Come on, Dr. Wu

Chapter 252: The game is over, and I encounter liver cancer during pregnancy again!
call!
Wow, I have to say, Ji Yutang's courage really scared Wu Xiaofu. The conditions were really too good. Even if you were to poach a senior chief physician from the First Affiliated Hospital of Donghai, you would be tempted by these conditions.

Before he turned 30, Wu Xiaofu was made chief physician and also promised to be the director of the department. Although it sounded like a pie in the sky, when you think about the fact that Wang Buyi had gotten into so much trouble but still had such a good development, Wu Xiaofu really dared to believe in Ji Yutang.

Wang Buyi's eyes were rolled to the sky. Old Ji was so unkind. If you want to recruit him, just recruit him. Why mention him? You are pulling him around and bullying him because he has a good temper.

However, Wang Buyi also wanted to work with Wu Xiaofu, so he rarely undermined Ji Yutang.

Of course, it was impossible for Wu Xiaofu to really run to the First Affiliated Hospital of the Imperial Capital just for these things, and he slowly wanted to refuse, but since Ji Yutang had said so and said there was no rush, he couldn't refuse on the spot. He decided to go back in the evening, write a message and politely refuse.

Although his current status is largely due to his own efforts, Yu Shifu’s cultivation cannot be ignored. Wu Xiaofu cannot let Yu Shifu down.

Moreover, to be honest, Wu Xiaofu really looked down upon these conditions. If the First Affiliated Hospital of Imperial Capital can give it, why can't the First Affiliated Hospital of Donghai give it? Even if Wu Xiaofu does not have a vice-president teacher like Yu Shifu, the First Affiliated Hospital of Donghai is not blind.

As for the doctorate and the academician teacher at the research station, since Wu Xiaofu followed Yu Shifu, he was willing to be equal to Shifu. As for the chief physician and department director, Wu Xiaofu didn't care too much. With Wu Xiaofu's current strength and background, wouldn't these be easily obtainable in a few years?
And what about the house and the car? Would the Wu family be short of these?

Don't forget that Wu Xiaofu is now a combination of the third generation of officials and the third generation of rich people.

Therefore, no matter from which angle, Wu Xiaofu had no reason to agree to Ji Yutang's request and tarnish his reputation and resume for the sake of these things that would be easily obtained in the future.

After saying this, Ji Yutang didn't mention it again. The three of them continued drinking and discussing professional issues.

When going home, Wu Xiaofu took a taxi.

In the car, Wu Xiaofu was no longer drunk. He took out his cell phone, found Ji Yutang, and started editing.

Sending a message to refuse is more likely to save people's face than refusing in person.

The message was sent when Wu Xiaofu got off the bus, and he also reported that he had arrived home safely.

the other side.

Ji Yutang looked at Wu Xiaofu's message and smiled. Somehow, he admired Wu Xiaofu even more. He wanted to enroll him in the First Affiliated Hospital of the Imperial Capital right now. Unfortunately, it was impossible for the time being.

"The conditions are always valid. If you feel that the imperial capital is fine, you can contact me at any time and go back to rest early."

When he entered the room, Wu Xiaofu saw the reply letter and couldn't help but laugh.

This guy is really a wonderful person. No wonder Wang Buyi was kidnapped by him. After saying good night, Sarlang appeared in front of him.

"Why did you drink so much? It's okay in the East China Sea, but you can drink so much in the Imperial Capital. Come in quickly."

Listening to Sarlang's words, Wu Xiaofu couldn't help but smile. There is only one good mother in the world.

Sitting on the sofa, Sarlang poured tea for Wu Xiaofu and cut some fruit. Wu Man and the others also gathered around him. Wu Xiaofu got such a shocking score today. Even laymen like them knew the secret from a few words from the people around them.

My own child is striving to reach the pinnacle of medicine.

How could they not be excited? What could be more reassuring than having a reliable doctor by their side?

Wu Xiaofu also drank some wine and started bragging to a few people. It was so shocking that they felt like Wu Xiaofu was going to be an associate professor, a full professor, a professor, or even the dean, and would become one of the few names in the Chinese Academy of Sciences.

