Come on, Dr. Wu

Chapter 284 One hundred and sixty-five!
Operation!

Liu Chang looked at Wu Xiaofu and really felt the difference between Wu Xiaofu and other doctors. The person on the hospital bed was her husband, and even Rong Qiao was hesitant to make a diagnosis, but Wu Xiaofu dared to say directly that surgery was needed.

The most important thing is Wu Xiaofu's confidence, which makes people want to believe him involuntarily.

Liu Chang had indeed refused the hospital's request to perform a gastrointestinal endoscopy on her husband and was dissatisfied with the hospital.

Because this was the First Affiliated Hospital of Donghai University, and they couldn't even find out what was wrong with the patient after all these examinations. Moreover, before they said they wanted to continue with the gastroscopy, she had already heard the doctors' conversation.

They said it was most likely a gallbladder problem, but the color ultrasound and CT scan did not show any result. It was so strange.

Since it is a gallbladder problem, she needs to do a gastroscopy now. Fortunately, she is the mayor. If it were an ordinary person, she would not be able to cure any disease and would have spent an unknown amount of money.

This is what made her angry. She felt that the hospital was wasting the patients' money.

Liu Chang does not reject doctors ordering tests. After all, this is the essence of Western medicine and the charm of modern science. It is also because of these tests that many diseases can be accurately diagnosed at the very beginning.

It can also reveal many diseases.

However, complicated examinations mean a lot of money is wasted. If you have a stomachache, not only do you check your stomach, you also have to check your chest and brain. Now that it has been confirmed that it is a gallbladder problem, you have to continue with a gastrointestinal endoscopy. Isn't that a bit disappointing?

Of course, Liu Chang was able to listen to the doctor's explanation.

According to the doctor, injuries to many other systems can cause radiating pain in the abdomen.

However, although she understood, this was her own husband. Liu Chang was a little nervous at the moment and felt that she had to find a reliable doctor for her husband. At this time, the figure of Wu Xiaofu flashed through her mind.

So Liu Chang simply called Wu Xiaofu directly. Rong Qiao saw that Liu Chang was looking for Wu Xiaofu, so he didn't say much.

However, Wu Xiaofu's words now frightened Rong Qiao enough.

It was directly diagnosed as a gallbladder problem and surgery was required. If it was not the case, there would be too many problems for Rong Qiao, Wu Xiaofu and the hospital.

It’s not Rong Qiao’s fault that he worries too much. After all, he is not only a doctor, but also a dean. Many times, he has to think about things from his own perspective and from the perspective of the hospital.

Unlike Wu Xiaofu, who was a rookie and had no scruples.

"Xiao Fu, are you sure?"

Rong Qiao said that without checking the assistance, he really didn't know where Wu Xiaofu got his confidence from.

When Liu Chang heard that he was really going to have to undergo surgery, he also hesitated. At this time, Liu Chang had the same idea as Rong Qiao. It hadn't been checked out yet. What if it wasn't the disease? Wouldn't it be a waste of surgery?

It was just that Liu Chang was the one who took the initiative to find Wu Xiaofu, and at that time Wu Xiaofu gave his own judgment and suggestions. It would be somewhat inappropriate for her to question it again.

Fortunately, Rong Qiao helped her speak it out.

"Director, the patient's abdominal pain should be caused by gallstones. The reason why we can't find out is because the type of stones is cholesterol."

Cholesterol!

Rong Qiao nodded. In fact, he had considered this possibility before. After all, he was an old doctor and had seen too many cases.

Cholesterol stones can be penetrated by radiation, so they are often difficult to detect under CT and X-rays. Even liver and gallbladder ultrasound often cannot clearly identify them. The only way to make a definitive diagnosis is by performing a magnetic resonance imaging examination.

However, it is indeed a bit unreasonable to go straight to an MRI for this abdominal pain.

In fact, when Rong Qiao was ready to wait for the gastroscopy to show no problems, he went straight to an abdominal MRI.

Although there is such a possibility, without auxiliary diagnosis, it can only be a guess. At most, it is a diagnosis with a higher probability. If the gallbladder is removed based on this, it would be somewhat hasty.

This is not an ordinary patient. If there is a mistake, it will really be a problem. He may even die because of it.

Wu Xiaofu's bright future may also be hindered.

"Xiaofu, how about an MRI to get a clear diagnosis?"

