Come on, Dr. Wu

Chapter 313: Deputy Senior Examination
In surgery, pancreatic injuries, pancreatic cancer and the like are actually not common, so it seems that pancreatic transplantation is of little significance.

However, the biggest pancreas-related disease is not damage or cancer, but diabetes.

As one of the three major basic diseases, the number of people with diabetes in the world today is simply too large.

Perhaps it’s due to diet, or perhaps it’s because people are too busy and don’t have time to exercise, so blood sugar regulation is getting worse and worse. Now the incidence of diabetes among people over 40 is increasing, and it even tends to continue to get younger.

Once diabetes is diagnosed, there is basically no possibility of recovery.

If the condition is well controlled, such as controlling your diet, exercising, and taking medication regularly, it may be possible to ensure that complications do not occur quickly. However, if the condition worsens quickly and complications occur, the patient's condition will not be so optimistic.

Therefore, if diabetes can be solved fundamentally, it will definitely be the greatest blessing for mankind.

A pancreas transplant is not necessarily necessary.

The key to controlling blood sugar is insulin and glucagon, both of which are produced by pancreatic islet cells. The cause of diabetes is damage to pancreatic islet cells. If pancreatic islet cells can be transplanted, this problem is actually mostly solved.

Some memories flashed through his mind, maybe he really had a solution.

"Xiaogang, what you said is possible, but it definitely can't be accomplished all at once. It takes time. Fortunately, you are still young. Maybe in a few years, there will really be a way. Xiaogang, you must take the medicine on time when you go back. I promise you that I will work hard on the research."

When Xiaogang heard Wu Xiaofu's words, he was very happy regardless of whether they were true or not.

He listened to his mother tell him everything about Wu Xiaofu. Wu Xiaofu had done a lot of research, all of which were remarkable. Xiaogang felt that as long as Wu Xiaofu was willing, he would be able to succeed.

"Well, brother, I believe in you. You will definitely succeed. I will definitely cooperate with the treatment and wait for you to save me."

save!
At this moment, Wu Xiaofu finally realized the true weight of medicine.

When you become the hope of others, it will turn into a force that pushes you forward.

After returning home, Wu Xiaofu started the related work.

In another memory, there is a lot of useful information. If Wu Xiaofu puts these together and studies them carefully, he may be able to build a theoretical framework. Although this may be more difficult than the current pancreatic cancer research, Wu Xiaofu feels motivated when he thinks of Xiaogang's eyes full of hope and trust.

That night, Wu Xiaofu didn't know how long he had been awake, and he went straight to sleep in the study.

In the last China Medical Science and Technology Award, Wu Xiaofu was the biggest winner. Later, the organizer also said that he would be recommended to participate in the National Science and Technology Award. The speed was not slow. After another week, Wu Xiaofu received the news.

Half a month later, he was nominated for the National Science and Technology Awards.

Wu Xiaofu was very happy to hear the news. Unlike the China Medical Science and Technology Award, the National Science and Technology Award is a truly top national award that covers all industries across the country. Even being nominated is a recognition of the nominee.

What's more, Yu Shifu told him that he had a great chance of winning the award this time. Although it was unlikely to be the country's highest science and technology award, there was still a great possibility that he would win an advancement award.

The National Science and Technology Awards are also divided into the National Highest Science and Technology Award, the National Natural Science Award, the National Technological Invention Award, the National Science and Technology Progress Award, and the International Science and Technology Cooperation Award.

The most valuable of these is undoubtedly the National Highest Science and Technology Award. The winners of each session are basically at the academician level. However, even if one does not win the National Highest Science and Technology Award, if one can win one of the other four awards, he or she will be one of the best people in China.

The progress award that Yu Shifu mentioned is the National Science and Technology Progress Award. This award, relatively speaking, will give young people more opportunities. Well, according to medical standards, young people are between 20 and 40 years old, but according to the standards of this award, the starting age for young people is 40 years old.

