Chapter 585 - Smashed with money
After ending the call with Lime, Yu Zhiming also came to the door of the hospital's first canteen.
Ding Ye jumped out of nowhere and stuffed a medical information into Yu Zhiming's arms.
"Doctor Yu, you can help you take a look at this medical information, and then tell your judgment according to your intuition."
"I'm invited for your lunch today."
After saying this, Ding Ye didn't wait for Yu Zhiming's reaction, and pulled Zhou Mo into the canteen first.
Yu Zhiming was a little speechless, and while eating in the cafeteria, he quickly looked through the medical information in his hand.
The patient is a 24-year-old female.
University culture, unmarried, surname life, regular menstruation, medium volume, no menstrual pain.
There is no abdominal pain, bloating, nausea and vomiting, no fever and chills, no frequent urination and urgency and other uncomfortable symptoms.
DURING THE PHYSICAL EXAMINATION, B-ULTRASOUND EXAMINATION FOUND THAT THERE WAS A MIXED ECHO MASS 32*27*38MM IN THE RIGHT OVARY......
After reading the patient's current medical history at a glance, Yu Zhiming had already come to the somewhat messy canteen.
He found a relatively secluded empty dining table and sat down, and quickly looked through the patient's gynecological examination records and various laboratory analysis data.
In the end, Yu Zhiming looked at the light outside the window and carefully reviewed the image map data of various states of as many as eight groups of patients.
After reading all the information on the patient's condition, Yu Zhiming leaned back in the chair and closed his eyes.
The clutter of the outside world was completely excluded by Yu Zhiming, and the whole person devoted himself to the analysis of the condition......
In his mind, all the written and video materials he had seen had been transformed into a three-dimensional perspective of the physiology and anatomy of a woman's right ovary in the abdominal cavity.
Not only that, under the powerful "brain supplement" of Yu Zhiming, this physiological structure diagram is not only vivid in detail, but also alive, with blood flowing in and out.
Yu Zhiming carefully "examined" the ovarian tumor the size of half an egg in his mind.
Not only that, but from time to time, he also thought of ovarian tumors that he had dealt with before and studied in books, and compared them with them.
At the same time, Yu Zhiming's hands couldn't help but raise and pat them.
It was as if there was a patient lying in front of him......
Time passed minute by minute, Yu Zhiming finally opened his eyes, and unexpectedly saw Ding Ye and Zhou Mo sitting opposite the dining table, staring at him with big eyes.
"What conclusion?"
Looking at each other, Ding Ye asked urgently: "Doctor Yu, don't think about anything, just rely on intuition to directly say the first answer in your mind!" ”
"Ovarian sclerosing stromal tumor!" Yu Zhiming replied.
Ding Ye was slightly stunned, and asked again: "Why?" ”
Yu Zhi glanced at her and said, "Since it is the answer that comes from intuition, how can there be why!" ”
"Is it really just a gut feeling?" Ding Ye looked incredulous.
"It's intuition!" Yu Zhiminghui's extraordinary firmness.
Actually, he lied.
Yu Zhiming didn't rely on intuition.
This is an answer he came up with after repeated analysis in his mind and comparison with the relevant case data in his memory.
It's just that the patient is not in front of him, this is the conclusion that Yu Zhiming came to based on the patient's condition data.
This form of diagnosis is not what Yu Zhiming is good at, which makes him a little unconfident.
The intuition is wrong, and there are extenuating circumstances.
If the conclusions reached after hard analysis are proven wrong, there will be some shame.
He didn't want to be ashamed.
Yu Zhiming looked at the plate placed in front of him, which was full of dishes.
There are braised pork, beef stew with potatoes, fish steak, stir-fried water spinach, and mushroom choy sum.
He's still quite satisfied.
After taking a sip of winter melon soup first, Yu Zhiming asked, "How long have I been thinking about it?" ”
Zhou Mo replied softly: "After we finished the meal, we sat here and waited for you for about five or six minutes. ”
Yu Zhiming sighed lightly, knowing in his heart.
Before I knew it, I thought about it for about ten minutes.
Yu Zhiming looked at Ding Ye and asked, "What is the situation with this patient?" ”
Ding Ye explained: "A girl from other places who came to me around the corner. ”
"She did examinations at three local tertiary hospitals and came to three diagnostic conclusions."
"Ovarian fibromas, granulosa cell tumors, ovarian cystadenocarcinoma, one is more scary than the other."
Ding Ye sighed lightly, and continued: "The girl and the girl's family were frightened, and they didn't know which one to believe, and they didn't dare to do surgery easily. ”
"I was found by someone else."
After a pause, Ding Ye said frankly: "I analyzed the girl's data, and I personally tend to prefer granulosa cell tumor. ”
"Listening to you say this, I think there is also the possibility of ovarian sclerosing stromal tumor."
"It would be nice if it were really this kind of stromal tumor, the prognosis after surgery is good, and there will be no recurrence or distant metastasis."
Yu Zhiming swallowed the food in his mouth and said, "No matter what kind of diagnosis it is, surgery is required. The final diagnosis should be based on the conclusion of pathological analysis. ”
In the case of an uncertain girl like this, tissue samples will be taken during surgery and sent to a pathology laboratory for rapid testing.
