Come on, Dr. Wu

Chapter 278: Subtotal tumor! Dignity after surgery

Ah!
Wu Xiaofu was a little curious when he heard this. It was just a ruptured rectum. Even if it had been delayed for a whole night, it should not be difficult to handle with Chu Jingming's ability.

However, after seeing the patient's films, Wu Xiaofu understood.

This is a tumor!

The situation in the film shocked Wu Xiaofu at this time. At this time, he had seen countless tumors. The tumors had nowhere to hide in front of him. As long as they dared to show a little bit of their corners, Wu Xiaofu could see through their disguise.

Chu Jingming also saw Wu Xiaofu's reaction and said slowly, "I don't know whether to say it's lucky or unlucky, this pole pierced the anus and went straight into the rectum, puncturing the rectum, and it just happened to pierce the tumor.

The tumor ruptured, and the blood vessels around the tumor had been eroded by the tumor, and their original structure had long been changed. Now the blood vessels have ruptured. After getting up early, the old man discovered that his quilt and underwear were all red.

My husband even laughed and said it was my period. At first they didn't take it seriously, thinking it was an anal fissure or hemorrhoids or something, but they soon realized something was wrong. When I went to the toilet, I bled so much that it felt like my intestines were about to come out. So they rushed to the hospital.

This tumor looks quite large, about ten centimeters in size. The question now is whether or not to have surgery, and how to do it? "

Most of the blood the old man lost at night flowed out naturally from the intestines, but there was still a large amount of blood accumulated in the intestines, and even flowed upward. When he went to the toilet, the pressure in the intestinal cavity suddenly increased, and all the blood came out.

On the way to the hospital, the old man fainted due to excessive blood loss or fear. After arriving at the hospital, he received a blood transfusion and fluid replacement and finally woke up. However, because of the effort when going to the toilet in the morning, the patient suffered from severe rectal bleeding, which became a problem that the old man could not wait to solve.

Otherwise, the bleeding alone would send me to the ICU.

"Gloves."

Wu Xiaofu said something to the nurse, and the nurse quickly handed him a pair of gloves. After Wu Xiaofu put them on, he went straight to the old man. At this time, the old man's eyes were blank and his face was full of pain. When Wu Xiaofu performed a rectal digital examination, the old man couldn't help but scream.

However, probably because he was numb, the examination only lasted for a single sound. Including Wu Xiaofu's time, this was the fourth or fifth time that the old man had undergone a rectal digital examination. But there was nothing he could do, as this was the most direct examination for diseases of the anus and rectum.

Ah!
After inserting his fingers, Wu Xiaofu basically understood the situation. The proximal end of the tumor could even be touched by rectal examination. Many patients had hemorrhoids or other conditions, but after the rectal examination, they would find out a big mistake. This was probably the case.

"What about other tests?"

After requesting other tests, Wu Xiaofu took another look.

"Prepare for surgery. It should not have metastasized yet. Also, we can't wait for a full-body screening. Stopping the bleeding is the most important thing."

Chu Jingming was waiting for Wu Xiaofu to say this. Once such a dilemma arises, one has to trust the doctor's experience. Chu Jingming did not dare to trust his own experience, but he had full faith in Wu Xiaofu's experience.

With Wu Xiaofu's words, Chu Jingming no longer felt any burden when undergoing the operation.

"Okay, I'll arrange it right away. Come over and check it out later."

Wu Xiaofu glanced at Chu Jingming and knew what he was thinking. However, with his ability, rectal digital examination could basically determine whether the patient had metastasis, so he didn't worry too much.

"Well, I happen to be having surgery too, so I'll come over and help you out."

With Wu Xiaofu around, Chu Jingming felt more at ease.

Wu Xiaofu's first operation was liver cancer removal. Halfway through the operation, Wu Xiaofu replaced him with Feng Lingling. After Feng Lingling heard about it, she spent a lot of time with Wu Xiaofu today to prevent Wu Xiaofu from favoring one over the other.

There was no other way but to teach Feng Lingling wholeheartedly. I have to say, when it comes to learning ability, Feng Lingling has to be the best. From scientific research to clinical practice, Feng Lingling really had no difficulty adapting, and her progress in surgery was really fast.

In terms of comprehension, she is no worse than Yuna, and may even be better.

Therefore, Wu Xiaofu was able to teach smoothly and felt more at ease.

"Peng Xia, please help Sister Ling hold the mirror."

Later on, Wu Xiaofu felt completely relieved and asked Peng Xia to hold the mirror, leaving the operation entirely to Feng Lingling. Feng Lingling became more and more courageous and her thinking was smooth. Later, Feng Lingling completely mastered simple liver cancer resection and was afraid that it would no longer be a problem.

