Come on, Dr. Wu

Chapter 219 Return to North District

Wu Xiaofu did not resist anything, and was led by the patient to touch the patient's abdomen.

Ah!
It was a mass, a mass that appeared in the upper abdomen. Excluding the epidermal mass, in Wu Xiaofu's opinion, there was only one possibility, and that was an enlarged liver.

Normally, people cannot actually touch the liver. Once they touch it, it must be pathological manifestations of the liver. Progressive liver enlargement will only be touched directly. There are still many diseases that can cause liver enlargement.

No matter which one it is, you need to check it before you know it.

"how long it has been?"

"I have been suffering from pain for more than a month. I only felt this bag this week. I thought it was inflammation at first, so I took some anti-inflammatory medicine, but it had no effect at all. I was still yellow. I checked online and it said it was If you have liver problems, I will call you right away.

By the way, my son follows your blog and usually sends a lot of content to us. "

Another patient was recommended by a blog fan. Wu Xiaofu knew that it was indeed a liver problem. As for jaundice, it was most likely caused by an enlarged liver compressing the biliary tract, resulting in obstructive jaundice.

There are many reasons that can cause this symptom, such as primary liver cancer, benign liver tumors, liver abscesses, parasites or non-parasitic cysts, and cirrhosis and portal hypertension can also cause it.

Put one hand on the patient's pulse. In the concept of traditional Chinese medicine, tumors are called stagnation, whether they are benign or malignant. While stagnation is manifested in the pulse, the pulse condition in front of you does not seem to be a manifestation of stagnation.

Therefore, tumor diseases can actually be ruled out, that is, liver cancer, which is the condition that patients are most worried about. In fact, it can be initially ruled out, as for the remaining conditions.

The patient has no history of hepatitis and has been very healthy before. Cirrhosis of the liver should not exist.

"A month ago, did you go somewhere or eat something unusual?"

"I'm just about to tell you that I just came back from traveling in the northwest, and this happened. Do you think it has anything to do with it? I ate a lot of things there that I couldn't usually eat. Mostly beef and mutton.”

Wu Xiaofu knew that this migratory disease was actually more representative.

There was no rush to make a diagnosis. Color ultrasound and blood tests were prescribed for the patient, and the patient was asked to go for examination first.

After Wu Xiaofu saw seven or eight patients, the patient came back.

Look at the ultrasound performance.

A cyst appeared on the liver. The shape of the cyst was quite regular. It looked almost round. The wall was relatively thick, and the border was clear and smooth. The daughter cyst could also be seen inside the cyst, and active light spots could be seen in it.

Activity light spot!

There is also enhanced echo around the lesion, which indicates that the cyst is solid, and there are moving light spots, which indicates that there is something inside the cyst.

What could it be!
There is only one possibility that it manifests in the liver, hepatic echinococcosis. Combined with the patient's previous travel history, it can be basically determined. In the East China Sea, hepatic echinococcosis is basically not seen, and it is generally seen in the northwest. Much.

Many people who travel and migrate are prone to this disease.

"You have hepatic echinococcosis and need surgery. Please leave your phone number and I will ask the doctor in the department to contact you later. If a bed becomes available, you can move in."

The patient's onset time is not long. Hepatic hydatid disease is still mainly treated by surgery. Just remove the internal cyst. As long as the surgery is complete, there will generally be no recurrence.

Hepatic echinococcosis!

Operation!

The patient's expression also changed at this time. He didn't expect that he would need surgery. However, it was better than expected. Before he came, he was prepared for cancer. Now this hepatic echinococcosis is still acceptable. , at least it’s not a disease.

However, he also learned about this disease when he read Wu Xiaofu's blog. It was caused by bugs in the liver. He heard that it was not easy to cure and could easily relapse.

"Doctor Wu, is this easy to cure?"

"Don't worry, you arrived early. It's actually better to have the surgery as soon as possible. We did laparoscopy and the recovery is quick. You can be discharged from the hospital in a few days, but you can't delay. If the condition progresses, it will be difficult to say."

