Come on, Dr. Wu

Chapter 370 The Apple on the Belly Button
Looking at Chen Zhendong's appearance, Wu Xiaofu also smiled. This Chen Zhendong was also very impetuous.

But Wu Xiaofu could understand his feelings.

Doctors really don’t want to make misdiagnoses. After every misdiagnosis, they are probably more upset than the patients. Just look at Chen Zhendong’s expression and you’ll know.

In fact, even if Chen Zhendong discovered bile duct papilloma in advance, it would be useless. The diagnosis still had to rely on ERCP. However, if the preoperative diagnosis was wrong, it was wrong.
Chen Zhendong might even deny his own profession because of this.

Wu Xiaofu had planned to set up this special fund a long time ago. As the saying goes, a hemp rope always breaks at the thinnest part. Wu Xiaofu had seen too many patients in the outpatient clinic who gave up treatment due to lack of money.

Wu Xiaofu also feels uncomfortable facing such patients. In fact, there are some funds in the hospital that are specifically designed to connect with these patients.

But how to say it, Wu Xiaofu also asked, with his face and relationship with Yu Shifu, he could use it for a few patients, but only a few.

Just a drop in the bucket, probably.

This time it's good. Jones' 70% is not a small amount. Although the fund is located in the hospital, the team is a professional team that Wu Xiaofu asked his aunt Wu Nanqing to help form, and Wu Xiaofu personally supervises it.

Every penny will be spent wisely.

Wu Xiaofu continued to see the patient and ignored Chen Zhendong who turned around and entered the ward. Chen Zhendong was capable and Wu Xiaofu was relieved. It was just the right time for Chen Zhendong to do this favor. In this way, Chen Zhendong's knot caused by misdiagnosis could be resolved.

Moreover, this is not necessarily a bad thing.

Chen Zhendong has actually always had things going his way. In the field of hepatobiliary surgery, only Wu Xiaofu could keep him under control. After all, Wu Xiaofu's skills were there. But Chen Zhendong hardly submitted to anyone except Wu Xiaofu. Although he has become more restrained now, he is still the same in normal times, bragging everywhere and looking down on everyone.

Now that such an incident has happened, it serves as a good warning. I have to think more carefully when I encounter similar patients in the future.

However, not long after Wu Xiaofu went to other wards, he saw Chen Zhendong leading two people over, who were Aunt Wang and his son.

"Boss, as soon as I told you about this, Aunt Wang had to come over to thank you in person."

As soon as Chen Zhendong finished speaking, Aunt Wang had already come to Wu Xiaofu and was holding Wu Xiaofu's hand.

"Thank you, Director Wu. Thank you. It's not that I don't want treatment. I also want to see my grandson born. I also want to help them take care of the child. However, for our family, it is really too difficult to afford so much money. The child is willing to let me treat him, but I can't drag them down.

Thank you, Director Wu. I will cooperate with the treatment and will not cause any trouble to you."

Wu Xiaofu quickly asked Aunt Wang to sit down. "It's okay. This is what we should do. We doctors also want every patient to get the treatment they deserve. It's just a coincidence that we have established such a fund. If you meet the requirements, you should use it. Just like you said, you just need to cooperate with the treatment in the future.

What you just said is right. You still have to see your grandchildren born and help them take care of their children. You have to stay optimistic. As long as you don't give up, nothing can defeat you."

There were not only Wu Xiaofu and Aunt Wang nearby, but also other patients. When they listened to this, they couldn't help but shed tears.

Now the ward is full of seriously ill patients, and I can really empathize with them. Yes, as long as they don't give up, nothing can defeat them. They still have to continue to take care of the children.

"It's not just Aunt Wang, you too should actively seek medical treatment. If you don't have enough money or your family can't help you, don't despair. As long as you meet the requirements, the Good Attitude Fund will help you."

Yes, just now, Wu Xiaofu has already thought of what to call this fund, which is "Good Attitude Fund."

He hopes that every patient has a good attitude, because data show that a good attitude can be more effective than many drugs. As long as you maintain a good attitude and cooperate with the treatment, you will definitely get twice the result with half the effort in the process of fighting the disease. Those who are optimistic and positive will even have a much lower chance of developing nodules.

clap clap clap!
Both the patients and their families applauded at this time.

"Thank you, Director Wu. Thank you, Director Wu."

