Come on, Dr. Wu
Chapter 225 Grandpa’s Surgery
Chapter 225 Grandpa’s Surgery
It seems so.
A hepatic hemangioma with a diameter of ten centimeters is already on the verge of considering surgical intervention, but Wu Xiaofu is more concerned about the fact that hepatic hemangioma will recur. As for the cause of recurrence, in Wu Xiaofu's opinion, in addition to pathological factors, the most important factor is The important thing is this emotional issue.
Judging from the patient's current situation, even if he undergoes surgical resection, he is afraid that a second or third liver hemangioma will appear.
From another perspective, if the mood can be stabilized, perhaps the condition of liver hemangioma can also be improved.
"Are you usually very stressed?"
"Well, two years ago, my boss said he would promote me and ask me to work hard. I suddenly became angry. I have worked overtime almost every day for the past two years. Day after day, my body is getting more and more tired and I feel angry. I’m getting more and more, but I don’t see any promotion at all. I suspect that my boss is trying to trick me, but I’m a little reluctant, what if I really want to be promoted!”
Wu Xiaofu couldn't help but laugh when he heard this. This leader is also a talented person. He can paint a big picture and make the patient in front of him work hard for two years. This is not something that ordinary leaders can do.
At most, it can only be deceived for two months. If you want employees to continue to eat cakes, you have to give them some sweeteners. It’s amazing. Dao Xing is not low at first glance. The patient in front of him doesn’t look stupid. It's a bit like being possessed by a demon.
"What about family? Do you have any children?"
The patient was immediately satisfied when she heard that she could leave her contact information. In fact, she didn't want to have surgery. Now that Wu Xiaofu gave her a reason to take a vacation and painless treatment, the patient was actually very happy.
"Your current situation has reached the edge of surgery. My suggestion is that you change your lifestyle. Of course, this is not the purpose. The fundamental purpose is to change your mood and stabilize your mood. If you have been maintaining In this state, even after surgery, there is a high probability that the disease will continue to recur, or even breed other diseases.
Seeing the last patient finally go in, I felt relieved.
The next day, Wu Xiaofu finally realized that sentence: After leaving for a week, he was still busy when he came back.
First, she went to the ward to see the patient. After all, he was the father of her future partner. This relationship still had to be maintained. Then she went to the outpatient clinic. In fact, Qing Yue thought that she was pretty accurate in seeing people.
To be honest, it is quite normal for one or two liver hemangioma to develop every day just because of this emotion. This is not necessary. Not only liver hemangioma, but also various nodules will develop over time.
There are still some places where you can hang out in the East China Sea. This is the first time for grandma and grandpa to come here. Liddell will have to be hospitalized tomorrow. Naturally, Qu Ying will take care of it. The five of them take photos and send them to Wu Xiaofu from time to time. Wu Xiaofu is a little envious.
With Wu Xiaofu's medical ethics, even if she didn't say hello, Wu Xiaofu would probably be serious and responsible, but this was different for her. She had to explain to Wu Xiaofu that she was serious and responsible. If it was because of her If so, the harvest for her would be different.
Qing Yue arrived at five o'clock in the afternoon, thinking that there should be less time in the afternoon. Who would have thought that after arriving at five o'clock, there would be about twenty people outside. In this way, Qing Yue has waited until now.
However, when she arrived at the outpatient clinic, she realized how terrible Wu Xiaofu was now. There were so many patients that she was too embarrassed to disturb Wu Xiaofu. She thought about going in at noon, but who would have thought that Wu Xiaofu worked so hard that his lunch would be all I had to eat in the clinic, so I had no choice but to go back first.
No wonder people take a vacation and can't take their hearts back. Look at this, how can they take it back? Wu Xiaofu can't wait to rush there now.
Promotion is important, but the body is the capital of the revolution. If the body is broken, what will happen if you get promoted? What I am most afraid of is that if the body is broken, the job is not promoted. Do you think so, and at home? , if financial conditions permit, you may consider hiring a nanny, a tutor, etc., which can also reduce your emotional burden.
The message prompt on his cell phone was ringing. Wu Xiaofu took advantage of the patient's transition to glance at his cell phone. It was from Qu Ying.
