Chapter 74: Challenge
Yu Zhiming was assigned to an outpatient clinic on the second floor of the emergency department, which was the westernmost and most remote, and relatively quiet.
There are a total of fifteen outpatient rooms lined up on the second floor of the emergency department.
In front of the outpatient department is a spacious space with rows and rows of hundreds of chairs for patients and their families who come to register to rest while waiting.
Yu Zhiming thought this scene was quite spectacular. He could not see such a grand scene in the county hospital.
Most of the outpatient clinics here have signs saying "specialist clinics", and the deputy directors and chief physicians from various departments of the hospital take turns to see patients here.
Yu Zhiming has learned that Teacher Qi Yue comes here to see patients for at least one day every month.
The diagnosis room assigned to Yu Zhiming did not have a sign that said "Expert Clinic", but just had a big number "15" on it.
Yu Zhiming also knew that with his current strength, he was not worthy of the title of expert.
But just thinking about being able to work independently in a nationally renowned hospital made him feel a little emotional and complacent.
Two months ago, who would have thought that Yu Zhiming would have such a big change in his circumstances...
The outpatient department is equipped with a desk, a computer, an examination bed, some medical supplies for physical examinations, a medical kit for first aid and other items.
Yu Zhiming was also assigned a nurse named Wang Li in the outpatient department to help him call patients and handle miscellaneous matters...
Yu Zhiming’s first outpatient patient was a local man in his sixties or seventies.
He walked into the outpatient department with the support of his wife and said that he suddenly felt severe pain in his lower abdomen while taking a walk in the morning.
When Yu Zhiming pressed his lower abdomen slightly, the old man started to cry out in pain.
When asked about his diet, the old man’s wife replied that he had eaten white porridge and steamed dumplings this morning.
I ate a lot last night, including half a duck, mushrooms and Chinese cabbage, tomatoes and eggs, and black fungus and red date soup.
The staple food is rice.
"Let me ask, do the red dates you eat have seeds?"
After arranging the work of the department, Zhao Shan, the director of the outpatient and emergency department, began his routine inspection of the territory to look for problems.
After a while, he heard a ding-dong sound.
This was the reminder tone he set for his work panel to remind him that something of concern had occurred.
Zhao Shan took out a tablet computer from the pocket of his white coat, turned on the screen and saw that it was the first diagnosis report of Yu Zhiming.
The diagnosis was that a date pit had pierced the small intestine, and the patient was transferred to general surgery for emergency surgery.
What surprised Zhao Shan was that there was a photo attached to the diagnosis, which was a simple hand-drawn diagram on paper.
Zhao Shan enlarged the image to fill the entire screen and discovered that the simple diagram was a drawing of the lower abdominal intestinal system, marking the location of the problematic small intestine.
He also found that although this simple diagram was drawn in a sloppy manner, it accurately depicted the relative positions of various parts of the intestinal system and the lower abdomen with only a dozen strokes.
Even a medical intern can accurately find the specific part of the problem according to the guidance of this simple diagram.
As the saying goes, an expert can tell whether something is good or not with just one look.
This seemingly casually drawn sketch is concise and clear from Zhao Shan's perspective, and is quite sophisticated and shows his solid skills.
It doesn't look like something that a chief physician could casually draw.
"No wonder Old Qi is so steady. It turns out he has absolute confidence in this kid."
"This kid is interesting..."
Yu Zhiming, who Zhao Shan considered interesting, was currently seeing his second patient.
Yu Zhiming saw the patient registration information displayed on the computer screen. The person's name was Xu Da.
He knew that this must be a temporary name.
In order to protect patient privacy, the hospital does not require patients to use their real names when seeking medical treatment.
Therefore, some strange names often appear on the hospital's call or notification screens.
Many of them are caused by patients having too much imagination or too little imagination, and they just imagine things randomly.
Of course, if you don’t provide your real-name information when seeking medical treatment, you cannot go through the medical insurance process and you will have to pay for all the expenses yourself.
Yu Zhiming looked at the 27-year-old man in front of him, who had a fair complexion and was a little over 1.7 meters tall.
He wondered in his heart, was he suffering from an unspeakable disease?
"What's wrong with you?"
