medical treatment

Chapter 555 Questions of Principle

Not long after the beautiful reporter left, a community worker came to inform her that it was lunch time.

Yu Zhiming checked the three people one after another before Zhou Mo entered the tent with three lunch boxes.

It's just that this guy puffed out his cheeks, obviously angry.

"what happened?"

"Don't let you take an extra box lunch?"

Zhou Mo put the boxed lunch on the small table and explained: "The boxed lunch is enough, you can eat as much as you want."

"It's something else!"

She opened all three lunch boxes and asked, "Doctor Yu, you should choose first."

The box lunch is two meat and two vegetables, each meat and vegetables are different.

One is braised pork, fish steak, small rapeseed and tomato eggs, and one is chicken drumsticks, big ribs, wax gourd and shredded potatoes.

The third serving is Braised Lion Head, Potato Beef, Stir-Fried Lotus Root Slices and Bean Sprouts.

Yu Zhiming looked at each of them one by one, and felt that the color, fragrance and type were not as attractive as the food in the cafeteria.

He casually picked up the braised pork box lunch and ate it.

Zhou Mo chose the chicken leg box lunch.

"Doctor Yu, before I went to get the lunch box, I went to the bathroom and asked some residents on the way why they didn't come to see a doctor in your tent."

Zhou Mo opened the still hot seaweed and egg drop soup and drank a couple of sips, then said: "They all said that the easternmost tent is a young doctor, and his teacher must have been unable to come due to something, so he was arranged to replace him."

"I also said it was a pit, so I couldn't go there."

Zhou Mo took a bite of the dish, frowned in disgust, and continued, "In the bathroom, I heard someone calling."

"I just heard her say, come quickly, you won't be allowed to ask for leave, and you will come even if you miss work. She also said that this is a rare opportunity for Dr. Yu to diagnose and see a doctor for free. If you miss this village, there will be no such shop."

Zhou Moyu said angrily: "This is either a community worker, or a shaker call from a volunteer."

"Doctor Yu, it will be a while, the residents who go out to see a doctor don't know you, it's normal."

"But it's been a whole morning, and they still don't know you well, so it's not right."

"It can be seen that those staff did not do publicity for you, but it is possible..."

Zhou Mo lowered his voice and said, "Deliberately block the news, or deepen the misunderstanding of you by the residents who see the doctor."

"In this way, they can call their family and friends to ask you to see a doctor."

Yu Zhiming swallowed the food in his mouth, took another sip of seaweed soup, and said with a chuckle, "It's normal to be selfish."

Zhou Mo nodded slightly and said, "That's true, it's not easy for ordinary people to seek medical treatment from you."

"You check your body, but it costs 1 yuan."

Zhou Mo suddenly said with emotion: "I understand why the more upper class people are, the easier it is to succeed."

"Don't talk about resources and connections, just this poor information can benefit them a lot."

"Look, Dr. Yu, the community workers know your abilities, so they got a chance to see a doctor."

"Those residents outside, because of the lack of news, don't know what a precious health opportunity they have missed."

Yu Zhiming smiled and said, "You can't say that."

"The other tents are either chief physicians or deputy chief physicians. They are all clinicians with considerable ability and experience. The diagnostic advice that the residents receive from them may be more professional and accurate than that from me."

Zhou Mo curled his lips and said, "Doctor Yu, it's not that I underestimate their abilities."

"Although they are all director-level doctors, here, without the support of various medical instruments and equipment in the hospital, their diagnostic ability is not as good as yours, even the little finger."

"They are used to ordering patients to do a lot of examinations, and then analyzing the medical treatment mode of the disease through imaging images and analyzing laboratory data."

Yu Zhiming said happily: "Okay, let's eat quickly."

Zhou Mo looked at the boxed lunch he hadn't touched a few mouthfuls, and said critically, "It's so disgusting, I have no appetite."

"You are so hungry! No leftovers!"

Yu Zhiming criticized and gave another order, and then set an example and began to eat.

Zhou Mo had no choice but to silently recite a few times that this is "the meal made by my aunt", and then resolutely ate it...

After the break, and a short break of one to two ten minutes, the medical team began the free clinic activities in the afternoon.

Most of the people who came to see a doctor in Yu Zhiming's tent were family members and friends from community workers and volunteers.

Of course, a few community residents with stamped notes came in from time to time.

After three o'clock in the afternoon, a woman's voice came in clearly from outside the tent.

This voice attracted Yu Zhiming's attention.

Hearing this voice, he said, "Let's go in. My friend obviously has something wrong with her body. Please ask Dr. Yu to check her up."

The next moment, a man's voice sounded.

"This free clinic activity is organized by our community in conjunction with Huashan Hospital. It is only aimed at the household registration population in Binhai, and the family life has certain difficulties."

"You and your friend are both registered in other places, so they are not covered by the free clinic."

"You'd better take your friend to the hospital."

Immediately afterwards, the woman's voice sounded again, saying, "To be honest, she is my roommate, and my relationship with her is just so-so."

"I saw that her condition was obviously not right, and I saw that free clinic activities were being held here, so I brought her here to have a look."

"Let Dr. Yu check it out. If it is determined that she has a serious problem, I will immediately contact her colleagues and family."

