medical treatment

After an unknown amount of time passed, Yu Zhiming opened his eyes, only to find that there was darkness in front of him.

Habitually, he reached out to touch the phone on the bedside, lit up the screen, and squinted at the time.

Five thirty-five.

It's time to wake up for a new day.

Yu Zhiming didn't want to get up.

When working in the county hospital, he preferred to stay in the hospital instead of going home. Apart from needing to improve himself in more work, he just didn't want to go home and be urged by his sister to go on a blind date and get married.

As for the fact that he doesn't want to get up now, it's because he finds that with Qing Ning's company, his life outside of work has become warm and comfortable, which makes him full of nostalgia for the time when he is not working.

Perhaps, this is what many people call the Tomb of Heroes in the Gentle Township, and that the king will not go to court early?

Yu Zhiming dawdled for 2 minutes, then got up, put on his clothes in the dark, and left the bedroom.

The living room is already brightly lit.

Qing Ning and Yu Xiangwan were yawning while making their respective beds.

As for the two little ones, Xiaoxue and Zeng Yan, they hugged the pillow and quilt sleepily and ran into the bedroom.

"This time, I'm going to sleep outside..."

The second half of Zeng Yan's sentence was blocked by the closed bedroom door.

Yu Zhiming, who was infected by Qing Ning and Fourth Sister, also yawned twice and walked to the bathroom...

Ten minutes later, Yu Zhiming, Yu Xiangwan, and Qing Ning sat around the dining table and started eating breakfast.

One bowl of mutton and sea cucumber soup per person, the main food is hot steamed buns, the dishes are twice-cooked pork with winter bamboo shoots, shrimp and small rapeseed, and a plate of braised beef, boiled eggs and salted duck eggs.

Qing Ning handed the peeled hard-boiled eggs to Yu Zhiming, and said, "Last night, my brother told me that I contacted a pretty good auntie at home."

"This aunt's employer is going to immigrate with her family, so she wants to find a new host family so that she can come and work after a year."

"Zhiming, do you want her to come over and try the dishes first?"

Yu Zhiming nodded, and asked again: "Your brother is two people now, does he also need a home aunt?"

Qing Ning giggled and said, "My brother said, he's not in a hurry for the time being, and he's just waiting for us."

Yu Xiangwan suggested: "How about arranging the tasting on Friday night? Let Auntie make a good table."

Qing Ning nodded and said, "It shouldn't be a big problem, I'll talk to that aunt first."

She looked at Yu Zhiming again, and said, "My brother also asked me to tell you that his friend from Guangshen got divorced smoothly, and he is quite satisfied with the conditions of the divorce."

"Also let me tell that person, thank you for your discovery."

"What discovery?" Yu Xiangwan began to gossip.

Qing Ning smiled lightly and said, "My brother's friend suspects that his wife is cheating, but the secret investigation has never proved it."

"It was Zhiming who discovered through the recording that his wife's cheating partner turned out to be a woman."

Yu Xiangwan suddenly let out a sigh...

At nearly [-]:[-] in the morning, when Yu Zhiming came to the central building of the hospital, he heard a bad news.

The hospital conducted an in-depth investigation on the 23 outpatients of Yu Zhiming admitted yesterday.

Among them, 17 people admitted that they contacted the scalpers, because the other party promised that they would definitely get them registered, and also said that they would collect money after registering the account.

They did get Yu Zhiming's outpatient number successfully, and they paid an extra fee ranging from [-] to [-].

As for why the scalpers have such great capabilities, the hospital said that further investigation is needed...

At nearly two o'clock in the afternoon, Yu Zhiming welcomed Liu Qilun, the father of Xiaoxue's roommate, and his thin middle-aged client named Zou Yi, who suffered from liver cancer.

Yu Zhiming first checked Zou Yi's liver area, but when he started to check, he found something wrong.

"Mr. Zou, was your liver cancer diagnosed by pathological examination? Or by imaging examination?"

Pathological testing is the gold standard for cancer diagnosis.

That is, the diseased tissue is taken out of the body, and immunohistochemistry and even genotyping are performed in vitro.

This is the way to be [-]% sure about cancer.

However, whether it is surgery or biopsy to remove the diseased tissue, there are certain risks.

Experienced clinicians can also diagnose solid cancers through enhanced CT, enhanced MRI, PET-CT, contrast-enhanced ultrasound and other imaging information, combined with some physical laboratory indicators.

However, the reliability of the diagnosis of cancer mainly relying on imaging is slightly lower than that of pathological diagnosis.

Generally speaking, most major diseases like cancer are diagnosed through pathological diagnosis.

Unless the clinician is very confident and sure about his own imaging judgment.

After all, this is cancer.

Once a patient learns that he has cancer, his physical and mental state is likely to undergo tremendous changes, and he may even make unimaginable decisions or behaviors.

If it is finally confirmed that it is a misdiagnosis, the fun will be great.

Zou Yi, with a sallow complexion and a listless expression, replied, "The one who checked me was a well-known liver and gallbladder expert in our local area. He told me about it."

"I just remember that I did a lot of examinations at that time, such as CT, MRI and other films, as well as various laboratory tests."

"As for liver cancer diagnosed by pathology or imaging, I don't know."

"After being suspected of having liver cancer at that time, my brain became muddled, and my thoughts were messed up."

