medical treatment

Chapter 356 The Tenacity of Life

For Yu Zhiming, Monday was a busy day full of challenges and rewards.

Because Yu Zhiming didn't know what kind of physical abnormality the next registered patient would bring to him.

After he checked the abdominal cavity of a 43-year-old man who complained of constipation, abdominal distension and abdominal pain, he wondered whether his probing skills had failed.

Yu Zhiming suddenly discovered that the viscera in the man's abdominal cavity was a mess at the scene of a large-scale car accident.

The space between the liver and diaphragm disappeared, the space between the spleen and diaphragm disappeared, the omentum in the abdominal cavity was wrapped into a mass, and the entire small intestine was also covered by the omentum...

This is the first time Yu Zhiming has seen this scene.

Having no idea for a while, he hurriedly asked for help.

Call Dr. Cui Zhitan from the Department of General Surgery.

The call was successfully connected, and Yu Zhiming informed Dr. Cui of his investigation findings in detail.

After a moment of silence, Dr. Cui's voice slowly came from the phone.

"Doctor Yu, based on what you said, I highly suspect that the patient has abdominal cocoon."

"Abdominal cocoon?"

Yu Zhiming repeated it, saying: "This is very vivid. The patient's abdominal organs really seem to be wrapped in layers of nets."

Dr. Cui told Yu Zhiming Kopu on the phone: "This is a rare intestinal obstruction, and there are several official names, such as congenital small bowel obstruction, small bowel cocoon, intracapsular adhesive intestinal obstruction and small bowel segment. Segmental fibrous parcel syndrome, abdominal cocoon parcel syndrome, etc.”

"The typical feature of this disease is that the small intestine is wrapped in an abnormal fibrous membrane, like a worm making a cocoon, so it is also vividly called abdominal cocoon."

After a pause, Dr. Cui continued: "This disease requires surgery."

"Doctor Yu, please transfer that patient to me, and I will also let the student assistants broaden their horizons..."

After Yu Zhiming wrote a referral form to a man with a rare disease and sent him away, another couple who looked like they were in their early 20s were ushered in.

The young man sat in front of Yu Zhiming.

Yu Zhiming glanced at him, and found that he was quite fair and delicate, and his skin was quite delicate.

"Where are you uncomfortable?"

Yu Zhiming asked a question, and found that the man's face turned red, and he hesitated and couldn't say a whole word.

Just as Yu Zhiming wanted to urge, the pretty woman beside him suddenly spoke.

"He has big breasts, bigger than mine. Doctor Yu, please give me a check-up. Is there something wrong?"

Yu Zhiming fixed his eyes on the man's chest. He was wearing too much clothes, so he couldn't see anything at the moment.

"Are you sure it's the big breasts, not the developed pectoralis major muscles?"

Yu Zhiming asked casually, and then took a special look at the man's Adam's apple.

There is an Adam's apple, but if you don't pay attention to it, you can't really see it.

The same woman replied, "Doctor Yu, it's impossible for him to have pectoralis major. I've touched men with well-developed pectoralis, and it feels completely different."

Yu Zhiming snorted, and directly instructed the man, "I need to take a look and check."

Seeing that the man hesitated, Yu Zhiming said with a serious face: "I'm a doctor again, I haven't seen anything, hurry up."

Under Yu Zhiming's urging, the man finally unbuttoned his clothes slowly.

When the clothes were unbuttoned, Yu Zhiming was really surprised by what he saw in front of him.

As Yu Zhiming who is good at breast examination, he has seen many breasts.

But the development of men's breasts, objectively evaluated, really crushed many women in terms of size.

This made Yu Zhiming secretly marvel at himself.

Gynecomastia is generally a clinical condition of abnormal development of male breast tissue and abnormal hyperplasia of breast connective tissue due to physiological or pathological factors that cause an imbalance in the ratio of androgen to estrogen.

Judging from the man's delicate facial features and delicate skin, it must be because of too much estrogen secretion.

Next, Yu Zhiming put on surgical gloves and started doing a breast examination...

No problems were found, the breasts were normal!

But as a man, it must be abnormal if the breast development is so strong.

Yu Zhiming pondered and said to the man: "Your situation is obviously due to excessive estrogen secretion."

"Judging from your mammary gland development, your estrogen hypersecretion has lasted for a long time, at least since puberty."

"I suspect that your pituitary gland, which controls hormone secretion, has some problems!"

"Well, you go for an MRI of the pituitary gland."

Yu Zhiming gave the man a checklist, and after sending the young couple away, a new registered patient came in...