After hearing Wu Xiaofu's words, the patient did not dare to delay and quickly thought about being hospitalized. Some small hospitals may scare patients into hospitalizing them for surgery, but the First Affiliated Hospital is different. There is no shortage of patients here. Without surgery, there would be no need for this.

Therefore, it is said that surgery is required. People who understand it will not think about being conservative.

There are no empty beds in Corey now, so Wu Xiaofu continues to see patients.

By the time I got off work in the evening, the number of patients had exceeded one hundred.

It was also a shame that Wu Xiaofu could see quickly. Those who could avoid examination were basically not allowed to do so. Those who could avoid being hospitalized were basically treated at home. In this way, it was around seven o'clock in the evening.

"Let's go, I'll take you to dinner."

Take Peng Xia with you and prepare to reward him.

In the restaurant, one bowl of noodles per person.

"Director Duan, I already told you that two teachers in the emergency department who went out to study have returned. You can report to me next week."

When Peng Xia heard this, he immediately raised his head in surprise. After waiting for more than a month, he had really waited.

"Thank you, boss. After I enter the department, I will work hard to live up to your cultivation of me."

No one who can enter a specialty will stay in the emergency department, especially young people. After all, the development prospects of the emergency department are much worse than those of other specialties.

On Saturday, Wu Xiaofu made appointments for four liver transplant surgeries, all of which were completed quickly. Now in the Department of Hepatobiliary Surgery, Wu Xiaofu’s liver transplant surgery priority has been raised to the top level. Whether it is hospital arrangements or patient selection, everything is done for him. Wu Xiaofu has accumulated more and more liver transplants here.

This made Wu Xiaofu pay more and more attention to the research on the circulatory system of human organs.

In Binan Medicine, Wu Xiaofu asked Wu Nanqing to help open another laboratory, specializing in studying the human organ circulatory system. With Wu Xiaofu's technical support, the progress was good.

The research on the gene sequence of rectal cancer is also progressing at a gratifying rate. Every time Wu Nanqing talks on the phone, she happily talks to Wu Xiaofu about this matter. After all, if this is done, the Wu family will reach the top level in medicine.

A powerful group must develop in an all-round way, which made Wu Nanqing unhappy.

Sunday.

Wu Xiaofu came to the fire brigade.

This time, not only Lin Jiang and others from the station will bring people to listen to Wu Xiaofu's speech, but also all the fire stations in the detachment will come to participate. Of course, not all of them can come, but those who have serious problems and need to listen will basically not miss this time. .

Wu Xiaofu stood on the podium, and below him was a black and flaming blue.

Even the few psychiatrists who came to listen were wearing military uniforms at this time.

They all looked at Wu Xiaofu with bright eyes. They had all read the book and gained a lot, both in terms of gains and feelings. This time they heard that Wu Xiaofu was going to give a speech. Most of these firefighters were volunteers.

Now they are also looking forward to Wu Xiaofu's speech.

Wu Xiaofu also looked at these faces, most of which were younger than himself, with smiles on their faces. Due to the nature of the speech, this speech was destined not to be an impassioned impromptu speech, nor a passionate performance that aroused emotions.

Wu Xiaofu used a soft and silent language to make everyone present begin to examine the side of themselves that is hidden deep in their hearts and cannot be forgotten, but is difficult to forget.

Then it’s simple. It doesn’t matter whether the chicken soup is hot chicken soup or poisonous chicken soup. As long as it works, it is good chicken soup.

The fear and pain caused by facing the abyss are not worth mentioning in front of chicken soup.

Most of these firefighters burst into tears at the end of a speech. If you feel it carefully, you can find that the tears do not represent pain, but rather like a redemption. Everyone feels much more relaxed at this moment. .

Even the psychiatrists looked at Wu Xiaofu in horror after the speech, because even they were affected, and their hearts seemed to have been baptized. They were too familiar with this ability.

Almost all top psychiatrists have this ability, but they are all one-on-one. Wu Xiaofu directly targeted an entire conference room, hundreds of people in total. How was this done?
Wu Xiaofu also smiled when he looked at his results. In fact, they were not as powerful as they thought. The speech was only a small reason for today's success. What was really impressive was Wu Xiaofu's book.

