The most enlightened doctor

Yu Zhiming's physical examination of Li Hao, who was suspected of being a hypochondriac, started from the head step by step.

The examination found that there was no problem with the brain.

Then, Yu Zhiming moved down to examine his neck, focusing on the thyroid gland located on the front of the neck.

The reason for this was that Yu Zhiming considered that this person had undergone an excessive amount of X-rays, CT and other imaging examinations in a short period of time.

Given the patient's psychological condition, it is estimated that such radiographic examinations have been done infrequently before.

As a doctor, Yu Zhiming clearly knows that radiological imaging diagnostic examination is a double-edged sword.

On the one hand, imaging can clearly identify the cause of the disease and is an important diagnostic and treatment method.

But on the other hand, it is harmful to the human body, and abuse may induce cancer.

Although the amount of radiation from a radiographic examination is very small, medical research shows that the harm it brings to human health can accumulate.

Its negative impact on the body will not disappear easily over time, but is more like a process from quantitative change to qualitative change.

To put it simply, a radiographic examination will cause +1 damage to the body.

Do it again, +1 again.

Because there are huge differences in each person's physical fitness, radiation resistance, genetic defects, susceptibility to cancer types, etc., if someone's damage degree accumulates to 100, there will be a qualitative change and cancer will be induced.

Some people's radiation damage has accumulated to 1,000, but they are still alive and kicking.

However, radiological imaging examinations should be performed as little as possible unless necessary and necessary.

Different organs and tissues of the human body have different sensitivities to radiation.

Among them, the tissues that are highly sensitive to radiation include lymphoid tissue, thyroid, thymus, bone marrow, gastrointestinal epithelium, glands and embryonic tissue.

The sensory organs are moderately sensitive tissues.

The central nervous system and heart are mildly sensitive tissues.

Bone tissue is an insensitive tissue.

As the thyroid gland is a highly sensitive tissue to radiation in the human body, Yu Zhiming must undergo key examinations.

However, after a detailed examination of Li Hao's thyroid gland, no issues worthy of further attention were found.

Then, he examined Li Hao's chest organs, abdominal organs, reproductive//organs, and limbs.

Yu Zhiming still found no suspicious problems.

After checking it so far, he was almost certain that this guy probably had a psychological problem.

"Mr. Li, turn over, I need to check your spine and spinal cord."

The spinal cord is also highly sensitive to radiation. Since Yu Zhiming conducted a comprehensive examination, he would not miss this point.

After Li Hao turned over, Yu Zhiming's hands struck his spine, moving slowly from top to bottom.

Suddenly, Yu Zhiming's hand stopped moving downward and repeatedly struck Li Hao's third and fourth thoracic vertebrae.

The reason why he was like this was that he noticed that these two vertebrae seemed to be damaged and some bone mass had been lost.

After repeated confirmations, Yu Zhiming believed that his feelings were correct.

The bone quality of these two vertebrae is slightly different from that of the adjacent vertebrae.

Yu Zhiming continued to check down the spine, and then discovered a similar slight condition on the second lumbar vertebrae.

After a comprehensive examination of Li Hao's body, Yu Zhiming found only two suspicious spots on his spine.

This made Yu Zhiming pay special attention to it.

He thought of hematological malignancies such as myeloma and leukemia.

These tumors are easily induced by radiation and can invade the bone marrow, causing bone damage.

If Yu Zhiming's analysis is true, the slight damage to Li Hao's vertebrae should be the result of cancer that only appeared in the past one or two months, or even the past two or three weeks.

If Li Hao knew, it was most likely that the cancer was caused by his continuous excessive radiological imaging examinations.

Is he seeking the relief of benevolence?

Or do you want to cry but have no tears?

"Dr. Yu, you obviously took a long time to examine my spine. Did you find anything?"

Looking at Li Hao's expectant eyes, Yu Zhiming nodded gently and said: "We have found something, but we still need to go to the oncology department for a rule-out examination."

Then, Yu Zhiming wrote a referral form to Li Hao.

On the list, he described his findings and guesses in a way that only people in the industry could understand.

In fact, based on Yu Zhiming's guess, it would be more appropriate to refer Li Hao to the Department of Hematology.

However, because he was extremely unhappy with Dr. Du, the director of the Department of Hematology, and because of his good cooperative relationship with the Oncology Department, he transferred Li Hao to the Oncology Department.

Yu Zhiming was speechless as he watched Li Hao happily leave with the referral form.

How much do you expect yourself to get cancer...

Fortunately, the patients who registered one after another became much normal.

Faced with the diagnosis of serious illness or serious illness given by Yu Zhiming, he would either turn pale with fear or pretend to be strong.

In short, they are all within the normal reaction range...

At 4:40 in the afternoon, Yu Zhiming performed a physical examination on the last outpatient patient of the day, the mother of the young security guard the night before.

After examination, Yu Zhiming discovered that Young Anbao's mother suffered from a variety of diseases, including chronic obstructive pulmonary disease, osteoporosis, mild cirrhosis, and chronic pancreatitis.

