The most enlightened doctor

At nearly 8:30 in the morning, Yu Zhiming led Zhou Mo to the outpatient clinic No. 15 on the second floor of the outpatient and emergency department.

The little nurse Wang Li, who had packed up the outpatient room, was chirping like an excited bird.

"Doctor Yu, the injured person was brought in. Deputy Director Xu on duty personally examined him and said that his pupils were dilated and there was no light reflex reaction, so he can be declared dead."

"At this time..."

Wang Li said vividly: "The ambulance nurse who came in shouted, there is still hope, there is still hope. Doctor Yu checked it and clearly said that there is still a possibility of rescue."

She gestured with her hands again and said, "Before the nurse's voice dissipated, several people came rushing around to perform rescue operations."

"The man was given seven or eight injections of different rescue drugs one after another, and all kinds of rescue methods were used. After a fierce attack, the man's heartbeat really recovered."

Wang Li said with a look of admiration on her face: "Doctor Yu, you are truly a god. There is no one in the entire emergency area who disapproves of you."

Yu Zhiming chuckled and said: "The main thing is that the medical staff rescued him well. I just said that the person was possible, but it does not mean that he will definitely be rescued."

Wang Li chuckled and said: "Dr. Yu, without your possible judgment, they would not go all out to carry out rescue operations regardless of the cost."

"In the final analysis, the role you play is the most critical."

After a pause, Wang Li asked softly: "Doctor Yu, there should be some injured people like today's who had the possibility of being rescued, but were eventually given up in rescuing them. There should be some in every hospital, right?"

Zhou Mo also echoed: "Such a situation must exist. I once saw a piece of news on the Internet, saying that a person was pronounced dead and sent to the morgue, but he woke up in the morgue."

Yu Zhiming said thoughtfully: "Doctors are very cautious when declaring death. They will make a comprehensive judgment from many aspects such as heartbeat, respiration, pupil reaction, and brain waves."

"Of course, misjudgments cannot be ruled out."

"However, the proportion of this situation is very small, one in a thousand, or even one in ten thousand."

Yu Zhiming further explained: "In order to avoid this one-in-a-thousand possibility, we can't rescue every patient who has no vital signs regardless of the cost, right?"

"How many medical resources will this consume?"

Wang Li nodded in agreement and said, "That's true. Medical resources are always limited."

At this time, Yu Zhiming was already ready to work and urged: "Stop thinking blindly, it's time to start working."

Wang Li quickly said "Hey", went outside the outpatient clinic, started to call the number, and verified the identity of the registered patient...

As the first outpatient and emergency visit after the Spring Festival holiday, Yu Zhiming maintained a high level of excitement.

His work efficiency has also improved.

By 12 noon, Yu Zhiming had completed examinations and diagnoses for a total of 27 registered patients.

A total of three cancer patients were detected, one with esophageal cancer, one with intestinal cancer, and one with lymphoma.

Yu Zhiming left the clinic to have lunch, and finally had time to check last month's salary.

First I looked through Ning'an Bank's remuneration text messages, and the amount reached more than 630,000.

this number……

Yu Zhiming guessed that it should include Meng Fan's 600,000 yuan, plus other income, and then deduct about 30% of personal tax, which is almost the number.

He took out his work tablet from his pocket, entered his personal system, and found the salary details of Huashan Hospital last month.

Yu Zhiming discovered that there was an additional 600,000 yuan subsidy for late-stage cancer research projects in the salary details.

This brought his total salary in January to more than 1.46 million. After deducting taxes, fees and insurance, the actual salary was a little over 1 million.

At this time, Yu Zhiming had already walked out of the outpatient and emergency building, and a man's voice suddenly sounded in his ears.

"Doctor Yu..."

Yu Zhiming stopped and put away his tablet, and then saw Zhou Mo stepping forward to protect him.

"You're not allowed to come forward, just stand there and say something."

Zhou Mohe stopped the visitor and introduced Yu Zhiming in a low voice: "The scalper is the son of retired nurse Liang."

Yu Zhiming said "Oh" and looked at the person coming.

Although he had performed a physical examination and resuscitation on this man at the time, looking at him now, he didn't feel familiar at all.

This man was in his early thirties, tall, with flat hair, and his facial features were somewhat ordinary and not very distinctive.

"Are you here for your mother?"

The young man with a flat head nodded and said, "Dr. Yu, please forgive my mother for what she did. She just wanted to make more money."

Zhou Mo suddenly interrupted: "Make more money?"

She said with a sarcastic face: "It is said that your mother has four houses in her name and no bank loan."

"Is it true?"

"This is not a small amount of money!"

The young man with a flat head explained sarcastically: "I mainly earned it by investing in houses while the real estate market was booming in the past few years."

“You really don’t make much money as a scalper.”

Yu Zhiming said solemnly: "If you have so many houses at home, why do you still want to be a scalper and make money from patients?"

"If you come to me, you might as well persuade your mother to actively plead guilty and accept punishment, and strive for a lighter punishment."

After saying this, Yu Zhiming stopped paying attention to this person and strode away to the canteen.

A few minutes later, he and Zhou Mo came to the door of the employee cafeteria and saw Ding Ye.

