Come on, Dr. Wu

Chapter 377 Dominance
This!
Everyone was startled when they heard this, and then they all started nodding.

That's actually the case, but if you really want to organize it like Wu Xiaofu, it will undoubtedly be a complicated and long-term job, and it may not be correct, there may be mistakes, and then they need to revise it again and again, and they will need to put in more energy at once.

And all this effort is obviously unrewarded.

It would be too difficult for them to start this matter at this time when their energy is already scattered and they have little time to rest.

But seeing Wu Xiaofu's courageous attitude, they couldn't help but be infected. Why not give it a try?

Yu Shifu looked at Wu Xiaofu and sighed. His own disciples had already said so, what else could he do as a teacher? Of course he could only support him.

Moreover, this matter is definitely a matter of great benefit, which will benefit the present and future generations.

Yu Shifu really had no reason not to support it.

"I am not siding with my apprentice. I really think what Xiaofu said is right. We are all experts and professors, but when we retire, what can we leave for the newcomers? I will definitely do this. Not only me, but I also express my support for the hepatobiliary surgery department of the First Affiliated Hospital.

Now it's up to you guys."

Seeing Yu Shifu speaking, everyone became even more hesitant. The Hepatobiliary Surgery Department of the First Affiliated Hospital is now the most authoritative hepatobiliary surgery department in Donghai. Now that they have spoken, it would be a bit unreasonable for others to be timid. Moreover, looking at Yu Shifu's expression, it was clear that if you don't do it, they will.

In this case.

"Okay, our city's First Hospital also supports it. We have an affiliated hospital and Academician Yu is in charge of this matter, so it will definitely succeed."

Director Wang said excitedly, and other doctors from the city’s First Hospital also echoed him.

Yu Shifu couldn't help but roll his eyes when he heard this. Director Wang was very flexible. This was obviously the home court of the First People's Hospital of the city, but now it was their First Affiliated Hospital that was in charge of the important matter.

But Yu Shifu didn't say much.

For such a major event, it is their responsibility as the First Affiliated Hospital.

Of course, if you really host it, it will not just be a matter of title. It will require the mobilization of a lot of manpower and material resources, and the effort will be relatively greater. If you want to take the main credit, you must be prepared to pay more and bear the consequences if things fail.

The eldest and second in command have both clearly expressed their support, so what else can the others present say?

Speaking of which, if this thing succeeds, it will really be a matter of history. Now if they are really asked not to do it, they really can't bear to do it.

That being the case.

"Okay, our Second Hospital also supports it."

“We at East District Hospital also support this.”

……

For a moment, everyone reached a consensus.

Wu Xiaofu also laughed when he saw this. "If that's the case, then what are we waiting for? Today, we will sort out the framework. Everyone should work together and I will do the sorting work."

Looking at Director Wang, "I'm afraid we'll have to eat in our hospital tonight."

"Haha, I couldn't ask for it."

Once you have a goal, you will be more motivated to do things.

If anyone has work to do later, please make arrangements as soon as possible, or ask for leave from home. Once this starts, even if it's just to build a framework, you will probably have to stay up late.

Sure enough, the work lasted until one o'clock in the morning.

But it's just a framework.

"We all have our own work to do. It is definitely not easy to get together here often. I thought, let's use some modern methods to build a group. In the future, we can hold video conferences, upload files directly, and communicate through speeches.

Later, we can also bring in other directors. We can upload the things we organize directly to the group file. We will find a dedicated person in the group to organize them. This will be more efficient. What do you think, teachers?"

When everyone heard this, they all nodded.

"That's good. Now we can all use mobile phones. We can save some time on traveling and do more things. That's it. I agree."

"We agree."

……

Seeing that everyone agreed, Wu Xiaofu started to create a group directly. However, after returning home, Wu Xiaofu could no longer fall asleep so early.

Wu Xiaofu was really concerned about this matter and thought that the sooner it could be completed, the better.

Therefore, from today on, he might have to work overtime frequently.

However, he is in good spirits. Even if he stays up late, he can basically wake up on time the next day. His biological clock is extremely accurate.

Wu Xiaofu usually arrives at the hospital at 7:30 every day. Today is an outpatient clinic, so Wu Xiaofu has to check around the ward before going to the outpatient clinic, so he has to go even earlier.

However, before I even entered the emergency room, I saw a woman fall to the ground.