"Comrade, please be accommodating, please."

The man's voice did not have the slightest warmth: "No, this is a matter of principle, and it cannot be accommodated."

Yu Zhiming, who heard the conversation between the two clearly, frowned involuntarily.

He kept checking the patient with his hand, and said to Zhou Mo: "There are two foreign girls outside, bring them in."

Zhou Mo nodded and gave a hum, and got out of the tent...

Yu Zhiming checked and diagnosed six people one after another, and then saw two young women approaching.

One was a neatly dressed straight-haired woman who looked 25 or [-] years old.

She held a young woman in pajamas and a down jacket with messy hair.

Yu Zhiming noticed that the woman's expression was numb, and her body movements were also a little stiff, as if she hadn't woken up yet.

"What's the matter with her?"

The straight-haired woman leaned forward and said, "Doctor Yu, thank you for letting us in."

She went on to introduce: "Doctor Yu, she is my roommate, she is 22 years old, a college student who just graduated this year."

"Three or four days ago, she said she had a fever and a headache, and then she kept sleeping and didn't even go to work."

"Except for being called up by me to eat and go to the bathroom every day, I basically lie in bed and sleep at other times."

The straight-haired woman hesitated for a moment, then said, "Doctor Yu, I feel that something is wrong with her mental state."

"Ignore me, and don't answer my questions. She was not like this before. She was very cheerful and talkative."

Yu Zhiming let out an oh, and stood up from the chair.

"I'll check her first."

With the help of the straight-haired woman, her roommate lay obediently on the examination bed.

Yu Zhiming came close, and just about to start checking, he found that the woman's breathing became lighter.

It is asleep.

Narcolepsy?
Yu Zhiming read a sentence silently, reached out and pressed the woman's forehead, noticing that she still had a fever.

About 38 degrees.

Yu Zhiming further explored the woman's brain.

Affected by the clutter of the tent environment, Yu Zhiming could only conduct a preliminary exploration of the brain and its main blood vessels.

He found no brain abnormalities.

Then check the neck, breast and heart and lungs...

When examining the ovaries in the woman's abdominal cavity, Yu Zhiming made a major discovery.

Not to mention that the woman's left ovary had grown by one-third, Yu Zhiming could clearly detect the existence of bone substance in the increased part of the ovary.

Is this a teratoma?
Teratoma is one of the common tumors of the female ovary, derived from germ cells, and is a type of germ cell tumor.

Analyzing and testing the resected teratoma, sometimes hair, nails and other bone-like components can be seen.

The essence of teratoma is an embryonic substance that is not fully developed and dies at a very early stage.

After repeated examinations, Yu Zhiming confirmed that the woman's ovarian tumor was a teratoma, and at the same time understood the reason for the woman's symptoms.

She had autoimmune encephalitis.

It is an inflammatory disease of the central nervous system that is primarily associated with an autoimmune response.

The occurrence of this autoimmune reaction is mainly due to the fact that the patient's immune system "distinguishes between friend and foe".

It mistakes its own brain tissue for foreign antigens, produces specific antibodies and immune attacks that "attack" its own brain tissue, and eventually triggers brain tissue inflammation.

Its pathogenic mechanism is unclear, but tumors such as teratomas are one of the causes of the disease.

In the case of the woman, it was her own immune system that first detected the teratoma, and when it launched an attack, it also attacked her own brain.

With autoimmune encephalitis, the symptoms displayed by patients can be described as various.

Mainly cognitive dysfunction, psychobehavioral abnormalities, and seizures with acute or subacute onset.

That is, dementia, memory loss, personality changes, delusions, gibberish, and repeated convulsions appear in a short period of time.

Some patients may experience sleep and consciousness disorders, manifested as sleep cycle disorders, such as not sleeping at night, not waking up during the day, lethargy, coma, etc.

After listening to Yu Zhiming's introduction, the straight-haired woman asked worriedly, "Teratoma, is it cancer?"

Yu Zhiming explained: "No, it's a benign tumor, but it needs surgery."

"It's not a big operation."

Yu Zhiming added, and said: "What you have to do now is to send her to the hospital and contact her family."

The straight-haired woman hummed and said, "Doctor Yu, with your diagnosis, I feel relieved."

"I'll take care of her until her family comes."

Speaking of this, she bowed to Yu Zhiming.

"Thank you, Doctor Yu!"

"You are a rare good doctor..."

Yu Zhiming watched the straight-haired woman leave the tent with her roommate, and went back to work...

With the joint efforts of members of the medical expert team, the residents who came to see the doctor were emptied at 04:30 in the afternoon.

It lasted until [-]:[-] p.m., when the medical free clinic team successfully concluded today's free clinic work.

The team leader and captain ordered the team to return to the hospital.

After Yu Zhiming got dressed, he got out of the tent, and saw a male community worker in his early thirties, trotting over with a woman.

"Doctor Yu, this is my wife, can you please..."

Yu Zhiming remembered this voice.

"After five o'clock, the free clinic is over. This is a matter of principle and cannot be accommodated..."

PS.
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　Ask for monthly ticket support! ! !

　　
　
(End of this chapter)