At this time, Wu Xiaofu finally understood why so many people wanted to do charity. It was so fulfilling, and the fame he gained was real. People always want fame or profit. Although Wu Xiaofu didn't think about these things at the beginning, as long as you do good things, there will always be rewards.

I didn't bother with anything else and continued to see the patient.

Wu Xiaofu usually has less time to treat fifty patients as he has to perform too many surgeries. Sunday might be the day when Wu Xiaofu can see the patients most carefully.

"Doctor Wu."

Entering the last ward, there are two patients living here. It’s not that all the patients in this ward are in intensive care or something, but because it is at the end of the building and part of the room is occupied by the building, so it can only accommodate two beds.

When they saw Wu Xiaofu coming in, the family members of the patients in the two beds hurriedly greeted him, and the patient in the hospital bed also looked at Wu Xiaofu eagerly.

Both of them are patients with advanced liver cancer. One has completed surgery and the other is waiting for surgery next week.

Because the liver cancer is already in the late stage and the cancer cells have spread throughout the body, the chances of radical cure are slim and only palliative surgery can be performed.

The reason for the surgery was also because of liver tumors, ascites, and poor vascular conditions. If no intervention was performed, the risk of bleeding would be too high.

The one who had already completed the surgery was undergoing interventional treatment, and the patient on the other bed was undergoing the same treatment.

However, the patient who did not complete the operation had a very obvious feature: there was something the size of an apple growing on his round and bulging abdomen.

It's like a large ascites brings up a small ascites.

"Boss, is this an umbilical hernia?"

Cheng Shi looked at the apple-sized ball of flesh and said in surprise that it was indeed the first time he had seen it. Patients with ascites due to liver cirrhosis were common, but umbilical hernia was not that easy to form.

Patients in the decompensated stage of liver cirrhosis will develop ascites. If the amount of ascites continues to increase, causing a significant increase in intra-abdominal pressure, the intestines, greater omentum, etc. will bulge out to the weak areas of the abdominal wall. If this occurs in the navel, it is an umbilical hernia.

If this thing is not intervened, it will become larger and larger, and may cause the herniated intestine and greater omentum to become incarcerated or even necrotic.

During the few days of hospitalization, Wu Xiaofu has given the patient diuretics, albumin supplementation and other treatments, and has also restricted the patient's diet. The patient's ascites has improved.

However, umbilical hernia cannot disappear on its own, so human intervention is still required.

"Yes, go get the treatment bag. We need to drain the patient's ascites and treat the umbilical hernia at the same time." Upon hearing this, Cheng Shi hurried to prepare, while Wu Xiaofu stepped forward to inquire about the patient's condition. Doctors must understand the patient's daily changes. Disease is like this. A small change may bring serious conditions to the patient. The patient does not understand, but the doctor knows what situation means that the patient's condition has worsened.

Especially these critically ill patients.

"Director Wu, my dad is much better today. When he woke up this morning, he said that he felt better after venting his anger."

After two days of diuretic and albumin supplementation, the patient's ascites has improved, and his breathing has naturally become smoother. Cheng Shi quickly prepared everything, and Jiang Bei followed.

In front of the bed, Cheng Shi and Jiang Bei prepared the disposal vehicle.

"Although umbilical hernia is also a hernia, it is different from other hernias because it is caused by liver cirrhosis. The root of the disease is here. Therefore, as long as the liver cirrhosis cannot be relieved, even if the hernia is resolved by surgery, the chance of recurrence is very high."

As he spoke, Wu Xiaofu had already started to perform abdominal puncture. Watching Wu Xiaofu's movements, Cheng Shi and Jiang Bei truly understood the word "skilled". For Wu Xiaofu, all the standards taught in the practical class were completely redundant. It was just about inserting the needle and draining the fluid. It seemed that abdominal puncture should be so simple.

Wu Xiaofu didn't even look at the amount of liquid. It seemed that his standard was the first standard, and things like eight hundred or one thousand were not important at all.

While Wu Xiaofu was drawing fluid, he kept an eye on the patient's performance until the fluid reached 1,200, when he stopped.

"There are theories in books, but as doctors, we cannot be restricted by books. The conditions of each patient are different, and we must perform our own operations based on the actual situation."