Wu Xiaofu subconsciously went forward to help, but when he saw the woman's pale face, he knew something was wrong. Not only was her face pale, but even her hands and feet were cold. He felt the patient's pulse and found that she was obviously still running a fever and her pulse was weak, which was an obvious sign of infection. Seeing that the patient was showing signs of shock, Wu Xiaofu hurriedly called for help.

Hearing Wu Xiaofu's voice, the nurse in the emergency room rushed to help and took the patient to the emergency room.

"Give fluids and oxygen."

The patient's heart rate and breathing are all normal. I just felt his pulse and it looks like he has an abdominal problem. The inflammatory reaction is very strong. After giving him fluids and oxygen, the patient's condition should be more stable.

Sure enough, after being given liquid oxygen, the patient's condition improved a little, at least he was able to communicate.

"Doctor, I have a stomachache."

The patient covered his stomach with both hands and curled up unconsciously.

"How long have you been feeling pain? Where?" Wu Xiaofu asked the patient to lie down flat and asked while conducting a physical examination. Diverting the patient's attention during the examination can also relieve the patient's pain.

"It's been a day. Yes, right here. The pain started yesterday morning. I didn't pay much attention to it and went to work as usual. But it didn't get better all day. It hurt more after meals. I didn't dare to eat too much. I took painkillers and stomach medicine at night and went to sleep. I usually have stomach pain problems, so I thought it was the same as before and that taking some medicine would be enough.

Who would have thought that the pain would be even worse at night? I almost didn’t sleep well the whole night. I didn’t dare to go to work in the morning, so I came directly to the hospital.”

Wu Xiaofu nodded when he heard this. The patient had pain in the right lower abdomen, and it also affected the entire right abdomen. There seemed to be some reaction in the middle abdomen as well, so it didn't seem like a stomachache.

“Any other reactions?”

At this time, Duan Fei, who was on duty in the emergency room, also came over.

"Nothing."

Duan Fei nodded, and touched the patient's lower right abdomen, but his expression was startled, and he looked at Wu Xiaofu, "Boss, there is a tumor here."

"Ah, it hurts!"

Wu Xiaofu was originally preparing to leave, as Duan Fei's arrival would not be of any use to him. Duan Fei was now grown up and had rich experience. However, after hearing what Duan Fei said, Wu Xiaofu stopped.

An obvious solid mass could be felt in the patient's right lower abdomen, and local tenderness and rebound pain were also obvious, and the abdominal pain symptoms continued to worsen.

"Boss, do you want a gynecological consultation?"

If a swelling is felt in the right lower abdomen, especially in women, according to experience, it can be basically confirmed that it is a gynecological disease. There must be a problem with one of the appendages. As for the pain in the right abdomen and mid-abdomen, it is most likely adnexitis, which has caused peritonitis.

Wu Xiaofu understood what Duan Fei meant.

"Have you had a miscarriage recently?"

The woman hesitated for a moment before nodding. Duan Fei was even more impressed when he saw this. He could see it all.

In fact, it is not that magical. Wu Xiaofu discovered the patient's condition when he felt her pulse just now. She should have just had a miscarriage and has not yet completed the recovery period, or she just gave birth not long ago. But looking at the woman's appearance, she does not look like she just gave birth.

"I had an abortion two weeks ago, doctor. Could this be related to the abortion?"

The woman was also a little panicked. When she was having the abortion, the doctor had explained the relevant risks. She also knew that abortion would cause great harm to the body. However, she had just broken up with her boyfriend and she was so excited at that time that she had an abortion. Thinking about it later, she was actually very scared. If the abortion really caused her to be unable to have children in the future, she would regret it to death.

Wu Xiaofu touched the patient's tumor and said, "Don't worry, it's not a gynecological problem, it should be appendicitis. But you delayed it all night, I'm afraid it's more serious. As for the tumor, let's do a color Doppler ultrasound first. Duan Fei, go check on the patient first. After the check, prepare for surgery as soon as possible."

Upon hearing this, Duan Fei hurriedly made arrangements, but he admired the patient even more in his heart. So far, he had only met someone who dared to make a diagnosis directly without any examination.

Looking at Wu Xiaofu's appearance, Duan Fei knew that the patient must have appendicitis.

Sure enough, after the examination, the patient's white blood cell and neutrophil counts were significantly elevated.

Abdominal B-ultrasound also showed that tubular soft tissue echo shadows could be detected in the patient's right lower abdomen, suggesting an enlarged and swollen appendix.