What are you thinking about when you face the stars?
I believe that everyone who can sit here has read his book, and from the time they read this book, they already have the foundation to be influenced by Wu Xiaofu. Today's speech is just an introduction.

After the speech, Wu Xiaofu left, and the psychiatrists forgot to ask Wu Xiaofu the questions they had prepared before.

Duan Zhenyu looked at Wu Xiaofu with eyes full of amazement. Fortunately, such a talent was a doctor and a kind doctor who was willing to help patients. Otherwise, if he entered the society, he would not dare to imagine how much impact Wu Xiaofu could have on society.

Duan Zhenyu has also seen Wu Xiaofu's achievements today.

Words of thanks are not enough to express Duan Zhenyu's mood at this time. With Wu Xiaofu here, the situation of the fire brigade will be ten times better in the future. Wen Xinhan really recommended to him a plan that will make the entire firefighting career better. Talents who benefit from it.

Wednesday.

The surgery for patients with hepatic echinococcosis was immediately scheduled to begin, with Wu Xiaofu performing the surgery.

Wu Xiaofu paid special attention to this patient, so he was hospitalized very quickly, and his illness was prioritized. For this patient, if he could not stay for two days after the operation, he could arrange hospitalization for surgery first, and there was no need to delay it.

If the surgery is performed earlier, the cyst can be removed only. If the cyst breaks open and invades the entire liver, the entire liver may need to be removed, and even liver resection cannot stop it. Therefore, Wu Xiaofu advised the patient to be hospitalized for surgery as soon as possible.

Peng Xia is an assistant, and this kid has already entered the college.

For this reason, Wu Xiaofu treated Duan Hao to several meals. After all, Duan Hao was not reconciled to having a good young man seduced away by Wu Xiaofu, so he couldn't treat him to a treat.

Drilling, pneumoperitoneum, and endoscopic placement.

There are conditions for choosing laparoscopic surgery for hepatic hydatid disease. The most important thing is the size of the cyst cavity. It is best to choose laparoscopic surgery when the diameter of the hepatic hydatid cyst cavity is less than 10cm.

If it is larger than 10cm, there is a high possibility that the cystic cavity is connected with the intrahepatic bile duct. In this case, complications such as bile leakage are likely to occur after the operation, and the operation will be more difficult. During the operation, including The sac is also prone to rupture and a series of infections can occur.

Then there is the location of the hydatid, which is located deep in the liver or behind the liver. Because the cyst cavity is not easy to expose, it is not suitable for laparoscopic surgery.

This patient's condition is relatively good. He was discovered early, and the diameter of the cyst cavity was only 7cm according to color ultrasound, and there was no co-infection of the hydatid cavity. Many cases of hydatid cyst cavity may be connected to the biliary tract when discovered late. Whether such a situation is performed laparoscopically or through incision, bile leakage is likely to occur after surgery, and the surgical operation will also be difficult because of the heavy adhesions between surrounding organs and the hydatid cyst.

Therefore, although hepatic hydatid disease is a benign disease, the difficulty of surgery is no less than that of liver cancer.

Choosing to do it laparoscopically raises the difficulty of the operation to another level. Laparoscopic hepatic hydatid cyst internal cyst removal has strict requirements for surgical indications and high surgical technical level.

The operation is inconvenient. If there is leakage of cyst fluid during the operation, it will be worse than no operation. This bug is not only parasitic in the liver.

The mirror provided a field of view, and the electric knife and forceps entered the abdominal cavity. Wu Xiaofu quickly found the location of the cyst cavity. Without hesitation, he started to perform dissection and resection directly. With Wu Xiaofu's current operating proficiency, there is basically no need to worry about the cyst cavity. Break the cyst cavity.

Under Peng Xia's gaze, soon, a complete cystic cavity was peeled off by Wu Xiaofu, protected by a bag, the incision was enlarged, the cystic cavity was taken out, and the liver surface was trimmed. Under strong mental exploration, it was basically No cavity could escape Wu Xiaofu's eyes.

The trouble with hepatic hydatid disease is that it may not just be a cyst, but may also have other sources of parasitic disease, which are not visible on color ultrasound. In this case, surgery cannot remove it, and the chance of recurrence is very high. Big.