Seeing that there would be no further problems, Wu Xiaofu left the operating room and came to Chu Jingming.

"How's it going? Is it going well?"

Chu Jingming was a little embarrassed at this time, and looked at Wu Xiaofu, "Are you done there? Why don't you come up on stage and help me."

Ah!
It's just rectal cancer. Even though it's broken, it should be easy to solve.

Facing Chu Jingming's embarrassed expression, Wu Xiaofu didn't refuse and went straight up to check.

"A submucosal tumor?"

Wu Xiaofu also became interested at this time. This was really luck. The bicycle seat post punctured the rectum and happened to puncture the rectal tumor. This was lucky enough. He didn't expect that a parent-child tumor would appear. This was even more luck.

When Wu Xiaofu was performing a rectal digital examination, he was only focused on the old man's overall condition and did not pay much attention to the fact that so many small tumors had grown around the tumor.

The so-called mother-child tumor is like a tumor mother that gave birth to a bunch of tumor children. It is manifested in the body as a circle of small tumors surrounding a large tumor.

This type of tumor is generally very malignant and highly invasive. However, rectal subacute tumors are very rare and are usually only seen in the uterus, ovaries, testicles, eyes, etc.

This was the first time Wu Xiaofu had seen a rectal cyst. It might even be the last time Wu Xiaofu had ever seen one in his life.

The surgery for pyometra is different from that for ordinary tumors.

Chu Jingming now has two choices: complete removal of the rectum and anus, and then colostomy.

The next step is to challenge your own limits, retain a part of the rectum, and then create a rectal fistula. The benefits of this are obvious. The patient's quality of life after the operation is much better than that of a colostomy. If it were in an ordinary tertiary hospital, there would be no need to consider so much and the rectum could be removed directly.

But it’s different at the First Affiliated Hospital of Donghai. Since they have the technology, they have to take it into consideration.

Chu Jingming has only been practicing medicine for a few years and is not yet an old hand. When encountering difficulties, he does not consider his own face or anything like that first, but puts the interests of the patient first.

However, if a partial rectal resection is to be performed, special care must be taken, as rectal carcinoma is highly malignant, and if the removal is incomplete, the chance of subsequent recurrence will be very high.

Chu Jingming was somewhat unconfident in himself, but he had confidence in Wu Xiaofu.

If Wu Xiaofu took action, Chu Jingming believed that Wu Xiaofu would be able to complete the operation perfectly and smoothly. After all, Wu Xiaofu had done so many operations before, and all of them were very perfect.

For the sake of his patients, Chu Jingming was not afraid of rumors that Chu Jingming couldn't even perform a rectal surgery properly, and yet he needed Wu Xiaofu to save him.

In Chu Jingming's view, these are all empty talk. He will be very happy if the patients can get better. He does not live for others. People who know his skills know his level. If they continue to talk about it after knowing it, it is just jealousy.

Colostomy, creating a fistula in the abdomen. Chu Jingming has seen too many patients like this in the gastrointestinal surgery department. Chu Jingming knows very well how painful their lives are. Because of the lack of the rectum, these patients often have to carry a bag with them, and the stool does not have time to coagulate and comes out directly in a watery state.

When they go outside, they dare not walk among the crowd. Not to mention the smell on their bodies, they may also have to defecate at any time. Although this is not the patient's subjective wish, others will not think so. Over time, these patients, no matter how good their mentality is, will inevitably become more depressed and heavy.

Such poor quality of life makes their life span infinitely shortened.

But it is different if a section of the rectum is left. With the reconstruction of the pseudo-anus, there is actually not much difference between the patient and a normal person in appearance. With this section of the rectum, the stool has a coagulation process. Although the time cannot be controlled like that of a normal person, there is preparation time. At least there is time to go to the toilet.

The rectum is the last section of the intestinal tract and the last part of the intestine. It is connected to the sigmoid colon above and to the anus, the last rod of the digestive system, below. Therefore, the rectum has a very important physiological function in the digestive system.

First of all, the human rectum is the place where feces are stored and it is also the channel for feces to be discharged. After the human body eats, the food is digested and absorbed by the digestive system and eventually forms feces, which will be temporarily stored in the rectal cavity, thus forming a feeling of defecation and defecation.

Secondly, the rectum can produce the urge to defecate. The rectum sends impulses through the receptors in the intestinal wall, and the impulses are transmitted to the brain through nerves, causing a defecation reflex.

Therefore, the most effective significance of retaining a section of the rectum for the human body is that it knows when to defecate, and the feces have a place to be stored and will not come out directly. This is extremely important for the human body.

So sometimes, for doctors, it is face, but this face is exchanged for the dignity of the patient. Chu Jingming feels that it doesn't matter if he loses some face, but if the patient loses this dignity, he may have to suffer and live with the shadow for the rest of his life.

