Qi Yue, Wang Chunyuan and others saw that Yu Zhiming closed his eyes and stood still, and understood that he was lost in thought.
They speculated that this might be related to Yu Zhiming's long-term blindness. When he thinks deeply about things, he always subconsciously blocks the interference of visual information.
They all stood still, and their breathing became much shallower and lighter so as not to affect Yu Zhiming.
What Qi Yue and others didn't know was that Yu Zhiming's mind was full of colorful scenes, with three-dimensional and transparent scenes and rich details.
Yu Zhiming's past experience of blindness has accustomed him to transforming what he hears and touches into concrete and three-dimensional images in his mind.
This not only makes his memory deep, but also effectively prevents him from bumps and bruises.
This ability was transplanted and applied in the medical field, allowing Yu Zhiming to almost perfectly replicate the body of a patient he had examined in his mind, and even create a 3D perspective version.
In his mind, he repeatedly examined the body shown in the X-ray, and after finding that no physical abnormalities were missed, he began to match them with the various diseases that were highly correlated with these abnormal symptoms.
Before that, some streamlining needs to be done.
Eliminate various tumor-related diseases...
Eliminate some diseases caused by organic lesions...
Excluding the common diseases, there are still some relatively common diseases...
After this drastic reduction, Yu Zhiming discovered that only three relatively rare diseases remained...
This is Yu Zhiming’s process for disease diagnosis.
First, collect all the physical abnormalities of the patient, and then find out the diseases with high correlation from what you know and learn, and make a collection.
Then, based on some clear conditions, the diseases in the collection that obviously do not meet the requirements will be deleted.
When there are only three or five diseases left in this collection, we will conduct a detailed comparative analysis.
If the diagnosis cannot be confirmed yet, please provide further information.
For example, blood component tests, hormone tests, toxic substance screening, etc., this type of abnormal information cannot be detected by Yu Zhiming through physical examination.
If the diagnosis cannot be made, there are generally two situations. One is that the patient's disease is beyond Yu Zhiming's knowledge.
The second is that the patient has a new disease that has not yet been confirmed by the medical community.
Yu Zhiming has never encountered this second situation.
Otherwise, he could have left his mark on medical history by naming a new disease...
Parrot fever!
After a series of comparisons and analyses, Yu Zhiming found that "psittacosis" among the three diseases was the most consistent with the woman's physical abnormality.
Psittacosis, also known as bird plague, is a zoonotic disease caused by infection with Chlamydia psittaci.
The disease mainly occurs in birds or poultry such as parrots, seagulls, ducks, and turkeys, and often manifests as diarrhea or asymptomatic latent infection.
Humans are mostly infected by inhaling gases or dust containing pathogens or by close contact with sick animals.
Patients often have symptoms related to respiratory tract infection, such as chills, fever, cough, and chest pain.
When the body temperature is high, patients may experience varying degrees of headache and muscle aches. A few may experience symptoms of severe pneumonia, such as difficulty breathing and hypoxia.
Some patients may have symptoms such as sore throat, hepatomegaly, rash, and joint pain.
In clinical diagnosis, the clinical symptoms of psittacosis are highly similar to those of respiratory diseases and are non-specific.
Generally, when conducting a medical investigation, doctors will consider the possibility of this disease only if they find that the patient has recently had contact with sick birds, poultry or other animals.
The diagnosis is then confirmed by collecting sputum swabs from the patient's nasopharynx or oropharynx, or serum samples to detect pathogens.
The reason why Yu Zhiming identified "psittacosis" was that in addition to the woman having all the symptoms of respiratory disease, the most crucial point was that she had symptoms of mild enlargement of the liver.
At the same time, Yu Zhiming also realized his own shortcomings. He was too confident in his physical examination ability and did not ask any questions about the patient's condition.
To further confirm his diagnosis, Yu Zhiming opened his eyes and looked at the woman on the hospital bed.
"Before you became ill, did you have any contact with sick birds, poultry, or other animals?"
As soon as Yu Zhiming asked the question, Qi Yue's joyful laughter rang in his ears.
"She's been working in a poultry pet store for six months."
"Zhiming, it seems you have reached a conclusion. Your diagnosis is correct. She has psittacosis."
After a pause, Qi Yue smiled and said, "Let's go out first so as not to disturb the patient's recovery and rest."
After they left the ward, Qi Yue asked the young doctor who was following them to go back first.
The next moment, Qi Yue revealed a smug look and said to Wang Chunyuan and Liu Yun, "You lost, don't you? Are you convinced?"
"I accept the bet, Doctor Wang, your Mingqian tea, and Doctor Liu, your thirty-year-old tangerine peel. Remember to deliver them to me, and don't make me come to your door to beg for them."
Wang Chunyuan snorted softly and said teasingly, "It's Doctor Yu who's really capable. You're just taking advantage of him. Why are you showing off?"
He turned his gaze to Yu Zhiming, and with a gentle smile, he explained: "Doctor Yu, it's like this..."
