Monday was a busy and hard day for Yu Zhiming, but it was also a day full of challenges and harvests.

Because Yu Zhiming didn't know what kind of physical abnormalities the next registered patient would come to him with.

After examining the abdominal cavity of a 43-year-old man who had reported constipation and abdominal distension and pain, he wondered if his probing technique had failed.

Yu Zhiming suddenly found that the scene of a large-scale car accident between the man's abdominal internal organs was a mess.

The hepatodiaphragmatic space disappears, the spleen-diaphragmatic space disappears, the omentum in the abdominal cavity is wrapped in a clump, and the entire small intestine is also covered by the omentum......

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

He had no clue for a while, so he hurriedly asked for help.

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

The phone was successfully connected, and Yu Zhiming informed Dr. Cui of his exploration findings.

After a moment of silence, Dr. Choi's voice slowly came out of his phone.

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

"Abdominal callouses?"

Yu Zhiming repeated and said: "This is very vivid, the patient's abdominal organs really seem to be wrapped in layers of nets. ”

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

"The typical feature of this condition is that the small intestine is encased in an abnormal fibrous membrane, like a cocoon made by a bug, so it is also figuratively called abdominal cocoonism."

After a pause, Dr. Choi continued, "This disease requires surgery. ”

"Dr. Yu, you can 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, a couple who looked to be in their early twenties 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.

"What's wrong with you?"

Yu Zhiming asked, and found that the man's face turned red as soon as he took a moment, and he couldn't say a whole word.

Yu Zhiming just wanted to urge, but the beautiful woman on the side suddenly spoke.

"He's big-breasted, bigger than mine. Dr. Yu, please give me a check-up, is there a problem? ”

Yu Zhiming's eyes were aimed at the man's chest, he was wearing a lot of clothes, and he couldn't see anything for a while.

"Are you sure it's a big chest, not a big pectoral?"

Yu Zhiming asked casually, and deliberately glanced at the man's Adam's apple.

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

The woman replied: "Doctor Yu, he can't be the pectoralis major there." Men with well-developed chest muscles, I have also touched them, and the feeling is not the same at all. ”

Yu Zhiming sighed and ordered the man directly: "I need to take a look and check." ”

Seeing that the man was squirming and couldn't move, 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 untied his clothes slowly.

When the clothes were untied, the scene in front of him was really surprising to Yu Zhiming.

As Yu Zhiming, who is good at breast examination, he has seen a lot of breasts.

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

This made Yu Zhiming and secretly surprise himself.

Gynecomastia is generally a clinical condition caused by physiological or pathological factors that cause an imbalance in the ratio of androgens and estrogen, resulting in abnormal development of male breast tissue and abnormal hyperplasia of breast connective tissue.

Judging from this man's delicate facial features and delicate skin, there must be too much estrogen secretion.

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

No problem was detected, the mammary gland is normal!

But as a man, the mammary glands are so strong, it must be abnormal.

Yu Zhiming groaned and said to the man: "In your case, it is obviously an excessive secretion of estrogen. ”

"Judging by your mammary gland development, your overproduction of estrogen has been going on for quite a long time, at least since puberty."

"I suspect that there is something wrong with your pituitary gland, which controls hormone secretion!"

"So, you go for a pituitary MRI."

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

At 12:10 p.m., Yu Zhiming and the head nurse Zhan Qi had lunch together in an office in the outpatient and emergency department.

The meal, naturally, was prepared by Zhan Qi.

"Sister Zhan, what do you do in the outpatient emergency department?"

Zhan Qi replied softly: "It's been handed over clearly, and it's okay to take it hand in hand in the next few days." ”

She chuckled again and said, "My departure can be regarded as giving others a chance." ”

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

"If the relationship is not very hard, qualified nurses can only take the initiative to apply for a difficult department such as outpatient and emergency if they want to be promoted to head nurse smoothly."

Yu Zhiming knew that a large hospital with a long history like Huashan Hospital was full of staff.

You can only walk one in front and make up one in the back.

The doctor said that as long as you have outstanding ability and make dazzling achievements, there are still many opportunities for exceptional promotion.

Like nurses, many people can only work on their qualifications step by step and wait patiently for opportunities.

Zhan Qizhuo asked casually, "Doctor Yu, are you familiar with the more than 20 nurses in the center?" ”

"Are there any stronger personalities that I need to pay special attention to?"

This one......

Yu Zhiming is really hard to answer.

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

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

Zhan Qi saw Yu Zhiming's expression of falling into memory, and knew that he had asked the wrong person.

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

"You have a special position in the center, you can just order anything directly, where will you pay attention to the name and personality of the nurse, and the nurse will not dare to make trouble for you."

"A young doctor who has just joined the company, but he has to be a nurse every day."

This made Yu Zhiming laugh involuntarily.

Nurses are responsible for carrying out doctor's orders.

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

When nurses check and execute doctor's orders, they can avoid medical malpractice by identifying problems in time.

If young doctors and nurses have a good relationship, these problems can be quietly and privately resolved.

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

The evaluation of young doctors will be very unsightly.

In addition, 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 stronger also depends on personal ability, qualifications, etc.

Yu Zhiming has seen more than once that the senior nurse trained the resident and attending physicians to be bloody, and he didn't dare to refute a word.

As for Yu Zhiming, his identity is not ordinary, and now he is a character that even the dean has to be careful about.

Unless a nurse doesn't want to do it, she won't deliberately provoke him without opening her eyes.........

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

Although Yu Zhiming is not very proficient in the interpretation of image maps, he can also see from the pictures.

The man's pituitary gland is indeed a little wrong, it seems to be a pituitary gland tumor.

He issued a referral and sent the man to the neurology department for further confirmatory testing......

Just as Yu Zhiming finished today's outpatient work, he received a call from Dr. You Weixian.

"Dr. Yu, he's still alive."

When Yu Zhiming heard this, he remembered that what Dr. You said was the young man who was shot in the head by an arrow.

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

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

"Dr. Yu, there's a good chance he'll live."

Yu Zhiming said happily: "Doctor You, this is a miracle, a miracle of life. ”

"Yes, it's a miracle of life."

You Weixian sighed: "Life is both fragile and extremely strong, and it will always surprise us from time to time......

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

An hour and twenty minutes later, Yu Zhiming finally finished the day's work.

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

"Dr. 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 department for a turn." ”

Zhou Mo on the side said with great interest: "I'll go too, I'll go too......"

Ask for support such as monthly passes, recommended tickets, etc!!

(End of chapter)