Yu Zhiming went to the neurosurgery department to perform brain tumor tissue puncture sampling on a brain tumor patient, and it was lunch time.
At one o'clock in the morning, the physical examination and analysis data of Qin Yuan, a patient from the capital, also came out.
The inference of Qi Yue and others is not supported.
Qin Yuan was taken to the examination room again and underwent another examination by Yu Zhiming.
"Dr. Yu, I must remind you that it has been a day."
Yu Zhiming nodded and said: "I know you are pressed for time."
He further explained: "Due to time constraints yesterday, I only examined your internal organs. This time I will do a full body examination on you."
"There should be a result today."
Yu Zhiming pulled out a pair of surgical gloves and put them on, and asked casually: "Mr. Qin, besides eating and drinking, is there anything else you particularly want to do?"
Qin Yuan, who was carried onto the examination bed, said without thinking: "Doctor Yu, you can't eat this and you can't eat that. I have been taboo for more than 20 years."
"Now I just want to eat all the delicacies from all over the world before I die, and I don't think about anything else."
"It depends on how much time God gives me."
Yu Zhiming gently pressed Qin Yuan's head with his hands and began to check.
Qi Yue, Xie Jianmin, and Qin Yuan's family members all exited the examination room to avoid disturbing Yu Zhiming.
Qiao Lei also stood guard at the door of the examination room like a gatekeeper, telling others to stay away as much as possible and to keep quiet...
Cerebral blood vessels, no obstruction.
Although the stenosis of some cerebral blood vessels is close to 50%, considering Qin Yuan's current physical condition, this is nothing...
After Yu Zhiming checked Qin Yuan's head, he then looked down at his neck.
There are no problems with the blood vessels in the neck. Except for swollen lymph nodes, no other tissue abnormalities are found...
There is no abnormality in the arm...
There is obvious muscle atrophy in the legs and feet, and many small crystals are found in the joints, especially on the feet.
Yu Zhiming knew that these were uric acid crystals, commonly known as tophi, which were by-products of Qin Yuan's heavy eating and drinking during this period.
This is no longer a problem for Qin Yuan now...
After Yu Zhiming checked Qin Yuan's front, he didn't find much, so he called Qiao Lei in and turned Qin Yuan over together.
Yu Zhiming began to examine Qin Yuan's spine.
Starting from the cervical spine, he stroked his left hand and slowly moved downward, while his right hand tapped gently...
After moving the thoracic vertebrae, which is the key inspection area, Yu Zhiming slowed down the movement of his left hand, and the tapping force on his right hand also increased a lot unconsciously...
Amidst the knocking sounds and the echoed vibrations, the three-dimensional image of the spine in Yu Zhiming's mind became clearer and clearer.
Especially the details, such as the inner wall of the spinal canal, changed from smooth to concave and convex...
Bump?!
Yu Zhiming's expression was shocked, and he worked hard to immerse himself in the investigation and further refine the details...
At 1:47 noon, Qi Yue, Han Shuo, Xie Jianmin, Wang Zhijin, Wang Zejia and others gathered in the big office to listen to Yu Zhiming's report on the main findings.
"The inner wall of the spinal canal at the second and third thoracic vertebrae is densely covered with a layer of tophi crystals."
"I think they stimulated the spinal cord neurons connected to the intervertebral nerves, causing the patient's persistent chest pain."
Wang Zhijin looked at Yu Zhiming's sketch on the whiteboard, which looked like a layer of mussels attached to the inner wall of the spinal canal.
"Dr. Yu, are you sure it's tophi?"
"Isn't it another growth?"
"You know, it is quite rare for tophi to condense in the spinal canal, and it is still in the thoracic spine."
Xie Jianmin replied for Yu Zhiming: "Although it is rare, it is not unheard of. I have seen similar cases."
Yu Zhiming also explained: "The reason why I think it is tophi is because it gives me the same feeling as tophi found in other parts of the patient."
Wang Zejia also said: "There is a problem. We seem to have no way to determine whether the patient's chest pain is caused by the inner wall of the spinal canal."
