medical treatment

Chapter 797 Still investigating...

Near noon, Zhou Luo, Shen Qi, Sui Chi, and Duan Yi gathered in an examination room on the second floor of the Department of Cardiovascular Medicine.

Shen Qi took out a folded piece of paper from his pocket, unfolded it, and said, "The correct answers to the types of heart disease for the 11 people we examined this time are on this piece of paper."

After receiving Yu Zhiming's instruction in identifying the heart sounds of three types of heart disease, these guys took advantage of their lunch break to practice.

This is the advantage of working in a large comprehensive hospital. There is basically no shortage of patients of all types, and there are abundant opportunities to practice and broaden your knowledge.

Coupled with the fact that these people belonged to the key care objects of the hospital, the Department of Cardiovascular Medicine directly arranged some patients for the coordination for them to practice.

Shen Qi read the content on the paper first, and then said: "Let me read it, and let's check the answers together."

After a pause, Shen Qi read slowly: "One, three, six, seven, it's rheumatic heart disease."

"Two, five, nine, ten, eleven, high blood pressure."

"Four and eight, dilated cardiomyopathy."

As soon as Shen Qi finished speaking, Duan Yi shouted in surprise at the records in his notebook.

"Oh, oh, I heard four wrong, a total of four. There are so many, it's really bad."

"Hey, how many did you hear wrong?"

"Doctor Zhou?"

Zhou Luo, who was named, twitched the corner of his mouth, and replied slowly with an unnatural expression: "Five, one more than you."

He turned his head and asked again: "Shen Qi, how about you?"

Shen Qi replied softly: "I am also five!"

The next moment, Duan Yi, Zhou Luo, and Shen Qi all looked at Sui Chi.

Sui Chi closed his little notebook, took a light breath, and said with a tense face, "I'm the worst. I made seven mistakes, and I didn't even get half of them right."

Just as Shen Qi was about to comfort him, Duan Yi's lively voice sounded in his ears again.

"Hehe, I didn't expect that I was the one with the best grades."

"Think about it carefully, this is really normal, we girls are more sensitive to voice."

"more importantly……"

Duan Yi shook the brand-new and delicate stethoscope in her hand, showing off: "3M advanced stethoscope, customized version of Ning'an Hospital, said to be worth more than 6 a pair."

She looked at the stethoscope hanging around Sui Chi's neck, and she could see some signs of wear on the earpiece.

"Doctor Sui, your stethoscope is quite old, right? It's time to get a new one. The listening effect will be better."

Shen Qi also tried to persuade him: "Dr. Sui, we really need a better stethoscope."

"It is foreseeable that the auscultation and percussion content that Dr. Yu will teach us in the future will be more complicated and difficult to distinguish."

"We don't have Dr. Yu's super-sensitive hearing, so we can only use a more sensitive external object like a stethoscope to assist us."

Sui Chi took off the stethoscope from his neck, caressed it gently with reluctance and said, "I understand the principle of sharpening one's tools. I will replace it with a new one with better effect as soon as possible."

At this time, Zhou Luo said: "It's almost time for work in the afternoon. Let's quickly discuss where we went wrong..."

The four made a mistake and found a new problem.

With one patient, they all got it wrong.

The answer was rheumatic heart disease, three people heard hypertensive heart disease, and one person judged it to be dilated cardiomyopathy.

Another patient with dilated cardiomyopathy was heard by three people as hypertensive heart disease, and only one person got it right.

Duan Yi blinked and objected: "The possibility that all three or four of us heard it wrong should be very small, right?"

"Do you think the hospital may have misdiagnosed me?"

Shen Qi murmured and said: "This possibility is not ruled out. In this way, let's take a look at the medical records of these two people?"

Zhou Luo and Shen Qi both agreed.

Next, Shen Qi took out his mobile phone and dialed the number of cardiopulmonary expert Dr. Wang Chunyuan, asking for detailed examination information on patients No. [-] and No. [-].

The next moment, Wang Chunyuan's voice came from the mobile phone, "Hey, did you realize something was wrong?"

"It's pretty good."

Shen Qi understood immediately, and asked in confirmation: "Did you deliberately ask someone to give us the wrong answer?"

Wang Chunyuan replied during the call: "Yes."

"Doctors will be disturbed by a lot of misinformation during the diagnosis process. In addition to the ability to distinguish, it also requires confidence in their own judgment."

"Of course, confidence needs to be supported by strength, otherwise it will be arrogance and stubbornness."

After a pause, Wang Chunyuan asked again: "Shen Qi, how many of your heart sound identifications did you get right this time?"

Shen Qi replied: "Among the heart sounds of a total of 11 people, I got three wrong."

Before he finished speaking, he saw Duan Yi shaking two fingers back and forth towards him, and said depressedly: "Among the four of us, the one with the best results is Dr. Duan Yi, and there are two wrong people."

After a moment of silence, Wang Chunyuan's voice sounded from the phone again.

"You are all very good. I can't do this at your age, which also shows that Dr. Yu is even more powerful." "The opportunity to study with Dr. Yu is very rare, you should cherish it and take good care of it... "

At this moment, Yu Zhiming, who had taken a short nap after the meal, had already begun the afternoon physical examination in high spirits.

