medical treatment

Chapter 187 Doctor Yu, how lucky are you?
Yu Zhiming went to the Neurosurgery Department to perform a brain tumor tissue puncture sampling for a brain tumor patient, and it was lunch time.

At one o'clock in the noon, the physical examination and analysis data of Qin Yuan, a patient from Beijing, also came out.

I don't support the inferences of Qi Yue and the others.

Qin Yuan was taken to the examination room again and accepted another examination by Yu Zhiming.

"Doctor Yu, I must remind you that it has already been a day."

Yu Zhiming nodded and said, "I know you are short on time."

He also explained: "Due to time constraints yesterday, I only checked your viscera, this time I will do a full body check."

"There should be a result today."

Yu Zhiming pulled out a pair of surgical gloves and put them on, and asked casually, "Mr. Qin, besides eating and drinking, is there anything else you want to do?"

Qin Yuan, who was carried onto the examination bed, said without thinking, "Doctor Yu, you can't eat this, and you can't eat that. I have been taboo for more than 20 years."

"Now I just want to eat all the delicacies from all over the world before I die, and I don't want to think about anything else."

"It depends on how much time God gives me."

Yu Zhiming lightly pressed Qin Yuan's head with both hands, and started the examination.

Qi Yue, Xie Jianmin, and Qin Yuan's family members all exited the examination room so as not to disturb Yu Zhiming.

Qiao Lei also stood guard at the door of the examination room like a goalkeeper, keeping other people as far away as possible and keeping quiet...

Cerebral vessels, without obstruction.

Although the stenosis of some cerebral blood vessels is close to 50.00%, considering Qin Yuan's current physical condition, this is not a big deal...

Yu Zhiming checked Qin Yuan's head, and then went down to check his neck.

There is no problem with the blood vessels in the neck. Except for the enlarged lymph nodes, no other tissue abnormalities are seen...

Arm, no abnormalities...

In the legs and feet, there was obvious muscle atrophy, and many fine crystals were found in the joints, especially in the feet.

Yu Zhiming knew that this was uric acid crystals, commonly known as tophi, which was a by-product of Qin Yuan's binge eating and drinking during this period.

For Qin Yuan now, this is not a problem...

After Yu Zhiming inspected Qin Yuan's front, he didn't find much, so he called Qiao Lei in again, and turned Qin Yuan's face together.

Yu Zhiming began to check Qin Yuan's spine.

Starting from the cervical spine, he stroked with his left hand and moved down slowly, while his right hand tapped lightly and continuously...

After moving the key inspection site, the thoracic spine, Yu Zhiming slowed down the movement of his left hand, and the force of the percussion on his right hand also increased a lot unconsciously...

Amid the sound of knocking and the echoing vibration, the three-dimensional image of the spine in Yu Zhiming's mind became clearer.

Especially the details, such as the inner wall of the spinal canal, changed from smooth to bumpy...

Bump? !
Yu Zhiming's expression was shocked, and he tried his best to immerse himself in the investigation and further refine the details...

At 47:[-] noon, Qi Yue, Han Shuo, Xie Jianmin, Wang Zhijin, Wang Zejia and others gathered in the big office to listen to Yu Zhiming's report on the main findings.

"In the inner wall of the spinal canal of the second and third thoracic vertebrae, there is a dense layer of tophi crystals."

"I think they stimulated the spinal cord neurons that connect to the intervertebral nerves, which caused the patient's persistent chest pain."

Wang Zhijin looked at Yu Zhiming's sketches drawn on the whiteboard, adhering to the inner wall of the spinal canal like a layer of mussels.

"Doctor Yu, are you sure it's tophi?"

"Not other growths?"

"You know, it's quite rare for tophi to condense in the spinal canal, and it's still in the thoracic spine."

Xie Jianmin replied for Yu Zhiming: "Although it is rare, it is not impossible. I have seen similar cases."

Yu Zhiming also explained: "The reason why I think it is tophi is because it gives me the same feeling as the tophi found in other parts of the patient."

Wang Zejia also said: "There is a problem. We seem to have no way to determine whether the patient's chest pain is caused by the inner wall of the spinal canal."

"The only way to confirm is to see the recovery effect after the operation."

