For Zhou Luo, Shen Qi, Sui Chi and Duan Yi, they sat together in the outpatient room of the outpatient department on Sunday to verify what they had learned, and it was the third Sunday even today.

In the face of the patients assigned to the registration desk, the four of them took turns to preside over the inquiring about the patient's condition.

The other three people are in attendance, and additional questions can also be asked.

Then, each person will perform a physical examination such as auscultation and percussion on the patient, and make a diagnosis on his own.

If the diagnosis of the four of them is the same, the attending person will make a treatment plan according to the severity of the patient's condition, or transfer to the appropriate department for in-depth examination and treatment.

If the diagnosis results of the four people are inconsistent, they should identify and discuss each other's symptoms, or prescribe a checklist for the patient to go for the corresponding examination, and with the support of more information about the condition, the diagnosis will be made again until the diagnosis results of the four of them are consistent.

The efficiency of such a mode of sitting consultation can be imagined.

On the first Sunday, they diagnosed only nineteen outpatients.

By the second Sunday, they had improved their efficiency a bit, and a total of 23 patients were diagnosed.

Although the efficiency is low, it is commendable that the follow-up examination and treatment proved that none of the patients who made the diagnosis made by the four of them were misdiagnosed, and all of them were correct.

It's just that today, they have a challenge.

In the face of a male patient, the four guys have been arguing for nearly an hour and still have not reached an agreement.

The patient, surnamed Wang, was a 44-year-old math teacher from a suburban area who was emaciated from a regular middle school.

Mr. Wang said that at first, he only felt some discomfort in his head and waist.

However, as time goes by, the pain symptoms become more and more pronounced, especially in the right shoulder joint and chest.

Now, he felt like he was being pressed his chest by something, and his whole body was very stiff.

When he was teaching students, it was as if he was talking with a choked breath, and when it was serious, he raised his hand slightly to write on the board, and he almost fainted in pain.

One class consumes all of his physical strength.

Also, I always feel pain to the touch, my whole body is stiff, I feel restless, I always feel tired, insomnia, and malaise.

Mr. Wang did a series of tests such as urine test, blood test, liver function, CT and MRI at a nearby tertiary hospital, but no abnormalities were found.

The doctor also did not find the cause of the pain, and finally only prescribed him some anti-inflammatory and pain-relieving drugs.

Mr. Wang told Zhou Luo and the others that he felt that the effect of the painkiller was getting lower and lower......

Peripheral neuropathy, cervical spondylosis, rheumatic arthropathy, poisoning with unknown toxins.

This is the first diagnosis given by Zhou Luo, Shen Qi, Sui Chi and Duan Yi.

Four people, there are actually four answers!

This is the first time this has happened in the process of collectively diagnosing a patient.

Importantly, they are less confident in their own diagnosis, but less confident in other people's answers.

As a result of the heated discussion and controversy, the four guys became less confident in their own diagnosis and more disagreed with the opinions of the other three.

Because the physical examinations done by Mr. Wang in other hospitals have been quite complete and complete, it is not good for the four of them to let Mr. Wang do more in-depth and high-cost special examinations just based on some speculation.

In particular, the opinions of the four of them did not even reach out to each other.

They want to avoid ineffective physical examinations as much as possible, saving patients money and exercising their own judgment.

"Alright, alright, it's been almost an hour."

Zhou Luo glanced at the watch time, and said: "No matter how much controversy continues, there will be no better results." As things stand, it is difficult for us to change our views without new conclusive symptoms and information. ”

"Now there are two solutions, one is to ask Mr. Wang to do a special physical examination to provide new supporting data for our respective diagnoses."

"The second is to shake people, please ask your seniors to help."

Duan Yi reminded: "It's past five o'clock now, and if you go to do a special inspection at this point in time, it is estimated that it will be too late, and there is a lot of possibility that you will spend money in vain." ”

"I'm in favor of shaking people."

"Just shake whom? Can't you shake Dr. Yu? ”

Zhou Luo shook his head and said, "We can all see that Dr. Yu's workload in the hospital is very large every day. ”

"Sunday's rest time is precious, and Mr. Wang's condition is not an emergency, so let's not bother Dr. Yu."

After a pause, Zhou Luo analyzed: "As far as Mr. Wang's situation is concerned, it is undoubtedly an incurable disease. ”

"In addition to our center, we are also good at diagnosing and treating difficult and miscellaneous diseases, as well as rheumatology and immunology and neurology."

"Check out, these two departments, which chief physicians are on duty today......

At half past five in the afternoon, the Yu family had dinner, a hot pot based on fresh mutton.

Zhou Mo ate chopsticks non-stop, shouting delicious.

