Come on, Dr. Wu

Chapter 344 (999 words long chapter, please vote)

In fact, Director Feng has already regretted it. He plans to see the patient first. If the patient's condition is okay, he will do it. It will be considered as a favor to Wen Xinhan, which is better than letting Wu Xiaofu get involved in this matter.

However, opportunity is very important. Fortunately, Wen Xinhan had left the person alive before, and Director Feng planned to find a chance to smooth things over later.

However, who could have thought that Wen Xinhan would shut up so quickly.

I wanted to say something, but looking at so many people, especially the patients and their families who are still here, it is obviously inappropriate to argue here.

Looking at Wen Xinhan, Director Feng felt more and more that Wen Xinhan had planned this. To be honest, if Wen Xinhan had mentioned this matter in the conference room at that time, perhaps he would have reacted on the spot and refuted it, but here, he really couldn't say anything.

If this wasn't premeditated, then what was it?

Look at the harmless Wu Xiaofu. These two people are definitely setting a trap for him. How despicable, they are acting in unison.

I was so angry inside, but I couldn't show it.

However, this matter is not without room for maneuver. Putting aside other things, Wu Xiaofu is probably unable to treat this patient. But he will have a chance to stop this matter later.

"Director Wu wants to perform surgery on my sister-in-law? That's great. Everyone in Donghai knows that Director Wu is a superb doctor. People say that no matter how serious the patient or the disease is, it will be easily cured when he comes to Director Wu. I'll trouble you, Director Wu."

The patient's family members were really enthusiastic, which made Wu Xiaofu a little uncomfortable. He originally thought that the plot would be because he was young and the patient's family members didn't believe it, and then there would be a farce. It seems that his reputation has really spread, and no one associates him with youth anymore.

"This is what I should do."

At this time, Wu Xiaofu did not refuse and slowly came to the patient.

The patient is actually only in his early forties, but his condition does not look very good at this time. Although there are no signs of jaundice on his face, he is also very pale. I am afraid he is suffering from severe anemia. In fact, this is also a characteristic of patients with liver disease.

After suffering from liver disease, the patient's digestive system will generally have a chain reaction. A major common point is poor appetite. If the food is not right, nausea and vomiting are common. Over time, the patient will suffer from anorexia.

In such cases, anemia will basically occur.

The patient had suffered from kidney failure twice before. Even if he has recovered, his urinary system will certainly not recover for the time being. He has problems with water and food, and his sleep is probably not very good. Once there are problems with these three things, the patient's mental state will collapse quickly.

Just like the patient, his eyes have fallen into their sockets. People in the North District like to say this, but this is indeed an obvious sign of weight loss.

"How much did the patient weigh before?"

"My sister-in-law used to be about 120 pounds. You see, she is tall, almost 1.70 meters. At this height, 120 pounds doesn't look fat. But after she got sick, she suddenly lost weight. Now she doesn't even weigh 90 pounds, just over 80 pounds."

He nodded. Tumors are wasting diseases, so when seeing patients in the outpatient clinic, it is necessary to ask whether the patients have lost too much weight in a short period of time, because once this happens, the occurrence of a tumor should be suspected.

Just like this patient, his weight dropped from over 120 to over 80, which is a huge reduction.

However, most tumors will not cause weight loss so quickly. In many cases, significant weight loss occurs after patients have undergone treatments, such as radiotherapy and chemotherapy, because in addition to the consumption of the tumor, they also have poor appetite and digestion, so they naturally lose weight quickly.

The patient's weight loss is actually consistent with the characteristics of neuroendocrine cancer.

Compared with common tumors, studies have shown that people with neuroendocrine tumors lose weight significantly faster.

In medicine, there are actually quite a few studies on neuroendocrine tumors. However, the main organs for neuroendocrine tumors are not the liver, but the stomach and thymus. Therefore, once a tumor appears in the liver, the neuroendocrine tumor is usually relegated to the back.

There will be fewer related studies and correspondingly fewer guiding diagnosis and treatment.

The most important thing is that neuroendocrine tumors are indeed not suitable for surgery because small tumor foci are too easy to develop. Currently, the most common treatments are interventional or chemotherapy.

Intervention, in particular, is not only aimed at neuroendocrine tumors on the liver, but also neuroendocrine tumors in other organs.

