Come on, Dr. Wu

Chapter 288 Several Zeros
It turns out that you have taken a fancy to him.

In hospitals, weight loss surgery is generally the job of gastrointestinal surgery, and now it is basically only performed by gastrointestinal surgery.

Nowadays, there are generally two methods and ideas for weight loss surgery, also known as bariatric surgery.

One is to control stomach capacity by implanting devices, such as gastric banding or intragastric balloon.

The second is to physically reduce the stomach capacity, such as through gastric reduction surgery or shortening of the small intestine, such as gastric bypass surgery.

Currently, the most popular method in Chinese hospitals is to physically reduce the stomach capacity. The main reason is to control the stomach capacity through implanted devices. The subsequent effect is somewhat unsatisfactory. Chinese people eat too well and it is difficult to control their diet in the later stages. Because of the equipment, a series of complications may occur.

Controlling gastric capacity through implanted devices is the most widely used method in the United States and Europe.

Among them, the most popular is the gastric band surgery, whose full name is laparoscopic adjustable gastric band weight loss surgery.

This is a laparoscopic surgery in which a band is applied to the upper part of the stomach. The band is a silicone band whose tightness can be adjusted by injecting water.

For obese patients, their stomach capacity becomes larger and they eat more than others, so their obesity level is naturally higher.

The purpose of this operation is to restrain the patient's stomach. When the stomach is smaller, the patient will naturally eat less and lose weight naturally. However, it also depends on self-discipline. If the patient still overeats, this band may be the culprit that triggers gastric lesions.

Therefore, its popularity in China is not very high.

However, regardless of how high it is, in Wu Xiaofu's opinion, this is the most suitable surgery for weight loss. After all, as long as one has strong self-discipline, the postoperative complications will be much better than the sleeve gastrectomy and gastric bypass surgery currently being performed in China.

Sleeve gastrectomy, also known as laparoscopic gastric reduction surgery, has become a very hot topic in the field of bariatric surgery since it was introduced to China, and its popularity is simply beyond description.

The principle is very simple. It is to use laparoscope to vertically cut out the greater curvature of the stomach, so that the stomach forms a small stomach pouch of about 150cc, which can hold about 4-5 ounces of food, or about grams.

One hundred and twenty grams, which is only a quarter of a pound, is really very little. Think about those people who weigh more than 200 pounds, who can easily eat half a pound of noodles and seven or eight eggs. How much their appetite has been reduced in a short time.

This amount of food can also meet the needs of the human body, so there is no need to worry about other problems caused by insufficient diet.

The advantage of sleeve gastrectomy is that it does not require the insertion of foreign objects in the body, and the surgery is very effective in weight loss. After all, the surgery will cut off 8% of the stomach volume. In addition to reducing food intake, it will also reduce the secretion of hormones that stimulate appetite, thereby reducing appetite. This is much faster than inserting foreign objects.

The Chinese people want immediate results, so this surgery is still the most popular weight loss surgery in China.

Within two years after surgery, patients can lose about 10-15 BMI points or 40% of excess weight. For those with a high BMI (over ) who find it difficult to reduce their food intake, gastric reduction surgery is a blessing for them.

Since Linlin insisted on finding him, she must want to have a physical surgery, that is, sleeve gastrectomy. If it wasn't gastrectomy, Linlin probably wouldn't have to be so nervous. To be honest, Wu Xiaofu had never thought of trying this kind of surgery before.

Firstly, gastrointestinal surgery is not doing well now. There are not many other surgeries, so they will not allow others to snatch the weight loss surgery, which is the mainstay of their department. Moreover, weight loss surgery cannot be reimbursed. It is because of the existence of weight loss surgery that the presence of gastrointestinal surgery in general surgery is not so low.

The risks of both weight loss surgeries are indeed quite high. Take the sleeve gastrectomy for example. After all, it requires gastrectomy. Although the number of cases has increased, the intraoperative risks of sleeve gastrectomy have been reduced to the lowest, but what about after the operation?
After all, the stomach has to be removed, and a lot of it has to be removed, which is almost equivalent to a subtotal gastrectomy. Many complications after subtotal gastrectomy have to be considered after sleeve gastrectomy. Moreover, this does not mean that the weight can be completely reduced after the operation and there will be no recurrence.

Eating is also a habit. If you are used to overeating, how can you accept eating small amounts?

It's okay at the beginning, but in the later stage it may be out of control and the weight will increase again. At this time, the stomach is prone to problems. The incidence of gastric cancer is much higher than before gastrectomy.

