Chapter 852 Don’t Be Ignorant
For Zhou Luo, Shen Qi, Sui Chi and Duan Yi, Sundays are the third Sunday they have sat together in the emergency department's outpatient clinic to verify what they have learned.
When facing the patients assigned to the registration and consultation desk, the four of them take turns to inquire about the patients' conditions.
The other three people are present and can ask additional questions.
Then, each person performs a physical examination on the patient, including auscultation and percussion, and draws a diagnosis independently.
If the four of them reach the same diagnosis, the attending physician will formulate a treatment plan based on the severity of the patient's condition, or transfer the patient to the corresponding department for in-depth examination and treatment.
If the four people's diagnosis results are inconsistent, they will identify the symptoms and discuss with each other, or issue a checkup list for the patient to undergo corresponding examinations, and then make a diagnosis with the support of more medical information until the four of them reach a consistent diagnosis.
The efficiency of this type of consultation model can be imagined.
On the first Sunday, they saw only nineteen outpatients.
By the second Sunday, after some practice, their efficiency had improved somewhat and they had diagnosed a total of 23 patients.
Although the efficiency was low, it is commendable that subsequent examinations and treatment results proved that the diagnoses made by the four of them together were all correct, and not a single patient was misdiagnosed.
But today, they encountered a challenge.
Facing a male patient, the four guys argued for nearly an hour and still could not reach a consensus.
The patient, surnamed Wang, is 44 years old and comes from the suburbs. He is a thin mathematics teacher in an ordinary middle school.
Teacher Wang said that at first he just felt some discomfort in his head and waist.
But as time went by, the pain symptoms became more and more obvious, especially the pain in the right shoulder joint and chest was the most severe.
Now he felt as if something was pressing heavily on his chest, and his whole body was very stiff.
When he was teaching students, it was as if he was holding his breath while speaking. In severe cases, the pain was so severe that he almost fainted when he just raised his hand to write on the blackboard.
One class would consume all his energy.
Also, I always feel pain wherever I touch, my whole body is stiff, and I can't sit or lie down. I also always feel tired, insomniac, and listless.
Teacher Wang underwent a series of tests at a nearby tertiary hospital, including urine test, blood test, liver function test, CT scan, MRI, etc., but no abnormalities were found.
The doctor couldn't find the cause of the pain and ended up just prescribing him some anti-inflammatory and analgesic drugs.
Teacher Wang told Zhou Luo and the others that he felt the effect of the painkillers was getting less and less effective...
Peripheral neuropathy, cervical spondylosis, rheumatic arthritis, and poisoning by unknown toxins.
This was the first diagnosis result given by Zhou Luo, Shen Qi, Sui Chi and Duan Yi.
Four people, and there are four different answers!
This was the first time this had happened during their collective diagnosis of patients.
What’s important is that they are not very confident in their own diagnoses, but they are even more dissatisfied with other people’s answers.
The result of the heated discussion and dispute was that the four guys became less confident in their own diagnosis and less in agreement with the opinions of the other three.
Because the physical examinations that Teacher Wang had undergone in other hospitals were already quite complete and comprehensive, the four of them could not just rely on some speculation and ask Teacher Wang to undergo more in-depth and expensive special examinations.
Especially the opinions of the four of them, not even two of them were consistent.
They should avoid ineffective physical examinations as much as possible, which not only saves money for patients but also exercises their own judgment.
"Okay, okay, it's been almost an hour."
Zhou Luo glanced at the time on his watch and added, "Further arguing won't lead to a better outcome. Judging from the current situation, without new, conclusive symptoms and information, it's difficult for us to change our views."
"There are two solutions now. One is to have Teacher Wang undergo a special physical examination to provide new supporting data for our respective diagnoses."
"The second is to ask for help from the seniors."
Duan Yi reminded her, "It's already past five o'clock. If we go in for a special inspection at this time, it's probably too late. There's also a high possibility that we'll waste money."
"I agree with shaking people."
"Who should I shake? Can't I shake Dr. Yu?"
Zhou Luo shook his head and said, "We can all see that Dr. Yu has a heavy workload in the hospital every day."
"Sunday rest time is precious. Teacher Wang's condition is not an emergency, so let's not bother Doctor Yu."
After a pause, Zhou Luo analyzed, "As for Teacher Wang's condition, it is undoubtedly a difficult and complicated disease."
"Besides our center, the only departments that are good at diagnosing and treating difficult and complicated diseases are the rheumatology and immunology departments and the neurology department."
"Let's check which chief physicians are on duty in these two departments today..."
At 5:30 in the afternoon, the Yu family started having dinner, a hot pot mainly made with fresh lamb.
Zhou Mo kept eating with his chopsticks, exclaiming that it was delicious.
"Where did you buy this mutton? Is it imported? It's delicious and doesn't have any fishy smell at all."
Qing Ning chuckled and said, "It's not from abroad. It's said to be the famous beach sheep raised on the saline-alkali land in the desert of northern my country."
