The most enlightened doctor

After ending the call with Qing Ning, Yu Zhiming also came to the door of the hospital's No. 1 cafeteria.

Ding Ye jumped out of nowhere and stuffed a piece of medical information into Yu Zhiming's arms.

"Doctor Yu, please help me take a look at this disease information, and then make your judgment based on your intuition."

"I'll treat you to lunch today."

After saying this, Ding Ye didn't wait for Yu Zhiming's reaction, and pulled Zhou Mo into the cafeteria first.

Yu Zhiming was a little speechless. While in the dining hall, he quickly looked through the disease information in his hand.

Patient, female, 24 years old.

University education, unmarried, married life, regular menstruation, medium flow, no dysmenorrhea.

There was no abdominal pain, bloating, nausea or vomiting, fever or chills, or frequent urination or urgency.

During the physical examination, B-ultrasound examination revealed a mixed echo mass in the right ovary measuring 32*27*38MM...

After reading the patient's current medical records at a glance, Yu Zhiming had arrived at the somewhat messy canteen.

He found a relatively secluded and unoccupied table to sit down, and quickly looked through the patient's gynecological examination records and various laboratory analysis data.

Finally, Yu Zhiming looked at the light outside the window and carefully reviewed eight groups of imaging data of patients in various states.

After reading all the patient's condition information, Yu Zhiming leaned back on the chair and closed his eyes.

Yu Zhiming excluded all the clutter from the outside world and devoted himself wholeheartedly to analyzing the condition...

In his mind, all the written and image data he had seen had been transformed into a three-dimensional anatomy of a woman's abdominal right ovary.

Not only that, with Yu Zhiming's powerful "brain supplement" effect, this physiological structure diagram is not only lifelike in every detail, but also alive, with blood flowing in and out.

Yu Zhiming carefully "examined" the ovarian tumor as big as half an egg that appeared in his mind.

Not only that, but from time to time, his mind also thought of ovarian tumors with similar conditions that he had dealt with before and studied in books, and compared them.

At the same time, Yu Zhiming's hands couldn't help but lift up and pat them.

It was as if the patient was lying in front of him...

Time passed minute by minute, and Yu Zhiming finally opened his eyes, and unexpectedly saw Ding Ye and Zhou Mo sitting opposite the dining table, staring at him with their big eyes open.

"What conclusion?"

Their eyes met, Ding Ye asked urgently: "Doctor Yu, don't think about anything, just rely on your intuition and directly tell the first answer in your mind!"

"Ovarian sclerosing stromal tumor!" Yu Zhiming replied.

Ding Ye was slightly startled and asked again: "Why?"

Yu Zhi understood her and said: "Since the answer is based on intuition, there is no reason!"

"Is it really just intuition?" Ding Ye looked unbelieving.

"It's just intuition!" Yu Zhiming replied extremely firmly.

In fact, he lied.

Yu Zhiming did not rely on intuition.

This is an answer he came up with after repeated analysis in his mind and comparing it one by one with the relevant previous case data in his memory.

However, the patient is not in front of him. This is the conclusion Yu Zhiming drew based on the patient's condition information.

This form of diagnosis is not what Yu Zhiming is good at, which makes him a little unsure.

It is understandable that my intuition was wrong.

It would be a bit embarrassing if the conclusion drawn after careful analysis turns out to be wrong.

He didn't want to be embarrassed.

Yu Zhiming looked at the dinner plate placed in front of him, which was full of dishes.

There are braised pork, beef stew with potatoes, fish steaks, stir-fried water spinach, mushrooms and cabbage.

He was quite satisfied.

After taking a sip of winter melon soup, Yu Zhiming asked, "How long have I been thinking about this?"

Zhou Mo replied softly: "After we finished the meal, we sat here and waited for you for about five or six minutes."

Yu Zhiming said softly, knowing what he was doing.

Unconsciously, I thought about it for about ten minutes.

Yu Zhiming looked at Ding Ye and asked, "What is the condition of this patient?"

Ding Ye explained: "A girl from out of town who came to me around the corner."

"She underwent examinations at three local tertiary hospitals and came to three diagnostic conclusions respectively."

"Ovarian fibroma, granulosa cell tumor, ovarian cystadenocarcinoma, each one is scarier than the last."

Ding Ye sighed softly and continued: "The girl and the girl's family were frightened. They didn't know which one to believe, and they didn't dare to undergo surgery easily."

"It took someone else to find me."

After a pause, Ding Ye said frankly: "I analyzed the girl's information and personally tend to have granular cell tumor."

"Listening to what you said, I think there is also the possibility of ovarian sclerosing stromal tumor."

"It would be great if it was really this kind of stromal tumor. The prognosis after surgery is good and there will be no recurrence or distant metastasis."

Yu Zhiming swallowed the food in his mouth and said: "No matter which diagnosis is made, surgical treatment is required. The final diagnosis must be based on the conclusion of pathological analysis."

In uncertain cases like the girl's, tissue samples will be taken during surgery and sent to a pathology laboratory for rapid testing.

