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Sunshine News (Wang Bei, reporter Zheng Yalei) In the respiratory world of Shaanxi, there is a name that cannot be avoided, that is Wu Changgui.
He is a member of the Standing Committee of the Respiratory Physicians Branch of the Chinese Medical Association, a member of the Respiratory Medicine Branch of the Chinese Medical Association, a member of the National Asthma Group, a member of the Respiratory Professional Committee of the Chinese Physiological Society, head of the Shaanxi Provincial Asthma Alliance, deputy chairman of the Respiratory and Tuberculosis Branch of the Shaanxi Medical Association, deputy chairman of the Internal Medicine Branch of the Central Military Commission, expert of the Shaanxi Provincial Party Committee, provincial government health committee, international science and technology award, Chinese medical science and technology award and evaluation expert...
Wu Changgui is good at the diagnosis and treatment of difficult respiratory diseases and critical diseases.
htmlFor more than 0 years, countless patients suffering from difficult respiratory diseases have come to Wu Changgui from all over the country to seek the last glimmer of hope. , and Wu Changgui can always grasp the key to the disease in a very short time, thus becoming a breakthrough in diagnosis.
In 2019, Wu Changgui successfully completed his job as chief physician of the Department of Respiratory Medicine of Xijing Hospital. He took off his military uniform for 30 years and came to Xi'an International Medical Center Hospital, where he served as the director of the Chest Hospital.
At Xi'an International Medical Center Hospital, he arranged a lot of work for himself, including four and a half days of expert clinics and three and a half days of ward rounds, and he must be aware of the condition of almost all patients. In addition to participating in academic activities, he often organizes free medical consultations and education. He is busier than before...
grasps every diagnostic detail
Wu Changgui said that in order to formulate an accurate treatment plan, comprehensive, accurate and dynamic information is needed during the treatment process.
details are particularly important. When a disease encounters a bottleneck and cannot be cracked for the time being, details may become a breakthrough.
Han Xinpeng is the director of the second ward of the Department of Respiratory Medicine of Xi'an International Medical Center Hospital and a student of Wu Changgui. He has studied with Teacher Wu for 12 years.
He told reporters an impressive case.
A patient repeatedly coughed, coughed sputum, and had fever. He was diagnosed with pneumonia at the local hospital at first. He was hospitalized for injections and repeated treatments but did not improve. In desperation, he was transferred to a famous Grade A hospital in the province. A CT scan showed that there was a shadow in the lower lobe of the right lung, and lung abscess was highly suspected.
So the shadow of the lower lobe of the right lung was removed through surgery. In less than a month, the CT showed that the lesion of the original small lobe of the lung was enlarged and the right lung relapsed.
At this time, half a year has passed since the first discovery of the symptoms, and the patient and his family are under great pressure.
At the recommendation of the patient, the patient went to Xijing Hospital to find Wu Changgui, the then director of the Department of Respiratory Medicine.
In the outpatient clinic, Wu Changgui spent nearly half an hour asking about his medical history in detail and looking through various diagnostic reports and treatment plans.
During the inquiry process, Wu Changgui suddenly found that the patient had a heavy nasal voice, so he asked him where he was. When he was told that he was from northern Shaanxi, Wu Changgui did not instinctively think that people in northern Shaanxi were originally heavy nasal voice and took it lightly. Instead, he continued to ask whether the nose was uncomfortable, whether the nose was bleeding, how long, etc.
After mastering the patient's comprehensive information, Wu Changgui initially considered necrotic vasculitis granuloma, and it was recommended to undergo nasal endoscopy and biopsy. The results of nasal endoscopy showed that the bilateral nasal mucosa was swelling and ulcerated, and there were a large number of necrotic pseudo-membrane and pus scabs.
biopsy pathology suggests that epithelioid monocytes are nodularly distributed, and multinucleated giant cells can be seen, with a little local necrosis and vasculitis changes.
combined with serological examination C-ANCA is positive, and is considered as necrotizing granulomatous vasculitis.
After finding the cause, Wu Changgui only prescribed glucocorticoid treatment. After 8 months of drug treatment, the lung lesions disappeared and were clinically cured.
Han Xinpeng said that Teacher Wu is used to paying attention to details and is meticulous to every patient.
For example, he will ask whether living habits are growing flowers or pets, which are related to allergies.
If you find that the patient is a chef, you will ask what work you do in the kitchen, is it responsible for cutting vegetables or cooking? Frying dishes with more oil smoke is more likely to cause COPD; if you ask about the treatment history, he will definitely ask the initial plan and dosage to the current treatment plan. For patients who are fever-to-examined, he often draws a fever curve to carefully analyze the heat type.
