Come on, Dr. Wu

Chapter 355 The program is broadcast
Director Feng has two interventional surgeries today, one in the morning and one in the afternoon. However, Director Feng is the first one in the interventional room, so he was scheduled before Wu Xiaofu.

Look, Director Feng comes out and Wu Xiaofu goes in.

Then Director Feng came out and they all greeted him, thinking he was leaving. But he was not in a hurry to leave and just stood there motionless.

As time went by, they understood that they were preparing to see how Wu Xiaofu performed the surgery.

The news about the consultation within the department that day had spread to some extent, and the interventional department paid more attention to it. To be honest, the interventional department also just wanted to watch the fun.

They are eager to get involved. When the business volume increases, they will make more money, and no one will hire people. It is cost-effective anyway.

However, they can also understand Director Feng's anxiety. With Wu Xiaofu's skills, Director Feng has no choice but to be anxious. After District F intervenes, Director Feng can forget about being the only one in charge.

At least half of the business is done.

Director Feng was indeed in a complicated mood at this time. What you hear is not as good as what you see. After watching Wu Xiaofu's operation, Director Feng redefined the word "genius" in his mind.

Although it was just a simple interventional ablation for liver cancer, they were all professionals, and Director Feng would not lie with his eyes open and continue to insist that Wu Xiaofu could only perform simple operations.

Looking at the doctor in the interventional room next to him, "What time is Director Wu's surgery scheduled for this afternoon?"

"Three o'clock."

Director Feng nodded and left. He had nothing to do at three o'clock and he planned to come and see in the afternoon.

Liu Lin was watching from the side and seemed to understand something. It seemed that there was a palace fighting plot in this medical drama!
It's so exciting.

Wu Xiaofu confirmed the patient's condition and asked the patient's family to come in and hold the patient's femoral artery.

The femoral artery must be pressed for more than half an hour to ensure that the bleeding stops, and medical care cannot be delayed for this time.

Therefore, this work is basically done by the patient's family members. Before the operation, a family member of the patient is asked to wait outside the interventional room. After the operation, the family member is called in to take over the compression from the doctor.

Intervention outdoors.

Liu Lin whispered to Wu Xiaofu, "Boss. Director Feng was watching you perform the surgery just now."

In Liu Lin's impression, this is the concubine Wu Xiaofu in the palace fight. She is being targeted by the queen, so Wu Xiaofu must be careful.

"Oh, since Director Feng didn't give me on-site guidance, it means he is still confident about my work. This is a good thing. Well, Corey still has things to do, let's go back quickly."

Corey.

It was not yet eleven o'clock, and Feng Lingling was very happy to see Wu Xiaofu coming back.

"Boss, please help me see a patient."

Today was Zhang Xuewen's outpatient clinic. A patient was admitted and he was told to ask Wu Xiaofu for help if he could come back. Feng Lingling originally thought that Wu Xiaofu would come back at noon, but she didn't expect him to come back so early.

The patient was a 75-year-old male who had recurrent right upper abdominal pain for 199 years. He was admitted to the hospital with worsening fever for four days, and CA1200>U/ml.

CA199 is also called carbohydrate antigen 199, and is also known as gastrointestinal cancer-associated antigen.

When suffering from digestive system-related tumors such as pancreatic cancer, gastric cancer, and colorectal cancer, the level of CA199 can be significantly increased, which is especially important for the screening of pancreatic cancer.

Although it is a tumor marker, it can indicate more than just tumors. Some benign diseases of the digestive system, such as acute pancreatitis, cholelithiasis, acute hepatitis, etc., can also be elevated to varying degrees in CA199.

Of course, the increase in CA199 caused by benign diseases is usually lower.

There may be some differences in the normal range of blood indicators defined by different hospitals, but not too much.

The normal range of CA199 is generally within 100 or even .

The increase in CA199 caused by benign diseases is basically only a few dozen or a few.

Of course, tumor markers can only serve as a reminder and cannot be used to diagnose diseases, because CA199 does not increase or only increases slightly when some gastrointestinal malignancies occur.

Currently, the detection of tumor markers is mainly used in three aspects.

The first thing is to do a routine check when submitting. If there is an increase, you should pay attention to it in time and conduct relevant inspections.

The second is that after a tumor is confirmed or suspected, a routine check is performed. If the result, like this one, soars to over a thousand, it is basically a tumor without a doubt.

The third is the efficacy evaluation of malignant tumors and dynamic monitoring after surgery. If CA199 rises again after surgery, it is likely to indicate tumor recurrence.

