Chapter 379 It’s all here
“Don’t worry, I’ll make the arrangements.”
Wu Xiaofu looked at Jiang Bei and said, “Tell Director Chen to do an additional surgery.”
Jiang Bei nodded when she heard this, but secretly thanked Wu Xiaofu for Chen Zhendong in her heart.
A few days ago, Chen Zhendong told them that his overseas girlfriend was back. These days, he must get off work early and go to accompany his girlfriend early.
It's just that he didn't say this to Wu Xiaofu. After all, given how busy Wu Xiaofu is, to be honest, if it's not put to his ear proactively, he usually won't accept it.
So, Chen Zhendong can only admit that he is unlucky. You said it would be good if you rested for a few days. Now it is better. This is the first job Wu Xiaofu found for him today. He may not be able to do it again later. How many there are.
Sure enough, Chen Zhendong was speeding up the operation, and when he received the call, he put on a pain mask.
“No!”
Wu Xiaofu doesn’t know this. In fact, he won’t do anything if he knows it, because, except for him, no one in area F can do spinal analgesic device implantation. There is only Chen Zhendong.
Who else would it be? There's no point in pushing it.
Patients come one after another.
Soon Wu Xiaofu took a second job for Chen Zhendong.
This was a 65-year-old male who was referred from the emergency room. After entering the clinic, Wu Xiaofu could tell how bad the patient's condition was without even asking.
Jaundice, abdominal pain, fever.
This is the standard Charcot triad in medicine, and the symptoms are not mild. The jaundice is so severe that the patient has become a minion. He has severe abdominal pain and was pushed here in a wheelchair by his family.
Today is a consultation in Area F. Peng Xia is on the second-line shift. When encountering a situation like this on Friday, Peng Xia usually sees minor illnesses directly and transfers serious illnesses directly to the outpatient clinic.
"Temperature 39."
Wu Xiaofu and Jiang Bei took the patient's temperature. When he came up, the emergency room had already taken the temperature, but Wu Xiaofu usually habitually takes the patient's temperature again. .
Because the patient's body temperature can also reflect the patient's condition and progression of the disease to a certain extent.
It has been three days since the patient's symptoms appeared. The temperature has risen to 39 degrees, and there is obvious inflammation. Or there may be other hidden factors.
“Sashimi!”
Wu Xiaofu knew what he said. He didn’t know when Donghai started to integrate with international diet. Hua, who had never eaten raw food before, Chinese people are now starting to eat some weird raw foods.
Sashimi, raw beef, various sashimi and so on.
Especially sashimi, especially plentiful.
But this is undoubtedly the worst eating habit. Even if you want to survive in the wild, if you eat it regularly, it will easily breed a series of parasites.
Originally, these foods, even if they are undercooked, may allow parasites to survive and affect the body, let alone eating them raw.
If it is a parasitic infection, it is easy to explain. Even bile duct obstruction may be caused by parasites.
After some consultation and physical examination, Wu Xiaofu considered that the patient had acute suppurative cholangitis. This disease is very dangerous and if not treated in time, it will lead to septic shock.
Then he went into the ICU to save his life.
Of course, the patient had a color ultrasound in the emergency department, and it was determined that the cause was obstruction of the common bile duct by common bile duct stones, resulting in poor bile excretion.
In this case, the treatment is very simple, just remove the obstruction.
As long as the obstruction is relieved in time and bile can be secreted unobstructed, the patient's jaundice, abdominal pain and infection problems can be relieved.
"Jiang Bei, call Director Chen and arrange surgery for the patient as soon as possible."
"I know."
Jiang Bei secretly thought and hurriedly called Chen Zhendong. Patients with bile duct obstruction needed to undergo endoscopic retrograde cholangiopancreatography, also known as ERCP, in a timely manner.
The current treatment guidelines for bile duct stones are basically like this. Using ercp technology, the patient's common bile duct can be successfully opened and the common bile duct stones can be removed.
However, the presence and treatment of parasites can only depend on the situation during the operation. Jiang Bei and Chen Zhendong made it clear and stopped taking care of it.
However, at the end of the phone call, she seemed to hear the sound of Chen Zhendong gritting his teeth.
Blackjack.
Originally, Chen Zhendong had six surgeries today. If he wanted to get off work, it would have to be after 6 pm. But now it's better. He just added one more surgery, and then another one, and he would have to finish it at 9 pm.
Still spending time with a shitty girlfriend.
I’m afraid my girlfriend fell asleep after I went back.
