Come on, Dr. Wu

The drug Analgin is really magical.

This medicine is effective for your headache, stomach discomfort, cold, pneumonia, etc.

In short, this is the panacea in people's minds, especially in the minds of the older generation. This medicine is more effective than any other medicine, even better than penicillin.

Whenever you feel unwell, take this medicine and you will feel better immediately.

Some villagers really carry a bottle of this medicine with them, and they take the medicine before they even get sick. This is called prevention before it happens, and they stop thinking about it before the disease occurs.

There really are people who treat Analgin as a meal.

However, as miraculous as the efficacy of this drug is, its side effects are also severe. Let’s put it this way, almost all the side effects you can think of are present in Analgin.

From the nervous system to the digestive system, from the circulatory system to the respiratory system, from the urinary system to the endocrine system, really, its side effects are everywhere.

But people only remember the efficacy of Analgin and forget its side effects. If you ask around, you will find that almost no one knows about its side effects.

If you knew a little bit, you wouldn't make soup like this patient did.

Isn't this poisoning?
And that hemp stalk, my goodness, Wu Xiaofu had only seen this thing in novels and on TV, but isn’t it not allowed to be grown now? No, it was not allowed to be grown before, and the management was so strict, but the patient’s eldest sister could actually use it to make soup.

Moreover, it seems that the patient's elder sister also supported the patient a lot, and probably gave the patient a lot of help when he was making the soup.

Whether it is Analgin or hemp pole, these are things with strong side effects. Taking them once or twice occasionally to let the body relax may be okay, but if taken for a long time, it will really damage the organs of the human body.

The elimination of drug toxicity is generally processed by the liver.

Once an overdose of medication occurs, the liver cannot perform the function of clearing toxins, and the accumulation of toxins will cause liver damage. This is how drug-induced hepatitis is formed. After listening to the patient's narration, Wu Xiaofu felt that it was not difficult to understand why the patient really had a liver tumor.

Of course, everything needs to be checked before it can be confirmed.

After ruling out the possibility of other diseases, Wu Xiaofu wrote out a series of examination orders, focusing on the preliminary diagnosis of "liver space-occupying lesions?" He began to write out examination orders, including blood tests, abdominal CT, etc.

The patient's son felt mixed emotions at this moment. He was now almost certain that his mother's illness was caused by this. Not only his mother, but his father also died of liver disease. Unlike him, after eating his mother's cooking for more than ten years, he lived in the school dormitory in junior high school and basically went home only two days a week.

So, there was still some relief time, and I didn't have to take poison continuously. In recent years, I went to college and went home less often. I'm afraid that some toxins in my body were almost eliminated. But my father is different. He has been married for more than 20 years and has been eating at home for more than 20 years.

It is really possible that he was sent away like this.

Thinking of this, the son felt that his mother was really a non-staff employee hired by the King of Hell, just to make up the numbers for the King of Hell, just like buying insurance, so she could make it first for the people around her.

No, this is still a family business. After all, my mother said that this is a family craft.

Outside, the son took his mother for a checkup and explained the matter to her. His mother realized something and stopped worrying about herself. Instead, she started to worry about her son. "Son, why don't you check it out too?"

In the clinic, Liu Lin once again witnessed Wu Xiaofu's ability to broaden his horizons in the clinic.

Look, this is another thing that is enough to subvert her cognition. Before hearing about this matter, she could never have imagined that someone would use Analgin to make soup. This is different from the tangerine peel and other traditional Chinese medicines.

"You've learned a lot, right? Not only have you never seen this, I haven't seen this either. I can only say that there are all kinds of things in this world. Take this as a warning, next one."

Liu Lin nodded, quickly composed herself, and added the next one.

The next patient came very quickly. They were a young couple with a child. Wu Xiaofu originally thought that it was one of the young couple who needed to see a doctor. It was not until Liu Lin reminded him that the patient was a boy, four years old that Wu Xiaofu realized that the patient was actually the little boy led by the young couple.

It's not Wu Xiaofu's fault for his habitual thinking. You know, children under the age of fourteen should actually be seen in the pediatric department, and the pediatric department of the First Affiliated Hospital is really good. Although it is a large pediatric department, there are many sub-groups, each treating its own disease.

