After half past eight in the morning, Yu Zhiming, who was dressed in a white coat, surrounded by Dr. Qin Qiushi, Zhou Luo, Shen Qi, Sui Chi, Duan Yi and others, and Gong Yue, who was also wearing a white coat, walked out of the big office with high spirits.

Feng Sisi, who came to the corridor first, secretly admired while filming Yu Zhiming and a few people who appeared on the stage with his mobile phone.

This uniform man is handsome.

"Dr. Yu, Dr. Yu......"

Suddenly, he heard a female voice shouting, Feng Sisi looked at the voice and saw a fashionable young woman who was smooth and beautiful.

However, Yu Zhiming did not stop because of this shout, and even his pace did not slow down, and he did not hear the general stride into the soundproof inspection room a few meters away.

Zhou Mo greeted the fashionable woman who spoke out......

In the soundproof office, Yu Zhiming made a little preparation and ushered in the first registered patient.

This is a little over two years old, and her mother said that the child has been suffering from frequent stomach pains for two or three months, and has been treated to no avail.

Yu Zhiming couldn't help laughing.

There is a saying in clinical practice, called "internal medicine is afraid of fever, surgery is afraid of abdominal pain", mainly because there are too many possibilities for the cause of fever and abdominal pain, the two most common clinical symptoms.

Nowadays, the patient is a child who cannot express his feelings well, which undoubtedly increases the difficulty of diagnosis.

Yu Zhiming looked at Gong Yue and said, "Doctor Gong, let's start with this little patient." ”

Yu Zhiming looked at the little girl's mother again and explained: "This is Dr. Gong Yue, from Guangshen Qixin Hospital, and he is a very good diagnostician. ”

"He came to me for a medical exchange."

"Dr. Gong will give your daughter a detailed diagnosis first, but I will make the final diagnosis myself, please rest assured."

Yu Zhiming added: "If you agree, your registration fee this time will be refunded in full." ”

Gong Yue took over and said, "I'll pay the registration fee." ”

The little girl's mother sighed lightly and said with a smile: "As long as you find out the real reason for my daughter's stomach ache, so that she can eat well in the future and stop crying, it is easy to say." ”

"Thank you for your cooperation!"

Yu Zhiming thanked him, and said to Gong Yue: "Doctor Gong, in order not to affect the progress of my work, please take this little patient to the general examination room diagonally opposite......

At this time, Zhou Luo took the initiative to stand up and said, "Doctor Yu, let me help Doctor Gong, lest Dr. Gong have any needs, and it is not convenient to find someone." ”

Duan Yi's eyes rolled, and he also spoke: "Doctor Yu, I will also go to help, so that Zhou Luo will not be busy alone." ”

Yu Zhiming nodded casually.

After Zhou Luo and Duan Yi led Gong Yue, as well as the little patient and her mother out of the soundproof office, Yu Zhiming called in the second registered patient and threw himself into his work......

In the soundproof office, Zhou Mo couldn't help grinning after listening to the fashionable woman's request.

"Choose your best friend as the best source for transplanted liver?"

The fashionable woman nodded, and when she saw that the two of them were in the office, she didn't hide it, and directly took out a bulging brown paper bag from her carry-on bag and put it on the desk.

"Assistant Zhou, there are 50,000 in this, and after the matter is completed, there will be 50,000, all of which belong to Dr. Yu."

"Dr. Yu can earn 100,000 yuan with one word."

The fashionable woman added: "There will be an extra 10,000 yuan, which is for Assistant Zhou." ”

Zhou Mo rolled his eyelids like Yu Zhiming, stood up, and said coldly: "Hurry up and leave with your money, this kind of unconscionable money, Dr. Yu will never accept it." ”

The fashionable woman was a little anxious and said, "Hey, Assistant Zhou, if you don't think you have enough money, you can discuss it again." ”

"You say the number?"

Seeing that Zhou Mo's eyebrows were raised, there were signs of anger, and the fashionable woman twisted her waist again, and said seductively: "In addition to money, it is also okay to ask for people." ”

Zhou Mo was angry, and in front of the fashionable woman's eyes, he raised his hands and clenched his fists hard, and his bones made a crackling sound.

"Before I can't help it, you'd better run quickly, I don't have the habit of not hitting women......"

After ten o'clock in the morning, after Yu Zhiming had treated thirteen patients one after another, when he was about to diagnose the thirteenth patient, Gong Yue, Zhou Luo and Duan Yi came back with the little patient and her mother.

Yu Zhiming noticed that the little patient had a puffed mouth and tears in his eyes.

The child's mother said dissatisfiedly: "Press back and forth on the child's stomach, and the child will have a stomachache." ”

Yu Zhiming immediately apologized: "I'm sorry, let the child suffer, I'll check the child." ”

As he spoke, he didn't ask Gong Yue and Zhou Luo, and directly let the child lie on the examination table and start the examination.

Yu Zhiming directly started the examination on the abdomen of the little patient, and after patting and pressing it for a minute or two, he turned his head to look at Gong Yue on the side, revealing a sympathetic expression.

"Dr. Yu, is my daughter in serious condition?" The child's mother asked with a worried face!

