Come on, Dr. Wu

Chapter 346 Paper Man (asking for monthly ticket)
"next."

You Zhiyi called out the number. After two hours of outpatient treatment, Cheng Shi and Jiang Bei had already started to keep themselves alert. However, when the next patient came in, they couldn't help but perk up again.

A patient walked in slowly. Upon closer inspection, he was very thin, almost skin and bones. If you didn't know him, you would think he was a child. However, his height was still there, probably more than 1.7 meters. This height didn't look like that of a child at all.

What's more, looking at his face, he looks thin, tired and weak, which is clearly the face of a middle-aged man.

But how could a middle-aged man look like this? To be honest, even for a patient suffering from cancer pain, it would be unbelievable to see him in this state.

The patient was accompanied by his daughter.

"Hello, please sit down."

Cheng Shi and the others were a little surprised, but Wu Xiaofu was used to it. After working in the outpatient clinic for a long time, you will find that you can see all kinds of patients, just like the one in front of you. In fact, many diseases are possible.

Wasting diseases and digestive system diseases will affect the patient's weight.

Wu Xiaofu had seen quite a few such cases when he was working in the outpatient clinic before, but the patient in front of him looked more seriously ill.

"Doctor Wu, you must save my father."

Help!

When the patient asked for help right away, Wu Xiaofu had to be mentally prepared, because in this situation, the patient's condition was basically serious to a certain extent. And when he saw the stack of examination and test documents in the hands of the patient's family that did not belong to the First Affiliated Hospital, he knew that this was not the patient's first visit to the doctor.

Since the problem cannot be solved after going to so many hospitals, the severity of the illness is even more worthy of attention.

But, isn't he here to treat serious and acute illnesses?

Now people in Donghai are saying that if even the First Affiliated Hospital cannot cure your illness, then maybe you really just have to eat whatever you want and drink whatever you want.

"Don't worry, what's the patient's condition?"

As Wu Xiaofu spoke, he motioned to the patient's family to give him the previous examinations and tests.

The patient's daughter hurriedly handed the bag in her hand to Wu Xiaofu, and then slowly explained the patient's condition.

"Doctor Wu, my dad..."

It turned out that Mr. Li, a 58-year-old HN citizen, had suffered from chronic pancreatitis and pancreatic stones for many years.

Many people may not know about pancreatic stones. After all, people's concept of stones is still limited to gallbladder stones, bile duct stones, kidney stones, ureteral stones, etc. How can pancreatic stones occur?
In fact, pancreatic stones are indeed rare.

Pancreatic stones are also known as pancreatic lithiasis. In recent years, due to the increased incidence of chronic pancreatitis and the increase and improvement of various imaging examination methods, the detection rate of pancreatic stones has also tended to increase.

However, the detection rates of pancreatic stones reported in China and abroad vary, with more pancreatic stones abroad.

The detection rate of pancreatic stones abroad accounts for 30% to 60% of chronic pancreatitis in the same period, while the detection rate in China is lower, at around 10%. This may be because chronic alcoholic pancreatitis is less common than biliary diseases in China.

Pancreatic disease itself has a certain relationship with blood lipid levels, and drinking is more directly related to pancreatitis. Most of the stones are secondary diseases of pancreatic inflammation. In fact, most of the stones are formed by the coagulation of fat. Now that people's diet is getting better and better, greasy food and drinking are important culprits of such diseases.

If the patient suffers from pancreatitis and pancreatic stones, his current condition can be explained. After all, pancreatic disease is the disease in the digestive system that is most likely to cause weight loss.

In the past six months, eating has been a torture for Mr. Li. Due to damaged pancreatic function and decreased digestive function, he almost vomits everything he eats. No matter how delicious the food is, even if it is delicacies from land and sea, when placed in front of Mr. Li, it is no different from a lump of that.

Just as Mr. Li's wife said, even if they invited the imperial chef from the palace, they would not be able to give Mr. Li a good meal.

Unable to eat, the body cannot absorb nutrients, so naturally the weight only decreases and does not increase. So far, the man who originally weighed 35 or kilograms now weighs only kilograms. To put it bluntly, Mr. Li has now become a "paper man" in the eyes of others.

In addition, Mr. Li's long-term smoking has caused his respiratory system to be in poor condition, including bronchitis, coughing, and sputum, which has further aggravated his condition. You know, no matter what disease you are treating, your physical foundation is very important, because the treatment process also requires consideration of the body's ability to withstand it.

Given Mr. Li’s current situation, many hospitals are just short of being on their last legs.

For this reason, Mr. Li's family took Mr. Li to several hospitals in China, but all failed because the treatment was too difficult.

