Come on, Dr. Wu
Chapter 474 What on earth is this?
When Wu Xiaofu actually saw the patient, he couldn't help but be shocked, and his face instantly became more solemn. The patient's condition was really terrible, and it was no exaggeration to say that he was already skin and bones.
You know, seeing a doctor is not as simple as relying on doctors to perform surgery on patients and prescribe medicine to cure the disease.
In fact, the patient's own physical fitness plays a vital role. It is like a war. The treatment provided by the doctor is at best a powerful artillery support, but it is always the patient who really charges into battle and fights the disease to the end.
Let's not talk about other things, just talk about patients who receive chemotherapy. Some people are still safe and sound after ten chemotherapy sessions, but some people have only one chemotherapy session, and their physiological indicators start to light up red lights, and they have all kinds of problems.
According to the original plan, the doctor intended to arrange two chemotherapy sessions for the patient, hoping to reduce the size of the tumor and then perform surgery to remove it.
Who would have thought that in this situation, even chemotherapy almost took the patient's life, not to mention the subsequent surgical operations.
The patient in front of him was roughly like this. Faced with such a difficult condition, Wu Xiaofu felt the pressure on his shoulders suddenly increased a lot.
What is the purpose of preoperative evaluation? In fact, it is very simple. Its purpose is to find out whether the patient can leave the operating table safely under the routine surgical process.
Take the patient in front of him for example. Just looking at his current condition, if it is confirmed that he has a tumor and there is still a chance to remove it, even with Wu Xiaofu's superb surgical skills, he probably would not dare to do it easily.
After all, although he has amazing abilities in surgery, he can successfully complete radical surgery when others can only perform palliative surgery; operations that take others three hours to complete can be completed in just one hour for him.
However, even with such severe conditions, if the patient cannot even survive for a short hour, then all efforts will be in vain.
Fortunately, the patient is still conscious. When Wu Xiaofu led the group into the ward, the patient even opened his hands and made a gesture to get up.
Upon seeing this, Wu Xiaofu stepped forward and comforted him, "Don't move, just lie down peacefully!" Then he carefully checked the patient's abdomen.
It is understood that it has been about half a month since the last ascites was drained, but it was unexpected that in such a short period of time, ascites has accumulated again in large quantities. And by observing the relevant data, it can be clearly found that the speed of ascites generation is getting faster and faster.
There is no doubt that the dozens of pounds of weight lost by the patient were basically lost little by little in this way. If this continues, the situation will inevitably get worse and worse.
"I have to get another piercing."
When Wu Xiaofu said the word "puncture", the patient's family members did not show any obvious opposition on their faces. Perhaps for them, puncture is no longer something to be surprised about.
After all, over the past six months, the patients had undergone abdominal puncture and drainage so many times that they themselves could not even remember.
In the eyes of outsiders, puncture is an invasive operation that not only causes pain, but is also usually avoided unless it is absolutely necessary. However, for this patient, these seem to have become a part of daily life, and he is so accustomed to it that he is almost numb.
Of course, only the patient himself knows how severe the pain caused by the puncture is.
At this moment, when the patient heard that he had to undergo another puncture, his eyebrows couldn't help but raise slightly, but he finally just remained silent and didn't even express any objection or complaint.
Obviously, after a long battle with the disease and frequent treatments, the patient may have gradually developed a certain degree of adaptability and tolerance to this pain. Perhaps it is precisely because of the strong desire to survive that the patient can lie so calmly on the bed and silently cooperate with every treatment measure of the doctor.
"How much do you want to draw this time, Director Wu?"
The patient's son looked at Wu Xiaofu nervously at this time, and asked with a slightly trembling voice. It can be seen that the patient's son also realized that his father seemed to have to endure pain again.
At this time, the patient's son thought that he was going to drain the growing ascites in the patient's abdomen as usual. After all, the patient's ascites problem has become more and more serious over the past period of time. Every time the ascites swells, it is a painful torture for the patient.
Whenever the ascites is successfully drained, the patient will feel temporarily relieved. Therefore, even if it is just to make the patient feel a little more comfortable, the patient's family is quite willing to cooperate and accept the extraction of ascites.
