Chapter 797: Still investigating...
Around noon, Zhou Luo, Shen Qi, Sui Chi and Duan Yi gathered in an examination room on the second floor of the Department of Cardiology.
Shen Qi took out a folded piece of paper from his pocket and unfolded it, saying, "The correct answers to the heart disease types of the eleven people we examined this time are on this piece of paper."
After receiving Yu Zhiming's instruction on how to distinguish the heart sounds of three types of heart disease, these guys used their lunch break to put it into practice.
This is the advantage of working in a large comprehensive hospital. There is basically no shortage of patients of all types, and there are abundant opportunities for practice and broadening of horizons.
In addition, these people are the key care targets of the hospital, so the Department of Cardiology directly coordinated and arranged some patients for them to practice.
Shen Qi first glanced over the contents on the paper, then said, "Let me read it, and we'll check the answers together."
After a pause, Shen Qi slowly read out: "One, three, six, seven, it's rheumatic heart disease."
"Two, five, nine, ten, eleven, high blood pressure."
"Four and eight, it's dilated cardiomyopathy."
As soon as Shen Qi finished speaking, Duan Yi started shouting in shock at the records in her little notebook.
"Oh my! Oh my! I actually misheard four of them. Four in total! That's so many! That's really bad."
"Hey, how many of them did you hear wrong?"
"Doctor Zhou?"
Zhou Luo, who was named, twitched his lips and replied slowly with an unnatural expression, "Five, one more than you."
He turned around and asked, "Shen Qi, what about you?"
Shen Qi replied softly: "I have five too!"
The next moment, Duan Yi, Zhou Luo, and Shen Qi all looked at Sui Chi.
Sui Chi closed his notebook, took a deep breath, and said with a stern face, "I was the worst. I got seven wrong. I didn't even get half of the answers right."
Just as Shen Qi was about to say something to comfort him, Duan Yi's lively voice rang in his ears again.
"Hehe, I didn't expect that I would be the best student."
"If you think about it carefully, this is normal. We girls are more sensitive to sounds."
"More importantly..."
Duan Yi waved the brand new and exquisite stethoscope in her hand and said proudly, "3M high-end stethoscope, customized for Ning'an Hospital, it's said to be worth over 60,000 yuan a pair."
She looked at the stethoscope hanging around Sui Chi's neck, and could see some signs of wear and tear on the tip of the stethoscope.
"Doctor Sui, your stethoscope is quite old, isn't it? It's time to get a new one with better sound quality."
Shen Qi also spoke up to persuade him, "Doctor Sui, we really need a better stethoscope."
"It is foreseeable that the auscultation and percussion techniques that Dr. Yu will teach us in the future will become even more complex and difficult to distinguish."
"We don't have Dr. Yu's super-sensitive hearing, so we can only use the more sensitive stethoscope to assist us."
Sui Chi took off the stethoscope from his neck, stroked it gently with reluctance, and said, "I understand the principle of using the right tool for the right purpose. I will replace it with a new and better stethoscope as soon as possible."
At this time, Zhou Luo said: "It's almost time for work in the afternoon. Let's quickly discuss where we went wrong..."
The four of them made a mistake and discovered the new problem.
There was one patient for whom they had heard it all wrong.
The answer was rheumatic heart disease. Three people diagnosed it as hypertensive heart disease, and one person diagnosed it as dilated cardiomyopathy.
There was also a patient with dilated cardiomyopathy, but three people misheard it as hypertensive heart disease, and only one person got it right.
Duan Yi blinked and objected, "The possibility that all three or four of us heard it wrong should be very small, right?"
"Do you think the hospital may have misdiagnosed the patient?"
Shen Qi pondered and said, "We can't rule out this possibility. So, how about we get the medical records of these two people?"
Zhou Luo and Shen Qi both expressed their agreement.
Next, Shen Qi took out his cell phone and called cardiopulmonary specialist Dr. Wang Chunyuan, requesting to check the detailed medical examination data of patients No. 6 and No. 8.
The next moment, Wang Chunyuan's voice came from the phone, "Hey, did you notice something was wrong?"
"Very good."
Shen Qi immediately understood and asked in confirmation, "Did you deliberately ask someone to give us the wrong answer?"
Wang Chunyuan replied during the call: "Yes."
"Doctors are often distracted by a lot of misinformation during the diagnosis process, which requires not only the ability to discern but also confidence in their own judgment."
"Of course, confidence needs to be backed up by strength. Otherwise, it becomes arrogance and stubbornness."
After a pause, Wang Chunyuan asked again, "Shen Qi, how many heart sounds did you correctly identify this time?"
Shen Qi replied, "I misidentified three of the eleven people's heart sounds."
Before he finished speaking, he saw Duan Yi proudly shaking two fingers back and forth at him, and said depressedly: "Among the four of us, the best result is Doctor Duan Yi. I made two mistakes."
After a moment of silence, Wang Chunyuan's voice sounded again from the phone.
"You're all amazing. I couldn't have done this when I was your age. This also proves that Dr. Yu is even more amazing."
"The opportunity to learn from Dr. Yu is very rare. You must cherish it and seize it well..."
