Chapter 76 There Will Never Be Any Idea
Yu Zhiming worked until 6:30 in the evening before he finished diagnosing the last patient assigned to him.
Fifty!
Yu Zhiming saw a total of fifty patients throughout the day and felt exhausted.
This deep feeling of fatigue does not come from the body, but mainly from the mind.
Not to mention that he has to maintain a high level of physical and mental attention during auscultation and percussion, he also has to work hard to mobilize what he knows and learns to carefully verify it with the patient's symptoms.
The goal is to make the diagnosis as accurate as possible.
Unlike the outpatient department of the county hospital, most of the patients who come for treatment have minor illnesses such as headaches and fever, which do not require much effort.
But the patients here are different. Yu Zhiming needs a detailed examination, for fear of misdiagnosis or missed diagnosis due to negligence.
After working at such a high intensity for a whole day, Yu Zhiming was almost exhausted.
Even though he worked so hard and started work nearly half an hour early at noon, he only managed to diagnose fifty patients that day.
Yu Zhiming learned this from the young nurse Wang Li.
Most of the outpatient visits completed by other outpatient clinics today were over 80, over 90, and some even exceeded 100.
His outpatient volume is at the bottom.
"But the quality of my work is high." Yu Zhiming, who was a little hit, encouraged himself in this way.
He didn't dare to say that his diagnosis would be without mistakes or omissions, but the error rate would definitely be very small.
Doctors who see more than a hundred outpatients also need to spend a lot of time reviewing the test results or imaging images that have just been completed by their outpatient patients.
Sometimes, the same patient is reviewed more than once.
In this case, the average time spent on each patient is only three to five minutes?
With such a short diagnosis time, unless he has a keen eye, superb medical skills, a sense of responsibility and high concentration, the probability of errors and omissions will not be low.
From time to time, there are some misdiagnosed cases in major hospitals that make many people feel ridiculous...
As a participant, Yu Zhiming understood the situation, but he also felt helpless. Such problems are sometimes inevitable.
Doctors are human beings, not machines.
It is difficult for a doctor to maintain high physical and mental concentration throughout the day while facing a constant stream of patients.
Quantity and quality are always contradictory...
Among the patients Yu Zhiming saw in the afternoon, he transferred another patient to the center.
The patient is a sixteen-year-old boy with symptoms of drowsiness and the ability to fall asleep anytime and anywhere.
Not only did the boy fall asleep unconsciously during class, he could even fall asleep while eating.
This ability to fall asleep quickly makes people like Yu Zhiming, who have trouble falling asleep, a little envious.
For the teenager, his narcolepsy has seriously affected his studies, especially since he will be in his second year of high school after the summer vacation.
Yu Zhiming judged his symptoms to be a neurological problem, which fell within the scope of Teacher Qi's treatment.
Yu Zhiming took the initiative to take the boy into the center...
He dragged his heavy body back to the center's main office and was surprised to find that Teacher Qi had not left yet.
Yu Zhiming knocked on the door and entered the director's office, where he saw Teacher Qi looking through a stack of heart examination data.
"Teacher, who was the patient this morning?"
"Confirmed?"
Qi Yue nodded and said, "This afternoon, Dr. Wang and I performed a stress test on him."
"We asked him to do excessive high-intensity exercise. After just two or three minutes, we found that his heart showed signs of ventricular fibrillation and ventricular tachycardia."
Qi Yue sighed, "If we hadn't stopped the operation immediately and provided treatment, he would have suffered a cardiac arrest right there."
"His condition is indeed very serious."
Yu Zhiming said "oh" and asked with concern, "What's the cause of the disease?"
Qi Yue shook his head and said, "It's hard to find out for sure."
"We have dissected the hearts of more than one person who died of cardiac arrest and found that the hearts of several of the deceased were obviously healthy, but they just stopped beating for no reason."
"Many sudden cardiac deaths are actually caused by systemic factors, and the heart is just a stress-inducing organ."
Qi Yue said with a smile: "It's as if the brain has received alarm messages from all parts of the body, saying that it is too tired and needs to rest."
"The brain synthesizes the information, decides to stop working, and then notifies the heart, the power source."
"Stop it for me."
Yu Zhiming chuckled a few times and said, "If we can't find the exact cause of the disease, then we can only focus on maintenance and prevention."