The condition is not being treated and is getting worse, but the disease cannot be left untreated and you can only wait for death.

Fortunately, the doctor at the local provincial hospital recommended Wu Xiaofu to Mr. Li's family. At that time, the doctor said, "If you can't get cured by Dr. Wu, then it will be really difficult."

What is difficult? When the doctor says it is difficult, it just means it’s over.

Therefore, Wu Xiaofu has almost been regarded as the last hope by patients and their families. If Wu Xiaofu really says now that the patient cannot be cured, it will probably make the patients and their families feel hopeless.

Opening the patient's examination, Wu Xiaofu looked at the patient's MRI examination and frowned unconsciously. The situation was indeed very serious. The shape of Mr. Li's pancreas had completely changed. The head of the pancreas had obviously enlarged and was full of large and small stones. The tail of the pancreas was severely atrophied, compressing the duodenum, and combined with duodenal ulcer perforation.

In this case, conservative treatment is meaningless and will only further drain the patient's body. Moreover, the patient's pancreas does not seem to have much function, so keeping it will do more harm than good. Therefore, surgery may be the only way to completely get rid of his illness.

But given his physical condition, not only is the surgery extremely risky, but even if he undergoes the surgery, his life may be in danger due to serious postoperative complications!
Recovery after pancreatic surgery is prone to multiple complications, especially serious ones. Any one of them may make all previous efforts go to waste.

This is not a terminal illness after all. If the patient really has problems due to the surgery, there will definitely be endless troubles afterwards.

This is probably the reason why Mr. Li went to so many hospitals but did not receive treatment.

The operation has high risks, poor postoperative prognosis, loss of the pancreas, poor subsequent recovery, and poor quality of life. Looking at this, no one would be willing to take on such an operation that seems to have no therapeutic effect and high risks.

After carefully looking at the patient's films and examinations and hesitating for a moment, Wu Xiaofu asked.

"Are you still smoking and drinking now?"

This!
The patient's family looked at the patient, then at Wu Xiaofu, and said hesitantly, "Doctor Wu, he can't quit drinking at all. You don't know that he can still eat a little after drinking a little, but if he doesn't drink, he really can't eat anything. In this situation, we dare not let him quit.

As for cigarettes, he has been smoking all his life and cannot quit. He even told us before that he only has a few days left to live. Does he have to quit smoking at the last minute? There is no point in living then. How can we ask him to quit now that we have come to this point? "

Wu Xiaofu couldn't help but shake his head when he heard this. In fact, it is not difficult to understand. This is also the true portrayal of most smokers and drinkers. However, there is another saying that is also correct. Only doctors can help patients quit smoking and drinking, because when faced with the choice between saving their lives and smoking and drinking, almost everyone will choose to save their lives.

Because no matter how strong the addiction to tobacco and alcohol is, it will not make people smoke and drink so much that their lives will be wasted.

The reason why the patient is still so careless is probably that he has lost hope in himself, and has given up on himself.

Looking at the patient, "Can you quit smoking and drinking? If you can, I will treat you."

Ah!
Are you really willing to be treated?
The patient looked up suddenly, and his pale face and empty eyes suddenly became bright.

To be honest, the patient himself actually had no hope. The reason he came to Wu Xiaofu for treatment was because the patient's family asked him to come here. Otherwise, the patient would not have come today. Although he smokes and drinks, Mr. Li's love for his family has never changed.

After drinking, he didn't bully his family members. On the contrary, he was very responsible. This was also said by the patient's daughter. Otherwise, why would the patient's daughter be so focused on traveling around the country to treat her father's illness?

Not only the patient, but his wife was also in poor health, so this time when he came to Donghai for medical treatment, he was only accompanied by his daughter.

As such a responsible person, Wu Xiaofu felt that he should make more efforts. If the patient could make a personal promise, Wu Xiaofu felt that he could trust him. The harm of smoking and drinking is really too great, especially for patients. If the patient still cannot quit smoking and drinking after the operation, then all his efforts will be in vain.

Therefore, if the patient says that he cannot quit, Wu Xiaofu doesn't want to waste his time.

The patient's family was a little surprised at this time, and said happily, "Doctor Wu, are you really willing to save my dad? Dad, did you hear that? Doctor Wu said he can save you."

The patient was also somewhat moved at this time. When he met Wu Xiaofu's eyes, an inexplicable thought arose in his mind that Wu Xiaofu was serious and was not lying to him.

"Okay, I can quit, but can my disease really be cured?"

A grown man, every word he spits is a nail.

Wu Xiaofu could see that the patient wanted to live. In fact, most people in the world, those who were dying of illness, wanted to live. Few really wanted to die. Those who chose to end their lives were just afraid of bringing trouble to those around them.