Zhou Mo looked at the fresh ingredients on the table, such as Hericium erinaceus from Northeast China and Boletus edulis from the South, and said with emotion, "The good thing about famous doctors is that they have an endless supply of precious ingredients from all over the world."
Yu Zhiming glanced at the guy and explained, "This isn't the benefit of being a famous doctor, this is the benefit of being rich."
"The ingredients on this table were not given by others. We bought them with our own money."
"With your family's financial strength, you can afford it."
Zhou Mo sighed softly, "Although the food in my place is not bad, it is still far inferior to the standard of yours."
"Relatively speaking, my mother is quite frugal."
Qing Ning smiled and said, "Zhiming doesn't have any other expensive hobbies, but he has high standards for food. Naturally, he has to be more particular about his diet."
Zhou Mo nodded and said, "That's what I should do. I make so much money a month, I can't just earn it and not spend it."
She then asked jokingly, "Doctor Yu, you make so much money that you can't spend it all. Isn't that annoying?"
Yu Zhiming chuckled and said, "Why worry about this? Watching the balance in my bank account continue to grow bigger and bigger will only make me more and more satisfied and at ease."
Zhou Mo pretended to be pitiful and said, "Comparison is the thief of anger. My six-digit password only protects five digits of my deposit."
Qing Ning smiled and said, "You don't have to buy a house or a car, and you don't have to save for a dowry. As long as your bank balance is positive, it's a victory."
At this time, Yu Zhiming's cell phone rang.
It’s Gu Qingran calling.
"Tomorrow, three things."
Gu Qingran spoke methodically on the phone, "First, the biomaterials expert from Germany, Dr. Tang and the others said we can't delay any longer and should start CAR-T treatment."
Yu Zhiming let out a soft "oh".
Gu Qingran continued, "The second thing is, I have two more medical records in my mailbox. One is from a computer expert, and the other is from a composite materials expert."
"Sent to you by the relevant department?" Yu Zhiming asked.
Gu Qingran hummed in the phone and said, "This time, I don't plan to go over and persuade him myself."
"Please ask Ning'an Group's overseas employees to help handle it."
"The third thing is that the doctor who returned to the island country finally contacted me and said that he had contacted two cancer patients, but he only found three ginseng trees that were over 50 years old."
"He asked if he could send the patient here for treatment first. With the successful cases, it would be much easier for him to contact new patients and find wild ginseng."
Yu Zhiming nodded and said, "You can keep it for now. We haven't received any new ginseng in a while, so three is not a small amount."
"There's a saying that goes, 'It's better to put money in your pocket and run away with it...'"
After seven o'clock in the evening, Yu Zhiming, who had just finished dinner, received another call from Zhou Luo.
"Doctor Yu, we're in the emergency department today and we've encountered a very difficult patient. The four of us can't reach a consensus, and even after calling in outside help, we still can't make a diagnosis."
"Doctor Yu, could you please help take a look at it tomorrow?"
Yu Zhiming replied readily, "Sure. Let me take a look at the patient who has stumped the four of you..."
After finishing the call with Zhou Luo, Yu Zhiming's phone rang again before he put it down.
It was another call from Dr. Dong Zhe from Union Hospital.
"Doctor Yu, I'm sorry to bother you again. It's about that elderly pregnant woman I mentioned this afternoon."
Dr. Dong explained over the phone, "The doctors at Hong Kong Sanatorium and Hospital conducted a comprehensive examination and assessment of her and concluded that, given her current condition, it would be very risky for her to travel north to Binhai."
"The patient offered to pay you five million for the trip."
Yu Zhiming replied, "Doctor Dong, this isn't a question of money. My work schedule is very tight, and I can't spare two days of free time anytime soon."
"Also, my condition is not suitable for long-distance travel."
As soon as he finished speaking, an awkward Mandarin with an unstraightened tongue came out from the phone.
"Ten million! Ten million! Doctor Yu, this is enough to buy you two days of time, right?"
Yu Zhiming rolled his eyes and said, "I told you, this is not a matter of money."
"Twenty million!"
Yu Zhiming could hear that the awkward Mandarin coming from the phone again was mixed with some impatience and anger.
"Plus a favor from me."
"Doctor Yu, I'm a well-known figure in Hong Kong Island, and I have a say. If you have any problems that you can't handle in Hong Kong Island in the future, I will do my best to help you."
"Doctor Yu, I rarely grant favors to others. This isn't something you can buy with money or connections."
The other party's words gave Yu Zhiming a feeling.
That is, I have shown enough sincerity, so don't be ungrateful and refuse my toast only to be punished.
Was the other party once a big brother in the underworld?
Yu Zhiming had also heard of and watched Hong Kong's Young and Dangerous and underworld movies.
Yu Zhiming smiled lightly and said, "As I said before, this is not a question of money."
"I have something else to do, so that's all..."
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(End of this chapter)
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