Come on, Dr. Wu

Chapter 231 Confidant Friend
This is already the eleventh patient.

David acted as a listener very well. This mode of medical treatment was unfamiliar to him, and it was not a communication mode he was accustomed to. Therefore, it was best not to speak. He understood this.

However, David couldn't help but laugh when he saw this patient.

He was surprised that Wu Xiaofu hadn't been tortured crazy yet. There were so many patients, all kinds of strange things, and some people even talked about introducing Wu Xiaofu to a girlfriend. He really couldn't help it.

There is also this person who pointed out for a long time but could not point out what is uncomfortable. This is simply not feasible in country M. The time of doctors in country M is very expensive. Before seeing a doctor, you have to prepare everything.

It's not that the doctor asks you what's wrong with you, but that you have to sort out everything the doctor needs to know and present it in front of the doctor. Yes, whether you study on your own or get information from your family doctor, you must have your own integrity Medical records, in order to complete the diagnosis and treatment as quickly as possible.

It's like this. Just pointing out where it hurts has already wasted a minute or two.

Wu Xiaofu had no unnecessary emotions. After all, this was not the first time he had experienced this situation. The national conditions were different, so naturally he could not see a doctor like David. The patient in front of him was a woman in her fifties who had been suffering from abdominal pain for three days and came to see a doctor. Yes, but let the patient point out where it hurts, and then this happens.

Wu Xiaofu didn't think the patient was looking for trouble or doing this on purpose. It's not surprising that many diseases have unclear pain locations.

"Come, lie on the bed and I'll check it for you."

If you don’t feel clear about yourself, go for a physical examination to find out.

Palpation is still very convenient for giving feedback on pain.

"Does it hurt here?"

"It doesn't hurt."

"Here it is."

……

"It hurts, it hurts here, right here."

Ah!
Wu Xiaofu looked at the location of the patient's pain. Pain in the liver area? Still tender!

David also looked over with interest.

Clinically, pressing pain in the liver area is mostly caused by stones or inflammation of the hepatobiliary duct, liver tumor occupying space, hepatitis and other reasons.

The gallbladder is located further down, so general gallbladder stones or inflammation will basically not cause tenderness in the liver area. If a bile duct problem is caused by a protracted gallbladder problem, it will not just be a simple tenderness in the liver area.

So it can basically be determined to be a problem with the liver or intrahepatic bile ducts.

"Do you have a history of hepatitis?"

Hearing this, the patient quickly shook his head and said, "No, I don't mess around or drink. I take good care of myself. How could I get hepatitis?"

"Do you have regular physical examinations every year?"

"I work as an individual. I usually get checked whenever I feel uncomfortable. I don't want to have a physical examination. I was fine before. Doctor, do I have a big problem? I regret this time. I will definitely do it regularly in the future." Physical examination, you must give me a good look."

Wu Xiaofu continued to palpate, and the liver could be touched, but it was not obvious and needed to be lifted up to touch.

"Let's go get a color ultrasound."

The patient also did not have some of the symptoms that liver disease should have, such as nausea, vomiting, and jaundice. Not to mention, Wu Xiaofu was a little unsure about confirming the disease based on the current diagnosis and examination.

Although the mental power is powerful, without surgery, it can only be vaguely sensed, and it cannot reach the level of clairvoyance at all.

Wu Xiaofu's pulse diagnosis methods are now becoming more and more powerful, but no particularly obvious symptoms were found during pulse diagnosis, which really stumped Wu Xiaofu. Therefore, this advanced machine of Western medicine is still useful.

"David, what do you think?"

"I don't look like I have a disease. Could it be functional?"

Functional, in medicine, it is an endocrine problem if it is good, and it is a hypothetical disease if it is not good.

He shook his head. When he pressed the patient's liver just now, the patient's performance seemed to be a reaction caused by real pain. He didn't worry about it. Just look at the color ultrasound.

Continuing reading, the patient came back in the afternoon.