The surgeries Wu Xiaofu performs now are more inclined to life-saving surgeries. To be honest, he really doesn't want to take on this kind of purely profit-making surgeries.

And Wu Xiaofu did the same.

"I'm sorry, I don't do this type of surgery. I do a lot of surgeries, but weight loss surgery is not on my list. In terms of professionalism, I can't compare to those doctors in gastrointestinal surgery. Besides, I'm in the general surgery department now, so it's not appropriate for me to do this type of surgery.

I suggest you consult a professional gastrointestinal surgeon."

Ah!
Neither Jiang Ruonan nor Linlin expected that Wu Xiaofu would refuse so straightforwardly.

"Doctor Wu, you are being modest when you say you are not as professional as those gastrointestinal surgeons. We have asked gastrointestinal surgeons before. It is a piece of cake for you to perform this type of surgery. Moreover, only you can guarantee that this surgery will be foolproof."

After Jiang Ruonan finished speaking, Linlin looked at Wu Xiaofu with even more expectation in her eyes.

Wu Xiaofu didn't know what to say when he heard that. Wasn't it obvious that he refused?

Shaking his head, "I'm sorry, I really don't do this kind of surgery, Sister Jiang, it's quite late today, I'll leave first. If you need me to introduce gastrointestinal surgery later, just come to the hospital and find me."

After saying that, Wu Xiaofu turned around and left.

Jiang Ruonan was also a little stunned when she saw Wu Xiaofu leave. Of course she could see that Wu Xiaofu was unwilling to have the operation, but her face was always worth an exception. Who would have thought that Wu Xiaofu really had no emotional intelligence at all? Jiang Ruonan couldn't even remember the last time she was rejected. Probably not.

"Ruonan, didn't you say that you are very familiar with Doctor Wu, so there must be no problem?"

After hearing Linlin's words, Jiang Ruonan's face became even uglier.

"You heard it too. He himself said that he is not as good as those professional gastrointestinal surgeons. Forget it. I will help you find a professional gastrointestinal surgeon. I also know the director of the gastrointestinal surgery department of the First Affiliated Hospital. I will take you to see him tomorrow."

Jiang Ruonan couldn't bring herself to continue asking Wu Xiaofu for help.

She snorted in her heart and told Wu Xiaofu not to ask her for help again in the future.

When I got home, it was already past seven o'clock.

Qu Ying was lying on the sofa, turning on the TV, fiddling with her cell phone, and there were a few unclosed books on the table.

Only when he saw Wu Xiaofu walk into the house did he raise his head.

"You showed up today. You even got an interview with Donghai TV. I just had a video call with my aunt and we watched your interview together. By the way, how is it, is Sister Jiang more beautiful now?"

Qu Ying's tone was very dangerous. Wu Xiaofu was sure that if he dared to nod one more time, he would most likely have to sleep on the sofa today. No, he had to divert his attention quickly.

"I don't know if she's pretty or not, but I've offended her today anyway. I don't know if I should say hello when we meet next time."

"Ah? What's going on?"

Qu Ying became interested all of a sudden and quickly sat up, but she wasn't too worried. Jiang Ruonan was just a host after all, so even if she tried to trip them up, it wouldn't be a big deal. Qu Ying's pure gossip spirit was burning.

Seeing that he had successfully diverted Qu Ying's attention, Wu Xiaofu quickly recounted what had just happened.

Upon hearing this, Qu Ying nodded in agreement.

"Xiao Fu, you did the right thing. This weight loss surgery is different from the rescue and life-saving surgeries you did before. If you do it well, your status won't improve much. If you don't do it well, it will easily become a stain on you and will not be conducive to the relationship between departments.

Sister Jiang and I are just acquaintances, it's not worth backing down over this."

It is said that Qu Ying is a good wife. Look at her awareness, so clear and upright.

"That's the truth. Whatever you want to eat, I'll cook it."

Hearing about cooking, Qu Ying immediately became more energetic. "You've been tired all day, how can I let you cook? I'll do it. I haven't been thinking about it this afternoon. I've bought the vegetables, so just watch."

Wu Xiaofu looked at Qu Ying who rushed into the kitchen excitedly and wanted to stop her, but after thinking about it, he gave up. He just felt sorry for his stomach. He shouldn't have to go to the gastrointestinal surgery operating table tomorrow.

The next day, Wu Xiaofu rubbed his stomach and entered the department.

"Boss, what happened to you? Did Xiaoying kick off the quilt yesterday and make you catch a cold?"

"Huh? Qu Ying kicked off the quilt. Why did the old man catch a cold?"

