After finishing the call with Qing Ning, Yu Zhiming also arrived at the door of the hospital’s first cafeteria.
Ding Ye suddenly appeared from nowhere and stuffed a medical document into Yu Zhiming's arms.
"Doctor Yu, please take a look at this medical record and then give your opinion based on your intuition."
"Your lunch today is on me."
After saying this, Ding Ye pulled Zhou Mo into the cafeteria without waiting for Yu Zhiming's reaction.
Yu Zhiming was speechless. As he walked into the cafeteria, he quickly looked through the medical information in his hand.
The patient is a 24-year-old female.
College educated, unmarried, married, having a sexual relationship, regular menstruation, moderate flow, no dysmenorrhea.
There is usually no abdominal pain or bloating, no nausea or vomiting, no fever or chills, no frequent or urgent urination, and other discomfort symptoms.
During the physical examination, B-ultrasound examination revealed a mixed echo mass on the right ovary measuring 32*27*38mm...
After quickly reading the patient's medical history, Yu Zhiming arrived at the somewhat messy cafeteria.
He found a relatively secluded empty dining table and sat down, then quickly looked through the patient's gynecological examination records and various laboratory analysis data.
Finally, Yu Zhiming faced the light outside the window and carefully reviewed eight sets of imaging data of patients in various conditions.
After reading through all the patient's medical information, Yu Zhiming leaned back in his chair and closed his eyes.
Yu Zhiming completely shut out the clutter of the outside world and devoted himself wholeheartedly to analyzing the patient's condition...
In his mind, all the text and video materials he had read had been transformed into a three-dimensional physiological and anatomical perspective view of a woman's right ovary in her abdominal cavity.
Not only that, under Yu Zhiming's powerful "brain supplement", this physiological structure diagram is not only lifelike in every detail, but also alive, with blood flowing in and out.
Yu Zhiming carefully "examined" the ovarian tumor the size of half an egg that appeared in his mind.
Not only that, similar ovarian tumors that he had treated before and studied in books would occasionally emerge in his mind for comparison and contrast.
At the same time, Yu Zhiming couldn't help but raise his hands and clap.
It was as if the patient was lying in front of him...
Time passed minute by minute, and Yu Zhiming finally opened his eyes. He was surprised to see Ding Ye and Zhou Mo sitting opposite him at the dining table, staring at him with their eyes wide open.
"What conclusion?"
Their eyes met, and Ding Ye asked anxiously, "Doctor Yu, don't think about anything. Just rely on your intuition and say the first answer that comes to your mind!"
"Ovarian sclerosing stromal tumor!" Yu Zhiming replied.
Ding Ye was slightly startled and asked again: "Why?"
Yu Zhi understood her and said, "Since the answer is based on intuition, there is no reason!"
"Is it really just intuition?" Ding Ye looked unconvinced.
"It's just intuition!" Yu Zhiming replied with extraordinary firmness.
In fact, he lied.
Yu Zhiming did not rely on intuition.
This was the answer he came to after repeated analysis in his mind and comparison with previous related case data in his memory.
However, the patient is not in front of him. This is the conclusion Yu Zhiming came to based on the patient's medical information.
This form of diagnosis is not Yu Zhiming's forte, which makes him a little unconfident.
It's understandable that your intuition is wrong.
It would be embarrassing if the conclusion you draw after diligent analysis turns out to be wrong.
He doesn't want to embarrass himself.
Yu Zhiming looked at the plate in front of him, which was full of dishes.
There are braised pork, beef stewed with potatoes, fish fillets, as well as stir-fried water spinach and mushrooms and Chinese cabbage.
He was quite satisfied.
After taking a sip of winter melon soup, Yu Zhiming asked, "How long have I been thinking about this?"
Zhou Mo replied softly, "After we finished cooking, we've been sitting here waiting for you for about five or six minutes."
Yu Zhiming let out a light "oh" and understood what was going on.
Before I knew it, I had been thinking for about ten minutes.
Yu Zhiming looked at Ding Ye and asked, "What exactly is the condition of this patient?"
Ding Ye explained: "A girl from another place who came to me through a roundabout way."
"She underwent examinations at three local tertiary hospitals and received three different diagnoses."
"Ovarian fibroma, granulosa cell tumor, ovarian cystadenocarcinoma, each one is more frightening than the other."
Ding Ye sighed softly and continued, "The girl and her family are terrified. They don't know who to believe, and they dare not perform surgery rashly."
"Someone found me through someone else."
After a pause, Ding Ye said frankly, "I've analyzed the girl's information and personally tend to believe she has a granulosa cell tumor."
"Hearing what you said, I think there's a possibility of ovarian sclerosing stromal tumor."
"It would be great if it was really this type of stromal tumor. The prognosis after surgery is good and there will be no recurrence or distant metastasis."
Yu Zhiming swallowed his food and said, "No matter which diagnosis is made, surgery is required. The final diagnosis will still be based on the conclusion of the pathological analysis."