Rong Qiao's eyes were almost full of anger. Wu Xiaofu was helpless and looked at Liu Chang, "Mayor Liu, if it is a cholesterol stone, only an MRI can give a clear diagnosis. What do you think?"

Magnetic resonance imaging!
"I've asked the nurse to give him a painkiller injection. The patient's pain will soon be relieved. If it's just cholesterol stones, you don't have to worry too much. According to the color Doppler ultrasound and CT scans, it will definitely not develop into peritonitis or gallbladder perforation in the short term."

Liu Chang felt relieved when she heard this. The pain could be relieved, so it was not a serious illness. She also understood that it was basically just a gallstone, but the stone was a little special. If it was confirmed, it would probably just require the gallbladder to be removed.

Nowadays, people are more and more accepting of cholecystectomy.

"Okay, there's no rush. Let's do the MRI."

It's better than a gastroscopy. Another reason why she doesn't want to do a gastroscopy is that her husband is already in so much pain, and it would be so painful for him to do a gastroscopy.

If she only had a gastrointestinal endoscopy when she came in, she would accept it.

But she really couldn't accept this repetitive torture.

After the painkiller injection, the patient's pain was indeed relieved a lot, but he just held his stomach out of habit. Rong Qiao quickly arranged for someone to send the patient for an MRI examination.

Only when people dispersed did Rong Qiao breathe a sigh of relief.

"Xiaofu, are you sure it's cholesterol stones?"

Wu Xiaofu smiled upon hearing this, "Dean, you actually think it is cholesterol stones, but you don't dare to perform surgery because of Mayor Liu's status. You are also afraid that the patient has other problems, so you want to check everything to ensure that the patient will not have any problems in the hospital."

Wu Xiaofu could understand all of this. After all, Rong Qiao was the dean and the person with the greatest responsibility. Sometimes, he felt helpless when he encountered patients like Liu Chang's husband. Due to their identities, he even began to question his own expertise. The higher he moved up the ladder, the more he might become out of control.

"You've become my worm, haven't you?"

Rong Qiao saw that Wu Xiaofu could understand him, and said with a smile.

"If it's really cholesterol stones, you should do the surgery. Mayor Liu might be disappointed in me, but it doesn't matter if she's disappointed. It's better than having problems and making her hate me."

Wu Xiaofu understood this very well. He might be disappointed for a while and it would pass, but if something really went wrong, Rong Qiao would have to remember him for the rest of his life. Not only would he have no hope of promotion, but he would also have to get rid of Rong Qiao.

Well, never underestimate a woman's pettiness.

Wu Xiaofu has a powerful mental power and is more or less aware of the patient's condition, so he is so sure. If you put yourself in his shoes, without a clear diagnosis, perhaps Wu Xiaofu would not dare to perform surgery on his own.

However, this patient really gave Rong Qiao a problem. In fact, many cholesterol stones can be detected by color Doppler ultrasound. This patient's cholesterol stones were a bit crazy. They covered the entire gallbladder, making the color Doppler ultrasound consistent and unable to show much difference. "It's a stone, it's a cholesterol stone."

Not long after, the results of the examination were finally out. The emergency department had received a direct call from the imaging department. The doctor in the emergency department hurriedly spoke to Wu Xiaofu, who nodded and began to arrange for the operating room preparation.

The patient did not eat anything else during this period except the rice dumpling he had eaten a few hours ago.

It has been almost five or six hours now, and the surgical anesthesia will not be affected.

The Dragon Boat Festival has just passed. During this period, eating rice dumplings has become a popular thing all over the country. However, although rice dumplings are delicious, you should not eat too much and they should not be eaten cold, especially for people with poor digestive tract.

Another reason why Wu Xiaofu determined that the patient had cholesterol stones was that the patient had very high blood lipids and was very fat. Many of these patients will develop cholesterol stones.

The formation of cholesterol stones is related to the imbalance of cholesterol metabolism in the human body. The cholesterol ingested by the human body can only be metabolized by the liver to form bile and excreted through the biliary system. When the concentration of cholesterol in the bile is too high, it will form crystals and gradually aggregate to form stones.

Well, just like the patient's situation, judging from the patient's stone condition, I'm afraid the patient's blood lipids have been elevated for more than one or two days.

"Doctor Wu, you are indeed a top doctor in hepatobiliary surgery. In fact, we can skip the MRI and just do the surgery directly."

