Chapter 260 Can Guarantee
After being persuaded by the child, the old man said nothing more.
In fact, after the elderly become ill, they are just like children. At this time, children begin to play the role of adults.
"Doctor Qu, please issue a hospitalization certificate."
Wu Xiaofu told Qu Tianqi to be admitted to the hospital, and then began to write a list of items to be checked, and handed it to the old man's children for them to After going to the hospital for hospitalization, hand it over to the doctor on duty and prescribe it.
For the elderly, it is indeed more cost-effective to see a doctor in Jinhu than in Donghai.
Donghai now also involves policies in other places, and the reimbursement ratio is not as good as the provincial medical insurance settlement.
Moreover, living in the East China Sea is not easy.
Wu Xiaofu heard a patient say before that they came to Donghai from other places for treatment. For more than a month, they spent more than 30,000 yuan on hospitalization, but the total cost was about 50,000 yuan, because in addition to the hospital The deducted expenses, as well as other food, drinks, accommodation, etc., travel expenses, etc., add up to a lot.
To this day, there are many patients who need to travel back and forth from the East China Sea to the local area. For example, some patients in the oncology department need to use immunological preparations and the like. They may have to travel back and forth once a week. Every time they come, They often have to stay for a day, and the travel expenses plus hospital meals are really quite a lot, and these cannot be reimbursed.
Seeking medical attention is sometimes difficult.
So, everyone hopes to get the most high-end treatment at their doorstep.
However, things are much better now. At least the hospital at our doorstep is indeed developing.
"Call the next one."
Qu Tian called the number at seven o'clock, waiting for the next patient to come in, and looked at Wu Xiaofu, "Doctor Wu, your pulse diagnosis skills are really well-deserved. , it turns out that the patient’s condition can be determined just by diagnosing the pulse.”
"Just study more and have more opportunities to diagnose the pulse. Study and practice. In fact, you will make rapid progress. You can do it too. If you are interested, I can teach you. In the beginning, there will definitely be some errors, but You can combine inspections and make judgments step by step.
We all have enough knowledge, and as long as we pay attention, we can actually learn quickly.”
Qu Tianqi heard Wu Xiaofu’s words. There was also some surprise, "Really? Are you really willing to teach me?"
Wu Xiaofu smiled and nodded, "Of course, I can still lie to you."
At this time, the second A patient had already come in. He was a middle-aged man with a haggard look, but he seemed to be in good health. He should be accompanied by his wife and children. After he came in, the man's face began to show hesitation.
Wu Xiaofu smiled and asked the patient to sit down.
“What’s wrong with you?”
“Doctor Wu, I always feel pain in my liver. It hurts so much that I can’t eat or sleep. I’m almost tortured. Crazy.”
Liver pain!
Wu Xiaofu nodded, no wonder he was so haggard. In fact, in medicine, there is another terminal disease that is not recognized, called insomnia. This is really a terrible disease. This disease may have Incentives, or lack thereof.
But once you suffer from it, it is likely to be a lifelong thing. Because of insomnia, a person's body will be quickly worn down, and the quality of life will become lower and lower. If you look closely, it is more terrible than the so-called three highs.
The man's eyes were surrounded by dark circles. It seemed that he had not been able to sleep well for a while.
"My liver hurts, please point to me."
Hearing this, the man quickly pointed to his right rib, which was indeed the location of his liver.
Wu Xiaofu asked the man to stretch out his hand and consult him, while asking, "How long has it been?"
how long!
The man quickly replied, "It's been two hundred and forty-seven days, and today is the two hundred and forty-eightth day."
Yeah!
Wu Xiaofu was stunned by this answer. Is this based on days? Do you have obsessive-compulsive disorder? Or, be careful.
The result of taking the pulse was also fed back at this time.
There seems to be no big problem with the liver. Not only is there no problem with the liver, but there also seems to be no problem with other organs. The pulse shows that the man is very healthy.
However, Wu Xiaofu did not rush to deny the man. Instead, he asked the man to lie on the medical bed and perform palpation on him.
“It’s been more than half a year, and you haven’t been checked yet?”