Wu Xiaofu's speed was not slow today, and he had already seen the last one at 6:30.
She didn't know how Wu Xiaofu managed to survive this day. She just sat here and waited for more than an hour, and she was very tired. Wu Xiaofu actually just looked at the patient for a whole day, and he probably had to do some examinations in the middle.
Qing Yue sat on the chair in the corridor, feeling uncomfortable everywhere because of the soreness in her back.
Half the salary!
She was hung up by Wu Xiaofu in the morning and went straight to the hospital.
"This is my suggestion, give it two months. You can see the effect within two months. After two months, do a color ultrasound. If the condition is still progressing, then come to me for surgery. I will contact you. I’ll give you the method, call me directly when the time comes.”
"Yes, I have a son who is already in junior high school. My husband is lazy. He lies in bed every day when he comes back from work and does nothing. Every night after I come back, I have to be busy cooking, cleaning housework, and tutoring the children. It has to be me.
Take advantage of the holiday to go out for a walk and participate in some activities appropriately. After your mood stabilizes, your liver hemangioma may be relieved. "
Qu Ying was still lacking in cooking skills. After the others got tired from playing in the afternoon, they went home. Qu Ying also said that she would learn cooking skills from Sarilang, which made Sarilang extremely happy. Okay, now the woman Not many children are willing to learn to cook.
six thirty.
So you still have to learn how to cook. When a woman cooks, she does not necessarily cook for her husband, but also so that she can eat comfortably when she is alone, so that she does not have to order takeout or go out. eat.
"Thank you Dr. Wu."
I was angry at work and couldn't feel at ease when I got home. When I saw my husband lying on the bed motionless, I became angry. As for tutoring my children with homework, even though they are in junior high school, I also graduated from a prestigious university, so I can barely do it. .
Ding-ding-ding-ding-ding!
This!
"Teacher and nanny! I'm afraid it will cost half of my husband's salary. But, can I really do without surgery? Just adjust my mood?"
This shows that the patient’s husband earns at least 50,000 to 60,000 yuan a month, which is also very impressive in Donghai, okay? Wu Xiaofu has been working hard for half a year, which is at this level, okay, with this income, after returning home, lie down It's still okay.
If you really don’t come for a good look, you don’t know how hard the doctor works.
Squeak!
But my child is too stupid. When I was tutoring, my blood pressure rose and I almost fainted. Doctor, you don’t know..."
Two months later, even if the disease is still under control, it won't affect anything. You don't have to bother to register. You can just call Wu Xiaofu for surgery. It's perfect.
Therefore, you still need to consider adjusting your work and lifestyle.
Today Qu Ying took her grandma, grandpa, Sarilang, and Su Yu out to play.
The two of them are so busy. Although Wu Xiaofu can cook, if Wu Xiaofu is too busy to come back, Sarilang is very worried that his daughter-in-law will only be able to eat takeout in the future.
However, I have almost finished reading it. I will go home and have dinner after finishing it. Today, Sarilang said that he would put a good table on the table again.
Outside the clinic.
"Thank you, Doctor Wu, thank you."
The clown is me!
Wu Xiaofu couldn't help but shake his head. Tutors and nannies in Donghai are so expensive. In total, they don't cost more than 20,000 to 30,000 yuan a month. Originally, Wu Xiaofu just gave suggestions, but this patient really has such conditions.
Listening to the patients' complaints, Wu Xiaofu could already tell how bad the patient's life was. It was not necessarily caused by others, but could also be caused by himself. This was because he didn't like everything he saw.
The door of the clinic opened, and the patient left with a smile and words of thanks. Qing Yue also cheered up and hurried to greet him. Seeing that Wu Xiaofu was drinking water, she knocked on the door.
Wu Xiaofu looked up and discovered Qing Yue.
"Mr. Qing?"
"Yeah! Doctor Wu, you really remember me."
Qing Yue was a little surprised. She just said, how could someone forget her after seeing her? Sure enough, he was a duplicitous man.
"Haha, Mr. Qing came here through Sister Li's relationship. How could I forget, who are you?"
Li Ran!