Lying on the examination bed is a female accountant from the financial department of the hospital. She is 44 years old and has a slightly rich body.

After the inspection, Yu Zhiming didn't find any major problems, but there were two minor gynecological problems that required her to pay more attention in her daily life.

But Yu Zhiming always felt that something seemed wrong.

He looked at the skin of the accountant's exposed neck, and couldn't help but reach out and stroke it again.

Yu Zhiming couldn't help but think of a test by Dr. Chester, the chief diagnostic expert of B. Braun Medical in Germany.

Stroke the tattoo design from the skin.

Of course, Yu Zhiming was sure that the accountant's neck was smooth and fair, and she had no tattoos.

He just remembered that test, which should be related to Dr. Chester's long-term research on diabetes.

Yu Zhiming also knows that in the early stage of diabetes, the blood microcirculation is affected, which will lead to some small changes in the skin first.

In past examinations, Yu Zhiming has examined hundreds of diabetic patients with varying degrees of severity.

He carefully recalled the feeling when his hands touched their skin when he examined them...

Three or four minutes later, Yu Zhiming withdrew his thoughts, his eyes were concentrated, and the scene in front of him was clear, which happened to meet the worried and nervous eyes of the accountant.

"Doctor Yu, did you find something? I've always been timid. My child just started college, so don't scare me."

Yu Zhiming took back his hand and said, "I didn't find any big problems, I just have some doubts."

"Hey, do you usually like to eat sweets?"

The accountant sister pondered and said: "I eat some of this sweet every day. Mainly because a colleague in the office likes to make pastries and will share them every time I make them."

"We don't always eat what others eat. Every once in a while, we make some ourselves or buy some to bring to the office."

"In this way, our office has formed a morning tea time and afternoon tea time to enjoy pastries together."

Speaking of this, the accountant sister also woke up and asked eagerly: "Is my illness related to eating sweets?"

"diabetes?"

People who like sweets may not necessarily get diabetes, it mainly depends on different groups of people.

If some people belong to the high-risk group of diabetes and often eat sweets, there is a high possibility of getting diabetes or accelerating the early arrival of diabetes.

For people who are normal and have no high-risk factors for diabetes, eating sweets will not have a great impact on blood sugar, because the body has the ability to regulate blood sugar normally.

People at high risk of diabetes usually have a family history of diabetes.There are also unhealthy lifestyles, such as frequent overeating, lack of exercise, relatively high life or work pressure, etc. These factors are high risk factors for diabetes.

In addition, the unavoidable increase in age is also a factor in the onset of diabetes.

Generally speaking, it is better to eat high-sugar foods in moderation, especially for elderly people, they should eat as little as possible.

Facing the inquiry from the accountant, Yu Zhiming replied cautiously: "I just have some doubts, I'm not sure. In this case, you go to the endocrinology department for a glucose tolerance test..."

At 05:30 in the afternoon, Yu Zhiming completed his physical examination for the day.

He ignored rest and rushed to the oncology department to participate in an operation for advanced bowel cancer.

The patient was introduced by Dr. Yang Xi, who works in Chuncheng, and is only 29 years old.

Since I had to attend Teacher Qi Yue's medical report meeting starting at 07:30 in the evening, Yu Zhiming was very tight on time.

Accompanied by Zhou Mo, he hurriedly walked into the lobby on the first floor of the oncology inpatient building and was blocked by a person.

Looking at Dr. Feng Haiqing who was blocking him with a serious face, Yu Zhiming frowned and said, "Doctor Feng, if your matter is not urgent, we can discuss it another day. I have to rush for an operation now."

"Doctor Yu..."

Feng Haiqing did not step aside and asked: "I just learned the news that you are discussing cooperation with the Guangshen Deep Blue Medical Technology Research Institute on tumor fluorescence staining."

"I want to know, is this true?"

Yu Zhiming didn't like this person's tone and attitude, so he replied coldly: "Is it true, do I need to report to you?"

Feng Haiqing took a deep breath and said: "Dr. Yu, you and I are colleagues at Huashan Hospital. To the outside world, we are a family. For a family, the elbows cannot be turned outwards, and internal cooperation must be given priority. .”

Yu Zhiming rolled his eyelids, and was about to refute when he heard a burst of chaotic footsteps coming from behind.

He turned around and saw Wei Hao in police uniform, and three unsmiling men in casual clothes striding over.

Just as Yu Zhiming wanted to say hello to Wei Hao, he saw him coming straight to Feng Haiqing.

"Dr. Feng Haiqing, I am Wei Hao, a criminal police officer from the city bureau. There is a case involving you. We need you to come back to the bureau with us to assist in the investigation..."

Next, two plainclothes men grabbed Feng Haiqing, one on the left and the other on the right, and led him outside, who seemed to be frightened.

Wei Hao approached Yu Zhiming and lowered his voice: "In Dr. Cha Yu's car crash case, we accidentally discovered that Dr. Feng has close ties with foreign intelligence agencies."

Yu Zhiming was shocked and asked: "Was the car crash planned by foreign countries?"

Wei Hao shook his head and replied: "Still investigating, we haven't found any concrete evidence of someone planning..."

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(End of this chapter)