medical treatment

After finishing the call with Qing Ning, Yu Zhiming also came to the door of the first canteen of the hospital.

Ding Ye jumped out from nowhere, and stuffed a piece of medical information into Yu Zhiming's arms.

"Doctor Yu, please help to read this medical information, and then express your judgment based on your intuition."

"I've invited you for today's lunch."

After saying this, Ding Ye dragged Zhou Mo into the cafeteria without waiting for Yu Zhiming's reaction.

Yu Zhiming was a little speechless, and while entering the cafeteria, he quickly flipped through the medical information in his hand.

Patient, female, 24 years old.

University education, unmarried, living with a surname, regular menstruation, moderate amount, no dysmenorrhea.

Usually no abdominal pain and distension, no nausea and vomiting, no fever and chills, no frequent urination and urgency and other uncomfortable symptoms.

During the physical examination, B-ultrasound examination found that there was a mixed echo echo mass in the right ovary 32*27*38MM...

After looking at the patient's history of present illness at a glance, Yu Zhiming has already arrived at the somewhat messy cafeteria.

He found a relatively secluded empty dining table and sat down, and quickly looked through the patient's gynecological examination records and various laboratory analysis data.

Finally, facing the light outside the window, Yu Zhiming carefully reviewed the image data of as many as eight groups of patients in various states.

After reading all the patient's condition information, Yu Zhiming leaned back on the chair and closed his eyes.

The chaos of the outside world was completely excluded by Yu Zhiming, and he devoted himself wholeheartedly to the analysis of the disease...

In his mind, all the written materials and video materials he had read had been converted into a three-dimensional perspective view of the physiological anatomy of the right ovary of a woman's abdominal cavity.

Not only that, under the powerful "brain supplement" effect of Yu Zhiming, the physiological structure diagram is not only vivid in every detail, but also alive, with blood flowing in and out.

Yu Zhiming carefully "examined" the ovarian tumor the size of half an egg that appeared in his mind.

Not only that, but from time to time, ovarian tumors that he had dealt with before and those that had been studied in books appeared in his mind for comparison.

At the same time, Yu Zhiming couldn't help but raise his hands to clap them.

It was as if the patient was lying in front of him...

Time passed minute by minute, Yu Zhiming finally opened his eyes, and unexpectedly saw Ding Ye and Zhou Mo sitting opposite the dining table, staring at him with wide eyes.

"What conclusion?"

Looking at each other, Ding Ye asked anxiously: "Doctor Yu, don't think about anything, just rely on your intuition and directly say the first answer in your mind!"

"Sclerosing stromal tumor of the ovary!" Yu Zhiming replied.

Ding Ye was slightly taken aback, then asked again: "Why?"

Yu Zhi took a look at her and said, "Since the answer is based on intuition, there is no reason!"

"It's really just intuition?" Ding Ye looked disbelieving.

"It's intuition!" Yu Zhiming replied extremely firmly.

Actually, he lied.

Yu Zhiming didn't rely on intuition.

This is an answer he came up with after repeated analysis in his mind and comparisons with the previous relevant case data in his memory.

However, the patient is not in front of him. This is Yu Zhiming's conclusion based on the patient's condition data.

This form of diagnosis is not what Yu Zhiming is good at, which makes him a little unconfident.

Intuition is wrong, and there are excusable circumstances.

It would be embarrassing if the conclusions drawn after careful analysis were proved to be wrong.

He didn't want to be ashamed.

Yu Zhiming looked at the dinner plate in front of him, which was full of dishes.

There are braised pork, potato stewed beef, fish steak, and stir-fried water spinach and shiitake mushrooms.

He was quite satisfied.

After taking a sip of winter melon soup, Yu Zhiming asked, "How long have I been thinking about it?"

Zhou Mo replied softly: "After we finished our meal, we sat here and waited for you for about five or six minutes."

Yu Zhiming let out a soft oh, knowing it all.

Before I knew it, I thought about it for about 10 minutes.

Yu Zhiming looked at Ding Ye and asked, "What's the situation with this patient?"

Ding Ye explained: "A girl from out of town who turned a corner and entrusted her to me."

"She had an examination at three local tertiary hospitals and came to three diagnostic conclusions."

"Ovarian fibroma, granulosa cell tumor, ovarian cystadenocarcinoma, each one is more scary than the other."

Ding Ye sighed softly, and continued: "The girl and the girl's family were terrified. They didn't know which one to believe, and they didn't dare to have surgery easily."

"I was found by someone."

After a pause, Ding Ye said frankly again: "I analyzed the girl's information, and I personally tend to have granulosa cell tumor."

"Hearing what you said, I think the possibility of ovarian sclerosing stromal tumor is also possible."

"If only this kind of stromal tumor is true, the prognosis after surgery is good, and there will be no recurrence or distant metastasis."

Yu Zhiming swallowed the food in his mouth and said, "No matter what kind of diagnosis it is, surgical treatment is required. The final diagnosis still depends on the conclusion of pathological analysis."

