Come on, Dr. Wu

Chapter 261 Improved Surgery
Can guarantee it!

This is probably the best news the patient has heard in recent times.

The patient cried with joy. At this time, he finally understood the meaning of this word. For a moment, the patient could not contain his excitement and burst into tears. He stared at Wu Xiaofu with his eyes full of hope.

"Doctor Wu, can you tell me how to treat this and how I can cooperate with you?"

Wu Xiaofu showed the patient the breast mammography and breast MRI.

"My preliminary estimate is that the surgery I perform on you will be able to preserve one-third of your right breast and half of your left breast. Of course, this is based on your current examination. After all, this was your examination a month ago, and there may still be recurrences.

According to your examination, your tumor is currently limited to the breast, and there is some infiltration in the lymph nodes, but other organs are not affected. That is why I dare to retain part of your breast.

As for you, after you are hospitalized, you need to cooperate with us to conduct some preoperative examinations. Forget about the mammography examination. The MRI and color Doppler ultrasound will also need to be reviewed. If everything goes well, I will perform the surgery on you next week. Please consider it. "

Half!

one third!

The patient looked down and estimated that after removing one-third of her right breast and one-half of her left breast, how much would be left? This would definitely make the already poor family even worse off, but this was undoubtedly the best outcome.

The patient naturally agreed quickly.

"Okay, I'll listen to you."

Seeing that the patient agreed readily, Wu Xiaofu also smiled. The reason why other doctors did not dare to preserve the entire breast for the patient was that they were not sure how far the patient's cancer had spread, where there were hidden dangers, and where there were no hidden dangers.

However, Wu Xiaofu can judge the approximate range based on his experience and then perform selective resection, so a larger area can be preserved during the operation.

For doctors, the time in the outpatient clinic actually passes very quickly.

After seeing another patient, Wu Xiaofu glanced at the time. It was almost twelve o'clock.

"Doctor Qu, how many patients are there?"

Hearing this, Qu Tianqi glanced at the computer and said, "Well, there are only two numbers left."

"Two now. Not bad. Maybe I can get off work on time. Call the next one."

Hearing Wu Xiaofu's words, Qu Tianqi stood up and said, "Okay, I'll go take a look outside."

After walking out of the door, Qu Tianqi called the next patient, but when he saw the patient, he was also dumbfounded.

What caught my eye were only two patients.

There are probably more than twenty people. Even if not all of them are patients, at least half of them are.

What is going on? This is!
He looked at everyone, "Have you all registered?"

Qu Tianqi knew that they definitely didn't get an appointment, but he had just talked to Wu Xiaofu and didn't know what Wu Xiaofu's personality was like. Could he add an appointment? He wanted to persuade these patients to make an appointment on Friday and come back.

To be honest, although they finished reading very quickly this morning, Qu Tianqi didn't think that it was easy for Wu Xiaofu. The more work he completed per unit time, the more energy he would naturally consume.

Wu Xiaofu had performed surgery for a whole day yesterday. Wu Xiaofu is now a guest visiting the countryside. Qu Tianqi doesn't want Wu Xiaofu to be too tired. Wu Xiaofu is now the hope for the revitalization of Jinhu County Hospital. If Wu Xiaofu is exhausted, they don't know how to proceed with their future work.

In fact, Qu Tianqi didn't need to ask. When they saw Qu Tianqi coming out, all the patients surrounded him.

"Hello, doctor. We all came here because of your reputation. We also want to make an appointment, but it's too difficult to get an appointment with Dr. Wu. Not to mention today's appointment, we can't even get one on Friday. Can you talk to Dr. Wu and ask him to give us an appointment?"

"Yes, doctor, we are from another place, and we can't delay the treatment of this disease any longer. Please help us."

……

Qu Tianqi was a little embarrassed at this moment as he was surrounded by so many mouths.

As a doctor, there are actually countless ways to reject patients because the status and knowledge of both parties are unequal. However, doctors are most reluctant to reject patients. Otherwise, a plus sign like this would not appear.

