Chapter 352 The spleen takes up space?

Chapter 352 The spleen takes up space?

Wu Xiaofu did not stay in the hospital longer. After giving Peng Xia a few words, he left directly. A great weekend could not be spent in the hospital.

They don’t have to worry about the assessment, as long as they have the eight assessment teachers.

Tired!

At the end of the day, Xun Qi and the others felt tired, really tired.

It turns out that this is what it feels like to sit in an outpatient clinic by yourself. Although they had gone out to outpatient clinics with their teachers before, what they did was actually writing medical records, issuing examination orders, and prescribing medication orders.

It seems that they have done all the big work. The teacher is just looking at the patients. It should be that they have to work harder.

But that was just what they thought before. Now they know that it is the teachers who sit in the clinic who have the hardest time.

Because the most difficult thing about seeing a doctor is not writing medical records, issuing examination orders, or prescribing medication orders, but communication.

Yes, it’s communication.

It's too difficult, maybe because it's their first time visiting a doctor. They feel it's too difficult to communicate with some patients. They just can't understand something that is obviously very simple, but they have to say it several times.

I have to fight with you about something that is obviously easy to understand.

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

Obviously...

This is not to say that like Wu Xiaofu and others, they are dealing with serious illnesses, but just small things that can be dealt with in convenience clinics without going to specialist clinics. I am so tired. If so, they wouldn't even dare to think about it.

No wonder they see that all the teachers are bald before they get old. It’s not difficult to understand at all. It makes you scratch your head in discomfort.

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

Satisfied? Stop making trouble, how can you be satisfied? I don’t know what the assessment teachers think, 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 many thoughts. This was destined to be a sleepless night.

Then I didn't know what time I fell asleep. I woke up in a daze and saw that it was only about six o'clock.

Hey, that’s not right, what about Sunday’s assessment? Not giving it to you?

Last season’s assessment was on Saturday and Sunday. This season should be the same. Yesterday’s one-day assessment was over, but what about today’s?

Thinking of this, no one felt sleepy.

Yesterday, some people went early and some left late, resulting in different assessment results. Pan Ying and the others also had a bad mentality. Today they think they should unify.

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

"Yes."

......

Pan Ying also did not expect that everyone would be the first Time replied, and it turned out that he was not the only one who woke up early.

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

Pan Ying asked tentatively, and everyone responded instantly.

“Yes.”

……

“Take away those stinky socks in your dormitory, we’ll go there right away.”

Jiang Bei @ again After looking at Cheng Shi, he directly decided that the meeting place would be Cheng Shi's apartment.

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

Cheng Shi ordered takeout early.

“I don’t know what you like to eat, so let’s just have a bite.”

“You can’t tell, Cheng Shi, you are still a warm man.”

Everyone’s eyes lit up and they started building it directly.

Time passed slowly, and they were eating breakfast and thinking about things. After all, someone couldn't help but speak.

“What do you think we will take the test today?”

“I don’t know, boss, they don’t play according to the routine at all. This is completely different from last season.”

"Yeah, I originally thought I was pretty good, but it turned out to be a thunderbolt. I went at the latest yesterday, and I probably failed the first assessment.

Then the case analysis got zero points again, and there will be more outpatient clinics later. It’s like my head is mushy and I’m not satisfied with myself. I guess I’m the last one among the eight of us. I feel desperate just thinking about it.”

Pan Ying said with a face full of despair. It could be seen that he was indeed desperate. Pan Ying didn't wear much makeup today.

"Me too, I just feel that it is so difficult to do clinic visits. It is really easy to know it once you see it, but you will lose it as soon as you learn it.

I saw teachers doing clinic visits before, and I thought it was just like that. If I guess I can handle it, but the result is good. I can’t handle these minor problems, let alone those troublesome conditions?”

……

When it comes to outpatient service, For a moment, everyone resonated and started discussing, all talking about the difficult cases yesterday.

The more people said this, the more comfortable they became, because they discovered that it was not just themselves who performed poorly, but others too.

Then if everyone fails in the exam together, it will actually not be so uncomfortable.

As for yesterday's zero-score case analysis, everyone tacitly agreed not to mention it again. It's tiring to talk about it too much. Ever since they were young, they didn't even get a zero score, they even failed, no, they even got full marks. Less than 90% have failed the exam.