"Hahaha!"

……

The one who spoke first was Yuna, the one who asked the question later was Feng Lingling, and in the end everyone was laughing. Wu Xiaofu felt helpless as he looked at everyone.

"Cooking is a skill. Even though these ingredients seem to be fine, if you put them together, you might end up with something that's a laxative."

laxative!

Everyone immediately understood that there was a great chef hidden in Wu Xiaofu's home, and they couldn't help but laugh even louder.

"Boss, there are four surgeries today. The first one is a liver transplant scheduled for you. You have to come in person. It's the one in bed number two. It's not easy to do."

Now Wu Xiaofu performs about five or six liver transplants a week. He is not the main surgeon, so his number is less. Other surgeons obviously perform more than this. Chen Zhendong can also perform liver transplants.

However, Chen Zhendong was also unsure about some difficult things.

At this time, Chen Zhendong also spoke.

"Boss, this patient is in poor health. We must treat him within three hours. Otherwise, it will be easy to cause problems. Because it is liver cancer, the large blood vessels are also affected. The possibility of intraoperative bleeding is not low. I am afraid I can't handle it. You should do it."

Wu Xiaofu, who was in bed number two, had an impression that the patient was admitted by Chen Zhendong from the outpatient clinic. During the previous ward rounds, he said that the patient was admitted for Wu Xiaofu. Sure enough, the operation was scheduled for him.

Wu Xiaofu nodded. This operation was considered to be very difficult in liver transplantation operations. Chen Zhendong might not be able to handle it. So far, Wu Xiaofu's surgical team had not had any patient failure in the operation, so Chen Zhendong was also trying to be safe.

"Okay, then I'll do it, and you go deal with the donor liver."

This is a patient who has been waiting for a liver source. In fact, he is lucky. After all, after a liver transplant, the survival period can be significantly extended. From hepatitis to cirrhosis, to liver cancer, and now to liver cancer metastasis and liver failure, this is almost the course of disease for most patients with hepatitis and cirrhosis. However, 90% of patients cannot wait for a liver source. In comparison, this patient is very lucky.

However, because of the metastasis of cancer, this operation can only allow the patient's liver function to maintain daily needs. The patient's physical condition is already poor, and there is also the risk of rejection. Even after the operation, the patient's survival period will not exceed three years, and the one-year survival rate will not be too high, which is only 10%.

If the body's rejection is strong, it may only take a month or so.

But the hospital has always been a place to save lives. If the patient has a strong will to survive, his family is willing to receive treatment, and his liver is lined up, then treatment must be given. Once a liver source appears, it must be used. "Okay, boss."

After making rounds and seeing the patients, if the surgeon has a surgery to perform, he has to leave the operating room quickly. After all, by this time, the patient has already been taken to the operating room and the preparations are almost complete. If he doesn't leave, the operating room will scold him.

However, just when Wu Xiaofu was about to go to the operating room, he was stopped by Zuo Hui.

"Doctor Wu, I have something to discuss with you."

Ah!
Wu Xiaofu had gone to the countryside before. After he came back, apart from normal work exchanges, Zuo Hui basically didn't talk to Wu Xiaofu about anything. Now on the day of the operation, what was the meaning of holding him back?
Although he was confused, since Zuo Hui was the director, Wu Xiaofu had to follow him.

If Chen Zhendong went down first, Wu Xiaofu would not be rushed to the operating room.

However, after entering Zuo Hui's office, Wu Xiaofu discovered that there was actually someone else in Zuo Hui's office.

A woman with permed hair, wearing a long dress, who looks to be in her forties and has the temperament of a noble lady.

Without waiting for Wu Xiaofu to say anything more, Zuo Hui had already started introducing him to Wu Xiaofu.

"Doctor Wu, this is Ms. Huang, the chairman of Kanghui Group."

Kanghui Group!

Wu Xiaofu couldn't help but take a second look at Huang Jinghe. Kanghui Group has a great reputation in Donghai. It is among the top five in the city. It has background and assets. It is not the kind of business that started from scratch, but the result of several generations of hard work. Huang Jinghe is the head of this generation of the Huang family.

She is also considered a legendary woman and a role model for business women.

I just don't know why it appears here.

"Hello, Doctor Wu. I have heard of your name for a long time. I am glad to meet you today. It is a pleasure to meet you."

At first glance, he was the type who was used to getting along with people. The tone of his voice made people approachable. He was not at all as aloof as he seemed before. However, Wu Xiaofu was sure that Huang Jinghe must not have heard of him before, so he might be flattering him, as if he was asking for something.