Many people say that the registration fee for a specialist is very expensive, and if he sees more patients, he can naturally make more money.

But at the expert level, money is no longer the most important thing. They want to live to make money and spend money.

There was no choice but for Qu Tianqi to return to the clinic again.

"Doctor Wu, there are patients outside who want to add an extra number. Do you want to agree or should I persuade them to leave?"

Ultimately, Wu Xiaofu has to make the decision on this matter, after all, he is the one who treats the disease.

Plus sign!
Wu Xiaofu was also a little surprised. He had just arrived and was seeing patients in the outpatient clinic for the first time, and there were even cases with plus signs?
"How many patients are there?"

"About ten."

About ten!
Wu Xiaofu looked at the time and it was okay. "Then you give them numbers and let them in one by one."

Since Wu Xiaofu became a doctor, he has almost never refused to treat any patients.

Moreover, he could also imagine that many of these patients must have come from other places, and it was not easy for them to come and go, so he would naturally help to the best of his ability.

Outside, the patients were also happy when they heard Qu Tianqi's words.

To be honest, they were also very nervous. After all, they were just trying their best to see if Wu Xiaofu would agree to add a sign. Unexpectedly, he actually agreed.

Moreover, it is different now than when Wu Xiaofu was seeing patients in Donghai.

When Wu Xiaofu was seeing patients in Donghai, the consultation fees were several times higher than they are now.

They just come to the countryside, and from what they say, these doctors are just going through the motions when they go to the countryside, and most of them enjoy the benefits, so it's normal that they don't agree to the extra fee.

"Director, we don't have enough beds in our department."

Ah!
Wu Xiaofu was stunned when he heard that and looked at Qu Tianqi. Qu Tianqi actually called him Director, which he hadn't done just now. However, this was a small problem. There were not enough beds in the department, which surprised Wu Xiaofu a little. There were fifty beds, and more than twenty of them had been occupied, so there were still more than twenty left.

Today he admitted more than ten patients from the hepatobiliary surgery department. By the way, there should be other people from the department who are also doing outpatient clinics. It seems that he has also brought some traffic to the hospital.

That's normal. It's a roundabout way to save the situation. Everyone knows that it's difficult to get an appointment with Wu Xiaofu and his illness is difficult to treat. In this case, they will first see other doctors in the department and stay in the department. It will be easy to find Wu Xiaofu for surgery later.

However, Jinhu County Hospital doesn't have much else but a lot of beds, so you can just borrow one.

"Then borrow a bed from another Corey."

"it is good."

Qu Tianqi responded and said, "In the general surgery department, because of Wu Xiaofu's arrival, there are more patients and more hospitalizations. However, it is different in other departments. Even the other doctors who came with Wu Xiaofu do not have such a large number of outpatient visits."

As for calling Wu Xiaofu Director, Wu Xiaofu had previously said that he was younger than him and asked him to call him by his name. Qu Tianqi felt that it was not a good idea and so he called him Doctor Wu. However, in the past two days, Wu Xiaofu first performed an amazing surgery and today he performed an outpatient clinic that made him admire him again.

He always felt that Dr. Wu was not respectful enough to Wu Xiaofu, so from today on, he decided to call him Director.

This was not the first time that Qu Tianqi followed his senior doctor to the outpatient clinic, and he was actually used to being called that.

The remaining dozen or so patients all finished their treatment at around one o'clock.

"I'm sorry, Doctor Wu, I've kept you busy until now and you've missed your meal."

This was the last patient, a thyroid cancer patient from a neighboring county. She was originally going to go to the provincial capital for surgery, but when she heard that Wu Xiaofu came to Jinhu, she decided to come here nearby. Wu Xiaofu also promised to perform the surgery on her personally, which made her very grateful.

"There's nothing to be embarrassed about. As long as you can be healthier, I will be the happiest."

The patient was even more grateful after hearing this.