Of course, such a situation does not exist here in Wu Xiaofu.

The whole process only takes an hour.

The neatness still makes Peng Xia happy. Hearing that Wu Xiaofu asked him to set up the stage yesterday, Peng Xia prepared for half a night, but seeing Wu Xiaofu complete the operation so smoothly, Peng Xia couldn't help but smile bitterly, even if he was well prepared. , it is impossible to achieve Wu Xiaofu's level.

The boss is progressing so fast. He almost watched Wu Xiaofu take off on a rocket. It was so scary.

Wu Xiaofu, no matter what Peng Xia thinks, with one more person in the team, many tasks will be carried out more smoothly. There are more people working, more work can be done, and things will go much smoother.

After the clinic on Friday, Wu Xiaofu handed over everything to Zhang Xuewen and Chen Zhendong, and he will leave back to the North District tomorrow.

It was mid-November when Wu Xiaofu came to Donghai in July. In four months, Wu Xiaofu had not gone back even once. I really thought, this was the first time for him to come to this place in his life. Far away, this was the first time he had left the North District for so long, and now he was finally going back. Wu Xiaofu had a rare insomnia due to excitement.

The next day, before Wu Xiaofu got up, he was woken up by the ringing of the doorbell. He came to the door with sleepy eyes. Good guy, Su Yu came with a big bag and a small bag. Look at the time, six o'clock, six o'clock.

"Su Yu, you are crazy. This is only six o'clock. Our flight is at ten o'clock."

Su Yu didn't care about that and threw the things in.

"Brother, you don't love me anymore. Why don't you answer my call? Do you know how I brought these things up alone? Oh, I'm so tired."

Wu Xiaofu looked at the luggage on the ground.

Two suitcases and a backpack, "Are you going to celebrate the New Year? We will be back in a few days. Why are you bringing so many things? Besides, we will be going down soon, why are you bringing things up?" "

"It's like oh, oh, if I had known I would have put it in the car first. I'm so stupid. I'm so excited. My prairie is so windblown that the cattle and sheep can't be seen. I've been I haven’t slept well yet. You go wash up and I’ll go take a nap first.”

Seeing his quilt being taken over like this, Wu Xiaofu was a little speechless and shook his head. He had no choice but to wash up.

Just rinse it with water, wipe it with a towel, and apply oil, and it's done within five minutes.

"Have you had breakfast?"

"Brother, just watch and do it."

What an ancestor!

Come to the kitchen and start cooking, fried rice with milk, Wu Xiaofu’s favorite. Wu Xiaofu is a master at making fried rice with eggs. Everyone loves it. Whoever takes the first bite wants the second bite. When breakfast is ready, Su Yula Get up and eat.

I didn't expect this guy to actually fall asleep.

"It's time to eat. After we're done, let's go to the airport."

Su Yu lost sleep after smelling the aroma of rice, her eyes flickering, "Brother, how lonely you are when you sleep alone. I will move in with you from now on, as long as you cook me breakfast every day."

Good guy, this abacus has hit Wu Xiaofu in the face. You live in his house and want him to cook. Why don't you go to heaven?

"In your dreams."

"Brother, I have a secret. If you promise me, I will tell you."

"Do not want to know."

Ah!
Su Yu felt that her mental illness was on the verge of breaking out. Why, it's good to be a little curious. There will be times when this bad brother will regret it.

airport.

A beautiful figure stood outside the airport, her hair blowing in the wind, which made people couldn't help but take a few more glances. It actually became a scenery of the airport, but the beautiful figure's eyes fell on the entrance, as if waiting for something.

"Almost there?"

"Right away."

"You didn't tell your brother."

"That's for sure. I'm so strict with my mouth."

Wu Xiaofu took Su Yu's big and small bags into the airport sidewalk. He saw a beautiful figure in the distance and laughed heartily. After throwing away the big and small bags, Wu Xiaofu ran over.

It is warm and soft in the arms, and the winter wind is also warm.

"Ugh, I can't breathe."

