Come on, Dr. Wu

Chapter 260: Can Protect
After being persuaded by the child, the old man said nothing more.

In fact, when an elderly person falls ill, he or she becomes like a child. At this time, the children begin to play the role of adults.

"Doctor Qu, please issue the admission certificate."

Wu Xiaofu asked Qu Tianqi to prescribe hospitalization, and then started writing a list of items that needed to be checked. He gave it to the old man's children, asking them to go through the hospitalization procedures and then give it to the doctor on duty to write the prescription.

For the elderly, seeing a doctor in Jinhu is indeed much more cost-effective than seeing a doctor in Donghai.

Donghai is now also involved in out-of-town policies, and the reimbursement ratio is not as good as the medical insurance settlement within the province.

Moreover, living in Donghai is not easy.

Previously, Wu Xiaofu heard from a patient that they came to Donghai from another place for medical treatment. It took more than a month and the hospitalization fee was more than 30,000 yuan, but the total cost was about 50,000 yuan, because in addition to the fees deducted by the hospital, there were also other expenses such as food, drink, defecation, accommodation, travel expenses, etc., which added up to a lot.

To this day, there are still many patients who need to travel back and forth between Donghai and the local area. For example, some patients in the oncology department who need to use immune preparations may have to travel back and forth once a week. Every time they come, they often have to stay for a day. The travel expenses plus the meals during hospitalization are indeed not small, and these cannot be reimbursed.

Seeking medical treatment is sometimes really difficult.

Therefore, everyone hopes to get the highest-end treatment at their doorstep.

However, things are much better now. At least the hospital near my home is indeed developing.

"Call the next one."

Qu Tian called the number at 7, waiting for the next patient to come in, and looked at Wu Xiaofu, "Doctor Wu, your pulse diagnosis skills are really well-deserved. You can determine the patient's condition just by feeling the pulse."

"Just study more and have more opportunities to diagnose pulses. With learning and practice, you can improve quickly. You can do it too. If you are interested, I can teach you. There will definitely be some errors at the beginning, but you can combine examinations and make judgments step by step.

We all have enough knowledge accumulated, and as long as we put our heart into it, we can actually learn very quickly.”

Qu Tianqi was also a little surprised when he heard Wu Xiaofu's words, "Really? Are you really willing to teach me?"

Wu Xiaofu smiled and nodded, "Of course, I can still deceive you."

At this time, the second patient had come in. He was a middle-aged man with a haggard face, but he seemed to be in good health. He was probably accompanied by his wife and children. After he came in, a look of confusion appeared on his face.

Wu Xiaofu smiled and asked the patient to sit down.

"Where do you feel uncomfortable?"

"Doctor Wu, I always feel pain in my liver. It hurts so much that I can't eat or sleep well. I'm almost going crazy."

Liver pain!

Wu Xiaofu nodded. No wonder he looked so haggard. In fact, in medicine, there is an unrecognized terminal illness called insomnia. It is really a terrible disease. This disease may have inducements or not.

But once you suffer from it, it is likely to be a lifelong problem, because insomnia will quickly drag down the human body and the quality of life will become lower and lower. If you think about it carefully, it is even more terrible than the so-called three highs.

The man's eyes were covered with dark circles. It seemed that he had been having trouble sleeping for a long time.

"My liver hurts. Please point it out to me."

Upon hearing this, the man quickly pointed to his right rib cage, which was indeed the location of his liver.

Wu Xiaofu asked the man to stretch out his hand and examined him, while asking, "How long has it been?"

how long!

The man quickly replied, "Two hundred and forty-seven days. Today is the two hundred and forty-eighth day."

Ah!
Wu Xiaofu was stunned by this answer. Is this based on the number of days? Does he have obsessive-compulsive disorder? Or is he just being careful?

The results of taking the pulse were also fed back at this time.

There doesn't seem to be any major problems with the liver. Not only the liver, but other organs also seem to have no problems. The pulse shows that the man is very healthy.

However, Wu Xiaofu did not rush to deny the man. Instead, he let the man lie on the examination bed and performed a palpation on him.

