Monday is a busy and hard-working day for Yu Zhiming, but it is also a day full of challenges and rewards.
Because Yu Zhiming doesn’t know what kind of physical abnormality the next registered patient will come to him with.
After examining the abdominal cavity of a 43-year-old man who complained of constipation, bloating and abdominal pain, he once wondered whether his exploratory technique was malfunctioning.
Yu Zhiming suddenly discovered that the internal organs in the man's abdominal cavity were like a large car accident scene, a mess.
The liver-diaphragm space disappears, the spleen-diaphragm space disappears, the intra-abdominal omentum is wrapped in a ball, and the entire small intestine is also covered by the omentum...
This is the first time Yu Zhiming has seen this situation.
He had no clue for a moment and quickly asked for help.
Contact Dr. Cui Zhitan of the Department of General Surgery by phone.
The call was successfully connected, and Yu Zhiming informed Dr. Cui of his findings.
After a moment of silence, Dr. Cui's voice slowly came from the mobile phone.
"Dr. Yu, based on what you said, I highly suspect that the patient has abdominal cocoon syndrome."
"Abdominal cocoon?"
Yu Zhiming repeated it and said: "This is quite vivid. The organs in the patient's abdomen really seem to be wrapped in layers of nets."
Dr. Cui told Yu Zhiming on the phone: "This is a rare intestinal obstruction. It has several official names, such as congenital small intestinal confinement syndrome, small intestinal cocoon syndrome, intracapsular adhesive intestinal obstruction and small intestinal segmentation."
"The typical feature of this disease is that the small intestine is wrapped in an abnormal fibrous membrane, just like a cocoon made by a bug, so it is also vividly called abdominal cocoon syndrome."
After a pause, Dr. Cui continued: "This disease requires surgical treatment."
"Doctor Yu, please transfer that patient to me, and I will also ask the student assistants to broaden their horizons..."
Yu Zhiming wrote a referral form for a man with a rare disease, and after sending him away, another couple who looked to be in their early twenties met.
The young man sat in front of Yu Zhiming.
Yu Zhiming glanced at him and found that he was quite fair and delicate, and his skin was quite delicate.
"What's wrong with you?"
Yu Zhiming asked, and found that the man's face turned red immediately, and he hesitated and couldn't say a whole word.
Just as Yu Zhiming was about to urge him, the pretty woman beside him suddenly spoke.
"His breasts are big, bigger than mine. Doctor Yu, please check if there is anything wrong with them?"
Yu Zhiming glanced at the man's chest. He was wearing a lot of clothes and couldn't see anything at the moment.
"Are you sure your breasts are big and not the pectoralis major muscles?"
Yu Zhiming asked casually, and then took a special look at the man's Adam's apple.
There is an Adam's apple, but if you don't pay attention, you really can't see it.
The woman, who was still a woman, replied: "Dr. Yu, there is no way he has pectoralis major. I have also touched men with well-developed pecs, and they feel completely different."
Yu Zhiming said oh and directly ordered the man: "I need to take a look and check."
Seeing that the man was not moving, Yu Zhiming said with a serious face: "I am a doctor, I have never seen anything, so hurry up."
Under Yu Zhiming's urging, the man finally took off his clothes slowly.
When he untied his clothes, what he saw in front of him really surprised Yu Zhiming.
As Yu Zhiming, who is good at breast examinations, he has seen quite a lot of breasts.
However, men with breast development, objectively evaluated, really crush many women in terms of size.
This makes Yu Zhiming and secretly claim to be strange.
Gynecomastia is generally a clinical condition caused by physiological or pathological factors that cause an imbalance in the ratio of androgens and estrogen, resulting in abnormal development of male breast tissue and abnormal proliferation of breast connective tissue.
Judging from this man's delicate facial features and delicate skin, he must be secreting too much estrogen.
Next, Yu Zhiming put on surgical gloves and started doing breast examination...
No problem was found, the breasts are normal!
But for a man, it must be abnormal for his breasts to develop so vigorously.
Yu Zhiming pondered and said to the man: "In your case, it is obviously excessive estrogen secretion."
"Judging from your breast development, your situation of excessive estrogen secretion has lasted for a long time, at least since puberty."
"I suspect there is something wrong with your pituitary gland, which controls hormone secretion!"
"In this case, you go for a pituitary gland MRI."
Yu Zhiming gave the man a check-up list, and after sending the young couple away, a new registered patient was welcomed...
At 12:10 noon, Yu Zhiming and the head nurse Zhan Qi had lunch together in an office of the outpatient and emergency department.
