A little after 8:30 in the morning, Yu Zhiming, dressed in a white coat, accompanied by Dr. Qin Qiushi, Zhou Luo, Shen Qi, Sui Chi, Duan Yi and others, and Gong Yue, also in a white coat, walked out of the big office in a heroic and confident manner.
Feng Sisi, who arrived at the corridor first, took pictures of Yu Zhiming and others who appeared with her mobile phone, and admired them inwardly.
This man in uniform is so handsome.
"Doctor Yu, Doctor Yu..."
Suddenly, she heard a woman's voice calling out. Feng Sisi looked in the direction of the voice and saw a fashionable young woman with a slim and beautiful figure.
However, Yu Zhiming did not stop because of the shouting, nor did he slow down his pace. He strode into the soundproof inspection room a few meters away as if he had not heard it.
Zhou Mo greeted the fashionable woman who spoke...
In the soundproof office, Yu Zhiming made some preparations before welcoming 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 stomachache, which has lasted for two or three months and has been treated to no avail.
Yu Zhiming couldn't help but laugh.
There is a saying in clinical practice 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, the patient is a child who cannot express his or her 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 turned to the little girl's mother and explained, "This is Dr. Gong Yue from Guangzhou-Shenzhen Qixin Hospital. He's an excellent diagnostician."
"He came to me to exchange medical skills."
"Doctor Gong will first give your daughter a detailed diagnosis, but the final diagnosis will be made by me personally. Please rest assured."
Yu Zhiming added, "If you agree, your registration fee will be fully refunded."
Gong Yue took over and said, "I'll pay for the registration fee."
The little girl's mother uttered a soft "oh" and said with a smile, "As long as we can find out the real reason for my daughter's stomachache, and make her eat well and stop crying, then I'll be happy to help her."
"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 across the street..."
At this time, Zhou Luo took the initiative to step forward and said, "Doctor Yu, let me assist Doctor Gong, so that if Doctor Gong needs anything, it will be inconvenient to find someone."
Duan Yi's eyes turned, and she also said, "Doctor Yu, I'll go and 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 got back to 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 liver transplant source?"
The fashionable woman nodded and said "hmm". Seeing that they were the only two people in the office, she didn't hide anything and took out a bulging brown paper bag from her bag and put it on the desk.
"Assistant Zhou, there are 50,000 here. After the matter is completed, there will be another 50,000. All of them belong to Dr. Yu."
"Doctor Yu can earn a hundred thousand just by saying this."
The fashionable woman added, "There will be an extra 10,000 for Assistant Zhou."
Zhou Mo rolled his eyes like Yu Zhiming, stood up, and said coldly, "Hurry up and take your money and leave. Doctor Yu will never accept such unscrupulous money."
The fashionable woman said anxiously, "Hey, Assistant Zhou, if you think the money is too little, we can discuss it again."
"How many do you want?"
Seeing Zhou Mo's eyebrows raised, showing signs of anger, the fashionable woman twisted her waist again and said seductively: "In addition to money, you can also ask for people."
Zhou Mo was furious. In front of the fashionable woman, he raised his hands and clenched his fists tightly, making crackling sounds from his joints.
"Before I can't help but hit you, you'd better run away quickly. I don't have the habit of not hitting women..."
After ten o'clock in the morning, Yu Zhiming, after treating thirteen patients in succession, was about to diagnose the thirteenth patient when Gong Yue, Zhou Luo and Duan Yi came back with the little patient and her mother.
Yu Zhiming noticed that the little patient had a pouty mouth and tearful eyes.
The child's mother said with dissatisfaction: "You keep pressing on the child's stomach. The child already has a stomachache."
Yu Zhiming immediately apologized, "I'm sorry for making the child suffer. I'll check on him right away."
As he spoke, he did not ask Gong Yue, Zhou Luo and others, but directly let the child lie on the examination bed for examination.
Yu Zhiming started examining the little patient's abdomen directly. After patting and pressing it for a minute or two, he turned to look at Gong Yue beside him with a sympathetic expression.
"Doctor Yu, is my daughter's condition serious?" the child's mother asked worriedly!
Yu Zhiming replied, "It's not serious. Your child has abdominal pain because there's a foreign object, like a small fish bone or a wooden splinter, stuck in the wall of her duodenum."
