The most enlightened doctor

Qi Yue, Wang Chunyuan and others saw that Yu Zhiming had closed his eyes and stood still, and understood that he was deep in thought.

They speculated that this may be related to Yu Zhiming's experience of long-term blindness. When thinking deeply about things, he would always subconsciously block the interference of visual information.

They also stood still, and their breathing became shallower and lighter, so as not to affect Yu Zhiming.

What Qi Yue and others didn't know was that Yu Zhiming's mind was filled with colorful, three-dimensional and transparent scenery with rich details.

The past experience of blindness has made Yu Zhiming accustomed to naturally turning the things he hears and touches into concrete and three-dimensional images to display in his mind.

This not only makes his memory memorable, but also effectively prevents him from bumping into each other.

When this technology is transplanted and applied in the medical field, the patient's body that Yu Zhiming has explored can be almost perfectly reproduced in his mind, and it is also a 3D perspective version.

He checked the fluoroscopic display of the body over and over again in his mind, and after finding that no physical abnormality had been missed, he began to match it among the various diseases that were highly correlated with these abnormal symptoms.

Before that, some streamlining needs to be done first.

Get rid of various tumor-related diseases...

Remove some diseases caused by organic lesions...

Excluding the common ones, there are also more common diseases...

After this drastic deletion, Yu Zhiming found that only three relatively rare diseases were left...

This is Yu Zhiming’s process of disease diagnosis.

First collect all the physical abnormalities of the patient, and then find out the diseases with higher correlation among what you know and learn, and make a collection.

Then, based on some clear conditions, diseases that obviously do not meet the criteria are deleted from the collection.

When there are only three or five diseases left in this collection, detailed comparative analysis will be done.

If the diagnosis cannot be confirmed yet, further information will be provided.

For example, blood component testing, hormone testing, toxic substance screening, etc. Yu Zhiming could not detect this type of abnormal information through physical examination.

If the diagnosis cannot be made, there are generally two situations. One is that the patient's disease is beyond Yu Zhiming's knowledge.

The second is that the patient has a new disease that has not been confirmed by the medical community.

Yu Zhiming has never encountered this second situation.

Otherwise, he could leave his mark on medical history by naming a new disease...

Parrot fever!

After some consistent comparison and analysis, Yu Zhiming found that among the three diseases, "psittacine fever" was the most consistent with the woman's physical abnormality.

Psittacosis, also known as bird plague, is a zoonotic disease caused by Chlamydia psittaci infection.

The disease mainly occurs in parrots, seagulls, ducks, turkeys and other birds or poultry, and often manifests as diarrhea or latent infection without symptoms.

Humans are mostly infected through inhalation of gases and dust containing pathogens or close contact with sick animals.

Patients often have symptoms related to respiratory infections such as chills, fever, cough, and chest pain.

When the body temperature is high, patients will have varying degrees of headaches and muscle aches. A few have symptoms of severe pneumonia such as difficulty breathing and hypoxia.

Some patients may have symptoms such as sore throat, enlarged liver, rash, and joint pain.

In terms of clinical diagnosis, the clinical symptoms of psittacosis are highly similar to those of respiratory diseases and are not specific.

Generally, doctors will consider the possibility of this disease only when it is discovered during the disease investigation that the patient has recently come into contact with sick birds, poultry and other animals.

The diagnosis is confirmed by collecting sputum swabs from the patient's nasopharynx and oropharynx, or serum samples to detect pathogens.

The reason why Yu Zhiming targeted "parrot fever" was that, in addition to all the symptoms of the woman's respiratory disease, the most critical point was that the woman had symptoms of mild liver enlargement.

At the same time, Yu Zhiming also realized his shortcomings. He was overconfident in his body exploration skills and did not make any inquiries about the patient's condition.

To further confirm his diagnosis, Yu Zhiming opened his eyes and looked at the woman on the hospital bed.

"Did you have contact with sick birds, poultry and other animals before you became ill?"

As soon as Yu Zhiming's question came out, Qi Yue's joyful chuckle sounded in his ears.

"She has been working in a poultry pet store for half a year."

"Zhi Ming, it seems that you have made a judgment. Your diagnosis was not wrong. She has psittacosis."

After a pause, Qi Yue said with a smile: "Let's go out first, so as not to affect the patient's recovery and rest."

After several people left the ward, Qi Yue asked the young doctor who was following them to go back first.

The next moment, Qi Yue looked proud and said to Wang Chunyuan and Liu Yun: "You lose, are you convinced?"

"I'm willing to admit defeat, Dr. Wang, your Mingqian tea, Dr. Liu, your 30-year-old tangerine peel. Remember to send it over obediently. Don't let me come to ask for it."

Wang Chunyuan made a light sound and said teasingly: "Dr. Yu is very capable, you just took advantage of him, what are you talking about!"

