medical treatment

At half past eight in the morning, Yu Zhiming, who was wearing a white coat, was surrounded by Dr. Qin Qiushi, Zhou Luo, Shen Qi, Sui Chi, Duan Yi and others, and Gong Yue, who was also wearing a white coat, walked out of the big office with high spirits. .

Feng Sisi, who came to the corridor first, used her mobile phone to take pictures of Yu Zhiming and others who appeared, while secretly admiring them.

This man in uniform is so handsome.

"Doctor Yu, Doctor Yu..."

Suddenly, he heard a female voice shouting. Feng Sisi looked at the voice and saw a fashionable young woman with good looks.

However, Yu Zhiming did not stop because of the shout, and he did not even slow down. He strode into the soundproof examination room a few meters away without hearing it.

Zhou Mo met the fashionable woman who spoke out...

In the soundproof office, Yu Zhiming made some preparations and welcomed the first registered patient.

This is a little girl who is a little over two years old. Her mother said that the child often suffers from abdominal pain, which has lasted for two or three months, and has been treated to no avail.

Yu Zhiming couldn't help but smile.

There is a clinical saying that "internal medicine is afraid of fever, and surgery is afraid of abdominal pain." This is mainly because fever and abdominal pain, the two most common clinical symptoms, have too many possible causes.

Now it is added that the patient is a child who cannot express his feelings well, which undoubtedly increases the difficulty of diagnosis.

Yu Zhiming looked at Gong Yue and said, "Doctor Gong, let's start with this little patient."

Yu Zhiming looked at the little girl's mother again and explained: "This is Dr. Gong Yue, from Guangshen Qixin Hospital. He is a very excellent diagnostician."

"He came to me to exchange medical skills."

"Dr. Gong will give your daughter a detailed diagnosis first, but I will make the final diagnosis myself. Please rest assured."

Yu Zhiming added: "If you agree, your registration fee this time will be refunded in full."

Gong Yue took over and said, "I'll pay for the registration fee."

The little girl's mother made a soft sound and said with a smile: "As long as we find out the real cause of my daughter's stomachache so that she can eat well and stop crying, we can cooperate in any way."

"Thank you for your cooperation!"

Yu Zhiming thanked him and said to Gong Yue: "Doctor Gong, in order not to affect my work progress, please take this little patient to the general examination room diagonally opposite..."

At this time, Zhou Luo took the initiative to stand up and said, "Dr. Yu, let me assist Dr. Gong, in case Dr. Gong needs anything and it will be inconvenient to find someone."

Duan Yi rolled her eyes and said, "Doctor Yu, I'm going to help too, so that Zhou Luo won't be too busy alone."

Yu Zhiming nodded casually.

After Zhou Luo and Duan Yi led Gong Yue, the young patient and her mother out of the soundproof office, Yu Zhiming called in the second registered patient and threw himself into work...

In the soundproof office, Zhou Mo couldn't help but grin after hearing the fashionable woman's request.

"Choose your best friend as the best source of liver transplant?"

The fashionable woman nodded. Seeing that they were the only ones in the office, she took out a bulging brown paper bag from her bag and put it on the desk without making any secrets.

"Assistant Zhou, there are 50,000 in this. After the matter is completed, there will be another 50,000, all of which belong to Dr. Yu."

"Dr. Yu can earn 100,000 with just one sentence."

The fashionable woman added: "There will be an extra ten thousand, which is for you, Assistant Zhou."

Zhou Mo rolled his eyelids like Yu Zhiming, stood up, and said coldly: "Take your money and leave quickly. Doctor Yu will never accept this kind of unconscionable money."

The fashionable woman said anxiously: "Hey, Assistant Zhou, if you think the money is too little, we can discuss it again."

"Can you tell me the number?"

Seeing Zhou Mo's eyebrows raised, showing signs of anger, the fashionable woman twisted her waist and said seductively: "Besides money, you can also ask for people."

Zhou Mo was so angry that in front of the fashionable woman, he raised his hands and clenched his fists hard, making a snapping sound from his joints.

"Before I can't help but take action, you'd better run away. I have no habit of not hitting women..."

After ten o'clock in the morning, after treating thirteen patients in succession, Yu Zhiming was preparing to diagnose the thirteenth patient. Gong Yue, Zhou Luo and Duan Yi came back with the little patient and her mother.

Yu Zhiming noticed that the little patient had his mouth pursed and tears in his eyes.

The child's mother said with dissatisfaction: "I kept pressing and pressing the child's belly, and the child had a stomachache in the first place."

Yu Zhiming immediately apologized and said: "I'm sorry for causing the child to suffer. I will check the child right away."

As he spoke, he did not ask Gong Yue or Zhou Luo, but directly let the child lie on the examination bed and started the examination.

Yu Zhiming began to examine the patient's abdomen directly. After tapping and pressing for a minute or two, he turned to look at Gong Yue aside, showing a sympathetic expression.

"Doctor Yu, is my daughter's condition serious?" the child's mother asked with a worried look!