"Ms. Huang, you are too polite. Your name is well-known."

Zuo Hui saw that the two of them knew each other, and then he continued with a smile, "Doctor Wu, the main reason Ms. Huang came this time is because she needs your help with something."

help?

Before he could think it through, a check appeared in front of Wu Xiaofu.

One, two, three, four, five, six, seven, seven zeros!

Wow, is this the work of a big group? However, this seven-digit check doesn't look like they are asking him to do surgery. Although his fame is growing, his appearance fee is really not that expensive.

I didn't go to take the check. "Ms. Huang, if you have anything to say, just tell me. There's no need to be so polite. As long as it's within my ability, I won't refuse."

The key point is that it is within Wu Xiaofu's ability. It is not easy for Wu Xiaofu to agree directly. A seven-digit amount is enough to ruin Wu Xiaofu's career as a doctor.

“Doctor Wu, my father was diagnosed with liver cancer not long ago and needs a liver transplant, but as you know, our liver source waiting principle means that almost all liver cancer patients wait until the liver has metastasized before they can get one.

Moreover, there is the problem of matching. Originally, we wanted to donate livers among relatives, but unfortunately, there was no one who was a successful match. This period of time has been really tormenting for me. My father has always been loyal to charity and I don’t know how much he has contributed to Donghai.

Now that he is sick, even his family members cannot find a successful match. God, please be so cruel to my father. Fortunately, there is always a way out. Recently, we found that one of your patients has a liver that is suitable for my father.

So, Dr. Wu, please help me out of my filial piety."

Ah!
Wu Xiaofu finally understood why there were seven zeros when he made his move. This was really going to ruin his career as a doctor. The liver source adaptation principle and the queuing principle were written into the Medical Practitioners Act. Anyone who dared to mess around and was exposed would not only ruin his career but also be criticized to death.

"Don't worry, I know this is very difficult for you, this is just a little sincerity from me, after the operation, I will give you another zero."

Wow, it’s a deposit. What does it mean to add a zero? If it really goes through, this will probably be the most expensive surgery Wu Xiaofu has ever performed.

“Doctor Wu, Ms. Huang is also very filial. Moreover, I have also learned about the patient. He has multiple metastases throughout his body. Even if he undergoes a liver transplant, he can only live one or two more months, or even shorter.

Every liver source is precious, and we should use it in the most appropriate place. Ms. Huang's father only has in situ liver cancer. If he undergoes a liver transplant, he can have a longer survival period and make more contributions to our Donghai City.

So, I think it is reasonable and possible for me to help.”

What?
Wu Xiaofu suddenly looked at Zuo Hui. He couldn't believe that Zuo Hui said this. Was he crazy? As a department director, you took such a big risk to do this. How many zeros should you get?

If he is not careful, his lifelong reputation will be ruined in an instant. Is it because Wu Xiaofu is too young and has too little contact with things, or is it that Zuo Hui is crazy?

"Director, you must be kidding. The patient is already lying on the operating table and will be operated on immediately. There is no point in saying more. Can we let the patient go back now? Besides, Director Chen has already started the operation. I am afraid he is starting to feel numb now."

Zuo Hui was not panicked when he heard this. He smiled and shook his head, "It's okay. I have already called Director Chen and asked him to wait. I originally wanted Director Chen to send the patient back to the ward first, but I didn't expect Director Chen to wait for your order."

Ah!
Wu Xiaofu felt the vibration of the mobile phone in his white coat, took it out and saw that it was indeed a call from Chen Zhendong.

"Doctor Wu, you know that even if you have good skills, the risks of this operation are not low. In fact, you don't need to come forward. I will have someone tell the patient's family that there are problems with the patient's physical indicators and he no longer meets the transplant indications. This is completely in line with the procedure."

My goodness, Wu Xiaofu is still digesting what Zuo Hui said. He really treats the patient and his family as fools. However, due to the information gap between the doctor and the patient's family, and the patient's own poor health, the patient and his family may not necessarily suspect anything.

However, if we have the ability, we can just convince the patients and their families to give up the liver source. Even after a liver transplant, the survival period will not be ideal. I believe that if a few zeros are counted, they will be tempted.

No, according to the principle of liver source use, this patient is not eligible. The next person in line may not be Ms. Huang’s father. After all, Ms. Huang’s father was only diagnosed not long ago.