Looking at the color Doppler ultrasound report, Wu Xiaofu was also stunned, what a huge tumor.

That's right, the color ultrasound report showed a tumor, and the patient's expression was not good. When getting the report, the doctor asked his family to get it. The patient felt bad at that time. After insisting on getting the report, he saw the word "ca" written on it?

He is also a cultural person and knows what this means. Isn't this cancer?
He had liver cancer. At that moment, he felt like the sky was falling and he hurried to Wu Xiaofu's clinic. The door was banged open, even Wu Xiaofu was startled.

Peng Xia was about to say something, but was stopped by Wu Xiaofu. Wu Xiaofu remembered that this patient had just had a color Doppler ultrasound in the morning, and now he was in such a panic, with a color Doppler ultrasound in his hand. Wu Xiaofu also felt a sinking feeling in his heart. There must be some bad news.

No, it shouldn’t be. Whether it’s from the pulse diagnosis or from Wu Xiaofu’s experience, the patient doesn’t appear to be suffering from cancer.

"The results are out?"

"Well, doctor, please help me quickly."

The patient was crying, but Wu Xiaofu didn't dare to delay. Looking at the content on the color ultrasound, um, was he really diagnosed with a tumor?
In hospitals, especially in the ultrasound department, ca does not represent cancer, but more of a tumor, because the results of color ultrasound are usually obtained immediately after the color ultrasound is done. If the color ultrasound detects a tumor and there are no relatives around the patient, then it will still be The patient can get the report by himself. In order to prevent the patient from knowing his tumor condition, it is expressed as ca.

It may not necessarily be cancer, and color ultrasound is not the gold standard for diagnosing tumors. Whether it is a benign tumor or a malignant tumor, color ultrasound is only a reminder. The specific diagnosis requires pathology.

But looking at the patient's color ultrasound report, Wu Xiaofu breathed a sigh of relief.

This did not suggest a malignant tumor. Based on the patient's symptoms and performance, Wu Xiaofu felt that there were more benign tumors. If the diagnosis was made this way, the diagnosis would be correct.

"Doctor, do I have cancer? I'm only in my forties."

Listening to the patient's trembling voice, Wu Xiaofu hurriedly asked him to sit down. The patient who was cut in line outside the clinic had originally wanted to argue with this patient. After hearing the patient's words, he no longer cared about it and left the clinic, closing the door. I brought them with me. They are all here to see a doctor and they all understand.

"Don't worry, the color ultrasound says it doesn't look like a malignant tumor. Just wait, I'll call the ultrasound department."

There were only two screenshots taken from the color Doppler ultrasound, and Wu Xiaofu was not sure. In fact, from the color Doppler ultrasound, we can see a lot of information. There are some obvious differences between benign liver tumors and malignant tumors.

"Ultrasound department? I'm Wu Xiaofu. I'd like to see Dr. Feng."

The ultrasound report is all signed by a doctor. Wu Xiaofu has dealt with Dr. Feng several times, so just go to him directly.

"Doctor Wu."

"Dr. Feng, that's it. I just had a patient come to you for a color ultrasound..."

After questioning, Wu Xiaofu insisted on the diagnosis of benign tumors. There is still a big difference between benign tumors and malignant tumors.

The evil of malignant tumors lies in their terrifying corrosiveness. Not only is the probability of metastasis high, but even the blood vessels and nerves of the liver itself will be destroyed. A lot can be seen from the blood vessel signals and echo performance on color ultrasound.

According to Dr. Feng, although the patient's tumor was not small, measuring seven centimeters, the blood flow signal and echo performance seemed to be OK and did not look like a malignant tumor.

Of course, neither Dr. Feng nor Wu Xiaofu dared to tell the truth. Without pathology, they would not be sure.

"Don't worry. I also talked with the doctor in the ultrasound department. It doesn't look like a malignant tumor, but a benign tumor."