As a result, Wu Xiaofu finally said: It’s just drunken talk, I will forget it tomorrow.

Wu Man was so angry that she kicked Wu Xiaofu.

After returning to the bedroom, Wu Xiaofu started to reply to Qu Ying's call. Still unable to understand the pain of missing her, he directly made a video call to her.

"Xiao Fu, you don't know that in the afternoon, my aunt and my mother started calling me and told me that I found an amazing boyfriend. In this competition, you bribed your future mother-in-law.

My aunt said that I still look like I am marrying above my station. Tell me, am I marrying above my station?"

"Hey, where are you climbing?"

"Don't be so frivolous. I'm telling you, I miss you. In a few months, I'll be done with this and I'll go back to find you."

"In June, there will be a world surgery competition, also in Country M. I'll come find you then. Well, think about where to climb."

"I'll bite you to death."

……

Wu Xiaofu didn't know how he fell asleep while chatting yesterday. He stroked his hair. Wu Xiaofu had this advantage. No matter how much he drank the day before, he would not have a headache the next day.

Sarilang had already prepared breakfast. Being used to living on the grassland, breakfast would be incomplete without some milk tea. Wu Xiaofu smelled the familiar fragrance and couldn't help but rubbed behind Sarilang who was busy in the kitchen.

"Why, are you feeling uncomfortable?"

"No, I just miss my mom."

Sarilang also laughed, "You are so old, kid. If Xiaoying saw you, she would definitely laugh at you."

There are competitions today and tomorrow, so Wu Xiaofu didn't plan to continue watching them. He just accompanied Sarilang, Wu Bin and others to play in the capital. They didn't return to the hotel until the fourth day.

Fan Xin and the others were very excited when they saw Wu Xiaofu.

The results of the First Affiliated Hospital of Donghai University this time are really good.

In the hepatobiliary surgery group, Wu Xiaofu was first, Lu Jie was fifth, Guo Yang was ninth, Fan Xin was seventeenth, and the other two were also within the top thirty.

Not only the hepatobiliary surgery group, but also the breast and thyroid surgery group and the gastrointestinal surgery group, all of them are in the top 30.

Mao Daiyu also won the third place in the thyroid and breast surgery group. From this perspective, the general surgery group led by Wu Xiaofu of the First Affiliated Hospital of Donghai University is definitely the biggest winner.

The awards will be presented today.

The organizing committee prepared trophies and certificates for the top three in each group, and the top thirty also received certificates.

In addition to these honors, the prize money prepared by the organizing committee is also very generous.

Just like Fan Xin, he will probably have two months' salary extra in his card this month.

Moreover, this is also an exceptional condition for various performance appraisals and promotions of professional titles. Compared with other things, this is what they value most.

"Boss, you are awesome."

Everyone was excitedly congratulating Wu Xiaofu, who won the championship with 160 points without any surprise.

With this championship, both they and the First Affiliated Hospital of Donghai University are proud of themselves.

Moreover, because Wu Xiaofu won the first place in three events and won the championship, the general surgery group of the First Affiliated Hospital of Donghai University is likely to win the first place in the group.

This made them even more excited. They could gain so many benefits by participating in a competition. They would be so envious of Corey and the others when they returned.

The award ceremony was no longer held in the observation room, but in an open-air conference hall.

This place is large enough to accommodate thousands of people. Wu Xiaofu and his companions were all arranged here. The winners all sat forward, and Wu Xiaofu was directly arranged in the first row.

On the stage, eight academicians came up one after another.

They serve as judges and also present the awards this time.

There are hundreds of contestants in each group, but only the top thirty will win prizes.

Therefore, most of the people at the scene were just there to join in the fun. Some of them did not even come to attend the award ceremony, but left early and returned to their own hospitals.

Compared to the competition, the award ceremony is too formal.

The host gave a lengthy opening speech, followed by speeches from the leaders, then an introduction session, and then more speeches. By the time the actual awards ceremony began, more than two hours had passed.