"That guy named Gong Yue in the south has been acting up lately. He's brazenly saying, 'Doctor Yu, you're overly reliant on your clairaudience. You're essentially just a tool. Your own medical skills are minimal, and you're bound to be utterly awful at contactless and remote diagnosis.'"
Qi Yue took over and said, "Just now, we finished consulting a patient and talked about that guy Gong Yue."
He pointed at Wang Chunyuan and Liu Yun and continued, "I told them that Zhiming's true medical ability is seriously underestimated because of your super-sensitive hearing."
"Everyone only sees your ability to detect subtle details, but they fail to see your intelligence and the hard work you put into studying day after day."
"I told them that even without relying on auscultation and percussion, your diagnostic skills are not comparable to that ignorant Gong Yue."
"As a result, these two people expressed doubts."
Wang Chunyuan quickly explained, "Doctor Yu, don't be misled by Doctor Qi. Doctor Liu and I both recognize your ability. I just feel, I just feel..."
He said somewhat embarrassedly, "Without using auscultation and percussion, Dr. Yu's ability is not as exaggerated as Dr. Qi said."
Wang Chunyuan then shifted the topic, saying, "Psittacosis is relatively rare. Most importantly, the physical manifestations of this disease are highly similar to those of some respiratory diseases and are non-specific."
"Its diagnosis has always been highly dependent on laboratory tests and pathogen testing. According to common sense, Dr. Yu, your auscultation and percussion shouldn't be of much use."
“Could it be…”
Wang Chunyuan asked expectantly, "Does this psittacosis have any other specific physical manifestations that we're not aware of?"
Yu Zhiming said frankly, "There are no specific symptoms. Actually, I diagnosed psittacosis through analysis."
He further explained, "My initial diagnosis was pneumonia, but then I thought, with three medical experts gathered here, including my teacher, you, Dr. Wang, and Dr. Liu, and they specifically called me over, it's definitely more than just pneumonia."
"In this case, I started thinking in the direction of complex and less common diseases."
"After comparing them, I finally found that psittacosis was the most suitable diagnosis for the patient."
Wang Chunyuan let out a long sigh and chuckled, "It turns out our presence has become an important factor in your diagnosis of the condition."
Qi Yue laughed and said, "No matter how the results are analyzed, just tell me, is my disciple powerful?"
"You lose, do you admit it?"
Wang Chunyuan glanced at Qi Yue and said, "It's just a few ounces of Mingqian tea. I'll give it to you later."
Qi Yue said dissatisfiedly: "It's just one or two taels, can you afford it?"
Wang Chunyuan laughed and said, "One liang is too little? We didn't agree on the quantity of Mingqian tea. One liang is better than one qian."
Wang Chunyuan once again turned his gaze towards Yu Zhiming and said solemnly, "Doctor Yu, I must admit that I seriously underestimated your abilities. Even without that gifted talent, you are still an excellent doctor."
"Not counting the time for the physical examination and the lack of laboratory test data, it only took two or three minutes of deliberation to diagnose psittacosis."
"To be honest, I can't do it."
Yu Zhiming said modestly, "Doctor Wang, you think too highly of me. This diagnosis was a lot of luck."
"If there's another similar situation, maybe I'll make the wrong bet."
At this moment, Liu Yun, who had been silent the entire time, suddenly spoke up: "Doctor Yu, with your current medical achievements and status, there's no need to be so humble. You should be more public."
"There are many people in the medical field who are used to being aggressive, so as not to make them think you are easy to bully."
Yu Zhiming responded with a "yes".
Seeing that Teacher Qi, Doctor Wang and Doctor Liu had nothing else to do, he said goodbye to them and turned to leave.
As a result, he had only taken two steps when he was stopped by Qi Yue.
"Zhiming, I forgot to tell you one thing..."
Qi Yue said: "After Dr. Xie left, I didn't want to accept any more young doctors, but a few days ago I met a good candidate and on impulse, I accepted him."
Yu Zhiming said "Oh" and asked curiously, "Teacher, who is it? Do I know him?"
Qi Yue said softly: "Of course you know her, she is Shen Qi's cousin Shen Yiyi."
Yu Zhiming couldn't help but widen his eyes.
It turned out to be that guy.
"Teacher, Shen Yiyi is a newly graduated medical student. She will be a resident doctor in the hospital and will first undergo rotation training in various departments."
Qi Yue nodded and said, "I know."
"Our center is a mixture of multiple departments. The training here is just as effective as rotation training in other departments. I will also arrange some training for individual departments."
Yu Zhiming said "oh" and said nothing else, but he couldn't help muttering in his heart.
The teacher made an exception and accepted a newly graduated medical student. Was it really because she was a good candidate?
Yu Zhiming couldn't tell whether Shen Yiyi was a good talent, but her true excellence was obvious.
Is the teacher being dazzled by all the flowers?
(End of this chapter)
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