Therefore, even if Wu Xiaofu can win this award, he is already very outstanding.

The media always has sharp ears. Wu Xiaofu had just received the news, but the media had already reported it. It was not known where the news that Wu Xiaofu could participate in the National Science and Technology Award was obtained, but some media, blogs, short videos, etc., all of a sudden made a noise about it.

Faced with the 26-year-old Wu Xiaofu, who has the opportunity to participate in the National Science and Technology Award, the top national award, many people are asking, who is Wu Xiaofu? Why did Wu Xiaofu win? Then Yidu Niang suddenly opened his eyes wide, this is a genius!
Those who support Wu Xiaofu naturally think that it is only natural for Wu Xiaofu to be eligible for this kind of award. However, many senior colleagues and many people outside the medical industry think that Wu Xiaofu is too young. Even if he has achieved some results, he does not deserve such an award, right?

How do the old veterans who have been working in various industries for a lifetime think about this?
This is no longer just an idea, but also a habit. When facing young people in China, most people's first reaction is to question them, and then think that young people should be humble and low-key, and give opportunities to their predecessors. After all, there are still opportunities for young people later.

Little do we know that one step wrong will lead to all the wrong steps. If we give in even a little, we might really lose the anger we have felt.

There were many voices on the Internet. Before Wu Xiaofu said anything, people had already split into two groups regarding this matter. Those who questioned and those who supported had openly confronted each other on the Internet.

As soon as the media saw the popularity, they increased the exposure, so that Wu Xiaofu's reputation now seems to be even greater.

Originally, only people in the medical industry or related industries knew about it, but now even outsiders and people from other industries have begun to know that there is a doctor in China named Wu Xiaofu, who seems to be very impressive, after all, so many people are talking about him.

And what followed the tit-for-tat was a deep dig, um, an investigation into Wu Xiaofu's entire family. After all, this kind of thing can really arouse the interest of the spectators, so don't underestimate the abilities of this generation of netizens.

At the beginning, Wu Xiaofu's family background was just that his mother was from an ethnic minority and his father was a business owner.

But not long after, the Donghai Wu family was exposed.

This time, the heat has increased even more. Those who support him say that Wu Xiaofu is a young hero and has a family background in learning. Those who doubt him simply say that it is no wonder that Wu Xiaofu has achieved such great success, it turns out that he has the support of his family.

This is the result of a lot of money spent and many people hired to achieve this result.

I'm afraid most of the things are made up, and many people can smell the sourness in them, but Wu Xiaofu's age is just here, 26, what were they doing when they were 26? They had just graduated from college and were still struggling to rent a house and increase their wages, but Wu Xiaofu was already at the national and international levels?
Even genius has its limits, right?
If it is beyond the scope of their understanding, it is either the power of money or superpowers.

As a good citizen of China, no one will believe in super powers, so the only thing left is money.

"The second generation has begun to cause trouble in all fields, even in the medical field."

Radical people have already started saying this.

This was originally a very hot topic, but the media and media people did not dare to say or do much. Many of them did not know Wu Xiaofu's background in the Donghai Wu family. After this was revealed, they realized that they might have been in trouble.

If it was just an ordinary son of a conglomerate, it would be fine, but if it was someone with a background like the Donghai Wu family, if they dared to spread rumors and add fuel to the flames, it would not just be a matter of a lawyer's letter.

For a while, many posts on the once lively Internet began to be removed.

The post was the center of hot discussion and also a platform for people to express their opinions. Now that the posts are gone, people are wondering what is going on. Is there a mysterious force interfering?
But after the heat has passed, people actually don’t care that much about this matter.

After all, it was Wu Xiaofu who attended the award ceremony, not them.

China is such a big country, and the thing it has the most is melons. If you can't eat this one, just eat the next one.

"Director X walked into a high-end hotel with his daughter, who turned out to be a celebrity..."

"Another celebrity's reputation has been ruined, and it's because..."