Now that the patient has said that he can quit smoking, Wu Xiaofu can believe him. However, the patient still has doubts. He has sought medical treatment again and again, and has been rejected again and again. He has held out hope again and again, and has been disappointed again and again. He no longer dares to have any hope.

Saving lives means not only saving their bodies but also their spirits. Especially during the period of preoperative preparation, they must be kept in high spirits.

"It can be cured. I'll do the surgery. There are risks. We'll explain it to you after you're admitted to the hospital. But I don't need to say much about your condition. If you don't have the surgery, you can only watch the hole in the cup leak out until all the water is gone. Now you still have a chance to fix the hole. You can't give up. Since you've come to me, I can't give up on you.

The important thing is that after the surgery, your physical foundation has been dragged down too much, and subsequent recovery will be a difficult problem, so you must strictly follow our words, and not even a word of discount can be given. So, from now on, you must do it, cooperate with me, and believe me, can you do it?"

These words were sincere and powerful, and even the patient's long-dried heart was injected with a spring of fresh water.

"Okay, Doctor Wu, I will definitely cooperate with you. I would rather trust you."

This is a promise made by an adult. At least at this moment, Wu Xiaofu chose to believe the patient.

"Then prepare to be hospitalized. We will need to do some additional tests later, and then we will set a date for the surgery."

The patient and his family didn't say anything more. Just like Wu Xiaofu said, they just needed to trust him. They didn't really have much to ask. They came here just to ask for a person and a method that could save the patient. Now they had both, what else did they want?

As for the other things, in fact, they had heard a lot about them when they sought medical treatment before, but no one dared to do it.

He asked Cheng Shi and the patient to be hospitalized, and called the inpatient department to explain the medication and examinations after admission.

To be honest, the patient's condition was really bad, so bad that Wu Xiaofu had to pay attention to every detail and dared not be careless at all, because the patient's body really could not withstand the slightest mistake, and any mistake might reduce the patient's hope of survival again.

Since the patient can't eat, he might as well not eat.

Moreover, the patient's pancreatic condition is indeed not suitable for gastrointestinal nutrition, which will only further aggravate the patient's pancreatic condition. Therefore, Wu Xiaofu asked the patient to be hospitalized now. After hospitalization, the patient can receive parenteral nutrition and use nutrient solution. For the patient, although gastrointestinal hunger cannot be avoided, the body's needs can be met.

It's just that it can't be used for a long time. Many people think that once the patient is hung with a big bag, he is basically doomed. But this is not the case. The emergence of all medical things is to cure diseases and save lives, for the health of patients. The emergence of nutrient solution is not to send the patient to the last level. To be honest, at that time, it is not worth the effort.

In addition, although medical treatment cannot eliminate the root cause of the patient's disease, some medical treatment intervention before surgery can further increase the patient's surgical success rate.

In addition, the patient needs to undergo a series of examinations.

Everyone thinks that hospitals are vampires. They have done a lot of tests in other hospitals, but after coming to other hospitals, they still have to undergo a series of tests, some of which are repeated. Isn’t this a disguised form of charging?

But there are really a lot of details in it.

Take this patient for example. Most of the tests he is currently undergoing are diagnostic tests for his condition. But now he is going to have surgery. In addition to these tests, there are many preoperative tests to be done for the purpose of preoperative evaluation. The tests may no longer focus on the digestive system or the pancreas.

Check the circulatory system, nervous system, respiratory system, etc.

Many people will ask, since we are doing pancreatic surgery, why do we need to check these? Isn’t this an invalid examination? Isn’t this an exorbitant charge?
But in fact, the operation is divided into two parts.

Part of it is anesthesia, and part of it is surgery. General anesthesia involves various systems. Problems with the heart, blood vessels, etc. will affect the results of the surgery and the risks of the surgery. Some patients suffer respiratory and cardiac arrest just after anesthesia, and surgery cannot be performed and they have to be rescued.

This is the consequence of ignoring the hidden dangers of the respiratory and circulatory systems.

The patient does not know this, but the doctor cannot gamble with the patient's life. As for the surgery, although the doctor only operates on the pancreas and the digestive system, all systems in the body are connected. When the doctor operates on the digestive system, he does not take the patient's digestive system out for separate operation.

Since they are an integrated whole, once there is a problem with the digestive system, other systems will naturally be affected. The doctor needs to evaluate to what extent the operation should be controlled so that other systems are not affected and can operate smoothly while the digestive system is being operated.

These doctors dare not reduce or avoid these examinations, especially after suffering so many bloody lessons.