Elderly people with obvious symptoms in the right upper abdomen and significantly elevated CA199 are highly suspected of having a digestive system tumor.

Wu Xiaofu took out the patient's films and looked at them again, and he got the answer.

The patient had an obvious mass in the right upper abdomen, which, at first glance, looked like liver cancer.

Well, I'm afraid that those with little experience will directly diagnose and treat the patient as having liver cancer.

However, if liver cancer is suspected, CA199 is elevated, not AFP. AFP is a specific tumor marker for liver cancer. There are also imaging-specific changes, so you have to pay attention to whether there are other possibilities.

"What does Director Zhang think?"

"Director Zhang thinks it looks like liver cancer, but he feels that it is a little different. He plans to admit the patient for further examination. After all, it is an examination conducted by an external hospital, so it can only be used as a reference."

Wu Xiaofu nodded, "It's definitely not liver cancer, it should be follicular dendritic cell carcinoma."

Follicular dendritic cells?

Feng Lingling felt that she had to look up information every day. Fortunately, she had a solid foundation of knowledge, otherwise she would not be able to cope with the increasingly complex and rare diseases in the department.

Follicular dendritic cell carcinoma is not really common, even in the First Affiliated Hospital.

I looked through the information stored in my mind.

Follicular dendritic cells are a type of auxiliary dendritic cell that are normally distributed within primary and secondary lymphoid follicles.

Follicular dendritic cells form a tight reticular scaffold within the follicles, playing a role in antigen capture, presentation and participation in immune responses.

Follicular dendritic cell tumors are based on this and mainly occur in lymph nodes, especially the cervical and axillary lymph nodes, and only a few occur outside the lymph nodes.

In terms of biological behavior, follicular dendritic cell tumors are more similar to low- to intermediate-grade soft tissue sarcomas than to malignant lymphomas.

However, no matter whether it is low-level or medium-level malignancy, anything related to sarcoma is basically malignant.

In imaging examinations, whether it is B-ultrasound, CT or MRI, follicular dendritic cell tumors basically appear as space-occupying lesions.

Whether it occurs in the gastrointestinal tract or the liver, the first impression is basically that it is carcinoma in situ.

Therefore, the diagnosis and differentiation of this tumor is really difficult. You see there is only one mine, but who can know what is happening underneath it? What if there is another mine connected to it, or a series of mines?

Or maybe this thunder is just an illusion, and the real thunder is hiding somewhere else. "Well, continue to check. If it is confirmed, consult with the oncology department as soon as possible."

If it is confirmed to be a follicular dendritic cell tumor, the treatment cannot be the same as that of liver cancer.

Because this tumor appears in the liver, it is most likely metastatic from other lymph nodes. If you want to perform radical surgery, you must completely remove the primary tumor lesions and metastatic lesions.

However, since the root of the tumor is in the lymph nodes, the chance of recurrence is very high. Even with surgery, a series of radiotherapy, chemotherapy or targeted therapy must be combined after or even before the surgery.

Therefore, after the diagnosis is confirmed, surgery is not the first priority. A consultation with the oncology department is also required to come up with a plan first.

When Cheng Shi and Jiang Bei saw Wu Xiaofu coming back, they also looked at him eagerly.

"Boss, we heard that the first phase of the program will be broadcast tonight. Does that mean the results of our first phase of the assessment will be out soon? Can you tell us first?"

Cheng Shi and Jiang Bei did not expect the storm to come so suddenly. Thinking about the zero score they got for the case analysis yesterday, they covered their faces unconsciously.

If this were brought up on the show, they would really be too embarrassed to face anyone.

If the scores in the subsequent convenience clinic assessment are good, it can make up for it, so they are all eager to get their scores.

"Hey, haven't I sent it to you yet? I asked the eight examiners to calculate the scores and then send them to your email directly. It seems that they haven't calculated them yet. Don't worry, wait a little longer, it should be soon."

Ah! We have to wait a little longer!
Jiang Bei and the others felt like they had no energy to go to work, as they were worried about this matter. Xun Qi and the others also asked about it, but did not get an accurate answer. They suspected that Wu Xiaofu and the other three did it on purpose.

Do we really have to wait until we watch the show in the evening to find out?

"We're admitting patients."

Feng Lingling greeted the two of them. They both started to see patients this week. Feng Lingling simply gave three to each of them. However, she couldn't pick those with complicated or critical illnesses, so she could only look for similar patients and give them the cases.

The interventional surgery in the afternoon was slightly more difficult than that in the morning, but only to a limited extent. Wu Xiaofu became more and more skilled and did it faster.

Director Feng came halfway and left without waiting for the meeting to end.

