Chapter 555 A Matter of Principle
Not long after the beautiful reporter left, a community worker came over to inform us that it was time for lunch.
Yu Zhiming checked the three people one after another before Zhou Mo came into the tent carrying three lunch boxes.
But this guy puffed up his cheeks and was obviously angry.
"What's wrong?"
"You're not allowed to take an extra lunch?"
Zhou Mo placed the lunch box on the small table and explained, "The lunch box is enough. You can eat as much as you want."
"It's something else!"
She opened all three lunch boxes and asked, "Doctor Yu, you choose first."
The lunch box contains two meat dishes and two vegetable dishes, and each dish is different.
One portion is braised pork, fish fillet, rapeseed, tomato and egg, and the other portion is chicken legs, pork ribs, winter melon and shredded potatoes.
The third portion is braised lion's head, potato beef, stir-fried lotus root slices and bean sprouts.
Yu Zhiming looked at them one by one and felt that the appearance, aroma and taste of the food were not as tempting as the food in the cafeteria.
He picked up the braised pork lunch box and started eating.
Zhou Mo chose the chicken leg lunch box.
"Doctor Yu, before I went to get my lunch, I went to the restroom. On the way, I asked a few residents why they didn't come to your tent for treatment."
Zhou Mo opened the still warm seaweed egg drop soup and took two sips before continuing, "They all said that there's a young doctor in the easternmost tent. His teacher must have been unable to come due to some emergency, so he was assigned here to fill in."
"They also said it was just a pit and we couldn't go there."
Zhou Mo took a bite of the food, frowned in disdain, and then said, "In the bathroom, I heard someone making a phone call."
"I heard her say, 'Come quickly,' and that I was not allowed to take leave, even if I had to skip work. She also said that this was a rare opportunity to get a free diagnosis from Dr. Yu, and if I missed this opportunity, I would never see him again."
Zhou Mo said angrily, "This is either a community worker or a volunteer calling someone."
"Doctor Yu, it's normal that the residents who come to see you for treatment don't know you for a while."
"But it's been a whole morning, and they still don't know you clearly. That's not right."
"It seems that those staff members didn't promote you. On the contrary, they might..."
Zhou Mo lowered his voice and said, "Deliberately blocking the news may deepen the misunderstanding of you among the residents who come to see the doctor."
"That way, they can call their family and friends to come and ask you to treat them."
Yu Zhiming swallowed the food in his mouth, took another sip of seaweed soup, and chuckled, "It's normal to be selfish."
Zhou Mo nodded gently and said, "That's true. It's not easy for ordinary people to come to you for treatment."
"A physical examination will cost you 10,000 yuan."
Zhou Mo suddenly sighed and said, "I finally understand why the higher up the social ladder, the easier it is for people to succeed."
"Not to mention the resources and connections, just the information gap alone will greatly benefit them."
"Doctor Yu, look, the community staff knows your abilities and got you a chance to see me."
"Those residents outside, because they are isolated from the news, don't realize how much of a precious opportunity for health they have missed."
Yu Zhiming smiled and said, "You can't say that."
"The doctors in the other tents are either chief physicians or deputy chief physicians. They are all highly capable and experienced clinicians. The diagnostic advice that residents receive from them may be more professional and accurate than what they receive from me."
Zhou Mo curled his lips and said, "Doctor Yu, it's not that I underestimate their abilities."
"Although they are all director-level doctors, here, without the support of the hospital's various medical instruments and equipment, their diagnostic abilities are not even as good as your little finger."
"They are already accustomed to prescribing a lot of tests for patients, and then analyzing the condition through imaging and laboratory data."
Yu Zhiming said happily: "Okay, let's eat quickly."
Zhou Mo looked at his uneaten lunch box and said with a pout, "It tastes terrible. I have no appetite."
"You are so hungry! No more food!"
Yu Zhiming criticized and gave an order, then set an example by starting to eat with big mouthfuls.
Zhou Mo could only repeat to himself several times that this was "the food made by my auntie" and then resolutely started eating...
After the break, the medical team took another short break of ten to twenty minutes before starting the free medical consultation activity in the afternoon.
Most of the people who come to the Yuzhiming tent for medical treatment are family members and friends who were invited by community workers and volunteers.
Of course, a few community residents came in occasionally with stamped notes.
After three o'clock in the afternoon, a woman's voice came clearly from outside the tent.
This voice attracted Yu Zhiming's attention.
Then I heard this voice: "Let's go in. My friend is obviously in trouble. Please ask Dr. Yu to check her out."
The next moment, a man's voice sounded.
"This free clinic was organized by our community and Huashan Hospital. It is only for residents with household registration in Binhai and whose families have certain difficulties in life."
"You and your friend are both from other places and are not covered by the free clinic."
"You should take your friend to the hospital."
Then, the woman's voice sounded again, saying: "To be honest, she is my roommate, and my relationship with her is just average."
"I saw that her condition was obviously not right, and since I saw there was a free clinic going on here, I brought her here to see me."
"Let Dr. Yu examine her. If it's confirmed that she has a serious problem, I will contact her colleagues and family immediately."
