Come on, Dr. Wu

Chapter 293 The Most Dazzling Him

It is still laparoscopic radical thyroidectomy.

However, this case is relatively more complicated.

Two years ago, the patient experienced right lower abdominal pain after fatigue, which was paroxysmal and stabbing, accompanied by right lower limb pain, which was obvious during activity and unbearable, and could be slightly relieved after rest. Ultrasound examination showed "right adnexal cyst and peritoneal effusion", CA-125: 127.6U/ml (0～35U/ml).

The patient underwent "laparoscopy + (left) unilateral salpingo-oophorectomy + laparoscopic peritoneal biopsy of the uterus, right ovary, mesentery, and pelvic peritoneum + partial resection of the greater omentum + laparoscopic lysis of pelvic adhesions".

Postoperative pathology showed: nodular goiter-like structure, local follicular tumor changes, and significant thickening of the capsule. Consultation is recommended for a definitive diagnosis.

A thyroid nodule puncture biopsy was performed, and pathology showed papillary thyroid carcinoma.

Pathological consultation showed that the morphological changes in the bilateral ovaries, left fallopian tube, mesentery, omentum, and peritoneum were consistent with widespread disseminated ovarian goiter.

Additional tests showed CA-125 101.10U/ml, thyroglobulin 1453.00ng/ml (1.4～78ng/ml).

Physical examination showed: a nodule of about 0.7cm×0.5cm in size was felt in the right thyroid lobe, which was hard in texture and moved up and down with swallowing. The left lobe did not have the tumor.

Yes, that's right, the medical records that appear on the machine are like this. After selecting, you have to diagnose the patient and choose the treatment method based on such information. Of course, the medical records that appear on the machine are mainly surgical records, which reduces some of the difficulty.

This is the World Surgery Competition. Compared with the Chinese Surgery Competition, the difficulty of the World Surgery Competition has increased significantly. If you want to start the operation, you must first conduct a medical record analysis. Moreover, the time has started from the moment you enter the operating room.

Therefore, you do not have the time to delay and must choose the surgical record you want from the many medical records as soon as possible.

In the previous world surgery competition, there were contestants who scored zero points. Why? It was because the case analysis was wrong and the best surgical option was wrong. In the eyes of these bigwigs, this was a medical malpractice.

Once a medical accident occurs, giving the doctor a zero is the lightest punishment.

For many doctors, this is the first time they have encountered such a difficult competition, so the pressure is extremely high. Whether it is case analysis or surgical selection, mistakes may be made under high pressure, and this is also part of the exam.

As a doctor, you must be able to withstand pressure. If you can't withstand the pressure, who knows if you will encounter more difficult situations? At that time, will you give up on the patient?

The World Health Organization once said: This is not a competition, it's just your advance practice.

Wu Xiaofu's brain raced, and he quickly selected this medical record from a number of cases. Although thyroid and breast surgery is a score-preserving surgery, Wu Xiaofu also had to choose the highest surgical standard within his ability.

Thyroid cancer, this is the lowest standard.

The score is also closely related to the medical record selected. For example, this medical record is one of the most difficult medical records selected by the machine. As long as it is completed normally, the score can be 30 points higher than other ordinary medical records.

I am afraid that even though there are a group of the best young doctors in the world gathered here, not many of them would take the risk of choosing a similar medical record.

After clicking OK, Wu Xiaofu began to fill in the diagnosis.

At this time, Wu Xiaofu's image was being displayed in real time on the big screen in the judges' hall. As China's champion, the number one in thyroid and breast surgery in China, and the only doctor who also specializes in thyroid and breast surgery in this competition, Wu Xiaofu's attention was extremely high.

Of course, there are eight other pictures next to Wu Xiaofu's picture, and there are many other pictures around these nine pictures, but most people's eyes are still focused on Wu Xiaofu's picture.

As one of the five executive members of the World Health Organization, many people are waiting to see China make a fool of itself. Chinese doctors also apply for other specialties, so doctors from other countries want to see whether Wu Xiaofu really has the ability or is just trying to attract attention.