Ding Ye raised the incubator that was relatively large and heavy in his hand, and said, "Doctor Yu, this is the delicacy I specially bought from a restaurant outside. Thank you for your help the day before yesterday."

"Is the pregnant woman okay?" Yu Zhiming asked.

Ding Ye hummed and said: "There are still some minor problems in the body that need to be taken care of, but the risk of organ failure is gone. It can be said that we have finally been rescued."

The three of them found an empty table in the cafeteria.

Ding Ye took out the takeout food from the insulator, including steamed sea bass, braised short ribs, and cumin mutton. The only vegetarian dish was stir-fried Chinese cabbage, fungus, and mushrooms.

Each dish is generously portioned, enough for the three of them to eat together.

Ding Ye chose the dining area in the cafeteria and ordered four bowls of rice and three portions of sea rice soup...

Ding Ye first ate half a bowl of rice with the vegetables, and then showed a miserable expression.

"Dr. Yu, I was severely criticized by the hospital."

"I said it would not be an exception. I also said that if I want to ask you for help in the future, I must follow the hospital's regulations."

Ding Ye lamented again: "Thankfully you discovered the amniotic fluid embolism. If the fetal position adjustment had been involved, I would not only have been criticized, but I would have had my performance deducted."

Yu Zhiming said happily: "Who asked you to be clever?"

Ding Ye chuckled and said, "I didn't expect the hospital to be very strict and not let up on your protection at all."

At this time, Zhou Mo couldn't help but interrupt.

"Doctor Yu, if you say this, the hospital will definitely handle the ambulance issue this morning."

"I just don't know how severely they will be punished?"

Ding Ye asked curiously: "What happened?"

Zhou Mo talked in a few words about the dangerous ambulance stop in the morning and the successful rescue of the injured.

Ding Ye chuckled and said: "The nature is indeed serious, but after all, they saved someone's life. Their punishment should be the kind of lifting up high and falling down gently..."

The three of them were chatting while eating, and unknowingly they didn't finish lunch until 12:40 noon.

As soon as Yu Zhiming saw this time, he gave up his plan to take a nap on the bed and returned to the outpatient room to start working.

However, the first registered patient after lunch posed a big problem for Yu Zhiming.

His name is Li Hao, male, 37 years old today, and works in a public institution in Binhai.

When Li Hao walked into the outpatient clinic, the first thing he said was: "Dr. Yu, I have cancer. I just don't know what kind of cancer it is or where it grows."

"Please check it out for me with your miraculous medical skills."

As he spoke, he took out a thick stack of test analysis reports and imaging films from his backpack and handed them over.

Yu Zhiming took the heavy information with both hands, quickly flipped through part of it, and couldn't help but click his tongue secretly.

This guy, in order to detect cancer hidden somewhere in his body, did almost all the tests he could.

There are generally two ways to detect unknown body cancers that have no obvious symptoms in the hospital.

One is tumor marker detection.

Tumor markers are certain substances produced and released by tumor cells. They often exist in tumor tissues or body fluids in the form of antigens, enzymes, hormones, etc.

Through tumor marker testing, you can check whether there are tumor markers in the body and the types of tumor markers, helping cancer patients to detect them at an early stage.

Yu Zhiming discovered that this guy had done all the tumor marker screening projects that the hospital could do.

For example, he examined alpha-fetoprotein (AFP), a marker used to screen for primary liver cancer, prostate-specific antigen (PSA), which is used to screen for prostate cancer, and markers found in acute leukemia, lymphoma, lung cancer, colon cancer, and liver cancer. and ferritin concentrations in prostate cancer and more.

All in all, this guy did a total of twelve things.

Not only that, he did these screening items more than once, at least three times, and at most six times.

The second way to detect cancer is imaging examination.

Yu Zhiming was a little stunned. Li Hao's B-ultrasound, four-dimensional color ultrasound, X-ray, CT, MRI and other various imaging data can be said to have been photographed three or four times from head to toe.

He also paid attention to the time. These imaging data were all taken in different hospitals within a month.

Aren't you afraid of excessive radiation?

Because there were too many kinds of information, Yu Zhiming picked through some and secretly made a guess in his heart.

Is this guy a severe hypochondriac?

"Mr. Li, these test analysis reports and imaging data all show that you are in good health."

Li Hao said with a serious face: "Dr. Yu, I know clearly that the accuracy of this tumor marker detection is low and can only be used as an auxiliary detection method."

"Imaging data cannot detect many early-stage cancers."

Yu Zhiming couldn't say that Li Hao was wrong.

Tumor marker detection and imaging examinations do have considerable limitations, especially for early cancer screening.

Li Hao said with expectation on his face: "Dr. Yu, you have the ability to see the subtleties. You will definitely be able to find the cancer hidden in my body."

These words gave Yu Zhiming a headache. Did this guy think he had cancer in his body?

However, without practice, there is no right to speak.

Yu Zhiming couldn't conclude that he should not come here, but should go for psychiatric evaluation and psychological consultation.

"Mr. Li, please lie down on the examination bed. I will give you a full body examination first..."

PS.

It’s the end of the month, please vote for me! ! !

At the end of the month, please vote for support! ! !