A little before 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 eleven people we examined this time are on this piece of paper."
After receiving Yu Zhiming's instructions on how to identify the three types of heart sounds for 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.
In addition, these people are the key care targets of the hospital, so the Department of Cardiovascular Medicine directly coordinated and arranged some patients for them to practice.
Shen Qi first read the content on the paper and then said, "I'll read it and we'll 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, it's dilated cardiomyopathy."
As soon as Shen Qi finished speaking, Duan Yi looked at the records in his notebook and shouted in surprise.
"Oh, oh, I heard four wrong, a total of four. It's so bad that there are so many."
"Hey, how many did you hear wrongly?"
"Dr. 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 around and asked: "Shen Qi, where are 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 deep breath, and said with a straight face, "I was the worst, I made seven mistakes, and I didn't even get half the correct rate."
Just when Shen Qi wanted 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."
"If you think about it carefully, this is really normal. We girls are more sensitive to sounds."
"more importantly……"
Duan Yi shook the brand-new and exquisite stethoscope in his hand and showed off: "3M advanced stethoscope, customized version from Ning'an Hospital. It is said to be worth more than 60,000 yuan per pair."
She looked at the stethoscope hanging around Sui Chi's neck, and she could see some signs of wear on the earpiece.
"Dr. Sui, your stethoscope is quite old, isn't it? It's time to get a new one with better listening effect."
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..."
Four people made a mistake and discovered a new problem.
There was one patient who they all heard wrong.
The answer was rheumatic heart disease, three people heard hypertensive heart disease, and one judged it to be dilated cardiomyopathy.
There was also a patient with dilated cardiomyopathy who was diagnosed with hypertensive heart disease by three people, but only one heard it correctly.
Duan Yi blinked and objected: "The possibility that all three or four of us heard it wrong should be very small, right?"
"You think, could it be that the hospital misdiagnosed me?"
Shen Qi pondered and said: "This possibility cannot be ruled out. In this way, we can ask for the medical records of these two people to come and take a look?"
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. 6 and No. 8.
The next moment, Wang Chunyuan's voice came from the mobile phone, "Hey, did you realize something was wrong?"
"It's very 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 wrong information 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: "In the heart sound identification of a total of eleven people, I made three mistakes."
Before he could finish his words, he saw Duan Yi shaking two fingers back and forth toward him, and said depressedly: "Among the four of us, the one with the best results is Dr. Duan Yi, and there are two wrong ones."
After a moment of silence, Wang Chunyuan's voice rang from the phone again.
"You are all very good. I couldn't do this at your age. This 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 advantage of it..."
At this moment, Yu Zhiming, who had taken a short nap after dinner, had already begun the afternoon physical examination in high spirits.
Lying on the examination bed is a female accountant from the hospital's finance department. She is forty-four years old and has a slightly wealthy body.
After a thorough examination, Yu Zhiming found no major problems. There were only two minor gynecological problems that required her to pay more attention to in her daily life.
But Yu Zhiming always felt that something seemed wrong.
He looked at the exposed skin of the accountant's neck and couldn't help but reach out and touch it again.
Yu Zhiming couldn't help but think of a test by Dr. Chester, the chief diagnostician of B. Braun Medical in Germany.
Touch 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 diabetes research.
Yu Zhiming also knows that in the early stages of diabetes, due to the impact of blood microcirculation, some small changes will occur in the skin first.
In past examinations, Yu Zhiming examined hundreds of diabetic patients of varying severity.
He carefully recalled the feeling of his hands touching their skin when he examined them...
After three or four minutes passed, Yu Zhiming recovered his thoughts, his eyes were focused, and the scene in front of him was clear, and he happened to meet the worried and nervous eyes of the accounting sister.
"Doctor Yu, did you discover something? I've always been timid. My child has just gone to 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 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 and bring them 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 certain people are at high risk for diabetes and often eat sweets, they may develop diabetes or accelerate the onset of diabetes earlier.
For normal people who do not have 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 generally have a family history of diabetes. They also have unhealthy lifestyles, such as frequent overeating, lack of exercise, and relatively high life or work stress. These factors are high risk factors for diabetes.
In addition, the inevitable 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 accountant's inquiry, Yu Zhiming cautiously replied: "I just have some suspicions, but I'm not sure. In this case, you go to the endocrinology department for a glucose tolerance test..."
At 5:30 in the afternoon, Yu Zhiming completed the day's physical examination.
He ignored rest and rushed to the oncology department to participate in an operation for advanced intestinal cancer.
The patient was introduced by Dr. Yang Xi, who works far away in Chuncheng. He is only 29 years old.
Yu Zhiming's schedule was quite tight because she also had to attend Teacher Qi Yue's medical report that started at 7:30 p.m.
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 standing in front of him with a serious look on his 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 going to discuss cooperation with Guangzhou-Shenzhen Deep Blue Medical Technology Research Institute on tumor fluorescence staining."
"I want to know, is this true?"
Yu Zhiming didn't like this man's tone and attitude, and replied coldly: "Is it true? Do I need to report it 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 outward, and internal cooperation must be given priority.
."
Yu Zhiming rolled his eyelids, and just as he was about to refute, 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 civilian clothes striding over.
Just as Yu Zhiming wanted to say hello to Wei Hao, he saw him coming directly in front of 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..."
PS.
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