Qing Yue frowned. He had to turn a corner to remember her, because Li Ran could only remember her, what a bitch.
But business matters were important, and now that he was asking for help, Li Ran naturally had to have a better temper.
"You forgot, the patient I told you about this morning."
"Oh, don't worry, I will perform that patient's surgery myself and I will do my best."
Why is this man so ignorant?
"Doctor Wu, in order to thank you, I have to treat you to a meal tonight. I asked Mr. Li to come with me. He also wants to treat you to a meal. This is absolutely sincere. You can't refuse."
Wu Xiaofu has already changed his clothes and handed his white coat to Peng Xia. This clinic is not his exclusive clinic. Other doctors will use it later. Personal belongings cannot be placed in this clinic.
Looking at Qing Yue, "Mr. Qing, then I really have to say sorry. My grandma and grandpa just came here yesterday, and my girlfriend is cooking tonight, so I really have to go back today, forget about eating. Don't worry, I'll be there with the patient." It will definitely look good, see you later.”
After saying that, Wu Xiaofu left directly.
Qing Yue looked at Wu Xiaofu who rejected her because of his girlfriend, and suddenly felt that good men belong to other people.
Pooh!
After working on it for a long time, I still haven’t finished it. Even though I can’t eat, I still have to talk about it.
"Doctor Wu, it's like this. Mr. Li is one of my partners. So, could you please tell me that when you talk to him, it's because of my relationship that you are so dedicated."
Wu Xiaofu paused and looked at Qing Yue.
Is this kid’s head broken?
Of course not, he shook his head, said nothing more, and left directly.
After returning home, Wu Xiaofu heard the laughter at home before he opened the door. He didn't know what they were talking about, but they were so happy. "Grandma, grandpa, Mom, I'm back."
Opening the door and walking in, she saw that the table had already been set up. Qu Ying was still listening to everyone's compliments. It was obvious that she couldn't close her mouth after being praised, and her face was red to the roots of her ears. This was because she was praised a little. Can’t stand it anymore?
Seeing Wu Xiaofu coming back, Qu Ying hurried over.
"Xiao Fu, look, I did it."
Looking at Qu Ying who was asking for credit, Wu Xiaofu also showed a surprised expression, "My wife is so good? In an afternoon's effort, your talent has caught up with the magic chef Xiao Fugui."
Qu Ying raised her chin, "That's right, Mom praised me for my talent, so you can enjoy it from now on."
Good guy!
They all called me mom. If I remember correctly, it was still auntie when we had breakfast in the morning. On this day, Sarilang was so awesome. This made Qu Ying change her story, and she saved the money for the change.
"Okay, you guys are okay. There are still single people here. Can you please consider my feelings?"
Su Yu looked at the two people flirting with each other, her eyes filled with sadness.
Wu Xiaofu doesn't care about her. His wife will leave the day after tomorrow, so he can't waste time getting intimate with her.
The dinner table.
"Try it and see how it goes?"
After Wu Xiaofu sat down, he realized that although there were many plates, the color and taste didn't seem to be right. Of course, many people's cooking didn't look good, but it was delicious.
Uh!
One bite into your mouth, well, you can still eat it.
"How about it?"
Qu Ying looked at Wu Xiaofu expectantly, and Su Yu and others also looked over, especially Su Yu, who couldn't hold back her smile at this time. This dish didn't look delicious, but Wu Xiaofu actually still had expectations.
Just now Qu Ying was about to try it by herself, but she was stopped by Sarilang. It was Sarilang who tasted it. Su Yu, as smart as Su Yu, knew that this dish must be useless without even thinking.
Wu Xiaofu's eyes lit up.
"It's delicious. My wife, your talent is really amazing. I already have three points of skill in it."
Qu Ying was even more surprised when she heard this, but she was still a little dissatisfied when she heard that Wu Xiaofu said that he only had three points of skill. It seems that he will have to work harder in the future. He put a chopstick into the bowl of Suyu. Grandma and grandpa did not eat dinner. Sarilang said If they don't have dinner, then only the three of them can eat.
This!
Su Yu looked at the food in the bowl, and then at Wu Xiaofu. Could it be that it was just a bit poor in appearance? It was actually quite delicious!