Wu Xiaofu stopped the patient who wanted to stand up and talk, and put his hand on him to feel his pulse.

This is one of Wu Xiaofu's characteristics. After all, he is a Western medicine doctor. Although other doctors also take the pulse in the outpatient clinic, most of them only check the heart rate and other things. They can hardly find out much about other organs.

But Wu Xiaofu is different. With the improvement of his pulse-taking ability, Wu Xiaofu can now roughly determine what organ has problems with the patient and how serious the problem is just by taking the patient's pulse.

If after looking at the patient's medical records and examinations, there was still one percent uncertainty about whether it was neuroendocrine cancer, then this pulse diagnosis would be basically correct.

Wu Xiaofu has been working in the outpatient clinic for almost a year now. Especially in the later stages, most of the patients are of this type, liver cancer patients. Wu Xiaofu can't remember how many he has taken over.

After taking the pulses one by one, they found that the pulse phases of various liver tumors were different. Wu Xiaofu had never encountered liver neuroendocrine cancer before. Not to mention Wu Xiaofu, even Wen Xinhan and his colleagues probably had not seen it often. Otherwise, there would not have been a need for an internal consultation for this.

However, I have never seen neuroendocrine cancer of the liver, but I have seen the pulse patterns of other tumors. After eliminating these two types of tumors, it will become clear at a glance. Moreover, neuroendocrine tumors originate from neuroendocrine cells, and their effects on the liver and body are different from those of ordinary tumors.

After confirmation, it is time to assess the physical condition.

Intervention seems to require low physical conditions, but it would be a big mistake to say that you don't have to worry about it at all. First of all, although intervention is minimally invasive, there must be a place to insert the guide needle, so we must first check whether the femoral artery meets the conditions for intervention.

Then there are the coagulation conditions. Intervention is performed through blood vessels. If coagulation is not good and the vascular conditions are poor, it will be troublesome once it occurs. You know, even after the operation, the patient's needle insertion site has to be pressed for more than half an hour and has to lie flat for a day.

If the blood coagulation is not good, the subsequent risks will be considerable.

As for the liver function, it must at least reach level B. Otherwise, it may cause hyperactivity of the liver, liver failure, etc., which will be a big problem.

In addition to these, there are some other risks that need to be assessed in advance.

"His physical condition is quite suitable. How about this, Mr. Wen? If the patient and his family have no objection, we will transfer him to Area F first. We can do the preoperative evaluation while waiting for the pathology results. Of course, the conditions there are worse than those in Area A. After the operation, he will have to be transferred back to Area A."

Wu Xiaofu said with a smile, but the others could not laugh after hearing this. Are you so reckless? This is too hasty. You just look at the patient and check his pulse, and you are confident? If you are not confident, how dare you transfer the patient now?

You know, it's easy to transfer the patient there, but it's hard to transfer the patient back. What if it's not neuroendocrine cancer, but a more complicated disease than neuroendocrine cancer? What will you do? Wouldn't that be a big deal?
Moreover, this is Wen Xinhan's relationship. If Wu Xiaofu transfers the patient to him, isn't this just stealing the relationship? However, after listening to the second half of Wu Xiaofu's words, everyone couldn't help but look at him deeply. Wow, his EQ is unmatched. He did the job well and then transferred it to Wen Xinhan. He was just passing on the work and was willing to be a wedding dress, giving Wen Xinhan enough face.

Everyone likes this subordinate.

Director Feng's face turned pale. Wu Xiaofu didn't leave him any loopholes. However, he really couldn't figure out where Wu Xiaofu got his confidence from. How could Wu Xiaofu be so sure that he could do it?

You know, Wu Xiaofu is saying this in front of the patient, which means that this operation must be done by Wu Xiaofu. Wu Xiaofu can't even hire someone. Could it be that Wu Xiaofu has practiced privately and made a big splash here?

Director Feng and the others had no choice but to think so; after all, this was too calm and confident.

Especially considering Wu Xiaofu's talent, if Wu Xiaofu had really studied secretly for a year, it is possible that he would have almost mastered it.

Thinking of this, Director Feng couldn't sit still anymore.

Not daring to be careless, he sent a message directly to the director of the interventional department. When the director of the interventional department saw that the message was from Director Feng, he replied directly.