"It's been more than half a year. Haven't you had a checkup?"

"I have been checked, but they couldn't find anything. I went to the county hospital first, then the municipal hospital, and finally the provincial hospital. They couldn't find any problems, so they just said I was under observation. But how could I not know if there was a problem?

If there is really nothing wrong, how could it hurt so much? I was originally planning to go to Donghai, but I heard that you were in Jinhu, so I came straight here. You are an expert, so you must be able to see my problem."

No problems were found!

Wu Xiaofu understood a little. With the current examination methods, even if they went to the provincial hospital and still couldn't find anything, then there might really be no problem. No, it might not be a liver problem.

"Does it hurt?"

"Ah, it hurts."

Wu Xiaofu's face darkened. He pressed the appendix. "What about this time?"

“It hurts too.”

This time it was the left abdomen. He shook his head and motioned the patient to get up and sit back down.

He was talking to the patient just now and the patient's attention was distracted. Wu Xiaofu performed a physical examination on the patient's abdomen and did not find anything abnormal. It was only when he reminded the patient later that the patient cried out in pain.

This is stream of consciousness!

Wu Xiaofu realized that the patient's liver pain was most likely functional rather than organic.

This is what we often call psychological problems, which lead to physical pain.

"Did you bring it with you for the previous checkup?"

While asking, he also looked at several bags in the hands of the patient's family members. The patient's family members hurriedly handed the bags to him. Wu Xiaofu looked at them one by one and found that there was indeed no problem. Even the arrowheads in the blood were pitifully few.

"Doctor Wu, what disease do you think I have?"

The patient's family also kept a close eye on Wu Xiaofu. To be honest, at first they also thought that the man had liver problems, but after running around, undergoing so many examinations, and seeing so many doctors, they all said that there was no problem.

Not only the liver, but my whole body has been examined several times. I spent a lot of money, but they didn't find out what's wrong with me.

A doctor behind them quietly told them that they should find a reliable psychological clinic.

They understood it immediately, but when they talked about it with the man, they were scolded. What did he mean? Did they say he was a psycho?
The family members didn't dare to mention it after that. Just then, the news of Wu Xiaofu coming to Jinhu came out, and it wasn't far away, so they came over again.

They were not going to tell Wu Xiaofu directly about these situations, so they let Wu Xiaofu take a look first to see Wu Xiaofu's level.

"Doctor Wu, you don't think I'm not sick, do you?"

The man was quite anxious. Without waiting for Wu Xiaofu to answer, he asked again. It seemed that he was out of control. Wu Xiaofu suppressed his hand.

"Has the liver been hit before?"

Wu Xiaofu calmed the patient down and asked again. Wu Xiaofu understood the patient's emotional fluctuations very well. It has been 248 days. The patient might have neurasthenia and anxiety is no big deal.

When the patient heard Wu Xiaofu's words, his eyes suddenly lit up.

"I said that Dr. Wu is an authority in this area. I never told the doctors about this before, and they didn't figure it out either, but you said it right away. Yes, I drive an online ride-hailing car. A passenger vomited in my car before. I asked him to pay, but he refused and even attacked me.

How could I tolerate this? I fought back directly. During the fight, my liver was hit by that guy. My liver pain is also the root cause of the disease that happened at that time. But when I went to see a doctor, the doctors didn’t ask about this. When they examined me at that time, the doctor also said that my injury was not serious and I was fine. ”

Wu Xiaofu nodded, that made sense.

It is normal that other doctors don’t ask. This is the current medical treatment model. They will ask where you feel uncomfortable. If it is your liver, they will palpate it and if there is nothing wrong, they will directly write a prescription. If there is nothing wrong on the prescription, then it is confirmed that there is nothing wrong.

Western medicine focuses on examination data, which has become a pattern because machine data is really more objective than the doctor's subject.

Most of the time, people believe in these objective data more, so gradually a habit is formed.

As for the liver pain in this patient, it is actually very obvious. The initial pain was actually real. Because of the blow, he had abdominal pain. However, it should be abdominal pain, and there was no organic damage to the liver.