What is most in need of treatment currently is chronic pancreatitis...

After finishing the consultation, Yu Zhiming hurried back to the central building and quickly screened fifty volunteers for liver and stomach cancer without stopping.

In a little more than an hour, Yu Zhiming was diagnosed with three suspected gastric cancers and two suspected liver cancers.

Although he completed the day's work efficiently, Yu Zhiming felt a different kind of physical and mental fatigue after working at full capacity for the first time after the holiday.

Yu Zhiming, who was still a little uncomfortable for a while, dragged his tired body back to the big office and found his Chinese father from the United States waiting for him.

He sat down on the office chair and asked feebly: "Have you decided? Go back for treatment, or stay?"

"Go back to the United States for treatment!"

The Chinese father replied and introduced: "Dr. Yu, I sent Thiel's test report to several doctors who have examined Thiel before."

"They all accepted the test results."

"At the same time, they admire Dr. Yu very much for your ability to find the cause of the disease in such a short period of time."

"They want to have a medical exchange and discussion with you."

Yu Zhiming declined politely: "There is no need to communicate."

"I'm just standing on their shoulders. They have eliminated a lot of other possibilities for me."

"Then I happened to have some luck."

"that is it."

The Chinese father said with emotion: "Dr. Yu, you are really too humble."

"Your diagnostic ability, in my opinion, is enough to tie them together."

Yu Zhiming smiled and asked, "When will you leave?"

The Chinese father replied: "Since I have decided to go back for treatment, the sooner the better."

"I've already booked a flight for tomorrow night."

After a pause, he said gratefully: "Dr. Yu, thank you. Although you failed to cure Tyer, you found the cause of his illness. We are no longer wandering around without direction like before."

Yu Zhiming said politely: "No need to thank me, I just did my job as a doctor."

"At the same time, I also regret that I cannot provide more help in treating Tyr's disease..."

After sending his Chinese father away, Yu Zhiming quickly took out biscuits, nuts, chocolates and other snacks from the drawer and started eating them.

The next moment, a cup of hot water was placed on the desk, and then a little hand stretched out.

"Dried sweet potatoes!"

Yu Zhiming took out a jar from the drawer and placed it in Zhou Mo's hand.

Zhou Mo took out a piece of dried sweet potato from the glass bottle and took a big bite.

She commented while chewing: "This is a dried sweet potato. It's not too sweet and it takes a lot of effort on your teeth."

"However, it tastes sweet when eaten slowly. It is a good snack to kill time and lose weight."

Yu Zhiming ignored her and continued to eat snacks to replenish his body's energy.

Zhou Mo leaned closer to Yu Zhiming and lowered his voice: "Doctor Yu, the list of your medical team was circulated among several work groups in the hospital today."

"There is not much discussion about the two young doctors Zhou Luo and Shen Qi. The controversy mainly focuses on Sui Chi."

"Many people think that he is not good enough to be on your medical team."

Yu Zhiming rolled his eyelids and said: "My team, I make the decision, what qualifications do they have to discuss?"

Zhou Mo revealed the truth without any shame: "Are you really the one who calls the shots on your team?"

"If I remember correctly, among the five people, Dr. Sui Chi is the only one who made your own decision."

"You passively accepted the other four people, right?"

Yu Zhiming glanced at this guy with disgust and said, "If you don't speak, I won't treat you as a mute!"

Zhou Mo didn't have the consciousness to shut up, and asked with a smile: "Dr. Yu, Dr. Sui Chi is the most questioned nowadays, don't you have any ideas?"

Yu Zhiming hummed: "Why should I have ideas? Who dares to come in front of me and question my selection criteria?"

With a murderous look on his face, he said, "Does he still want to be in the medical circle?"

At this time, Yu Zhiming's cell phone rang.

It was a call from Gu Qingran.

"Tomorrow, three top liver surgery experts have been invited to have a surgical plan consultation at Ning'an Hospital at 8 o'clock tomorrow evening."

After a pause, Gu Qingran said again: "One of them, Dr. Wang Sen from the Affiliated Hospital of Jiaotong University, told me that he and you still don't know each other."

Wang Sen, an expert in liver surgery at Jiaotong University Affiliated Hospital?

Yu Zhiming thought about it for a moment. The daughter of Dr. Wang Sen had a fight with Zeng Yan years ago.

Unexpectedly, his strength and status in the field of liver surgery were so high.

Don’t underestimate the world’s heroes.

"Zhi Ming, tomorrow night, do you want to come over?"

Yu Zhiming simply replied: "I won't go through with it. I just need to know the result of their discussion."

Gu Qingran said "Oh" on the phone, and then said: "I have communicated that tomorrow and the day after tomorrow, two terminal cancer patients will go to Huashan Hospital to receive your physical examination."

Yu Zhiming replied "Hmm"...

After ending the call with Gu Qingran, Yu Zhiming heard movement in the director's office next door.

This is the return of Teacher Qi Yue.

Yu Zhiming got up and knocked on the door of the director's office.

He wanted to seek advice on the charity fund and invited the teacher to his engagement party...

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