“I’ve been checked, but nothing was found. I checked first at the county hospital, and then went to the city hospital. , and finally the provincial hospital found no problem, so they said it was just observation, but did they find any problems? There is a problem, can I not know about it?
If there is no problem, how can it be so painful? I was planning to go to Donghai. Didn’t I hear that you came to Jinhu, so I came straight here? Yes, you are an expert and you will definitely be able to figure out my problem.”
No problem was found!
Wu Xiaofu is somewhat clear. With the current examination methods, even if he goes to the provincial hospital, if he still can't find out, then there may really be no problem. No, it may not be a liver problem.
"Does it hurt?"
"Ah, it hurts."
Wu Xiaofu's face darkened, he was pressing the appendix, "What about this time?"
"It hurts too."
This time it was the left abdomen. He shook his head and motioned the patient to get up and sit back up.
He was talking to the patient just now, and the patient's attention was distracted. Wu Xiaofu performed a physical examination on the patient's abdomen, and found no abnormalities. When he reminded the patient later, the patient complained of pain.
This is a stream of consciousness!
Wu Xiaofu realized that the patient’s liver pain was probably functional, not organic.
That is often referred to as psychological problems, resulting in physical pain.
"Did you bring it with you for the previous examination?"
As he asked, he also looked at the several bags in the hands of the patient's family members. The patient's family members hurriedly handed over the bags. After taking a look, there was indeed nothing wrong with it. Even the arrows in the blood image were very few.
"Dr. Wu, what kind of disease do I have?"
The patient's family members also stared closely at Wu Xiaofu. To be honest, at first they thought the man had liver problems. , but then I ran around, had so many tests, and saw so many doctors, but they all said there was nothing wrong.
Not only the liver, but also the whole body have been examined several times. I spent a lot of money, but no disease was found.
A doctor quietly told them later that they should find a reliable psychological clinic.
They understood immediately, but when they talked to the man, they were scolded. What do you mean, saying he is crazy?
The family members did not dare to mention it since then. It happened that the news of Wu Xiaofu coming to Jinhu came out. It was not far to begin with, so they came over again.
They were not prepared to tell Wu Xiaofu directly about these situations, so they asked Wu Xiaofu to take a look first and see Wu Xiaofu's level.
"Doctor Wu, don't you think I'm not sick?"
The man was quite anxious. Before Wu Xiaofu could answer, he asked again. He looked like he was losing control of his emotions. Wu Xiaofu pressed Pressed hands.
"Has your liver been hit before?"
Wu Xiaofu calmed the patient's emotions and asked again. Wu Xiaofu also understood the patient's mood swings very well. Two hundred and forty-eight days Oh, the patients are probably suffering from neurasthenia, and their anxiety is nothing more than a trivial matter.
Hearing Wu Xiaofu’s words, the patient’s eyes suddenly lit up.
"I just said that Dr. Wu is an authority in this field. I never told the doctors about this before, and they didn't even notice it. You just said it right away. Yes, I am making an online appointment." A passenger in the car vomited on me before. I asked him to give me money, but he refused and attacked me.
Can I bear this? He just fought back. During the fight, his liver was injured. The guy fucked me for a while, and my liver hurt, which was also the root cause of the disease at that time, but when I saw the doctor, the doctors didn't ask about it. During the examination, the doctor also said that my injury was not serious and I was fine. "
Wu Xiaofu nodded, that was right.
Other doctors don't ask, which is actually normal. This is the current medical treatment model. If you ask what's wrong, if it's the liver, palpate it. If it's okay, you'll just place an order. If it says there's nothing on the list, it's OK. It's okay.
Western medicine attaches great importance to examination data, which has formed a pattern, because machine data is really more objective than the main body of the doctor.
And people, most of the time, trust these objective data more, so they gradually form a habit.
As for the liver pain of the patient in front of me, it is actually very obvious. The initial pain is actually real. Because of the blow, there is abdominal pain. However, it should also be abdominal pain without liver. of organic damage.
The posterior abdomen has recovered, but in the patient's subjective consciousness, the pain has not stopped, which is the so-called "persistent phantom pain".
