Come on, Dr. Wu

Chapter 352 Spleen occupying a space?

Wu Xiaofu did not stay in the hospital for long. He gave Peng Xia a few more instructions and left immediately. He couldn't spend his entire weekend in the hospital.

They don't have to worry too much about the assessment, as they will just need the eight assessment teachers.

tired!
At the end of the day, Xun Qi and the others had only one feeling: tired, really tired.

It turns out that this is what it feels like to work in the outpatient clinic. Although they have all worked in the outpatient clinic with the teacher before, what they actually did was just writing medical records, issuing examination orders, and prescribing medicine.

It seems that they have to do all the heavy work, and the teachers just take care of the patients, so they should be the ones working harder.

But that was just their previous thought. Now they realize that the teachers who are in clinics have a harder job.

Because the most difficult part of seeing a doctor is not writing medical records, issuing examination lists, or prescribing medicine, but communication.

Yes, it’s communication.

It’s too difficult. It may also be because it is their first time seeing patients. They feel that it is too difficult to communicate with some patients. It is obviously a very simple matter, but they just can’t understand it once and have to be said several times.

Even though it is easy to understand, they still want to battle with you.

It's obviously all for their own good, but they just don't understand.

Obviously...

This is not to say that they are like Wu Xiaofu and others, who have to treat serious illnesses. They are just some minor matters that can be handled in the convenience clinic without going to a specialist clinic, and they are so tiring. If that were the case, they wouldn't even dare to think about it.

No wonder they see those teachers are bald before they get old. It’s really not hard to understand. It makes you feel uncomfortable and scratch your scalp.

However, what they are worried about now is their own assessment.

Satisfied? Come on, how can I be satisfied? I don’t know what the examiners think, but they are not satisfied with themselves anyway.

Looking back now, there are several cases that I wish I could do over again.

Thinking of this, after the eight people returned, they all began to have a lot of thoughts. This was destined to be a sleepless night.

Then I don’t know what time I fell asleep, I woke up in a daze, and when I looked at the time, it was only a little after six o’clock.

Oh, that's not right. Where's the test for Sunday? They're not giving it out again?

Last season’s assessment was held on Saturday and Sunday, and this season should be the same. Yesterday’s assessment was over, but what about today’s?

Thinking of this, everyone lost their sleepiness.

Yesterday, some people went early and some went late, which resulted in different assessment results. Pan Ying and his team were in a bad mood, and today they felt that they should unify their results.

Pan Ying sent a message in the group, "Are you there?"

"exist."

……

Pan Ying didn't expect that everyone would reply immediately. It turned out that he was not the only one who woke up early.

"Why don't we pack up early today, find a room, wait for news together, and set off together?"

Pan Ying asked tentatively, and everyone responded immediately.

"can."

……

"Pick up those stinky socks in your dormitory, we'll be there soon."

Jiang Bei @ed Cheng Shi again and decided that the meeting point would be Cheng Shi’s apartment.

At seven o'clock, the eight people had already gathered at Cheng Shi's apartment.

Cheng Shi ordered takeout early.

"I don't know what you like to eat, so just have a bite."

"I can't tell, Cheng Shi, you're such a warm-hearted guy."

Everyone's eyes lit up and they started working immediately.

Time passed slowly. They ate breakfast and thought about things. Finally, someone couldn't help but speak.

"What do you think we'll be testing today?"

"I don't know. The boss and his team don't play by the rules at all. This is totally different from last season."

"Yeah, I thought I was pretty good, but I was hit by a bolt from the blue. I went the latest yesterday, so I guess I failed the first test.

Then I got zero points for the case analysis again, and my head was in a mess during the outpatient clinic afterwards. I wasn’t even satisfied with myself. I guess I’m the last one among the eight of us. I feel hopeless just thinking about it.”

Pan Ying said with a look of despair on her face. It was obvious that she was indeed desperate. Pan Ying didn't put on much makeup today.

"It's the same with me. I just realized how difficult it is to make house calls. You learn it once you see it, but it's useless once you learn it.

I used to watch teachers go to outpatient clinics and thought they were just so-so. If I were to go, I should be able to handle it. But now, I can’t even handle these minor problems, let alone those troublesome illnesses?”

……

Speaking of outpatient clinics, everyone resonated with each other and started discussing, talking about the difficult cases they dealt with yesterday.

The more they talked about this, the more relieved they felt, because they realized that it was not just them who performed poorly, but others as well.

If everyone does poorly on the exam, it won’t be that bad.

As for the case analysis that scored zero yesterday, everyone tacitly agreed not to mention it again. To say more would be tiring. From childhood to adulthood, they had never scored zero, let alone failed. No, they had never even scored below 90% of the full mark.

They were still thinking about the case analysis last night. If nothing unexpected happens, they will never be wrong when they encounter similar cases in the future.

"Have you noticed that this assessment is really different? It's so different that I don't even want to guess what will be tested today. Whose idea was this?"

Song Tiantian suddenly spoke, and then everyone looked at Jiang Bei and Cheng Shi.

"It was not our idea for you to look at what we were doing."