And this is just the beginning. Who knows whether Wu Xiaofu will arrange for other patients in the future. If that is the case, then he can only pray that he can return home today.
At this time, Chen Zhendong was even more envious of Wu Xiaofu's surgical efficiency. You know, when he was outpatient, he would often arrange some urgent work for Wu Xiaofu.
But as long as it is not arranged after get off work, Wu Xiaofu will basically never get off work later than 7 p.m.
This is Wu Xiaofu.
Originally Chen Zhendong was a little angry, but when Wu Xiaofu arranged the third and fourth for him, he no longer had any emotions.
As a ruthless surgical machine, he just wanted to complete these operations as soon as possible. In fact, Chen Zhendong should have expected it since entering the operating room today.
After all, his surgery day coincided with Wu Xiaofu’s outpatient day and duty day.
But at the beginning, he still had some hope, but now, his hanging heart has finally died completely.
But when it was past nine o'clock, he was happy when he saw Wu Xiaofu also entering the operating room. Wu Xiaofu was still thinking of him, and he couldn't be really busy until midnight.
Unfortunately, he really thought too much. Wu Xiaofu was not here to save him, but to save the patient.
Ten minutes ago, Wu Xiaofu’s outpatient clinic was about to end. All the people outside had finished watching. Looking at the time, it was already 8:40.
At this hour after get off work, Jiang Bei and the others were still slightly satisfied.
However, accidents always happen unexpectedly.
They all turned off their computers, cleaned up the clinic, and were about to leave, but a patient blocked them at the door of the clinic.
“Doctor, doctor, you’re not off work, you’re not off work, come and see my brother quickly, it’s not a coincidence that you came early, there’s no one around.”
Said a young man, He pushed the young man in the wheelchair in front of Wu Xiaofu.
Hmm!
When Wu Xiaofu saw this scene, he refused very much. If he had not turned off the computer before, he would have just looked at it. But now that the computers were turned off, they were late. Wu Xiaofu really didn't want to add another number.
It is okay to sign up, but at the very least you have to have an attitude. Many of the patients who received the sign up today have been waiting since the afternoon, and they have been waiting for several hours.
The last step is to see the doctor. Wu Xiaofu does not require the patient to wait for several hours, but at least you have to come before he gets off work.
Wu Xiaofu has already got off work, and he is stuck here again. The form of overtime work suddenly changes. He refuses. Wu Xiaofu refuses.
"We have already got off work, come over next time."
That's right, Wu Xiaofu's direct refusal of treatment is not considered a violation. As long as the outpatient clinic is over, it is reasonable to refuse all requests for additional appointments.
Of course, special circumstances require special treatment. The prerequisite for refusing diagnosis is that the patient's problem is not serious, and at least his life will not be in danger because of his refusal.
The boy, who was less than 20 years old, looked pale and was covering his right abdomen. Judging from the location, it should be around the appendix. appendicitis?
Most likely, it is, but the situation should not be serious and the inflammation has not worsened.
In this case, just go to the emergency room and see him. There is no need for Wu Xiaofu to take everyone back and restart the computer.
"What, no, my brother is in so much pain and you didn't even show me. You are so disrespectful of human life. Believe it or not, I will complain to you."
Hun's generous aura revealed, Wu Xiaofu frowned even more.
However, he has faced many patients and has seen a lot of this kind of disease, so naturally he will not quarrel with the patients.
"The patient's condition seems to be fine. It should be a problem with the appendix. Just go to the emergency room for treatment. Our computers are all turned off and we can't view it anymore."
I thought that after saying this, the patient's family would understand, but unexpectedly, the patient's family directly blocked the route Wu Xiaofu wanted to take.
"No, there are too many people in the emergency room. My brother is in so much pain, but you still make him wait. They said, you can also see it here, show it to us quickly, otherwise, I , me.”
The patient’s family members stretched out their fists, and Wu Xiaofu was even more helpless. It seemed that he had to talk to the emergency department when he found a chance. What’s the situation? I’m afraid it’s not that some people in the emergency department are too busy. Just guide the patients to come to him.
Otherwise, the patient’s family may not know this.
"Brother, forget it, I'm actually fine. Let's just wait in the emergency room. I'm much better now. Maybe I'll be fine in a while."
The patient's brother interrupted directly, "Don't say anything."
His eyes fell on Wu Xiaofu, "Just tell me whether you can cure it or not."
As he said that, his sleeves were rolled up. , Wu Xiaofu was not too scared. The patient's family members were much shorter than him, physically not as strong as him, and they didn't have a weapon, so Wu Xiaofu didn't have to worry at all.
