At nearly half past eight 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, the little nurse who had cleaned up the outpatient room, was like an excited bird, chirping non-stop.

"Doctor Yu, the wounded person was sent here, and Deputy Director Xu on duty personally did an examination, saying that his pupils were dilated and there was no light reflex reaction, so he could be declared dead."

"At this time......"

Wang Li said vividly: "The ambulance nurse who followed in shouted that there was still help, there was still help, there was still help, Dr. Yu checked it, and made it clear that there was still a possibility of rescue." ”

She gestured with her hands again and said, "Before the nurse's voice dissipated, several people came over to rescue her." ”

"Seven or eight injections of different rescue drugs were injected into that person one after another, and all kinds of rescue methods were put together, and after a fierce attack, that person's heartbeat really had to recover."

Wang Li looked adoring and said, "Doctor Yu, you are a real god, and there is no disobedience in the entire emergency area." ”

Yu Zhiming chuckled: "The main thing is that the medical staff are able to rescue well. Just because I said that the man was possible doesn't mean he will be saved. ”

Wang Li said with a smile: "Doctor Yu, without your possible judgment, they will not make every effort to rescue at any cost." ”

"In the final analysis, it is the role that you play that is the most crucial."

After a pause, Wang Li asked softly: "Doctor Yu, like today's wounded, there was a possibility of being rescued, but in the end the rescue was abandoned, there should be some in every hospital, right?" ”

Zhou Mo also echoed: "In this case, there must be." I once saw a news item on the Internet that he was pronounced dead and sent to the morgue, but the person woke up in the morgue. ”

Yu Zhiming groaned and said: "Doctors are very cautious when they announce death, and they will make a comprehensive judgment from many aspects such as heartbeat, breathing, pupil response, and brain waves. ”

"Of course, miscalculations cannot be ruled out."

"However, the percentage of this situation is very small, one in a thousand, or even one in ten thousand."

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

"How much medical resources does this cost?"

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

At this time, Yu Zhiming was already ready to work, and urged: "Don't think about it, it's time to start working." ”

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

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

It has also improved his work efficiency.

By 12 o'clock at noon, Yu Zhiming had completed the examination and diagnosis of a total 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 inquire about last month's salary.

I first looked at the remuneration text message of Ning'an Bank, and the amount reached more than 630,000.

This number......

Yu Zhiming guessed that it should include Meng Fan's 600,000 yuan, plus other income, and deduct about 30% of the individual income tax, which is almost that.

He took out his work tablet from his coat pocket, entered his personal system, and found the details of Huashan Hospital's salary for the previous month.

Yu Zhiming found that there was an additional 600,000 yuan in the salary details for advanced cancer research project allowances.

This brought his total salary in January to more than 1.46 million, and after deducting tax insurance, the actual salary was a little more than 1 million.

At this time, Yu Zhiming had already walked out of the emergency building, and a man's voice suddenly sounded in his ears.

"Dr. Yu......"

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

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

Zhou Mo stopped the comer, and whispered to Yu Zhiming: "The son of the scalper retired Nurse Liang." ”

Yu Zhiming sighed and looked at the visitor.

Although he had done a physical examination and rescue of this person at that time, he didn't have a sense of familiarity when he looked at it now.

This man is in his early thirties, tall and large, with flat hair, and some ordinary facial features, without much character.

"You're here for your mother?"

The flat-headed young man nodded and said, "Doctor Yu, please forgive my mother for what she did, she just wants to make a little more money." ”

Zhou Mo suddenly interrupted: "Make a little more money? ”

She said with a sneering face: "It is said that your mother has four houses in her name and has no bank loans. ”

"Is it true?"

"It's not a little bit of money!"

The flat-headed young man explained: "The main thing is that I took advantage of the real estate boom a few years ago to earn money by investing in houses. ”

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

Yu Zhiming said in a deep voice: "There are so many houses at home, why do you want to be a scalper and make money from patients?" ”

"If you come to me, you might as well persuade your mother to actively admit guilt and accept punishment, and strive for a reduction in punishment."