Benign tumor!
The patient really felt like he was on both sides of ice and fire, it was benign! He still knows the difference between benign and malignant. If it is benign, then there is still hope.

However, after hearing Wu Xiaofu's words, the patient's voice became even more trembling.

"Doctor Wu, are you lying to me? You can tell me directly. I can handle it."

Wu Xiaofu immediately smiled and said, "Why am I lying to you? This is my professional judgment. Of course, the specific diagnosis will not be known until further investigation."

Looking at Peng Xia, "Is there still a bed?"

"There's one more."

"Let him be hospitalized."

Perhaps because he really believed Wu Xiaofu, the patient's mood finally stabilized.

"Thank you Dr. Wu, thank you."

Wu Xiaofu smiled and reassured him to cooperate with the inspection.

After the patient left, David looked at Wu Xiaofu and said with a smile, "Wu, has anyone ever told you that your smile is contagious?"

Infectious!
Wu Xiaofu looked at Peng Xia, and Peng Xia nodded fiercely, "Boss, haven't you noticed that every time you talk to a patient with a smile, the patient will quickly stabilize no matter what anxiety or illness he has, not only the smile, but also the Your voice is very contagious.

Not only are patients able to quickly feel at ease and accept suggestions after hearing your words, but we also feel confident every time we are encouraged by you. "

Good guy!
Wu Xiaofu smiled even more happily, "You kid, you have learned how to flatter me."

Peng Xia was about to explain that no, but unfortunately, the patient had already come in.

The day's clinic is over.

"Wu, I suddenly no longer envy your achievements. Your hard work is worthy of your achievements." Although David only followed Wu Xiaofu for a day, David had already deeply felt Wu Xiaofu's workload and dedication. After one day, Wu Xiaofu's mood was still stable. David asked himself that if it were him, after a day of outpatient service, his mood would become more and more broken.

"I'm used to it. If you come to work in China, you will get used to it too."

"I can't get used to it. I take back what I said before. Country M is still more suitable for me. That is paradise."

David was indeed in no hurry to leave at all, and followed Wu Xiaofu for the next few days. Unfortunately, David originally wanted to live in Wu Xiaofu's home, but Qu Ying figured it out and arranged for Su Yu to keep an eye on him. I stayed at Wu Xiaofu's place for a day, and he would come over every day when eating, which made David a little angry.

"Wu, your girlfriend is so stingy that she even makes me jealous."

"Haha, David, you don't understand. After you truly fall in love with a woman, you will find that this is actually a kind of happiness."

"No, I would rather not have this kind of happiness."

Wu Xiaofu didn't want to talk to this prodigal son. On Wednesday, the examination of the liver tumor patient was almost done, and it was indeed a benign tumor.

However, what Wu Xiaofu didn't expect was that the patient directly sent Wu Xiaofu another top publication.

Hepatic hamartoma.

Hepatic hamartoma is generally formed during the growth and development period. It is a tumor that grows with the portal structure. Pathologically, it is believed to be an abnormal development of primitive mesenchymal cells in the late embryonic stage. It occurs when the liver forms a lobular structure and is connected to the bile duct.

Well, this is the first time Wu Xiaofu has seen an adult suffer from hamartoma.

This disease can be said to be caused by birth. Many people believe that hamartoma is not a true tumor, but is formed by the wrong combination and arrangement of normal tissues in an organ. Moreover, the number, structure or maturity of this organ tissue The disordered changes will grow slowly with the development of the human body.

This patient is really lucky. After so many years, the hamartoma has not had a great impact on his liver function. Wu Xiaofu originally thought that seven centimeters was quite big, but when he thought about it, he started developing it from birth. Hepatic hamartoma has been diagnosed for more than 40 years now, and it is only at this level. It is really slow.

However, this patient is also a bit unfortunate. After all, he has not been examined for so many years. If he had been examined, he would not have been discovered in his forties. Wu Xiaofu thought that this was a rare life sent to him intentionally by God. cases.