They were still thinking about the case analysis last night. No surprise, they will never be wrong when encountering similar cases in the future.

“Have you noticed that this assessment is really different? It’s so different that I don’t even have the desire to guess what will be tested today. Whose idea was this?”

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

"What you see us doing is not our idea."

This joke.

Everyone was speechless listening to Jiang Bei's words, "It's definitely not your fault, but our teacher doesn't seem to have many ideas, so that's the only one left."

In fact, everyone also has a consensus. Well, it was Wu Xiaofu who was doing all the work for them. After all, they saw it yesterday, and it was Wu Xiaofu who was guiding the whole process.

"It's true. It's true that the boss doesn't give 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 became much lighter. .

My eyes fell on the mobile phone, one minute, two minutes...ten minutes.

"Why hasn't there been any information today?"

"Maybe it will be later today. Just wait."

Then it was nine o'clock, and everyone finally couldn't help it anymore, spending the time Like a year.

Looking at Jiang Bei and Cheng Shi, "How about you ask Director Wu?"

Jiang Bei hesitated for a moment and did not call. After the consultation yesterday, she and the assessment teacher After some communication, she realized what a mistake she made by asking Wu Xiaofu for a bed yesterday. If she had met other doctors, she might have been taught a lesson long ago.

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

“I’ll do it.”

Cheng Shi said and called Wu Xiaofu directly.

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

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

"Boss, we would like to ask how today's assessment will be arranged?"

Everyone looked at Cheng Shi with bated breath, but Cheng Shi's mobile phone receiver was so good that they couldn't hear anything. .

"Assessment? Didn't you pass the test yesterday?"

"Ah!"

Cheng Shi broke through the defense directly, "Boss, what do you mean, today?"< br>

"I have a day off today. It's Sunday. I thought you were all sleeping in. Have a good rest and go out for a walk. Then wait for my news in the evening and treat you to dinner. I have something else to do, so I'll hang up."

The phone was hung up, and Cheng Shi couldn't recover for a long time. "How's it going? What did Director Wu say?"

Everyone looked at Cheng Shi and couldn't help but ask. Cheng Shi slowly looked at the crowd and hesitated for a moment. "The boss said there will be no assessment today."

"No assessment? Is that tomorrow?"

Everyone was puzzled for a while.

"What the boss means is that yesterday was the first stage of our assessment, and today is a rest day."

Ah!

Everyone felt empty in their hearts. In other words, they could have slept in today, but they screwed it up?

They thought too much, and felt desperate. Why didn't they ask Wu Xiaofu yesterday? It was a great day off, and God knows how tired they were this week.

"I'm going back to catch up on my sleep."

"I'm going too."

......

"Wait."

Everyone got up and left. , but Cheng Shi shouted quickly.

Everyone hurriedly looked over.

“Don’t tell me you were joking with us just now.”

“No, the boss said he would treat us to dinner tonight.”

Eat!

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

At this time, Wu Xiaofu didn't know what Cheng Shi and the others were thinking. Weekend rest was relative. Wu Xiaofu was indeed famous now, with many fans on blogs, short video platforms, etc.

Private messages are open and patients often ask questions.

There is also mobile phone information, and there are also patients calling for follow-up consultations.

Wu Xiaofu usually concentrates on Sundays.

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

This is one of the reasons why Wu Xiaofu Clinic can see many difficult and rare diseases.

Just like this, occupying space in the left upper abdomen.

This is a middle-aged male patient. He told Wu Xiaofu about his situation. He also found something wrong with the abdominal color Doppler ultrasound during physical examination. Then he reexamined the CT scan and found that there was a mass in the left upper abdomen.

Occupying a space, who doesn’t know now, occupying a space means a tumor.

What does it mean to occupy a place? It means that something occupies the position of an organ.

It's just that clinically, there is really little space in the left upper quadrant, and Wu Xiaofu doesn't see much.

It doesn’t look like there is a liver or bile duct in the right upper quadrant.

There is the gastroduodenum and the pancreas in the mid-abdomen.

There is also an appendix in the left lower abdomen.

The right upper quadrant only has the spleen, no, the entire right abdomen only has the spleen, and the location of the urinary system is a bit off.