Wu Xiaofu felt like he was back in his teenage years. When there were activities on campus, the process seemed to be exactly like this, which made him feel inexplicably familiar.

The awards were presented from the back to the front. The competition started with the general surgery group, but the awards were given out starting with the urology group which was the last to perform.

The three groups of urology, orthopedics, cardiothoracic surgery, neurosurgery, and general surgery, which are the seven groups of surgery, were awarded in turn.

Among these seven groups, four of the first places were won by the First Affiliated Hospital of Donghai University.

In addition to Wu Xiaofu's first place in the three general surgery groups, the first place in cardiovascular surgery was also won by the First Affiliated Hospital of Donghai University.

I have to say, he is the biggest winner.

Normally, given the size of the First Affiliated Hospital of Donghai University, there would be one first place in every group in every session, but it would only be one at most. But this time, it directly won four. Some people on the Internet have praised the First Affiliated Hospital of Donghai University as the number one hospital in China.

At this time someone spoke up.

"What is China's No. 1 Hospital? This is just a surgical competition. At most, it's China's No. 1 Surgical Hospital, okay?"

Good guy!
No matter what, this No. 1 surgical hospital in China seems to have been recognized.

In the future, perhaps some serious diseases will flock to the First Affiliated Hospital of Donghai.

This is also the biggest benefit of the hospital's fame. Doctors and patients always complement each other. If the hospital wants to develop, it really cannot do without the diagnosis and treatment of some patients with serious diseases. Most of the achievements are also developed from patients with serious diseases.

It may sound weird, but it is true.

Ordinary patients can basically be treated in all major tertiary hospitals. Who would care about staying in the hospital one day longer or one day less, or taking one more medicine, or having a surgery that took one more hour?

Only serious cases can reveal one's true level, and this is not just talk.

"Next, please invite the first place winner of the hepatobiliary surgery group, Dr. Wu Xiaofu, to come on stage to receive the award."

Finally it was Wu Xiaofu's turn. Wu Xiaofu did not delay and hurried onto the stage.

The person who presented the award to Wu Xiaofu was Academician Liu from Donghai University. He was a rival of Academician Huang Kunlun, whom Yu Shifu had mentioned to Wu Xiaofu in previous messages. Both of them were top tumor surgeons.

"Congratulations, Doctor Wu. Are you really not going to consider what I said?"

Academician Liu talked to Yu Shifu first and did not talk to Wu Xiaofu directly. However, Wu Xiaofu asked Yu Shifu to reject all the offers, which made Academician Liu feel a little regretful. At the award ceremony, he couldn't help but ask.

"Teacher Liu, if I have the chance, I will definitely ask you for more advice."

Academician Liu could only sigh with regret after hearing this. "Okay, don't go down. The following awards are all yours."

Someone nearby even whispered, "Yes, the next one will be yours too."

Wu Xiaofu also smiled when he heard that. This time, the first place winners of the seven groups were awarded together and took a group photo. Aren’t the ones below him the ones himself?

The most sensible one was Fan Xin. When he saw that Wu Xiaofu could no longer hold the trophy and certificate in his hands, he actually got up from his seat and came to the side of the podium, took the trophy and certificate, and helped Wu Xiaofu hold them.

The final award ceremony is for the winner.

The leaders and academicians of the National Health Commission of China jointly presented the award to Wu Xiaofu, which was like a scalpel.

Just like the Hercules Trophy in football and the Golden Gloves in games, they all symbolize this type of profession. The scalpel is the most important thing for a surgeon, and the organizers of the competition have made the champion's reward into the shape of a scalpel.

Looking at the scalpel in his hand, Wu Xiaofu couldn't help but feel happy.

Among so many certificates and awards, perhaps this is Wu Xiaofu’s favorite.

"champion!"

Below the stage, Fan Xin actually yelled loudly, and Wu Xiaofu cooperated by raising the scalpel in his hand.

Unexpectedly, all the contestants and the audience started shouting together.

"champion!"

