Chapter 673 Questioning the Selection Criteria
Yu Zhiming's physical examination of Li Hao, who is suspected of hypochondriasis, started from the head step by step.
The examination found that there was no problem with the brain.
Then, Yu Zhiming moved down to examine his neck, and focused on the thyroid gland located on the front side of the neck.
The reason for this is that Yu Zhiming took into account that this person did excessive X-rays, CT and other imaging examinations in a short period of time.
As far as the patient's psychological condition is concerned, it is estimated that this kind of radiological imaging examination has not been done before.
As a doctor, Yu Zhiming clearly knows that radiological diagnostic examination is a double-edged sword.
On the one hand, it is an important diagnosis and treatment method because the image can clearly identify the cause of the disease.
But on the other hand, it is harmful to the human body, and abuse may induce cancer.
Although the amount of radiation in a radiological imaging examination is very small, some medical studies have shown that the harm it brings to human health can be cumulative.
Its negative effects on the body will not easily disappear over time, but are more like a process of quantitative change to qualitative change.
To put it simply, it is a radiological imaging examination, and the damage to the body is +1.
Do it again, +1 again.
Because there are huge differences in each person's physical fitness, radiation resistance, genetic defects, susceptibility to cancer, etc., some people accumulate this damage degree to 100, which produces a qualitative change and is induced by cancer.
Someone's radiation damage has accumulated to 1000, and they are still alive and kicking around.
However, unless necessary and necessary, radiological imaging should be done as little as possible.
Different organs and tissues in the human body have different sensitivities to radiation.
Among them, tissues that are highly sensitive to radiation are: lymphoid tissue, thyroid, thymus, bone marrow, gastrointestinal epithelium, surname gland, and embryonic tissue.
The sensory organs are moderately sensitive.
The central nervous system and heart are mildly sensitive tissues.
Bone tissue is insensitive.
As a highly sensitive tissue in the human body to radiation, Yu Zhiming must do a key examination.
However, after he had a detailed examination of Li Hao's thyroid gland, he found no problems worthy of further attention.
Then, he examined Li Hao's thoracic organs, abdominal organs, reproductive// organs, and limbs.
Yu Zhiming still found no suspicious problems.
After checking so far, he has been sure in his heart that this guy is most likely a psychological problem.
"Mr. Li, turn over, I need to check your spine and spinal cord."
The spinal cord is also highly sensitive to radiation, and since Yu Zhiming has done a comprehensive examination, he will naturally not miss here.
After Li Hao turned his face, Yu Zhiming's hands beat his spine, slowly moving down from top to bottom.
Suddenly, Yu Zhiming's hand stopped moving down, and he repeatedly beat on Li Hao's third and fourth thoracic vertebrae.
The reason why he did this was that he noticed that the two vertebrae seemed to be damaged, and some bone was lost.
After repeated confirmation, Yu Zhiming believed that his feelings were not wrong.
The bone quality of these two vertebrae is a little worse than that of the adjacent vertebrae.
Yu Zhiming continued to examine down the spine, and then found a similar slight condition on the second lumbar vertebrae.
After a comprehensive examination of Li Hao's body, Yu Zhiming only found two suspicious points in his spine.
This made Yu Zhiming pay attention to it unusually.
He thought of hematologic malignancies such as myeloma and leukemia.
This kind of tumor is easily induced by radiation, and it will invade the bone marrow, resulting in bone damage.
If Yu Zhiming's analysis is true, as far as the slight damage to Li Hao's vertebrae seems to be absent, it should be a cancerous transformation that has only appeared in the last one or two months, or even in the past two or three weeks.
If Li Hao knew, it was most likely the cancer that was induced by his continuous excessive radiographic examinations.
Is he relieved to seek benevolence?
Or do you want to cry without tears?
"Doctor Yu, it took you a long time to check my spine, did you find anything?"
Looking at Li Hao's expectant gaze, Yu Zhiming nodded lightly and said, "I have made some discoveries, but I still need to go to the oncology department for an exclusion examination." ”
Then, Yu Zhiming wrote a referral form to Li Hao.
On the list, he made a description of his findings and speculations that only industry insiders can understand.
In fact, with Yu Zhiming's guess, it would be more appropriate to refer Li Hao to the Department of Hematology.
However, in view of his extreme dissatisfaction with Dr. Du, the head of the Department of Hematology, coupled with the good cooperative relationship with the Department of Oncology, Li Hao was transferred to the Department of Oncology.
Yu Zhiming watched Li Hao leave with the referral slip and left briskly, very speechless.
How much do you expect to get cancer......
Fortunately, the next registered patients are much more normal.
In the face of Yu Zhiming's diagnosis of serious illness or serious illness, he was either pale with fright, or pretended to be strong.
In short, all within the normal range of responses......
After 4:40 p.m., Yu Zhiming gave a physical examination to the last outpatient of the day, that is, the mother of the young security guard the night before.
Yu Zhiming found that the young man's mother suffered from a variety of diseases, including chronic obstructive pulmonary disease, osteoporosis, mild liver cirrhosis, and chronic pancreatitis.
Chronic pancreatitis is currently the most needed treatment......