"Comrade, please be flexible. I beg you."
The man said in a cold voice, "No, this is a matter of principle and cannot be compromised."
Yu Zhiming, who heard the conversation between the two clearly, couldn't help but frown.
He continued to examine the patient and said to Zhou Mo, "There are two girls from other places outside. Bring them in."
Zhou Mo nodded and left the tent...
Yu Zhiming finished examining and diagnosing six people in succession, and then saw two young women approaching.
One was a straight-haired woman who looked to be about twenty-five or twenty-six years old and dressed neatly.
The person she was holding was a young woman who was wearing pajamas and a down jacket, with messy hair.
Yu Zhiming noticed that the woman had a dull expression and her body movements were a little stiff, as if she had not yet woken up.
"What's her situation?"
The straight-haired woman bowed first and said, "Dr. Yu, thank you for letting us in."
She then went on to introduce, "Doctor Yu, she's my roommate, 22 years old, and a college graduate this year."
"Three or four days ago, she said she had a fever and a headache, and she kept sleeping and didn't even go to the company."
"Every day, except when I wake him up to eat and go to the bathroom, he basically just lies in bed and sleeps."
The straight-haired woman hesitated for a moment, then continued, "Doctor Yu, I feel like something's not right with her mental state."
"She ignored me and didn't answer my questions. She wasn't like this before. She was cheerful and talkative."
Yu Zhiming said "oh" and stood up from his chair.
"Let me check her out first."
With the help of the straight-haired woman, her roommate obediently lay on the examination bed.
Yu Zhiming came closer and was about to check when he found that the woman's breathing had become lighter.
This is falling asleep.
Narcolepsy?
Yu Zhiming muttered to himself, reached out and pressed his hand on the woman's forehead, and noticed that she still had a fever.
About thirty-eight degrees.
Yu Zhiming further explored the woman's brain.
Due to the messy environment of the tent, Yu Zhiming could only conduct preliminary exploration of the brain and its main blood vessels.
He found no abnormalities in the brain.
Then check the neck, breast, heart and lungs...
While examining the woman's ovaries in her abdominal cavity, Yu Zhiming made a major discovery.
Not only did the woman's left ovary grow in size by one-third, but Yu Zhiming also clearly detected the presence of bone in the enlarged part of the ovary.
Is this a teratoma?
Teratoma is one of the common tumors of the female ovary. It originates from germ cells and is a type of germ cell tumor.
When analyzing and testing excised teratomas, bone-like components such as hair and nails may sometimes be found.
A teratoma is essentially an embryonic substance that is underdeveloped and dies at a very early stage.
After repeated examinations, Yu Zhiming confirmed that the woman's ovarian tumor was a teratoma, and he also understood the reason for the woman's symptoms.
She had autoimmune encephalitis.
This is an inflammatory disease of the central nervous system that is primarily associated with an autoimmune response.
The occurrence of this autoimmune reaction is mainly due to the patient's immune system being unable to distinguish between friend and foe.
It mistakes its own brain tissue for foreign antigens, produces specific antibodies and immune attacks that "attack" its own brain tissue, and ultimately causes brain tissue inflammation.
The pathogenic mechanism is still unclear, but tumors such as teratomas are one of the causes of the disease.
In the woman's case, her immune system first detected the teratoma and, when it launched an attack, also attacked her brain.
Patients with autoimmune encephalitis may experience a variety of symptoms.
The main symptoms are cognitive dysfunction, mental and behavioral abnormalities, and acute or subacute onset of epileptic seizures.
That is, dementia, memory loss, personality changes, delusions, incoherent speech, recurrent convulsions, etc. will appear in a short period of time.
Some patients may experience sleep and consciousness disorders, manifested as disrupted sleep cycles, such as not sleeping at night, sleeping for long periods of time during the day, drowsiness, coma, etc.
After listening to Yu Zhiming's introduction, the straight-haired woman asked worriedly, "Is teratoma cancer?"
Yu Zhiming explained: "No, it's a benign tumor, but it requires surgery."
"The operation is minor."
Yu Zhiming added, "What you need to do now is send her to the hospital and contact her family."
The straight-haired woman hummed and said, "Doctor Yu, I feel relieved with your diagnosis."
"I'll take good care of her until her family arrives."
Having said this, she bowed to Yu Zhiming.
"Dr. Yu, thank you!"
"You are a rare good doctor..."
Yu Zhiming watched the straight-haired woman pull her roommate out of the tent and returned to work...
Thanks to the joint efforts of the medical expert team, the residents who came to see the doctor were cleared out by 4:30 in the afternoon.
The free medical clinic team persisted until five o'clock in the afternoon and successfully completed today's free medical clinic work.
The team leader and captain ordered the team to return to the hospital.
After Yu Zhiming got dressed and walked out of the tent, he saw a male community worker in his early thirties jogging towards him with a woman.
"Doctor Yu, this is my wife. Could you please..."
Yu Zhiming remembers this voice.
"It's past five o'clock, the free clinic is over. This is a matter of principle and cannot be compromised..."
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(End of this chapter)
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