……

Just like any other competition, after the awards ceremony, the host or leader will give a speech, and then everyone will quickly disperse, or some people will chat with acquaintances.

"Xiao Fu."

Wu Xiaofu was also about to leave, but was stopped by Wang Buyi. Wu Xiaofu turned around and looked.

"Brother Wang."

"Are you planning to return today?"

"Well, next time Brother Wang goes to the East China Sea, remember to contact me."

"How about you come back later and help me see a patient?"

Ah!
Help Wang Buyi see a patient?

Wu Xiaofu was a little puzzled. With Wang Buyi's ability, the surgery he performed should be something Wang Buyi could also perform. What level of surgery required him to perform?

As if seeing Wu Xiaofu's confusion, Wang Buyi said to Wu Xiaofu.

"This is a case of liver cancer during pregnancy. The patient was six months pregnant and liver cancer was found during the prenatal checkup. This patient was transferred from a lower hospital and had not undergone regular prenatal checkups. This was the first checkup after she became pregnant, and this condition was suddenly discovered.

The lesion in the right lower lobe is already six centimeters in diameter. The time is definitely not too short. The pregnant woman is an elderly mother, she is forty years old. She got pregnant at such an old age, so naturally she is unwilling to give up the child, and even wants to keep the baby.

I've seen it before. If I delay any further, it will be dangerous for the baby and the pregnant woman, so I want to do it soon, but to be honest, I'm not sure. If you weren't here, I would have found a way to do it, but you happened to be here, so I wanted you to take a look first, after all, you have a successful case. "

Liver cancer during pregnancy!

Is he so lucky? As expected, this is the capital city. Such rare cases can gather here. Wu Xiaofu encountered one last year and another this year.

Carcinoma in situ has not metastasized, but the lesion in the right lower lobe, the lesion in the right lower lobe of liver cancer, requires us to consider whether there is hepatic vein infiltration. This place is close to the intrahepatic bile duct, and the chance of infiltration and metastasis is very high.

Therefore, when you encounter this type of liver cancer, you generally cannot delay and should have surgery as soon as possible.

After all, the prognosis of resection of carcinoma in situ is completely different from the prognosis after metastasis occurs.

What's more, this is an elderly mother.

One characteristic of older pregnant women is that they have a high chance of miscarriage. As they age and have increased work pressure, the chance of endocrine disorders and luteal insufficiency will increase.

Therefore, many older pregnant women will experience threatened miscarriage in the second or even early stages of pregnancy.

Moreover, due to the decline in body functions, older pregnant women are more prone to poor development of follicles and endometrium, which can affect the growth and development of the embryo or fetus, and even cause sudden chromosomal abnormalities in the embryo or fetus, leading to miscarriage.

This is related to liver cancer. Whether liver cancer is caused by chromosomal abnormalities and whether liver cancer is related to pregnancy have always been key research topics.

In addition, older pregnant women are more likely to suffer from chronic diseases, such as high blood pressure, diabetes, thrombotic diseases, and decreased heart function, which usually increase the probability of miscarriage in pregnant women.

Older pregnant women may also experience excessive tension, anxiety, fear, and other psychological issues after becoming pregnant, which can easily lead to miscarriage. These problems are actually closely related to surgery.

You know, these are actually the problems that surgery may exacerbate.

In case a woman is on the verge of miscarriage and suddenly has a miscarriage due to the stimulation of surgery or aggravated emotional fluctuations, it is a surgical abortion. Therefore, surgery during pregnancy has always been a taboo that surgeons are reluctant to touch.

If you don't handle it properly, there will be two deaths. Who dares to do that?

So, just from listening, the condition of patient Wang Buyi is much more difficult than the last operation performed by Wu Xiaofu.

Wu Xiaofu looked at Fan Xin and said, "Brother Fan, please help me take my things back to the hotel. I have to go see a patient first."

"Okay, Doctor Wu, call me if you need anything."

"it is good."

The First Affiliated Hospital of Imperial Capital University.