After saying this, Yu Zhiming didn't pay attention to this person anymore, strode away, and went to the cafeteria.

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

Ding Ye lifted the cooler box that was relatively large in his hand and looked relatively heavy, and said, "Doctor Yu, this is the food I specially bought from the restaurant outside, thank you for your help the day before yesterday." ”

"Is the woman okay?" Yu Zhiming asked.

Ding Ye snorted and said, "There are still some small problems in the body to recuperate, but there is no risk of organ failure, and it can be said that it has finally been rescued." ”

The three of them found an empty table in the cafeteria.

Ding Ye took out the takeaway delicacies in the incubator, including steamed sea bass, braised short ribs, cumin mutton, and the only vegetarian dish was stir-fried shiitake mushrooms with cabbage fungus.

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

Ding Ye chose another dining area from the canteen and asked for four bowls of rice and three servings of sea rice soup......

Ding Ye first took a big bite and ate half a bowl of rice, and then showed a miserable expression.

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

"Let's not take it as an example, and said that if I want to ask you for assistance in the future, I must come in accordance with the regulations of the hospital."

Ding Ye lamented again: "Fortunately, you found an amniotic fluid embolism, if there is only a fetal position adjustment, I will not only be criticized, but I will also have to deduct performance." ”

Yu Zhiming said: "Who let you be smart." ”

Ding Ye smiled and said, "I didn't expect the hospital to be very strict, and the protection of you is not lax at all." ”

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

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

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

Ding Ye asked curiously, "What happened?" ”

Zhou Mo talked about the danger of being stopped by an ambulance in the morning, and the wounded were successfully rescued.

Ding Ye sighed lightly and said, "The nature is indeed serious, but after all, they saved people's lives, and their punishment should be the kind of ...... that is lifted high and gently falling."

The three of them chatted while eating, and before they knew it, they didn't finish their lunch until 12:40 p.m.

As soon as Yu Zhiming saw this point in time, he gave up the existing arrangement of going to the bed car to take a nap, and returned to the outpatient room to start work.

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

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

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

"Please check it out for me."

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

Yu Zhiming took this very oppressive information with both hands, quickly flipped through some of it, and couldn't help but sigh secretly.

This guy, in order to detect the cancer hidden somewhere in the body, did almost all the tests he could do.

There are generally two ways to check for unknown and unobvious symptoms of body cancer in the hospital.

First, tumor marker detection.

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

Tumor marker testing can check for the presence and type of tumor marker in the body to help cancer patients detect it at an early stage.

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

For example, he examined alpha-fetoprotein (AFP), a marker used to screen for primary liver cancer, prostate-specific antigen (PSA), which is used to screen for prostate cancer, and ferritin concentrations that can be found in acute leukemia, lymphoma, lung, colon, liver, and prostate cancers.

In all directions, this guy has done a total of 12 things.

Not only that, but he did these screening programs more than once, the least three times, and the most six times.

The second way to check for cancer is an imaging test.

Yu Zhiming was a little staggered, Li Hao's B-ultrasound, four-dimensional color ultrasound, X-ray, CT, MRI and other various image materials can be said to have taken three or four shots of his whole body from head to toe.

He also paid attention to the time, and the images were made 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 of them, and secretly had a guess in his heart.

Is this guy a hypochondriasis?

"Mr. Li, these test analysis reports and imaging data show that your body is quite healthy."

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

"Imaging data cannot detect many early-stage cancers."

Yu Zhiming can't say that Li Hao is wrong.

Tumor marker testing and imaging examination do have their limitations, especially for early cancer screening.

Li Hao said with anticipation on his face: "Doctor Yu, you have the ability to see the subtleties, 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 that he has cancer in his body?

However, there is no practice, no right to speak.

Yu Zhiming also couldn't make a judgment that he shouldn't come here, but to do psychiatric evaluation and psychological counseling.

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

PS.

At the end of the month, ask for a monthly pass support!!

At the end of the month, ask for a monthly pass to support !!

(End of chapter)