"Yes, Director Wu has been coming to the interventional room frequently before, and sometimes he even helps with the operation. I have to say, he is really hardworking and diligent."

what!
It was true. Director Feng felt that he had been deceived at this moment. He had thought that Wu Xiaofu was just young and energetic before, but now it seems that he has planned it all along and is playing the pig to eat the tiger. He came prepared and is plotting to take advantage of his piece of cake.

"I can do anything here. As long as the patient and family members agree, I'll transfer you there. You can recuperate there after the operation. Don't tell me nonsense. The conditions in the ward I just arranged for you are much better than those in Area A.

Don't say anything in front of the patient's family, they might think he was transferred to a slum."

Wen Xinhan then looked at the patient's family and said, "What do you think? We have initially decided to hand over the operation to Director Wu. If you are willing, I will have someone handle the procedures and transfer the patient to Area F."

The patient's family members did not hesitate when they heard this. In fact, before coming, they had made a lot of inquiries for the patient's health. When mentioning the hepatobiliary surgery department of the First Affiliated Hospital, the name they heard most was Wu Xiaofu.

The reason why the Hepatobiliary Surgery Department of the First Affiliated Hospital has reached its current scale and has the momentum to become the largest department of the First Affiliated Hospital is because of Wu Xiaofu. Not only has it expanded by two areas, but it is also currently preparing for critical care.

Now, most of the hepatobiliary surgery patients who come to the First Affiliated Hospital for treatment are flocking to area F, if for no other reason than to see Wu Xiaofu, a man of noble medical ethics and superb skills. Most importantly, Wu Xiaofu is not only a doctor, but also a blogger with tens of millions of fans. However, even in this situation, you rarely come across bad comments on Wu Xiaofu's blog.

Basically, they are those who have seen Wu Xiaofu for medical treatment and had surgery, and came back to express their gratitude and guide others to go again. Some also posted their hospitalization receipts and so on. They are very credible. There are also some who specifically discredit Wu Xiaofu, saying this and that, but when they were besieged by fans and asked to produce evidence, he could not even produce a hospitalization receipt.

Whether a doctor is good or not is not determined by his own boasting, but by what the patients say. Wu Xiaofu is now unanimously praised by patients, and that is his ability. Even if Wen Xinhan didn't say it, they would like to mention it later to see if they can ask Wu Xiaofu for help.

Now, they can go directly to Wu Xiaofu. What do they have to worry about?

Especially since Wu Xiaofu dared to take the job and was so sure about it, he must be confident. It can be said on the Internet that Wu Xiaofu's surgery success rate is 100%. There are no mistakes or omissions at all, and many major surgeries have never had any problems.

If you search for Wu Xiaofu on Baidu now, you will find a bunch of entries, including several cases of treating critical illnesses.

With so many testimonies, why can't they be trusted? What's more, Wen Xinhan is so supportive.

"We don't have any objections. We are so happy that Director Wu is willing to treat my sister-in-law. We will have to trouble Director Wu and Director Wen for follow-up."

"It should be. Okay, that's settled then."

The doctor, the patient, and the patient's family have all reached a consensus, so what else is there to say? It must be settled.

Several people walked out of the ward one after another, and the patient's family members also sent them out.

The door of the ward.

Director Feng suddenly stopped and said, "I heard that Director Wu has been running to the interventional room a lot recently, and sometimes he even performs the operation himself. It seems that he has made rapid progress. No wonder he is so confident that he wants to take on this operation."

Ah!
Everyone was shocked when they heard this. Is this really going on?

All eyes fell on Wu Xiaofu, as if they wanted to see something. Seeing Wu Xiaofu's calm expression, everyone was shocked and thought that they were the clowns. Before, they all thought that Wu Xiaofu was overconfident. Now it seems that he was probably still thinking in his heart that he was in control at that time.

This was well prepared. Look at Director Feng. Since you knew that they came prepared, why didn't you stop them before? Were you really ready to hand it over to them, or had everything been communicated in advance?

Looking at Wen Xinhan, they found that Wen Xinhan was very calm, as if he had known it for a long time.

No way, this can't be a play. Wen Xinhan set up the stage just to give Wu Xiaofu, the protagonist, the opportunity to get involved in the project.

If that's the case, that's really cruel, treating them like clowns.

Director Feng stared at Wu Xiaofu closely, as if he wanted an answer.

