medical treatment

Chapter 673 Doctor Yu, I Have Cancer
At around 08:30 in the morning, Yu Zhiming led Zhou Mo to the No. 15 outpatient room on the second floor of the outpatient and emergency department.

Wang Li, a young nurse who has packed up the outpatient room, is like an excited bird, chirping non-stop.

"Doctor Yu, when the wounded was brought in, Deputy Director Xu on duty did an examination himself. He said that his pupils were dilated and his light reflexes were gone, so he can be declared dead."

"At this time..."

Wang Li said vividly: "The ambulance nurse who came in shouted that there is still rescue, there is still rescue. Doctor Yu checked it and made it clear that rescue is still possible."

She gestured with her hands again and said, "The nurse's voice hadn't dissipated yet, and several people rushed over to rescue her."

"The man was injected with seven or eight injections of different rescue drugs one after another, and all kinds of rescue methods were used. After a fierce attack, the man's heartbeat really recovered."

Wang Li said with a look of admiration, "Doctor Yu, you are really a god, and there is no one in the entire emergency area who refuses to accept you."

Yu Zhiming smiled lightly and said, "The main thing is that the medical staff were able to rescue him effectively. I just said that the person is possible, but it doesn't mean that he will definitely be rescued."

Wang Li chuckled and said, "Doctor Yu, without your possible judgment, they wouldn't have made every effort to rescue them regardless of the cost."

"In the final analysis, the role played by you is the most critical."

After a pause, Wang Li asked softly again: "Doctor Yu, like the wounded today, there was a possibility of being rescued, but he was finally given up. Every hospital should have some, right?"

Zhou Mo also echoed: "This kind of situation must happen. I once saw a news on the Internet, saying that the person was declared dead and sent to the morgue, but the person woke up in the morgue."

Yu Zhiming pondered and said: "Doctors are very cautious in announcing death, and will make a comprehensive judgment from multiple aspects such as heartbeat, breathing, pupillary response, and brain waves."

"Of course, misjudgment cannot be ruled out."

"However, the proportion of such cases is very small, one in a thousand, or even one in ten thousand."

Yu Zhiming also explained: "In order to avoid this one-thousandth possibility, we can't do a rescue at any cost for every patient who has no vital signs?"

"How much medical resources will this consume?"

Wang Li nodded in agreement and said, "That's true, medical resources are always limited."

At this time, Yu Zhiming was already ready for work, and urged: "Stop thinking about it, it's time to start working."

Wang Li hurriedly said "Hey", went outside the outpatient room, began to call the number, and verified the identity of the registered patient...

As the first emergency outpatient visit after the Spring Festival holiday, Yu Zhiming maintained a high level of excitement.

It also improved his work efficiency a little.

By twelve noon, Yu Zhiming had completed the examination and diagnosis of 27 registered patients.

A total of three cancer patients were detected, one with esophageal cancer, one with bowel cancer, and one with lymphoma.

Yu Zhiming left the outpatient room to have lunch, and finally had time to check last month's salary.

First, I read the reward SMS of Ning'an Bank, and the amount reached more than 63.

this number……

Yu Zhiming guessed that it should include Meng Fan's 60 yuan, plus other income, and then deduct about 30.00% of personal tax, which is almost the same amount.

He took out his work tablet from his pocket, entered his personal system, and found the salary details of Huashan Hospital last month.

Yu Zhiming found out that there was an extra 60 yuan allowance for advanced cancer research projects in the salary statement.

This brought his total wages in January to more than 1406 million. After deducting taxes, fees and insurance, his actual salary was a little over 100 million.

At this time, Yu Zhiming had already walked out of the emergency building when a man's voice suddenly rang in his ear.

"Doctor Yu..."

Yu Zhiming stopped, put away the tablet, and then saw Zhou Mo stepping forward to protect his front.

"You are not allowed to come forward, just stand there and say something."

Zhou Mo stopped the people coming, and then introduced to Yu Zhiming in a low voice: "The son of the scalper retired Nurse Liang."

Yu Zhiming let out an oh, and looked at the person coming.

Although he had done a physical examination and rescue for this person at the time, but looking at it now, he didn't feel familiar at all.

This person was in his early thirties, tall and big, with flat hair, and his facial features were a bit ordinary, with no special features.

"You came for your mother?"

The young man with a flat head nodded and said, "Doctor Yu, please forgive my mother for what she has done. She just wants to make more money."

Zhou Mo interrupted suddenly: "Make more money?"

She said sarcastically, "It is said that your mother has four houses under her name, and she has no bank loans yet."

"Is it true?"

"This is not a little money!"

The young man with a flat head explained: "The main reason is to take advantage of the boom in real estate a few years ago and invest in houses to make money."

"Being a scalper really doesn't make much money."

Yu Zhiming said solemnly: "There are so many houses in the family, why do you still want to be a scalper and make money from patients?"

"You came to me, why not persuade your mother to actively plead guilty and accept punishment, and try to reduce the punishment."

After saying this, Yu Zhiming stopped talking to this person, strode away, and went to the cafeteria.

A few minutes later, he and Zhou Mo came to the door of the staff cafeteria and met Ding Ye.

