The most enlightened doctor

I don't know how much time passed, but Yu Zhiming opened his eyes and found that there was darkness in front of him.

Out of habit, he reached out for his cell phone on the bedside, turned on the screen, and squinted at the time.

Five fifty-eight.

It’s time to wake up for another day.

Yu Zhiming didn't want to get up.

When he was working in the county hospital, he preferred to stay in the hospital rather than go home. In addition to needing to improve himself in more work, he just didn't want to go home and be urged by his sister to go on a blind date and get married.

As for the fact that he doesn't want to get up now, he found that with Qing Ning's company, his life outside of work has become warm and comfortable, which makes him full of nostalgia for the time when he is not working.

Perhaps, this is what many people call the Tomb of Heroes of Wenwen Village, and the one who will never come to court early from now on?

Yu Zhiming hesitated for two minutes, then got up, put on his clothes in the dark, and left the bedroom.

The living room is already brightly lit.

Qing Ning and Yu Xiangwan were yawning while making their own beds.

As for the two little ones, Xiaoxue and Zeng Yan, they hugged pillows and quilts sleepily and ran into the bedroom.

"This time, I'm going to sleep outside..."

The second half of Zeng Yan's sentence was blocked by the bedroom door that closed again.

Yu Zhiming, who was infected by Qing Ning and Fourth Sister, also yawned twice in succession and walked to the bathroom...

Forty or fifty minutes later, Yu Zhiming, Yu Xiangwan and Qing Ning sat around the dining table and started having breakfast.

Each person has a bowl of mutton and sea cucumber soup. The main food is hot steamed buns. The dishes are twice-cooked pork with winter bamboo shoots, shrimp and rapeseed, and a plate of braised beef, plus boiled eggs and salted duck eggs.

Qing Ning handed the peeled hard-boiled eggs to Yu Zhiming and said, "Last night, my brother told me that he contacted a very nice aunt at home."

"This aunt's employer is moving her family to immigrate, so she wants to find a new host family so that she can come and work in the next year."

"Zhiming, do you want her to come over and try the food first?"

Yu Zhiming nodded and asked: "Your brother is now two people. He also needs an aunt at home, right?"

Qing Ning chuckled and said, "My brother said that he is not in a hurry and will stay close to us first."

Yu Xiangwan suggested: "How about arranging the food tasting on Friday night? Let Auntie prepare a good meal."

Qing Ning nodded and said: "It shouldn't be a big problem. I'll communicate with the aunt first."

She looked at Yu Zhiming again and said, "My brother also asked me to tell you that his friend in Guangshen got divorced successfully and he is quite satisfied with the divorce conditions."

"You also asked me to tell that person, thank you for your discovery."

"What did you find?" Yu Xiangwan was full of gossip.

Qing Ning chuckled and said, "My brother's friend suspected that his wife was cheating on him, but secret investigations have never found any evidence."

"It was Zhi Ming who discovered through the recording that his wife's cheating partner turned out to be a woman."

Yu Xiangwan exclaimed suddenly...

At nearly 8:20 in the morning, Yu Zhiming arrived at the small central building of the hospital and heard the bad news.

The hospital conducted an in-depth investigation on the 23 outpatients of Yu Zhiming who were admitted to the hospital yesterday.

Seventeen of them admitted that they contacted the scalpers because they promised that they would be registered and would receive payment after registration.

They did successfully register Yu Zhiming's outpatient number, and paid an extra fee ranging from 10,000 to 16,000.

As for why scalpers are so capable, the hospital said further investigation is needed...

At nearly two o'clock in the afternoon, Yu Zhiming welcomed Liu Qilun, the father of Xiaoxue's roommate, and his middle-aged client named Zou Yi who had liver cancer and was thin.

Yu Zhiming first checked Zou Yi's liver area, but as soon as he started to check, he found something was wrong.

"Mr. Zou, was your liver cancer confirmed by pathological examination? Or by imaging examination?"

Pathological testing is the gold standard for cancer diagnosis.

That is, the diseased tissue is removed from the body and immunohistochemistry or even genotyping is performed in vitro.

This is a 100% sure way to have cancer.

However, whether it is surgery or needle biopsy to remove diseased tissue, there are certain risks.

Experienced clinicians can also diagnose solid cancers through various imaging information such as enhanced CT, enhanced MRI, PET-CT, and contrast-enhanced ultrasound, combined with some physical laboratory indicators.

However, the reliability of cancer diagnosis mainly based on imaging is slightly lower than pathological diagnosis.

Generally speaking, most major diseases like cancer are diagnosed through pathological diagnosis.

Unless clinicians are very confident and certain about their own imaging judgments.

After all, this is cancer.

Once a patient learns that he has cancer, his physical and mental state is likely to change dramatically, and he may even make incredible decisions or behaviors.

It would be great fun if it turned out to be a misdiagnosis.

Zou Yi, who had a sallow complexion and a wilted expression, replied: "The person who examined me was a well-known local liver and gallbladder expert. He told me."

"I only remember that I did a lot of examinations at that time, including CT, MRI and other films, as well as various tests."

"As for whether it was liver cancer confirmed by pathological testing or imaging, I don't know."

"After I was suspected of having liver cancer, my brain turned into mush and I was thinking all over the place."