Even if he really takes action, Wu Xiaofu has absolute confidence and can take it directly.
“It’s really time to get off work.”
After finishing his words, Wu Xiaofu couldn't help but glance at the patient's family members. Their faces seemed to be getting paler and paler, and they didn't look angry.
The emotions are getting higher and higher, and the excitement is a bit frightening.
However, before Wu Xiaofu could think about it, the fists of the patient’s family members had already reached his face.
Wu Xiaofu was about to resist, but saw that the patient’s family members had already fallen to the ground before the attack could land on him.
Everyone was shocked.
"Brother, brother, what's wrong with you?"
The reason why the patient is sitting in a wheelchair is not because of the severe pain, but because of the congenital leg problem. At this time, he was anxious and almost fell down. .
Wu Xiaofu hurriedly asked Cheng Shi to hold the patient, and he quickly stepped forward to check on the patient's family members.
The skin is clammy, the heartbeat is racing...
The blood pressure is rising sharply? Losing too much blood? Congenital heart disease? ……
Various possibilities appeared in Wu Xiaofu's mind, and he looked at the patient, "Does your brother have any genetic diseases, or has he had any diseases before?"
The patient heard Wu Xiaofu's question and shook his head, " No, my brother is in good health and has never been admitted to the hospital. If he hadn't been with me, he might never have had to go to the hospital in his life. "
Yeah!
No?
“Is your brother always so excited?”
"No, it was just that someone suddenly appeared while driving on the road. My brother made a sudden stop and almost hit the person, but the person walked away. This is why my brother was a little excited."
Stop!
Wu Xiaofu’s eyes fell on the patient’s belly.
“Syringe.”
Jiang Bei understood instantly after hearing this, and hurried forward to suction directly on the patient’s abdomen.
Sure enough, the blood filled the infusion set, and the blood did not coagulate.
"Quick, tell the operating room to prepare."
Wu Xiaofu didn't have time to say anything more, so he directly asked Cheng Shi and others to prepare a flatbed truck, send the patient to the operating room, and called a nurse to open the intravenous channel.
The patient's condition is not serious, but the patient's condition is more serious. The patient's condition is most likely due to a ruptured spleen.
When a person loses too much blood, his emotions will also be affected, and he will be excited and excited.
From seeing these two patients to entering the operating room, it actually took less than ten minutes.
Wu Xiaofu glanced at the situation on Chen Zhendong's side and turned into another operating room.
After opening the abdomen, it turned out that the spleen was ruptured, and the damage was quite serious. Without delay, splenectomy was performed immediately.
Chen Zhendong was in the operating room next door, and he heard about this at this time, "Huh, you push so many patients for me, you see, you can't leave either."
He I wasn't worried about the patient. It was just a ruptured spleen. He went directly to the operating room and didn't have to wait long. Wu Xiaofu did the surgery himself, so it was difficult to think of anything wrong.
"What are you talking about? I seem to hear you saying bad things about me?"
Wu Xiaofu's voice suddenly appeared, which surprised Chen Zhendong. Looking carefully, it had been half an hour and it was indeed over.
I’m afraid this is a bit tricky, otherwise it wouldn’t be so slow.
“It’s not easy to do?”
“The blood loss was a bit too much, and the patient also had problems, including splenomegaly and liver problems. Two blood bags were filled.”
Chen Zhendong nodded, this is normal. Although most of these impact injuries are caused by accidents, in most cases, patients should have no major problems.
Unless you have some basic diseases, like this patient, who has an enlarged spleen and a problem with the physiological structure itself, it is normal for the spleen to rupture after another impact.
"Boss, I'm here."
"How many are left?"
"Santai, you are really crazy. Why did you push so many here today? A total of seven Eight.”
"That's okay," he said, looking at the nurse on the side. This was the nurse from the operating room next door who had just worked with Wu Xiaofu, and she was also working overtime.
When she met Wu Xiaofu's eyes, she felt something was wrong, "Don't you want it?"
Wu Xiaofu immediately smiled and said, "Thank you for your hard work, sister Xin."
Sister Xin just rolled her eyes and said, "If your heart is not suffering and your life is suffering, you'd better hurry up. Otherwise, I will ask your brother-in-law to come to you."
Wu Xiaofu didn't care, "Haha, it must be fast, I Order coffee for everyone.”
Sister Xin believed Wu Xiaofu's speed. After Sister Xin told other nurses and anesthesiologists, they had no objections.
It’s all here, it doesn’t matter if you make one more.
(End of this chapter)