There is a reason why Wu Xiaofu and Chu Jingming become good friends. After seeing Chu Jingming's condition and his thoughts, Wu Xiaofu suddenly understood. Well, he is still the same Chu Jingming from more than half a year ago. He hasn't changed at all.

At that time, Wu Xiaofu was able to become friends with Chu Jingming because, on the one hand, he admired Chu Jingming's talent and ability, and on the other hand, he could see from Chu Jingming's words and deeds how good Chu Jingming's attitude towards patients was.

This is a real doctor, at least, so far.

"Okay, I'll wash my hands and go on stage."

It might be really difficult for Chu Jingming, but for Wu Xiaofu, with his strong mental strength, no matter how malignant the tumor is, it has boundaries. As long as the boundaries are clear, it can be cut cleanly. After going on stage, Wu Xiaofu measured it first. Well, it's about the same.

The average length of an adult male's rectum is about twelve to fifteen centimeters. Some people's rectum is longer, but basically none is shorter than twelve centimeters. This old man's rectum is fifteen centimeters long, which is within the norm, but it is also the best result at this time.

If a ten-centimeter tumor is removed by removing eleven centimeters, four centimeters will still remain.

Leaving this length of rectum behind can play a very important role.

After food passes through the stomach and duodenum and enters the colorectum, the flow rate is already very slow, especially when it reaches the rectum. Without pressure, in most cases, it can only coagulate. Those with dry intestines will suffer from constipation over time.

Wu Xiaofu estimated that with a four-centimeter rectum, it was enough for the nerve reflex of defecation to continue functioning. Of course, this would require some time to recover after the operation. With the storage in the rectum, the patient would basically have a few minutes to go to the toilet.

With the addition of a prosthetic anus, basic quality of life can still be guaranteed.

Chu Jingming had already completed most of the operations before the rectal resection, so Wu Xiaofu could just come up and perform the resection directly.

With the electric knife in hand, Wu Xiaofu did not hesitate much and cut directly. The terminal tumor was basically connected to the anus and it was impossible to preserve it. After the complete removal, only more than three centimeters and less than four centimeters were left at the distal end.

Well, there are some discrepancies between reality and data, mainly due to the loss.

However, it's not a big problem.

Seeing Wu Xiaofu's confident and nonchalant operation, Chu Jingming was a little envious. He didn't know why Wu Xiaofu could be so confident. However, whether it was the pathology or the fact that the patients had recovered for more than half a year after Wu Xiaofu's operation, they all told them that Wu Xiaofu's skills were absolutely trustworthy.

"Okay, I'll leave the rest to you."

Wu Xiaofu gave up his position as the surgeon, and the next step was to reconstruct the false anus. This was not difficult. Although the thing was expensive, the effect was still good. It was like a check valve in the kitchen, which could only be opened when you wanted to, to let the things inside come out. If you didn't let it come out, the valve would not be opened, and the things inside would have to be locked.

It can still replace the functions of the anus and sphincter very well.

"Okay, leave it to me next. Thank you, Xiaofu."

"What are you thanking me for? Well, I have another operation to do. I'm leaving now."

A day's surgery ended in such a busy manner.

It was only after returning to Corey that Wu Xiaofu saw Wang Hu's message.

In fact, without Wang Hu saying anything, Yuna had already started to popularize Wu Xiaofu. Although the matter between Wang Hu and Wang Jianghe was over yesterday and neither side pursued the matter, then everything would be fine. However, netizens disagreed with Wang Hu and Wang Jianghe not pursuing the matter.

No one knows who posted the video of Wang Hu punching Wang Jianghe online.

Then major websites, many media, and many bloggers used this video and added some of their own words below it. It instantly attracted countless attention. When Wang Hu saw this, he didn't even know how to explain it.

After all, in just one day and one night, he became an unscrupulous doctor who beat people.

The media doesn’t care what you say or what the facts are. They just want the results they want, and in fact, they have already got the results they want. Now that the heat has come, it seems that Wang Hu is no longer important in the whole thing, because soon Wang Hu became the representative of doctors.

Looking back over the past few decades, many incidents of doctors injuring patients seemed to have been found out at once. When put together, it looks really shocking. People who saw these incidents began to criticize the doctors. After all, there are pictures and evidence, seeing is believing, so how could the doctors be wrongly accused?

What's more, there are some real facts in it.

Nine falsehoods and one truth are enough to make people indignant.

In fact, most of the information found is the same as the Wang Hu case. Most of them are reported by the media. The most important thing is that these incidents almost all ended with the hospital dealing with the doctors, which further confirms the authenticity of these things.