This funny guy.

Everyone was speechless after listening to Jiang Bei's words. "It's definitely not you who came up with it, but our teacher doesn't seem to have many ideas, so that's the only one left."

In fact, everyone had a consensus that it was Wu Xiaofu who was giving them the job. After all, they saw it yesterday that it was Wu Xiaofu who was guiding them the whole time.

"That's true. The boss is really something. He didn't even tell us the questions in advance."

Jiang Bei complained and Cheng Shi looked at his watch.

"It's eight o'clock."

This is a special time. At this time yesterday, Wu Xiaofu sent a message. Everyone’s voices stopped and their breathing suddenly became a lot lighter.

His eyes fell on the phone for one minute, two minutes... ten minutes.

"Why haven't you received any information today?"

"Maybe later today. Wait a little longer."

Then it was nine o'clock, and everyone finally couldn't bear it anymore. The hours seemed like years.

Looking at Jiang Bei and Cheng Shi, "Why don't you ask Director Wu?"

Jiang Bei hesitated for a moment and didn't call. After the consultation yesterday, she communicated with the assessment teacher. Only then did she realize how wrong it was for her to ask for a bed for Wu Xiaofu yesterday. If she had met other doctors, they would have taught her a lesson long ago.

I originally wanted to go back and tell Wu Xiaofu about it, but I didn’t know what to say.

"Let me do it."

Cheng Shi said something and called Wu Xiaofu directly.

"Hey, Cheng Shi, what's wrong?"

Cheng Shi could still hear the sound of typing on the computer from the other end of the phone. It seemed that Wu Xiaofu was up.

"Boss, we would like to ask how to arrange today's assessment?"

Everyone looked at Cheng Shi with bated breath, but the reception on Cheng Shi's phone was too good and they couldn't hear a word.

"Assessment? Didn't we take the test yesterday?"

"what!"

Cheng Shi immediately broke through his defense, "Boss, you mean, today?"

"Take a rest today. It's Sunday. I thought you guys were all sleeping in. Take a good rest for the day, go out for a walk, and then wait for my message in the evening. I'll treat you guys to dinner. I have something else to do. Bye."

After hanging up the phone, Cheng Shi was still in a trance for a long time. "How is it? What did Director Wu say?"

Everyone looked at Cheng Shi's expression and couldn't help asking. Cheng Shi slowly looked at everyone and said hesitantly, "The boss said there will be no assessment today."

"No assessment? That's tomorrow?"

Everyone was puzzled for a while.

"Boss means that yesterday was our first stage of assessment, and today is a day off."

Ah!
Everyone suddenly felt empty in their hearts. In other words, they could have had a good night's sleep today, but they ruined it?
It turned out that they were overthinking it. He felt desperate. Why didn't he ask Wu Xiaofu yesterday? It was such a good day off. God knows how tired they were during the week.

"I'm going to go back and catch up on some sleep."

"I'll go as well."

……

"and many more."

Everyone stood up and was about to leave, but Cheng Shi hurriedly called out.

Everyone looked over quickly.

"Don't tell me you were kidding us."

"No, the boss said he would treat us to dinner in the evening."

Have a meal!

Thinking of the big meal they had just had, they suddenly felt that Wu Xiaofu was friendly again.

At this time, Wu Xiaofu had no idea what Cheng Shi and the others were thinking. Weekend rest is relative. Wu Xiaofu is indeed very famous now, and he has a lot of fans on his blogs, short video platforms, etc.

The private messaging system is open and patients often ask questions.

There are also mobile phone messages, and patients call for follow-up consultations.

Wu Xiaofu usually deals with them all on Sundays.

For some complicated cases, Wu Xiaofu will also arrange time for them to come over.

This is also one of the reasons why Wu Xiaofu’s outpatient clinic can see many difficult and rare cases.

For example, this one has a mass in the upper left abdomen.

This was a middle-aged male patient who told Wu Xiaofu about his situation. He also found something wrong during the physical examination with abdominal color ultrasound, and then he did a CT scan, which actually found a mass in the left upper abdomen.

Space-occupying, everyone knows now that space-occupying means tumor.

What does it mean to occupy a place? It just means that there is something occupying the place of an organ.

However, clinically, there are very few masses in the left upper abdomen, and Wu Xiaofu has not seen many of them.

It doesn't look like there is a liver and bile duct in the right upper abdomen.

The mid-abdomen contains the stomach, duodenum and pancreas.

There is also an appendix in the left lower abdomen.

There is only the spleen in the right upper abdomen. No, there is only the spleen in the entire right abdomen. The position of the urinary system is a bit biased.

Therefore, the mass occupying the right upper abdomen is basically the spleen.

Splenic mass, splenic tumor.

Not to mention that ordinary people have never heard of it, even few doctors have seen it.

Especially for in situ tumors, it is extremely rare, but it is possible that they have metastasized from tumors in other parts of the body.

For example, lung cancer metastasis, breast cancer metastasis, or colon cancer metastasis, etc.

