The most enlightened doctor
Chapter 530 The more common the more trouble
At nearly ten o'clock in the evening, Zhou Mo returned to the villa and saw Yu Zhiming and Qing Ning, wearing couple-style cotton pajamas, cuddling on the sofa and watching TV together.
"I'm a little surprised to see you two watching TV in the living room in such a civilized manner."
Zhou Mo joked again: "According to common sense, if you are not in the carriage, you should be in the bedroom upstairs."
Yu Zhiming glanced at this guy.
Gu Qingning laughed and said: "It's not that we don't want to, it's just that my body doesn't allow it. You understand, hehe."
She stood up to pick up a few packed lunch boxes from Zhou Mo's hand, and asked, "What's delicious?"
"Two pieces of fruit, one piece of braised chicken wings, one piece of braised duck tongue, and two pieces of Yangzhou fried rice."
While Zhou Mo was introducing, he and Qing Ning placed the food they brought on the coffee table.
Zhou Mo woke up and asked with concern: "This braised duck tongue is a bit spicy, can I eat the lime soup?"
Gu Qingning responded with action, directly taking a duck tongue and putting it into her mouth.
Zhou Mo said enthusiastically: "Doctor Yu, Qing Ning, and the chef of the restaurant told me that most of the nurses in the nursing home have gone to the mountains to look for people."
"It was said that a young couple who were still high school students wanted to run off to the mountains to die for their love. The parents paid huge sums of money to search the mountains to find someone."
"Even the waiters and chefs in the restaurant have gone away, so now the chef is on duty alone."
Gu Qingning nodded and said: "We know about this, we will give you ten thousand to each person, and we will give you one hundred thousand if you find the person."
She picked up another duck tongue and commented with satisfaction: "It tastes pretty good."
Zhou Mo sighed softly and said, "I often see news on the Internet about students who can't think of anything and commit suicide."
"Is it because today's children have too weak psychological endurance?"
Yu Zhiming said softly: "Nowadays, information is developed, and everything big and small can be seen online."
"In the past, there were many children and adults who committed suicide."
"In the more than ten years since I was a child, I know that there were three people in our village who committed suicide due to various reasons. In the past ten years, I haven't heard of anyone in our village who can't think of anything anymore."
Yu Zhiming took a bite of a braised chicken wing and pointed to two portions of steaming fried rice.
"You brought them all to me?"
"Can you eat it?" Zhou Mo asked.
Yu Zhiming weighed his stomach and said frankly: "I can eat it, but I'm about to rest and don't want to eat so much."
Zhou Mo rolled his eyelids like Yu Zhiming did before and said, "You just don't want to eat so much."
"One is for you, and the other is for Qing Ning and me."
"Ling Ning, let's share it..."
Zhou Mo shared the fried rice and said, "Doctor Yu, the Chinese-American has arrived in Binhai and checked into the Youyou Hotel."
"He also said, do you want to send over the information on his condition since the onset of the disease so that you can study it first?"
Yu Zhiming shook his head and said, "No need."
"Medical experts at home and abroad have found no problems in his various physical examination data."
"Although I don't belittle myself, I am not arrogant enough to think that I can see something unusual from the disease data."
He looked at his hands and said, "I hope I can use my hands to find something during tomorrow's inspection."
Gu Qingning went to the water dispenser in the living room, picked up three cups of hot water, and brought them over.
"Zhi Ming, what are the symptoms of that person? They were not cured in the United States. Even if they were treated back home, they had no effect."
Zhou Mo was the first to reply: "Just one symptom, fever."
"Fever can't be cured?"
Zhou Mo had a look of disbelief and questioned: "No way? Are the doctors that that person is looking for just a loser?"
Yu Zhiming took a sip of water, swallowed the fried rice in his mouth, and explained: "It is easy to treat fevers with known causes, but it is difficult to treat fevers with unknown causes."
In the past six months or so, this Chinese-American man has often had inexplicable fevers reaching 38 degrees or even over 39 degrees.
He had several physical examinations in the United States, but could not find the cause of the fever.
Now I can only rely on antipyretics to force the temperature down.
Because the cause of the disease was not found, targeted treatment could not be carried out to eradicate it. In the past few months, he could only cycle between sudden fever and taking antipyretics.
"Qing Ning, let me tell you one thing. Although fever is a common patient symptom, undiagnosed fever is a very headache for our doctors."
Yu Zhiming slowly introduced: "Fever is under investigation, which refers to fever of unknown origin and needs further examination."
"It gives us doctors a headache. The reason it is difficult to diagnose is because there are so many reasons that can cause fever in people."
Yu Zhiming took a sip of water and further introduced: "Let's put it this way, all kinds of headaches, brain fever, fever and irritation may cause fever. From childhood colds to large tumors, they can all cause fever in the body."
"There are also some more complex autoimmune diseases that can also cause fevers that are not effective with anti-inflammatory shots."