"I will prescribe some medicine for you. You can take it for a week and see the effect. If it still hurts, you will come over next Wednesday. But there is no need to register. Come a little later. At noon, wait for me to finish reading. Others will give you the next course of treatment.
However, judging from past cases, it can be solved by taking medicine.”
There is really a problem!
The patient burst into tears when he heard this. It has been almost a year, and he finally found out the problem. It is no longer what other doctors said: looking for a doctor when there is no illness.
This is the expert. Those who came before are clearly quacks.
Look at Dr. Wu and you can tell that he is sick. Other doctors are simply irresponsible.
"Thank you doctor, I will listen to you."
The patient's family members were also stunned. Is he really sick?
However, looking at the patient's surprised appearance, I also have some doubts about life. Is it really that good to be diagnosed with the disease?
But what kind of disease is this?
"Doctor, what kind of disease is that?"
This sentence was asked by the patient's family. Because the patient was finally diagnosed with the disease, he had happily forgotten about it. , upon hearing the family member’s inquiry, Wu Xiaofu slowly said, “It’s due to poor functional circulation of the liver. It should be cured with some conditioning.”
Functional poor circulation of the liver!
They were confused. They had never heard of this disease. However, they soon understood. Also, if it were not such a rare disease, how could no one else be able to detect it. In any case, this is a good thing. The condition has been diagnosed, and the doctor said it is not serious. Then he will just cooperate with the treatment later. The man will be relieved later, and the family will have hope. Finally, he no longer has to accompany the man. People travel all over the world to seek medical advice.
"Thank you, doctor, thank you, doctor."
Seeing the patient go out to get the medicine with the medicine list, Qu Tian Qicai called the number and said, " Doctor Wu, is this a mental problem?”
"Well, it's not really, it's just a psychological suggestion. Dr. Qu, psychological problems are always better to block than to block them. For more than half a year, all the doctors have told him that he is not sick, and even hinted that he may have a mental problem.
Between suffering from mental illness and liver disease, which one would you choose? ”
Hmm!
When Qu Tianqi heard this, he immediately understood something. To be honest, he would rather have problems with his liver than suffer from mental illness. He immediately understood the patient's psychology.
Looking at Wu Xiaofu, I admire him even more.
Suddenly he also thought that Wu Xiaofu seemed to be an expert in psychology. Wu Xiaofu wrote the psychology book "What Are You Thinking About When You Look Up at the Stars"? Wu Xiaofu also went to the fire brigade for psychological counseling every month.
What kind of treasure man is this?
Qu Tianqi looked at Wu Xiaofu with a bit of obsession, causing Wu Xiaofu to knock on the table quickly, "Hey, don't fall in love with me."
Ah!
Qu Tianqi quickly shook his head. He is male and likes women. However, Qu Tianqi has to admit that if he were a woman, he would definitely fall. This man is poisonous.
Wu Xiaofu's outpatient clinic went very quickly, because Wu Xiaofu did not rely on too many examinations. The outpatient clinics in large hospitals were slow and mainly relied on examinations, consultations, physical examinations, and order making. After the order came back, he looked at it again. It takes too much time to come back once.
Wu Xiaofu here simply skipped most of the examinations. If he was sure he was sick, he would go for examinations. If he wanted an operation, he would be hospitalized. If he didn’t want an operation, he would just prescribe medicine and go home. So, fifty No., when it was past ten o'clock, I had already read thirty of them.
Qu Tianqi looked silly. In fact, in Qu Tianqi's opinion, Wu Xiaofu played thirty numbers just right. Fifty numbers would probably last until two o'clock in the afternoon.
Now he realizes that he underestimated Wu Xiaofu. It turns out that Wu Xiaofu is not only fast in surgery, but also fast in outpatient services.
One by one, orders were issued. To be honest, many people who came to Wu Xiaofu's clinic came to Wu Xiaofu for surgery. Therefore, more than a dozen hospitalization orders were issued for these more than 30 patients.
However, Wu Xiaofu's outpatient clinic not only sees patients from hepatobiliary surgery, but also patients from nail and breast surgery and gastrointestinal surgery.