Qi Yue nodded and said, "First, adjust your work and life status, reduce stress and tension, and change your way of life."
"The second is to implant an ICD, just in case."
ICD is a small pacemaker, professionally known as implantable cardioverter defibrillator.
Its working principle is just like what we see in movies and TV shows. Medical workers use a defibrillator to place brick-sized electrodes on the patient's chest and deliver an electric shock to save the patient.
ICDs are small and can be implanted subcutaneously in the patient's chest or abdomen.
The electrode wires placed in the heart can automatically sense when the patient has ventricular fibrillation and ventricular tachycardia at any time, and the pulse generator will quickly charge and generate electric shock energy.
The whole process takes only about 15 seconds, which can terminate ventricular fibrillation in time and save lives.
Its advantages are that the success rate of electric shock is almost 100%, and the patient's heart rate can be monitored around the clock.
If a patient experiences a fatal arrhythmia, it can automatically identify and perform discharge therapy to restore the heart to normal.
Yu Zhiming thought of another question and asked with concern: "Teacher, what is the total cost of this ICD implant?"
Qi Yue said casually, "Using the best ICD, with minimally invasive implantation surgery, the total cost is around 150,000 yuan."
"It's really not cheap." Yu Zhiming sighed lightly.
Qi Yue chuckled and said, "This is something that can save lives at critical moments. Besides, once implanted, it can be used for ten years. The average cost is fifteen thousand per year, which is not too high."
After a pause, Qi Yue said, "The boy who was transferred here this afternoon didn't have narcolepsy, he had narcolepsy."
"This is a genetic mutation that causes the hypothalamus to secrete too much neuropeptide, which causes the patient's sleep switch to malfunction, resulting in irresistible short-term sleep."
"This disease cannot be cured, it can only be controlled."
When Yu Zhiming heard that this was a gene mutation disease, he knew that it was difficult to cure.
Then Teacher Qi continued, "I've treated dozens of cases of this disease, so I have extensive experience in treatment."
"Observe for two days, conduct a few medication trials, have the teenager practice willpower resistance sleep training, and then take the medication I prescribe long-term to maintain a normal life. It can still be done."
Yu Zhiming said with deep feeling: "This kind of disease in young people will cause many inconveniences in life and work."
"At least driving is out of the question, and I can't think of any way to turn this bad situation into a good one."
Qi Yue nodded and said, "Not only driving, but all high-altitude work and dangerous work are prohibited."
Yu Zhiming suddenly had an idea and asked, "Teacher, is there any device similar to ICD?"
"When this kind of sleeping sickness strikes, just give him an electric shock and he will be alert immediately."
Qi Yue was slightly startled and said, "I haven't seen any similar equipment before."
He pondered for a moment and said, "Although narcolepsy is a rare disease, there are already 600,000 to 700,000 patients in our country, and many new cases are added every year."
"If there were such a device..."
Qi Yue thought for a moment and said, "I can ask domestic medical equipment companies if there are any such things on the market and if they are worth developing."
"Maybe it's worth doing."
Qi Yue looked at Yu Zhiming, hesitated for a moment, and asked, "Zhiming, did you have lunch with Zhou Mo at noon?"
Yu Zhiming's heart skipped a beat, and he quickly explained, "She brought lunch as a thank you for doing a physical checkup for her mother. I wanted to refuse it."
"It's just that Zhou Mo is too enthusiastic..."
Qi Yue said "oh" and continued, "I know Zhou Mo is very outstanding, so it's inevitable that you have some thoughts."
"However, Zhou Mo's mother has already said that she absolutely forbids Zhou Mo from having any contact with doctors..."
Yu Zhiming thought to himself, since they don’t consider her a doctor, why let her work in the hospital? This is a typical contradiction.
Teacher Qi said this to cover up his mistake and used Zhou Mo's mother's words as a shield.
Yu Zhiming was very tactful and quickly expressed his opinion.
"Teacher, don't worry, I will never have any thoughts about Zhou Mo."
"I'm focused on improving my medical skills. I won't be thinking about personal matters for at least a year!"
Please support me by monthly tickets, recommendation tickets, investment, etc.!
(End of this chapter)
Continue read on readnovelmtl.com