The patient was admitted by Wang Buyi yesterday. To be honest, Wang Buyi is really a workaholic. He could have stopped seeing patients for the past two days, but he still went out for a day. The pregnant woman was the one who came to see him.

In the medical office, the doctors in the same department as Wang Buyi hurried over to greet Wu Xiaofu when they heard that it was Wu Xiaofu.

The medical records and examinations have all been prepared.

Looking at the medical records, Wu Xiaofu frowned even more. The pregnant woman had suffered miscarriage twice before, and was diagnosed with habitual miscarriage. It was really not easy for her to survive until six months this time.

Wu Xiaofu looked at Wang Buyi.

"Didn't you do amniocentesis? In this case, we have to consider genetic issues. There is a high possibility that there will be chromosomal problems after the baby is born."

Wang Buyi shook his head.

"Amniocentesis requires the consent of the patient and family members, but they did not agree to the test."

Wu Xiaofu shook his head. In fact, he could understand it. At the age of 40, he finally had a child. How could he allow the child to have an accident at this time? If Wang Buyi had not explained to the patient that if the liver cancer lesions were not treated, it might affect the child, and the child might even have problems before he could give birth, the patient would not have planned to be hospitalized.

After picking up the MRI, it was found that the lesion was indeed very close to the hepatic duct, and even had a covered part. However, it was still unclear whether there was infiltration at this time. After all, the patient was pregnant and could not undergo CT and angiography.

However, based on the patient's symptoms and laboratory test results, it does not appear that there is bile duct infiltration.

After all, if the bile duct is infiltrated, many people will experience jaundice as a symptom.

This will also be reflected in the test indicators, but at present, the situation seems to be good.

"Let's go see the patient."

In the ward.

The patient's surname is Qiu, and he doesn't look well at the moment. Well, at such an old age, it should be a happy thing for him to have a child, but he suddenly developed liver cancer.

Even normal people find it difficult to accept this situation, let alone pregnant women. I'm afraid the patient will have difficulty sleeping these days.

Therefore, this illness cannot be delayed.

"Hello, this is Doctor Wu. He just performed a case of liver tumors during pregnancy last year and is very experienced in this area. He happened to be in the capital, so I invited him over."

Wang Buyi introduced Wu Xiaofu to the patients and their families.

The patient's husband got excited after hearing this. "Doctor Wu, I know you. I've looked up a lot of relevant information these days and it says you're an authority in this area. Please help my wife. You must save her. You don't have to have the baby, but nothing must happen to my wife."

"No, I must keep the baby. Husband, you have always wanted a child. We finally got pregnant. I must have this child. Don't try to persuade me. The child is in my belly and must listen to me."

"Wife, you are more important than the child. We can't be stupid. Besides, we can have another one in the future. The most important thing now is to save you first."

……

The two of them actually started arguing. Obviously, this was not the first time the couple had argued about this issue. The husband obviously loved his wife deeply and was unwilling to let her take risks. He would rather complete the operation for his wife even at the cost of abandoning their child.

But the wife also has her own support. It is because she loves her husband that she wants to give him a child.

Wu Xiaofu stepped forward to stop the two from arguing.

"You two stop arguing. Maybe things aren't that bad. Come, let me help the patient first."

Wu Xiaofu stepped forward to take the patient's pulse. Wu Xiaofu, whose mental strength was growing stronger day by day, was getting better and better at taking the patient's pulse. He could even use it to find out the patient's condition and how serious it was.

However, the situation seems to be better than Wu Xiaofu thought, and the patient's bile duct should not be infiltrated.

That's the best case scenario.

Whether the bile duct is infiltrated is a very serious problem for liver cancer. If it is not infiltrated, it is considered stage one. If it is infiltrated, it is stage four. This must be clarified before surgery can be performed.

However, the patient is a pregnant woman and there are no conditions for a thorough examination.

It must be Wu Xiaofu, otherwise no one would dare to make such a rash judgment.

After another physical examination, Wu Xiaofu gradually had an idea.

Look at the patients, their families and Wang Buyi.

"If there are no problems, we'll do the surgery tomorrow."

(End of this chapter)