In uncertain cases like the girl's, tissue samples will be taken during surgery and sent to a pathology laboratory for rapid testing.
This rapid intraoperative pathology analysis will produce results within about half an hour.
If the test results indicate a malignant tumor, surgery will be performed according to the standards for malignant tumors.
For example, extended resection, lymph node dissection, etc.
If the test result is benign, surgical resection will naturally be performed according to the standards for benign tumors.
Ding Ye hummed softly, "Doctor Yu, you sound so easy. But if three hospitals come up with three different diagnoses, it will make patients lose trust in the hospital."
"How can I still feel safe to have surgery at a local hospital?"
She smiled bitterly and said, "But now, you have given a new diagnosis."
“Patients probably have no choice.”
Yu Zhiming smiled and asked, "Has Doctor Liu never seen it?"
Ding Ye shook his head and said, "I have a cold and a fever. I've asked for leave to rest at home. I don't want to disturb you."
After a pause, she asked, "Doctor Yu, can I tell the other party that this is your diagnosis?"
Yu Zhiming hesitated for a moment and nodded.
Intuitive or not, right or wrong, that was his diagnosis.
It is also okay to inform the other party in this way.
"Let's not talk about this troublesome patient anymore."
Ding Ye smiled and said, "Last night, a colleague had a wedding banquet, and we young doctors had a small gathering."
"Hey, Zhou Luo from the Department of Gastroenterology and Shen Qi from the Department of Cardiology, are you sure they want to join your medical team?"
Yu Zhiming nodded with his mouth full of food.
Ding Ye said with a sigh, "These two have strong backgrounds and are among the best young doctors in terms of medical skills."
"The two of them are willing to be your assistants, which shows that their elders are very optimistic about your future."
"Doctor Yu, to be honest, I'm starting to regret deciding to study abroad so early."
Yu Zhiming swallowed the food in his mouth and chuckled, "The road of medicine is a long-distance race with no end. You are only going abroad for further studies for a year. It's not like you won't be coming back."
Ding Ye chuckled and said, "That's true."
"A year earlier or later, in the context of a doctor's decades-long career, doesn't make much of a difference."
"But let's make it clear first. When I return from my studies abroad, you must leave a place for me to study with."
Yu Zhiming agreed readily.
Ding Ye reminded him again, "Du Bing has a lot of opinions and resentment towards you because of me."
"Although with your current status, even if his father were to cause you trouble, you don't have to worry."
"However, it's better to pay proper attention."
Yu Zhiming hummed...
After lunch, Yu Zhiming rested in the stretcher for a quarter of an hour, then returned to the central building and resumed his busy work and study.
Around four o'clock in the afternoon, Yu Zhiming welcomed another visitor.
A month or two ago, Zhang Yong underwent a skull base tumor radiation source implantation surgery.
"Doctor Yu, I'm here for a follow-up check this morning."
Zhang Yong said excitedly and worriedly, "After the reexamination results came out, Dr. You said that the shrinkage and changes of my skull base tumor have reached the ideal state he wanted."
"I can have surgery now."
"The surgery is scheduled for tomorrow night."
Yu Zhiming understood Zhang Yong’s concerns.
Even if his skull base tumor shrinks and changes to an ideal state, it will only increase the possibility of successful surgery, and there is still a considerable chance of failure.
Moreover, given the complexity of Zhang Yong's skull base tumor, even if the operation was very successful, some sequelae were inevitable.
Functional injury sequelae such as aphasia, deafness, and mobility impairment are all possible.
Yu Zhiming consoled him, "Dr. You is the best neurosurgeon in Binhai and its surrounding areas, bar none."
"He will be the lead surgeon for your surgery. The chances of success are quite high. Just prepare for the surgery with peace of mind."
Zhang Yong nodded and said, "If I don't have the surgery, I can only hold on for another one or two years. If the surgery is successful, I can live another 10 to 20 years."
"I understand the trade-offs and the risks involved."
"I have been preparing for the surgery tomorrow night."
"To prepare for the worst-case scenario, I have also made arrangements for my business and property."
Zhang Yong met Yu Zhiming's gaze and said, "Doctor Yu, I know you're involved in a research project to promote recovery from brain damage. I heard it's yielded great results."
Yu Zhiming understood what he meant.
He explained: "The project has not yet reached the clinical trial stage, and I am just a nominal participant."
"Although there are several clinical trial volunteers who have applied for expanded access to the drug due to their special circumstances."
Zhang Yong got straight to the point and asked, "Doctor Yu, if I donate 10 million yuan for the research project, can I apply for expanded use of the drug?"
this……
Spending money is indeed a good method.
After all, the project team had made exceptions several times before, so one more time didn't seem like a big deal.
Zhang Yong added with emotion: "Now I deeply understand why it is said that health is 1 and wealth and everything else are 0. Without good health, everything else is meaningless."
"As for funding, we can discuss it later!"
Yu Zhiming replied vaguely: "I will tell the project leader about your request."
"The details depend on their decision..."
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