He knew that Wu Xiaofu was unstoppable. He felt that it would be a shame if Wu Xiaofu did not intervene with this technique. He was too talented. If he did more in the future, he would probably achieve more than him.

Even though there is a conflict of interest, Director Feng can't help but be attracted by his talent. Although it concerns the interests of District B, Director Feng is not to the point of losing his basic sense of right and wrong.

Wu Xiaofu is highly talented and has excellent skills, so he will definitely achieve great things in the future. This will be a great thing for hepatobiliary surgery, the First Affiliated Hospital, and the patients. He has no reason to stop Wu Xiaofu from continuing to do interventional surgery.

If you can't stop it, then don't try to cooperate.

There are many patients in area F now, but that does not mean that all patients are suitable for intervention. On the contrary, only a small number of them are suitable. In the future, the number of patients in the First Affiliated Hospital will only increase. In fact, cooperation is more beneficial to both parties than competition.

Once my thoughts are opened, my mind becomes more clear.

If Wu Xiaofu likes to do it, then let him do it. But Wu Xiaofu is just one person, so how much can he do? When Wu Xiaofu has more patients in the future, he can recommend them to Area B and let them treat them.

Not only clinical but also interventional scientific research can be collaborated.

Isn't it better for us to make progress together than to fight with each other?
Thinking of this, Director Feng felt that he could organize his thoughts and then find a time to sit down and talk with Wu Xiaofu, and the sooner the better.

Wu Xiaofu had no idea what Director Feng was thinking.

There was not much to do in the evening, so Wu Xiaofu left early to go to his grandfather Wu Jinglie's house for dinner.

Just happened to watch the show together.

The show started at nine o'clock, and everyone who was interested gathered in front of the TV. Jiang Bei and the others waited for a whole day. Well, when the show was about to be broadcast, a ding ding sound was heard, and an email arrived.

On purpose, absolutely on purpose.

They had all given up and were ready to wait for the show to reveal the answer like the audience, but suddenly it happened.

But I am also looking forward to it.

The eight people looked at each other and opened their emails tacitly.

The audience found that this season's offer was really different, and the style was completely different from that of the previous season.

The first scene that appears is the eight people competing with each other.

The audience watched Cheng Shi and Jiang Bei worry about only being able to write medical records, and nodded secretly in their hearts. Shouldn't those who have just entered the hospital start with the most basic things? That's absolutely right.

In this way, they, the patients, can rest assured. However, seeing the distressed expressions of the two, they feel a little distressed. Whose child has studied for so many years and has a doctorate degree, but can only write medical records?

What made them laugh and cry was the following moment of comparison. Jiang Bei and Cheng Shi actually felt mentally balanced and happy instantly because Pan Ying and Zhong Beibei could only look at the electrocardiogram.

There are also Fu Yuanhang and Chao Yuan in the Department of Neurosurgery. Because they were able to make some money from the operations, they actually gained the most among the eight people in a day.

Song Tiantian and Xun Qi could only go to get the Mid-Autumn Festival benefits. Seeing the real life of the interns on this day made the audience understand the doctors better.

They did not practice on them right after they came in. Instead, they all started from the most basic, then learned and accumulated step by step, and finally got on the operating table.

In this way, they can actually give these doctors more trust.

After a day or two, they had a clearer understanding of the daily life of doctors. Through the eight people, they learned more about the basics of doctors.

Medical records, changing dressings, seeing patients, admitting patients, and night shifts.

Compared with the previous season, this season's program seems more orderly and more realistic. Last season, because of the appearance of Wu Xiaofu, the program team gave too many shots to Wu Xiaofu.

Wu Xiaofu was so powerful at that time that it seemed a little unreal. Even at the end of the first season, people were still complaining about him.

Of course, as Wu Xiaofu became more and more powerful, these voices disappeared.

If the first season gave the audience a sense of amazement, then this season is real.

To say how real it is, after watching this first stage, because of Wu Xiaofu's outstanding performance in the last season, parents who wanted their children to study medicine gave up the idea.

What's the point of learning this? When will it end?

Of course, the person who has the most screen time this season is Wu Xiaofu.

However, Wu Xiaofu participated in the program as an intern in the last season, but this season, he appeared as a mentor.

The camera turns to the outpatient clinic on Friday.

The hospital specially selected some family members who were willing to cooperate to show Wu Xiaofu's outpatient situation.

Looking at Wu Xiaofu in the outpatient clinic, who looked like Bian Que in the world, people couldn't help but feel more emotional. How come it's the same person who is pretending to be awesome in both seasons?

(End of this chapter)