Yu Zhiming rushed to the Zhizhen Building of the hospital at about the same time as usual and met Dr. Luo Yu who was waiting in the big office.
Next to him was a middle-aged man in his forties who was a little overweight.
After a brief acquaintance, Yu Zhiming did not let the other party wait too long. After a little preparation, he began to examine Luo Yu's friend in the soundproof office.
"Your heart has indeed recovered very well. The ICD can be removed."
Yu Zhiming gave the results of the heart examination, but then continued, "You have a foreign object in your stomach. I suggest you have a gastroscopy."
"Foreign body? Could it be a stomach tumor?" Luo Yu's friend immediately became nervous.
Luo Yu quickly comforted her, "It's not a tumor. In medicine, foreign bodies refer to foreign objects."
"Think carefully about the past few days. Have you eaten anything indigestible or strange?"
Luo Yu's friend frowned and said, "They are just ordinary food. I'm not a little kid who can stuff anything into his mouth."
Luo Yu said: "Doctor Yu's examination will not be wrong. You must have eaten something you shouldn't have."
"I'll clean my stomach from now on, and by the time I get off work this afternoon, I should be able to do a gastroscopy..."
Friday is the fixed day for physical examinations, and Yu Zhiming will first conduct physical examinations on 20 people from the donating units.
At around 9:30 in the morning, a man in his fifties who looked very stylish walked into the soundproof inspection room.
"Doctor Yu, I've been experiencing nausea several times a day lately, and the treatments I've tried haven't been effective."
Generally speaking, when you come to Yu Zhiming for a physical examination, you don't need to order anything, but you can specify if you have any discomfort.
He will check from head to toe and will not miss any relatively obvious lesions in the body.
But to be on the safe side, Yu Zhiming would ask Zhou Mo or the nurse who was maintaining order outside to remind those waiting in line for medical examinations.
If you have any discomfort symptoms that have been treated unsuccessfully at other medical institutions, or the cause of which has been repeatedly unidentified, it is best to speak up.
After all, the effects of a general inspection on an assembly line and a careful inspection are slightly different.
Even Yu Zhiming, who has always been serious and responsible, cannot guarantee that there will be no moments of dozing off or negligence during the repetitive and rapid inspections like those on an assembly line.
After listening to the other party's story, Yu Zhiming nodded, indicating that he understood, and pointed to the examination bed.
Seeing this, the stylish man said nothing more and lay down on the examination bed nimbly.
Yu Zhiming completed a physical examination on this person, which took him more than seven minutes, more than a minute longer than when he examined others.
The main reason was that Yu Zhiming found nothing more serious in this man except for the cardiovascular and cerebrovascular problems common in people of his age group, as well as some minor gastrointestinal problems.
"When does your nausea usually appear?" Yu Zhiming asked.
There are so many different causes of nausea.
Nausea can be caused by diseases of the digestive tract, vestibule, nervous system, and systemic diseases.
Certain medications, life stimuli, environmental stimuli, and psychological factors can also cause nausea.
Yu Zhiming couldn't find out what was causing the man to feel nauseous, so he needed to ask him some questions to narrow down the cause.
The stylish man explained: "There is no fixed time. It can happen before, during or after meals."
"On average, there are two or three attacks a day."
After a pause, the stylish man added, "It's been going on for a month or two. Every time I have nausea, it lasts three to five minutes, or even more than ten minutes before it subsides."
"It's very uncomfortable."
Hearing this, Yu Zhiming interrupted and said, "Well, don't go back yet. Stay in Zhizhen Building. When you feel nausea again, come to me as soon as possible..."
After the stylish man left, Yu Zhiming continued his physical examination, but the man did not return until lunch time.
Throughout the morning, Yu Zhiming did not find any other interesting cases worth investigating except that stylish man.
He has noticed that his desire to explore new things is becoming stronger and stronger.
This is not a very good mentality, because more than 99 percent of patients suffer from common and relatively common diseases.
For these diseases, a large portion of the treatments are just symptomatic relief and supportive treatments, and ultimately the disease is overcome by relying on the body's self-healing ability and resistance. So far, there is no specific medicine that can cure the disease.
The best example is one of the most common diseases in daily life, the cold.
However, the common cold is the body's immune system's process of fighting and adapting to the external environment and the common cold virus. Frequent colds are a warning sign of low immunity.
From this perspective, it may not be a good thing if a special cold medicine that can cure the disease is really invented.
Yu Zhiming thought that perhaps he could try to develop special treatments for some viral diseases and inflammatory diseases.
For example, pneumonia, vasculitis, etc.
If effective treatments for these diseases are found, millions of patients will benefit, which is much better than treating a few patients with difficult and complicated diseases.
However, Yu Zhiming is still in the learning and growth stage, and needs to accumulate experience and gain more knowledge.
He thought that after a few more years of accumulation and sedimentation, he would settle down and do some basic disease research earnestly...
During lunch, Yu Zhiming received a call from Gu Qingran and was told that Feng Mo from the Fifth Municipal Hospital was willing to come to Ning'an to work.
"Feng Mo from City No. 5? Oh, trauma surgery. I remember him, a pretty good guy."
Gu Qingran chuckled on the phone and said, "It was because he and you had a past relationship and you recognized him that Ning An invited him with such sincerity."
"I originally thought that after he came to Ning'an, he would be placed in Huashan Trauma Surgery for training for a period of time. You should also give him more experience and opportunities to improve himself."
After a pause, Gu Qingran continued on the phone, "When Feng Mo contacted me this morning, he said he was willing to give up some of Ning An's employment conditions and only asked for your help, Zhiming."
"What help?" Yu Zhiming asked.
Gu Qingran introduced the patient over the phone, saying, "I have an American patient who has migratory pain and has not received effective treatment. I would like you to diagnose and treat him."
Yu Zhiming asked curiously, "How did he get involved with an American patient?"
"I asked, and the American patient was related to his department director, and it was the department director who persuaded him to accept Ning An's invitation."
Gu Qingran explained, then added sarcastically, "I guess the department director was nominally doing this for Feng Mo's benefit, wanting him to have a better career, but in reality, it was probably for the benefits promised by the American patient."
"I think Feng Mo should also understand this."
Yu Zhiming chuckled and said, "The hustle and bustle is all about profit, it's perfectly normal."
"I've agreed to it. Using this condition in exchange for a loyal Feng Mo is still worth it..."
After lunch, Yu Zhiming had just laid down on the sofa bed for a nap when Zhou Mo pushed the door open and walked in.
"Doctor Yu, the patient said he was having a nausea attack..."
Yu Zhiming quickly asked the man who was suffering from nausea to come into the office and examine him on a multifunctional examination chair.
After an examination, Yu Zhiming discovered that the man's intestines were twitching slightly.
This was different from normal intestinal peristalsis, but a very regular twitching. Although the amplitude was not large, Yu Zhiming could feel it clearly.
Regular twitching?!
This made Yu Zhiming think of a possibility. He wanted to have this stylish man undergo a brain and spinal cord electrical discharge test...
(End of this chapter)
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