Even after the medical insurance restrictions, people still have to do these tests even though they know they will not make any money and will have money deducted by medical insurance.

Furthermore, inspections and tests are time-sensitive.

The earliest time the patient had his pancreas examined was three years ago. The examination from three years ago is definitely inappropriate to use now, and he must be re-examined.

There are also tests, such as infection, coagulation, biochemistry, etc. These patients have also been checked, but the earliest one was half a year ago. The examination half a year ago can only prove the situation half a year ago. Who can guarantee that the patients have not been infected with other diseases in the past six months, whether there are any problems with coagulation, or whether the functions of various organs have deteriorated in the past six months.

This is not only for doctors to protect themselves, but also for better assessing the patient's physical condition and safeguarding the patient's interests.

After the hospitalization form was issued, the patient left.

Cheng Shi, Jiang Bei and You Zhiyi looked at Wu Xiaofu with admiration on their faces.

"Boss, I must become a doctor like you in the future."

Cheng Shi suddenly spoke, and Wu Xiaofu was stunned. "I am like this? What kind of me is this?"

"You can save what others can save, and you can save what others cannot cure."

Cheng Shi spoke solemnly, and Jiang Bei and You Zhiyi actually nodded in agreement, appearing to be so sincere. In fact, they were indeed sincere. Looking at Mr. Li's situation just now, if they were asked to do anything, let alone perform surgery, even if he was kept in the ward for an IV, they would have to provide special care, for fear that the patient would have problems due to poor care.

Not only them, but the doctors Mr. Li had seen before probably had the same idea.

But Wu Xiaofu not only dared to admit the patient to the hospital, but also dared to perform surgery on him. Isn't this what others cannot do?
There are so many people with superb medical skills in the country, who dares to do this?
Wu Xiaofu is so brave, how can they not admire him?

Wu Xiaofu listened to Cheng Shi's words, looked at Jiang Bei and You Zhiyi's expressions, and shook his head, "Don't say that, you are talking about gods, I am just a human, there are people I can't cure, but they haven't appeared yet."

However, these three guys actually shook their heads at the same time, "Boss, if he doesn't show up now, he will never show up in the future."

Wu Xiaofu is only twenty-six now, and he is so powerful at the age of twenty-six. With Wu Xiaofu's speed of improvement, he will only be more powerful in ten, twenty, or thirty years. At this moment, there is no one that Wu Xiaofu cannot cure. Will there be anyone in the future?
will not.

They firmly believe it.

"Okay, keep calling the numbers. Stop flattering me. I'll get carried away again. I still have to see the doctor."

The treatment continued, and Cheng Shi and the other two became more determined. Most of the people who came to Wu Xiaofu for treatment were seriously ill. There were not many patients with simple gallstones now, because the people who came to Wu Xiaofu for treatment basically came to save their lives.

There are so many seriously ill patients, some of whom are no worse than Mr. Li, but with Wu Xiaofu, they can almost all get the results they want. They come to seek medical treatment and Wu Xiaofu satisfies them. If the seriously ill require surgery, he will directly arrange for hospitalization and prepare for the surgery.

If the condition is a little mild and needs further clarification, we will arrange for an examination and give a follow-up form. After the examination, you can come back directly. If hospitalization or surgery is required, the most important thing is to have peace of mind.

This is also the reason why Wu Xiaofu Clinic has such a high rate of positive reviews.

Nowadays, society has increasingly strict restrictions on doctors, which is a good thing within a certain range. Doctors are human beings and they will have selfish desires. Some restrictions can always reduce some unnecessary thoughts and reassure patients.

In order to enable doctors to better treat patients in outpatient clinics and make it easier for patients to choose doctors, there is now a good doctor evaluation system on the Internet.

In other words, after seeing the doctor, the patient can evaluate the doctor. The more positive comments the doctor receives, the higher the evaluation of the doctor will be. Patients will only dare to register for a doctor with a positive evaluation rate of more than 90%.

It’s just like ordering takeout. With a total score of five, who would dare to order takeout from a store with a score below four? A score below four and a half might be due to malicious competition from the store, who might give it a bad review? But it would be difficult to order takeout from a store with a score below four. After all, delicious food will not be buried.

It's all the same thing.

Today, Wu Xiaofu still scores five points in the Good Doctor System evaluation, with no negative reviews.

It cannot be said that there were no negative reviews. There were two. However, the two people who deleted the negative reviews themselves. It was not because they were threatened, but because they were afraid of being discovered. After all, they were posted with malicious intent. Among so many positive reviews, only two negative reviews from them were too conspicuous.

Once their identities are discovered, if they dig deeper, they will be more afraid of getting into trouble than they are of venting their anger.

(End of this chapter)