The meals were naturally prepared by Zhan Qi.
"Sister Zhan, do you work in the outpatient and emergency department?"
Zhan Qi replied softly: "The handover has been made clear. I will just guide you hand in hand in the next few days and that will be fine."
She chuckled again and said: "When I leave, I give others a chance."
"The head nurse is also a carrot and a trap."
"If the relationship is not very strong, and qualified nurses want to be promoted to head nurse smoothly, they can only actively apply to work in difficult departments such as outpatient and emergency departments."
Yu Zhiming knows that large hospitals with a long history like Huashan Hospital have full staff.
You can only move one in front and make up for one in the back.
Fortunately, the doctor said that as long as you have outstanding abilities and make outstanding achievements, there are many opportunities for exceptional promotions.
Like nurses, many people can only go through qualifications step by step and wait patiently for the opportunity.
Zhan Qi asked casually: "Dr. Yu, are you familiar with the more than 20 nurses in the center?"
"Is there anyone with a stronger personality that I need to pay special attention to?"
This...
Yu Zhiming is really hard to answer.
Although he has been coming to the center for three or four months, he really doesn’t know much about the nurses at the center.
Let's talk about it, there are even several nurses, and Yu Zhiming can't even match their names and names.
When Zhan Qi saw Yu Zhiming's expression as he was lost in memories, he knew he had asked the wrong person.
She smiled and said: "Dr. Yu, don't think about it."
"You have a special status in the center. If you have anything to do, you can just give it. You will not pay attention to the name and personality of the nurse, and the nurse will not dare to cause trouble for you."
"Young doctors who have just joined the job have to fawn over the nurses every day."
This made Yu Zhiming couldn't help but smile.
Nurses are responsible for carrying out medical orders.
Due to their own experience and ability limitations, young doctors sometimes have problems when prescribing and issuing medical orders.
When nurses check and execute medical orders, they can avoid medical accidents by discovering problems in time.
If young doctors and nurses have a good relationship, these problems can be solved quietly and privately.
If the relationship is not good, the nurse will directly report the problem to the superior doctor.
The evaluation of young doctors will be very ugly.
Also, although the status of doctors in the hospital is more important, in terms of management, doctors and nurses are not subordinate to each other.
Strictly speaking, there is no superior-subordinate relationship between doctors and nurses in a department.
In actual work, which party is more powerful depends on individual abilities, qualifications, etc.
Yu Zhiming has seen it more than once. The senior nurses trained the residents and attending physicians so bloody that they did not dare to refute a word.
As for Yu Zhiming, his status in joining the job is extraordinary, and now he is someone even the dean must be careful about.
Unless a nurse doesn't want to do it, she won't provoke him deliberately without opening her eyes...
After four o'clock in the afternoon, the young couple from the morning came to see Yu Zhiming with the MRI images.
Although Yu Zhiming is not very proficient in interpreting images, he can still see it from the pictures.
There is indeed something wrong with the man's pituitary gland. It seems to be a pituitary gland tumor.
He issued a referral form and asked the man to go to the neurology department for further diagnostic examination...
Just when Yu Zhiming finished today's outpatient work, he received another call from Dr. You Weixian.
"Doctor Yu, he is still alive."
When Yu Zhiming heard this, he remembered that Dr. You was talking about the young man who was shot in the head by an arrow.
"Dr. Yu, in the past forty hours or so, he has experienced high fever and cerebral edema, but he is still alive."
"Now we have finally reached an inflection point. Various physical indicators are improving, and cerebral edema has also subsided."
"Dr. Yu, he is very likely to survive."
Yu Zhiming said with sincere joy: "Doctor You, this is a miracle, a miracle of life."
"Yes, this is the miracle of life."
You Weixian said with emotion: "Life is both fragile and extremely strong, and it will always surprise us from time to time..."
After finishing the call with Dr. You, Yu Zhiming also came to the small building of the center and started the physical examination of volunteers for the very early cancer project without stopping.
One hour and twenty minutes later, Yu Zhiming finally completed the whole day's work.
He began to shake his arms, twist his waist, and kick his legs to dispel the fatigue and discomfort in his body.
"Doctor Yu..."
Yu Zhiming followed the sound and saw Qiao Lei looking at him pitifully.
He rolled his eyelids and said with a look of disgust: "Wait a minute, I'm going to go to the general surgery department for a tour."
Zhou Mo on the side said enthusiastically: "I'll go too, I'll go too..."