With the mentality of giving it a try, Su Yu picked up the vegetables in the bowl and put them into her mouth.
Woo!
Su Yu only felt that her taste buds were challenged, it was too salty, "Wu Xiaofu, you are hurting me!"
"How about it, Xiaoyu, give me some advice."
Facing Qu Ying's sincere eyes, Su Yu almost cried, "Wow, it's delicious. I want to cry when I eat it."
Hahaha!
Wu Xiaofu couldn't help laughing. After dinner, Qu Ying started to sulk because she failed in cooking, while Wu Xiaofu finished the content related to brucellosis.
After his grandpa is hospitalized tomorrow, Wu Xiaofu is going to go to Binan Medicine and ask them to start work there. This should be done soon. Among the three projects currently being prepared by Wu Xiaofu, brucellosis is obviously the last one to start, and may be the third one. An end.
You must know that brucellosis is not unique to China. When the results come out, it will definitely shock the whole world. Wu Xiaofu should have no problem in using this to appetize the world.
Saturday morning.
Zheng Xinxue was not in the department, but she had already arranged for the doctor on duty. After Wu Xiaofu and the others brought Liddell over, they immediately started hospital admission.
Even those who have never seen Wu Xiaofu can recognize Wu Xiaofu at a glance. After all, Wu Xiaofu's photo is still hanging on the homepage of the official website, not to mention that the man on duty in front of him is familiar with Wu Xiaofu.
This is the advantage of working in the emergency department. You can know almost all the doctors in every department. What's more, Wu Xiaofu has also been the chief resident of the emergency department, and he handles both internal and external medicine. I don't think any of the doctors who come here for consultation know Wu Xiaofu. Disaster.
"Doctor Wu, Director Zheng has already made arrangements, but there is no need to make arrangements for this matter. We will definitely handle it as our grandfathers, so don't worry."
Qi Dong is the chief physician in Zheng Xinxue's group. He is twenty-nine years old, about the same age as Wu Man. At this time, Liddell was admitted to the hospital together, calling him grandpa, which made Wu Xiaofu feel a little embarrassed. This guy My son can get along with me. If there will be benefits in the future, I must think of Qidong.
Grandpa is staying in bed with Wu Xiaofu. When he has something to do, just ask Nurse Corey to keep an eye on him. In just a short while, the nurses on duty came several times, all talking about this matter. Let Wu Xiaofu do it. Tell them and they will take care of it.
This reminded Wu Xiaofu that when he was a graduate student, the brother-in-law of the department director came to the hospital. Wu Xiaofu was also so enthusiastic and busy, but these nurses were different. It was definitely not because he was the deputy dean's favorite student. Because of his charisma.
In the afternoon, I went to Binan Medicine and handed over the information on the specific medicine for brucellosis to the scientific research team and asked them to start experimental research.
Seeing that Wu Xiaofu actually gave them another project, everyone was a little shocked. They didn't know how Wu Xiaofu's brain did it.
The information on the special medicine was complete, so Wu Xiaofu divided himself into a group. Knowing that if this special medicine was developed, it would benefit them, they naturally did not dare to slack off and started working overtime.
He didn’t stay at Binan Medical for too long. When he returned to the hospital, the nurse took Liddell to do several examinations. There were still two that needed to be urgent. Wu Xiaofu had to take them there himself, otherwise, it would be a big weekend. , people really don’t necessarily give you face.
Wu Xiaofu has already communicated with Zheng Xinxue. The results should be almost ready today, and the operation can be performed tomorrow. In fact, for examinations in the hospital, as long as you can ask the examining doctor to help, the results can be obtained as quickly as possible, just like Wu Xiaofu is like this.
What's more, many of the tests Liddell brought over can be used without having to repeat them.
For stent surgery, the most important part of the preoperative preparation is the iodine allergy test.
Because stent surgery needs to be performed under contrast conditions, iodide contrast agents are commonly used clinically for kidney, gallbladder, bladder, bronchial, cardiovascular, and cerebral angiography.
