Chapter 674 Questioning the Selection Criteria
Yu Zhiming conducted a physical examination on Li Hao, who was suspected of having hypochondriasis, starting from the head step by step.
Examination revealed no problems with the brain.
Then, Yu Zhiming moved down to examine his neck, focusing on the thyroid gland located on the front of the neck.
The reason for this is that Yu Zhiming took into consideration that this person had undergone excessive X-ray, CT and other imaging examinations in a short period of time.
Considering the patient's psychological condition, he must have undergone many such radiological examinations before.
As a doctor, Yu Zhiming knows clearly that radiological diagnostic examinations are a double-edged sword.
On the one hand, images can clearly identify the cause of the disease and are an important diagnostic and treatment method.
But on the other hand, it is harmful to the human body and abuse may cause cancer.
Although the amount of radiation from a radiological examination is very small, medical research has shown that the harm it causes to human health can be cumulative.
Its negative impact on the body will not disappear easily over time, but is more like a process of quantitative change to qualitative change.
To put it simply, every time you have a radiographic examination, the damage to your body increases by 1.
Do it again, +1.
Because everyone's physical fitness, radiation resistance, genetic defects, susceptibility to cancer types, etc. are all very different, for some people, the accumulated damage reaches 100, resulting in a qualitative change and inducing cancer.
Some people's radiation damage has accumulated to 1000, but they are still full of energy and vitality.
However, unless necessary, radiographic examinations should be performed as little as possible.
Different organs and tissues in the human body have different sensitivities to radiation.
Among them, tissues that are highly sensitive to radiation include lymphatic tissue, thyroid gland, thymus, bone marrow, gastrointestinal epithelium, glands and embryonic tissue.
The sensory organs are moderately sensitive tissues.
The central nervous system and heart are mildly sensitive tissues.
Bone tissue is insensitive tissue.
As the thyroid gland is a highly sensitive tissue in the human body to radiation, Yu Zhiming must undergo a focused examination.
However, after a detailed examination of Li Hao's thyroid gland, he found no issues worthy of further attention.
Then, he examined Li Hao's chest organs, abdominal organs, reproductive organs, and limbs.
Yu Zhiming still found no suspicious issues.
After examining him now, he was almost certain that this guy probably had a psychological problem.
"Mr. Li, turn over. I need to check your spine and spinal cord."
The spinal cord is also highly sensitive to radiation. Since Yu Zhiming is doing a comprehensive examination, he naturally will not miss this area.
After Li Hao turned over, Yu Zhiming began to tap his spine with his hands, slowly moving down from top to bottom.
Suddenly, Yu Zhiming's hand stopped moving down and began to repeatedly tap on Li Hao's third and fourth thoracic vertebrae.
He did this because he noticed that the two vertebrae seemed to be damaged and some bone mass had been lost.
After repeated confirmation, Yu Zhiming believed that his feeling was correct.
The bone quality of these two vertebrae is slightly inferior to that of the adjacent vertebrae.
Yu Zhiming continued to check down the spine and found a similar mild condition on the second lumbar vertebra.
After a comprehensive examination of Li Hao's body, Yu Zhiming only found two suspicious spots on his spine.
This made Yu Zhiming pay special attention to it.
He thought of blood system malignancies such as myeloma and leukemia.
This type of tumor is easily induced by radiation and will invade the bone marrow, causing bone damage.
If Yu Zhiming's analysis is true, judging by the slight damage to Li Hao's vertebrae, the cancer should have appeared in the last one or two months, or even in the last two or three weeks.
If Li Hao knew, he would most likely have developed cancer due to the continuous and excessive radiological examinations.
Is he relieved that he got what he wanted?
Or am I still too sad to cry?
"Doctor Yu, you obviously took a bit longer to examine my spine. Did you find anything?"
Seeing Li Hao's expectant look, Yu Zhiming nodded gently and said, "We have made some findings, but we still need to go to the oncology department for a checkup to exclude any abnormalities."
Then, Yu Zhiming wrote a referral form for Li Hao.
On the list, he described his findings and speculations in a way that only industry insiders could understand.
In fact, according to Yu Zhiming's guess, it would be more appropriate to refer Li Hao to the Department of Hematology.
However, given that he was extremely unhappy with Dr. Du, the director of the Hematology Department, and the good cooperative relationship they now had with the Oncology Department, Li Hao was transferred to the Oncology Department.
Yu Zhiming was speechless as he watched Li Hao hurriedly leave with the referral form.
I really want to be diagnosed with cancer...
Fortunately, the patients who registered one after another were all feeling much better.
Faced with Yu Zhiming's diagnosis of serious or critical illness, they either turned pale with fear or pretended to be strong.
In short, it's all within the normal reaction range...
At a little after 4:40 in the afternoon, Yu Zhiming performed a physical examination on the last outpatient of the day, the mother of the young security guard from the night before.
After examination, Yu Zhiming found that the young security guard's mother suffered from multiple diseases, including chronic obstructive pulmonary disease, osteoporosis, mild liver cirrhosis, and chronic pancreatitis.
