medical treatment

Chapter 674 Questioning the selection criteria
Yu Zhiming's physical examination of Li Hao, who is suspected of hypochondriac, started from the head step by step.

The examination revealed that there was no problem with the brain.

Then, Yu Zhiming moved down to check his neck, focusing on the thyroid gland located in the front of the neck.

The reason for this is that Yu Zhiming considered that this person had undergone excessive X-ray, CT and other imaging examinations in a short period of time.

As far as the patient's psychological condition is concerned, it is estimated that this kind of radiographic examination has not been done less before.

As a doctor, Yu Zhiming clearly knows that radiological imaging diagnostic examination is a double-edged sword.

On the one hand, imaging can clearly distinguish the cause of disease, which is an important method of diagnosis and treatment.

But on the other hand, it is harmful to the human body, and its abuse may induce cancer.

Although the radiation dose of a radiological imaging examination is very small, medical research has shown that its harmfulness to human health can be accumulated.

Its negative impact on the body will not disappear easily with time, it is more like a process of quantitative change to qualitative change.

To put it simply, it is to do a radiological examination, and the damage to the body is +1.

Do it again, another +1.

Because everyone's physical fitness, radiation resistance, genetic defects, cancer susceptibility types, etc., are hugely different. Some people's damage has accumulated to 100, and a qualitative change has occurred, and cancer has been induced.

Some people's radiation damage has accumulated to 1000, and they are still alive and kicking.

However, radiological imaging should be done as little as possible unless absolutely necessary.

Different organs and tissues of the human body have different sensitivities to radiation.

Among them, the tissues that are highly sensitive to radiation include: lymphoid tissue, thyroid gland, thymus, bone marrow, gastrointestinal epithelium, surnamed gland and embryonic tissue.

The sense organs are moderately sensitive tissues.

The central nervous system and heart are mildly sensitive tissues.

Bone tissue is an insensitive tissue.

As the thyroid is a highly sensitive tissue in the human body to radiation, Yu Zhiming must do a key inspection.

However, after he had a detailed examination of Li Hao's thyroid gland, he found no problems worthy of further attention.

Then, he checked Li Hao's chest organs, abdominal organs, reproductive//organs, and limbs.

Yu Zhiming still found no suspicious problems.

After checking up to now, he was almost certain in his heart that this guy had a high probability of having a psychological problem.

"Mr. Li, turn over, I need to check your spine and spinal cord."

The spinal cord is also highly sensitive to radiation. Since Yu Zhiming did a comprehensive examination, he would naturally not miss it.

After Li Hao turned his face, Yu Zhiming's hands hit his spine, moving slowly from top to bottom.

Suddenly, Yu Zhiming's hand stopped moving down and beat Li Hao's third and fourth thoracic vertebrae repeatedly.

The reason why he did this was that he noticed that the two vertebrae seemed to have been damaged, and some bone loss had occurred.

After repeated confirmation, Yu Zhiming believed that his feeling was not wrong.

Compared with the adjacent vertebrae, the bone quality of these two vertebrae is just a little bit worse.

Yu Zhiming continued to check down the spine, and then found a similar slight condition on the second lumbar vertebrae.

After a comprehensive examination of Li Hao's body, Yu Zhiming only found two suspicious points in his spine.

This made Yu Zhiming attach great importance to it.

He thought of hematological malignancies like myeloma and leukemia.

These tumors are easily induced by radiation, and all of them will invade the bone marrow, resulting in bone damage.

If Yu Zhiming's analysis is true, Li Hao's seemingly slight damage to his vertebrae should have been cancerous in the last one or two months, or even in the past two or three weeks.

If Li Hao knew, there was a high probability that the cancer was induced by his continuous excessive radiation examinations.

Is he relieved for benevolence?
Or want to cry but have no tears?
"Doctor Yu, it's obviously taken you a while to check my spine, did you find anything?"

Seeing Li Hao's expectant gaze, Yu Zhiming nodded slightly and said, "I have found something, but I still need to go to the oncology department for an exclusion test."

Then, Yu Zhiming wrote a referral form to Li Hao.

On the list, he described his findings and guesses in a way that only people in the industry can understand.

In fact, based on Yu Zhiming's guess, it would be more appropriate to refer Li Hao to the Department of Hematology.

However, because he was extremely displeased with Dr. Du, the director of the Department of Hematology, and he had a good cooperative relationship with the Oncology Department, he transferred Li Hao to the Oncology Department.

Yu Zhiming was speechless as he watched Li Hao leave with a quick, brisk walk with the referral sheet in hand.

How much do you expect yourself to have cancer...

Fortunately, one after another, the registered patients all returned to normal.

Faced with Yu Zhiming's serious illness or serious illness diagnosis, he either turned pale with fright, or pretended to be strong.

All in all, it's all within the normal reaction range...

At [-]:[-] in the afternoon, Yu Zhiming gave a physical examination to the last outpatient of the day, that is, the mother of the young Anbao from the night before yesterday.

Yu Zhiming's examination found that Young Anbao's mother was suffering from various diseases, including chronic obstructive pulmonary disease, osteoporosis, mild liver cirrhosis, and chronic pancreatitis.

