Chapter 554: Matter of Principle

Not long after the beautiful reporter left, a community worker came to inform her that it was time for lunch.

Yu Zhiming checked the three of them one after another, and waited until Zhou Mo entered the tent with three boxed lunches.

It's just that this guy is puffing out his cheeks, and he is obviously angry.

"What's wrong?"

"Won't you get an extra boxed lunch?"

Zhou Mo put the lunch box on the small table and explained: "The lunch box is enough, and you can eat as much as you want." ”

"It's something else!"

She opened all three boxed lunches and asked, "Doctor Yu, you can choose first." ”

The lunch box is two meat and two vegetarian, and each meat and vegetarian serving is different.

One serving is braised pork, fish steak, small rape and eggs with tomatoes, and one serving is chicken thighs, large ribs, winter melon and shredded potatoes.

The third serving is braised lion's head, beef with potatoes, stir-fried lotus root slices and bean sprouts.

Yu Zhiming looked at them one by one, and felt that this color and flavor were not as attractive as the food in the cafeteria.

He casually picked up the braised pork lunch box and ate it.

Zhou Mo chose a chicken leg box lunch.

"Doctor Yu, before I went to get the lunch, I went to the bathroom, and on the way, I asked a few residents why they didn't come to your tent to see a doctor."

Zhou Mo opened the still hot seaweed egg drop soup and drank two sips, and then said: "They all said that the easternmost tent was a young doctor, and it must have been his teacher who couldn't come for something temporary, so he was arranged to come over to replace him. ”

"It's also said that it's a pit and can't go there."

Zhou Mo took a bite of the dish, frowned in disgust, and then said, "In the bathroom, I heard a person calling. ”

"Just listen to her say, come quickly, don't ask for leave, and come if you are absent from work." He also said that this is a rare opportunity for Dr. Yu to diagnose and see a doctor for free, and if you miss this village, there will be no such shop. ”

Zhou Moyu said indignantly: "This is not a community worker, or a phone call from a volunteer. ”

"Doctor Yu, it's normal that the residents who see a doctor outside don't understand you."

"But it's all been a morning, and they're still not clear about you, so it's not quite right."

"It can be seen that those staff members did not do propaganda for you, but it may be ......"

Zhou Mo lowered his voice and said, "Deliberately blocking the news, or deepening the misunderstanding of the residents who see the doctor about you." ”

"That way, they can call their family and friends for you to see a doctor."

Yu Zhiming swallowed the food in his mouth, took another sip of seaweed soup, and chuckled: "It's normal to be selfish. ”

Zhou Mo nodded lightly and said, "That's true, it's not easy for ordinary people to see you for a doctor." ”

"You check your body, but it costs 10,000 yuan."

Zhou Mo suddenly sighed again: "I can understand why the more upper-class people are, the easier it is to succeed." ”

"Not to mention resources and connections, this poor information alone can benefit them a lot."

"Doctor Yu, look at it, the community staff knows your ability and has got a chance to see a doctor."

"Those residents outside don't know how much they have missed out on a precious opportunity to be healthy because of the lack of information."

Yu Zhiming smiled and said, "You can't say that. ”

"In the other tents, there are either chief physicians or deputy chief physicians, all of whom are clinicians with considerable ability and experience, and the diagnostic advice received from the residents may be more professional and accurate than in me."

Zhou Mo pursed his lips and said, "Doctor Yu, it's not that I underestimate their abilities. ”

"Although they are all chief-level doctors, here, without the blessing of various medical instruments and equipment in the hospital, their diagnostic ability is not even as good as your little finger."

"They have become accustomed to writing orders for patients to do a lot of examinations, and then analyzing the medical pattern of the condition through imaging images and analyzing laboratory data."

Yu Zhimingle said: "Okay, let's eat quickly." ”

Zhou Mo looked at the lunch box that he hadn't moved a few bites, and said critically: "It's so unpalatable, I have no appetite." ”

"You're hungry! No more! ”

Yu Zhiming criticized and ordered again, and then took a big bite to set an example.

Zhou Mo had to silently recite a few times that this was "the meal made by his aunt", and then resolutely ate it......

After a short break of one or two minutes, the medical team began the free clinic activities in the afternoon.

Most of the patients who came to Yu Zhiming's tent were family members and friends brought by community workers and volunteers.

Of course, there are also a few community residents who come in from time to time, holding stamped notes.

Just after three o'clock in the afternoon, a woman's voice came clearly from outside the tent.

This voice attracted Yu Zhiming's attention.

Listen to the voice and say, "Let's go in, my friend is obviously in trouble, please ask Dr. Yu to check her." ”

The next moment, a man's voice rang out.

"This free clinic activity was organized by our community in conjunction with Huashan Hospital, and it was only for the registered population in Binhai, and there are certain difficulties in family life."

"You and your friend are both registered in other places, and they are not within the scope of the free clinic."

"You'd better take your friend to the hospital."

Immediately afterwards, the woman's voice sounded again, saying, "To be honest, she is my roommate, and my relationship with her is average." ”

"I saw that her situation was obviously wrong, and I saw that there was a free clinic here, so I took her over to have a look."

"Just let Dr. Yu check it out, and if it's determined that she has a big problem, I'll immediately contact her colleagues and family."

