Come on, Dr. Wu

Chapter 259 Come here because of fame
uncanny workmanship!

Watching Wu Xiaofu's tweezers moving in the narrow space, the tissue around the gallbladder, which was originally severely adhered, began to be dismembered.

Well, how should I put it, it’s just like watching Popeye the Sailor Man.

The sewer-like underground space looked messy and crowded, but after Popeye's transformation, it really became an enviable nest.

"Great!"

I don't know who it was, but someone couldn't help but murmur in admiration, and the others followed suit and nodded.

Sometimes, their praise comes from their heart and they can't help themselves. They may have many professional words and sentences in their minds, but when they really praise, they seem inadequate and end up being vulgar and elegant. Instead, they converge into two words: "Awesome."

Of course, there are actually two more appropriate words, but they are not used to shouting that.

“You should have figured out something by now. When I do one step, my other hand is often preparing for the next step, because I know what kind of difficulties I will face after this step.

This is what I said before. Before the operation begins, I have a comprehensive plan for the operation and can build an overall blueprint in my mind. No matter how adherent these tissues are, in my eyes, they must be as clear as three-dimensional reconstruction.

If you can't do this, just keep practicing and don't start this operation blindly.

Next..."

The propaganda officer who was filming at the same time couldn't help but nodded. When he changed shifts just now, he asked his colleagues from the previous shift what to pay attention to. His colleagues told him not to prepare too much. Although the operation was difficult, it was reassuring to film Wu Xiaofu.

That's true. If you break it down, he can understand some of it, let alone these doctors. When he writes articles later, he doesn't have to look for information everywhere or chase Wu Xiaofu to ask. He can just directly quote it. It's so comfortable.

After the gallbladder dissection is completed, the gallbladder is carefully removed, and then the bile duct is probed. It can be seen that the bile duct has been infiltrated, surrounded, and blocked by more than 60%.

This is another characteristic of gallbladder cancer. It infiltrates upward, affects the bile duct, causes blockage in the duct, and poor bile drainage. People with gallbladder disease who develop jaundice should pay special attention. Don't think about taking medicine to see if the symptoms can be relieved. The most important thing is to get checked and treated quickly.

Wu Xiaofu carefully dissected the tissue and came to the liver. In his eyes, the involvement of the liver was clear. Even the portal vein was affected, and it was not simply surrounded, but blood infiltration appeared. This was the most difficult part of the patient's prognosis.

It's not that this patient didn't go to the provincial hospital, but the provincial hospital told him directly that his chances of surgery were slim and that he should just receive conservative treatment and enjoy himself in the future. Well, in the past, people might be happy to hear that they should eat and drink as they please, after all, there was a time when some people really lacked food and drink.

But no one lacks this now, so if you keep talking like this, it might be a bit scary.

The patient wanted to go to Donghai or the capital for treatment, but happened to hear that Wu Xiaofu was coming, so he hurriedly checked in, wanting to try his luck. Whether he can have surgery and whether he should have surgery are two different concepts.

In the case of this patient, if he doesn't undergo surgery, he will only live for three months at most. The situation is already very serious and his death is certain. This is simply too despairing. What's more, as the disease worsens, the quality of life will only get lower and lower. It's depressing to think about it.

But if there is a chance for surgery, I can't say it can cure you, but at least there is hope that your survival time can be extended. Otherwise, why would we give you surgery? This is a hope, and isn't the purpose of life to live for hope?

What's more, after the operation, at least the root cause of the disease has been removed. Even if there are only three months left, the quality of life will be much better.

So when they heard Wu Xiaofu say that there was indeed a chance for surgery, both the patient and his family were very happy. Of course, the patient refused at first. After all, it was already like this, why bother? Wouldn't it cause trouble for his family and waste money?

But there is one thing we should know: no one really wants to die, even if the condition is so serious that they don't have much time left even if they live.

The reason why patients do not want to be treated is not that they do not want to live, but that they do not want to cause trouble to their children and waste money. At this time, as long as the children are willing to be treated and a little persuasion is given, they will be willing to cooperate.

The difficult thing is that you can’t hear these two pieces of advice.

The patient on the stage is undoubtedly happy. The child must treat him. During the morning rounds, the old man held Wu Xiaofu's hand and told him to do his best. Even if something really happened, he would not be blamed. Maybe at that moment, it didn't matter whether the treatment was successful or not. What mattered was that the child was willing to treat him.

Wu Xiaofu would not perform a useless operation. After this operation, the old man's survival period will be at least more than one year, and his quality of life will definitely be much better than without the operation. After a month, he will have no problem going out for a walk or playing cards every day.

As long as the cut is clean enough, even if it recurs, it will take time.

