Chapter 673 Doctor Yu, I have cancer
At around 8:30 in the morning, Yu Zhiming brought Zhou Mo to the No. 15 outpatient clinic on the second floor of the emergency department.
Wang Li, the young nurse who had cleaned up the outpatient clinic, was chirping like an excited little bird.
"Doctor Yu, the injured patient has been brought in. Deputy Director Xu on duty personally examined him and said his pupils were dilated and he had no light reflex. He can be pronounced dead."
"At this time..."
Wang Li said vividly, "The ambulance nurse who came in with her shouted, 'There's still hope, there's still hope.' Doctor Yu examined her and clearly said there's still a chance of rescue."
She gestured with her hands and said, "Before the nurse's voice faded away, several people rushed over to try to save her."
"We injected him with seven or eight different life-saving drugs, and used all sorts of resuscitation methods. After a fierce and intensive attack, his heartbeat actually recovered."
Wang Li, with a look of admiration on her face, said, "Doctor Yu, you are truly amazing. No one in the entire emergency department disrespects you."
Yu Zhiming chuckled and said, "It's mainly due to the effective rescue efforts of the medical staff. I just said that person has a chance, but it doesn't mean he will definitely be saved."
Wang Li chuckled and said, "Doctor Yu, without your possible judgment, they wouldn't have put in so much effort and saved the patient at all costs."
"In the final analysis, it is you who play the most crucial role."
After a pause, Wang Li asked softly, "Doctor Yu, there must be some patients like today's who could have been saved but were ultimately abandoned. Every hospital should have some, right?"
Zhou Mo also agreed, "This situation definitely happens. I once saw a news report online about a person who was declared dead and sent to the morgue, but then woke up in the morgue."
Yu Zhiming pondered and said, "Doctors are very cautious when declaring death. They will make a comprehensive assessment based on heartbeat, breathing, pupil reaction, brain waves, and other factors."
"Of course, misjudgment cannot be ruled out."
"However, the proportion of such cases is very small, one in a thousand or even one in ten thousand."
Yu Zhiming further explained, "We can't, just to avoid this one in a thousand chance, perform a resuscitation on every patient who has lost vital signs, regardless of the cost, right?"
“How much medical resources will this consume?”
Wang Li nodded in agreement and said, "That's true. Medical resources are always limited."
At this time, Yu Zhiming was already ready for work and urged, "Stop thinking about it and start working."
Wang Li quickly said "Hey", went outside the outpatient clinic, started calling numbers, and verified the identities of the registered patients...
As his first outpatient emergency visit after the Spring Festival holiday, Yu Zhiming remained quite excited.
It also improved his work efficiency.
By noon, Yu Zhiming had completed examinations and diagnoses for a total of 27 registered patients.
A total of three cancer patients were diagnosed, one with esophageal cancer, one with intestinal cancer, and one with lymphoma.
Yu Zhiming left the clinic to have lunch and finally had time to check last month's salary.
I first looked at the remuneration text message from Ning'an Bank, and the amount reached more than 630,000 yuan.
This number...
Yu Zhiming guessed that it should include Meng Fan's 600,000, plus other income, and then deduct about 30% personal income tax, which is roughly this number.
He took out his work tablet from his pocket, logged into his personal system, and checked Huashan Hospital's salary details for last month.
Yu Zhiming discovered that there was an additional 600,000 yuan allowance for a late-stage cancer research project in his salary details.
This brought his total salary for January to more than 1.46 million yuan. After deducting taxes, fees and insurance, his actual salary was a little over 1 million yuan.
At this time, Yu Zhiming had already walked out of the emergency building, and suddenly a man's voice sounded in his ears.
"Doctor Yu..."
Yu Zhiming stopped and put away the tablet, then saw Zhou Mo step forward to protect him.
"You are not allowed to come forward. Just stand there and talk if you have something to say."
Zhou Mo stopped the person and whispered to Yu Zhiming, "The son of that retired nurse Liang who worked as a scalper."
Yu Zhiming said "oh" and looked at the person who came.
Although he had examined the man and given him first aid at the time, he didn't feel any sense of familiarity when he looked at him now.
The man was in his early thirties, tall and strong, with a flat head and ordinary facial features, nothing special.
"Are you here for your mother?"
The young man with a flat head nodded and said, "Doctor Yu, please forgive my mother for what she did. She just wanted to make a little more money."
Zhou Mo suddenly interrupted: "Earn more money?"
She said sarcastically, "I heard your mother owns four houses and has no bank loans."
"Is it true?"
"This is not a small amount of money!"
The young man with the flat head explained sheepishly, "I made the money by investing in houses a few years ago when the real estate market was booming."
“I really don’t make much money as a scalper.”
Yu Zhiming said in a deep voice: "You have so many houses at home, why do you still want to be a scalper and make money from patients?"
"Instead of coming to me, you might as well persuade your mother to actively plead guilty and accept punishment, and try to reduce her punishment."
After saying this, Yu Zhiming ignored the man and strode away to the cafeteria.
A few minutes later, he and Zhou Mo arrived at the door of the employee cafeteria and met Ding Ye.
Ding Ye picked up the larger and heavier insulated box in his hand and said, "Doctor Yu, this is the delicious food I bought from the restaurant outside. Thank you for your help the day before yesterday."