The disease that needs treatment most now is chronic pancreatitis...
After finishing his consultation, Yu Zhiming hurried back to the center building and immediately conducted rapid screening for liver and stomach cancer on 50 volunteers of the very early cancer project.
It took a little over an hour for Yu Zhiming to examine three people suspected of having stomach cancer and two people suspected of having liver cancer.
Although he completed the day's work efficiently, the first full-load work after the holiday also made Yu Zhiming feel a different kind of physical and mental fatigue.
Yu Zhiming, who was still a little uncomfortable for a while, dragged his tired body back to the big office and found that the Chinese father from the United States was waiting for him.
He slumped down in his office chair and asked weakly, "Have you decided? Go back for treatment, or stay?"
"Go back to the United States for treatment!"
The Chinese father replied and then introduced, "Doctor Yu, I sent Taier's test report to several doctors who had examined Taier before."
"They all approved the test results."
"At the same time, they were very impressed that you, Dr. Yu, were able to find the cause of the disease in such a short time."
"They want to have a medical exchange and discussion with you."
Yu Zhiming politely declined, "There's no need for communication."
"I'm just standing on their shoulders. They've ruled out a lot of other possibilities for me."
"And then I just happened to have some luck."
"That's all."
The Chinese father said with emotion: "Dr. Yu, you are really too modest."
"Your diagnostic skills, in my opinion, are enough to defeat all of them."
Yu Zhiming smiled and asked, "When are we leaving?"
The Chinese father replied: "Since you have decided to go back for treatment, the sooner the better."
"I've booked a flight for tomorrow night."
After a pause, he added with gratitude, "Dr. Yu, thank you. Although you weren't able to cure Taier, you did find the cause of his illness. Now we're no longer wandering aimlessly like before."
Yu Zhiming said politely, "No need to thank me, I was just doing my job as a doctor."
"At the same time, I also regret that I cannot provide more help in treating Tyr's illness..."
After seeing his Chinese father off, Yu Zhiming quickly took out biscuits, nuts, chocolate and other snacks from the drawer and started eating.
The next moment, a cup of hot water was placed on the desk, and then a small hand reached out.
“Dried sweet potatoes!”
Yu Zhiming took out a can from the drawer and placed it in Zhou Mo's hand.
Zhou Mo took out a piece of dried sweet potato from the glass bottle and took a big bite.
As she chewed, she commented, "This dried sweet potato isn't very sweet, and it's hard on the teeth."
"However, it has a unique sweet taste when you eat it slowly. It is a great snack to kill time and help you lose weight."
Yu Zhiming ignored her and continued to eat snacks to replenish his body's energy.
Zhou Mo moved closer to Yu Zhiming and lowered his voice, "Doctor Yu, the list of your medical team has been circulated in several work groups in the hospital today."
"There's not much discussion about the two young doctors, Zhou Luo and Shen Qi. The controversy mainly focuses on Sui Chi."
"Many people think he's not good enough to be on your medical team."
Yu Zhiming rolled his eyes and said, "It's my team, I make the decisions, what right do they have to comment?"
Zhou Mo exposed the truth without giving any face: "You are really the one who calls the shots in your team?"
"If I remember correctly, among the five people, only Dr. Sui Chi was chosen by you."
"You passively accepted the other four, right?"
Yu Zhiming glanced at the guy and said disdainfully, "Even if you don't speak, I won't treat you as a mute!"
Zhou Mo didn't have the slightest intention of shutting up, and asked with a smile, "Doctor Yu, Doctor Sui Chi is being questioned the most right now, don't you have any thoughts?"
Yu Zhiming snorted softly, "Why should I have any opinions? Who dares to come in front of me and question my selection criteria?"
He looked murderous and asked, "Does he still want to work in the medical field?"
At this time, Yu Zhiming's cell phone rang.
It’s a call from Gu Qingran.
"Tomorrow, three top liver surgery experts have been invited to Ning'an Hospital for a surgical consultation at 8:00 p.m. tomorrow."
After a pause, Gu Qingran continued, "One of them, Doctor Wang Sen from the Jiaotong University Affiliated Hospital, told me that he and you are acquainted."
Wang Sen, a liver surgery expert at Jiaotong University Affiliated Hospital?
Yu Zhiming recalled for a moment that Dr. Wang Sen's daughter had had a fight with Zeng Yan years ago.
I didn’t expect that his strength and status in the field of liver surgery would be so high.
Don't underestimate the heroes of the world.
"Tomorrow night, are you coming over?"
Yu Zhiming simply replied, "I won't go. I just need to know the result of their discussion."
Gu Qingran said "oh" on the phone, and then said, "I have already communicated. Tomorrow and the day after tomorrow, two patients with advanced cancer will go to Huashan Hospital for physical examinations with you."
Yu Zhiming replied with a "hmm"
After finishing the call with Gu Qingran, Yu Zhiming heard some movement in the director's office next door.
This is Teacher Qi Yue back.
Yu Zhiming stood up and knocked on the director's office door.
He wanted to ask for advice on the charity fund and invite the teacher to his engagement party...
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(End of this chapter)
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