Yu Zhiming replied: "It's not serious. The reason why your child has abdominal pain is because a foreign object like a small fish bone or wooden thorn is inserted into the inner wall of her duodenum."

Yu Zhiming noticed that when he said this, Gong Yue clenched his right fist, and there was the sound of paper being rubbed.

"Foreign objects such as fish bones and wood spines?"

The child’s mother repeated it and then questioned: “I have done abdominal B-ultrasound and CT, why was it not detected?” Duan Yi explained for Yu Zhiming: “Some small and small foreign bodies, B-ultrasound and CT are very It’s hard to find out.”

The child's mother asked with concern: "Dr. Yu, how should I treat my daughter's condition?"

Yu Zhiming replied: "The child is so young, and the foreign body is located in the ascending part of the duodenum."

"Both gastroscopy and colonoscopy are difficult to reach..."

The duodenum is connected to the pylorus above and the jejunum below. It is part of the small intestine and is divided into four segments: bulb, descending, horizontal and ascending.

For adults, the gastroscope enters through the mouth, throat, and esophagus, and can often explore the bulb and descending part of the duodenum.

Sometimes a longer gastroscope can reach the horizontal part, but it is more difficult to detect the ascending part.

However, the colonoscope can reach the end of the ileum through the rectum and colon, and cannot explore the duodenum.

Yu Zhiming pondered and said: "The specific treatment depends on the opinion of the pediatric surgeon. I personally think that laparoscopic minimally invasive surgery may be necessary."

Next, Yu Zhiming drew a schematic diagram of the specific location of the foreign body with several strokes of Liu Liao, and issued a referral form to the pediatric surgery department.

After sending the little patient and her mother out of the examination room, Yu Zhiming looked at Gong Yue and asked, "Do you want to continue?"

Gong Yue's face was tense, and words popped out from between his teeth.

"This little patient's condition is quite rare and special. My diagnosis was wrong. It's not because I'm incompetent, but because I'm unlucky."

Yu Zhiming suppressed a smile and pointed to the thirteenth patient who was still in the examination room waiting for the results.

This is a forty-one-year-old man.

Yu Zhiming said: "His main symptoms are low fever and cough. I have just completed the examination and diagnosis."

As he spoke, he wrote a few words on the note, folded it in half, and handed it to Zhou Luo who was standing aside...

At nearly 11:20, Duan Yi rushed into the soundproof examination room and said excitedly: "Boss, that guy ran away!"

While conducting a physical examination on the patient, Yu Zhiming glanced sideways at Duan Yi and criticized: "As a doctor, when big things happen, you must be steady and calm."

Duan Yi put on a low-brow expression and said, "Dr. Yu, I was wrong. I will pay attention to it in the future."

Yu Zhiming nodded with satisfaction and asked, "Tell me more specifically, what happened?"

Duan Yi started to beam again and said, "That guy first carefully looked at the physical examination, laboratory data, imaging data, etc. brought by the patient."

"Then he questioned and examined the patient for a long time, and finally said that there was a high probability that the patient had inhaled a small foreign body in the lungs that was not easily detected by bronchoscopy."

"He can do another bronchoscopy on the patient."

After a pause, Duan Yi said cheerfully: "When Zhou Luo unfolds the note you wrote and gives it to him to read..."

Duan Yi looked gloating and said: "That guy's face, tsk tsk, turned red first and then white."

"In the end, he left the examination room directly and disappeared through the stairs without saying a word."

The guy sneered again: "You are so ignorant and fearless to dare to challenge you, boss, even though you have a little bit of ability."

"It was so conspicuous at first, but now it's so embarrassing."

"Okay, stop teasing."

Yu Zhiming stopped Duan Yi and said, "Judging from his performance yesterday, he still has some strength and is much better than you."

"It's just that his luck is really not very good."

Speaking of this, Yu Zhiming couldn't help but laugh.

The second patient Gong Yue diagnosed was a melanoma of the esophageal mucosa. Because the melanoma was relatively close to the throat, it triggered an irritation reaction in the pharynx, causing continuous coughing.

Esophageal mucosal melanoma is quite rare.

This cough can easily mislead doctors into thinking of lung and bronchial diseases.

First, there was a foreign body inserted into the duodenum of a young patient, and then there was a very rare melanoma of the esophageal mucosa. In these two cases, even a person with excellent experience and ability, such as Teacher Qi Yue, would probably have to go through repeated trials and errors, which would take several days. It will take time, maybe more, to finally get a diagnosis.

It can only be said that Gong Yue was very unlucky.

However, having said that, most of the patients who come to Yu Zhiming for medical treatment now come because they have sought treatment elsewhere but failed.

Any one of these patients is enough for a director-level doctor to spend two or three days studying carefully.

That is, Yu Zhiming is extremely talented and can find out the problem in just a few minutes.

Gong Yue's encounter today was both bad luck and inevitable.

Not only did he overestimate his own ability, but more seriously, he underestimated Yu Zhiming's ability.

Yu Zhiming suppressed his laughter and ended the examination of the current patient, saying: "I suspect that you have lipid deposition myopathy and you need to go to the endocrinology department for a confirmatory examination..."

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