In fact, hamartoma cannot be viewed as a tumor because it has almost no possibility of malignant transformation and the prognosis is very good. After surgical removal, the possibility of recurrence is very small.

Especially considering that it took the patient so many years to grow to this extent, the patient's liver hamartia is actually not serious. After the resection, the liver should be able to correct this error on its own soon, and similar situations will not occur.

"Okay, let's prepare for his surgery tomorrow."

After Wu Xiaofu introduced his condition to the patient, the patient was so excited that he almost gave Wu Xiaofu two blows. For the patient, this was a chance of survival from a desperate situation. When Wu Xiaofu said it was an operation, the patient had nothing to say. , if it must be done, let Wu Xiaofu do it.

In the past few days, David was applied by Wu Xiaofu to the hospital. With him, he could freely enter and leave the department and the operating room, but he could not participate in the operation.

"Wu, you're so lucky, I'm starting to envy you."

David suddenly felt that there was nothing wrong with Wu Xiaofu seeing so many patients every day. There were many patients, but there were also many cases that he could come into contact with. No, he accidentally came into contact with such a top case.

After this operation is completed, once the paper is published, Wu Xiaofu will have one more article in the top journal.

"I'm used to whatever I'm jealous of."

got used to!
This is Versailles, right? David couldn't help but roll his eyes at Wu Xiaofu, but in the blink of an eye, he thought that Wu Xiaofu was now one of the top publications every week, and couldn't help but shake his head. It seemed that for Wu Xiaofu, this was really dispensable, and people were really used to it. ah.

Oh, damn it, he's starting to get a little jealous.

He suddenly discovered another benefit of China, that is, it has a large enough population and enough cases. For doctors who are interested in scientific research, it is simply a paradise. Of course, it would be better if the medical environment was better. .

Surgery on Thursday.

The surgical method for hamartoma is different from other surgeries.

Compared with liver cancer and hepatic hemangioma, the boundary between hamartoma and normal liver tissue is relatively clear. If the surgeon is confident in his operation, he does not need to remove the liver lobes and can directly separate the hamartoma.

Under laparoscopy, David once again saw Wu Xiaofu's superb operation ability.

He followed Wu Xiaofu for three days of surgery, including more than a dozen surgeries. David discovered that some things from Wu Xiaofu could be learned, but there were some things that he really couldn't learn, such as this operation.

The surrounding hamartoma is normal tissue, including blood vessels and nerves.

Wu Xiaofu dared to cut him casually. Every time he was separated, even David felt a little frightened, fearing that Wu Xiaofu's cut would cover the screen with blood. After all, the patient in front of him was different from a child.

The hamartoma patients we usually encounter are basically children under five years old. Their growth time is not long, the adhesion between the hamartoma and normal tissue is not serious, and the separation is relatively easy. However, the hamartoma in the patient in front of us It has been growing for more than 40 years, and the adhesions are actually very serious.

Under such circumstances, with Wu Xiaofu's ability, there is no problem in trying to separate, but you should be careful. It was so casual that David thought it was really simple, but he was a professional, so he naturally knew how serious this was. Test operation.

The seven-centimeter hamartoma with severe adhesion was separated by Wu Xiaofu in half an hour. Wu Xiaofu also cleaned it up. The entire operation was completed in one hour. David swore that if he were the dean, he would have to Wu Xiaofu was invited over with a heavy salary.

With this efficiency, you don’t have to worry about losing money.

"All right."

Wu Xiaofu handed the electric knife to Peng Xia, and Wu Xiaofu didn't have to do the rest.

In the evening, David actually wanted to invite Wu Xiaofu for a drink. Wu Xiaofu thought about it and did not refuse.

It doesn't matter that he won't be on duty today.

Of course, you can't drink too much. After all, there are outpatient clinics tomorrow.

"Wu, you know, I have been said to be a genius since I was a child. Every time I take an exam, I am ranked first. I can basically read the contents of those books twice. I sleep while others read aloud. Listen, it turns out that even though I can memorize it, he can’t even memorize it.