At [-]:[-] noon, Yu Zhiming and the head nurse, Zhan Qi, had lunch together in an office of the outpatient and emergency department.

The meals, of course, were prepared by Zhan Qi.

"Sister Zhan, do you work in the emergency department?"

Zhan Qi replied softly: "It has been handed over clearly, and it will be fine if you take it by hand in the next few days."

She chuckled again and said, "I've given others a chance by leaving."

"The head nurse is also a radish and a pit."

"If the relationship is not very strong, qualified nurses who want to be promoted to head nurses can only take the initiative to apply for a difficult department like the emergency department."

Yu Zhiming knew that a large hospital with a long history like Huashan Hospital was fully staffed.

You can only go forward with one, and then you can make up for one behind.

Fortunately, the doctor said that as long as you have outstanding abilities and make dazzling achievements, there are still many opportunities for extraordinary promotion.

Like nurses, many people can only get their qualifications step by step and wait patiently for the opportunity.

Zhan Qi asked casually: "Doctor Yu, are you familiar with the twenty or so nurses in the center?"

"Is there anyone with a stronger personality that needs my special attention?"

this……

Yu Zhiming really couldn't answer.

Although he has been in the center for three or four months, he really doesn't know much about the nurses in the center.

Let's talk so much, there are even several nurses, and Yu Zhiming can't even match their names and names.

Seeing Yu Zhiming's expression lost in memory, Zhan Qi knew that she had asked the wrong person.

She smiled and said, "Doctor Yu, don't think about it."

"You have a special position in the center. If you have anything to do, you can just order it. How can you pay attention to the nurse's name and personality, and the nurse doesn't dare to disturb you."

"A young doctor who has just joined the job, but Tian Tian's elder sister is long and short, and the short is curry favor with the nurse."

This made Yu Zhiming involuntarily smile.

Nurses are responsible for carrying out doctor's orders.

Due to their own experience and ability limitations, young doctors sometimes have problems in prescribing medicines and giving medical orders.

When the nurse checks and executes the doctor's order, if the problem is discovered in time, medical accidents can be avoided.

If the young doctors and nurses have a good relationship, these problems can be smoothed out in private.

If the relationship is not good, the nurse will directly report the problem to the superior doctor.

The evaluation of young doctors will be very ugly.

Also, although the status of doctors in the hospital is more important, in terms of management, doctors and nurses are not subordinate to each other.

Strictly speaking, there is no superior-subordinate relationship between doctors and nurses in a department.

In actual work, when it comes to individuals, which side is more powerful also depends on personal ability and qualifications.

Yu Zhiming has seen it more than once, senior nurses scold residents and attending physicians like blood, and they dare not refute a word.

As for Yu Zhiming, the identity of the entry is not ordinary, and now even the dean has to be careful about the person.

Unless a nurse doesn't want to do it, she won't deliberately provoke him...

After four o'clock in the afternoon, the young couple from the morning came to Yu Zhiming with the MRI images.

Although Yu Zhiming is not very proficient in interpreting video images, he can also see it from the images.

There is indeed something wrong with the man's pituitary gland. It seems to be a pituitary gland tumor.

He issued a referral form and asked the man to go to the neurology department for further diagnostic tests...

Just as Yu Zhiming finished his outpatient work today, he received another call from Dr. You Weixian.

"Doctor Yu, he is still alive."

When Yu Zhiming heard this, he remembered that Doctor You was talking about the boy who was shot in the head by an arrow.

"Doctor Yu, in the past 40 hours, he experienced high fever and cerebral edema, but he is still alive."

"Now finally there is an inflection point, various physical indicators are improving, and cerebral edema has also subsided."

"Doctor Yu, he is very likely to survive."

Yu Zhiming said heartily, "Doctor You, this is a miracle, a miracle of life."

"Yes, this is the miracle of life."

You Weixian said with emotion: "Life is both fragile and extremely tenacious, and it always surprises us from time to time..."

After finishing the phone call with Dr. You, Yu Zhiming also came to the small central building, and non-stop started the physical examination of volunteers for the very early stage cancer project.

After one hour and two 10 minutes, Yu Zhiming finally finished his full day's work.

He began to shake his arms, twist his waist, and kick his legs to dissipate the fatigue and discomfort in his body.

"Doctor Yu..."

Yu Zhiming followed the voice and saw Qiao Lei looking at him pitifully.

He rolled his eyelids and said with a look of disgust: "Wait a minute, I'll go to the general surgery for a while."

Zhou Mo on the side said enthusiastically: "I'll go too, I'll go too..."

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(End of this chapter)