Wu Xiaofu has a great reputation in China, but in the international arena, in this world where no one is willing to submit to anyone else, there are always people who think that China is deifying him. And today, as long as Wu Xiaofu dares to make a mistake, it will be magnified countless times by them.

Targeted drugs have always been dominated by international markets, and most of the drugs China now takes are imported. The emergence of RC1 has indeed broken this pattern, at least in the case of rectal cancer. What's more, China is also exporting it in reverse. It is sold so cheaply in China, but it is making a lot of money abroad. Isn't this going against the will of Heaven?

As the developer of RC1, as long as Wu Xiaofu dares to make any mistakes, they will use this as an opportunity to lower the price of RC1 overseas.

Even something more excessive.

Moreover, for so many participating doctors, the medical record selection is also divided into five levels: normal, difficult, high difficulty, and extremely high difficulty.

These four levels represent the doctor's ambition and ability levels.

See what score you want and click the corresponding button. Wu Xiaofu chose the extremely difficult level of medical records right away, while there were only about thirty other doctors who chose this level of difficulty.

Wu Xiaofu's choice naturally attracted more attention.

Especially after the medical record appeared on the screen, everyone started talking about it.

"Well, this medical record is quite difficult. Doctor Wu is not a thyroid and breast surgeon, but he dared to make such a choice. He is really confident."

"The Chinese are used to being proud. No one knows whether they have the ability or are just trying to attract attention."

"It would be embarrassing if I only got zero points after the last operation."

……

Except for the Chinese doctors, everyone else is basically unanimous in their pessimism. There is no way around it. China is now being placed on such a high pedestal, and Wu Xiaofu, as China's representative doctor, has to bear it all.

As long as they can withstand the pressure, Wu Xiaofu will use his strength to tell them that China's success is due to its strength.

"Teacher, isn't the medical record Xiaofu chose a bit risky? It also involves ovarian issues."

In the East China Sea, Duan Hao, Yu Shifu and others were watching Wu Xiaofu's game together. Hearing Duan Hao's words, Yu Shifu shook his head directly.

"Have you ever seen Xiao Fu do something he is unsure of? Don't worry, he knows what he is doing. This is to protect his score. Xiao Fu will not choose a surgical record that is beyond his ability. You have seen his rationality before."

When Duan Hao heard this, his mind flashed back to Wu Xiaofu's mind about a series of miraculous operations that Wu Xiaofu had performed in the emergency room.

Stop bleeding with bare hands, clamp blood vessels blindly, and perform various difficult surgeries.

Yes, he was too worried. Wu Xiaofu, when did he need to worry about you? Besides, this was just a score-preserving surgery. If it didn't work, there was still Wu Xiaofu's specialized hepatobiliary surgery to be performed. It wouldn't be a big problem.

diagnosis:

1. Ovarian goiter.

2. Papillary thyroid carcinoma.

Wu Xiaofu's diagnosis has appeared on the screen. The people watching all subconsciously looked at the time. In fact, from the time Wu Xiaofu entered the operating room to now when he selected the medical records and made the diagnosis, it was only less than a minute.

Yes, it took less than a minute, and it probably took Wu Xiaofu only about ten seconds to analyze the medical records and confirm the diagnosis.

Thinking of this, everyone was even more shocked. Was this overconfidence or something else?

This diagnosis!

In fact, most of the people sitting in the audience at this time are doctors from other specialties. Although they have studied medicine to this point, they are not completely ignorant of diseases of other specialties. However, they still know how to diagnose such difficult medical records and even what diagnosis to put as the main diagnosis. This is very important.

Even they didn't dare to speak easily at this time, and could only focus their eyes on the judges' seats.

But when they saw that most of the judges were nodding, they felt disappointed, because it was obvious that they were very satisfied and the diagnosis was correct!
Many foreign doctors were suddenly discouraged. They knew that as long as the diagnosis was correct and the surgical choice was right, there would most likely be no problem. Even if there was a slight mistake, it would only be a difference in the scores.