After all, everyone now knows that Wu Xiaofu is an expert in these three majors, and the hospital's introduction also says so.
The hospital also gave Wu Xiaofu full department authority, which means that from Wu Xiaofu's system, patients can be admitted to any department.
The patient in front of me is a young woman who came to see her for breast disease.
The patient was twenty-six years old. During the physical examination, a breast ultrasound was performed, but four breast nodules were reported, including a nodule in the upper outer quadrant of the right breast. 4a.
After taking the physical examination report, the patient went back and asked Du Niang for help.
For the grading of breast nodules, first and second grade are fine. Basic observation is enough. At grade three, you need to pay attention. Basically, you need to have an examination every two or three months. There is a possibility of developing malignancy. When grade four, you need to pay attention. Level, which is the so-called 4a4b4c on the report card, is suspicious of malignancy. Even 4a has a 30 to 40% chance of malignancy.
So once a grade 4 breast nodule is discovered, it basically needs to be surgically treated as soon as possible, and then a medical examination is performed.
The patient couldn't sit still at this sight, especially when the people next to her began to tell her about various breast cancer cases around her, including those in teenagers. This was even more embarrassing for the patient. I was so frightened that I hurriedly went to the provincial capital for surgery.
I just heard that Wu Xiaofu was an expert in this field, so I came to the county hospital.
At this time, in conjunction with Wu Xiaofu's examination, the patient was also very nervous, fearing that he would get some bad news from Wu Xiaofu.
Wu Xiaofu looked at the report sheet in his hand.
Jinhu County Bumrungrad Hospital, well, it should be a private hospital. This examination is somewhat harmful.
“There are nodules, there should be two in the left breast and three in the right breast.”
Five!
The physical examination report said it was missing! Did he miss it during the physical examination, or did he get another one in just a few days?
The patient became even more nervous after hearing this.
Wu Xiaofu also noticed the patient's nervousness and hurriedly continued, "But it shouldn't be at level four, and the work pressure is very high at ordinary times?"
The patient was stunned when he heard this. , and then his body slumped down, holding on to the table, unable to believe what he heard.
“Really less than level 4?”
"In my judgment, it's not possible. There should be some minor problems during the examination. If you are not worried, I will re-examine you later, and you can go for a color ultrasound."
call!
The patient finally breathed a sigh of relief. It’s not breast cancer, it’s not even grade four, and he doesn’t need surgery?
"Dr. Wu, I have just graduated three years ago. After graduation, I started to take various exams, such as teacher qualification certificate exams, editing exams, and various exams. I didn't pass the exam in the first year, and I started to feel anxious. , this is the third year, and it is really getting harder and more anxious every year.
In addition, I teach primary school, and I often get angry when facing those children. I’m even more anxious. Look at me, I’m only twenty-six years old, and my hair is starting to fall out a lot.”
Wu Xiaofu also expressed his understanding when he heard this. This situation is actually very common. According to the current Western medicine theory, nodules are basically caused by anger, especially thyroid nodules and breast nodules, which can best confirm this theory.
If you ask those who suffer from breast nodules and thyroid nodules, basically nine out of ten cases will be like this.
Well, as the saying goes, take a step back from thyroid nodules and tolerate breast nodules for a while. To be honest, this is not unreasonable.
Nowadays, people’s lives are under great pressure, and if they cannot be relieved in time, they will be easily agitated and prone to nodules.
“That’s the problem of breast hyperplasia.”
"Breast hyperplasia! Isn't it a breast nodule?"
"Breast hyperplasia and breast nodules cannot be completely separated. In fact, nodules are just a type of hyperplasia, and in most cases they are benign. The situation is relatively mild.
There are many causes of breast nodules, which are mainly related to endocrine disorders, genetic mutations, and environmental pollution. The main one is breast hyperplasia caused by endocrine disorders, which is the most likely to cause it. It is also related to the menstrual cycle and pregnancy. Closely related.
Breast nodules are actually breast cystic hyperplasia, a non-tumor disease that is very common in women of childbearing age. However, breast nodules may progress to breast cancer, so it must be Pay attention, I think your condition is not inflammatory, and you have not given birth. It is most likely caused by breast hyperplasia.
