medical treatment

Chapter 1341 The Difference in Thinking Style

American patient Da Costa was somewhat disappointed that Yu Zhiming only gave an uncertain diagnosis.

However, given Yu Zhiming's past performance, he still wanted to give this trial and error treatment a try.

However, what Yu Zhiming said was serious. If it turned out to be true, the disease would be severe and life-threatening, which made Da Costa extremely cautious again.

Although this country has a man named Yu Zhiming who can even treat advanced cancer, Da Costa still looks down on the medical level here, which is at least far behind that of the United States.

He thought for a while and said, "Doctor Yu, this trial and error treatment you mentioned can be extremely dangerous if it works correctly. To be on the safe side, I would like to ask you to go to the United States and do this trial and error treatment on me."

Yu Zhiming refused: "I'm sorry, I can't take a long-distance flight due to my health problems, and the time doesn't allow it."

Director Chen of the Trauma Surgery Department of the Fifth Municipal Hospital, who accompanied Da Costa, stopped keeping quiet and persuaded, "Mr. Da Costa, Doctor Yu has the ability to see the big picture from the small details. When the disease is severe, he can detect various subtle changes in the body and make targeted treatment adjustments."

"With more than one doctor supervising the treatment process, the risk will be greatly reduced, and even fatal dangers can be averted."

Mr. DaCosta asked in disbelief, "Didn't even Dr. Yu himself admit that he is only good at finding problems, not solving them?"

He went on to say, "The United States has the most advanced medical equipment in the world, so it should be easy to monitor changes in the body."

Seeing that this guy was more willing to trust cold instruments and equipment, Director Chen stopped trying to persuade him.

If they are not close relatives or friends, appropriate persuasion will be enough.

As for Yu Zhiming, he would not persuade people strongly, but only give suggestions, adhering to the principle of being the master of one's own life.

Seeing that Yu Zhiming refused to go to the United States, Da Costa finally politely said that since it might involve life and death, he needed to consider it seriously, and then left the soundproof examination room.

Yu Zhiming continued his interrupted outpatient work and did not finish today's work until nearly six in the evening.

He left the soundproof examination room and walked a few steps into the ordinary examination room diagonally opposite, where he found Zhou Luo, Qiu Yi, and Gong Yue who was participating remotely were still discussing the condition of the father of the woman who was going to sell herself.

Zhou Luo reported: "Teacher, we have ruled out five possible diseases including polio. We are increasingly inclined to believe that it may be some kind of mutated super virus."

The so-called super virus does not refer to a new virus, but a general term for viruses that are multi-drug resistant, extremely difficult to treat, and highly dangerous.

Yu Zhiming looked at the names of various diseases on the whiteboard that were crossed out or marked with question marks, and said, "From the information on the whiteboard, you have made a lot of bold assumptions."

"However, in my opinion, you obviously missed one thing and you are not bold enough."

"What's missing?" Zhou Luo, Shen Qi, Sui Chi, Qiu Yi and Gong Yue asked almost in unison.

Yu Zhiming said slowly: "We all know that this patient's condition has gone from mild to severe for more than a month."

"If the patient's illness only lasted three to five days, what else do you think could happen?"

"The illness will only last three to five days?" Zhou Luo, Qiu Yi and others murmured in thought.

The next moment, Qiu Yi's eyes lit up and he said, "Rabies!"

He said aloud: "Patients with rabies paralysis do not have the typical excitement period and fear of water."

"It usually starts with symptoms such as high fever, headache, and vomiting, followed by limb weakness, abdominal distension, ataxia, muscle paralysis, and incontinence, which are 70% similar to the symptoms of this patient."

Zhou Luo questioned: "But teacher, once rabies breaks out, the mortality rate within seven days is as high as 100%." ​​"This patient has been ill for more than a month, and he is still alive."

Yu Zhiming said softly, "Since you have made such a bold assumption, you shouldn't have ruled out rabies, which has similar symptoms, just because it doesn't match the diagnosis."

After a pause, he continued slowly, "Of course, I must admit that the possibility of this patient having rabies is extremely small, but is there really no possibility at all?"

"With the complexity of individuals and the mutation of the rabies virus, is there really no possibility at all?"

Yu Zhiming added: "You should know that even though AIDS is generally considered incurable, there are always exceptions. Two AIDS patients have been confirmed to have been cured for unknown reasons."

Seeing Zhou Luo, Shen Qi, Sui Chi, Qiu Yi, and Gong Yue on the tablet computer all nodding as if they were learning something, Yu Zhiming felt a sense of accomplishment as a teacher.

In fact, last night, Yu Zhiming saw that the patient had been suffering for more than a month, so he naturally ruled out rabies.

Just now, Yu Zhiming saw that there were many diseases written on the whiteboard, but rabies was not one of them, so he took the opportunity to bring up rabies.

Of course, he didn't think the patient had rabies.

"Have you been screened for rabies?"

Zhou Luo shook his head and said, "Not only us, but also the several hospitals that treated the patient have naturally ruled out this possibility."

Yu Zhiming said seriously: "At this point, since there is still no clue, any possibility, even a small one, must be ruled out in substance, rather than just assuming it is possible."

Zhou Luo nodded and said, "Yes, teacher. I will contact the hospital where the patient is and ask them to do a rabies test."

Yu Zhiming hummed with satisfaction and said, "You guys continue to discuss. If you still have no clue by tomorrow morning, let the family send the patient to us."

After Yu Zhiming said this, he left the general examination room in the manner of a teacher.

Qiu Yi withdrew his gaze from the closed door, took a deep breath, and said with emotion: "I have learned from Dr. Yu again. This is not a difference in wisdom, but a difference in thinking."

"Since this is a difficult and complicated disease that we have all been trying to solve, we really shouldn't focus on one or two so-called impossibilities and automatically rule out some possible diseases."

"With billions of people, the diversity and complexity of people, and the variability in the development of diseases, nothing is impossible."

Zhou Luo, Gong Yue and others all looked in agreement...

Yu Zhiming returned to the soundproof office and said to Zhou Mo who followed him in, "I realized I forgot one thing. Can you help me think about how to arrange the order of students among Zhou Luo, Ding Ye and the other five? Who is the eldest senior brother?"

Zhou Mo exclaimed, "Doctor Yu, Zhou Luo cares a lot about this position of senior brother. As for Ding Ye and Sui Chi, they also care a little, but not as much as Zhou Luo."

"How about you let them compete with each other, and whoever is the best will be the eldest brother?"

Yu Zhiming glanced at her and said, "It's not easy to compete. They each have their own strengths. Competition questions are difficult to design. If I make a bad choice, it will appear that I am biased."

He then asked, "What's wrong with you?"

Zhou Mo replied: "Dean Gu called and said that Doctor Wang Yan has arrived in Binhai. He also said that if it is convenient for you, we can arrange a meeting tonight..."

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