This time will be at least one year later.

Wu Xiaofu had performed many similar operations before. He had a checkup every three months. In the outpatient clinic, Wu Xiaofu had not seen any patients with a particularly rapid relapse. Some people always said that surgery was worse, and maybe it would be better to live longer without surgery.

This kind of situation is rare after all, and perhaps the cut is not clean enough.

One half of the liver is removed, and the liver, gallbladder, and spleen are placed on a plate. Wow, half of the stomach is emptied, which is undoubtedly damaging to the vitality. For the elderly, even if there is no recurrence in the later stage, it will take at most three to four years, because it is really difficult to recover.

However, the effect is definitely better than not having surgery.

"Okay, it's over."

Wu Xiaofu took out the mirror and looked at the watch. It was eleven forty. The operation took one hour and forty minutes. Wu Xiaofu admired himself for not performing the operation slower and slower.

The finishing work was handed over to Dou Zhiming and another assistant. Wu Xiaofu took off his surgical gown and prepared to go out to explain to the family members so that he could eat.

Another pleasure of being a doctor is listening to the gratitude from the patients' families.

Unlike many expressions of gratitude in life, the gratitude from these family members is often sincere, and this sincere gratitude seems to turn into a warm current, filling the heart and giving Wu Xiaofu new motivation.

At 12:40, the third operation began.

This time, Wu Xiaofu's progress was even faster. He removed one liver cancer unit every hour on average. Adding one hour of preparation time in between, the operation was successfully completed before six in the afternoon.

After just one day of surgery, Wu Xiaofu completely impressed the doctors and nurses in the operating room.

"Surgical machine!"

Wu Xiaofu seems to have gained a new title.

The county actually has a TV station, but few people watch this TV station now. No, few people watch the TV. However, many local people still follow Jinhu County’s official account.

Wu Mingjie is one of them. He had just taken office and was overwhelmed with so many things to do. Wu Mingjie was busy like a top every day. He came to Jinhu County alone. His wife also had a job in Donghai and could not come with him.

After a busy day, I just lay down on the sofa.

Well, this has been his working state for several days. Every time at this time, Wu Mingjie would think about giving up. Perhaps for many workers, the idea of ​​resigning comes out in this way, and then they throw themselves into work with full energy the next day. This may be the love and pursuit of work.

Of course, we cannot rule out the possibility that life forces us to do so.

Ding!
A push message reminder appeared on the phone, followed by a few more ding ding ding sounds.

Wu Mingjie didn't want to look at it, but after thinking about it, he struggled and took a look.

After all, there are a lot of important things to do these days, and he is afraid of missing any of them.

"Yes! Jinhu County Hospital completed the first laparoscopic radical resection of pancreatic cancer!"

"Jinhu County Hospital completed the first laparoscopic radical resection of gallbladder cancer!"

……

Seeing the news, Wu Mingjie couldn't help but smile. They were so quick. It was worth it that he had brought his cousin to Jinhu County Hospital. It had only been two days and the results were so remarkable.

Not only Wu Xiaofu performed these six operations, but other departments also began to work. With Wu Xiaofu's face, the other seven doctors who came to the countryside basically worked hard and the results soon showed up.

Even good wine needs no bush. Now that you have achieved results, it is time to make a name for yourself.

Seeing these news, Wu Mingjie also perked up.

"County Magistrate Wen, I'm sorry to bother you. I think you've read the news from Jinhu County Hospital. With this, we have to speed up the progress. We should report to the higher authorities now. Once we have achieved results, we need to let the city and the province know.

We are children from the city and the province. We are making progress, so as parents, they have to encourage us in every way. If we want to make more progress, they have to give us more support. "

"Understood, Magistrate."

Upon hearing this, Deputy County Magistrate Wen immediately understood what Wu Mingjie meant. The crying child gets the milk, and this child has a bright future. This had been discussed before, and now that the time has come, it is natural that they would report it to the higher authorities and ask for support and money.

Wu Mingjie was in much better spirits at this time. This was the first major event after he took office, so he naturally had to do it well. Moreover, in today's Sujiang Province, the head of the family was in charge, so as long as he could make achievements, he would have no worries about lack of support.

At this time, Wu Xiaofu was also lying in the guesthouse.

They had dinner together in the hospital. It was arranged by Fei Jinpeng. Needless to say, he was really happy this time. He was very proud. He had been the dean for so many years, but today was the proudest day for him.

Other county hospitals in HA City are all Grade-III hospitals, and only Jinhu County Hospital is a Grade-II hospital. It has been often neglected and looked down upon before, but now it is better and it is time for other hospitals to be jealous of them.

While eating, Fei Jinpeng received a lot of phone calls.