This intraoperative pathological rapid analysis will provide results within about half an hour.
If the test result is malignancy, surgery will be performed according to the criteria for malignancy.
For example, enlarged excision, lymphoid tissue dissection, etc.
If the test result is benign, it will naturally be performed according to the criteria for surgical resection of benign tumors.
Ding Ye snorted softly: "Doctor Yu, what you said is quite light. But three hospitals have come up with three diagnoses, which will cause patients to lose trust in hospitals. ”
"Where can I feel free to have surgery at a local hospital?"
She smiled bitterly again: "It's just that now, you have given a new diagnosis. ”
"Patients probably have no choice."
Yu Zhiming smiled and asked, "Haven't you seen Doctor Liu?" ”
Ding Ye shook his head and said, "I have a cold and fever, so I don't want to disturb me if I ask for leave to rest at home." ”
After a pause, she asked, "Doctor Yu, can I tell the other party, is this the diagnosis you gave?" ”
Yu Zhiming hesitated for a moment and nodded.
Whether it was intuitive or not, right or wrong, this was indeed his diagnosis.
It's okay to tell the other party like this.
"Let's not talk about this headache patient."
Ding Ye smiled and said, "Last night, a colleague got married and had a treat, and we young doctors had a small gathering. ”
"Hey, Zhou Luo from the Department of Gastroenterology, and Shen Qi from the Department of Cardiovascular Medicine, are you sure to join your medical team?"
Yu Zhiming nodded with a mouthful full of food.
Ding Ye sighed: "These two people have deep backgrounds, and they are also among the best young doctors in terms of medical skills. ”
"The two of them are willing to be your assistants, which shows that their elders are not generally optimistic about your future."
"Dr. Yu, to be honest, I regret that I decided to study abroad too early."
Yu Zhiming swallowed the food in his mouth and chuckled: "The road of medicine is a long-distance run with no end, you only go abroad for one year of study, and it's not that you won't come back." ”
Ding Ye smiled: "This is also true." ”
"A year earlier, a year later, in a few decades of medical career, there is not much difference."
"But let's say it first, when I come back from studying abroad, you must leave me a place to study."
Yu Zhiming responded happily.
Ding Ye reminded again: "That guy Du Bing, because of me, has a lot of opinions and grievances against you. ”
"Even if you are in the position you have today, even if his father is in trouble with you, there is no need to worry."
"However, it is better to keep an eye on it."
Yu Zhiming snorted......
After lunch, Yu Zhiming rested in the bed car for another quarter of an hour, then returned to the small building of the center and returned to his busy work and study.
At nearly four o'clock in the afternoon, Yu Zhiming ushered in another visitor.
A month or two ago, Zhang Yong, who had undergone surgery to implant a radioactive source for a skull base tumor.
"Dr. Yu, I'll do a follow-up this morning."
Zhang Yong said excitedly and worriedly: "After the results of the re-examination came out, Dr. You said that the atrophy and change of my skull base tumor has reached the ideal condition he wants. ”
"I can have surgery."
"The operation is scheduled for tomorrow night."
Yu Zhiming understood Zhang Yong's concern.
Even if his skull base tumor atrophied and changed to an ideal state, it only increased the probability of successful surgery, and there was still a high probability of failure.
Moreover, with the complexity of Zhang Yong's skull base tumor, even if the operation is very smooth, some sequelae are unavoidable.
Sequelae of functional impairment such as aphasia, deafness, and immobility are all possible.
Yu Zhiming comforted: "Dr. You is the best neurosurgeon in Binhai and its surrounding area, and there is no one. ”
"He is in charge of your operation, and the success is quite large, so you can prepare for the operation with peace of mind."
Zhang Yong nodded, and said, "If I don't have surgery, I can only hold on for another year or two." After the surgery was successful, I would be able to live another decade or two. ”
"I understand the trade-offs and the risks to be taken."
"For tomorrow night's surgery, during this time, I am ready."
"In order to cope with the worst-case scenario, I have also made disposals and arrangements for my business and property."
Zhang Yong met Yu Zhiming's gaze and said, "Doctor Yu, I know that you have participated in a research project to promote the recovery of brain damage, and I heard that you have achieved great results?" ”
Yu Zhiming understood what he meant.
"The project hadn't reached clinical trials yet, and I was only a nominal participant," he explains. ”
"Although there are a few clinical trial volunteers, it is because of their special situation that they specially applied for the expansion of drugs."
Zhang Yong went straight to the point and said, "Dr. Yu, if I donate 10 million yuan for the research of the project, can I apply for the treatment qualification of expanded medication?" ”
This......
Throwing money is indeed a good method.
After all, the project team has made an exception a few times before, and one more time doesn't seem to be a big deal.
Zhang Yong sighed again: "I now deeply understand why health is 1, wealth and others are 0. Without good health, nothing else is meaningful. ”
"In terms of funding, we can discuss it again!"
Yu Zhiming replied vaguely: "I will tell the project leader about your request." ”
"Specifically, it depends on their decision......"
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