Therefore, when occupying space in the right upper abdomen, the basic position is the spleen.

Spleen occupying space, spleen tumor.

Don’t say that ordinary people have never heard of it, and doctors have never seen it.

Especially in situ tumors, which are extremely rare. Metastasis from tumors in other locations is still possible.

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

Therefore, Wu Xiaofu was very interested when encountering such a case. After carefully looking at the patient's CT scan, he was relieved that it was not a transfer, because the patient had other examinations of other parts, and no mass was found during gastrointestinal endoscopy. All done.

Tumor in situ, but the situation is different from some malignant tumors.

I then sent the patient the information.

"Circular shape, clear boundary, considered benign.

Enhanced early uneven enhancement, delayed more uniform enhancement, overall progressive enhancement, common hemangioma, hamartoma, Angiosarcoma; sclerosing angiomatoid nodular transformation, sinus bank cell tumor.

The larger lesions of hemangioma showed borderline nodular enhancement in the arterial phase, which was inconsistent; angiosarcoma is seen in middle-aged and elderly people, is larger, is prone to necrosis and cystic degeneration, enhances progressively, is extremely invasive, and is prone to adjacent invasion and distant metastasis. Doesn’t match.

Sclerosing angiomatous nodular transformation, more common in women, is characterized by spoke-like enhancement without enhancement of the central star-shaped fibrous scar.

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

The enhancement characteristics of hamartoma are consistent with early uneven enhancement and delayed uniform enhancement.

Initial diagnosis: splenic hamartoma. ”

Why Wu Xiaofu is so popular and why people feel so safe is because Wu Xiaofu does not reply in one sentence.

Such a detailed and professional reply and a specific diagnosis were given. Although the patient himself could not understand it, he felt reassured just by looking at this long string of words. This means that Wu Xiaofu is serious, responsible and professional.

He can also show these contents to the local doctor. With this evidence, he can basically make a decision.

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

The patient, who should have been extremely worried, immediately let go when he saw the word benign.

"Director Wu, how should I treat this?"

In fact, the same principle is true on the mobile phone as in the outpatient clinic. If you say well, the patient will agree. Now Wu Xiaofu has made the patient agree with Wu Xiaofu's treatment of himself with just one sentence. diagnosis, and began to further inquire about the treatment situation.

Hospitals always say one thing: keep patients.

When the patient asked about the treatment, he was basically sure to stay. If Wu Xiaofu asked the patient to come to the First Affiliated Hospital for treatment, he might be able to come tomorrow.

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

Because they are generally benign lesions, if the tumor is small in size, no special treatment is required and regular review is enough.

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

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

For this situation, my suggestion is surgical treatment.

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

For example, non-steroidal anti-inflammatory drugs and glucocorticoids are symptomatic and suppressive drugs and cannot be eradicated.

You have to consider the details yourself. ”

Give plans, suggest plans, and settle for the next best thing. The main thing is to be comprehensive. When patients see this, they can understand it without asking repeatedly.

In a simple sentence, Surgery, treating the root cause, and taking medicine are all very risky.

Wu Xiaofu then sent the patient a guide on medical medication for hamartoma.

Nonsteroidal anti-inflammatory drugs inhibit prostaglandin synthesis, thereby reducing the inflammatory response and relieving pain.

For example, ibuprofen sustained-release capsules, acetaminophen tablets, etc. These drugs are used for mild to moderate discomfort caused by splenic hamartomas.

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

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

There are also reminders for daily life in conjunction with physical examinations. It is recommended that patients follow medical advice for regular physical examinations, monitor changes in condition, and pay attention to maintaining good living habits, such as a balanced diet and moderate exercise, to support overall health.

Looking at this, the patient was a little distracted, but finally his eyes fell on Wu Xiaofufa's words: Suggesting surgery.

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

Look, why does Wu Xiaofu have a high performance bonus? Is it because he is lucky? Stop making trouble because you have worked hard enough.

Why does Wu Xiaofu have such a high reputation among patients? Is it because of good luck? Stop making trouble because you are sincere and responsible enough.

This patient’s IP is in Yunnan, and now he wants to come to Donghai to see Wu Xiaofu for surgery, which shows how much he trusts Wu Xiaofu.

"Of course..."

(End of this chapter)