Near noon, Zhou Luo, Shen Qi, Sui Chi and Duan Yi gathered in an examination room on the second floor of the Department of Cardiovascular Medicine.

Shen Qi took out a folded piece of paper from his coat pocket, and while unfolding it, he said, "The eleven people we examined this time, the correct answer to their type of heart disease, is on this piece of paper. ”

After receiving Yu Zhiming's teaching on the discrimination of heart sounds in three heart diseases, these guys took advantage of lunch time to practice.

This is the advantage of working in a large general hospital, where there is basically no shortage of patients of all types, and there are a wealth of opportunities to practice and broaden their knowledge.

In addition, these people belong to the key care objects of the hospital, and the Department of Cardiovascular Medicine directly coordinates and arranges some patients for them to practice.

Shen Qi first read the contents of the paper, and then said, "I'll read it, and we'll answer it together." ”

After a pause, Shen Qi slowly read: "One, three, six, seven, it's rheumatic heart disease. ”

"Two, five, nine, ten, eleven, high blood pressure."

"Four and eight, it's dilated cardiomyopathy."

As soon as Shen Qi's words fell, Duan Yi shouted in surprise at the record in his small notebook.

"Oh, yes, I got four wrong, a full four. It's so bad. ”

"Hey, how many did you hear wrong?"

"Doctor Zhou?"

Zhou Luo, who was named, twitched the corners of his mouth, and slowly replied with an unnatural expression: "Five, one more than you." ”

He turned his head again and asked, "What about you, Shen Qi?" ”

Shen Qi replied softly: "I'm also five!" ”

The next moment, Duan Yi, Zhou Luo, and Shen Qi all looked at Sui Chi.

Sui Chi closed his small notebook, took a light breath, stretched his face, and said, "I'm the worst, seven wrong, not even half of the correct rate." ”

Shen Qi just wanted to comfort him, but Duan Yi's voice sounded in his ears again.

"Hee-hee, I didn't expect me to be the best grader."

"If you think about it, it's normal, we girls are more sensitive to sound."

"More importantly......"

Duan Yi shook the brand-new and delicate stethoscope in his hand, and said, "3M advanced stethoscope, a customized version of Ning'an Hospital, is worth more than 60,000 pairs." ”

She looked at the stethoscope that Sui Chi was hanging around his neck, and some signs of wear could be seen in the earpiece.

"Doctor Sui, your stethoscope is quite old, right? It's time for a new one, and it will sound better. ”

Shen Qi also opened his mouth to persuade and said, "Doctor Sui, we really need a better pair of stethoscopes. ”

"It is foreseeable that the content of auscultation and percussion that Dr. Yu teaches us in the future will be more complicated and difficult to distinguish."

"We don't have Dr. Yu's hypersensitive hearing, so we can only use a more sensitive stethoscope to help us."

Sui Chi took off the stethoscope around his neck, stroked it gently with reluctance, and said, "I understand the truth of sharpening the instrument, and I will replace it with a new pair of stethoscopes with better results as soon as possible." ”

At this time, Zhou Luo spoke: "It's almost afternoon work time, let's quickly discuss what's wrong......

Four people made a mistake and discovered a new problem.

There was one patient who heard it all wrong.

The answer was rheumatic heart disease, three people heard about hypertensive heart disease, and one person judged it to be dilated cardiomyopathy.

There was also a patient with dilated cardiomyopathy who was heard by three people as having a hypertensive heart disease, and only one person heard it correctly.

Duan Yi blinked his eyes and objected, "The possibility that all three or four of us heard it wrong should be very small, right?" ”

"You say, could it be that the hospital misdiagnosed?"

Shen Qi groaned and said, "I don't rule out this possibility, in this way, let's take a look at the medical records of these two people?" ”

Zhou Luo and Shen Qi both agreed.

Next, Shen Qi took out his mobile phone and dialed the number of Dr. Wang Chunyuan, a cardiopulmonary expert, and asked to check the detailed examination information of patients on No. 6 and No. 8.

The next moment, Wang Chunyuan's voice came out of the mobile phone, "Yo, is this a sense that something is wrong?" ”

"That's good."

Shen Qi immediately understood, and asked confirmatively: "Did you deliberately let people give us the wrong answer?" ”

Wang Chunyuan replied on the phone: "Yes. ”

"In the process of diagnosis, doctors will be disturbed by a lot of misinformation, which requires confidence in their own judgment in addition to the ability to discriminate."

"Of course, confidence needs to be supported by strength, otherwise it will be conceited and stubborn."

After a pause, Wang Chunyuan asked again: "Shen Qi, how many of your heart sounds have you judged correctly this time?" ”

Shen Qi replied: "Among the eleven people in the heart sound identification, I was wrong about three people. ”

Before his words landed, he saw Duan Yi shaking two fingers back and forth towards him, and said depressedly: "Among the four of us, the best one is Doctor Duan Yi, and the two wrong ones." ”

After a moment of silence, Wang Chunyuan's voice rang from the phone again.

"You are all very good, I can't do this at your age, which also shows that Dr. Yu is even more powerful."

"The opportunity to learn from Dr. Yu is very rare, and you should all cherish it and make good use ......of it."

At this moment, Yu Zhiming, who took a short rest after dinner, had already started the afternoon physical examination work in high spirits.