Then he picked up another needle and said, "After the fluid is drained, the patient's ascites will be less, and the pressure in the abdominal cavity will also be reduced. This is the best time to solve the umbilical hernia. There is no need for surgery or anything. We just need to drain the fluid accumulated in the umbilical hernia and then restore the hernia."

Cheng Shi and Jiang Bei nodded quickly, but that being said, treating umbilical hernia is not that simple.

The pressure in the abdominal cavity has been reduced, not eliminated. This has already made it difficult to reduce the hernia. Moreover, after so long, no one knows the composition of the patient's hernia channel. If the channel is not found correctly, all efforts will be in vain.

However, Wu Xiaofu used practical actions to tell them why he could become the world youth surgery champion.

After the liquid was drawn out, Wu Xiaofu just pressed back lightly, and his belly, which was as bulging as an apple, was actually pressed down like this. Wow, this operation made them all stunned. Is it so simple?
They really want to say: Boss, don’t make it so easy, making them think they can do it themselves.

The patient's family was extremely happy to see Wu Xiaofu cure the umbilical hernia so easily, and they thanked him profusely. After all, to be honest, the sudden appearance of such a big thing on the belly button not only affected the appearance, but also put a heavy psychological burden on the family and the patient.

Now that the umbilical hernia is gone, they feel that the psychological pressure has been reduced, and unknowingly, they have gained a little more hope.

Especially for the patient, for such a long time, since he fell ill, the patient's family members have almost not seen a smile on their father's face. This is the first time.

Wu Xiaofu settled the patients down, told them that they would have surgery tomorrow, assured them, and then left.

It’s Sunday, so I can’t keep working overtime.

"I'm leaving, aren't you guys leaving?"

"Boss, let's wait for a while, you go first."

Wu Xiaofu also knew that this was the first time they had treated patients throughout the entire process, and they were still excited about it. He did not try to persuade them, but only hoped that they could maintain this enthusiasm after working for a long time.

on Monday.

This is already the third week.

Unlike the previous three weeks, this week, the eight interns will enter a new process.

Pan Ying did not sleep well yesterday. Firstly, the results would be released today. Secondly, looking at the previous season, if the results were not good, they would be relegated to the first stage and could not move on to the next stage. Other interns would also join in, putting pressure on them. He was very worried that he would be left in the second stage today.

After all, his performance in this assessment was probably the worst, since he was the only one who made a mistake in the diagnosis.

As for other people, Chao Yuan and Zhong Beibei did not make a direct diagnosis for the most difficult patients they encountered. Instead, they first based their diagnosis on symptoms and then continued to examine and confirm the diagnosis after they were admitted to the hospital.

Although doing so will not produce outstanding results, it is indeed stable.

Thinking that he might be at the bottom of the list again in this assessment, Pan Ying couldn't sleep.

However, after entering the hospital and starting a day of internship, Pan Ying found that his worries might be unnecessary. There was no intention of letting anyone hold back during this internship. At least, he had not seen any signs of this so far.

And, to their surprise, they seem to be able to undergo surgery starting this week.

In the operating room.

Jiang Bei's colon cancer patient was placed in the first table, with Jiang Bei as his assistant, while Cheng Shi and others watched from the side.

"There is another key point in this operation. Have you considered whether to remove the appendix?"

appendix!

Everyone fell into deep thought. It has now been determined that the root of the patient's disease is in the colon. The appendix is ​​actually not a big problem. As long as the problem with the colon is solved, it is equivalent to removing the root of the disease. It seems that the appendix should not be removed.

But, is it really not necessary to cut it?
They themselves began to shake their heads. The appendix itself is no longer of much significance to people, especially patients of this age. After the colon tumor is removed, will the appendix near the tumor be a hidden danger? Will the irritated appendix cause appendicitis again in the future, forcing the patient to undergo a second operation.

If this was the liver, they certainly wouldn't have this concern, but this is the appendix.

Just like the gallbladder, even the status of the appendix is ​​not as high as that of the gallbladder.

"I think it should be removed, Boss. Although the appendix is ​​not the patient's main problem right now, it has been stimulated by the colon tumor and has actually had an inflammatory reaction. Even if it is not removed this time, there is no guarantee that there will not be problems next time. It is better to remove it once and for all."

After Jiang Bei finished speaking, Wu Xiaofu nodded.

“Have you discussed this issue with the patient?”

(End of this chapter)