The most enlightened doctor

Not long after the beautiful reporter left, a community worker came over to inform her that it was lunch time.

Yu Zhiming checked the three people one after another before Zhou Mo entered the tent carrying three lunch boxes.

But this guy puffed out his cheeks and was obviously angry.

"What's wrong?"

"Aren't you allowed to get an extra lunch box?"

Zhou Mo put the lunch box on the small table and explained: "The lunch box is enough, you can eat as much as you want."

"It's something else!"

She opened all three lunch boxes and asked, "Dr. Yu, you choose first."

The lunch box comes with two meat and two vegetable portions, and each portion of the meat and vegetable portion is different.

One is braised pork, fish steak, rapeseed, tomatoes and eggs, and the other is chicken legs, large ribs, winter melon and shredded potatoes.

The third portion was braised lion head, beef with potatoes, stir-fried lotus root slices and bean sprouts.

Yu Zhiming looked at them one by one and felt that the color, fragrance and style were not as attractive as the food in the cafeteria.

He casually picked up the braised pork lunch box and started eating.

Zhou Mo chose the chicken drumstick box lunch.

"Doctor Yu, before I went to get the lunch box, I went to the bathroom and asked a few residents on the way why they didn't come to your tent for medical treatment."

Zhou Mo opened the still warm seaweed and egg drop soup and took a few sips, then continued: "They all said that the easternmost tent is a young doctor. His teacher must have been temporarily unable to come, so he was arranged to take his place."

"He also said it's just a trap and you can't go there."

Zhou Mo took a bite of the food, frowned in disgust, and then said, "In the bathroom, I heard someone talking on the phone."

"Just listen to what she said, come quickly. You are not allowed to ask for leave, even if you are absent from work. She also said that this is a rare opportunity for Dr. Yu to diagnose and treat patients for free. If you miss it, there will be no shop in this village."

Zhou Mo said angrily: "This is either a shaking call made by a community worker or a volunteer."

"Doctor Yu, for a while, the residents who see you outside don't understand you. It's normal."

"But it's been a whole morning and they still don't know you clearly. That's not right."

"It can be seen that those staff did not promote you, but maybe..."

Zhou Mo lowered his voice and said, "Deliberately blocking the news may deepen the misunderstanding of you among the residents who are seeing you."

"In this case, they can call their family and friends to let you see a doctor."

Yu Zhiming swallowed the food in his mouth, took another sip of seaweed soup, and chuckled: "It's normal to be selfish."

Zhou Mo nodded lightly and said, "That's true. It's not easy for ordinary people to seek medical treatment from you."

"You need to check your body, but it costs 10,000 yuan."

Zhou Mo suddenly sighed and said: "I finally understand why the higher up people are, the easier it is to succeed."

"Not to mention resources and connections, this information gap alone can benefit them greatly."

"Look, Dr. Yu, the community staff know your abilities and got a chance to see a doctor."

"The residents outside, because of lack of information, don't know what a precious opportunity for health they have missed."

Yu Zhiming smiled and said, "You can't say that."

"The people in other tents are either chief physicians or deputy chief physicians. They are all clinicians with considerable abilities and experience. The diagnostic advice residents receive from them may be more professional and accurate than what I get here."

Zhou Mo curled his lips and said, "Dr. Yu, it's not that I underestimate their abilities."

"Although they are all director-level doctors, here, without the support of various medical instruments and equipment in the hospital, their diagnostic capabilities are not as good as your little finger."

"They are used to ordering patients to undergo many examinations, and then analyzing the medical condition through imaging and laboratory data analysis."

Yu Zhiming said happily: "Okay, let's eat quickly."

Zhou Mo looked at the lunch box that he had not touched for a few bites, and said with a pinched mouth: "It tastes terrible, I have no appetite."

"You are so hungry! Don't leave any leftovers!"

Yu Zhiming criticized and ordered, and then set an example and started eating.

Zhou Mo had to recite silently a few times that this was "the food cooked by my aunt", and then he ate it resolutely...

After a short break of another ten or twenty minutes, the medical team began the free clinic in the afternoon.

Most of the people who come to Yu Zhiming’s tent for medical treatment are family members and friends brought by community workers and volunteers.

Of course, a few community residents came in occasionally, holding stamped notes.

After three o'clock in the afternoon, a woman's voice came clearly from outside the tent.

This voice attracted Yu Zhiming's attention.

Hearing this voice, he said: "Let us go in. There is obviously something wrong with my friend's health. Please ask Dr. Yu to check her out."

The next moment, a man's voice sounded.

"This free clinic event is organized by our community in conjunction with Huashan Hospital. It is only for people with registered Binhai households and whose families have certain difficulties in life."

"You and your friend both have registered residence in other places and are not within the scope of the free clinic."

"You'd better take your friend to the hospital."

Immediately afterwards, the woman's voice sounded again, saying: "To be honest, she is my roommate, and my relationship with her is just average."

"I saw that something was obviously wrong with her condition, and I saw a free clinic held here, so I brought her over to have a look."

"Let Dr. Yu check it out. If it is determined that she has a major problem, I will contact her colleagues and family immediately."