Cuckoo!
After sending the patient away, Wu Xiaofu's stomach started to rebel and he looked at Qu Tianqi.

"Doctor Qu, you know where there is delicious food here? Let's go and try it together. It's my treat. Let's go quickly and come back quickly. I have surgery in the afternoon."

Qu Tianqi also laughed when he heard this.

"How can I let you treat me? I'll come. I grew up here. I know all the delicious food here. Come on, follow me. There's one restaurant you'll definitely like."

"Then I have to taste it."

It’s true that Qutianqi is an old Jinhu restaurant.

There were only two of us, so we didn't order much. We just ordered one serving of salted duck, one serving of squirrel mandarin fish, one serving of duck blood and vermicelli soup, and one serving of crab roe soup dumplings.

"Yeah, not bad, authentic, delicious."

This was not the first time that Wu Xiaofu had eaten these dishes. There were many such dishes in Donghai, but they were really incomparable to this old restaurant.

"Director, the signature dish of this restaurant is the salted duck. You may not know that this salted duck is also called osmanthus duck. It is a famous specialty of Nandu. As for its history, this dish has a history of more than 2500 years.

It can even be traced back to the Six Dynasties period.

To be honest, I often make this at home, but unfortunately, it can't compare with the one here. This salted duck, whether it is the duck, the condiments, or the charcoal fire, is very particular. Look at the duck meat, the duck is white and tender, the skin is crispy and the meat is tender, fat but not greasy, and full of flavor.

Unfortunately, the timing is a bit wrong. If it were around the Mid-Autumn Festival, when the osmanthus flowers are in full bloom, the salted duck would taste even better.”

Looking at Qu Tianqi talking freely, Wu Xiaofu also smiled.

"I found that we are kindred spirits in cooking. I am also a good cook. I will let you taste my food some other day."

"Okay."

The more they talked, the more they got along. Qu Tianqi really made people feel comfortable. Wu Xiaofu actually didn't like talking about things in the hospital at the dinner table. Gossip was fine, but when it came to talking about surgeries and the like, it was really tiring.

Wu Xiaofu had heard many complaints from his classmates before.

Some of them went to work in other places, left their familiar circle, entered a new circle, and then started a new job. This circle is just a circle of doctors. They work at work and talk about the same things after get off work.

No one can stand this for a long time. It's just like this, separate after get off work and work, and talk about things after get off work, which is the best.

In the afternoon, Wu Xiaofu arranged three operations, all of which were thyroid and breast surgery operations.

One case of thyroid nodule, one case of thyroid cancer, and one case of breast nodule.

Not to mention, Fei Jinpeng even said that the amount of surgeries Wu Xiaofu performed in a week might be equivalent to the amount they performed in several months.

Wu Xiaofu has performed a lot of cases, both on thyroid nodules and thyroid cancer. The two cases in the afternoon were not difficult. After finishing his meal, Wu Xiaofu came back at three o'clock and went straight into the operating room. He looked very relaxed.

Not only Wu Xiaofu entered the operating room, but also the doctors from the thyroid and breast surgery department. This afternoon, most of the doctors who had nothing to do entered the operating room, just like they did yesterday to observe Wu Xiaofu's hepatobiliary surgery.

The director of the Department of Thyroid and Breast Surgery is a chief physician invited back from the city by Jinhu County Hospital, named "Fang Ying."

Fang Ying, a master's graduate from Nandu Medical University, is an associate chief physician in the general surgery department of HA City Second Hospital. She specializes in thyroid and breast surgeries. Jinhu County Hospital spent a lot of money to invite her back.

With the title of associate chief physician, he served as the director of the thyroid and breast surgery department of Jinhu County Hospital.

As far as Wu Xiaofu knows, she and the hospital have signed a special contract. If Jinhu County Hospital cannot be promoted to a tertiary hospital within three years, Fang Ying will leave directly, and there will be no compensation involved when she leaves. Now the hospital has promised Fang Ying something, and Fang Ying will take these things with her when she leaves in three years.

