Chapter 354 Master’s Tutor!
Because the pancreas is not a gallbladder, the structure of the pancreas is more complex, and recovery after injury is more difficult.
Opening the pancreas, removing the stone, and suturing it would be very demanding, and there are more follow-up issues to consider.
Now direct resection is not that troublesome, direct pancreaticoduodenectomy is enough.
Wu Xiaofu and Peng Xia collaborated on more than dozens of surgeries.
After starting the operation, Wu Xiaofu began to speed up the progress. After all, based on the patient's condition, the sooner the operation is completed, the better. The longer it is delayed, the surgical injuries and anesthesia injuries will become more and more burdensome for the patient. It is best to complete the operation as soon as possible. Completing the operation can minimize the risk to the patient.
Liu Lin looked at Wu Xiaofu's smooth operation, and it didn't look like laparoscopic surgery, but as easy and carefree as holding a scalpel in his stomach.
This was the first time he saw Wu Xiaofu’s surgery after coming to Area F of the Hepatobiliary Surgery Department, especially since it was so close. He only had one thought in his mind, “It’s well-deserved.”
“The pancreas needs to be removed. "
When Wu Xiaofu's voice sounded, the anesthetist, equipment nurse, patrol nurse and Peng Xia all became energetic.
Of course Wu Xiaofu didn't say it for no reason, it 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 step. A momentary increase in blood pressure and heart rate are all dangerous. If it may happen, the anesthesiologist must prepare drugs in advance and intervene directly at the first moment when changes occur.
The instrument nurse must prepare the set of instruments for pancreatic resection and hand them over as soon as possible at any time. This is not the first time that the instrument nurse has cooperated with Wu Xiaofu. She knows how efficient Wu Xiaofu is, so all preparations are done. You have to go to the front.
The patrol nurse hurriedly prepared specimen bags and other items.
As for Peng Xia, the mirror must be steady and the angle must be chosen to provide the best assistance for Wu Xiaofu's pancreas cutting.
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 be thinking too much.
This is not a fantasy film, this is a reality documentary.
Wu Xiaofu seemed to be cutting a knot, separating all the surrounding blood vessels, nerves and other tissues, and then cut it with one cut.
Didi didi!
Sure enough, the monitor began to make noises, and the anesthesiologist hurriedly took action. After a few seconds, everything returned to calm.
There are actually only two teams that cooperate with Wu Xiaofu’s surgery. Because Wu Xiaofu’s surgeries have always been among the more difficult ones in the hospital, a suitable and mature surgical team is very important. , but considering the shift adjustment issue, it became two sets.
Change at any time, just like some critical situation occurs, you don’t need to say anything, just understand it directly, this is a tacit understanding.
Pancreaticoduodenectomy is usually performed together with subtotal gastrectomy and gastrojejunostomy.
This is a complex and invasive abdominal surgery. It is said to be the Mount Everest of surgery. It is not just talk. The scope of pancreaticoduodenectomy includes part of the pancreas or all of the pancreas and all of the duodenum. Such a large-scale resection of the small intestine, the lower end of the bile duct, part of the stomach and the upper end of the jejunum was also the reason why no one was willing to operate on Mr. Li before.
The vitality is severely damaged. A person of normal weight cannot bear it, let alone a paper man weighing only 35 kilograms.
After extensive resection, anastomosis of the common bile duct, pancreatic duct, stomach and jejunum is also required.
So, this operation includes pancreaticoduodenectomy, subtotal gastrectomy, gastrojejunostomy, common bile duct, and pancreatic duct jejunostomy.
One hour, that is, Wu Xiaofu dared to say this.
Before, Liu Lin listened to Wu Xiaofu talking to the patient for an hour, and thought she was trying to comfort the patient. After all, one hour was too tight for such a major surgery.
But as the operation progressed, Liu Lin knew that she had been careless.
In less than fifty minutes, the operation came to an end.
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, keep silent."
Liu Lin finally understood what Wu Xiaofu said before about letting her get started. What do you mean? Originally, when the operation was almost over, Wu Xiaofu hadn’t spoken yet, so he thought Wu Xiaofu had forgotten. It seemed not to be the case. He was just planning to let her cooperate with Peng Xia to sew the incision.
When Liu Lin stepped forward, she had to use tweezers. Because the holes were round, they usually needed to be aligned. Then, the deep tissue needed to be aligned with tweezers, and then sutured. Suturing must be Peng Xia's job. She can only be aligned.
"You come."
