Chapter 187 Dr. Yu, how’s your luck?
Yu Zhiming went to the neurosurgery department to perform a brain tumor tissue puncture sample on a brain tumor patient, and it was lunchtime.
At 1 p.m., when it was time for work, the physical examination and analysis data of Qin Yuan, a patient from Beijing, came out.
I do not support the inference of Qi Yue and others.
Qin Yuan was taken to the examination room again and underwent another examination by Yu Zhiming.
"Doctor Yu, I must remind you that it has been a day."
Yu Zhiming nodded and said, "I know you are short on time."
He further explained, "Due to time constraints, I only examined your internal organs yesterday. This time, I will do a full body check."
"There should be a result today."
Yu Zhiming pulled out a pair of surgical gloves and put them on, then casually asked, "Mr. Qin, besides eating and drinking, is there anything else you particularly want to do?"
Qin Yuan, who was carried onto the examination bed, said without hesitation, "Doctor Yu, I can't eat this or that. I've been avoiding these foods for over 20 years."
"Now I just want to try all the delicacies from all over the world before I die. I don't want to think about anything else."
"It depends on how much time God gives me."
Yu Zhiming gently placed his hands on Qin Yuan's head and began to examine him.
Qi Yue, Xie Jianmin, Qin Yuan's family members and others all left the examination room to avoid disturbing Yu Zhiming.
Qiao Lei stood guard at the door of the examination room like a goalkeeper, asking everyone else to stay as far away as possible and keep quiet...
Cerebral blood vessels, no obstruction.
Although the degree of stenosis of some cerebral blood vessels is close to 50%, considering Qin Yuan's current physical condition, this is not a big deal...
After checking Qin Yuan's head, Yu Zhiming went down to check his neck.
There were no problems with the blood vessels in the neck. Apart from the swollen lymph nodes, no other tissue abnormalities were found...
Arm, no abnormality found...
There is obvious muscle atrophy in the legs and feet, and many tiny crystals are found in the joints, especially on the feet.
Yu Zhiming knew that these were uric acid crystals, commonly known as tophi, which were a byproduct of Qin Yuan's excessive eating and drinking during this period.
This is no longer a problem for Qin Yuan now...
After Yu Zhiming checked Qin Yuan's front, he didn't find much, so he called Qiao Lei in and turned Qin Yuan over together.
Yu Zhiming began to examine Qin Yuan's spine.
He started from the cervical vertebrae, stroking with his left hand and moving slowly downwards, while his right hand gently tapped continuously...
After moving the focus of the inspection to the thoracic spine, Yu Zhiming slowed down the speed of his left hand and unconsciously increased the force of his right hand's tapping...
Amid the knocking sounds and the returning vibrations, the three-dimensional image of the spine in Yu Zhiming's mind became clearer and clearer.
Especially the details, such as the inner wall of the spinal canal, which has changed from smooth to bumpy...
Bump?!
Yu Zhiming's expression was startled. He tried to immerse himself in the investigation and further refine the details...
At 1:47 p.m., Qi Yue, Han Shuo, Xie Jianmin, Wang Zhijin, Wang Zejia and others gathered in the big office to listen to Yu Zhiming report the main findings.
"The inner wall of the spinal canal of the second and third thoracic vertebrae is densely covered with a layer of tophi crystals."
"I believe they stimulate spinal neurons that connect to the intervertebral nerves, causing the patient's persistent chest pain."
Wang Zhijin looked at the simple diagram Yu Zhiming had drawn on the whiteboard, which looked like a layer of mussels attached to the inner wall of the spinal canal.
"Doctor Yu, are you sure it's tophi?"
"Not some other growth?"
"You know, it's quite rare for tophi to form in the spinal canal, especially in the thoracic spine."
Xie Jianmin replied on behalf of Yu Zhiming: "Although it is rare, it does exist. I have seen similar cases."
Yu Zhiming also explained: "The reason why I think it is tophi is because the feeling it gives me is the same as tophi found in other parts of the patient's body."
Wang Zejia also spoke up, "There's a problem. We don't seem to be able to determine whether the patient's chest pain is caused by the lining of the spinal canal."