"Teacher Feng, you know that medicine is a rigorous science. If I am not sure, how can I dare to take on this operation? Intervention is a major trend in our hepatobiliary surgery. Recently, I have taken on more and more critically ill patients, but I often lament that the means of treatment are not enough.

Intervention is a good supplement. If you notice your own shortcomings, you need to make up for them. So I hurried to learn. Fortunately, I have made some progress. Next week, our department has arranged several interventional surgeries and is ready to carry them out. If you have time, you can also come to give me some guidance. "

ha?
Not only did he admit it, Wu Xiaofu also said that he had prepared several interventional surgeries and was ready to do them. Note that he did not mean to prepare, but was already ready. In other words, this was not the first day Wu Xiaofu wanted to carry out the interventional project.

Perhaps even if there had not been today's consultation, Wu Xiaofu would have done it, but because of this consultation, Wu Xiaofu's intervention was smoother.

Director Feng felt that Wu Xiaofu in front of him was not a rookie, but a little fox. No, a little fox that was more cunning than the old fox. "Then I wonder if Dr. Wu is going to use intervention as a supplementary method, or will he focus on intervention in the future?"

It is no longer realistic to stop Wu Xiaofu from doing interventional surgery, because he made the first move. However, he can do it, but the boundaries must be clear. If you are like the other wards, with only a small team doing some minor interventional surgeries as a supplement to medical means, then it's fine and he can tolerate it. But if you are planning to build an interventional ward, he won't tolerate it.

“How can we focus on interventional surgery? Although interventional surgery is a trend, it is currently used more on liver tumors. We are a hepatobiliary surgery department, not an interventional department. Intervention can be a means, but we cannot push the department towards interventional surgery.

The main thing is other surgeries, and intervention is a supplement.”

This is not Wu Xiaofu's delaying tactic, nor is it a lie, but the truth. Intervention is the trend, but it does not mean that intervention can cure all diseases. On the contrary, most diseases in hepatobiliary surgery cannot be treated through intervention, and still need to be treated mainly by endoscopic and open surgery.

What's more, tumors are only a part of hepatobiliary surgery after all. Gallbladder, appendix, hernia, etc., these minor operations are actually the majority of diseases seen in hepatobiliary surgery on a daily basis, and these cannot be solved by intervention.

This is also the main revenue-generating disease of hepatobiliary surgery. Like area B, these minor diseases have basically been pushed out by them, which makes the situation a bit top-heavy.

Therefore, Wu Xiaofu is preparing to intervene, and to do precise intervention.

Director Feng felt relieved when he heard that. That was good. As long as it was not the main intervention, it would not threaten his position. An amateur who did intervention could not do it better than the main intervention in area B.

"Director Wu is right."

Seeing Director Feng let down his guard and others having their own thoughts, Wu Xiaofu couldn't help but shake his head. If Director Feng thought that everything would be fine for District B, he was wrong. After District F's intervention was successful, Wu Xiaofu dared to say that the days of District B's dominance would be over.

Because the center of the conversation was here with Wu Xiaofu, from the outside it looked like Wu Xiaofu was surrounded by a circle and was talking about something. Cheng Shi and Jiang Bei were outside and couldn't squeeze into the circle. They were also feeling emotional when they saw this. This time, they knew the status of their boss. If they heard that Wu Xiaofu was going to be the dean someday in the future, they would not be surprised.

The matter came to an end here, and the crowd gradually dispersed.

Wu Xiaofu followed Wen Xinhan, who obviously had something to say to him. However, Lian Jingwei spoke first, "Director Wen, you didn't know Director Wu was involved a long time ago, did you?"

Wen Xinhan shook his head when he heard this. "How would I know? I sent a message to the director of the interventional department on the way to the ward and asked him about it. After I entered the ward, the message came back and I happened to take a look at it."

Great, Wen Xinhan’s ideas are exactly the same as Director Feng’s.

No wonder Wen Xinhan suddenly changed his attitude and began to believe Wu Xiaofu. He also took the initiative to facilitate the intervention of District F. It turned out that he had received the news very early.

"Xiao Fu, you didn't tell me earlier that you were going to intervene. I was a little caught off guard. But you haven't been learning this for long. Have you really learned it?"