However, even if there is a difference in scores, it is still a stain.

Everyone stared at the screen again, wanting to see how Wu Xiaofu would choose the surgical method. Wu Xiaofu did not let them wait any longer. Almost within a few seconds after the diagnosis, the surgical method was already chosen.

Surgical procedure: total thyroidectomy + right central lymph node dissection.

Everyone focused their eyes on the judges' seats again, and sure enough, they all nodded in the same way. Forget it, they shouldn't have too many expectations. Breast and Thyroid Surgery was not Wu Xiaofu's main major. Wu Xiaofu chose to apply for this major concurrently, obviously wanting to use it to maintain his points and then increase his points in his major. How could Wu Xiaofu choose medical records and surgeries that were beyond his ability?

However, thyroid cancer surgery is not easy to perform, and Wu Xiaofu may not be able to succeed.

After all, can a 26-year-old really be so omnipotent?
Has he been studying medicine since he was in his mother's womb?
How can it be!

They have studied medicine for more than ten years, but still find it difficult, let alone someone like Wu Xiaofu who has just entered the medical field.

Yes, there must be something wrong. Well, this time, Wu Xiaofu successfully attracted the attention of most people. No one in his own doctor looked at the medical records, but only at Wu Xiaofu. After all, none of the other doctors were as bold as Wu Xiaofu after taking a look at the medical records.

You say that you are a group of people who are trying to get high scores, but you are not as bold as the one who chooses to maintain his scores. Are you suitable?

In that case, don't blame me for not looking at you.

Wu Xiaofu didn't know all this. He had already started his surgery at this moment. Time was running out. It wasn't just about time, but about points.

Points redemption is accurate to one thousandth of a millisecond, this is when every second counts.

After Wu Xiaofu had made all his choices, the assistant next to him quickly moved the corresponding simulated patient to the operating table, and the preparations before the operation were basically ready.

After washing his hands, Wu Xiaofu stood back on the operating table.

Laparoscopic thyroidectomy is a piece of cake for Wu Xiaofu. However, the more serious the thyroid cancer, especially the thyroid cancer that has been caused by ovarian goiter, the more serious the adhesion is, which is simply not comparable to the previous surgery Wu Xiaofu had performed.

The difficulty of the operation is naturally increased. Thyroid surgery is a delicate operation. After the adhesion is aggravated, the difficulty of the operation is increased by one level. Lymph node dissection is even more difficult.

After removing the mirror and seeing the situation of the laparoscope, one can see how difficult this operation is.

Although there is no cancer around the thyroid gland, structural lesions have occurred in the adjacent tissues, making it a bit difficult to separate and clean them.

The fragility of blood vessels increases, and with every operation, a lot of bleeding will basically occur, obstructing the surgical field of view.

"Humph, why does he think this type of patient is so difficult to treat? Given this situation, I want to see how he can complete the operation. Even if he can complete it, I'm afraid it will take a long time."

"Yes, the vision is not clear. He has to clear the vision every time. It is basically impossible for him to use time to gain points."

"To put it in Chinese, this is to make things worse. Look, it's a complete mess."

……

Looking at the visual conditions on the screen, many doctors had something to say. Of course, they also had their own deep thoughts, but they only talked to their close friends and discussed with each other.

However, when faced with this kind of problem, they always seem to have something in common.

"That's not right. How can he do it so fast? Can he see? Is there something wrong with the screen? Why? I don't think his vision is obstructed too much."

"Yeah, look, his hands haven't stopped moving."

"What do you mean, blind operation? With such a blurry vision, isn't he afraid of doing something bad?"

……

It is said that when performing an operation, speed is secondary and doing it well is the main thing. If you encounter a difficult operation, you would rather do it slowly to ensure the smooth progress of the operation. Take Wu Xiaofu's case, his vision is so poor that he might accidentally break one or two of the patient's nerves or blood vessels, which may cause complex complications at the very least, or even kill him.