After the iodine-containing contrast agent is injected into the body, allergic reactions may occur. Different groups of people have different severity of symptoms, and some severe cases may even be fatal. Therefore, an allergy test must be done 1-2 days before the imaging. Only those with a negative test can Iodine contrast examination can be done.
The observation time must be sufficient. You may still encounter some patients with myocardial infarction in the emergency department. They have no time to do an iodine allergy test and start surgery directly. If iodine allergy occurs, the situation will be very bad.
But in that case, I couldn’t care less.
If you don't do it, you will die, but if you do it, there is still a chance of survival.
Sunday.
Sa Rilang and his grandma were both at the hospital. The surgery was at nine o'clock, while Wu Xiaofu was going to see off Qu Ying. Qu Ying's flight was at eight o'clock. After seeing off Qu Ying, he came back without delay to see Liddell's surgery.
During the operation, Wu Xiaofu followed Zheng Xinxue into the operating room. Wu Xiaofu observed through the mirror that operations under contrast imaging conditions basically involve a certain amount of radiation. However, the amount of radiation in cardiac stent surgery is very small and will basically not affect the doctor. Influence.
But since Wu Xiaofu is not an operating staff, there is no need to enter the operating room.
The puncture point chosen by Zheng Xinxue was the right radial artery. Like interventional surgery, for this kind of surgery that operates along the blood vessels, the puncture point chosen is usually the radial artery or the femoral artery.
It just depends on the surgical site and situation, there must be a priority.
Wu Xiaofu was also seeing heart stent surgery for the first time, and she was still very interested. She didn't have much worry about whether the surgery would be successful. Zheng Xinxue performed this kind of surgery just like eating and drinking. She said it would be fine, so There will definitely be no problem.
Zheng Xinxue was indeed very calm during the operation.
The puncture point is first disinfected, then the radial artery is punctured with a puncture needle, and a guidewire is implanted in the sheath of the plant in an orderly manner, and then the angiography catheter is advanced.
Cardiac stent surgery requires the use of C-arm X-rays. Almost the entire entry process of the angiography catheter needs to be carried out under the guidance of the C-arm machine. This is also a very critical step. Send the angiography catheter to the opening of the coronary artery for vascular examination. Angiography to determine the location and extent of coronary artery stenosis.
After the angiography is successful, the picture is very intuitive. Take out the angiography catheter, and then feed the stent catheter along the guide wire. Send the catheter to the opening of the coronary artery, and then the C-arm X-ray is guided below, along the guide wire. Deliver the stent into the narrow site.
This is actually not easy. If you are not careful, it is possible to pierce a blood vessel. So although people now talk about heart stent surgery, it is as simple as putting a hairpin in your hair, but this surgery is really The level of danger is not low.
Zheng Xinxue went very smoothly, but that was also because of Zheng Xinxue's skills that he had practiced through countless operations. Putting his experience here, some old doctors in the cardiology department always said: Why should he compare with me? How long does it take for me to perform stent surgery? Time, how long does he have? I can send the stent over with my eyes closed, but he!
Although the words are a bit exaggerated, they are similar. For a doctor of Zheng Xinxue's level, I am afraid that the condition of the blood vessels around the heart is all in his mind. Once the touch comes, it can be done in a few minutes.
The expanded balloon releases the stent in one go.
Become!
Wu Xiaofu looked at Zheng Xinxue's movements and thought to himself that the surgeries were all the same. Looking at Zheng Xinxue's movements, Wu Xiaofu knew that the surgery was almost done.
After the stent is released, an angiogram is required to see whether the position of the stent is appropriate and the opening state of the stent. As long as the stent is released properly and the stent is in a patent state, the stent surgery is successful.
After the imaging, sure enough, the imaging situation caught everyone's eyes, it was perfect.
call!
Seeing this situation, Wu Xiaofu also breathed a sigh of relief, it was successful.
Zheng Xinxue pulled out the catheter, and Wu Xiaofu hurriedly entered the operating room. Because the puncture operation was performed on the artery, after the operation, the opening of the artery needed to be compressed for about half an hour to stop the bleeding from the artery.
This is usually done by family members.
"Doctor Wu, let me do it. You talk to the director."
(End of this chapter)
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