Who would have thought that Peng Xia would hand the needle and thread directly to Liu Lin. She had cooperated with Wu Xiaofu for so long. Peng Xia knew Wu Xiaofu too well. Since Wu Xiaofu said If Liu Lin was to get started, it would naturally not be a matter of aligning the openings, so the sutures would be left to Liu Lin.
Liu Lin was a little surprised when she heard this. She can be regarded as having a family background. Both of her parents are surgeons, and they went to the hospital for internships during summer and winter vacations. Her suturing skills are actually very good, and her mentality is good, that is, My hands were shaking at first, but then they became basically stable.
This time Wu Xiaofu gave her a chance, she must show off.
Moreover, she still had something to say to Wu Xiaofu later. With her hand revealed, she would be confident in what she said later.
Thinking of this, Liu Lin also took a deep breath and started operating.
Peng Xia looked at Liu Lin's operation and nodded. To be honest, what he can do in the fifth internship is really limited. Basically, it is to write medical records, change medicines, and perform surgery, which is to pull a baby. Hooks and other things, even if the students think they can do it, the teacher doesn't dare to let go.
Wu Xiaofu was taking off his surgical gown. He glanced out of the corner of his eye and was a little surprised. Is this kid like this in his fifth year?
I think back to when I was a fifth-year college student. My dear, I was thinking about how to escape from internships every day. The teacher dared to let him go, but he really couldn't come at that time.
Even though there are practical classes in college, there are special practice rooms where you can practice suturing.
But practicing is really different from getting started. No one can master it without practicing in the emergency room for a period of time. This girl has practiced it at first glance, and she should have been guided by someone special. She is meticulous and obviously belongs to the school. of.
In this school, the stitching methods actually include random stitching, loose stitching, dense stitching, cosmetic stitching for obsessive-compulsive disorder, etc.
This girl has intermittent obsessive-compulsive disorder.
Well, each needle enters and exits at the same distance from the skin edge, and the spacing between each needle is also very precise. There is basically not much deviation. This is the effect after stitching. Even if it is beautiful, of course, the four incisions, each of which only requires one or two stitches, cannot tolerate too much Liu Linxiu.
"Not bad, I have practiced."
Outside the operating room, Wu Xiaofu was writing medical orders on the computer in the operating room. Corey usually has a complete set of postoperative medical order templates after surgery. If Wu Xiaofu does not give instructions, Peng Xia will follow that pattern and increase or decrease it according to the situation.
But when encountering some special circumstances, Wu Xiaofu will personally give medical advice. For example, the patient is still underweight and needs fluid replenishment after surgery, but the amount of fluid should not be too large, lest the patient's body cannot take it in and cause overload damage to the kidneys. Then the fluid replenishment speed must also be adjusted. Wu Xiaofu has detailed suffixes, um , it’s just hard for the nurse.
When Liu Lin came over, Wu Xiaofu also praised her generously. Liu Lin was obviously excited when she heard this.
"Thank you for the compliment, boss."
Then he stood still. Wu Xiaofu glanced at it and said, "I still have something to do. I have nothing else to do here. The next surgery is an interventional surgery. If you want to see it, just go to the interventional room. Okay."
Liu Lin nodded quickly, "Boss, I heard that you will bring a graduate student next year?"
Hmm!
Wu Xiaofu was stunned when he heard this, and when he looked at Liu Lin again, it was full of profound meaning.
Master's degree supervisor. Ordinarily, a deputy chief physician cannot become a master's degree supervisor. You have to be after the chief physician. You also need to have a certain amount of articles and so on. There are strict standards for these. If you are not good enough yourself, how can you lead students? ah.
But there are always exceptions to everything. Rong Qiao mentioned it after meeting Wu Xiaofu before.
Teaching students, Wu Xiaofu was in a daze. He had only been out of school for more than a year, and he could already take care of students? But when it comes to leading students, Wu Xiaofu has nothing to be timid about. After all, in the past year or so, the few people Wu Xiaofu has led have all grown up well.
Although it is different for master's degree tutors, they need to teach not only clinical things, but also scientific research and the like.
However, given such a good opportunity for advancement, Wu Xiaofu naturally would not refuse it. Just let Rong Qiao decide. He completely obeyed the arrangement. Now Wu Xiaofu is not only the pet peeve of the First Affiliated Hospital, but also He is the heartthrob 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 field of Donghai.