Yu Zhiming noticed that when he said this, Gong Yue clenched his right fist and a sound of paper being rubbed could be heard.
"Fish bones, wood splinters, or other foreign objects?"
The child's mother repeated it and questioned, "We've done an ultrasound and CT scan of the abdomen, why didn't they find anything?"
Duan Yi explained to Yu Zhiming, "Some small and low-density foreign bodies are difficult to detect with ultrasound or CT."
The child's mother asked again with concern: "Doctor Yu, how should my daughter's condition be treated?"
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 sections: the bulbous part, the descending part, the horizontal part, and the ascending part.
For adults, the gastroscope is inserted through the mouth, throat, and esophagus, and can usually explore the duodenal bulb and descending part.
Sometimes a longer gastroscope can reach the horizontal part, but it is more difficult to explore the ascending part.
The colonoscope can only reach the terminal ileum through the rectum and colon, but cannot reach the duodenum.
Yu Zhiming pondered and said, "The specific treatment method will depend on the opinion of the pediatric surgeon. I personally think that laparoscopic minimally invasive surgery may be necessary."
Next, Yu Zhiming drew a simple diagram of the specific location of the foreign body with just a few strokes, and issued a referral to the pediatric surgery department.
After sending the young 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 came out from between his teeth.
"This little patient's condition is quite rare and special. I made a misdiagnosis. It's not because I'm incompetent, it's just bad luck."
Yu Zhiming suppressed his laughter 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-grade fever and cough. I have just completed the examination and diagnosis."
As he spoke, he wrote a few words on a piece of paper, folded it twice, and handed it to Zhou Luo beside him...
At nearly 11:20, Duan Yi rushed into the soundproof inspection room and said excitedly, "Boss, that guy ran away!"
While examining the patient, Yu Zhiming glanced at Duan Yi and criticized her, "As a doctor, no matter how serious the situation, you must remain calm and composed."
Duan Yi put on a humble expression and said, "Doctor Yu, I was wrong. I will pay more attention next time."
Yu Zhiming nodded in satisfaction and asked, "Tell me more specifically, what's going on?"
Duan Yi's expression became more excited as she said, "That guy first carefully reviewed the patient's physical examination, laboratory data, imaging data, and so on."
"Then he questioned and examined the patient for a long time, and finally said that the patient had probably inhaled a small foreign object into the lungs that was not easily detected by bronchoscope."
"He can give the patient another bronchoscopy."
After a pause, Duan Yi chuckled again, "When Zhou Luo unfolds the note you wrote and gives it to him to read..."
Duan Yi said with a gloating look, "That guy's face, tsk tsk, first red, then white."
"Finally, he left the examination room and disappeared down the stairs without saying a word."
This guy boasted again, "You're so self-righteous just because you have a little bit of ability that you dare to challenge me, boss? You're really ignorant and fearless."
"How conspicuous it was at the beginning is how embarrassing it is now."
"Okay, stop teasing me."
Yu Zhiming stopped Duan Yi and said, "Judging from his performance yesterday, he does have some strength, and is even much stronger than you."
"It's just that his luck is really not very good."
Speaking of this, Yu Zhiming couldn't help laughing.
The second patient diagnosed by Gong Yue had esophageal mucosal melanoma. Because the melanoma was relatively close to the throat, it caused irritation in the throat and caused a persistent cough.
Esophageal mucosal melanoma is quite rare.
This cough can easily mislead doctors into associating it with lung or bronchial diseases.
First, a young patient had a foreign body stuck in his duodenum, and then there was a very rare esophageal mucosal melanoma. In these two cases, even someone with great experience and ability like Teacher Qi Yue would probably have to go through repeated trial and error, and it would take several days or even longer to finally confirm the diagnosis.
I can only say that Gong Yue has really bad luck.
However, having said that, most of the patients who come to see Yu Zhiming nowadays have come here after seeking medical treatment elsewhere without success.
Any one of these patients is enough for a director-level doctor to spend two or three days to carefully study.
That is Yu Zhiming, who is gifted and can find out the problem within just a few minutes.
What happened to Gong Yue today was both bad luck and inevitable.
Not only did he overestimate his own abilities, but more seriously, he underestimated Yu Zhiming's abilities.
Yu Zhiming suppressed his laughter and finished examining the current patient. He said, "I suspect you have lipid storage myopathy. You need to go to the endocrinology department for a confirmatory examination..."
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