Lying on the examination table was a 44-year-old female accountant from the hospital's finance department, who was slightly wealthy.

After a check-up, Yu Zhiming did not find much of a problem, but there were two minor gynecological problems that she needed to pay more attention to in her daily life.

But Yu Zhiming always felt that something seemed wrong with the problem.

He looked at the skin on the bare neck of the accounting eldest sister, and couldn't help but reach out and stroke it again.

Yu Zhiming couldn't help but think of a test conducted by Dr. Chester, the chief diagnostic expert of B. Braun Medical in Germany.

Stroke the tattoo pattern from the skin.

Of course, Yu Zhiming is sure that the accounting lady's neck is smooth and fair, and she has no tattoos.

He was just remembering the test, which was supposed to be related to Dr. Chester's long-term diabetes research.

Yu Zhiming also knows that in the early stage of diabetes, because the blood microcirculation is affected, some small changes will occur in the skin first.

In the past examinations, Yu Zhiming has examined hundreds of diabetic patients with varying degrees of severity.

He carefully recalled how his hand touched their skin when he examined them......

Three or four minutes passed, Yu Zhiming retracted his thoughts, his eyes were condensed, and his vision was clear, just in time to meet the worried and nervous gaze of the accounting sister.

"Doctor Yu, did you find anything? I've always been timid, and my kids have just started college, so don't scare me. ”

Yu Zhiming withdrew his hand and said, "I didn't find any major problems, but I just had some suspicions." ”

"Hey, do you usually like sweets?"

The accounting lady groaned and said, "I will eat some of this sweet every day." Mainly a colleague in the office likes to make pastries, and every time he makes them, he will share them. ”

"We don't always eat people's food, and we will make some of them ourselves or buy some to bring to the office."

"In this way, our office has formed a morning tea time and afternoon tea time to taste pastries together."

Speaking of this, the accounting lady also came to her senses and asked eagerly: "My illness is related to eating sweets?" ”

"Diabetes?"

This person who likes to eat sweets does not necessarily have diabetes, mainly depending on the different groups of people.

If some people are at high risk of diabetes and eat sweets regularly, they are likely to get diabetes or accelerate the early onset of diabetes.

For people who are normal and do not have high-risk factors for diabetes, eating sweets will not have much impact on blood sugar, because the body has the ability to regulate blood sugar normally.

People who are at high risk of diabetes usually have a family history of diabetes. There are also unhealthy lifestyles, such as frequent overeating, lack of exercise, and relatively high life or work pressure, which are high-risk factors for diabetes.

In addition, the inevitable increase in age is also a factor in the onset of diabetes.

In general, high-sugar foods are better in moderation, especially for people who are older, and try to eat less food.

Yu Zhiming faced the inquiry of the accounting elder sister and replied cautiously: "I just have some doubts and can't be sure, so you go to the endocrinology department for a sugar tolerance test......

At half past five in the afternoon, Yu Zhiming completed the day's physical examination.

He couldn't take a break, and rushed to the oncology department to participate in an advanced bowel cancer operation.

The patient was introduced by Dr. Yang Xi, who was working in Spring City, and was only 29 years old.

Because I still have to participate in the medical report meeting of Mr. Qi Yue starting at half past seven in the evening, Yu Zhiming's time card is quite tight.

Accompanied by Zhou Mo, he hurriedly walked into the lobby on the first floor of the oncology inpatient building, and was blocked by a person.

Looking at Dr. Feng Haiqing, who was serious and stopped in front of him, Yu Zhiming frowned and said, "Doctor Feng, if your matter is not urgent, let's talk about it another day, I have to rush an operation now." ”

"Dr. Yu......"

Feng Haiqing didn't get out of the way, and asked: "I just learned a news, you want to discuss the cooperation of tumor fluorescence staining with the Deep Blue Medical Science and Technology Research Institute in Guangshen. ”

"I wonder, is this true?"

Yu Zhiming didn't like this person's tone and attitude, and replied coldly: "Is it true, do I need to report to you?" ”

Feng Haiqing took a deep breath and said, "Doctor Yu, you and I are colleagues from Huashan Hospital, and to the outside world, we are a family. For a family, the elbow cannot be turned outward, and internal cooperation must be prioritized. ”

Yu Zhiming rolled his eyelids, and just as he wanted to refute, he heard a chaotic sound of footsteps coming from behind him.

He turned around and saw Wei Hao, who was dressed in a police uniform, and three men in civilian clothes who were not smiling, striding over.

As soon as Yu Zhiming wanted to greet Wei Hao, he saw him come straight to Feng Haiqing.

"Doctor Feng Haiqing, I am Wei Hao, a criminal police officer of the Municipal Bureau, there is a case involving you, and I need you to go back to the bureau with us to assist in the investigation......"

Next, two plainclothes people grabbed Feng Haiqing on the left and right, and walked outside with him who seemed to be scared.

Wei Hao approached Yu Zhiming and said in a low voice: "In the case of Dr. Yu and your car crash, we accidentally found out that this Doctor Feng has close ties with foreign intelligence agencies. ”

Yu Zhiming was shocked and asked: "The crash was planned abroad?" ”

Wei Hao shook his head and replied: "It's still investigating, and I haven't found any tangible evidence of someone planning yet......"

PS.

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Ask for support such as monthly passes, recommended tickets, etc!!

(End of chapter)