There are actually many contracts like this in major hospitals.

Especially when lower-level hospitals go to higher-level hospitals to poach people, they say that there are more and more doctors and it is becoming increasingly difficult to find jobs. But that is only for doctors with ordinary academic qualifications. Doctors with doctoral degrees can still find jobs in most hospitals in China.

Doctors with a master's degree are also very popular in municipal hospitals, especially famous doctors like Fang Ying. Such doctors are basically not willing to work in the county unless the salary is high enough.

After all, doctors are also human beings. Even if the temptation is great, it is more reassuring to get the money in your hands.

What's more, in Fang Ying's case, there's no loss no matter which choice she makes.

"Doctor Wu, let me be your assistant. I hope I won't be a burden to you."

Fang Ying is 37 years old this year and is now the head of the department. However, she does not show too much attitude in front of Wu Xiaofu and seems to be happy to be Wu Xiaofu's assistant.

Wu Xiaofu couldn't tell whether it was true or not, but having an assistant like this was what Wu Xiaofu was longing for.

After all, the operation can be done faster, and Wu Xiaofu is very happy.

"Thank you for your hard work, Sister Ying."

Fang Ying also laughed and started to help.

The first patient to be operated on was a thyroid cancer patient. Fang Ying watched Wu Xiaofu's operation. She had actually watched the entire live broadcast of Wu Xiaofu's operation in the National Surgery Competition. The thyroid cancer operation performed by Wu Xiaofu really made Fang Ying admire him.

She believed that she might not be able to reach that level in her lifetime.

What Wu Xiaofu didn't know was that Fang Ying came to Jinhu County Hospital partly for her own reasons. Fei Jinpeng said that Wu Xiaofu would return to Jinhu County Hospital to work in the countryside for two months and would do a lot to help the development of Jinhu County Hospital.

This is an opportunity for Fang Ying and Wu Xiaofu to learn, and Fang Ying wants to seize it.

It is very difficult for Fang Ying to go to the First Affiliated Hospital of Donghai University. She may have a chance to go for further studies, but even if she goes there, she will not be able to perform surgery with Wu Xiaofu. After all, Wu Xiaofu is in the hepatobiliary surgery department, while Fang Ying is in the thyroid and breast surgery department.

Now she just wants to study hard with Wu Xiaofu for two months and improve her skills.

And three years later, if Jinhu County Hospital can be promoted to a tertiary hospital, she will continue working there. If not, she will just leave. She will not lose out either way.

"Doctor Wu, to be honest, I really admire you. You are so good at hepatobiliary surgery, and you are also so good at thyroid and breast surgery. I watched the whole operation you performed at the National Surgery Competition. To be honest, I really admire you.

I came to Jinhu County Hospital because I wanted to learn from you up close. This is a rare opportunity for me, so I may have to trouble you in the next two months."

It turns out to be like this!
Wu Xiaofu finally understood why Fang Ying was so humble. She was actually a fan of his surgery?

To be honest, there are more and more fans of surgery like this here at Wu Xiaofu.

It’s just that Wu Xiaofu is a little uncomfortable with it.

After all, he had only been officially working for a short time, and this progress was so fast, like a dream.

However, none of this matters.

"In fact, thyroid cancer surgery is quite simple. We have a comprehensive plan before the operation and operate carefully during the operation. Basically, there are no problems for us.

In this regard, you female doctors actually have more advantages.

look……"

While performing the operation, Wu Xiaofu explained to Fang Ying how to free and loosen the suspensory ligament on the affected side, completely remove the gland lobe, and send all the specimens of the healthy thyroid tissue and the affected lobe directly for examination.

It all goes smoothly after one set.

This operation was much simpler than the one Wu Xiaofu performed during the competition. That operation took Wu Xiaofu more than an hour, but this one took less than an hour and was completed easily.

Fang Ying was really stunned by what she saw. Live broadcast was completely different from watching it in person.

It’s a visual feast. Wu Xiaofu is performing surgery in front of her, so she can see more clearly and learn more.