He moved his eyes to Yu Zhiming, with a gentle smile on his face, and explained: "Dr. Yu, this is..."

"The guy named Gong Yue in the south has been jumping up and down recently. He said without shame, Dr. Yu, you rely too much on your gift of super-sensitive hearing. In essence, you are just a tool man. Liao Liao's own medical strength, in terms of non-contact diagnosis and remote diagnosis, It must have been a mess.”

Qi Yue took over and said, "Just now, after consulting a patient, we talked about that guy Gong Yue."

He pointed at Wang Chunyuan and Liu Yun, and continued: "I told them that your true medical strength has been seriously underestimated precisely because of your super-sensitive hearing."

"Everyone has only seen your subtle body exploration skills, but they have not seen your intelligence, study and hard work day after day."

"I told them that even if you don't rely on auscultation and percussion, your diagnostic skills are not comparable to that of Gong Yue, who knows the world."

"As a result, these two people expressed doubts."

Wang Chunyuan quickly explained: "Dr. Yu, don't be misled by Dr. Qi. Dr. Liu and I both recognize your strength. I just feel, I just feel..."

He said with some embarrassment: "If you don't use auscultation and percussion, Dr. Yu's ability is not as exaggerated as Dr. Qi said."

Wang Chunyuan then moved on and said: "Psittacosis is relatively rare. The most important thing is that the physical manifestations of this disease are highly similar to some respiratory diseases and have no specific symptoms."

"Its diagnosis has always relied heavily on laboratory tests and pathogen tests. According to common sense, Dr. Yu's auscultation and percussion should not have much effect."

"Could it be..."

Wang Chunyuan asked expectantly: "This parrot fever, does it have any specific physical manifestations that we don't know about?"

Yu Zhiming said frankly: "There is no specific manifestation. In fact, I analyzed this parrot fever."

He further explained: "My initial diagnosis was pneumonia, but I thought that three medical experts, including my teacher, Dr. Wang, and Dr. Liu, gathered together and specially called me over. It was definitely not just pneumonia. So simple."

"In this case, I started thinking about complex and rare diseases."

"After some comparisons, I finally found that psittacosis is the most suitable for the patient's condition."

Wang Chunyuan let out a long sigh and chuckled: "It turns out that our existence has become an important factor in judging your condition."

Qi Yue laughed and said: "No matter how the results are analyzed, just tell me whether my apprentice is good or not, right?"

"You lost, do you admit it?"

Wang Chunyuan glanced at Qi Yue and said, "Isn't it just a tael of Mingqian tea? I'll give it to you later."

Qi Yue said dissatisfied: "It's just one tael, how can you take it?"

Wang Chunyuan smiled and said: "One tael is not enough? We didn't agree on the quantity of Mingqian tea. One tael is always better than one penny."

Wang Chunyuan once again turned his attention to Yu Zhiming and said solemnly: "Dr. Yu, I must admit that I seriously underestimated your strength. Even without the bonus of that talent, you are still a very good doctor."

"Excluding the time for physical examination and without laboratory test data, it only took two or three minutes of thinking to diagnose psittacosis."

"To be honest, I can't do it."

Yu Zhiming said modestly: "Dr. Wang, you think too highly of me. This diagnosis has a lot of luck."

"If a similar situation happens again, maybe I will bet wrong."

At this time, Liu Yun, who had been silent, suddenly said: "Dr. Yu, with your current medical achievements and status, you don't need to be so humble. You have to show off when you should."

"There are a lot of people in the medical community who are used to sticking their noses in your face to avoid making them think you are easy to bully."

Yu Zhiming responded "Yes".

Seeing that Teacher Qi, Doctor Wang and Doctor Liu had nothing else to do, he said goodbye to them and turned to leave.

As a result, he was stopped by Qi Yue before he took two steps.

"Zhi Ming, I forgot to tell you something..."

Qi Yue said: "After Dr. Xie left, I originally didn't want to accept any more young doctors, but I met a good young doctor a few days ago and accepted it on impulse."

Yu Zhiming snorted and asked curiously: "Teacher, who is he? Do I know him?"

Qi Yue said softly: "Of course you know her, she is Shen Qi's cousin Shen Yiyi."

Yu Zhiming couldn't help but widen his eyes.

It turned out to be that guy.

"Teacher, Shen Yiyi is a medical student who has just graduated. She is a resident doctor after entering the hospital. She must first undergo rotation training in various departments."

Qi Yue nodded and said, "I know."

"Our center is a mixture of many departments. The effect of training here is no worse than rotational training in departments. I will also arrange some individual department training."

Yu Zhiming said oh and said nothing more, but he couldn't help but murmur in his heart.

The teacher made an exception and accepted a newly graduated medical student. Is it really because she is a good candidate?

Yu Zhiming didn't see whether Shen Yiyi was a good prospect, but her true excellence was obvious at a glance.

Isn’t it that the teacher is becoming more and more charming...