However, even if the patient and his family can be persuaded not to undergo the operation, can Ms. Huang’s father still use it?
As if he understood Wu Xiaofu's expression, Zuo Hui continued, "After we give up here, Ms. Huang's father will be given the right to use the liver source on the grounds that he is critically ill and needs rescue."

It's really a chain of things. The liver source rule also has the principle of life-saving priority. Now the liver source is in the First Affiliated Hospital. Since the previous patient doesn't need it, once a patient who needs a liver source for rescue appears, it will naturally transcend the principle of priority.

Well, in this regard, Zuo Hui is definitely professional.

Unfortunately, Wu Xiaofu couldn't agree to it. Not to mention that he looked down on these zeros, his conscience and medical ethics would not allow him to do so. Some things cannot be started, and once done, he would almost be handing a big handle to these two people.

Besides, there is no impenetrable wall in this world. If the subsequent events were to be exposed, Wu Xiaofu could imagine himself being pushed down by the crowd.

Shaking his head, he said, "Director, we are all doctors. This is probably inappropriate. I will pretend that I was not here today. The patient is still waiting for me. I will go to the operation first."

After saying that, Wu Xiaofu left in a hurry. Zuo Hui and Ms. Huang were also stunned. Is there really someone who doesn't want money?

Ms. Huang even looked at the check in her hand again. There were seven zeros, right?
Zuo Hui reacted quickly and shook his head. After all, Wu Xiaofu was different from himself.

"Ms. Huang, you may not understand that Dr. Wu has just developed a targeted drug. I'm afraid what you gave him may not be to his liking."

This!
Ms. Huang was used to money opening the way, but this suddenly stopped working. She felt helpless for a moment. She couldn't just add another zero, could she?

"Ms. Huang, you can actually talk to the patient's family directly."

Find the patient's family!
Do you think I didn't find it?
Ms. Huang thought to herself, she had looked for it, but the patient's family didn't even look at the money and insisted on having surgery on her father. It was really annoying. At most, she would live one or two months less. Was Neng Ge stupid to transfer so much money?
He looked at Zuo Hui and said, "I've already looked for it, but it didn't work. Director Zuo, can you think of another way? You are the director, and you should have the final say on matters in this department."

It’s settled!

That's funny. Your company has a board of directors, not to mention a hospital. No, have you looked for it?

Zuo Hui reacted and looked at Ms. Huang, "Didn't you say you didn't look for it? Are you lying to me?"

Searching and not searching are completely different concepts.

If he had approached the patient's family and the family didn't agree, and he suddenly announced that the patient could not use the liver, and then gave it to someone else, and he had approached the Huang family, the patient's family, before. Isn't this an obvious thing? If he makes a fuss, he will really be exposed.

Fortunately, Wu Xiaofu did not agree, otherwise he might have been put in jail.

"Ms. Huang, this is not very honest of you. Forget it. I can't do anything about this matter. In fact, with your ability, you can just find someone else and you will always find a suitable liver source. When the time comes, just let them donate the liver."

Ms. Huang shook her head directly, and seemed to feel that it was a bit unkind of her not to tell Zuo Hui before. However, she had spent the money. If she had told Zuo Hui that she had found him, would Zuo Hui still help put pressure on Wu Xiaofu?

As for finding other people to do liver matching or buy a liver?
That's a different concept, it's organ trading, it's a crime.

Zuo Hui also quickly realized that Ms. Huang probably wanted to use money to minimize the risk. Just like looking for him, if there were any problems later, most of the responsibility would be borne by their doctors, and Ms. Huang could easily get herself out.

After all, the Medical Practitioners Act is aimed at doctors, not ordinary people.

He is really a businessman. Zuo Hui calmed down a little. Although he was envious of so much money, he still knew the difference between having enough to eat and not having enough to eat.

"Director Zuo, why don't you just exercise your authority as director? Do you have to care about this Doctor Wu?"

Each line is different. Huang Jinghe is obviously the one who has the final say in the company. She thought it was the same in the hospital.

"Ms. Huang, Dr. Wu's teacher is Vice President Yu. I'm afraid I can't help you with this matter. Besides, Dr. Wu has already gone down, and the surgery may have to be performed. There is no point in saying anything else."

Wu Xiaofu had no idea about the conversation that took place in the department director's office after he left. At this time, he had already entered the organ transplant center.

At the same time, Linlin, who was in charge of backstage work at Donghai TV, suddenly fainted and was sent to the First Affiliated Hospital.

Organ Transplant Center.

When Wu Xiaofu walked in, he happened to meet the patient's family.

"Doctor Wu, will my father's surgery go smoothly?"

(End of this chapter)