Chapter 356 The Tenacity of Life
Monday was a busy and tiring day for Yu Zhiming, but also a day full of challenges and rewards.
Because Yu Zhiming also didn't know what kind of physical abnormality the next patient who registered would come to him with.
After examining the abdominal cavity of a 43-year-old man who complained of constipation, bloating and abdominal pain, he wondered for a moment whether his probing skills had failed.
Yu Zhiming was shocked to discover that the man's internal organs were in a mess, like a large car accident scene.
The liver and spleen diaphragm spaces disappeared, the omentum in the abdominal cavity was wrapped into a mass, and the entire small intestine was also covered by the omentum...
This was the first time Yu Zhiming had seen such a scene.
He was clueless for a moment and quickly asked for help.
Contact Dr. Cui Zhitan of the General Surgery Department by phone.
The call was connected smoothly, and Yu Zhiming told Dr. Cui all his findings.
After a moment of silence, Dr. Cui's voice slowly came from the phone.
"Doctor Yu, based on what you've described, I highly suspect the patient has abdominal cocooning."
"Abdominal cocooning?"
Yu Zhiming repeated it and said, "That's quite vivid. The patient's abdominal organs really do seem to be wrapped in layers of netting."
Dr. Cui explained to Yu Zhiming over the phone, "This is a rare intestinal obstruction. It has several official names, such as congenital intestinal imprisonment, intestinal cocooning, intracapsular adhesive intestinal obstruction, segmental intestinal fibrosis, and abdominal cocooning."
"The typical feature of this disease is that the small intestine is wrapped in an abnormal fibrous membrane, like a worm making a cocoon, so it is also vividly called abdominal cocoon disease."
After a pause, Dr. Cui continued, "This disease requires surgery."
"Doctor Yu, please transfer that patient to me. I'll also let the student assistants broaden their horizons..."
After Yu Zhiming wrote a referral form for the man with a rare disease and sent him away, he welcomed a couple who looked to be in their early twenties.
The young man sat in front of Yu Zhiming.
Yu Zhiming took a glance and found that he was quite fair and handsome, with very delicate skin.
"What's wrong with you?"
When Yu Zhiming asked the question, he noticed that the man's face suddenly turned red and he stammered, unable to utter a complete word.
Yu Zhiming was just about to urge him when a pretty girl next to him suddenly spoke.
"His breasts are huge, even bigger than mine. Doctor Yu, could you please check them out? Is there anything wrong?"
Yu Zhiming glanced at the man's chest. He was wearing too many clothes, so he couldn't see anything at first.
"Are you sure it's big breasts, not developed pectoral muscles?"
Yu Zhiming asked casually, and then took a special look at the man's Adam's apple.
There is an Adam's apple, but if you don't pay close attention, you really can't see it.
The woman replied, "Doctor Yu, that can't be his pectoral muscles. I've touched men with well-developed pectoral muscles before, and the feeling is completely different."
Yu Zhiming said "oh" and told the man directly: "I need to take a look and check it."
Seeing the man hesitate and not move, Yu Zhiming said seriously: "I'm a doctor, I've seen everything, hurry up."
Under Yu Zhiming's urging, the man finally took off his clothes reluctantly.
When his clothes were untied, Yu Zhiming was really surprised by the scene he saw.
As Yu Zhiming is an expert in breast examination, he has seen quite a few breasts.
But objectively speaking, men's breast development is really bigger than many women's in terms of size.
This made Yu Zhiming secretly amazed.
Gynecomastia is a clinical condition that is generally caused by physiological or pathological factors, which leads to an imbalance in the ratio of androgens to estrogens, resulting in abnormal development of male breast tissue and abnormal proliferation of breast connective tissue.
Judging from this man's delicate features and fine skin, he must be secreting too much estrogen.
Next, Yu Zhiming put on surgical gloves and performed a breast examination...
No problems were found, the breast is normal!
But as a man, it is definitely abnormal for his breasts to develop so vigorously.
Yu Zhiming pondered and said to the man, "Your condition is clearly due to excessive estrogen secretion."
"Judging from your breast development, your excessive estrogen secretion has been going on for quite a long time, at least since puberty."
"I suspect there's something wrong with your pituitary gland, which controls hormone secretion!"
"Well, you go get an MRI of your pituitary gland."
Yu Zhiming wrote out a checkup list for the man. After sending the young couple away, he welcomed a new patient...
At ten o'clock in the afternoon, Yu Zhiming and head nurse Zhan Qi had lunch together in an office in the emergency department.