It’s not that Wen Xinhan didn’t believe it, it’s mainly because even if he has good talent, there must be a limit. He saw Wu Xiaofu winning the World Surgery Competition, otherwise he would have hesitated.

"Teacher Wen, I was actually planning to tell you this these two days. It just so happened that you convened this departmental consultation and Director Feng was there too. I thought that Director Feng would definitely have strong opinions about the intervention in Area F and would probably disagree. So I took advantage of the situation and did this. I have to apologize to you for this.

As for the technical aspects, there should be no problem. When I was in the outpatient clinic last week, I made an appointment with six patients who needed interventional surgery. I asked them to do the examination in the outpatient clinic first. If there is no problem in the outpatient clinic tomorrow, I will arrange for them to be hospitalized, and then they will have the surgery next week. If Teacher Wen has time, he can come and give guidance by then.”

Seeing Wu Xiaofu's prepared appearance, Wen Xinhan felt relieved. "Don't say sorry. Your interventional surgery is also a good thing for our hepatobiliary surgery department. When you do the intervention next week, let me know and I'll take Director Lian to take a look."

"Okay, then it's settled."

Leaving Area A and preparing to return to Area F, Cheng Shi and Jiang Bei followed from behind, "Boss, you are so impressive, so this is what it feels like to be a big boss, when do you think I will have the chance to become a department director or something like that?"

Jiang Bei spoke with a dreamy look on her face, which made Cheng Shi laugh.

"Sister Bei, you are now following the old path of the boss. As long as you can get first place in the internship first, and then enter the hospital, you will be extremely talented, as if with divine help, and you can become a resident, chief resident, publish articles, perform surgery, and then you can also get first place in the world surgery competition. Then it is possible."

Jiang Bei's fantasy was immediately shattered and she glared at Cheng Shi fiercely.

"I find that you have become a bad boy now. You usually look taciturn, but now you are so mean. The boss is rare in a thousand years. How can I compare with him?"

Hey.

Wu Xiaofu looked at the two and shook his head. "Instead of making trouble, you two should think about how to deal with the assessment this weekend."

Assessment!

Yes, assessment.

The two then remembered that they had started looking for Wu Xiaofu for this matter.

"Boss, if you hadn't told us, we would have forgotten how our weekend assessment is going to be conducted? Will it be the same as last season?"

The two looked at Wu Xiaofu expectantly, but Wu Xiaofu just smiled back.

"How can it be the same? It will be harder than last season. The format and content have changed. You can't guess it. It will test your accumulation in daily life and whether you have studied hard during this period. You will start your shift tonight. I will go to the outpatient clinic tomorrow. Who of you will go with me?"

Outpatient clinic!
The two men's eyes lit up when they heard that, and they didn't ask what the test was about. They knew that Wu Xiaofu would definitely not tell them, but this outpatient clinic was a good opportunity to learn, so they had to keep up.

"I!"

"I."

The two of them said almost in unison, Wu Xiaofu shook his head, "You have to be on duty tonight. The night shift in our department is not easy. Will you have the energy to go to the outpatient clinic with me tomorrow?"

"Hey, we are young and can endure. Boss, please let me go. Jiang Bei is a girl after all. If she doesn't make up for the sleep the next day, her face will be bad. I am a man, so it doesn't matter."

Cheng Shi spoke first, which made Jiang Bei's face change. Well, this boy seemed to be very honest usually, but it turned out to be a disguise. He said she was a woman, and his face was not good. Moreover, he was calling her Sister Bei just now, but now he doesn't even call her Sister.

"Get out of here, you bullshit. When I was staying up late, you didn't even know where to play. Boss, I'll go with you. If this guy doesn't agree, I'll beat him up."

Jiang Bei's aura was fully released at this time, forcing Cheng Shi to take a step back.

Wu Xiaofu also found it more interesting.

"Haha, you two can see for yourselves. It's not like only one of you can go. As long as you have the energy, both of you can come."

ha?
It’s okay for everyone to come. Cheng Shi was happy to hear that, but he also felt a little regretful. Could he take back what he had just said? It seemed like he had offended Sister Bei.

"Sister Bei, I."

"You die."

Wu Xiaofu had already walked far away. Jiang Bei had no more scruples and just kicked the ball. Cheng Shi hurriedly ran.