"The only way to confirm is to see the recovery effect after surgery."
"However, the patient may not agree."
"This is a surgery to remove the inner wall of the spinal canal. There are certain risks. At least half a month of rest is necessary."
[By the way, the best app for reading and listening to books is currently Yeguo Reading. Install the latest version on yeguoyuedu.]
Yu Zhiming must admit that this is indeed a problem.
Just looking at this thin layer of tophi crystals, it will take a long time, at least several years, to cause enough invasion damage to the spinal cord.
In a few years, Qin Yuan will definitely not be able to survive that time given his current physical condition.
Yu Zhiming estimated that Qin Yuan's body would begin to deteriorate rapidly within half a year at most.
For this uncertain possibility, would Qin Yuan be willing to sacrifice his current healthy half-month to take the risk?
Yu Zhiming looked at Qi Yue subconsciously.
Seeing that others were no longer expressing their opinions, Qi Yue said slowly: "As far as the current situation is concerned, Zhi Ming's new discovery is the cause of the patient's chest pain. I personally think it is a high probability."
"We tell the patients our findings and suggestions. As for the decision and choice, that is the patient's business..."
Qi Yue and Yu Zhiming informed Qin Yuan of today's new discovery.
Qin Yuan struggled for a while and then looked up at Yu Zhiming.
"Dr. Yu, do you think this is the reason?"
"I think so!"
Yu Zhiming replied and added: "But I can't give you a 100% guarantee."
"Because we can't do verification except surgery."
Qin Yuan was silent for a moment and suddenly asked: "Doctor Yu, how is your luck?"
"Luck?"
Yu Zhiming repeated the sentence and said with some embarrassment: "Well, I don't know if my luck is good or not."
"You must also know that I had a serious accident when I was a child. I almost died and was blind for several years."
"But since then, it can be considered a good time. Nothing bad has happened again. Overall, it is getting better and better."
"But luck..."
Yu Zhiming recalled: "I rarely found money, and the most I found was twenty yuan."
Qin Yuan chuckled and said: "Doctor Yu, compared to your early sufferings, which are getting better and better, I am your counterexample, which is getting worse and worse."
"So, I trust your judgment, Dr. Yu."
Qin Yuan seemed to raise his voice in order to convince himself.
"I'm going to have surgery."
"This excruciating pain makes me tasteless. It's so damn uncomfortable..."
At five o'clock in the afternoon, Yu Zhiming came to the examination room and found that waiting outside were all women in their thirties and forties.
He also saw Wang Yaxian, Liu Yun, Ding Ye and others.
Yu Zhiming said a simple hello to them and started today's breast cancer screening examination.
His examination was a little slower today, and he didn't finish the examination until nearly 7 o'clock in the evening.
What surprised Yu Zhiming was that five suspected breast cancer patients were detected.
This ratio is somewhat alarming.
"Only five!"
Wang Yaxian took the five schematic diagrams of breast biopsy locations handed over by Yu Zhiming and could not hide her disappointment.
Seeing that Yu Zhiming was puzzled, Ding Ye quickly explained: "Dr. Yu, these fifty high-risk volunteers were screened one by one by Dr. Wang and our Director Liu, together with gynecological experts from other hospitals, from thousands of risk groups.
Come out."
"These fifty people were confirmed by them through repeated inspections."
She looked at Liu Yun's warning gaze again and said: "According to our Director Liu's estimate, ten is at least ten."
"It's all possible, and it's not impossible."
After saying this, Ding Ye hid behind Yu Zhiming, avoiding Liu Yun's kick.
Yu Zhiming chuckled and said: "Doctor Wang, Director Liu, ten to one, which shows that your screening is still effective."
Wang Yaxian sighed: "It's just that the effect is too slight."
"Dr. Yu, to tell you the truth, we selected nearly 2,000 people from the accumulated data over the years and screened them through several inspections."
"The fifty people who appeared here have been jointly inspected by Director Liu and I."
Wang Yaxian was shocked and said: "As Dr. Ding said, we all think they may have problems..."