The meal was naturally prepared by Zhan Qi.
"Sister Zhan, what do you do in the emergency department?"
Zhan Qi replied softly, "The handover has been completed. I'll just need to guide him step by step over the next few days."
She chuckled again and said, "My leaving is also giving others a chance."
"The head nurse is also a one-size-fits-all person."
"If a qualified nurse doesn't have strong connections and wants to be promoted to head nurse smoothly, she can only actively apply to work in a tough department like the emergency department."
Yu Zhiming knew that large hospitals with a long history like Huashan Hospital were always fully staffed.
Only one person can go forward before one person can follow behind.
Being a doctor is not so difficult. As long as you have outstanding abilities and make brilliant achievements, there are many opportunities for exceptional promotion.
Like nurses, many people can only follow the steps to gain experience and wait patiently for opportunities.
Zhan Qizhuang asked casually, "Doctor Yu, are you familiar with all the twenty or so nurses in the center?"
"Are there any with stronger personalities who need my special attention?"
this……
Yu Zhiming really doesn’t know how to answer this question.
Although he has been in the center for three or four months, he doesn't know much about the nurses there.
To put it simply, there were even several nurses whose names Yu Zhiming couldn't even match.
When Zhan Qi saw Yu Zhiming lost in his memories, he knew he had asked the wrong person.
She smiled and said, "Doctor Yu, don't think about it."
"You hold a special position at the center. If you need anything, just give your instructions directly. They won't care about the nurse's name or personality, and the nurse won't dare to mess with you."
"Young doctors who have just started working have to fawn over nurses by calling them 'sister' every day."
This made Yu Zhiming smile awkwardly.
Nurses are responsible for carrying out physician orders.
Young doctors sometimes encounter problems when prescribing medicines and giving medical instructions due to their limited experience and abilities.
If nurses can identify problems in a timely manner when checking and executing medical orders, medical accidents can be avoided.
If young doctors and nurses develop a good relationship, these problems can be resolved quietly and privately.
If the relationship is not good, the nurse will report the problem directly to the senior doctor.
The evaluation results of young doctors will be very bad.
Also, although the doctor's position in the hospital is more important, in terms of management, doctors and nurses are not subordinate to each other.
Strictly speaking, there is no hierarchical relationship between doctors and nurses in a department.
In actual work, when it comes to individuals, which side is stronger depends on personal ability, qualifications, etc.
Yu Zhiming had seen more than once that senior nurses scolded residents and attending physicians so harshly that they dared not say a word in rebuttal.
As for Yu Zhiming, his identity when he joined the company was extraordinary, and now he is a person that even the dean has to be careful to respect.
Unless a nurse doesn't want to do it anymore, she won't deliberately and blindly provoke him...
After four o'clock in the afternoon, the young couple from the morning came to Yu Zhiming with the MRI images.
Although Yu Zhiming is not very proficient in interpreting image diagrams, he can still see it from the picture.
There was indeed something wrong with the man's pituitary gland, and it seemed to be a pituitary gland tumor.
He wrote a referral form and asked the man to go to the neurology department for further confirmatory examination...
Just as Yu Zhiming finished his outpatient work for the day, he received a call from Dr. You Weixian.
"Doctor Yu, he's still alive."
When Yu Zhiming heard this, he remembered that Dr. You was talking about the young man who was shot in the head by an arrow.
"Doctor Yu, over the past forty hours, he's experienced a high fever and cerebral edema, but he's still alive."
"Now we have finally reached a turning point. All our physical indicators are improving, and the cerebral edema has subsided."
"Doctor Yu, there's a good chance he'll survive."
Yu Zhiming said with genuine joy: "Doctor You, this is a miracle, a miracle of life."
“Yes, this is the miracle of life.”
You Weixian said with emotion: "Life is both fragile and incredibly resilient, and it always surprises us from time to time..."
After finishing the call with Dr. You, Yu Zhiming also came to the center building and immediately began the physical examination of volunteers for the very early cancer project.
One hour and twenty minutes later, Yu Zhiming finally completed his work for the day.
He began to shake his arms, twist his waist, and kick his legs to dispel the fatigue and discomfort in his body.
"Doctor Yu..."
Yu Zhiming followed the voice and saw Qiao Lei looking at him pitifully.
He rolled his eyes and said with a look of disgust: "Wait, I'll go to the general surgery department for a while."
Zhou Mo on the side said excitedly: "I'm going too, I'm going too..."
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(End of this chapter)
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