"Where did you buy this lamb? Imported from abroad? It's delicious and doesn't smell fishy. ”

Lime chuckled: "It's not from abroad, it is said that the beach sheep fed on the saline-alkali land of the desert in the north of my country are quite famous." ”

Zhou Mo saw that there were still fresh ingredients such as Northeast Lion's Mane mushroom and Southern porcini mushroom on the table, and said with emotion: "Famous doctors are good, and there is a steady stream of precious ingredients from all over the world." ”

Yu Zhiming glanced at this guy and explained: "This is not the benefit of being a famous doctor, this is the benefit of being rich." ”

"The ingredients on this table were not given by others, we bought them with our own money."

"With your family's economic strength, you can afford to eat."

Zhou Mo sighed lightly: "Although my guy's food is not bad, it is more than one grade worse than your family's level." ”

"Relatively speaking, my mom is quite frugal."

Lime smiled and said, "Zhiming doesn't have any other hobbies to burn money, but he has requirements for eating, so he naturally has to strive for excellence in diet." ”

Zhou Mo nodded and said, "This is how it should be, making so much money in a month, you can't just earn and not spend." ”

She asked jokingly: "Dr. Yu, isn't it annoying that you can't spend too much money?" ”

Yu Zhiming cut lightly and said, "What's the trouble with this?" Watching the balance on the bank account continue to grow and lengthen, it will only become more and more satisfied and reassuring. ”

Zhou Mo pretended to be pitiful and said: "People are more popular than people, my six-digit password only protects five-digit deposits." ”

Lime smiled and said, "You don't have to buy a house or a car, and you don't have to save a dowry for yourself, as long as the bank balance is positive, it is a victory." ”

At this time, Yu Zhiming's mobile phone rang.

It was Gu Qingran calling.

"Zhiming, three things."

Gu Qingran said methodically on the phone: "First, the biomaterials expert from Germany, Dr. Tang and several people said that it is not good to delay any longer, and it is time to do CAR-T treatment." ”

Yu Zhiming sighed softly.

Gu Qingran continued: "The second thing is that I have two more medical information in my mailbox, one is a computer expert and the other is a composite material expert. ”

"The authorities sent it to you?" Yu Zhiming asked.

Gu Qingran snorted on the phone, and said again: "This time, I don't plan to go over and persuade myself." ”

"Please ask the overseas employees of Ningan Group to help deal with it."

"The third thing is that the doctor who returned to the island country finally contacted me, saying that he had contacted two cancer patients, but only found three ginseng trees that were more than 50 years old."

He asked, "Can you bring the patient in for treatment first?" With success stories, it will be much easier for him to contact new patients or find wild ginseng. ”

Yu Zhiming nodded and said, "You can owe it first." There has been no new ginseng in the account for a while, and three trees are not a lot. ”

"There is a good saying, the bag is safe......"

After seven o'clock in the evening, Yu Zhiming, who had dinner, received a call from Zhou Luo again.

"Dr. Yu, we were in the outpatient emergency department today, and we encountered a very difficult patient, the four of us could not reach an agreement, and we could not diagnose it for a while after inviting foreign assistance."

"Doctor Yu, can you please help me take a look tomorrow?"

Yu Zhiming replied briskly: "Yes." I'm going to take a look at the patients who can stump the four of you......"

ended the phone call with Zhou Luo, and before Yu Zhiming's mobile phone was put down, it rang again.

It's another call from Dr. Dong Zhe of Xiehe.

"Doctor Yu, I'm sorry to disturb you again, it's still the elderly pregnant woman I mentioned in the afternoon."

Dr. Tung explained by phone: "The doctors at Hong Kong Island Sanatorium & Hospital gave her a comprehensive examination and comprehensive assessment, and they thought that with her current situation, it would be quite risky to go north to the coast. ”

"That patient offered to pay five million for your hard work."

Yu Zhiming replied: "Doctor Dong, it's not a matter of money, my work schedule is very tight, and I can't spare two days of free time in a short period of time." ”

"Also, my situation is not suitable for long journeys."

As soon as his words fell, an awkward Mandarin with his tongue not straightened came out of his mobile phone.

"Ten million! Ten million! Dr. Yu, buy you two days, that's enough, right? ”

Yu Zhiming rolled his eyelids and said, "I said it, it's not a matter of money." ”

"Twenty million!"

Yu Zhiming could hear that the awkward Mandarin that came from the phone again was already mixed with some impatience and anger.

"Plus a favor on my part."

"Dr. Yu, I have a head and a face on Hong Kong Island, and I can say something. In the future, if there is something you can't handle on Hong Kong Island, I will do my best. ”

"Doctor Yu, I rarely give favors to others, this is not something that can be bought with money and connections."

The other party's words gave Yu Zhiming a feeling.

That is, I have given enough sincerity, you don't know how to lift, toast and don't eat and drink.

The other party used to be the big brother on the road?

Hong Kong Island's Crazy Boy and Underworld movies, Yu Zhiming has also heard and watched them.

Yu Zhiming smiled lightly and said, "Again, it's not a matter of money." ”

"I've got something to do, so be it......"

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(End of chapter)