Some treat pediatric digestive diseases, some treat pediatric heart diseases, some treat pediatric tumors, and so on.

Although other departments occasionally see some children, they are either in their teens, right on the edge of the 14-year-old age limit, or they are consulted by the pediatric department, or they are referred here. After all, in many cases, these specialized departments are still more professional.

But that's all. If a four-year-old child is treated, then they are competing with the pediatric department for business. Therefore, doctors from other departments, when they see such a young child registered in their appointments, will advise the patient's family to take the child to the pediatric department for treatment.

"Director Wu, Director Wu, please help my child. They said my child has a tumor. I finally got an appointment with you. You must help me. The child is only four years old. How is this possible..."

Tumor!

Wu Xiaofu took back the words that were on the tip of his tongue. Looking at the anxious couple in front of him, and then at the child holding his mother's hand with a frightened face, Wu Xiaofu couldn't bear to let them go to the pediatric department. Even if he had to let them go, he had to see the child first.

After all, they are just children, so Wu Xiaofu also tried his best.

The patient couple came with color ultrasound and CT scans. Normally, such a young child should not do CT scans. After all, when it comes to radiation, CT scans have more radiation. Children of this age are in the development stage, and many of their organs are very fragile and their immunity is weak. Too much radiation can easily affect their growth.

Looking at the hospital for the examination, there was nothing strange about Wu Xiaofu. It was a physical examination center. This type of hospital specializes in physical examinations. Patients can make their own choices based on their own needs. They will only make recommendations. As for some related things that need attention, they usually won't say much.

"Why did you think of doing a color ultrasound for your child?"

Wu Xiaofu first looked at the color Doppler ultrasound and asked while looking at it. The child's mother quickly replied, "We both work in the same company. Every year, the company arranges physical examinations for us, which are done in this physical examination center. It just so happens that my child has been having stomachaches during this period.

I thought of doing one for him as well. As you may know, the management of this kind of physical examination is not that strict. I did not sign up for any physical examination for him. I just did an abdominal color ultrasound for the child in my name. After all, it’s not a big deal to do a color ultrasound.

However, I never expected that this examination would actually reveal something. The color ultrasound doctor said that this might be a tumor and asked us to do a CT scan to confirm it. We quickly did a CT scan, and the result showed that it was also on the CT scan.

We couldn't sit still any longer, so we came to see you right away. I had to find someone to help us get the number. Director Wu, you must help us."

Wu Xiaofu nodded when he heard this. Only then did he realize that the basic information written on the color ultrasound report was indeed that of the child's mother, while that on the CT scan was that of the child himself.

According to the report time, it has been four days since the color Doppler ultrasound was done. The ultrasound report was not very detailed, only saying that there was a mass in the liver, and there was a question mark.

The CT scan was quite detailed, reporting an irregular mass in the right lobe of the liver, mainly affecting the lower segment of the right lobe of the liver. The density was uneven and it showed cystic consolidation. The border was clear and a pseudocapsule was visible, but the porta hepatis was not invaded.

Wu Xiaofu didn't rush to say anything, but watched the film carefully.

The film was not as ideal as Wu Xiaofu had imagined. Many of the things he wanted to see were not shown. If it was on a computer, it might be more intuitive.

However, even with such a limited film, Wu Xiaofu became more interested.

This liver looks a bit like a world map.

The tumor was indeed irregular, but its distribution was still traceable. It basically followed the interstitial lobes of the liver. So, as it walked along, it drew a world map. Wu Xiaofu even subconsciously wanted to find out where China was on the map.

Of course, this is also because Wu Xiaofu feels that this tumor does not seem to be a highly malignant tumor, so he is so interested in it.

"Boss, this!"

Liu Lin came over to look at the film, and her expression changed involuntarily, because the mass on the liver was really quite large.

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Although size cannot indicate whether a tumor is benign or malignant, based on clinical experience, there is a statement that is still widely accepted by clinicians, that is, large tumors are generally more likely to be malignant.

Especially this child's tumor, which looks like a sarcoma at first glance.