Ding Ye lifted the relatively large and heavy incubator in his hand, and said, "Doctor Yu, this is a delicacy I bought from a restaurant outside. Thank you for your help the day before yesterday."

"Is that woman okay?" Yu Zhiming asked.

Ding Ye hummed, and said: "There are still some minor problems in the body that need to be recuperated, but the risk of organ failure is no longer there. It can be said that it has finally been rescued."

The three found an empty table in the cafeteria.

Ding Ye took out the takeaway food in the incubator, including steamed sea bass, braised short ribs, and lamb with cumin, and the only vegetarian dish was sautéed mushrooms with Chinese cabbage and fungus.

The portion of each dish is full, enough for the three of them to eat together.

Ding Ye ordered four bowls of rice and three servings of sea rice soup from the dining area of ​​the cafeteria...

Ding Ye first ate half a bowl of rice with his vegetables, and then showed a miserable expression.

"Doctor Yu, I was severely criticized by the hospital."

"Let's not take this as an example. I also said that if I want to ask you for help in the future, I must follow the hospital's regulations."

Ding Ye lamented again: "Fortunately, you discovered the amniotic fluid embolism. If there was only the adjustment of the fetal position, I would not only be criticized, but I would probably have to deduct my performance."

Yu Zhiming said happily, "Who told you to be clever?"

Ding Ye chuckled, and said, "I didn't expect the hospital to enforce it very strictly, and they will never let up on your protection."

At this time, Zhou Mo couldn't help but interrupted.

"Doctor Yu, if you say that, the hospital will definitely deal with the ambulance incident in the morning."

"I just don't know how severely they will be punished?"

Ding Ye asked curiously, "What happened?"

In a few words, Zhou Mo talked about being stopped by the ambulance in the morning and the wounded being successfully rescued.

Ding Ye let out a sigh, and said, "The nature is indeed serious, but after all, it saved someone's life. Their punishment should be the kind of lifting it high and falling it lightly..."

The three of them chatted while eating, and they didn't finish their lunch until [-]:[-] noon.

When Yu Zhiming saw this time point, he gave up the arrangement of going to the bed car for a nap, and returned to the outpatient room to start working.

However, the first registered patient after lunch posed a big problem for Yu Zhiming.

His name is Li Hao, male, 37 years old today, and works in a public institution in Binhai.

When Li Hao walked into the outpatient room, the first thing he said was: "Doctor Yu, I have cancer, but I don't know what it is or where it grows."

"Please check it out for me with your miraculous doctor."

As he spoke, he took out a thick stack of inspection and analysis reports and video clips from his backpack and handed them over.

Yu Zhiming took the overwhelming information with both hands, quickly flipped through a part of it, and couldn't help but secretly click tut.

This guy, in order to detect cancer hidden somewhere in the body, almost did all the tests that could be done.

There are generally two ways to screen unknown body cancers that have no obvious symptoms in the hospital.

One is the detection of tumor markers.

Tumor markers are certain substances produced and released by tumor cells, which mostly exist in tumor tissues or body fluids in the form of antigens, enzymes, hormones, etc.

Through the detection of tumor markers, it is possible to check whether there are tumor markers in the body and the type of tumor markers, helping cancer patients to detect them at an early stage.

Yu Zhiming discovered that this guy had done all the tumor marker screening projects that the hospital could do.

For example, he checked the marker alpha-fetoprotein AFP for screening primary liver cancer, the prostate-specific antigen PSA for screening prostate cancer, and the markers that can be found in acute leukemia, lymphoma, lung cancer, colon cancer, liver cancer and ferritin concentrations in prostate cancer, etc.

All in all, this guy has done twelve things in total.

Not only that, he did these screening items more than once, at least three times, and at most six times.

The second method of screening for cancer is imaging examination.

Yu Zhiming was a little speechless. Li Hao's B-ultrasound, [-]D color Doppler ultrasound, X-ray, CT, MRI and other image data can be said to have taken three or four times of his whole body from head to toe.

He also paid attention to the time, these images were all done in different hospitals within a month.

Aren't you afraid of radiation overdose?

Because there were too many kinds of information, Yu Zhiming picked and looked through some, and secretly had a guess in his heart.

Is this guy a severe hypochondriac?
"Mr. Li, these test analysis reports and video data all show that you are quite healthy."

Li Hao said with a serious face: "Doctor Yu, I know very well that the detection accuracy of this tumor marker is low, and it can only be used as an auxiliary detection method."

"Imaging data cannot detect many early cancers."

Yu Zhiming couldn't say that Li Hao was wrong.

Tumor marker detection and imaging examinations do have limitations, especially for early cancer screening.

Li Hao said expectantly, "Dr. Yu, you have the ability to see small things, and you will definitely be able to find out the hidden cancer in my body."

These words gave Yu Zhiming a headache. Does this guy think he has cancer in his body?
However, without practice, there is no right to speak.

Yu Zhiming also couldn't make a conclusion, he shouldn't come here, but to go for psychiatric appraisal and psychological counseling.

"Mr. Li, please lie down on the examination bed, I will give you a full body examination first..."

PS.
At the end of the month, ask for monthly ticket support! ! !
　At the end of the month, ask for monthly ticket support! ! !
　　
　
(End of this chapter)