So when he encountered such a case, Wu Xiaofu was also very interested. After carefully looking at the patient's CT scan, he was relieved that the cancer was not metastatic, because other parts of the patient had been examined and no mass was found. A gastrointestinal endoscopy was also done.

In situ tumor, but the situation is different from some malignant tumors.

Then the information was given to the patient.

“It is round in shape, with clear borders, and is considered benign.

The enhancement is uneven in the early stage, more uniform in the delayed stage, and progressive overall. Common lesions include hemangioma, hamartoma, angiosarcoma; sclerosing hemangioma-like nodular transformation, and sinus bank cell tumor.

Larger lesions of hemangiomas show nodular enhancement at the edges during the arterial phase, which is inconsistent with the diagnosis. Angiosarcomas are seen in middle-aged and elderly people. They are larger, prone to necrosis and cystic transformation, and have progressive enhancement. They are extremely invasive and prone to adjacent invasion and distant metastasis, which is inconsistent with the diagnosis.

Sclerosing angiomatous nodular transformation is more common in women and is characterized by spoke-shaped enhancement with a central star-shaped fibrous scar without enhancement.

Sinus bank cell tumors are generally multiple and can vary in size. They are often accompanied by a history of long-term splenomegaly, anemia, and thrombocytopenia.

The enhancement characteristics of hamartoma are early uneven enhancement and delayed uniform enhancement, which is consistent with the previous study.

Preliminary diagnosis: splenic hamartoma. "

The reason why Wu Xiaofu is so popular and why he makes people feel so safe is because Wu Xiaofu doesn’t just respond with one sentence.

Such a detailed and professional reply also gave a specific diagnosis. Although the patient himself could not understand it, just looking at this long string of words made him feel at ease. This shows that Wu Xiaofu is serious, responsible and professional.

He can also show these contents to local doctors, and this evidence will basically confirm the diagnosis.

With the diagnosis, it will be much more convenient to check later.

The patient, who was originally extremely worried, immediately felt relieved when he saw the word "benign".

"Director Wu, how should I treat this?"

In fact, it is the same principle on the mobile phone as in the outpatient clinic. If you speak well, the patient will agree. Now, with just a few words, Wu Xiaofu made the patient agree with Wu Xiaofu's diagnosis of him and began to ask further about the treatment.

Hospitals always say one thing: keep patients.

When the patient asked about treatment, it was basically certain that he would stay. If Wu Xiaofu asked the patient to come to the First Affiliated Hospital for treatment, I'm afraid the patient would be able to come tomorrow.

“Splenic hamartoma can be treated with splenic hamartoma, tumor resection, laparoscopic surgery, nonsteroidal anti-inflammatory drugs, glucocorticoids, etc.

Because it is generally a benign lesion, if the tumor is small, no special treatment is required and regular check-ups are sufficient.

If the splenic hamartoma is large, symptomatic, or suspected of being malignant, splenectomy should be considered for radical cure.

The size of your hamartoma is not small, and it has only been a year since your physical examination last year, and it was not discovered last year. With this size this year, the progression is not slow.

My recommendation for this situation is surgery.

Of course, if you don’t want to have surgery, you can also suppress it through some medical treatments.

For example, nonsteroidal anti-inflammatory drugs and glucocorticoids, but they are also symptomatic and suppressive drugs and cannot eradicate the disease.

You have to consider the details yourself.”

We provide solutions, suggest solutions, and second best solutions. The main goal is to be comprehensive. When patients see these, they don’t need to ask repeatedly and they will understand.

In a nutshell, surgery only treats the root cause, while medication only treats the symptoms and not the root cause, and is very risky.

Wu Xiaofu then sent the patient a guide to the medical medication of hamartoma.

Nonsteroidal anti-inflammatory drugs can inhibit the synthesis of prostaglandins, thereby reducing inflammation and relieving pain.

For example, ibuprofen sustained-release capsules, acetaminophen tablets, etc. These drugs can be used to treat the discomfort caused by mild to moderate splenic hamartoma.

Glucocorticoids can suppress the immune response and reduce edema, helping to control the development of splenic hamartomas.

Commonly used drugs include dragon tablets, methylprednisolone injection, etc. This method is mainly used to treat autoimmune diseases or other diseases that cause splenomegaly.

There are also daily life reminders to cooperate with physical examinations. Patients are advised to follow the doctor's advice for regular physical examinations, monitor changes in their condition, and pay attention to maintaining good living habits, such as a balanced diet and moderate exercise, to support overall health.

Looking at these, the patient was actually a little hesitant, and finally his eyes fell on what Wu Xiaofu said: Surgery is recommended.

"Director Wu, can I ask you to do the surgery? I don't trust anyone else to do it."

Look, why did Wu Xiaofu get a high performance bonus? Was it because he was lucky? Come on, it was because he worked hard enough.

Why is Wu Xiaofu so popular and well-known among patients? Is it because he is lucky? Come on, it's because he is sincere and responsible enough.

This patient's IP address is in Yunnan, but now he is coming to Donghai to find Wu Xiaofu for surgery. This shows how much he trusts Wu Xiaofu.

"sure……"

(End of this chapter)