For so many years, he had been begging those classmates. Now, these classmates were begging him to see if they could let Wu Xiaofu go to their place for surgery, like performing a surgical operation or something.

Dreaming!
Don't say that he can't make the decision on this matter. Even if he can make the decision, he can't do it this way. The most important thing is to develop himself quickly. How to evaluate a tertiary hospital?

The departments have to be built. Now that the departments have been separated, the framework is already there. The next thing is the outpatient volume and surgical volume of each department. The number of patients has increased significantly now, and with surgical experts like Wu Xiaofu, the number of surgeries is skyrocketing.

No, I have to ask the county chief for money, and the equipment must keep up. If you want to do your job well, you must first sharpen your tools.

Although Wu Xiaofu didn't say anything, Dou Zhiming told Fei Jinpeng after the operation. Wu Xiaofu frowned while using their instruments, but they didn't say anything. That showed they were being human and leaving them room. They couldn't be ignorant.

However, the current county hospital relies entirely on support from the county. Before, they couldn’t even pay salaries, let alone buy equipment. In fact, it’s not just their county hospital. Other district and county hospitals, even those that have been promoted to level three, are in a similar situation.

However, now that the hospital is being upgraded, it is a major matter for the county, so it must be treated specially.

The next morning, the hospital had arranged an outpatient visit for Wu Xiaofu.

There are fifty numbers in the outpatient clinic in the morning. Unlike before when he was in the First Affiliated Hospital, Wu Xiaofu did not let everyone see the whole day directly, as that was too tiring. It is better to separate them. It is still one day a week, but divided into two mornings.

Wu Xiaofu woke up early and checked the backstage. All fifty numbers had been posted.

This is an outrageous thing in a county hospital. Normally, the doctors in Jinhu County Hospital may see less than ten patients out of sixty or a hundred appointments a day. The patients are sparsely populated. Most of them do not stay in the outpatient clinic and only come to the outpatient clinic when the nurse says there is a patient.

Of course, Jinhu County Hospital also has several famous doctors, but it is very difficult to get all the appointments. Not only in this county hospital, but even in the city-level tertiary hospitals, many doctors' appointments are not available.

Patients now have more channels to learn about doctors. Before making an appointment, they must thoroughly understand the doctor's situation, either from the Internet or by asking acquaintances. Most of them only make appointments with famous doctors, and simply give up on those that are less famous.

They would rather see the doctor two days later than make do with it.

However, all the numbers were filled up, and Wu Xiaofu was a little curious. After all, this was only his third day here, and the registration information was announced the day before yesterday. In total, it had only been two days. Many people probably didn't know that Wu Xiaofu had come to Jinhu County, yet all fifty numbers were filled up.

I’m afraid there may be patients from other places here too.

Wu Xiaofu did not rush to the outpatient clinic, but went to the department first to attend the morning meeting, make rounds, and see patients.

We still need to take a look at the six patients treated yesterday, especially the patient with gallbladder cancer.

In fact, under normal circumstances, such patients should be placed in the ICU after surgery, but Jinhu County Hospital does not have an ICU now, so they can only return to the original ward. However, with such a serious postoperative condition, Wu Xiaofu is a little worried about the care in the ordinary ward. The first day after surgery is the most dangerous.

The operation was successful, but for such a major operation, the risk of thrombosis and various postoperative reactions is very high, and strict postoperative care is necessary. Originally, Wu Xiaofu planned to stay in the hospital for one night, but Fan Xin told Wu Xiaofu directly that he could do it.

This person is now just like the doctor in Wu Xiaofu's group. He is willing to help Wu Xiaofu share everything, which makes Wu Xiaofu very touched.

I didn't receive any call from Fan Xin the whole night. It seems that the night was safe. At least, it was all things that Fan Xin could handle.

"Last night, he cried out in pain in the middle of the night. I gave him painkillers and he was fine. I had his blood drawn this morning and took a look. He should be fine."

Fan Xin talked to Wu Xiaofu, and Wu Xiaofu felt his pulse and breathed a sigh of relief. He thought that after today, his condition would be much better and there was no need to worry too much.

After seeing a round of patients, it was already half past eight when Wu Xiaofu arrived at the outpatient clinic.

"Doctor Wu."

……

The clinic Fei Jinpeng arranged for Wu Xiaofu was Room 9, which was a little further inside. It was already full of people. When Wu Xiaofu brought Qu Tianqi over, many people stood up and greeted Wu Xiaofu. It was obvious that they all knew Wu Xiaofu.

However, Wu Xiaofu didn't see any familiar figures. It seemed that they all knew him from the Internet.

After greeting with a smile, Qu Tianqi opened the door of the clinic and let Wu Xiaofu in.