Wu Xiaofu then let go of Qu Ying, "You didn't tell me why you came back. I'll pick you up."

Faced with her boyfriend's accusation, Qu Ying pouted, "I want to give you a surprise. How about it? Is it a surprise?"

"What a surprise. Fortunately you didn't tell me. If you had told me, I would have had trouble sleeping last night."

Su Yu brought the big and small bags over and looked at the tired two people, rolling her eyes to the sky.

"Hey, it's almost done. There are still people here. The dog food is enough to feed them."

Wu Xiaofu looked at Su Yu.

"Do you know?"

"I know, but I won't tell you. Who told me not to agree to this in the morning?"

Only then did Wu Xiaofu know what the secret Su Yu was talking about. This child, give her a blow on the head, and directly hugged Qu Ying into the airport. Su Yu felt even more aggrieved, "You are stupid, I will sue your second uncle, wait." Wait, luggage, luggage, please help me carry my luggage, it’s so heavy.”

Su Yu looked at the luggage in her hand and became even more angry. There was also an extra bag belonging to Wu Xiaofu. Wow, it's inhumane to have people of the opposite sex.

It takes less than three hours to fly from Donghai to Bei District.

After getting off the plane, Qu Ying and Su Yu clearly felt the difference in temperature. Qu Ying was okay. After all, although the Imperial Capital was warmer than the Northern District, it also belonged to the north. The temperature difference would not be too big. Su Yu was different. Fortunately, he listened to Wu Xiaofu's words. , changed into two thick clothes.

"Brother, where should we go first?"

"Your second uncle is here to pick us up. Let's go out first."

Sarina was still taking care of Wuman in the imperial capital, but Wu Bin was focused on his career and returned to the North District early. Now Wu Bin is doing a prosperous career. With the help of Wu Xiaofu's shareholder style, the North District has also started a tourism boom. With the efforts of the North District Culture and Tourism Bureau, the construction work of hundreds of tourist attractions has been started directly, and most of them have been put into operation.

After all, most of these scenic spots are based on grasslands and do not require much construction. They can be used in just one circle under the premise of ensuring safety, and Wu Bin has focused his career on tourism.

In addition to covering many tourist attractions, the supporting horse farms, hotels, accommodations, specialty sales, etc. are all prosperous, and they have also started real estate. It must be said that Wu Bin is professional in doing business.

In just a few months, I made a lot of money.

Two weeks ago, I said I would pay off the mortgage for Wu Xiaofu. This time I heard that Wu Xiaofu was coming back, and I was very happy. I probably didn’t sleep well yesterday.

"Dad (second uncle, uncle)."

Outside the airport, Wu Xiaofu and the others saw Wu Bin at a glance. Not to mention, this career is really a man's second spring. Look, Wu Bin is simply radiant now.

"How are you? Are you tired? Let's go eat first. Xiaoyu and Xiaoying, it's your first time here. I'll take you to eat some of the best local food. Xiaofu, you go drive."

Oops! What a dear son.

Needless to say, along the way, I felt that there were indeed a lot more people in the North District. Wu Xiaofu had never seen so many people in the North District before. After all, it was the north. It was definitely sparsely populated with a vast land. He could actually see his heart on the street. to people.

And at first glance, many of them are not local. After all, locals are not so happy to go out. Moreover, their skins are also different, and their heights are also different. The difference between the north and the south is very obvious.

"Dad, tourism in the North District is really good now."

"Yes, Director Qin has talked to me about you several times, saying that when you come back, I will thank you personally. You deserve half of the credit for my business, but you have also suffered a lot for our local people in the North District. , house prices have increased a lot.”

The dinner table.

Su Yu had only heard Wu Xiaofu say how hard it was to eat in Bei District before, but now she really understood it. A table full of big meat, well, the siomai is really good, one bite is oily, how many days will it take to lose weight after eating this meal? Ah, wow, delicious.

Lin Bei got married on Sunday and started busy today. When he found out that Wu Xiaofu was back, he quickly called Wu Xiaofu for help. After all, Wu Xiaofu was still the best man and had to try on clothes and other things.

"Oh, my Master Wu, you are finally willing to come back."

(End of this chapter)