However, the two did not notice that the cameras were moving with them. Some of the hospital's cameras could be used by the program crew during the filming. Of course, there were hospital staff stationed to specifically control them, and some shots involving the privacy of patients and doctors had to be removed.

At this time, the program team felt that the performance of the two was in line with the requirements of the program and the audience would definitely like it.

Back to Corey.

At this time, the news of the internal consultation in District A had already spread in a small circle. This was how it was in the hospital. With a thousand people and ten thousand groups, no news could be hidden, especially news like this that involved an entire department. People in District F had almost known about it a long time ago.

"Boss, are you really going to intervene?"

Feng Lingling looked at Wu Xiaofu and asked directly.

"Yeah, what's the matter, are you interested too?"

"No, Boss. Intervention will have some impact on us after all. I heard from the interventional department that it is best to do the interventional surgery after giving birth. Otherwise, there will be an impact. We have a lot of surgeries in our department now, so there is no need to touch them."

He shook his head and said, "This is what I have wanted to do for a long time. As for the impact, check frequently. If there is any impact, just stop. Moreover, with the current protective measures, as long as our immunity can keep up, the impact is minimal, so there is no need to be so nervous.

But I am a boy, and I grew up on the grassland. I have been eating beef and drinking milk since I was a child, so I have a strong physique. You are too thin and your health is not good. It is better not to do intervention for now. By the way, you should find a boyfriend, get married and have children as soon as possible. After you give birth to the child, I will take you to do intervention. "

Feng Lingling didn't expect that Wu Xiaofu would lead her to the topic of getting married and having children in just a few words. Her face turned red, and she looked at Wu Xiaofu and spit out a "Puh" sound.

"Bah, I'm trying to persuade you with good intentions, but you're still causing trouble for me. If my mom hears this, she'll be even more angry. Just leave me alone."

Feng Lingling left immediately. Wu Xiaofu couldn't help but shook his head. Why didn't she listen to the advice? Was she really not planning to get married?

I turned my gaze to Yuna, who was also single.

"you."

But just as he was about to say something, Yuna had already retreated tactically, "Boss, I remembered that I have a patient to see, so I'm leaving first."

Uh, each of them is so worrying. As the department director, he has to care about the personal problems of his doctors. Is it easy for him? They don't even appreciate it. Looking at Lu Xiaoyue, who was eating, she directly stuffed a piece of fruit into Wu Xiaofu's mouth.

"Don't say it, don't say it, I won't listen."

Wu Xiaofu swallowed hard, a little speechless, "I asked you to introduce them to the right ones if you find any. It's said that your head nurse is a matchmaker, you have to play a role."

Lu Xiaoyue was a little speechless when she heard this. She was still single, and she was introducing others. However, it was quite interesting to think about it. She nodded and said, "Leave it to me."

New nurses have also joined the department. Previously, the nursing department had also recruited a group of interns, who were trained separately from the doctors. But the training has also been completed. Wu Xiaofu needed more, and now that they have all joined the department, Lu Xiaoyue has enough staff and she is not so busy anymore.

In fact, Wu Xiaofu couldn't help but care. There are many young people in the department now. Feng Lingling, Yuna, Peng Xia, Deng Yimin, and Lu Xu are all single. Well, not only young people, but Chen Zhendong is in his thirties and still single.

I was speechless. What kind of place is this? Fortunately, he is getting engaged soon, otherwise, I would have thought that there was something wrong with the feng shui of area F.

Speaking of engagement, he and Qu Ying's family had agreed to get engaged on National Day.

Qu Ying is coming back from the National Day holiday, and there are only about 20 days left. As her son is getting engaged, Wu Bin and the others must prepare in advance. I heard that he and Sarina are now in the capital preparing for these things, booking hotels and so on, and they are very busy.

Wu Xiaofu, on the contrary, was relieved and happy. When he called yesterday, Wu Man was still complaining about being drafted into the army by his own mother.

I looked at the watch and it was past five, so I got off work.

After changing clothes and saying hello to the person on duty, he went straight downstairs. Peng Xia was on duty today, so Cheng Shi and Jiang Bei followed him. The new interns still needed a few days to adapt, and would only be on duty starting next week. It was just right to have Cheng Shi and Jiang Bei.

Outpatient.

"At the entrance of the CT room, 999!"

"At the entrance of the CT room, 999!"

"At the entrance of the CT room, 999!"

(End of this chapter)