The abdomen has recovered later, but in the patient's subjective consciousness, the pain has not stopped, which is the so-called "persistent phantom pain."

"I'll prescribe some medicine for you. You can take it for a week and see the effect. If it still hurts, come next Wednesday, but you don't need to register. Come a little later, at noon, when I've finished seeing the other people, and then I'll give you the next course of treatment.

However, based on previous cases, the problem can be solved by taking medicine.”

There really is a problem!
The patient's eyes immediately filled with tears when he heard this. It had been almost a year, and he had finally found the problem. It was no longer like what other doctors had said: looking for a disease when there was none.

This is an expert. Those before were clearly quacks.

Look, Dr. Wu was able to tell that he was sick, but the other doctors were simply irresponsible.

"Thank you, doctor. I will listen to you."

The patient's family was also stunned. Is he really sick?
However, looking at the patient's surprised expression, I also began to doubt life. Is it really that good to be diagnosed with a disease?

But what kind of disease is this?
"Doctor, what is this disease?"

This question was asked by the patient's family. The patient had finally been diagnosed with the disease and had forgotten about it. Upon hearing the family's question, Wu Xiaofu slowly spoke, "It's functional poor circulation of the liver. It should be cured after some treatment."

Poor functional circulation of the liver!
The three were confused. They had never heard of this disease. However, they soon understood. If it wasn't such a rare disease, how could others not find it? In any case, this was a good thing. The disease was found out and the doctor said it was not serious. Then he just needed to cooperate with the treatment. The man was relieved and the family had hope. Finally, they didn't have to accompany the man to look for a doctor all over the country.

"Thank you doctor, thank you doctor."

Seeing the patient taking the prescription and going out to get the medicine, Qu Tianqi called out the patient's number and said, "Doctor Wu, this may be a mental problem, right?"

"Well, actually it's not really that. It's just a psychological suggestion. Doctor Qu, psychological problems are always better to be relieved than blocked. For more than half a year, all doctors have told him that he has no illness, and some even suggested that he might have a mental problem.

If you have to choose between mental illness and liver disease, which one would you choose? "

Ah!
Upon hearing this, Qu Tianqi immediately understood something. To be honest, he would rather have problems with his liver than suffer from a mental illness. He immediately understood the patient's psychology.

Looking at Wu Xiaofu, I admire him even more.

Suddenly he also thought that Wu Xiaofu seemed to be a psychology expert. Wu Xiaofu wrote a psychology book called "What are you thinking about when you look up at the stars". Wu Xiaofu also went to the fire station every month for psychological counseling.

What kind of treasure man is this?

Qu Tianqi looked at Wu Xiaofu with a kind of obsession, causing Wu Xiaofu to knock on the table quickly, "Hey, don't fall in love with me."

Ah!
Qu Tianqi quickly shook his head. He was a man and liked women. However, Qu Tianqi had to admit that if he were a woman, she would definitely fall for him. This man was poisonous.

Wu Xiaofu's outpatient clinic goes very quickly because Wu Xiaofu does not rely on too many tests. Outpatient clinics in large hospitals are slow and mainly rely on tests, such as medical questioning, physical examination, and prescription writing. When the prescription comes back, he will have to do another check-up. This back and forth process takes too much time.

As for Wu Xiaofu, he simply skipped most of the examinations. If the patient was confirmed to be sick, he would go for a check-up. If surgery was required, he would be hospitalized. If surgery was not required, he would just get some medicine and go home. Therefore, out of the fifty patients, he had already seen thirty of them by ten o'clock.

Qu Tianqi was dumbfounded. In fact, in Qu Tianqi's opinion, thirty numbers were just right for Wu Xiaofu. If there were fifty numbers, it would probably take until two in the afternoon.

Now he realized that he had underestimated Wu Xiaofu. It turned out that Wu Xiaofu was not only fast at performing surgeries, but also fast at seeing patients in the outpatient clinic.

One prescription after another was issued. To be honest, many of the patients who came to Wu Xiaofu's clinic came to see him for surgery, so more than a dozen hospitalization prescriptions were issued for these more than 30 patients.