Currently the most in need of treatment is chronic pancreatitis...

After finishing the consultation work, Yu Zhiming hurried back to the small central building, and non-stop performed rapid screening of liver and stomach cancer on [-] volunteers of the very early stage cancer project.

After an hour and a little more, Yu Zhiming found three suspected stomach cancers and two suspected liver cancers.

Although he completed the day's work efficiently, Yu Zhiming felt a different kind of physical and mental fatigue for the first time after the holiday at full-time work.

Yu Zhiming, who was still a little uncomfortable for a while, dragged his tired body back to the big office, and found that the Chinese father from the United States was waiting for him.

He sat down on the office chair and asked feebly, "Have you decided? Go back for treatment, or stay?"

"Back to the United States for treatment!"

The Chinese father replied, and then introduced: "Dr. Yu, I sent Thiel's test report to several doctors who had examined Thiel before."

"They all approved the test results."

"At the same time, they admire Dr. Yu for finding out the cause of the disease in such a short period of time."

"They want to have a medical exchange and discussion with you."

Yu Zhiming declined politely, "There is no need for communication."

"I'm just standing on their shoulders. They've ruled out many other possibilities for me."

"And then I just happened to have some luck."

"that is it."

The Chinese father said with emotion: "Doctor Yu, you are really too humble."

"Your diagnostic ability, in my opinion, is enough to tie them together."

Yu Zhiming smiled, then asked, "When are you leaving?"

The Chinese father replied: "Since I have decided to go back for treatment, the sooner the better."

"I've already booked a flight for tomorrow night."

After a pause, he said gratefully again: "Doctor Yu, thank you. Although you failed to cure Thiel, you have found his cause. We are not like before without direction."

Yu Zhiming said politely, "You don't need to thank me, I'm just doing my job as a doctor."

"At the same time, I also regret that I cannot provide more help in the treatment of Thiel's disease..."

After sending his Chinese father away, Yu Zhiming quickly took out biscuits, nuts, chocolate and other snacks from the drawer and ate them.

The next moment, a cup of hot water was placed on the desk, and then a small hand reached out.

"Dried sweet potatoes!"

Yu Zhiming took out a can from the drawer and put it in Zhou Mo's hand.

Zhou Mo took out a piece of dried sweet potato from the glass bottle and took a bite.

She commented while chewing: "This sweet potato is dried, it's not too sweet, and it's too toothsome."

"However, it does not have a sweet taste when eaten slowly. It is a good snack for killing time and losing weight."

Yu Zhiming ignored her and continued to eat snacks to supplement his body's consumption.

Zhou Mo moved closer to Yu Zhiming, and said in a low voice: "Doctor Yu, the list of your medical team has been circulated in several work groups in the hospital today."

"For the two young doctors Zhou Luo and Shen Qi, there are not many discussions, and the controversy mainly focuses on Sui Chi."

"A lot of people think he's not good enough to be on your medical team."

Yu Zhiming rolled his eyelids and said, "My team, I am in charge, what right do they have to talk about?"

Zhou Mo debunked without saving face: "Your team, are you really in charge?"

"If I remember correctly, among the five people, only Dr. Sui Chi was the one you decided."

"The other four were all passively accepted by you, right?"

Yu Zhiming gave this guy a sideways look, and said with disgust: "If you don't talk, I won't treat you as a dumb person!"

Zhou Mo didn't have the consciousness to shut up, and asked with a smile: "Dr. Yu, Dr. Sui Chi has been questioned the most now, so you don't have any ideas?"

Yu Zhiming snorted softly, "Why should I have an idea? Who would dare to run in front of me and question my selection criteria?"

With a murderous look on his face, he said, "Does he still want to hang out in the medical circle?"

At this time, Yu Zhiming's cell phone rang.

It was Gu Qingran's call.

"Tomorrow, three top liver surgery experts have been invited, and they will have a consultation on the surgical plan at Ning'an Hospital at [-] o'clock tomorrow night."

After a pause, Gu Qingran said again: "One of them, Dr. Wang Sen from the Affiliated Hospital of Jiaotong University, told me that he still doesn't know you at all."

Wang Sen, an expert in liver surgery at the Affiliated Hospital of Jiaotong University?
Yu Zhiming remembered for a moment.This Dr. Wang Sen's daughter had a fight with Zeng Yan years ago.

Unexpectedly, his strength and status in the field of liver surgery were so high.

Don't underestimate the heroes of the world.

"Tomorrow, tomorrow night, do you want to come over?"

Yu Zhiming simply replied: "I won't go there, I just need to know one result of their discussion."

Gu Qingran snorted during the call, and said again: "I have already communicated. Tomorrow and the day after tomorrow, two terminal cancer patients will go to Huashan Hospital to receive your physical examination."

Yu Zhiming replied with a hmm...

After finishing the call with Gu Qingran, Yu Zhiming heard movement in the director's office next door.

This is Teacher Qi Yue is back.

Yu Zhiming got up and knocked on the door of the director's office.

He wanted to ask for advice on the charity fund, and invited the teacher to his engagement banquet...

　At the end of the month, ask for monthly ticket support! ! !

　　
　
(End of this chapter)