This rapid intraoperative pathological analysis will produce results within about half an hour.

If the test result is a malignant tumor, surgery will be performed according to the standards for malignant tumors.

For example, extensive resection, lymphoid tissue dissection, etc.

If the test result is benign, surgical resection will naturally be performed according to the standards for benign tumors.

Ding Ye hummed softly: "Dr. Yu, you said it very lightly. But three hospitals have come up with three diagnostic conclusions, which will make patients lose their trust in the hospital."

“Where can I safely perform surgery in a local hospital?”

She smiled bitterly and said: "It's just that now, you have given a new diagnostic conclusion."

"Patients probably have no choice."

Yu Zhiming smiled and asked, "Dr. Liu, haven't you seen it?"

Ding Ye shook his head and said, "I have a cold and a fever. I'm taking leave to rest at home. I don't want to disturb you."

After a pause, she asked: "Dr. Yu, can I tell him, is this the diagnostic conclusion you gave?"

Yu Zhiming hesitated for a moment and nodded.

Intuition or not, right or wrong, this was indeed his diagnosis.

It is also okay to inform the other party in this way.

"Let's not talk about this troublesome patient."

Ding Ye smiled and said, "Last night, a colleague was getting married, and we young doctors had a small gathering."

"Hey, Zhou Luo from the Department of Gastroenterology and Shen Qi from the Department of Cardiovascular Medicine, are you sure they want to join your medical team?"

Yu Zhiming nodded with a mouth full of food.

Ding Ye clicked his tongue and said, "These two people have profound backgrounds and are among the best among young doctors in terms of medical skills."

"The two of them are willing to be your assistants, which shows that their elders are not generally optimistic about your future."

"Dr. Yu, to be honest, I regret making the decision to study abroad too early."

Yu Zhiming swallowed the food in his mouth and chuckled: "The road to medicine is a long-distance race with no end. You only go abroad to study for one year, and it's not like you won't come back."

Ding Ye chuckled and said, "That's true."

"One year earlier or one year later, there is not much difference in a decades-long medical career."

"But let's make an agreement first. When I come back from studying abroad, you must leave a place for me to study next to you."

Yu Zhiming readily agreed.

Ding Ye reminded again: "That Du Bing guy, because of me, he has a lot of opinions and resentment towards you."

"Although with your current status, even if his father troubles you, there is no need to worry."

“However, it’s better to pay due attention.”

Yu Zhiming hummed...

After lunch, Yu Zhiming rested in the bed cart for another quarter of an hour, then returned to the central building and returned to his busy work and study.

At nearly four o'clock in the afternoon, Yu Zhiming received another visitor.

A month or two ago, Zhang Yong had a radioactive source implantation operation for a skull base tumor.

"Dr. Yu, I'm here for a review this morning."

Zhang Yong said excitedly and worriedly: "After the review results came out, Dr. You said that the shrinkage and change of my skull base tumor had reached the ideal state he wanted."

"I can have surgery."

"The operation time is scheduled for tomorrow evening."

Yu Zhi clearly understood Zhang Yong's worries.

Even if his skull base tumor shrinks and changes to an ideal state, it will only increase the possibility of successful surgery, and there is still a high chance of failure.

Moreover, given the complexity of Zhang Yong’s skull base tumor, even if the operation goes smoothly, some sequelae are inevitable.

The sequelae of functional impairment such as aphasia, deafness, and reduced mobility are all possible.

Yu Zhiming comforted him: "Dr. You is the best neurosurgeon in Binhai and its surrounding areas, no one else."

"He will perform your surgery, so he has a high degree of success. Just prepare for the surgery with peace of mind."

Zhang Yong nodded and said, "Without surgery, I can only persist for another one or two years. After the surgery is successful, I can live for another ten or twenty years."

"I understand the trade-offs and the risks to be taken."

"For tomorrow night's surgery, I have been ready for this period of time."

"I have also made arrangements for my business and property to prepare for the worst-case scenario."

Zhang Yong met Yu Zhiming's gaze and said, "Dr. Yu, I know you participated in a research project to promote the recovery of brain injuries. I heard that great results have been achieved?"

Yu Zhiming understood what he meant.

He explained: "That project has not reached the clinical trial stage, and I am only a nominal participant."

"Although there are several clinical trial volunteers who specifically applied for expanded use because of their special circumstances."

Zhang Yong went straight to the topic and said: "Dr. Yu, if I donate 10 million for project research, can I apply for expanded drug treatment qualifications?"

this……

Throwing money at it is indeed a good way.

After all, the project team has made exceptions several times before, so one more time doesn't seem to be a big deal.

Zhang Yong said with emotion: "Now I deeply understand why health is 1, wealth and other things are 0. Without good health, everything else is meaningless."

"In terms of funding, we can discuss it again!"

Yu Zhiming replied vaguely: "I will tell the project leader about your request."

"The specifics will depend on their decision..."

Please support with monthly votes, recommendation votes, etc.! ! !