However, Wu Xiaofu shook his head and said slowly: "This time we are not draining the ascites, but we want to use a puncture to explore the source of the patient's ascites."
Hearing this, the patient's family was stunned at first, and then a thought flashed through their minds: That's not right! Didn't we say before that biopsy and pathological analysis can't accurately determine the cause of the disease? These tests have been done!
When he thought of this, he subconsciously wanted to tell Wu Xiaofu about this situation, but as soon as the words came to his lips, he swallowed them back for some reason.
Because he suddenly realized that he had already passed all the relevant test results to Wu Xiaofu, and he was sure that Wu Xiaofu had read them all carefully.
In this case, Wu Xiaofu still decided to do this, which means he must have his own considerations and reasons. So, the patient's family took a deep breath, nodded silently, and said that they would fully support Wu Xiaofu's decision.
Wu Xiaofu looked at the patient's family members who had no objections, and felt relieved. He then turned to Peng Xia and said, "You can start preparing now!"
Wu Xiaofu certainly remembered that the patient had undergone a puncture and fluid sampling pathological examination before, and the reason why he insisted on conducting this examination again was not out of any bad intention to deliberately repeat it in order to charge more fees.
Wu Xiaofu did this just to use the puncture needle as a tool to gain a deeper understanding of the real condition of the patient's body.
Wu Xiaofu himself possesses a very strong mental power, but that does not mean that he can easily penetrate the layers of barriers outside the patient's body and directly peek into the specific situation inside his body.
In most cases, Wu Xiaofu can only see what is happening inside the patient's body by carefully inserting surgical instruments and further exploring.
Compared with indirect images presented by imaging technology, this kind of immersive intuitive observation is obviously much more reliable.
It's just that Wu Xiaofu seldom does this. After all, with the assistance of imaging examinations, he only needs to control the degree of the operation each time. Now that imaging examinations are really useless, he is trying this.
Time was running out, so Wu Xiaofu didn't waste any time. After some preliminary preparations, he directly inserted the puncture needle into the patient's body. In an instant, all the information about the patient's abdomen appeared before his eyes like a clear picture. As expected, the amount of ascites in the patient's abdominal cavity was really alarming. Even Wu Xiaofu needed to be fully alert at this time.
If one is not careful, whether the position of the needle is deviated or the depth of the needle is not properly controlled, it is very likely to cause serious damage to the patient's fragile solid organs. Although for Wu Xiaofu, it is equivalent to direct vision now, the puncture needle is not a laparoscope, and it is not that easy to operate.
Therefore, every movement and every adjustment of Wu Xiaofu must be precise and accurate, without any carelessness.
However, at this moment, the patient's family members nearby finally noticed something was wrong.
They stared at the puncture needle in Wu Xiaofu's hand with wide eyes, muttering to themselves: "Hey, the puncture operation performed by Doctor Wu seems to be different from that of other doctors! How can the needle go in so deep?"
Although they were full of suspicion, the family members did not dare to ask what was going on. After all, at this moment, Wu Xiaofu was concentrating on the operation, and they were really worried that asking rash questions would disturb Wu Xiaofu and affect the entire treatment process.
As a result, the family members could only speculate in their hearts, their thoughts running wild like a wild horse. They wondered if Wu Xiaofu had any unique skills or methods; and they worried whether such an operation would lead to unexpected consequences.
Even though they were already restless inside, they even became extremely cautious in their breathing, as if even the slightest breath would have a huge impact on Wu Xiaofu's delicate operation.
Unlike the extremely anxious family members of the patients, Peng Xia, who was standing nearby, was also witnessing Wu Xiaofu using this method to perform the puncture operation for the first time.
As an experienced doctor, Peng Xia naturally had a deeper understanding of medical technology. Therefore, by observing Wu Xiaofu's every move, he was able to roughly guess the specific steps and intentions that the other party was trying at the moment.
However, even a professional like Peng Xia couldn't help but feel a little surprised when faced with Wu Xiaofu's bold and novel operating methods.