……

Wu Xiaofu’s affairs were soon replaced by other matters.

However, neither Wu Xiaofu nor the Wu family intervened in these disputes. After all, although words can hurt people, given their size, as long as there is no giant to add fuel to the flames, there will be basically no problem. The National Science and Technology Award will be presented in half a month. Even if the rumors have been fermenting for a week, there is still a week left. During this period, Wu Xiaofu still has an exam to take.

It is the examination for associate senior professional title.

The reason why Rong Qiao said it was just a formality was not that this exam was just a formality to reduce the difficulty for Wu Xiaofu or allow Wu Xiaofu to cheat. It was because Rong Qiao knew Wu Xiaofu's knowledge reserves. With Wu Xiaofu's ability, let alone the associate professor exam, even the professor exam would not be a problem for Wu Xiaofu.

There is actually not much difference between taking the associate senior professional title examination and the intermediate professional title examination. They are just like subjects one and four when taking a driver's license test. You answer the questions on the computer and then leave.

However, after Wu Xiaofu entered the examination room, he was greeted by many people.

Wu Xiaofu may not know these doctors, but since Wu Xiaofu won the World Surgery Competition, few doctors in the medical field do not know Wu Xiaofu. After all, as a doctor, how can he not follow several medical public accounts? During that period, Wu Xiaofu was promoted almost every day. Even if they did not look carefully, they would have an impression of him after just a glance.

Now that they saw that Wu Xiaofu was in the same examination room as them, they were naturally very happy.

There is no competition in this high-level professional title examination. What's more, even if there is, one more Wu Xiaofu won't make much difference. On the contrary, they are in the same examination room. They think they may be able to get some of Wu Xiaofu's luck.

Well, most of them are not superstitious, but not absolutely not superstitious. Basically, they are sometimes superstitious and sometimes not.

Well, it could also be that he is thinking that it doesn’t matter if he believes in it a little.

He finished the exam in one morning. The results would not be available until next month. By then, if he passed the exam, Wu Xiaofu would be able to be awarded the title of associate senior professional.

During this period, the results of the child in the ward also came out.

With Director Fang's help, even though the patient's family was unwilling, the pathology and genetic tests were still done.

Pathological results: cholestatic liver disease (most severe in acinar zone 3), fibrosis score equivalent to 2~3.

Genetic testing: FECH gene mutation.

Inside the medical office.

Director Fang was also filled with fear at this moment. He had been skeptical before, but now that the results came out, everything was confirmed.

Cholestatic liver disease, liver fibrosis has now reached a certain degree.

Organ fibrosis is a pathological result and a process in which fibrous tissue in an organ undergoes proliferation. It is often the consequence of degenerative inflammation, ischemia, necrosis, trauma, etc.

The ratio of parenchymal cells to interstitial cells in the organs is unbalanced, with an increase in fibrous connective tissue and a decrease in parenchymal cells, leading to damage to the organ structure and even organ dysfunction.

Fibrosis can occur in the heart, spleen, lungs, pancreas, liver, kidneys, bone marrow, nervous system, eyes, etc.

However, what people usually see most is pulmonary fibrosis.

Liver fibrosis is rare.

As for the causes, taking pulmonary fibrosis as an example, long-term inhalation of dust such as silicon and asbestos; side effects caused by long-term use of anti-infective drugs such as nitrofurantoin and cardiovascular treatment drugs such as amiodarone; secondary lesions after tuberculosis infection; collagen vascular diseases such as systemic sclerosis leading to pulmonary fibrosis, etc.

These may all cause pulmonary fibrosis. Because the lungs are responsible for the body's breathing and are in direct contact with the outside world, pulmonary fibrosis is the most common, but it is less common in other organs, especially the liver.

Therefore, once you encounter liver fibrosis, you need to consider more.