Lower abdominal CT plain scan + three-dimensional reconstruction showed: the right lower abdominal appendix was thickened and swollen, with fecal stone obstruction and obvious exudation around the appendix, suggesting acute appendicitis.

With the examination, there would be no problem with the diagnosis. However, because the patient's condition was serious, we had to rule out other possible causes. So, we also did a CT scan. After a closer look, it was found that it was indeed an appendix problem. However, the appendix was greatly enlarged and could be touched, which shows how serious the appendix condition was at this time.

Duan Fei was not in a hurry to make a diagnosis or decision. Wu Xiaofu was the first doctor. Duan Fei also called Wu Xiaofu and explained all these things to him.

"Acute suppurative appendicitis with localized peritonitis, and the recovery period after abortion, the surgery should be performed as soon as possible. If it is delayed, the risk of postoperative infection will be high, which is very troublesome."

At this point, Wu Xiaofu suddenly thought of yesterday's outline. Perhaps, when he gets home from get off work today, he can also include the issues involved in this case into the outline.

Faced with this type of acute suppurative disease and symptoms of peritonitis, emergency surgery is definitely required. But to be honest, most appendicitis, cholecystitis and the like should not develop to this point, because both appendicitis and cholecystitis will have obvious symptoms in the early stages.

If the patient could seek medical treatment as soon as the symptoms appeared, the disease would not be delayed to this extent.

Once pus forms and purulent fluid flows into the abdominal cavity, forming peritonitis, then the surgery can actually be considered an infection surgery, and anti-infection must be continued after the surgery. If the patient's physical condition is not good and the anti-infection is not ideal, then life-threatening situations are possible.

Therefore, the work of foreboding should still focus on publicity.

If everyone knew the dangers of delaying treatment of the disease, it would not have come to this.

Wu Xiaofu was already sitting in the clinic at this time. When Jiang Bei and the others heard Wu Xiaofu making a phone call, they all looked at him eagerly, as if they were curious about what case Wu Xiaofu was talking about.

Since the outpatient clinic hadn't started yet, Wu Xiaofu simply told them about it.

"The special thing about this case is that the patient is a woman of childbearing age, half a month after a biochemical abortion, and she suddenly had abdominal pain. When she first saw the doctor, it was easy to mislead the patient and the doctor into thinking about gynecological diseases, which led to errors in the diagnosis direction.

Secondly, the patient already has gastroenteritis. If the emergency department does not treat the patient properly, it is very likely that the patient will be diagnosed with acute gastroenteritis. I don't know if you have worked in some small hospitals. Sometimes, you will encounter situations where doctors don't want to work. They will postpone the treatment of patients and even ignore the examinations. If the patient's condition is delayed any further, it would not be surprising that his life would be in danger.

You are all aware of the current diagnosis and treatment process. If you really give the patient an injection of painkiller and the patient says she doesn't feel any pain and wants to go home, you really let her go home. You can imagine how the situation will develop afterwards.

Patients like this who have just experienced miscarriage and stomach pain often go to the gynecology department for treatment as soon as possible. If you were in this situation, would you also wonder if the mass you feel in your abdomen is the uterus? Is it an ovarian, adnexal or other gynecological disease?
Therefore, when encountering such patients, we must ask for a detailed medical history, conduct a detailed physical examination, and do not omit any examinations. We cannot hastily make a diagnosis based solely on the patient's description and our own impressions. This is irresponsible."

In the process of disease diagnosis, doctors are often disturbed by various factors, such as interference from the patients themselves. Patients often regard many trivial things that are unrelated to the disease before the onset of the disease as being related to the disease, or may be the main factors causing their illness. Inexperienced doctors may be misled.

Then there is interference from other doctors, such as emergency doctors, doctors in auxiliary departments, etc. Their initial impression of the patient may cause the specialist to continue searching for evidence along their lines or directly treat according to the diagnosis of others, thus missing the real disease.

Wu Xiaofu quickly got into the role of a teacher. He started teaching anytime and anywhere. Jiang Bei and the others nodded quickly. While teaching, Wu Xiaofu was also looking at the patient's CT scan. At this time, he exclaimed in surprise.

"What's wrong, boss? Is there something wrong?"

"Come and take a look."

To be honest, the situation on the CT scan was really beyond Wu Xiaofu's expectations. Jiang Bei and the others hurried to the computer to take a look.

“This doesn’t look like the appendix.”

"Well, the appendix is ​​inflamed and swollen, and it's obviously the one at the back, so this one should be it."

“It’s not the right kidney, is it?”

(End of this chapter)