There are also nurses maintaining order at the door of the clinic.

"Come on, number one."

Wu Xiaofu called out the number, and Qu Tianqi also shouted from outside.

An old man and a young boy walked into the clinic after hearing their number being called.

Wu Xiaofu set his eyes on the old man, who looked to be in his sixties, but his complexion was very bad, a little pale and yellow, and he was obviously malnourished. His body was skin and bones, and he looked to be over 1.7 meters tall, but he might not weigh more than 100 kilograms.

It was difficult for him to walk, and he had to be supported by his child when he came in.

Wu Xiaofu stretched out his hand and motioned the old man to sit on the stool.

"Doctor Wu, I have been following your blog for more than two years. I was so happy to know that you came to Jinhu County. I was originally planning to go to Donghai to see you. Now it's closer. We came here from Suqian yesterday."

So that's what happened.

Wu Xiaofu nodded. It seemed that the reason why he had seen 50 patients so quickly was largely due to the fact that he had updated his schedule in his blog. Suqian was a city close to Huai'an, and the patient in front of him was obviously coming for him.

"Come, let me feel your pulse first."

The old man's appearance shows obvious symptoms of a wasting disease, the most common of which is diabetes. However, the old man does not look like it is just a case of diabetes. It is very likely that he has a tumor.

The old man handed his hand to Wu Xiaofu, and after a few breaths, Wu Xiaofu also frowned.

"The stomach must have been bad for many years, why is it coming now?"

After being called out, the old man lowered his head like a child who had done something wrong. The old man's son was also a little ashamed at this time, "It's our fault. He has had a bad stomach for a long time. Two or three years ago, I saw that he didn't eat much and was often nauseous.

I said before that I would take him to see a doctor, but Dr. Wu, you may not know that people who work in the fields are most reluctant to come to the hospital. We work outside and only go back two or three times a year.

I didn't take it seriously for a while. Last month, my mother told me that my father had blood in his stool. Then I took it seriously and rushed back to take him for a check-up, but my father didn't want to.

Dr. Wu, I have been following your blog for a long time and I know that my father's condition is not a simple one. When my father heard that he had to go to Donghai, he thought it was too far and he was afraid of the cost. Only after I told him that you were in Jinhu did he reluctantly agree to come over.

But the disease progressed very quickly. Now my legs feel weak when I walk, and I can’t even eat in the past few days.”

Wu Xiaofu nodded. With his current pulse diagnosis skills, he had a pretty good idea of ​​the patient's condition. There was definitely a tumor in the intestine, and something didn't look right with the stomach. However, a detailed examination was still needed to know the details.

"I need to be hospitalized? Is it convenient for you?"

Hospitalized!

Hearing that he had to be hospitalized, the old man immediately raised his head and said, "Doctor, we have to rush back. I can't be hospitalized. Just prescribe some medicine for me."

Wu Xiaofu shook his head and looked at the old man's child. "He needs surgery."

Operation!

The old man's child also looked pale. In fact, Wu Xiaofu's blog has very clear explanations about digestive system diseases. Many people can make very different judgments by comparing the content of Wu Xiaofu's blog and then looking at the patient's symptoms.

The old man and his child had a bad feeling before they came. Although Wu Xiaofu did not say it explicitly, the child needed to be hospitalized and undergo surgery. How could he not know that the condition was really serious?

As for Wu Xiaofu being able to tell all this just by taking his pulse, he was not surprised. This was Wu Xiaofu, so wasn't this a normal operation?

"Surgery? I don't want surgery, doctor, just give me some medicine. I don't want surgery."

As he said this, he actually struggled to get up and spoke to the child.

"No more watching, no more watching, let's go back."

The child had feelings, so how could the old man not have feelings? At this moment, the old man's voice was full of panic and helplessness, but also very determined.

Hospitalization and surgery both cost money, and he doesn't want to burden his child.

At this moment, Wu Xiaofu couldn't help but think of the patient with gallbladder cancer yesterday. His eyes fell on the old man's child, but the focus was still him.

The old man's child grabbed his father and said, "Dad, what are you doing? Doctor Wu is an expert in this field. There is no disease that he cannot cure. If we go back, the disease will become more serious, and it will be more expensive to treat it in the future.

You must listen to me this time and get treated here. You must cooperate. We have medical insurance and we are in the province, so we can get it reimbursed. Just listen to me."

After saying that, he apologized to Wu Xiaofu again.

"I'm sorry, Doctor Wu. My dad has never been sick in his life. To be honest, this is his first time in the hospital. He has never been hospitalized before. He might be a little scared. Please help me get hospitalized. I'm afraid I'm going to trouble you this time."

(End of this chapter)