"When making a diagnosis, we have to rule out everything one by one, from the most common colds, fevers, and pneumonia to the most complex autoimmune diseases or rheumatic diseases."
"Also, fever is a systemic symptom, but it is likely to be caused by a small local cause."
"Doctors need to search one by one, do a lot of tests, and rule out one after another."
"Sometimes, we have to go through the entire internal medicine book and try our best to rule out the cause of his fever. But in the end, it is still difficult to make a diagnosis, or more complex tests need to be done."
"Sometimes, the only option is to give up exploring the cause and use antipyretic drugs to treat the symptoms rather than the root cause."
Gu Qingning let out a long sigh and said, "I understand. There are so many causes of fever, and there is only this one symptom. You need to spend a lot of energy on elimination tests."
Yu Zhiming hummed and said, "We doctors are not afraid of patients showing many symptoms."
"The more symptoms a patient has, the more clues they provide, making it easier for us to locate the source and confirm the diagnosis."
"The more common a single symptom is, the more troublesome it is."
Yu Zhiming sighed again: "Take this single fever as an example. This situation often occurs."
"The patient was admitted to the hospital and underwent a lot of tests and spent a lot of money, but the doctor still didn't know what caused the fever."
"The patients and their families are also very angry."
"It's just a small fever. The hospital has done so many tests and still has no clue. Is it deliberately cheating them of money?"
"Sometimes, even when the cause of the fever is still being examined, the patient gets better on his own and no longer has a fever."
"The doctor doesn't know why, but the patient just recovered and was discharged..."
Gu Qingning chuckled and said, "This kind of situation will never happen to you Zhiming."
"If you just check the patient's body with your hands, you will know what is causing the fever."
Yu Zhiming smiled softly and said: "I am not omniscient and omnipotent. If there are no pathological changes in the organs or tissues of the patient's body, I will not be able to detect some causes of fever."
Speaking of this, Yu Zhiming looked at Zhou Mo and asked, "Has the patient brought the chess set here?"
Zhou Mo replied: "The international urgent mail he asked his family to send has already been sent to him."
Yu Zhiming made a soft noise, stopped talking, and ate the fried rice with big mouthfuls.
Gu Qingning suddenly burst into laughter and said, "During dinner, Uncle Yantang said that Dr. Tang is a good teacher. In fact, you are also like this, and you like to educate us about science at every turn."
Yu Zhiming explained: "I'm not afraid that you won't understand, so I talked more and in more detail."
"If you don't like hearing it, I will..."
Gu Qingning hurriedly interrupted: "I like it, I like it very much! It's just that no matter what you said, I like it."
"This should be Aiwujiwu, right? Hehe!"
Zhou Mo protested, pretending to be dissatisfied: "Hey, hey, be careful, I'm still there."
"It's very unethical for you to spread dog food like this."
Gu Qingning smiled and said, "If you can't stand it, you should quickly find one."
"Would you like me to introduce you to one?"
Zhou Mo glanced at her, quickly picked up a chicken wing and fed it into her little mouth.
Yu Zhiming spoke again: "Teacher Qi said that because of Qi Zhen's return to China, his family will organize a gathering of relatives and friends this Sunday."
"You should have been invited too, right?"
Zhou Mo nodded and said with a depressed look: "That guy Qizhen has changed his goal and started to please my mother."
"He even went out of his way to pick up my mother during the New Year's concert on New Year's Day."
She bit her lip and said, "I have a hunch that that guy might be going to cause trouble at the Sunday party."
"Professing love to you in public?" Gu Qingning's eyes widened with a gossipy expression on his face.
Zhou Mo was stunned for a moment, then said thoughtfully: "Don't talk about this possibility, we really can't rule it out."
She hesitated and said, "What do you think about me having a sick escape at the party that day?"
Yu Zhiming shook his head and said: "If you hide from the first grade of junior high school, you can't hide from the fifteenth grade. It's better to face it than to escape."
"If he expresses love in public, and you really don't want to accept him, rejecting it in public might make him give up completely?"
Gu Qingning roared: "Momo, you wouldn't agree in a moment of heat under the romantic offensive of the other party, right?"
Zhou Mo imagined some romantic scenes in movies and TV shows where he was proposed to in public, and then replaced the protagonist with himself...
"Won't!"
"I am a principled person. I am not a love-minded person. I will not act impulsively just for the sake of temporary romance and excitement."
The three of them had supper, chatted for another ten or twenty minutes, and then went to sleep.
Yu Zhiming still slept in the bed and car...
I don't know how much time passed, but Yu Zhiming was suddenly woken up by the ringing of the phone.
He picked up his phone and saw it was Qing Ning's call.
"At the end of the day, Uncle Yantang called and said something happened to someone who went into the mountain to search. He also said that the injury was quite serious."
"On the way to the nursing home."
"Zhi Ming, do you think this is happening?"
Yu Zhiming immediately replied: "I'll get up right now..."
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