Director Fang looked at the pathological results and felt that he was a little careless. If he had not listened to Wu Xiaofu and directly treated it as intestinal obstruction, he would really regret it. Fibrosis is already not a mild disease, and fibrosis is irreversible. If he covered up the condition and hated the condition because of the intestinal obstruction surgery, it would be troublesome.

The onset of pulmonary fibrosis is insidious. As the disease progresses, progressive dyspnea will occur, accompanied by dry cough and fatigue. Severe patients will eventually develop respiratory failure. The onset of liver fibrosis is similar, and by the time it is discovered, it is basically complicated by other diseases. Combined examinations are required to confirm the diagnosis.

The symptoms are similar to those of liver disease, so it has always been diagnosed as liver disease and treated as such. I'm afraid that fibrosis has never been noticed.

As for genetic testing.

The FECH gene has been reported to be associated with erythropoietic protoporphyria, and the disease has been reported to be inherited in an autosomal recessive manner.

Erythropoietic protoporphyria is a type of hemopurinopathy.

All right.

Director Fang looked at Wu Xiaofu with eyes full of amazement. He was experienced and had seen similar patients before. After a rough meeting with the patient, as well as detailed examinations and medical records, he did not think about this aspect. Instead, he directly suspected that the young Wu Xiaofu had hemopurine disease.

Fortunately, Wu Xiaofu has some status. If he were an ordinary doctor, Director Fang would know his temper and would probably ignore him.

The child is still young, and even if he is diagnosed with hemopurineosis, there is still a chance for treatment. On the contrary, the longer the delay, the more difficult it may be to reverse the condition. Now, thanks to Wu Xiaofu's diagnosis and treatment, the child's illness was discovered in time. Needless to say, both the child and he have to thank Wu Xiaofu.

"Doctor Wu, should we transfer the child to the internal medicine department first?"

Now that the condition is clear, we must focus on treatment. However, genetic diseases are basically treated mainly by internal medicine, which is not the area of ​​expertise of their hepatobiliary surgery department. If you want systematic treatment, you must be transferred to the internal medicine department.

Wu Xiaofu nodded when he heard this, "Then let's have a consultation first."

Transferring to the internal medicine department is not something you can do whenever you want. If you find someone to transfer to, you have to rely on personal connections and go through consultation channels, which is much more formal. Which department will be responsible for the disease? The surgery department is the best at this.

Please consult, surgery is absolutely professional.

Feng Lingling started to work even more skillfully. She directly issued consultation forms to the endocrinology department, rheumatology and immunology department, hematology department, infectious diseases department, gastroenterology department, nephrology department, and cardiovascular department.

Wu Xiaofu felt his scalp tingling when watching this operation. They were all experts for consultation, and so many directors gathered together. Seeing so many invited, I was afraid that they would all have to look at their hepatobiliary surgery in a new light. As long as they were related to it, no one would be let go.

Feng Lingling seemed to see what Wu Xiaofu was thinking.

"Boss, don't worry. This is hemopurinosis, which is very rare. After hearing that it is hemopurinosis, the senior directors will probably be eager to come and take a look. When they come here soon, I'm afraid there will be heated discussions."

Listening to Feng Lingling's words, Wu Xiaofu nodded. It was true. Although these big directors might not want to see patients or increase their workload, they would definitely be interested if they encountered rare cases. Hemopurine disease was rare, so they would probably be very interested.

It seems that Feng Lingling is used to consultations and is much better at it than him.

With so many directors sitting together to discuss the patient's condition, they will definitely be able to work out a suitable treatment plan for the patient. Not to mention, this time, the patient is definitely receiving the highest treatment.

Wu Xiaofu did not participate in what happened next.

He just has more basic knowledge and can see that the child's illness is not simple, and it is somewhat like hemopurinosis, but as for how to treat it specifically, he still has to consult the professionals. Later, he handed it over to Feng Lingling and let her take charge. With Director Fang watching, there will be no problem at all.

In the past two days, his main focus has been on the research of pancreatic transplantation, and theoretical research needs to be enriched as soon as possible.

(End of this chapter)