I don't know how much time has passed, Yu Zhiming opened his eyes and found that it was pitch black in front of him.

Habitually reached out and touched the mobile phone placed at the head of the bed, lit up the screen, and squinted at the time.

Five fifty-five o'clock.

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

Yu Zhiming didn't want to get up.

When he worked in the county hospital, he preferred to stay in the hospital rather than go home, in addition to 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, he finds that with the company of Lime, 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 gentle township hero mound, and the king who has not been in the dynasty since then?

Yu Zhiming rubbed for two minutes, but still got up, put on clothes in the dark, and walked out of the bedroom.

The living room was already brightly lit.

Lime and Yu Xiangwan yawned as they cleaned up their beds.

As for Xiaoxue and Zeng Yan, the two little guys, sleepily hugged the pillow and quilt, 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 re-closed bedroom door.

Yu Zhiming, who was infected by Lime and the fourth sister, also yawned twice in succession and walked to the bathroom......

Forty or fifty minutes later, Yu Zhiming, Yu Xiangwan and Lime sat around the table and started breakfast.

A bowl of mutton and sea cucumber soup for one person, the staple food is hot steamed buns, the dishes are winter bamboo shoots back to the pot meat, shrimp and rape, and a plate of braised beef, plus boiled eggs and salted duck eggs.

Lime handed the peeled boiled egg to Yu Zhiming and said, "Last night, my brother told me that he contacted a very good aunt at home. ”

"This aunt's employer is about to move her family to immigrate, so she wants to find a new home and come to work in the next year."

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

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

Lime grinned and said, "My brother said that he is not in a hurry for the time being, and he will hold on to us first." ”

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

Lime nodded and said, "It shouldn't be a big problem, I'll communicate with that aunt first." ”

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

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

"What discovery?" Yu Xiangwan's gossip heart rose.

Lime chuckled, "My brother's friend suspects that his wife is cheating, but there is no evidence in the secret investigation. ”

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

Yu Xiangwan suddenly sighed......

At nearly 8:20 in the morning, Yu Zhiming came to the small building in the center of the hospital and heard a bad news.

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

Seventeen of them admitted that they contacted the scalpers because they promised that they would be able to register their accounts, and that they would collect money after they registered.

They did successfully hang up Yu Zhiming's outpatient number, and paid an extra fee ranging from 10,000 to 16,000 for this.

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

At nearly two o'clock in the afternoon, Yu Zhiming ushered in Liu Qilun, the father of Xiaoxue's roommate, and a middle-aged customer named Zou Yi who had liver cancer and was emaciated.

Yu Zhiming first examined Zou Yi's liver area, but as soon as he started the examination, he found that it was wrong.

"Mr. Zou, your liver cancer was diagnosed by pathological testing? Or is it confirmed by imaging tests? ”

Pathological testing is the gold standard for cancer diagnosis.

That is, the diseased tissue is removed from the body and immunohistochemistry or even genotyping is done outside the body.

This is a 100% sure way to determine cancer.

However, removing the diseased tissue, whether it is surgery or needle biopsy, is somewhat risky.

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

However, the diagnosis of cancer is mainly based on imaging and is slightly less reliable than that of pathology.

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

Unless the clinician is very confident and confident in his or her own imaging judgment.

After all, it's cancer.

Once a patient learns that they have cancer, they are likely to change dramatically in their physical and mental state, and may even make unbelievable decisions or behaviors.

If it is confirmed that it is a misdiagnosis, it will be a lot of fun.

Zou Yi, whose face was sallow and his expression was wilted, replied: "The person who examined me was a well-known hepatobiliary expert in our local area, and he told me. ”

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

"As for whether it was confirmed by pathological testing or liver cancer diagnosed by imaging, I don't know."

"At that time, when I was suspected of having liver cancer, my brain was a mess, and I was thinking about everything."

Zou Yi sighed again: "It's only in the past few days that I have come to my senses, thinking that while my body is still okay, I can sort out some things, so as not to be weak in the future." ”

Liu Qilun, who was standing quietly on the side, was keenly aware that Yu Zhiming was definitely not asking casually.

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

Yu Zhiming did not respond, and began a detailed examination of Zou Yi's liver.

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

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

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

There are some liver diseases that can be easily misdiagnosed as liver cancer.

For example, cirrhosis nodules.

Most primary liver cancers arise on the basis of cirrhosis.

In patients with severe cirrhosis, the nature of the liver will present a large number of proliferative nodules.

This nodule is sometimes difficult to distinguish from early-stage liver cancer on clinical imaging.

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

Another example is hepatic hemangioma.

It and liver cancer are pathological changes with a relatively rich vascular space, and the clinical diagnostic examination by color Doppler ultrasound and the clinical diagnostic examination by CT enhanced scan will show abundant blood flow, so it is easy to be confused.

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

Patients often present with fatigue, low-grade fever, weight loss, and hepatic discomfort.

From the point of view 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 table with a sparkling gaze.

"Yu ...... Doctor, Yu Yi...... Bear...... I ......"

Zou Yi was short of breath with excitement for a while, his tongue was knotted, and he couldn't speak normally.

Liu Qilun reached out and pressed Zou Yi's shoulder, allowing him to sit back on the examination table.

He also said excitedly: "Doctor Yu, we know your ability, you can be called a contemporary miracle doctor, and the diagnosis has not been missed." ”

"You mean, not cancer?"

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

"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 guy who was weakly dragging his body when he came, and walked away quickly with his legs and feet.

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

Yu Zhiming returned to the big office and unexpectedly found Dr. Wang Wu from the Chinese Medicine Department waiting for him.

"Something?"

Wang Wu smiled, didn't speak, took out two small brown wide-mouth medicine bottles from his coat pocket and handed them over.

Yu Zhiming stretched out his hand to take it and found that each of the two small medicine bottles contained a wax-sealed pill the size of a quail egg.

"Doctor Wang, is this a success?"

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

"A total of twelve grains were made."

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

Yu Zhiming hurriedly excused himself and said, "Oh, Doctor Wang, such a valuable medicine, give me two pills, it's too much." ”

"One pill is all it takes! Just one capsule! ”

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

With Dr. Wang Wu's character and ability, even if the medicinal effect of this ginseng life-sustaining pill is exaggerated, the actual effect must be somewhat extraordinary.

In other words, this is a drug that can make a big difference at a critical time.

If he had been polite, Dr. Wang would have really pushed the boat down the river and recovered one grain, and the loss would have been great.

Wang Wu smiled and said, "Doctor Yu, this is what you deserve, without you, there would be no medicine." ”

"Two grains, just right."

"You can take one with you in case you need it. and put the other grain at home for later use. ”

After a pause, Wang Wu introduced again: "This medicine can be swallowed or taken with warm water." ”

"This medicine works best for people with chronic diseases. The effect on emergency and trauma patients is much worse. ”

Yu Zhiming snorted.

Wang Wu approached him a little closer, lowered his voice and said, "Someone once asked me for one pill at a price of 100,000 yuan, but I didn't agree. ”

"Doctor Yu, many of the medicinal materials of this medicine are becoming more and more difficult to collect now, and there may not be a next time."

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

Yu Zhiming clenched the two small medicine bottles tightly, and said solemnly: "Such a valuable medicine, I can't buy it with money, I definitely won't use it casually." ”

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 can live and die people, flesh and bones, and a magic medicine that brings people back to life." ”

Zhou Mo pouted and said, "Blow, blow hard!" Why don't you say it's an elixir that makes people become immortals......"

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