If nothing unexpected happens, Wang Hu will be the next doctor to be dealt with. After all, this is the convention. Then the incident of a doctor beating a patient will be confirmed again and become evidence of the next incident of a doctor beating a patient.

This cycle repeats itself until the basis of trust between doctors and patients completely collapses.

Many people want this result, and many people don’t care about the consequences of the collapse of the foundation of trust between doctors and patients, as long as they can benefit from it.

Looking at these things, Wu Xiaofu felt a headache.

However, he just had a headache. Wang Hu was afraid that the world was about to collapse. Although this young man was already 30 years old and weighed 200 kilograms, no matter how heavy he was, his heart was only so big and there was a limit to the weight it could withstand. Just like the current situation, Wu Xiaofu was not sure whether Wang Hu, who encountered such a situation for the first time, could hold on.

"Where's Wang Hu?"

"I heard that he was called over by the medical department."

Wu Xiaofu shook his head when he heard this. Wu Xiaofu had also heard about the principles of the Medical Department in handling such matters, and he couldn't help but worry about Wang Hu.

"Sister, I'll go over there. If there's anything in the department, just call me directly. By the way, the patient who was in the emergency room yesterday was named Wang Jianghe. Please help me find his contact information and send it to me later."

"Okay, leave it to me."

On the other hand, Wang Jianghe was taking care of his mother at home. Because his right arm was injured, it was now in a cast and hung up, so his life was inconvenient after he came back.

Wang Jianghe was very filial, so he simply took a leave of absence and stayed at home to take care of his mother full-time for a few days. As for his wife, he decided to forget about it. His wife was a very nice person, but she and his mother could never get along. The care was certainly attentive, but if they had some quarrels with each other, Wang Jianghe was afraid that both of them would get hurt.

"Mom, your hair is all rotten. Come, let me wash it for you."

"Why are you washing? It's so inconvenient. Wait until your arm gets better."

Wang Jianghe refused to listen and insisted on having his hair washed. However, just as he was about to persuade her again, the doorbell rang.

Ding-ding-ding-ding-ding!

Wang Jianghe hurried to open the door. In the past two days, many relatives and friends knew that his mother was injured, and they came to see his mother.

However, after opening the door, Wang Jianghe discovered that he didn't recognize the two people who came here, a young woman and a middle-aged man. Could it be that they were people his mother knew?

That’s not right. He knows everyone his mother knows.

Although he was confused, he knew that the man was carrying something and was obviously here to see his mother, so he had to let him in.

"Come in, Mom, a friend is here to see you."

However, when the two people appeared next to their mother, their mother was also very confused. Who were they?

Wang Jianghe knew it very well that his own mother didn't even recognize him.

"Um, excuse me, who are you?"

"Oh, Mr. Wang, you forgot that we called you."

Made a phone call!

Wang Jianghe was stunned when he heard this, then he realized that someone had called him in the morning and said that after learning that he was beaten by the doctor, they felt particularly sympathetic and indignant for him and were ready to help him get justice. They said that as long as he signed a letter of authorization, they would be able to get him at least hundreds of thousands of dollars later.

Wang Jianghe hung up immediately. Have these scammers infiltrated so deeply now? They even knew that he had been beaten and knew his phone number.

After the call was hung up, the other party seemed unwilling to give up and called several times in a row. Wang Jianghe finally realized that the other party was actually a company that specialized in handling such lawsuits. This time, Wang Jianghe was even more unwilling to provoke them and directly blocked them.

Who would have thought that these people would even come home.

His face suddenly looked unhappy. "Go away. I won't sue you. Just leave quickly."

Although Wang Jianghe was very angry when he was beaten yesterday, he was not so angry as to blackmail Wang Hu or the hospital. After all, he also punched Wang Hu, and Wu Xiaofu and Wang Hu were so considerate and provided treatment to their mother.

After taking X-rays, people from the imaging department said that the reduction was very good. Only a vague fracture line could be seen. It was basically an anatomical reduction. The imaging department takes X-rays every day but they don’t see many cases of reduction of this level.

Wang Jianghe couldn't understand it, so the doctor from the imaging department helped explain it to him, and he immediately understood a lot. He was afraid that everyone in the hospital would gang up on him, so Wang Jianghe asked a friend who was a doctor to take a look. The result was surprisingly good, and he said he had met a good doctor.

This made Wang Jianghe even more satisfied. Although Wang Jianghe's family was not wealthy, Wang Jianghe believed that he was not yet at the point where he needed to exchange his conscience for money. If he really did this, and his children found out the truth in the future, wouldn't he become the biggest negative role model for their children?
A man and a woman were also depressed. What kind of person is this? He actually pushed away the money that was delivered to his door. This person must be a fool. Conscience? How much is conscience worth? Is it worth hundreds of thousands?

(End of this chapter)