"Is the woman in labor okay?" Yu Zhiming asked.
Ding Ye hummed and said, "There are still some minor health issues that need to be treated, but the risk of organ failure is no longer there. It can be said that he has finally been rescued."
The three of them found an empty table in the cafeteria.
Ding Ye took out the takeaway food from the thermal box, including steamed sea bass, braised short ribs, and cumin lamb. The only vegetarian dish was stir-fried bok choy, black fungus and shiitake mushrooms.
The portion of each dish was generous, enough for the three of them to share.
Ding Ye went to the dining area in the cafeteria and ordered four bowls of rice and three servings of dried shrimp soup...
Ding Ye first ate half a bowl of rice with the dishes in big mouthfuls, and then showed a miserable expression.
"Doctor Yu, I was severely criticized by the hospital."
"He said it wouldn't happen again. He also said that if he wanted your help in the future, he had to follow the hospital's regulations."
Ding Ye lamented again, "Thank goodness you discovered the amniotic fluid embolism. If it were just the matter of adjusting the fetal position, I would not only be criticized, but I would probably also have my performance deducted."
Yu Zhiming said happily: "Who told you to be so clever?"
Ding Ye chuckled and said, "I didn't expect the hospital to be so strict. They won't slack off in protecting you."
At this time, Zhou Mo couldn't help but interrupt.
"Doctor Yu, if that's the case, the hospital will definitely take care of the ambulance incident this morning."
"I just don't know how severe the punishment will be for them."
Ding Ye asked curiously, "What happened?"
Zhou Mo briefly recounted how the ambulance had dangerously stopped that morning and how the injured had been successfully rescued.
Ding Ye uttered a soft "oh" and said, "It's indeed a serious matter, but after all, he saved a life. Their punishment should be the kind of high-handed, gentle punishment..."
The three of them ate and talked, and before they knew it, it was already 12:40 noon when they finished their lunch.
When Yu Zhiming saw the time, he gave up his plan to take a nap on the stretcher and returned to the outpatient department to start work.
However, the first patient who registered after lunch posed a big problem to Yu Zhiming.
His name is Li Hao, male, 37 years old today, working in a public institution in Binhai.
The first thing Li Hao said when he walked into the clinic was, "Doctor Yu, I have cancer, but I don't know what it is or where it's growing."
"Please, my good doctor, check it out for me."
As he spoke, he took out a thick stack of test analysis reports and imaging films from his backpack and handed them over.
Yu Zhiming took the heavy information with both hands, quickly flipped through a part of it, and couldn't help but secretly sigh.
This guy did almost all the tests he could to find cancer hidden somewhere in his body.
There are generally two ways to screen for unknown cancers in the body that have not yet produced obvious symptoms in the hospital.
First, tumor marker testing.
Tumor markers are substances produced and released by tumor cells, and mostly exist in tumor tissues or body fluids in the form of antigens, enzymes, hormones, etc.
Through tumor marker testing, we can check whether there are tumor markers in the body and the type of tumor markers, which can help cancer patients detect cancer in the early stages.
Yu Zhiming discovered that this guy had done all the tumor marker screening projects that the hospital could do.
For example, he checked the alpha-fetoprotein AFP, a marker used to screen for primary liver cancer, the prostate-specific antigen PSA, which is used to screen for prostate cancer, and the ferritin concentration that can be seen in acute leukemia, lymphoma, lung cancer, colon cancer, liver cancer, and prostate cancer, etc.
All in all, this guy did twelve things in total.
Not only that, he did these screening tests more than once, the least was three times, and the most was six times.
The second way to screen for cancer is through imaging examinations.
Yu Zhiming was a little astonished. Li Hao had undergone various imaging data including B-ultrasound, four-dimensional color ultrasound, X-ray, CT, MRI, etc. It could be said that his entire body had been photographed three or four times from head to toe.
He also paid attention to the time. These imaging data were all taken in different hospitals within one month.
Aren’t you afraid of excessive radiation?
Because there was too much information, Yu Zhiming picked out some of it and looked through it, secretly having a guess in his mind.
Is this guy a severe hypochondriac?
"Mr. Li, these test analysis reports and imaging data all show that you are in very good health."
Li Hao said seriously, "Doctor Yu, I know very well that the accuracy of this tumor marker test is low and can only be used as an auxiliary detection method."
"Imaging data cannot detect many early-stage cancers."
Yu Zhiming couldn't say that Li Hao was wrong.
Tumor marker testing and imaging examinations do have significant limitations, especially for early cancer screening.
Li Hao said with anticipation, "Doctor Yu, you have the ability to see the big picture from the smallest details. You will definitely be able to find the cancer hidden in my body."
These words gave Yu Zhiming a headache. Is this guy sure that he has cancer?
However, without practice, there is no right to speak.
Yu Zhiming was not sure whether he should come here or not. Instead, he should go for a mental evaluation and psychological counseling.
"Mr. Li, please lie down on the examination bed. I will give you a full body examination first..."
PS.
It’s the end of the month, please support me with monthly tickets!!!
At the end of the month, please support me with monthly tickets!!!
(End of this chapter)
Continue read on readnovelmtl.com