Cherish talents and promote exceptional people. Although the threshold in China is more stringent, Wu Xiaofu is undoubtedly qualified to be a master's degree supervisor. After all, Wu Xiaofu has carried out many projects himself, and with such good clinical technology, if he does not It's such a shame to pass it on.
What’s wrong with the deputy chief physician? The superiors are willing to make an exception and promote him, and the subordinates are convinced. That’s fine.
However, this matter has not been finalized yet. Rongqiao has not given him the specific results yet. Liu Lin already knows?
Who revealed the news? I'm afraid this kid has something to do with it.
“Where did I hear that you need to be qualified as a master’s tutor to lead graduate students, and I’m not one yet.”
"That's not true now, but it will be later. I heard my uncle said it."
"Who is your uncle."
"That's not important, I just thought, if you As a graduate student, can I apply to your graduate school?”
“That’s very important. First, tell me who your uncle is?”
“I don’t want people to say that I’m relying on you. 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 during the interview. Your uncle can't influence me."
"That's great, my uncle is Feng Tianlu."
Feng Tianlu!
It seems that he is the vice president of the First Affiliated Hospital. He seems to be in charge of teaching and scientific research management and drug and consumables management.
Well, both the former authority and the latter authority show how much power Feng Tianlu has. Although he was not born as a medical student, it is very unlikely that he will become the dean in the future, but it is possible Be a secretary.
"Okay, I understand. If I can really become a master's tutor, I will not refuse anyone to apply for my graduate student. As for you, I will not give you preferential treatment, so you have to work hard on your own. By the way, This matter has not been finalized yet, so don’t spread it out.”
Liu Lin was even more happy when she heard Wu Xiaofu’s promise, “Don’t worry, boss, I will work hard.”
As for it. Speaking to the outside world, it was even more impossible. Wu Xiaofu was so popular. She was crazy and only told the outside world. She would not be happy for herself.
Interventional room.
Liu Lin finally came to see it, but if she wanted to see it, she could only watch it in the operating room behind the lead plate. Wu Xiaofu went in to perform the surgery by himself, and his assistant was an equipment dealer.
That's right, it's the equipment dealer.
Don’t underestimate the equipment dealers. Although most of them are not professional medical students, their familiarity with the equipment is not comparable to that of clinical workers who are accustomed to surgery. Sometimes, During the operation, if they don't understand something, they have to call or ask the equipment dealer to come over and ask.
The emergence of medical equipment is no longer news in major hospitals.
Especially in orthopedics, it is normal for orthopedics to be short of staff. For example, joint surgery often requires four or five people. How can there be so many doctors? Therefore, if you see this kind of surgery on the stage, Don't be surprised if three or four equipment dealers offer help to the chief surgeon, this is how it goes.
There are even more interesting ones, such as the equipment dealer next to Wu Xiaofu. He is not only an equipment dealer, but also a medical student. He has a medical certificate, has gone through the procedures in the hospital, and can go on stage. It's absolutely impeccable, and it's still a graduate student. From here you can see how many volumes this line has.
You have a postgraduate degree and a certificate, but you are not a doctor, but a medical technician, and you are still willing to work hard. How can you beat them?
However, there is a reason for such high volume. Their income is simply not comparable to that of serious doctors.
Working for a few years and then changing careers is basically the norm for this type of medical student.
Now in the interventional room, this is basically the matching model. The equipment manufacturer and the chief surgeon complete the interventional surgery together.
This is an interventional surgery for liver cancer, in which drugs are injected through intervention to ablate cancer lesions.
This is the simplest of the six operations. A strict surgical design has been carried out before the operation. The operation is actually very simple. Just follow the blood vessels and deliver the medicine to the designated location.
People think interventional surgery is difficult because blood vessels are observed through angiography, but it is not 3D. If you are not careful, you may pierce the blood vessels, so you have to be careful and observe frequently, but Wu Xiaofu Here, there is no such problem. We advance quickly and reach the designated location smoothly.
Inject the drug and observe the effect.
The effect is remarkable, the operation is successful and the operation is over.
“Well, isn’t it difficult to intervene? Why does it look so simple?”
Liu Lin asked at the right time, and the doctors and nurses in the interventional room next to her smiled. "In all these years, we have only seen a wizard like your boss. This is not how other people perform surgeries."
said As if he realized something again, he looked to one side, Director Feng, the head of the department in Area B, who had obviously finished the operation early, but stayed to watch.
"Director Feng, I'm not talking about you, don't mind, I'm just a quick talker."
(End of this chapter)