Peng Xia thought to himself, "From the looks of it, the boss's operation is exactly the same as interventional therapy! But the problem is, how can this ordinary puncture needle be compared with the catheter specially used for interventional therapy?
You know, without knowing the specific conditions inside the patient's abdominal cavity, if you rashly insert the puncture needle so deep, aren't you afraid of accidentally piercing some key parts or important organs? If such an accident really happens, the consequences will be disastrous!"
Thinking of this, even Peng Xia, who was extremely confident in Wu Xiaofu, couldn't help but break into a cold sweat for Wu Xiaofu.
You know, in his eyes, no matter how much experience Wu Xiaofu has, it is too risky to operate like this!
However, it was not the first time that Peng Xia saw his boss come up with some innovations from time to time. So when he saw Wu Xiaofu dare to do this, he couldn't help but think: Wu Xiaofu dared to do this, there must be a deep meaning and reason behind it.
At this time, Wu Xiaofu had successfully seen through the ascites and had a general understanding of the condition inside the patient's abdominal cavity.
The patient's intestinal condition was poor and there were some signs of intestinal obstruction, but it was obvious that this was not the key cause of the current condition.
The stomach was not optimistic either, but no serious lesions such as tumors were found. Obviously, the source of the patient's ascites symptoms could not come from the gastrointestinal system.
Before this, other doctors had already checked whether there were problems with the liver, gallbladder, and kidneys, and they were most suspicious of the gastrointestinal tract.
But who would have thought that Wu Xiaofu had now ruled out the suspicion of gastrointestinal tract through this almost direct observation method.
Therefore, the biggest possibility now is that the disease has returned to the liver and gallbladder. It cannot be the heart, lungs or brain. If that were the case, I'm afraid the patient would not have survived until now.
The liver and gallbladder were indeed the source of ascites that Wu Xiaofu initially suspected.
You should know that, generally speaking, the occurrence of ascites is basically closely related to liver and gallbladder problems, and is rarely caused by other factors.
It is just frustrating that despite a series of imaging examinations, the exact cause of the disease has not been found. Faced with such a situation, even experienced doctors feel helpless. But now Wu Xiaofu is almost seeing straight, there should be some good news.
When Wu Xiaofu used his extremely powerful mental power to completely cover the entire liver and gallbladder area, he was finally able to clearly see the real situation inside the liver and gallbladder.
After a careful examination, Wu Xiaofu couldn't help but breathe a sigh of relief. Although the condition of the liver and gallbladder was not optimistic, for him who had been struggling to find the cause of the disease, finding the root cause of the patient's ascites was already good news.
Over the years, Wu Xiaofu had performed countless hepatobiliary surgeries and had seen countless common bile ducts. But even so, the common bile duct he saw in front of him still amazed him.
The common bile duct, which should have been soft and elastic, was now in a crystallized state. Not only did its hardness increase significantly, its flexibility decreased significantly, and its brittleness also increased.
It is conceivable that if such a common bile duct is to be operated on, the slightest mistake could lead to its complete destruction. What is even more difficult is that this change is not caused by a tumor. If it is really a tumor blocking the common bile duct and causing jaundice symptoms, then the condition is relatively easy to diagnose and treat.
Today, the patient's common bile duct presents a worrying condition, looking more like a fibrotic lesion.
However, no significant changes were found in terms of density. Therefore, even with advanced imaging methods, the effective information that can be obtained is quite limited, making it difficult to understand more hidden problems.
But there is no doubt that the common bile duct has actually lost the important functions it was supposed to have.
You know, the common bile duct is very important to the entire biliary system. Once the common bile duct loses its function, it can be said that the entire biliary system is almost useless.
What's more troublesome is that the common bile duct extends all the way up and eventually leads directly to the liver. If you take a closer look, you will be surprised to find that similar changes have occurred in many parts of the liver.
These changes are not distributed in sheets, but exist in the form of dots, densely packed and scattered, as if countless tiny lesions are quietly eroding the liver tissue.
In this situation, even someone as experienced and knowledgeable as Wu Xiaofu couldn't help but feel his scalp tingling when looking at the scene before him.
What on earth is this? (End of this chapter)
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