Zhou Runfa said this in "Wu Shuang":
"In this world, there is only one protagonist among a million people, and this protagonist must be the one who does things to the extreme."
spares no effort to treat every patient and never give up looking for every detail. Such quality is really daunting.
also corresponds to the saying, craftsmanship means that in the repetitive years, we are worthy of every inch of time.
For more than 30 years of medical practice, Wu Changgui has treated countless difficult cases. He is known as a "miracle doctor" by patients and is called "a manual for the treatment of living difficult and complicated diseases" by students. Many difficult cases that cannot be solved by peers will invite Wu Changgui to consult, and his level has been recognized by his peers.
The memory is incredibly good
Wu Changgui's memory often amazes the people around him.
He blurted out without thinking about all kinds of numbers.
When discussing cases with students, he can easily point out which chapter and page of a certain data is on the big chapter of "Practical Internal Medicine", and whether it is the upper left or the lower right.
He is familiar with every patient, whether it is the case discussed last week, last month or even a few years ago. When needed, he has revealed the basic situation, laboratory indicators, clinical and imaging characteristics of the patient as if he were needed.
Han Xinpeng told reporters During a case study, Teacher Wu casually quoted detailed images of a little boy with lymphoproliferative lesions and explained the size and location of the lesions, which shocked everyone on the spot.
Why has such extraordinary abilities?
During the interview, the reporter learned that the little boy was named Zhang Jia (pseudonym).
This year, he is 20 years old and is a young and old patient. He has been following Wu Changgui for 8 years from Xijing to International Medicine.
Zhang Jia’s medical history before meeting Wu Changgui was a bloody and tears.
He became ill at the age of 8. He coughed up blood, had high fever, constant cardiac effusion, continuous pleural effusion, and platelets once fell to 25,000/microliter...
His father took him to Xi'an, Beijing, Shanghai and other places, and visited famous doctors all over. After spending all his savings, the effect was minimal and even aggravated.
He had puncture surgery and chest open surgery at a young age, and passed countless times of hell. Experts from Beijing suggested that his father give up treatment...
is such a young patient who was tortured by illness and sentenced to death several times. Wu Chang accepted it.
According to Zhang Jia's father's recollection, it took two hours to meet Professor Wu for the first time. Because of the complex condition and twists and turns, the data is four centimeters thick.
Professor Wu was looking through the information and asking about his condition in detail. Even two or three days after he returned home, Professor Wu took the initiative to call to add details.
After four or five interviews and diagnosis, Wu Changgui carefully gave a diagnosis of benign proliferative lesions in the lymphatic system.
This is a solution to overturn the beginning and the treatment idea is completely reversed.
Facts have proved that Wu Changgui's judgment was accurate. After a period of treatment, Zhang Jia recovered his health at a speed visible to the naked eye. His cough gradually decreased, his platelets rose, his cough stopped after half a year, and he went to school like a normal child...
8 has passed, and Zhang Jia's condition is stable. He will follow his father to see Professor Wu for a follow-up visit every two or three months. First, report his safety and also see if the treatment plan is adjusted.
In February this year, Wu Changgui accompanied the International Medical Medical Team to Hubei and served as the head of the expert group of the International Medical Medical Team to Hubei. During this period, Zhang Jia's follow-up visit was not interrupted. Wu Changgui took the initiative to provide treatment guidance by phone. Zhang Jia's father was very excited when he learned about this situation later. He repeatedly said that he was an ordinary person. He did not expect that such a famous professor would still care about his children so much during his aid to Hubei. His admiration and touching feelings were beyond words.
Regarding the whole story, Han Xinpeng said that Teacher Wu is a person who loves learning and has a high influence and voice in the industry to his level.
Overall people think that they can slow down, but Teacher Wu does not. His enthusiasm for learning has not diminished at all. He will read books and search documents as long as he has time.
Teacher Wu was even more diligent in his student days. Teacher Wu could not read the brick-like "Practical Internal Medicine" 4 times!
From Wu Changgui, we can see that there is no talent. It is just that because of love and responsibility, we have made extraordinary efforts and invested the energy that others have not invested, so we have reached such a height.
Bill Gates once said: In the things you are interested in, there are secrets of your life.
Yes, when you are full of love and passion for a certain field, you will never forget it and forget to eat and sleep.
At this time, it is no longer an external oppression and invasion, but an internal support and enjoyment.
Source: Xinhua No. Sunshine Network