"Comrade, please be accommodating, please."

The man's voice was without any warmth and said: "No, this is a matter of principle and cannot be accommodated."

Yu Zhiming, who heard the conversation between the two clearly, couldn't help but frown.

He kept checking the patient with his hands and said to Zhou Mo: "There are two girls from out of town outside, bring them in."

Zhou Mo nodded and left the tent...

Yu Zhiming finished examining and diagnosing six people one after another, and then saw two young women approaching.

One is a straight-haired woman who looks to be in her mid-twenties and dressed neatly.

She was holding a young woman in pajamas and a down jacket with messy hair.

Yu Zhiming noticed that the woman's expression was dull and her body movements were a little stiff, as if she had not yet woken up.

"What's going on with her?"

The straight-haired woman leaned forward and said, "Dr. Yu, thank you for letting us in."

She then introduced: "Doctor Yu, she is my roommate, she is twenty-two years old, a college student who just graduated this year."

"Three or four days ago, she said she had a fever and a headache, and then she slept non-stop and didn't even go to the company."

"Every day, except when I wake him up to eat and go to the bathroom, he basically lies in bed and sleeps the rest of the time."

The straight-haired woman hesitated for a moment and then said, "Dr. Yu, I feel that there is something wrong with her mental state."

"She ignored me and didn't answer my questions. She wasn't like this before. She was quite cheerful and talkative."

Yu Zhiming said oh and stood up from the chair.

"I'll check her first."

With the help of the straight-haired woman, her roommate lay on the examination bed obediently.

Yu Zhiming came closer, and just as he was about to check, he found that the woman's breathing had become lighter.

This is falling asleep.

Narcolepsy?

Yu Zhiming muttered something silently, then put his hand on the woman's forehead and noticed that she still had a fever.

Around thirty-eight degrees.

Yu Zhiming further explored the woman's brain.

Affected by the messy tent environment, Yu Zhiming could only conduct a preliminary exploration of the brain and its main blood vessels.

He found no brain abnormalities.

Then check the neck, breasts and heart and lungs...

When examining the ovaries in the woman's abdominal cavity, Yu Zhiming made a major discovery.

Not only did the woman's left ovary increase in size by one-third, Yu Zhiming clearly detected the presence of bone material in the enlarged part of the ovary.

Is this a teratoma?

Teratoma is one of the common tumors of female ovaries. It originates from germ cells and is a type of germ cell tumor.

When analyzing and testing the removed teratomas, hair, nails and other bone-like components can sometimes be seen.

Teratoma is essentially an embryonic substance that is not fully developed and dies at a very early stage.

After repeated examinations, Yu Zhiming confirmed that the woman's ovarian tumor was a teratoma, and he also understood the reason for the woman's symptoms.

She had autoimmune encephalitis.

It is an inflammatory disease of the central nervous system that is primarily associated with an autoimmune response.

The occurrence of this autoimmune reaction is mainly due to the patient's immune system becoming "indistinguishable between friend and foe".

It mistakes its own brain tissue for foreign antigens, produces specific antibodies and immune attacks that "attack" its own brain tissue, and ultimately causes brain tissue inflammation.

The pathogenic mechanism is not clear, but tumors such as teratomas are one of the causes of this disease.

In the woman's case, it was her immune system that first detected the teratoma, and when it launched an attack, it also attacked her brain.

Patients with autoimmune encephalitis may experience a variety of symptoms.

Mainly cognitive dysfunction, mental behavioral abnormalities, and epileptic seizures with acute or subacute onset.

That is, dementia, memory loss, personality changes, delusions, nonsense, repeated convulsions, etc. may occur in a short period of time.

Some patients may experience sleep and consciousness disorders, manifested as sleep cycle disorders, such as staying awake at night, staying awake for long periods of time during the day, lethargy, and coma.

After listening to Yu Zhiming's introduction, the straight-haired woman asked worriedly, "Are teratomas cancer?"

Yu Zhiming explained: "No, it is a benign tumor, but it requires surgical treatment."

"The surgery is not major."

Yu Zhiming added, and warned: "What you have to do now is send her to the hospital and contact her family."

The straight-haired woman hummed and said, "Dr. Yu, with your diagnosis, I feel relieved."

"I will take care of her until her family comes."

Speaking of this, she bowed to Yu Zhiming.

"Dr. Yu, thank you!"

"You are a rare good doctor..."

Yu Zhiming watched the straight-haired woman drag her roommate out of the tent and get back to work...

With the joint efforts of members of the medical expert team, the residents who came to see doctors were cleared out at 4:30 p.m.

After persisting until five o'clock in the afternoon, the medical free clinic team successfully concluded today's free clinic work.

The team leader and captain ordered the team to be taken back to the hospital.

After Yu Zhiming got dressed and came out of the tent, he saw a male community worker in his early thirties, pulling a woman and trotting over.

"Doctor Yu, this is my wife, can you please..."

Yu Zhiming remembered this voice.

"It's past five o'clock and the free clinic is over. This is a matter of principle and cannot be accommodated..."

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