After finishing the consultation work, Yu Zhiming hurried back to the small building of the center and did a rapid screening of liver and stomach cancer for 50 volunteers of the very early stage of cancer project.
After a little more than an hour and a little more time, Yu Zhiming was diagnosed with three suspected stomach cancers and two suspected liver cancers.
Although he completed the day's work efficiently, the first full-load work after the holiday also made Yu Zhiming feel a different kind of physical and mental fatigue.
Yu Zhiming, who was still a little uncomfortable for a while, dragged his tired body back to the big office and found that the Chinese father from the United States was waiting for him.
He sat down in the office chair and asked weakly, "Decided?" Go back for treatment, or stay? ”
"Go back to the United States for treatment!"
The Chinese father replied and introduced: "Doctor Yu, I sent Thiel's test report to several doctors who had examined Thiel before. ”
"They all endorsed the results."
"At the same time, they have great admiration for Dr. Yu's ability to find out the cause of the disease in such a short period of time."
"They want to have a medical exchange and discussion with you."
Yu Zhiming politely refused: "There is no need to communicate." ”
"I'm just standing on their shoulders, and they've ruled out a lot of other possibilities for me."
"And then, I happened to have some luck again."
"That's it."
The Chinese father said with emotion: "Dr. Yu, you are really too modest. ”
"Your diagnostic skills, in my opinion, are enough to hang them together."
Yu Zhiming smiled and asked instead, "When is the time to go?" ”
The Chinese father replied: "Since you have decided to go back for treatment, the sooner the better. ”
"I've booked my flight for tomorrow night."
After a pause, he said gratefully, "Doctor Yu, thank you." Although you didn't cure Tyre, you have found the cause of his disease, and we are not like we used to wander without direction. ”
Yu Zhiming said politely: "No thanks, I just did my job as a doctor." ”
"At the same time, I regret that I can't help more with the treatment of Thiel's disease......
After sending off his Chinese father, Yu Zhiming quickly took out biscuits, nuts, chocolates and other snacks from the drawer and ate them.
The next moment, a cup of hot water was placed on the desk, and a small hand was reached.
"Dried sweet potatoes!"
Yu Zhiming took out a jar from the drawer and put it in Zhou Mo's hand.
Zhou Mo took out a piece of dried sweet potato from the glass bottle and took a hard bite.
She commented while chewing: "This sweet potato is not too sweet, and it takes teeth." ”
"However, it has a sweet taste when eaten slowly, and it is a good snack to kill time and lose weight."
Yu Zhiming ignored her and continued to eat snacks to replenish the consumption of his body.
Zhou Mo leaned closer to Yu Zhiming and said in a low voice: "Doctor Yu, the list of your medical team has spread in several work groups in the hospital today. ”
"There is not much discussion about the two young doctors, Zhou Luo and Shen Qi, and the controversy is mainly focused on Sui Chi."
"A lot of people don't think he's good enough to be on your medical team."
Yu Zhiming rolled his eyelids and said, "My team, I am in charge, what qualifications do they have to discuss?" ”
Zhou Mo didn't save face at all: "Your team, is it really you who call the shots?" ”
"If I'm not mistaken, among the five people, only Dr. Sui Chi is the only one who decided by yourself."
"The other four people, you all passively accepted them, right?"
Yu Zhiming glanced at this guy and said in disgust: "If you don't speak, I won't treat you as a dumb person!" ”
Zhou Mo didn't have the consciousness to shut up, and asked with a smile: "Doctor Yu, now that Dr. Sui Chi is questioned the most, you don't have any ideas?" ”
Yu Zhiming snorted lightly: "Why should I have an idea? Who would dare to run in front of me and question my selection criteria? ”
His face was murderous, and he said, "Does he still want to mix in the medical circle?" ”
At this time, Yu Zhiming's mobile phone rang.
It was Gu Qingran's call.
"Zhiming, three top liver surgery experts have been invited, and tomorrow at eight o'clock in the evening in Ning'an Hospital for a consultation on the surgical plan."
After a pause, Gu Qingran said again: "One of them, Dr. Wang Sen from the Affiliated Hospital of Jiaotong University, told me that he still doesn't know you if you don't know each other." ”
Wang Sen, an expert in liver surgery at the Affiliated Hospital of Jiaotong University?
Yu Zhiming remembered for a moment. The daughter of Dr. Wang Sen had a fight with Zeng Yan a few years ago.
Unexpectedly, his strength and status in the field of liver surgery were so high.
You can't underestimate the heroes of the world.
"Zhiming, tomorrow night, do you want to come over?"
Yu Zhiming simply replied: "I won't go, I just need to know one result of their discussion." ”
Gu Qingran sighed on the phone, and said: "I have already communicated, tomorrow and the day after tomorrow, two terminal cancer patients will go to Huashan Hospital for your physical examination." ”
Yu Zhiming replied with a hmm......
After ending the call with Gu Qingran, Yu Zhiming heard a movement in the director's office next door.
This is Teacher Qi Yue is back.
Yu Zhiming got up and knocked on the door of the director's office.
He thought about asking for advice on the charity fund and invited his teacher to his engagement party......
At the end of the month, ask for a monthly pass support!!
(End of chapter)