The doctors who are able to participate in the World Surgery Competition are basically the most promising doctors in the country. They have to be very careful in every step ahead. After all, they have a bright future. If they take a wrong step, their future will be gone, which is not worth it.

Therefore, you must never make mistakes, especially big mistakes.

What is a big mistake? First of all, no one can die. What Wu Xiaofu did is very dangerous.

My eyes fell on the monitor. I wonder if the monitor should be ringing at this time.

Well, it's very stable, without even a big fluctuation. What's going on? It's not scientific.

"Okay, get ready to remove your thyroid."

Ah!
When Wu Xiaofu's voice was heard, everyone was stunned. What's going on? What did you do to deserve having your thyroid removed?
Have you separated it completely? Do you remove the thyroid gland?

No, what kind of TV is this? Do you need a membership? Why, bloody, give them paid content? If you don't pay, you won't let them watch the blood-blurred vision?

Not to mention the audience, the assistant was also confused at this time. He just followed Wu Xiaofu's instructions and moved the mirror, but just like that, his thyroid gland had to be removed.

I pulled out the mirror and wiped it quickly. Wow, when I put it back in, I saw that it was indeed time to remove the thyroid gland.

What kind of magical operation is this!

Not daring to delay, the instrument nurse quickly handed over the instruments and prepared the tray and specimen bag.

This time the field of vision was a little better, and everyone watched Wu Xiaofu perform thyroidectomy directly. But soon, the field of vision became blurred again, but Wu Xiaofu did not ask to pull out the lens and wipe it again.

The view from the judges' seats is the same as that of the audience.

Looking at Wu Xiaofu's operations at this time, although he was surprised, he understood after being surprised.

"I have to say that Doctor Wu is really amazing. I have seen this kind of operation done by my teacher, and I can try it occasionally. It is to imprint all the structures in the field of vision into the mind, automatically generate a model, and then perform the operation based on it. It looks like a blind operation.

In fact, it is also a kind of blind operation, but it requires too much surgical experience, strength and brainpower from the surgeon. "

"Well, yes, sometimes we do this, but it requires great confidence and even more so, great strength. It's really unexpected that Dr. Wu has this ability. After all, this is not his main specialty."

"It is true that the disciple is better than the master. The younger generation is formidable."

"Academician Huang, your country of China is full of talented people."

"Yes, Academician Huang, this can't be your student."

……

Huang Kunlun heard that these people wanted to praise him, so he quickly waved his hands, but the corners of his mouth were harder to suppress than AK.

It’s a pity that this is not his disciple, otherwise Huang Kunlun would really wake up with laughter in his sleep.

"Come down."

Wu Xiaofu took out the cut thyroid tissue and placed it on the tray handed to him by the instrument nurse. He said something, and the scene became even quieter.

The time is displayed on the electronic screen.

"Twenty-two minutes."

What speed is this?
Although there was still lymph node dissection, even if Wu Xiaofu was not familiar with lymph node dissection, it would probably be completed within an hour. A complete thyroidectomy, one hour! They seemed to have anticipated how high Wu Xiaofu's score would be.

Are they really trying to maintain their points? Why do they look like they are trying to gain points?

"Are you sure this isn't cheating? I don't believe it."

"Yes, it was definitely cheating. This difficult case was done so quickly. It must be cheating."

……

The doctor from the country who had just arrived a few days ago stood up and said, "Is this a joke?"

You know, the record for total thyroidectomy was held by the Rizi Country, and Wu Xiaofu was about to break the record. How could they tolerate this? There was also thyroid and breast surgery, but that was their Rizi Country's strong point. It was okay for Wu Xiaofu to be outstanding, after all, being outstanding did not necessarily mean a high score.

But the thyroid gland has come down, and it seems that they are about to take the first place. How can they sit still? This may very likely affect their team ranking.

However, there was no need for Wen Xinhan and the others to say anything, as staff had already come out to host the scene.

"If you doubt our impartiality, please complain to the Executive Committee later. Now please keep quiet."

(End of this chapter)