However, Wu Xiaofu's outpatient clinic not only sees patients from the hepatobiliary surgery department, but also patients from the thyroid and breast surgery department and the gastrointestinal surgery department.

After all, everyone now knows that Wu Xiaofu is an expert in these three professions, and this is also written in the hospital's introduction.

The hospital also gave Wu Xiaofu full department authority, which means that patients can be admitted to any department through Wu Xiaofu's system.

The patient in front of us is a young woman who comes to see a doctor for breast disease.

The patient was only 4 years old. During the physical examination, she underwent breast color ultrasound, but was reported to have four breast nodules. One of the nodules in the upper outer quadrant of the right breast was reported as a.

After taking the physical examination report, the patient went back and sought help from Baidu.

The grading of breast nodules, level one or two is fine and just needs basic observation. Level three requires attention and requires examination every two or three months as there is a possibility of developing into malignancy. Level four, which is the so-called 4a4b4c on the report form, are all suspected of becoming malignant. Even level 4a has a to percent chance of being malignant.

Therefore, once a grade 4 breast nodule is discovered, surgery must be performed as soon as possible, followed by a pathological examination.

The patient became a little restless after seeing this, especially when the people around her started telling her about various breast cancer cases around them, including some in teenagers. This frightened the patient even more, and she hurried to the provincial capital for surgery.

I only came to the county hospital because I heard that Wu Xiaofu was an expert in this field.

At this time, the patient was cooperating with Wu Xiaofu's examination and was very nervous, fearing that he would hear some bad news from Wu Xiaofu.

Wu Xiaofu looked at the report in his hand.

Jinhu County Kangmin Hospital, well, it should be a private hospital. This examination is somewhat harmful.

"There are nodules. There should be two on the left breast and three on the right breast."

Five!

The medical examination report also said that there was one less! Was it missed during the physical examination, or was there one more in just a few days?
The patient became even more nervous after hearing this.

Wu Xiaofu also noticed the patient's nervousness and hurriedly continued, "But he should not be at level 4 yet. Is he usually under a lot of pressure at work?"

The patient was stunned when he heard this, and then his body collapsed, holding on to the table, unable to believe what he heard.

"Really less than level 4?"

"In my opinion, it is not possible. There must be some minor problems during the examination. If you are worried, I will prescribe another examination for you and you can go for a color Doppler ultrasound."

call!
The patient finally breathed a sigh of relief. It wasn’t breast cancer, and it wasn’t even at stage four. So she didn’t need surgery?
"Doctor Wu, it has been three years since I graduated. After graduation, I started taking various exams, such as teacher qualification exams, civil servant exams, and various other exams. I failed the first year, and I started to feel anxious. Now it is the third year, and it is getting harder and harder every year, and I am getting more anxious every year.

Plus, I teach in primary school, and I often get angry when facing those kids, which makes me even more anxious. Look at me, I’m only 26 years old, but my hair is falling out in clumps.”

Upon hearing this, Wu Xiaofu expressed his understanding. This situation is actually very common. According to current Western medical theory, nodules are basically caused by anger, especially thyroid nodules and breast nodules, which can best prove this theory.

If you ask people who have breast nodules and thyroid nodules, nine out of ten are like this.

Well, how does the saying go? Take a step back with thyroid nodules and endure breast nodules for a while. To be honest, there is some truth to this.

Nowadays, people are under great pressure in life. If they cannot relieve the pressure in time, they will easily become anxious and more likely to develop nodules.

"That's the problem of breast hyperplasia."

"Breast hyperplasia! Isn't it breast nodules?"

"Breast hyperplasia and breast nodules cannot be completely separated. In fact, nodules are just a type of hyperplasia, and in most cases they are benign and the condition is relatively mild.
There are many causes of breast nodules, which are mainly related to endocrine disorders, gene mutations, and environmental pollution. The most important one is breast hyperplasia caused by endocrine disorders, which is the easiest to cause and is closely related to the menstrual cycle and pregnancy.