"However, patients may not agree."

"This is a removal operation on the inner wall of the spinal canal. Not to mention some risks, at least half a month of recuperation is necessary."

Yu Zhiming must admit that this is indeed a problem.

Just looking at this thin layer of tophi crystals, it will take a long time, at least a few years, to cause enough damage to the spinal cord.

In a few years, with Qin Yuan's current physical condition, he definitely won't be able to last until that time.

Yu Zhiming estimated that Qin Yuan's body would deteriorate rapidly within half a year at the most.

For this uncertain possibility, would Qin Yuan be willing to sacrifice half a month of his current health to take a risk?

Yu Zhiming subconsciously looked at Qi Yue.

Seeing that other people stopped expressing their opinions, Qi Yue said slowly: "As far as the current situation is concerned, Zhiming's new discovery is the cause of the patient's chest pain. I personally think there is a high probability."

"We tell patients about our findings and recommendations, and as for decisions and choices, that's the patient's business..."

Together with Yu Zhiming, Qi Yue informed Qin Yuan of this new discovery today.

Qin Yuan struggled for a while, then looked up at Yu Zhiming.

"Doctor Yu, do you think this is the reason?"

"I think so!"

Yu Zhiming replied, and added: "But I can't give you a 100% guarantee."

"Because we can't do verification, except for surgery."

Qin Yuan was silent for a moment, then suddenly asked: "Doctor Yu, how is your luck?"

"luck?"

Yu Zhiming repeated a sentence, and said with some embarrassment: "Well, I don't know if my luck is good or not."

"You must also know that when I was young, I had a serious accident and almost died. I was blind for several years."

"However, since then, it can be considered whether it is extremely peaceful or not. I haven't encountered any bad things again, and the overall situation is getting better and better."

"But luck..."

Yu Zhiming recalled: "I rarely found money, and the most I found was 20 yuan."

Qin Yuan chuckled, and said: "Doctor Yu, compared to your suffering in the early years and getting better and better, I am your counterexample, a model of getting worse and worse."

"So, I trust Dr. Yu's judgment."

Qin Yuan seemed to raise his voice in order to convince himself.

"I'm going to have surgery."

"This excruciating pain makes me tasteless, it's so fucking uncomfortable..."

At five o'clock in the afternoon, Yu Zhiming came to the examination room and found that all the women waiting outside were about 40 years old.

He also saw Wang Yaxian, Liu Yun, Ding Ye and others.

Yu Zhiming greeted them briefly and started today's breast cancer screening.

His inspection speed was a bit slower today, and he didn't finish the inspection until nearly seven o'clock in the evening.

To Yu Zhiming's surprise, five suspected breast cancer patients were found.

This ratio is somewhat surprising.

"Only five!"

Wang Yaxian took the five schematic diagrams of breast biopsy locations handed over by Yu Zhiming, and couldn't hide her disappointment.

Seeing that Yu Zhiming was puzzled, Ding Ye quickly explained: "Dr. Yu, these 50 high-risk volunteers were selected one by one from thousands of risk groups by Dr. Wang and our Director Liu together with gynecologists from other hospitals. of."

"These 50 people were checked and confirmed by them repeatedly."

She looked at Liu Yun's warning gaze again, and said hey, "According to Director Liu's estimation, ten is at least."

"It's all, and it's not impossible."

After saying this, Ding Ye quickly hid behind Yu Zhiming, avoiding Liu Yun's kick.

Yu Zhiming smiled lightly: "Doctor Wang, Director Liu, ten to one, this shows that your screening is still effective."

Wang Yaxian sighed: "It's just that the effect is too slight."

"Doctor Yu, to tell you the truth, we have selected nearly 2000 people from the accumulated data over the years, and selected them after several inspections."

"The 50 people who appeared here have passed the joint inspection of Director Liu and me."

Wang Yaxian was shocked and said: "Indeed, as Dr. Ding said, we all think that they may have problems..."

　So far, the author Jun picked up the biggest windfall is 65 yuan.

　　It's getting harder and harder to get money these days.

　　What is the most you can pick up once?

　　Ask for monthly tickets, recommendation tickets and other support!
　　
　
(End of this chapter)