Now that it has been confirmed that it is just gallstones, Liu Chang breathed a sigh of relief and became very happy. After being sick, a minor illness always makes people happy.

"It's not too late now, Mayor Liu. The patient needs surgery as soon as possible. I mean, we need to prepare for the surgery now. Do you have any arrangements for the surgeon?"

"Of course it's Doctor Wu. You're here. I'm really sorry to bother you this time."

Wu Xiaofu nodded, "Okay, don't worry, I will do my best."

"Doctor Wu, I'm definitely relieved. By the way, if I preserve the gallbladder, is the chance of recurrence high?"

After confirming that it was gallstones, Liu Chang also thought about preserving his gallbladder, which is also the first reaction of most people after learning about gallstones.

"The patient's blood lipids are too high. Even if he has the willpower to lose weight, the chance of relapse is still high."

"Forget it then. I'll leave it to Dr. Wu."

Wu Xiaofu smiled and went straight into the operating room.

It’s just gallstones. Wu Xiaofu basically doesn’t do it now. For Wu Xiaofu, it’s really a piece of cake.

Under laparoscopy, Wu Xiaofu only had a few minutes before it was time to have his gallbladder removed.

hiss!
The gallbladder fell into the tray, and Wu Xiaofu asked Peng Xia to cut it open. However, when the cut was made, Peng Xia gasped.

"Boss, look at this stone. It's the first time I've seen it in all these years."

When the anesthesiologist and the nurse heard what Peng Xia said, they hurried over and looked at the situation inside the gallbladder, and began to marvel.

"Good boy, it's amazing that he has been able to hold out until now without having an attack."

"Yeah, there are so many. I can't even imagine how painful it would be if they grew in my gallbladder."

Wu Xiaofu didn't go to see it. After all, at the moment of the operation, Wu Xiaofu knew the situation inside the gallbladder very well.

The patient's gallbladder is about 8×4 cm in size, but 3/4 of the space inside is "filled" with gallstones of varying sizes, and the stones block the cystic duct, preventing bile from being discharged.

This is also the main reason why patients suffer such severe pain.

If it is not resolved, the patient will probably develop jaundice in a few days.

"You can count the total number of stones in there."

Wu Xiaofu put the mirror away and said to Peng Xia with a smile. Surprisingly, Peng Xia actually became interested and started counting directly.

"One, two... one hundred and sixty-five. Oh my god, a total of one hundred and sixty-five stones."

Who would have thought that a gallbladder only the size of an egg would be filled with 165 stones of various sizes!

After flushing these stones, it was found that the diameter was mostly around 5 mm to 8 mm, which was relatively easy to distinguish. However, this gallbladder stone was really unusual. Even the most common one Wu Xiaofu had ever seen was only dozens of stones, but this one was several times more.

The patient woke up quickly, and his eyes widened after seeing his gallbladder and the contents of it.

"Is this what caused me so much pain? No, this is too much!"

Indeed, there are many. In fact, cholesterol stones are more difficult to detect early than other stones because most cholesterol stones have no symptoms. Only when the stones block the gallbladder duct or common bile duct will symptoms such as biliary colic, nausea, vomiting, upper abdominal discomfort, and jaundice appear.

Just like now, the patient came to see a doctor as soon as he developed biliary colic, otherwise, other symptoms would follow.

However, in recent years, the incidence of cholesterol stones has become increasingly higher.

It is mainly related to people’s current living habits. Long-term irregular diet will increase the time for bile concentration, making the cholesterol in the gallbladder oversaturated, which is easy to deposit and form bile sludge, and then induce stones.

Some patients with hyperlipidemia have too much cholesterol in their bile. The undissolved cholesterol forms crystals and can eventually turn into stones.

In addition, estrogen also promotes the formation of stones to a certain extent. Therefore, pregnancy and blind estrogen supplementation may also increase the risk of gallstones.

Finally, due to metabolic disorders, diabetic patients may also affect lipid metabolism, and the risk of gallstones will increase accordingly.

In fact, clinically, women are much more likely to develop cholesterol stones than men.

Outside the operating room.

Liu Chang was so happy to see her husband come out safely that she could hardly maintain her usual calm expression.

At this moment, she was just a wife.

"Don't worry, the operation went smoothly. Here is a picture of the gallbladder. You can take a look."

Liu Chang looked at the phone that Wu Xiaofu handed over.

"This, these are stones? There are so many!"

(End of this chapter)