At this moment, Yu Zhiming, who had taken a short nap after dinner, had already started the afternoon physical examination in high spirits.
Lying on the examination bed was a female accountant from the hospital's finance department, 44 years old and slightly plump.
After a thorough examination, Yu Zhiming did not find any major problems. There were only two minor gynecological problems that required her to pay more attention in her daily life.
But Yu Zhiming always felt that something seemed wrong.
He looked at the exposed skin on the accountant's neck and couldn't help but reach out and touch it again.
Yu Zhiming couldn't help but recall a test conducted by Dr. Chester, the chief diagnostic expert at Germany's B. Braun Medical.
Stroke the tattoo design out of the skin.
Of course, Yu Zhiming was sure that the accountant's neck was smooth and white, and had no tattoos.
He simply remembered the test, which was probably related to Dr. Chester's long-term diabetes research.
Yu Zhiming also knows that in the early stages of diabetes, because blood microcirculation is affected, some subtle changes will occur in the skin first.
In past examinations, Yu Zhiming has examined hundreds of diabetic patients with varying degrees of severity.
He carefully recalled the feeling of his hands touching their skin when he examined them...
Three or four minutes passed, and Yu Zhiming withdrew his thoughts, focused his eyes, and the scene in front of him became clear, just in time to meet the worried and nervous gaze of the accountant.
"Doctor Yu, have you discovered something? I've always been timid, and my child just started college. Please don't scare me."
Yu Zhiming withdrew his hand and said, "I didn't find any major problems, I just have some doubts."
"Hey, do you usually like sweets?"
The accountant pondered and said, "I eat some of this sweet every day. It's mainly because a colleague in the office likes to make cakes, and every time she makes one, she shares it with me."
"We can't just eat other people's food all the time, so every now and then we make some for ourselves or buy some to bring to the office."
"In this way, our office has formed a morning tea time and afternoon tea time for enjoying pastries together."
At this point, the accountant finally came to her senses and asked anxiously, "Is my illness related to eating sweets?"
"diabetes?"
People who like to eat sweets do not necessarily get diabetes. It mainly depends on different people.
If certain people are at high risk of diabetes and often eat sweets, there is a high possibility that they will develop diabetes or the onset of diabetes will be accelerated.
For normal people without high-risk factors for diabetes, eating sweets will not have much impact on blood sugar because the body has the ability to regulate blood sugar normally.
People at high risk of diabetes generally have a family history of diabetes. They also have unhealthy lifestyles, such as frequent overeating, lack of exercise, and high life or work pressures. These factors are high-risk factors for diabetes.
In addition, the inevitable aging process is also a factor in the onset of diabetes.
Generally speaking, it is better to consume high-sugar foods in moderation, especially for older people, who should try to eat less.
Yu Zhiming cautiously responded to the accountant's question, "I just have some suspicions, but I'm not sure. So, go to the endocrinology department for a glucose tolerance test..."
By 5:30 in the afternoon, Yu Zhiming completed the day's physical examination work.
He didn't have time to rest and rushed to the oncology department to participate in an operation for advanced colorectal cancer.
The patient was introduced by Dr. Yang Xi, who worked far away in Chuncheng. He was only 29 years old.
Yu Zhiming was under a very tight schedule because he also had to attend Professor Qi Yue's medical lecture starting at 7:30 in the evening.
Accompanied by Zhou Mo, he hurried into the lobby on the first floor of the oncology inpatient building, but was blocked by someone.
Looking at Dr. Feng Haiqing, who was standing in front of him with a serious face, Yu Zhiming frowned and said, "Doctor Feng, if your matter is not urgent, let's talk about it another day. I have to rush to perform an operation now."
"Doctor Yu..."
Feng Haiqing didn't move aside and questioned, "I just heard that you are discussing cooperation on tumor fluorescence staining with the Deep Blue Medical Technology Research Institute in Guangzhou and Shenzhen."
"I wonder if this is true?"
Yu Zhiming disliked the man's tone and attitude, and retorted coldly, "Is it true? Do I need to report to you?"
Feng Haiqing took a deep breath and said, "Doctor Yu, you and I are colleagues at Huashan Hospital. To the outside world, we are a family. As a family, we must not betray others and must prioritize internal cooperation."
Yu Zhiming rolled his eyes and was about to retort when he heard a flurry of footsteps coming from behind him.
He turned around and saw Wei Hao in police uniform and three serious-looking men in plain clothes striding towards him.
Just as Yu Zhiming was about to say hello to Wei Hao, he saw him walking straight up to Feng Haiqing.
"Doctor Feng Haiqing, I'm Wei Hao, a criminal police officer from the Municipal Bureau. There's a case that involves you, and we need you to come back to the bureau to assist with the investigation..."
Next, two plainclothes officers grabbed Feng Haiqing, one on each side, and walked him out, looking frightened.
Wei Hao approached Yu Zhiming and lowered his voice, "During the investigation into your car crash, we unexpectedly discovered that this Doctor Feng has close ties with foreign intelligence agencies."
Yu Zhiming asked in shock, "Was the car crash planned by someone from abroad?"
Wei Hao shook his head and replied, "We're still investigating. We haven't found any concrete evidence of someone orchestrating this..."
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(End of this chapter)
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