In uncertain cases like girls, tissue samples will be taken during surgery and sent to the pathology laboratory for rapid testing.

The rapid pathological analysis during this operation will result in about half an hour.

If the test result is a malignant tumor, surgery will be performed according to the standard for malignant tumors.

Such as extended resection, lymphoid tissue dissection, etc.

If the test result is benign, it will naturally be performed according to the surgical resection standard for benign tumors.

Ding Ye snorted softly: "Doctor Yu, what you said is very easy. But the three hospitals have come up with three diagnostic conclusions, which will make patients lose trust in the hospital."

"Where do you dare to rest assured to perform surgery in a local hospital?"

She smiled bitterly again: "It's just that now, you have given a new diagnosis."

"Patients probably have no choice."

Yu Zhiming smiled and asked, "Didn't Dr. Liu see it?"

Ding Ye shook his head and said, "I have a cold and a fever, please take leave to rest at home, I don't want to disturb you."

After a pause, she asked, "Doctor Yu, can I tell the other party, is this the diagnosis you gave?"

Yu Zhiming hesitated for a moment, then nodded.

Intuitive or not, right or wrong, that was indeed his diagnosis.

It is also possible to inform the other party in this way.

"Let's not talk about this troublesome patient."

Ding Ye smiled and turned to say: "Last night, a colleague got a wedding treat, and we young doctors had a small gathering."

"Hey, Zhou Luo from the Department of Gastroenterology, and Shen Qi from the Department of Cardiovascular Medicine, are you sure you want to join your medical team?"

Yu Zhiming nodded with his mouth full of food.

Ding Ye clicked his tongue and said, "These two have profound backgrounds, and their medical skills are among the best among young doctors."

"The two of them are willing to be your assistants, which shows that their elders are not generally optimistic about your future."

"Doctor Yu, to be honest, I regret that I decided to study abroad too early."

Yu Zhiming swallowed the food in his mouth, and said with a light smile, "The road to medicine is a long-distance race with no end in sight. You only went abroad to study for a year, and it's not like you won't come back."

Ding Ye chuckled and said, "That's true."

"One year earlier and one year later, in decades of medical career, there is not much difference."

"But let me tell you first, when I come back from studying abroad, you must leave me a place to study."

Yu Zhiming readily agreed.

Ding Ye reminded again: "That guy Du Bing, because of me, has a lot of opinions and resentments towards you."

"Although with your current status, even if his father troubles you, there is no need to worry."

"However, it's better to pay attention."

Yu Zhiming hummed...

After lunch, Yu Zhiming rested in the bed car for another quarter of an hour, then returned to the small central building, and returned to his busy work and study.

Nearly four o'clock in the afternoon, Yu Zhiming welcomed another visitor.

One or two months ago, Zhang Yong had undergone surgery to implant radiation sources for skull base tumors.

"Doctor Yu, I'm here for a reexamination this morning."

Zhang Yong said excitedly and worriedly: "After the reexamination results came out, Dr. You said that the shrinkage and changes of my skull base tumor have reached the ideal situation he wanted."

"I'm ready for surgery."

"The operation time is scheduled for tomorrow night."

Yu Zhi clearly understood Zhang Yong's worries.

Even if his skull base tumor shrinks to an ideal state, it only increases the possibility of successful surgery, and there is still a high probability of failure.

Moreover, given the complexity of Zhang Yong's skull base tumor, even if the operation goes well, some sequelae are unavoidable.

Functional sequelae such as aphasia, deafness, and mobility impairment are all possible.

Yu Zhiming comforted: "Dr. You is the best neurosurgeon in Binhai and its surrounding areas, bar none."

"He is the chief surgeon of your operation, and he has a high chance of success. You can prepare for the operation with peace of mind."

Zhang Yong nodded and hummed, and said again: "Without surgery, I can only last for a year or two. After the surgery is successful, I can live for another 20 years."

"I understand the trade-offs and the risks to take."

"For tomorrow night's operation, during this time, I have already made preparations."

"I have also disposed of and arranged my business and property for the worst case scenario."

Zhang Yong met Yu Zhiming's gaze and said, "Doctor Yu, I know you have participated in a research project to promote the recovery of brain damage. I heard that you have achieved great results?"

Yu Zhi clearly understood what he meant.

"That project hadn't reached the clinical trial stage, and I was only a nominal participant," he explained.

"Although there are several clinical trial volunteers, because of their special circumstances, they specially applied for extended medication."

Zhang Yong went straight to the topic and said: "Dr. Yu, if I donate 1000 million for project research, can I apply for the treatment qualification for expanded medication?"

This……

It is indeed a good way to spend money.

After all, the project team has made an exception several times before, and one more time seems to be no big deal.

Zhang Yong said with emotion: "Now I deeply understand why health is 1, and wealth and others are 0. Without health, everything else is meaningless."

"In terms of funding, we can discuss it again!"

Yu Zhiming replied vaguely: "I will tell the project leader about your request."

"Specifically, it depends on their decision..."

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