Zou Yi sighed again: "It's only been a few days since I came to my senses, thinking that while my body is not bad, I can sort out some things so that I won't feel powerless in the future."

Liu Qilun, who stood quietly by the side, keenly sensed that Yu Zhiming must not be asking casually.

He asked expectantly: "Doctor Yu, is it Mr. Zou's liver cancer, or are there other possibilities?"

Yu Zhiming didn't respond, and made a detailed examination of Zou Yi's liver.

It took six or seven minutes to check this time before he withdrew his hand.

Facing Zou Yi and Liu Qilun's apprehensive and nervous eyes, Yu Zhiming said cautiously: "According to my examination, it doesn't look like liver cancer, but more like liver abscess."

"Well, I'll arrange for you to go to the Liver Disease Research Center for further confirmation."

Some liver diseases are easily misdiagnosed as liver cancer.

For example, cirrhotic nodules.

Most primary liver cancers develop on the basis of liver cirrhosis.

In patients with severe liver cirrhosis, a large number of proliferative nodules will appear in the essence of the liver.

This nodule and early liver cancer are sometimes difficult to distinguish on clinical imaging.

At the same time, tumor patients with these two diseases are often accompanied by elevated alpha-fetoprotein, so it is easy to confuse them.

Another example is hepatic hemangioma.

Both it and liver cancer are space-occupying pathological changes with abundant blood vessels. The clinical diagnostic examination of color Doppler ultrasonography and enhanced CT scan will show rich blood flow, so it is easy to be confused.

The liver abscess mentioned by Yu Zhiming is a pathological change in the liver after a certain part of the body is infected through hematogenous dissemination.

Patients often show clinical manifestations of fatigue, low-grade fever, weight loss, and discomfort in the liver area.

From the perspective of pathological manifestations, when the abscess is very small, it is not easy to distinguish it from liver cancer.

Yu Zhiming's words made Zou Yi stand up from the examination bed, his eyes sparkling.

"Doctor Yu, Doctor Yu gave birth to me..."

Zou Yi became short of breath in a moment of excitement, his tongue got stuck, and he couldn't speak normally.

Liu Qilun reached out and pressed Zou Yi's shoulder, making him sit back on the examination bed.

He also said excitedly: "Doctor Yu, we all know your abilities. You can be called a master doctor in the present age, and you haven't missed a diagnosis yet."

"You mean, it's not cancer?"

Yu Zhiming said: "I can only say that according to my examination, the possibility of liver abscess is higher."

"As for the specific situation, it is best to go to the Liver Disease Research Center for further diagnosis."

Yu Zhiming wrote a referral form to Zou Yi.

Next, he saw the weak guy dragging his body when he came, and walked away quickly with windy legs and feet.

Liu Qilun had to trot a few steps to keep up.

When Yu Zhiming returned to the big office, he accidentally found that Dr. Wang Wu from the Department of Traditional Chinese Medicine was waiting for him.

"Is something wrong?"

Wang Wu chuckled, without speaking, took out two small tea-colored wide-mouth medicine bottles from his pocket and handed them over.

Yu Zhiming reached out to take it, and found a wax-sealed pill the size of a quail egg in each of the two small medicine bottles.

"Doctor Wang, is this successful?"

Wang Wu smiled proudly and said, "After days of hard work, I finally succeeded."

"A total of twelve pills have been made."

"According to the previous agreement, I gave Chairman Gu six pills, and I kept four pills for myself."

Yu Zhiming quickly declined and said, "Oh, Dr. Wang, you gave me two pills of such a valuable patented medicine, it's too much."

"One grain is enough! One grain is enough!"

Although Yu Zhiming said so, he held the two small medicine bottles tightly with his hands, and did not return a single pill.

With Dr. Wang Wu's character and ability, even if the efficacy of this Ginseng Xuming Pill is exaggerated, the actual effect must be somewhat extraordinary.

In other words, this is a drug that can play a big role at critical moments.

If he pretended to be polite and Dr. Wang really pushed the boat back and took back one pill, it would be a big loss.

Wang Wu laughed and said, "Doctor Yu, you deserve this. Without you, there would be no medicine."

"Two pills are just right."

"You can take one with you, in case you need it. The other one, keep it at home for later use."

After a pause, Wang Wu introduced again: "This medicine can be swallowed or dissolved in warm water."

"This medicine works best for patients with chronic diseases. It is much less effective for patients with acute illness and trauma."

Yu Zhiming hummed.

Wang Wu moved closer to him, and said in a low voice, "Someone asked me to buy one pill at a price of [-] yuan, but I didn't agree."

"Doctor Yu, it is becoming more and more difficult to collect many medicinal ingredients for this medicine. Maybe there will be no next time."

"Don't be soft-hearted and use it on the patient at will."

Yu Zhiming clenched the two small medicine bottles a little more, and said solemnly: "Such an expensive medicine, even if you have money, you can't buy it. I definitely won't use it casually."

After seeing off Dr. Wang Wu, Zhou Mo came over.

"What kind of medicine? It's so mysterious."

Yu Zhiming said in a deep voice, "It's a magical medicine that can bring people back to life."

Zhou Mo curled his lips and said, "Blow, blow hard! Why don't you say it's an elixir that makes people instantly become immortal..."

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