Chapter 103 Visitors from Peking University Medical School
The next morning, Tuesday, Yu Zhiming came to Huashan Hospital with dark circles under his eyes and took the suspected ALS patient who was admitted the previous afternoon for a confirmatory examination.
This guy is a 1.7 meter tall, 170 pound, and 33-year-old otaku.
He claims to be a veteran gamer and uses gaming as a profession to earn money to support his family.
According to him, he can stay at home for a month or two without leaving the house and not be aware of the changes in temperature outside with the four seasons.
If it weren't for the atrophy of his arm muscles, which seriously affected his gaming, he really didn't want to come to the hospital for a check-up.
Seeing that this guy looked content as long as he had games and didn't care at all about the future, Yu Zhiming secretly sighed, thinking that he was a typical optimistic, contented and lazy person.
With this mentality, I can stay at home for a month or two. If I were to change to someone with a little more ambition, I would definitely be depressed...
In addition to clinical symptoms, the diagnosis of ALS is mainly based on electromyography, as well as imaging and neuropathology examinations.
Yu Zhiming was busy for the whole morning. After the patient's test results came out, he happily found Qi Yue.
"Teacher, the test results are out. The main indicators do not meet the criteria. It is not ALS."
Qi Yue took the stack of medical records and the imaging images, looked through them, and nodded, "It's definitely not ALS."
He noticed Yu Zhiming's beaming face and couldn't help but ask with a smile, "This test result means your initial diagnosis was wrong."
"You made a wrong diagnosis, so why are you so happy?"
Yu Zhiming chuckled and said, "I really hope my cancer hunches are all wrong."
"If it really is ALS, his life would be over. I'm happy to see this kind of misdiagnosis."
Qi Yue smiled softly and asked, "Since the test results rule out ALS, what is your new diagnosis?"
"Teacher, it's Hirayama disease."
Hirayama disease, also known as juvenile distal upper limb amyotrophy, is a benign, self-limiting motor neuron disease.
Its clinical manifestations are very similar to those of ALS.
Yu Zhiming pointed out the main indications on the electromyography and MRI images one by one.
"Teacher, his electromyography shows neurogenic damage, and his cervical spine is significantly arched."
"My analysis is that this is due to the patient's long-term unhealthy sitting posture, which has caused the cervical kyphosis, compressing the spinal cord, and then causing ischemic and hypoxic damage to the motor neurons in the anterior horn of the spinal cord."
"Based on these test indicators, combined with the patient's clinical manifestations, I am certain that he has Hirayama disease."
"The treatment plan is anterior cervical fixation, followed by postoperative rehabilitation."
Qi Yue nodded in satisfaction and said, "This time, your diagnosis is correct, and the treatment plan is also acceptable."
"This minor operation can be performed by Dr. Han."
After a pause, Qi Yue added, "Zhiming, although you are my student, there is no need to challenge difficult and complicated diseases right from the start. You can start with the diagnosis and treatment of common diseases and typical symptoms."
"Before you run fast, you need to walk more steadily first."
Yu Zhiming knew that this was his teacher's warning to him, saying that he was being too aggressive.
He admitted his mistake and said, "Teacher, I know I was wrong. Next time I go to the emergency department, I will select one or two suitable patients."
Qi Yue then taught: "Medical skills are never acquired overnight. The accumulation of experience must start from one basic case after another..."
Yu Zhiming looked well-behaved, allowing Qi Yue to enjoy the feeling of being a teacher for a while.
Just when Qi Yue waved his hand to let Yu Zhiming go, he heard this guy suddenly ask a question.
"Teacher, Qiu Yi once wanted to be your student?"
Qi Yue hummed and said, "He came to see me the year he graduated."
"I rejected him on the grounds that I never accept graduates without work experience."
Yu Zhiming uttered an "oh" and asked, "I heard that he is about to return from his further studies abroad."
"By then, he still has this idea, teacher?"
Qi Yue smiled meaningfully and asked, "Are you afraid that if I accept him as my student, your position will be challenged?"
"How could that be?"
Yu Zhiming said righteously, "Teacher, I wish you could take on a few more students so I can fulfill my dream of being a senior student."
"Besides, I've never been afraid of competition."
“When someone is chasing and urging you, you’ll be more motivated and run faster.”
Qi Yue chuckled and said, "Even if he still wants to learn from me, I won't accept him."
"Why?"
Yu Zhiming asked curiously, and then continued: "I heard a lot about Qiu Yi last night."
"He has a profound family background, is a top student, and is the best young doctor. I wonder how many people would be vying to recruit a student like him."
Yu Zhiming asked again tentatively: "Teacher, are you really never moved by him?"
"Or, is there another reason?"
Qi Yue said slowly: "For such an outstanding young doctor, it would be hypocritical if I said I had no feelings for him."
"only……"
Qi Yue paused and warned, "I'm just telling you this, don't spread it around."
Yu Zhiming immediately stated, "Teacher, I am very good at keeping secrets and will never tell anyone."
Qi Yue said softly: "I have seen some of that guy's case diagnoses and treatment plans. What do you think?"
"He was too eager to take risks, even though there were more reliable treatment options available."
"Thinking about the constant honors and news he has received along the way, this must be related to his personality and his desire for attention."
"He's not the type of student I want..."
Around twelve o'clock in the morning, Yu Zhiming returned to the big office and saw a fruit basket on his desk.
Zhou Mo introduced: "The patient Zhang Zhe brought it here."
Zhang Zhe underwent a minimally invasive ICD implantation surgery last Friday. After three days of observation without any abnormal reactions, he was allowed to be discharged from the hospital.
Another patient related to Yu Zhiming, Xu Feng, who suffered a severe outbreak of herpes virus, was also discharged from the hospital last Friday and returned to a medical institution in his hometown to recuperate.
Zhou Mo continued, "He was discharged from the hospital this morning."
"Some friends and colleagues sent me fruit baskets, but I couldn't take them away, so I gave you one to express my gratitude."
Yu Zhiming glanced at Zhou Mo and said, "You don't have to say that last sentence."
"What you said seriously lowered my happiness level, as well as the other party's sincerity."
Zhou Mo chuckled and said, "This is normal. Many patients give the fruits and flowers they can't take with them to the doctors and nurses when they are discharged from the hospital."
"I've checked it all, Doctor Yu. Your fruit basket is the best and most expensive of the ones he sent."
"Look, there are also exquisite small durians."
Yu Zhiming waved his hand in disdain and said, "I don't eat durian. If you like it, take it."
Zhou Mo wasn't polite at all. In addition to the durian, he also took a few other fruits...
At 1:30 in the afternoon, Yu Zhiming received a gift from the general surgery department.
Freshly cut two-thirds of the stomach.
The patient's stomach had been invaded by tumors, and surgery to remove most of the stomach was a helpless measure to save his life.
The removed stomach was to be treated as medical waste, but for Yu Zhiming, it was like a treasure.
He can perform any destructive examinations he wants to observe the pathological characteristics of various parts of the stomach after cancer...
Yu Zhiming stayed in the laboratory of the center, enjoying the joy of acquiring knowledge, until he was interrupted by Zhou Mo at five in the afternoon.
Zhou Mo covered his eyes and didn't dare to look at the details on the operating table.
"Doctor Yu, the vice president of Beijing University Medical School is here."
"The director asked you to go to his office..."
It’s the last day of the month to ask for monthly tickets and recommendation tickets!
(End of this chapter)
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