Xu Da chuckled and said, "Doctor, I'm not feeling unwell, I just want to consult..."
He paused for a moment and then asked, "It's not a big deal for our health if we're missing a rib or two, right?"
What's the problem?
Yu Zhiming was slightly startled and said, "Our ribs are used for both support and protection of delicate organs like the heart and lungs."
"If you lose one or two ribs due to an accident, it's not a big problem. You just need to pay proper attention to it."
"You're asking about this, aren't you?"
Xu Da felt his chest and ribs and said, "Doctor, none of my ribs are missing. They are all here."
"I just wanted to take out a rib."
He said excitedly, "Doctor, my girlfriend's birthday is coming soon. I love her very much."
"I've always wanted to give her a gift that truly represents my passionate love."
"Then it occurred to me."
"Don't they say women are made from men's ribs?"
"I thought of taking out one of my ribs and making it into a ring and a necklace for her..."
Yu Zhiming looked at Xu Da with excitement on his face, but he was surprised in his heart, as if he had seen a rare animal.
This forest is so big that there are all kinds of birds.
Are you sure that your beloved girlfriend can sleep well at night knowing that the ring and necklace she gave her as birthday gifts are made of your bones?
You are mentally ill, and it's a serious one.
Although Yu Zhiming had a lot of thoughts in his mind, he maintained the dignity of a doctor on his face.
"Xu Da, let me tell you first, no hospital in China would perform rib removal surgery for your reasons."
"Also, I think girls prefer birthday gifts like bags, beautiful shoes, and jewelry to rings and necklaces made from their own ribs."
"Finally, I strongly recommend that you talk to a senior counselor at our counseling center."
"Ask them what girls really like..."
Yu Zhiming wrote a referral form for psychological counseling for Xu Da and instructed the nurse Wang Li to personally send Xu Da to the psychological counseling center...
After Xu Da, the patients that Yu Zhiming saw next were much more normal.
At least they all have problems with the heart, liver, spleen, lungs, stomach and other internal organs, rather than problems with their mental state.
Every time Yu Zhiming diagnoses a patient, he will attach a hand-drawn simple diagram to the diagnosis, marking the organ location with the problem and a brief description of the problem.
Because he had to draw a simple diagram, Yu Zhiming needed more time.
The average time it takes to diagnose a patient is about ten minutes.
This is because Yu Zhiming has a deep understanding of the essence of outpatient and emergency medicine, which is transfer and diversion.
He only needs to write down the diagnosed problem clearly, then issue a referral form and let the patient go to the corresponding department for treatment, or further examination and diagnosis.
Of course, for minor problems and illnesses that can be handled in the outpatient department, Yu Zhiming will directly prescribe a prescription and ask the patient to go to the outpatient pharmacy to get the medicine, or go to the injection room to receive injection treatment.
From nine in the morning to twelve noon, Yu Zhiming did not rest for a moment and saw a total of twenty-three patients.
He discovered the biggest difference between seeing patients in the outpatient clinic and seeing patients in the county hospital, which was that the diagnosis rate for serious illnesses in patients here was really high.
In the county hospital, more than half of the outpatients suffer from minor problems such as headaches and fever, and only one or two outpatients need to stay in the hospital for further diagnosis and treatment.
Among the 23 patients diagnosed by Yu Zhiming, except Xu Da who was sent for psychological counseling, and three others with mild problems who remained in the outpatient clinic for treatment, the other 19 were all transferred to various departments for further examination and treatment.
Two people even felt that Yu Zhiming's examination was not good, so they made special notes and reminders on the diagnosis report.
At 12:05 p.m., Yu Zhiming suspended his outpatient work and got up to have lunch.
As soon as he left the emergency room, he saw Zhou Mo coming towards him.
"Doctor Yu, this morning a doctor came to our center to challenge you and wanted to compete with you in medical skills."
"Kick the club?"
Yu Zhiming reacted and frowned, "Who has nothing better to do than be so bored?"
"I want to become famous by stepping on you!"
Zhou Mo replied with a smile, then took another step forward and held Yu Zhiming's hand.
"I brought you lunch, and I haven't thanked you for the physical examination on my mother yet..."
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(End of this chapter)
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