Therefore, after taking a few glances at the CT scans, Liu Lin felt that this mass might indeed be malignant and even highly malignant. After all, its range was so large and its progression was obviously very fast. Although it did not invade the liver portal, it might have been discovered too early.

Liu Lin knew her limits and didn't say much. After all, the patient's family members were there. Given the patient's current condition, if she said something really serious, they would probably not be able to accept it.

"Come, lie down on the bed, I'll check it out."

Wu Xiaofu already had an idea, but he couldn't make a conclusion about the patient's illness based on a color ultrasound that didn't have the patient's name on it or a CT scan that didn't print very well.

The patient's parents wanted to ask something, but seeing Wu Xiaofu examining their child, they did not dare to disturb him and could only wait anxiously.

A careful examination revealed that the patient had localized distension in the right abdomen and an enlarged liver. A lump could be felt under the patient's right ribs. It was about 10 cm long, 9 cm wide, and 7 cm deep. It was hard, with acceptable boundaries, good mobility, and no tenderness.

Judging from the physical examination alone, the lump does not seem to be malignant.

After all, for such a large tumor, if it is highly malignant, the degree of infiltration and adhesion will not be light.

Now, whether it is from physical examination of the lump or from CT scan, the boundaries are actually very clear. So, from this aspect, we can be more optimistic. But we can only be optimistic from this aspect. No matter how we look at it from other aspects, it seems to be malignant.

However, there is another point: the patient is a child.

In fact, the incidence of liver tumors in children is relatively small. Moreover, the incidence of benign tumors in children is very high, which is related to some congenital factors, mainly physiological factors.

"Director Wu, how is it? Is this a tumor?"

Because the child is still young, the parents have no intention of being shy about it. After all, the child is only four years old and probably doesn't even know what a tumor is.

"At first glance, it doesn't look like it's malignant, but the details will have to be confirmed after surgical resection and pathology."

Doesn't look malignant!

The patient's parents couldn't help but breathe a sigh of relief when they heard this. As long as it wasn't malignant, it would be fine. Of course, if Wu Xiaofu hadn't said this, they would have had doubts. The color ultrasound had discovered the tumor for four days, so they naturally couldn't just wait to come to Wu Xiaofu for a check-up.

During this period, they had visited other hospitals, but the doctors in other hospitals all said that it might be malignant.

How could they accept this? They couldn't believe that their child, who was only four years old, had a malignant tumor. So when they said they needed surgery and pathology, they refused to listen. They thought these were quack doctors and they wanted to find a better doctor, no, the best doctor.

Wu Xiaofu is the best doctor in their minds. Both of them have seen the offer and followed Wu Xiaofu's blog. In the past few days, they asked someone to use their connections and finally got Wu Xiaofu's number. Sure enough, all their efforts were not in vain.

Sure enough, only Wu Xiaofu could see clearly what the child's illness was.

It's not malignant after all.

Just, surgery.

We were happy to know it was benign, but as parents, how could we not feel heartbroken when we heard that our child had to undergo surgery?

Looking at Wu Xiaofu, he said hesitantly, "Director Wu, since it is benign, is surgery necessary? Is it possible that by taking some medicine, this thing can go away, or is it normal in the first place, and the tumor does not exist at all?"

Facing the hopeful eyes of the patient's family, Wu Xiaofu was somewhat helpless. This might be everyone's hope, including his hope, but CT would not deceive people to this extent. Even if there was a one percent chance that this was not a tumor, there must be such a thing.

Such a big thing, even if it entered from outside the stomach, cannot be left alone.

As for taking medicine or something, it is even more impossible. Small things, such as inflammation, can be solved with medicine, but for something this big, it can be completely removed surgically, which is already the best result. How can you force anything else?

He shook his head slowly. "I have two points to make. First, I tend to be benign, but pathology is the gold standard, so you should be mentally prepared. Second, whether it is benign or malignant, surgery must be performed. Because, even if it is benign, if you ignore it, it may develop into a malignant tumor at some point."

Wu Xiaofu's words made the patient's family members lose even the last bit of hope they had.

Fortunately, Wu Xiaofu said it was benign. If it had turned into a malignant disease due to procrastination, they would have regretted it too late. (End of this chapter)