Do you often have breast swelling and pain? ”
The patient's eyes lit up when he heard this, "Yes, I have often felt swelling and pain in my chest before. At first, I thought it was pain in my heart caused by being inflated by students. As you know, this position is similar."
Wu Xiaofu nodded, "Breast nodules are easy to talk about. If you have doubts and want surgery, two of them are already in line with the size of the surgery and can be removed directly. Of course, the situation is actually not bad now and you can continue to observe it." .
But you have to know that the reason why you have breast nodules is most likely due to excessive stress and mental anxiety, which causes breast hyperplasia. My suggestion is that you adjust your life first. Otherwise, if things go on like this, even after the surgery this time, new nodules may appear soon.
Moreover, you may have irregular menstruation, and sometimes you can't stop it. If you push yourself too hard, exercise more, don’t stay up late, and eat regularly. If it doesn’t work, try another job.”
Here!
The patient looked at Wu Xiaofu and was amazed. She didn't even mention her irregular menstruation, but Wu Xiaofu actually noticed it. As long as she exercised more, didn't stay up late, ate regularly, and changed jobs, she was afraid she wouldn't be able to do any of this. ah.
I have done the exercise plan countless times, but every time I can’t stick to it. Losing weight depends entirely on diet. If she stays up late, she will suffer from insomnia at a young age. It has been a long time, and the more she sleeps, the more she sleeps. If I don't, I love playing with my mobile phone more and more. Now I go to bed later and later. Even if I don't want to stay up late, I can't fall asleep.
Eat regularly. Since losing weight, she has not eaten regularly, and losing weight has become a part of her life.
It has become a habit to starve myself for a meal or two from time to time.
As for changing jobs, what else can she do instead of being a teacher? She doesn’t know anything else, and she hasn’t passed the entrance examination yet.
Oh, is she hopeless?
"Doctor Wu, me."
As soon as the words came to her lips, the patient didn't know how to talk to Wu Xiaofu. She couldn't tell Wu Xiaofu. She couldn't do this. Is there any other way?
"Doctor Wu, please prescribe a color ultrasound for me first, and I will take a look. As for what you said, I will try my best."
Wu Xiaofu has no objection, he actually understands it very well. What he said, let alone others, he couldn't do. I'm afraid that most people in today's society can't do it. That is, some primary school students should be able to do it if they are supervised by their parents.
But there is no way. If you want to be healthy, you have to be more self-disciplined.
He signaled Qu Tianqi to open an order and move on to the next patient. Unlike this patient, the next one would be real breast cancer.
"Dr. Wu, I can't live without them."
This patient is only two or three years older than the previous patient, and is not yet married, but at this age, he was diagnosed If you have breast cancer or it is advanced breast cancer, the doctor’s recommendation is radical mastectomy, but you need to remove both breasts.
This makes it difficult for this patient to accept. She is a girl, not married yet, and how can she live without breasts?
Therefore, this patient was sent to various major hospitals in Sujiang Province. However, if it was in the early stage, breast-conserving surgery would be okay, but now that it is in the advanced stage, the risks of breast-conserving surgery are too great, and no one dares to give her a guarantee. You can’t leave too much risk of recurrence just to conserve breasts.
Wu Xiaofu was already the tenth breast specialist she had seen.
Almost everyone did not recommend her breast-conserving surgery because the risks were too great and they were not sure. In the eyes of the doctors, it was a pity that such a young girl lost both breasts before she got married. , but there is only one life, and life should come first no matter what.
Wu Xiaofu didn’t need to ask. After sitting down, the patient poured out the situation like beans to Wu Xiaofu.
Wu Xiaofu looked at her past examinations and listened to the patient's story.
Perhaps she was holding too many things in her heart, so she couldn't stop talking at one go.
"It can be saved."
"What?"
The patient's voice stopped suddenly, and once again she said one word, and her voice began to tremble. This is her These are the two most beautiful words I have heard in this period.
“I said it can be guaranteed.”
(End of this chapter)