"The only way to confirm is to see the recovery effect after surgery."
"But the patient may not agree."
"This is a surgery to remove the inner wall of the spinal canal. Not only does it carry certain risks, but you'll need at least two weeks of rest to recover."
Yu Zhiming had to admit that this was indeed a problem.
Just looking at this thin layer of tophi crystals, it will take a long time, at least several years, to cause sufficiently large invasive damage to the spinal cord.
In a few years, given Qin Yuan's current physical condition, he will definitely not be able to hold on until that time.
Yu Zhiming estimated that Qin Yuan's health would deteriorate rapidly in half a year at most.
For this uncertain possibility, would Qin Yuan be willing to sacrifice his current healthy half month to take a risk?
Yu Zhiming subconsciously looked at Qi Yue.
Qi Yue saw that no one else was expressing their opinions, so he slowly said, "As far as the current situation is concerned, I personally believe that Zhiming's new discovery is the cause of the patient's chest pain. It is highly likely."
"We share our findings and recommendations with patients, but the decision and choice are theirs..."
Qi Yue and Yu Zhiming told Qin Yuan everything about their new discovery today.
Qin Yuan hesitated for a while and looked up at Yu Zhiming.
"Doctor Yu, do you think this is the reason?"
"I think so!"
Yu Zhiming replied, and then added: "But I can't give you a 100% guarantee."
"Because we can't verify it except through surgery."
Qin Yuan was silent for a moment, then suddenly asked, "Doctor Yu, how's your luck?"
"luck?"
Yu Zhiming repeated, somewhat embarrassedly saying, "Well, I don't know if my luck is good or not."
"As you probably know, I had a serious accident when I was a kid. I nearly died and was blind for several years."
"But since then, I've been through a lot and haven't encountered any really bad things. Overall, things are getting better and better."
"But luck..."
Yu Zhiming recalled: "I rarely picked up money. The most I ever found was 20 yuan."
Qin Yuan chuckled and said, "Doctor Yu, compared to your early suffering and getting better, I am your counterexample, a model of getting worse and worse."
"So, I trust your judgment, Doctor Yu."
Qin Yuan raised his voice as if to convince himself.
"I need surgery."
"This excruciating pain makes me lose all appetite. It's so damn uncomfortable..."
At five o'clock in the afternoon, Yu Zhiming came to the examination room and found that the people waiting outside were all women in their thirties and forties.
He also saw Wang Yaxian, Liu Yun, Ding Ye and others.
Yu Zhiming greeted them briefly and started today's breast cancer screening examination.
His examination was a little slower today and he didn't finish until nearly seven in the evening.
What surprised Yu Zhiming was that five suspected breast cancer patients were found.
This ratio is somewhat shocking.
“Only five!”
Wang Yaxian took the five breast biopsy location diagrams handed to her by Yu Zhiming, and could not hide her disappointment.
Seeing Yu Zhiming's confusion, Ding Ye quickly explained, "Doctor Yu, these fifty high-risk volunteers were selected by Doctor Wang and Director Liu, together with gynecologists from other hospitals, from thousands of high-risk individuals."
"These fifty people were repeatedly checked and confirmed by them."
She faced Liu Yun's warning gaze again and said with a chuckle, "According to our Director Liu's estimate, ten is the minimum."
"All of them, and it's not impossible."
After saying this, Ding Ye quickly hid behind Yu Zhiming and avoided Liu Yun's kick.
Yu Zhiming chuckled and said, "Doctor Wang, Director Liu, ten to one, this shows that your screening is still effective."
Wang Yaxian sighed, "It's just that the effect is too mild."
"Doctor Yu, to be honest with you, this is a sample of nearly two thousand people we selected from our accumulated data over the years, and then screened through several examinations."
"The fifty people who appeared here have been jointly inspected by Director Liu and me."
Wang Yaxian was devastated and said, "It's exactly as Dr. Ding said. We all think there might be something wrong with them..."
So far, the biggest windfall the author has ever picked up is sixty-five yuan.
It is becoming increasingly difficult to pick up money nowadays.
What's the most you've ever picked up?
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(End of this chapter)
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