Breast nodules are actually cystic breast hyperplasia, a non-tumor disease that is very common in women of childbearing age. However, there is a possibility that breast nodules will progress to breast cancer, so it must be taken seriously. I see that yours is not inflammatory, and you haven't given birth to a child, so it is most likely a problem of breast hyperplasia.

Do you often have breast pain?

The patient's eyes lit up when he heard this. "Yes, I often felt chest pain before. At first I thought it was because the students were angry with me and it hurt my heart. You know, this position is almost the same."

Wu Xiaofu nodded and said, "Breast nodules are easy to deal with. If you still have concerns and want surgery, two of them are of suitable size for surgery and can be removed directly. Of course, the situation is actually not bad now and we can continue to observe.

But you have to know that the reason why you have breast nodules is most likely because you are under too much stress and anxious, which causes breast hyperplasia. My suggestion is that you adjust your life first. Otherwise, in the long run, even if you have surgery this time, new nodules will appear soon.

Besides, I'm afraid your menstruation has become irregular. Sometimes you can't push yourself too hard. Exercise more, don't stay up late, eat regularly, and if that doesn't work, change your job."

This!
The patient looked at Wu Xiaofu. It was amazing. She didn't even tell him about her irregular menstruation, but Wu Xiaofu could tell that. He told her to exercise more, not stay up late, eat regularly, and change jobs. She was afraid she couldn't do any of these.

She has made exercise plans countless times, but she always fails to stick to them. She relies on dieting to lose weight. If she stays up late, she will suffer from insomnia at a young age. For a long time, the more she can't sleep, the more she likes to play with her mobile phone. Now she goes to bed later and later. She can't fall asleep even if she wants to stop staying up late.

Eat regularly. Since she started losing weight, she has not eaten regularly, and losing weight has become a part of her life.

It has become a habit to starve myself for a meal or two from time to time.

As for changing jobs, what else can she do if she doesn't want to be a teacher? She doesn't know how to do anything else, and she hasn't even passed the civil service exam.

Oh, is she hopeless?

"Doctor Wu, me."

When the words came to her lips, the patient didn't know how to bring it up to Wu Xiaofu. She couldn't just tell Wu Xiaofu. She couldn't do any of these things. Was there any other way?

"Doctor Wu, please give me a color Doppler ultrasound first, and I'll take a look. As for what you said, I'll try my best."

Wu Xiaofu didn't have any objection. He could actually understand it very well. What he said was something that he couldn't do, let alone others. He was afraid that most people in society couldn't do it. Only some primary school students who were supervised by their parents should be able to do it.

But there is no other way. If you want to be healthy, you have to be more self-disciplined.

He signaled Qu Tianqi to write a prescription and move on to the next patient. Unlike this patient, the next one would have real breast cancer.

"Doctor Wu, I can't live without them."

This patient is only two or three years older than the previous one and has not yet married. However, at this age, she was diagnosed with breast cancer, and it is advanced breast cancer. The doctor recommended radical mastectomy, but it requires the removal of both breasts.

This was difficult for the patient to accept. She was a girl and had not yet married. How could she live without breasts?

Therefore, this patient went to all the major hospitals in Jiangsu Province. If it was in the early stage, breast-conserving surgery might be an option. However, now that the disease is in the advanced stage, the risks of breast-conserving surgery are too great. No one dared to guarantee her a cure. They couldn't leave too much risk of recurrence just for the sake of preserving her breast.

Wu Xiaofu, this is already the 10th breast specialist she has seen.

Almost everyone advised her not to have breast-conserving surgery because the risk was too great and they were not sure. In the doctors' view, it was a pity for such a young girl to lose her breasts before getting married, but there is only one life and life should be put first no matter what.

Wu Xiaofu didn't need to ask any more questions. After sitting down, the patient told Wu Xiaofu the whole situation like pouring beans.

Wu Xiaofu looked at her previous examinations while listening to what the patient said.

Perhaps she had too many things on her mind, and she couldn't even stop talking.

"Yes."

"What?"

The patient's voice suddenly stopped, and she uttered one word again, her voice beginning to tremble. These were the two most beautiful words she had heard in a while.

"I said I could protect it."

(End of this chapter)