Growing up, I have challenged many things, but none of them seemed challenging, so I later chose medicine, which is the most professional field. I wanted to challenge some difficult things, and I also hoped that medicine could give me some satisfaction.

My previous life felt too boring.

After I started working later, everything was still so easy for me. What they took decades to achieve, I could achieve in a few years. I could publish top-notch papers and succeed in any experiment. I slowly became more and more successful. I started to think that medicine was nothing more than that.

I started to slack off, until I saw your paper, yes, it was the paper on laparoscopic extended radical resection of gallbladder cancer. Then I looked up your information and found that you are much younger than me. That's when I discovered , It turns out that I am not the only genius in this world.

There is someone more talented than me in this world, so I started to challenge you. If you make the first one, then I will definitely make the second one, and faster than you. As a result, you also saw it, I screwed up. , fortunately you are here.

Then you start to move forward quickly, and more and more difficult techniques are conquered and improved by you. During this time, I have been trying to catch up, but I am always one step behind you.

So I came to China. I wanted to know you better. I wanted to know that the environment had caused you a long time ago. But as I followed you these past few days, I found that it was not like this. It was you who was really great.

You are a genius, but you are not as proud as me, nor do you underestimate everything because of your genius. You are really as careful and rigorous as my teacher said.

Wu, thank you. It was you who let me know how to be a qualified genius doctor. Wu, I will not admit defeat. I will work harder when I go back this time. You are my motivation, and I will also be yours. power.

......"

After a few glasses of wine, Wu Xiaofu didn’t know how many similar words he heard David say. Only then did he understand this genius. David had been lonely for the past few decades because he felt that the world of his genius was beyond the reach of other people. Can't even get in.

It wasn't until he discovered Wu Xiaofu, who was also a genius, that he seemed to be ignited. He continued to challenge medicine and became interested.

Unfortunately, David made a mistake in one sentence.

"I'm not a genius."

Wu Xiaofu never thought that he was a genius. It was just by chance that a hard-working doctor gave him some knowledge beyond himself and gave him strong learning ability and mental strength. This is what supported him to where he is now.

Wu Xiaofu didn't know if the talents he suddenly acquired would suddenly disappear one day, so he could only work hard every day to improve, so that even if one day these talents really disappeared, Wu Xiaofu could still rely on what he had learned so far. Treat more people.

David did not appear in Wu Xiaofu's clinic on Friday. When Wu Xiaofu went to see the doctor, he received a message from David. He sent it before getting on the plane, probably because he was afraid that Wu Xiaofu would send him away.

Looking at the message David sent, Wu Xiaofu was also a little emotional.

Perhaps this is how confidants and friends come to be. They only met twice. Both David and Wu Xiaofu introduced each other as confidants and friends. People of the same kind can improve each other and help each other in the process of progress. .

Whenever Wu Xiaofu has some areas that are difficult to reach, he will ask David for advice.

The explosive growth in just six months was ultimately due to a lack of foundation. In this regard, Wu Xiaofu could not be compared with David at all.

In fact, those papers also have part of David's credit.

"he's gone?"

In the evening, Su Yu was lying on the sofa, eating snacks and watching TV without looking like a lady. Wu Xiaofu couldn't help but shake his head. There were so many people chasing her. He really wanted them to see the reality of this sloppy girl. face.

"Before Qu Ying finds out, you can't take the initiative to tell her."

Su Yu looked at Wu Xiaofu with disdain, the sour smell of love was getting to her.

"understood."

When Wu Xiaofu saw Su Yu's promise, he immediately laughed. In the past few days, Qu Ying had been very guarded against David and was very diligent in making videos every day. Wu Xiaofu still enjoyed it very much.

The sound of the TV floated into Wu Xiaofu's ears.

"Rains are still continuing across the city. It is best not to go out at night if residents are fine. In case of emergency, please contact..."

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(End of this chapter)