"Comrade, please be accommodating, please."

The man's voice was not a little warm: "No, this is a matter of principle, not accommodating." ”

Yu Zhiming, who heard the conversation between the two clearly, couldn't help frowning.

He kept checking the patient in his hand, and said to Zhou Mo: "There are two out-of-town girls outside, bring them in." ”

Zhou Mo nodded and hummed, and walked out of the tent......

Yu Zhiming finished examining and diagnosing six people one after another, and then saw two young women approaching.

One was a straight-haired woman who looked to be twenty-five or sixteen years old, dressed neatly.

She was holding a young woman in pajamas, a down jacket, and some messy hair.

Yu Zhiming noticed that the woman's expression was wooden, her body movements were also a little stiff, and she looked like she hadn't woken up yet.

"What's going on with her?"

The straight-haired woman bowed first and said, "Doctor Yu, thank you for letting us in." ”

She continued: "Dr. Yu, she is my roommate, 22 years old, a college student who only graduated this year. ”

"Three or four days ago, she said she had some fever and headache, and then she kept sleeping and didn't even go to the company."

"Every day, in addition to being called by me to eat and go to the bathroom, I basically lie in bed and sleep the rest of the time."

The straight-haired woman hesitated for a moment, then said, "Doctor Yu, I feel that her mental state is also a little wrong. ”

"Ignore me, and don't answer when asked, she wasn't like this before, she was very cheerful and talkative."

Yu Zhiming sighed and stood up from the chair.

"I'll check her first."

With the assistance of the straight-haired woman, her roommate lay down on the examination table very obediently.

Yu Zhiming came to the front, and just as he was about to check, he found that the woman's breathing had become a little lighter.

It's asleep.

Narcolepsy?

Yu Zhiming said a sentence silently, reached out and pressed it on the woman's forehead, sensing that she was still feverish.

About thirty-eight degrees.

Yu Zhiming further probed the woman's brain.

Affected by the cluttered environment of the tent, Yu Zhiming could only do a preliminary exploration of the brain and the main blood vessels of the brain.

He found no abnormal problems with his brain.

This is followed by a review of the neck, breasts, and cardiopulmonary ......

When examining the ovaries in the woman's abdominal cavity, Yu Zhiming made a major discovery.

Not to mention that the woman's left ovary has become one-third larger, Yu Zhiming clearly detected the existence of bone material in the increased part of the ovaries.

Is this teratoma?

Teratoma is one of the common tumors of the female ovary, which originates from germ cells and belongs to a type of germ cell tumor.

Analysis and testing of excised teratomas sometimes reveals bone-like components such as hair and fingernails.

The teratoma is essentially an embryonic substance that is not well developed and dies at a very early stage.

After repeated examinations, Yu Zhiming confirmed that the woman's ovarian tumor was a teratoma, and at the same time understood the reason for the woman's symptoms.

She had autoimmune encephalitis.

It is an inflammatory disease of the central nervous system that is mainly associated with an autoimmune response.

This autoimmune reaction occurs mainly due to the patient's immune system.

It mistakes its own brain tissue for a foreign antigen, produces specific antibodies that "attack" its own brain tissue, and immune attacks, and eventually triggers inflammation of the brain tissue.

The mechanism of its pathogenesis is unknown, but tumors such as teratomas are one of the causes.

In the woman's case, it was her own immune system that first detected the teratoma, and when it attacked, it attacked her own brain.

Patients with autoimmune encephalitis have a variety of symptoms.

Cognitive impairment, psychiatric behavioral abnormalities, and seizures of acute or subacute onset are predominant.

That is, dementia in the short term, memory loss, personality changes, delusions, gibberish, recurrent convulsions, etc.

Some patients may have sleep and consciousness disturbances, manifested by sleep cycle disorders, such as not sleeping at night, staying awake during the day, drowsiness, coma, etc.

After listening to Yu Zhiming's introduction, the straight-haired woman asked worriedly, "Teratoma, is it cancer?" ”

Yu Zhiming explained: "No, it is a benign tumor, but it requires surgery. ”

"It's not a big operation."

Yu Zhiming added, and then advised: "What you have to do now is to send her to the hospital and contact her family." ”

The straight-haired woman snorted and said, "Doctor Yu, with your diagnosis, I am at ease." ”

"I'll take care of her until her family comes."

Speaking of this, she bowed to Yu Zhiming.

"Dr. Yu, thank you!"

"You're a rare good doctor......

Yu Zhiming watched the straight-haired woman pull her roommate out of the tent and put herself into work again......

With the joint efforts of the members of the medical expert team, the residents who came to see the doctor were emptied at half past four in the afternoon.

Persisted until 5 p.m., and the medical free clinic team successfully completed today's free clinic work.

The team leader and captain gave the order to collect the team and return to the hospital.

Yu Zhiming got dressed and got out of the tent, and saw a male community worker in his early thirties, pulling a woman and trotting over.

"Dr. Yu, this is my wife, can you please ......?"

Yu Zhiming remembered this voice.

"It's past five o'clock, the free clinic is over, this is a matter of principle, and it can't be accommodated......"

PS.

In the last hours of April, are there any monthly passes?

Ask for a commuter pass to support !!

(End of chapter)