Yu Zhiming replied: "It's not serious, the reason why your child has abdominal pain is because she has inserted a foreign body similar to a small fish bone or wooden thorn in the inner wall of her duodenum. ”

Yu Zhiming noticed that when he said this, Gong Yue's right fist was clenched, and the sound of paper rubbing came out.

"Fish bones, wood bones, etc.?"

The child's mother repeated it and questioned again: "I have done B ultrasound and CT scan of the abdomen, why haven't I found out?" ”

Duan Yi explained for Yu Zhiming: "Some foreign bodies with small density and fine are difficult to detect by B-ultrasound and CT. ”

The child's mother asked with concern: "Dr. Yu, how should my daughter's condition be treated?" ”

Yu Zhiming replied: "The child is so young, and the position of the foreign body is located in the ascending part of the duodenum. ”

"Gastroscopy and colonoscopy are difficult to reach ......"

The duodenum is connected to the pylorus and the jejunum below, which is a part of the small intestine and is divided into four segments: bulbous, descending, horizontal and ascending.

For adults, the gastroscope enters through the mouth, throat and esophagus, and can mostly explore the duodenal bulb and descending part.

Sometimes a longer gastroscope can reach the horizontal part, but it is more difficult to reach the ascending part.

The colonoscopy can reach the end of the ileum as far as the rectum and colon, and the duodenum cannot be explored.

Yu Zhiming groaned: "The specific treatment depends on the opinion of the pediatric surgeon, and I personally think that laparoscopic minimally invasive surgery may be required." ”

Next, Yu Zhiming drew a schematic diagram of the specific location of the foreign body with Liao Liao's several pens, and issued a referral list for pediatric surgery.

Sending the little patient and her mother out of the examination room, Yu Zhiming looked at Gong Yue and asked, "Do you want to continue?" ”

Gong Yue's face tightened, and he jumped out from between his teeth.

"The situation of this little patient is quite rare and special, I made a wrong diagnosis, not because I am incompetent, but because I am unlucky."

Yu Zhiming couldn't help but smile and pointed to the thirteenth patient who was still waiting for the results in the examination room.

It was a forty-one-year-old man.

Yu Zhiming said: "His main symptoms are low-grade fever and cough, and I have just finished the examination and diagnosis. ”

As he spoke, he wrote a few words on the sticky note paper, folded it twice, and handed it to Zhou Luo on the side......

At nearly eleven twenty, Duan Yi rushed into the soundproof inspection room and said excitedly: "Boss, that guy ran away!" ”

Yu Zhiming glanced at Duan Yi while doing a physical examination of the patient, and criticized: "As a doctor, you must be steady and calm when something big happens. ”

Duan Yi put on a low-eyed expression and said, "Doctor Yu, I was wrong, I will pay attention to it in the future." ”

Yu Zhiming nodded with satisfaction, and asked again: "Tell me specifically, what's going on?" ”

Duan Yi began to dance again, and said, "That guy first carefully looked at the physical examination and laboratory data, imaging data, and so on brought by the patient. ”

Then, he questioned and examined the patient for a long time, and finally said that there was a high probability that the patient had inhaled a small foreign body in the lung that was not easy to be detected by bronchoscopy.

"He can give the patient another bronchoscopy."

After a pause, Duan Yi said again: "When Zhou Luo unfolded the sticky note you wrote and handed it to him to read......

Duan Yi looked gloating and said, "That guy's face, tsk, was red first, then white. ”

"In the end, I left the examination room directly, and walked down the stairs without saying a word."

This guy said again: "If you have a little ability, you dare to call out to the boss, you are really ignorant and fearless." ”

"How conspicuous it was at the beginning, how humiliating it is now."

"Alright, stop laughing."

Yu Zhiming stopped Duan Yi and said, "Judging from his performance yesterday, his strength is still there, and he surpasses you a lot." ”

"It's just his luck, it's really not good."

Speaking of this, Yu Zhiming himself couldn't help laughing.

The second patient diagnosed by Gong Yue was esophageal mucosal melanoma, which was close to the throat, causing pharyngeal irritation and constant coughing.

Esophageal mucosal melanoma is quite rare.

And this cough can easily mislead doctors to associate with lung and bronchial diseases.

First, a small patient has a foreign body pierced into the duodenum, and then there is a very rare esophageal mucosal melanoma, these two conditions, even if the person with good experience and ability such as Mr. Qi Yue, it is estimated that it will have to go through repeated trial and error, and it will take several days, or even more time to finally diagnose it.

It can only be said that Gong Yue's luck is too bad.

However, having said that, most of the patients who come to Yu Zhiming for medical treatment today come to seek medical treatment elsewhere without success.

Any one of these patients is enough for a director-level doctor to spend two or three days studying carefully.

That is, Yu Zhiming, who is extremely talented, can find out the problem in just a few minutes.

Gong Yue's encounter today is not only bad luck, but also an inevitability.

Not only did he overestimate his own ability, but more seriously, he underestimated Yu Zhiming's ability.

Yu Zhiming couldn't help but smile, ended the examination of the current patient, and said, "I suspect that you are a lipid-deposition myopathy and need to go to the endocrinology department for a confirmatory examination......"

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