Zou Yi sighed again: "It's only in the past few days that I have woken up. I thought that while my body is still good, I can sort out some things to avoid feeling powerless in the future."

Liu Qilun, who was standing quietly aside, was keenly aware that Yu Zhiming was definitely not asking casually.

He asked expectantly: "Dr. Yu, are there other possibilities for Mr. Zou's liver cancer?"

Yu Zhiming did not respond, and then conducted a detailed examination of Zou Yi's liver.

This inspection took six or seven minutes before he withdrew his hand.

Facing the worried and nervous looks of Zou Yi and Liu Qilun, Yu Zhiming said cautiously: "According to my examination, it doesn't look like liver cancer, but more like a liver abscess."

"Well, I'll arrange for you to go to the Liver Disease Research Center for further confirmation examinations."

There are some liver diseases that are easily misdiagnosed as liver cancer.

For example, liver cirrhosis nodules.

Most primary liver cancers occur on the basis of cirrhosis.

In patients with severe liver cirrhosis, a large number of proliferative nodules will appear in the liver.

It is sometimes difficult to distinguish this nodule from early liver cancer on clinical imaging.

At the same time, tumor patients with these two diseases are often accompanied by elevated alpha-fetoprotein, so they are easily confused.

Another example is liver hemangioma.

It and liver cancer are both space-occupying pathological changes with rich blood vessels. Clinical diagnostic examinations such as color Doppler ultrasound and enhanced CT scans will show abundant blood flow, so they are easily confused.

The liver abscess mentioned by Yu Zhiming is a pathological change that occurs in the liver through hematogenous spread after a certain part of the body is infected.

Patients often present with clinical manifestations of fatigue, low-grade fever, weight loss, and liver discomfort.

From the perspective of pathological manifestations, when the abscess is very small, it is not easy to distinguish it from liver cancer.

Yu Zhiming's words made Zou Yi stand up from the examination bed with a twinkle in his eye.

"Doctor Yu, Doctor Yu...sheng...I..."

Zou Yi was so excited that his breathing became rapid, his tongue was tied, and he could not speak normally.

Liu Qilun reached out and pressed Zou Yi's shoulders, asking him to sit back on the examination bed.

He also said with excitement: "Dr. Yu, we know your ability. You can be called a modern miracle doctor. Your diagnosis has not been wrong yet."

"You mean, not cancer?"

Yu Zhiming said: "I can only say that based on my examination, it is more likely to be a liver abscess."

"As for the specific situation, it is best to go to the Liver Disease Research Center for further diagnosis."

Yu Zhiming wrote a referral form to Zou Yi.

Next, he saw the guy who was dragging his body weakly when he arrived, and left quickly with windy legs.

Liu Qilun had to jog a few steps to keep up.

Yu Zhiming returned to the big office and unexpectedly found Dr. Wang Wu from the Department of Traditional Chinese Medicine waiting for him.

"Is something wrong?"

Wang Wu smiled and said nothing. He took out two small brown wide-mouth medicine bottles from his pocket and handed them over.

Yu Zhiming reached out to take it and found that there was a wax-sealed quail egg-sized pill in each of the two small medicine bottles.

"Doctor Wang, has this been successfully produced?"

Wang Wu smiled proudly and said, "After days of hard work, we finally succeeded."

"A total of twelve pills were made."

"According to the prior agreement, I gave Chairman Gu six pills and I kept four pills for myself."

Yu Zhiming quickly declined: "Oh, Doctor Wang, you gave me two pills of such an expensive patent medicine, which is too much."

"Just one pill! Just one pill!"

Although Yu Zhiming said this, he held the two small medicine bottles tightly in his hands and made no move to return any pills.

With Dr. Wang Wu's character and ability, even if the efficacy of this ginseng life-sustaining pill has been exaggerated, the actual effect must be somewhat extraordinary.

In other words, this is a drug that can play a big role at critical moments.

If he was pretending to be polite and Dr. Wang really took advantage of the situation and took back one pill, the loss would be huge.

Wang Wu chuckled and said, "Doctor Yu, you deserve this. Without you, this medicine would not be available."

"Two pills are just right."

"You can take one pill with you in case you need it. Keep the other pill at home for later use."

After a pause, Wang Wu introduced: "This medicine can be swallowed or dissolved in warm water."

"This drug is most effective for patients with chronic diseases. It is much less effective for patients with acute illnesses and trauma."

Yu Zhiming hummed.

Wang Wu came closer to him and lowered his voice and said, "Someone once asked me to buy one pill for 100,000 yuan, but I didn't agree."

"Doctor Yu, it is becoming more and more difficult to collect many of the ingredients for this medicine. Maybe there will be no next time."

"Don't be soft-hearted and use it on patients at will."

Yu Zhiming held the two small medicine bottles tighter and said solemnly: "Such expensive medicines cannot be bought even if you have money. I will definitely not use them casually."

After sending Doctor Wang Wu away, Zhou Mo came over.

"What kind of medicine is it? It's so mysterious."

Yu Zhiming said in a deep voice: "The magic medicine that can revive dead people, flesh and bones, and bring people back to life."

Zhou Mo curled his lips and said: "Blow, blow hard! Why don't you say it's the elixir that makes people instantly become immortals..."

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