When doctors learn surgery, at their level, what they basically learn is the ideas.

After all, Fang Ying can also perform this kind of operation, but she is not as skilled as Wu Xiaofu. For example, for this operation, Fang Ying can basically complete it within three hours. The difference lies in the surgical strategy.

Compared to Wu Xiaofu, Fang Ying could see that she had done too much in vain.

Now, after watching Wu Xiaofu's surgery, Fang Ying felt that if she did it again, she would be able to do better than before. Wu Xiaofu's surgical ideas could not be understood just by watching, but Wu Xiaofu explained them to her while he was operating.

And he is not secretive at all.

It’s worth it, so worth it.

Fang Ying was excited. She agreed to come to Jinhu County Hospital. It was totally worth it.

After studying with Wu Xiaofu for two months, Fang Ying feels that her level will definitely be able to reach a higher level.

"The next case is thyroid nodules. Come here, I'll be your assistant."

When it was the next operation's turn, Wu Xiaofu looked at Fang Ying and said, after one operation was over, Wu Xiaofu could also tell Fang Ying's level. She would definitely be able to handle a thyroid nodule with ease. With the ideas he taught in the previous operation, he would teach her again in this one to consolidate her ideas. It can be said that she will definitely make rapid progress.

The better Fang Ying's skills are, the more beneficial it will be for Jinhu County Hospital and for Wu Mingjie.

What's more, Wu Xiaofu likes to train people, and he has no intention of teaching his apprentice to starve himself to death.

"I come!"

Fang Ying was also a little surprised. Although it was just a thyroid nodule operation, she herself didn't know how many similar operations she had performed. But this time was different, because Wu Xiaofu set up the stage for her.

"Well, come on."

"Okay, thank you Dr. Wu."

When the operation started, Fang Ying definitely wanted to show her best skills to Wu Xiaofu, and she also wanted to incorporate Wu Xiaofu's surgical ideas into it.

However, understanding Wu Xiaofu's surgical ideas is one aspect, and mastering them is another.

It was when Fang Ying came by herself that she felt a little stumbling.

However, she soon realized how powerful Wu Xiaofu was.

With the mirror leading the way, Wu Xiaofu paved the way for her and let her follow. It was much easier this way.

Fang Ying soon got on track, and she felt that those ideas were being integrated faster and faster.

The entire operation took just over an hour.

Looking at her own results, Fang Ying was a little bit unbelievable.

This was her perfect performance, and, under Wu Xiaofu's guidance, she was also very perfect when removing the nodule.

I hope I can do this well in the future!

Fang Ying suddenly thought so in her mind, but Fang Ying knew that this was not easy. She was not a young doctor who had just started working in the hospital. She knew how much credit Wu Xiaofu had for the success of this operation.

The next time she does it herself, without Wu Xiaofu to guide the mirror, she still has no idea how well she can do.

"Very good, Dr. Fang's skills are really good."

When Fang Ying heard this compliment, she felt as if Wu Xiaofu was complimenting himself. "Doctor Wu, please stop praising me. How about I know why I was able to perform this operation so well? How about you guide me next time there is such an opportunity?"

"Of course it's no problem."

The next breast cancer surgery will be a modified radical mastectomy.

There are two main types of breast cancer surgery: radical mastectomy and modified radical mastectomy.

There are only two more words, but there is a huge difference.

The resection range of the two is different. Radical mastectomy is to completely remove breast cancer cells to prevent the spread and metastasis of cancer cells, and then achieve the purpose of curing breast cancer. Usually the primary cancer lesion, lymph nodes around the breast, and pectoralis major and minor muscles will be removed.

The modified radical mastectomy for breast cancer retains the pectoralis major and minor muscles while removing other parts of the body. These two muscles can have a significant impact on the appearance of women.

Wu Xiaofu had performed several breast cancer surgeries before, and basically all of them were modified procedures, with this one being the main one.

"let's start."

(End of this chapter)