams to innovate and make progress; and many are medical, teaching, and scientific research professionals with many years of work experience, silently dedicating their wisdom and strength. The corresponding administrative level is the bureau level.

The last one is the Level 4 Chief Physician (Level 4 Professor). Although it is the lowest level among the group of chief physicians (professors), it should not be underestimated.

They usually have worked hard for a long time, but they are usually not in administrative positions or hold administrative positions, but focus on medical, teaching or scientific research work. Despite this, their administrative level is also quite impressive, corresponding to the deputy department level.

Of course, if many chief physicians do not have the title of professor, the treatment they can enjoy will be greatly reduced. (End of this chapter)