For Zhou Luo, Shen Qi, Sui Chi and Duan Yi, it was already the third Sunday to sit together in the outpatient and emergency clinics on Sunday to verify what they knew and learned.
Facing the patients assigned to the registration consultation desk, the four of them took turns in charge of asking about the patient's condition.
The other three people observe and can also make additional inquiries.
Then, each person conducts a physical examination such as auscultation, percussion, etc. on the patient to draw a diagnostic conclusion independently.
If the diagnosis results of the four of them are consistent, the attending physician will make a treatment plan based on the severity of the patient's condition, or transfer him to the corresponding department for in-depth examination and treatment.
If the diagnosis results of the four people are inconsistent, they can identify and discuss the symptoms with each other, or issue a checklist and ask the patient to do corresponding examinations. With the support of more disease information, make a diagnosis again until the diagnosis results of the four of them are consistent.
The efficiency of this type of consultation can be imagined.
On the first Sunday, they diagnosed only nineteen outpatients.
By the second Sunday, they had improved their efficiency and diagnosed a total of twenty-three patients.
Although the efficiency was low, it is commendable that the subsequent examinations and treatment results proved that the diagnoses made by the four of them together, no patient was misdiagnosed, and all were correct.
But today, they encountered a challenge.
Facing a male patient, the four guys had been arguing for nearly an hour and still could not reach an agreement.
The patient surnamed Wang is 44 years old, from the suburbs, and is a thin mathematics teacher in an ordinary middle school.
Teacher Wang said that at first he only felt some discomfort in his head and waist.
But as time went by, the pain symptoms all over the body became more and more obvious, especially the pain in the right shoulder joint and chest was the most severe.
Now, he felt as if something was pressing heavily on his chest, and his whole body was very stiff.
When he was teaching students, he seemed to be holding his breath while speaking. In severe cases, when he even raised his hand to write on the blackboard, he was so painful that he almost fainted.
One class would consume all his energy.
Also, I always feel pain everywhere I touch, my whole body is stiff, I feel uneasy, and I also always feel tired, insomnia, and depressed.
Teacher Wang did a series of tests such as urine test, blood test, liver function, CT, and MRI at a nearby tertiary hospital, but no abnormalities were found.
The doctor could not find the cause of the pain, so he only prescribed some anti-inflammatory and analgesic drugs.
Teacher Wang told Zhou Luo and others that he felt that the effectiveness of the painkillers was getting lower and lower...
This is the first diagnosis result given by Zhou Luo, Shen Qi, Sui Chi and Duan Yi.
Four people, there are four answers!
This is the first time this has happened during their collective diagnosis of patients.
The important thing is that they are not very confident in their own diagnosis, but they are even less confident in other people's answers.
The result of some heated discussions and disputes was that these four guys became less confident in their own diagnosis, and they even less recognized the opinions of the other three.
Because the various physical examinations done by Teacher Wang in other hospitals were already quite complete and complete, the four of them could not just rely on some speculation and ask Teacher Wang to do more in-depth and more expensive special examinations.
Especially the opinions of the four of them were not even consistent.
They should try their best to avoid ineffective physical examinations, which not only saves patients money, but also exercises their own judgment.
"Okay, okay, it's been nearly an hour."
Zhou Luo glanced at the time on his watch and said: "There will be no better results if the dispute continues. Judging from the current situation, without new confirmed symptoms and information, it will be difficult for us to change our views."
"Now there are two solutions. One is to ask Teacher Wang to do a special physical examination to provide new supporting data for our respective diagnoses."
"The second is to shake people off and ask seniors for help."
Duan Yi reminded: "It's already past five o'clock now. If we go for a special inspection at this time, it will probably be too late, and there is a big possibility that we will spend a lot of money."
"I agree with shaking people."
"Who are you just shaking? Can't you shake Dr. Yu?"
Zhou Luo shook his head and said: "We can all see that Dr. Yu's workload in the hospital is very heavy every day."
"Sunday rest time is precious. Teacher Wang's condition is not an emergency, so we shouldn't disturb Dr. Yu."
After a pause, Zhou Luo analyzed: "As far as Teacher Wang's situation is concerned, it is definitely a difficult and complicated disease."
“In addition to our center, the only ones who are good at diagnosing and treating difficult and complicated diseases are the Department of Rheumatology and Immunology and the Department of Neurology.”
"Check which chief physicians are on duty in these two departments today..."
At 5:30 in the afternoon, the Yu family had dinner, a hot pot based on fresh mutton.
Zhou Mo kept eating with chopsticks, exclaiming that it was delicious.
"Where did you buy this mutton? Is it imported from abroad? It's delicious and doesn't have any fishy smell."
Qing Ning chuckled and said, "It's not foreign. It's said to be the Tan sheep raised on the desert saline-alkali land in northern my country. It's quite famous."
Zhou Mo saw that there were fresh ingredients such as Northeastern Hericium and Southern Boletus on the dining table. He said with emotion: "Famous doctors are really good. There is an endless supply of precious ingredients from all over the world."
Yu Zhiming glanced at this guy and explained: "This is not the benefit of being a famous doctor, this is the benefit of being rich."
"The ingredients on this table are not given by others, they are all bought with our own money."
"With your family's financial strength, you can afford it."
Zhou Mo sighed softly: "Although my food is not bad, it is more than one level behind yours."
"Relatively speaking, my mother is quite frugal."
Qing Ning smiled and said, "Zhi Ming doesn't have any other money-burning hobbies. He only has requirements for food. Naturally, he has to strive for excellence in his diet."
Zhou Mo nodded and said: "This is what it should be. If you make so much money in a month, you can't just make it and not spend it."
She asked jokingly: "Dr. Yu, aren't you troubled by the fact that you make so much money that you can't spend it all?"
Yu Zhiming sighed softly and said: "What's the trouble? Watching the balance number on the bank account keep getting bigger and longer, it will only make you more and more satisfied and at ease."
Zhou Mo pretended to be pitiful and said: "It's so irritating to compare people to each other. My six-digit password only protects a five-digit deposit."
Qing Ning said with a smile: "You don't have to buy a house or a car, and you don't have to save a dowry for yourself. As long as the bank balance is positive, it's a victory."
At this time, Yu Zhiming's cell phone rang.
It's Gu Qingran calling.
"Zhi Ming, three things."
Gu Qingran said methodically on the phone: "First, the biomaterials expert from Germany, Dr. Tang and others said that it was time to do CAR-T treatment if we couldn't delay any longer."
Yu Zhiming said softly.
Gu Qingran continued: "The second thing is that there are two more disease information in my mailbox. One is a computer expert and the other is a composite materials expert."
"Did the relevant departments send it to you?" Yu Zhiming asked.
Gu Qingran hummed on the phone and said, "This time, I don't plan to go over and persuade you myself."
"Please ask the overseas employees of Ning'an Group to help deal with it."
"The third thing is that the doctor who returned to the island country finally contacted me and said that he had contacted two cancer patients, but only found three ginseng trees that were over 50 years old."
"He asked, could he send the patient for treatment first? With successful cases, it would be much easier for him to contact new patients or find wild ginseng."
Yu Zhiming nodded and said: "You can pay it first. No new ginseng has come in for a while, so three ginseng is considered a lot."
"There is a saying that goes well, it's safe to leave the bag behind..."
After seven o'clock in the evening, after having dinner, Yu Zhiming received another call from Zhou Luo.
"Doctor Yu, we were in the outpatient and emergency department today and encountered a very difficult patient. The four of us couldn't reach a consensus, and even after calling in foreign aid, we couldn't make a diagnosis for the time being."
"Doctor Yu, can you please take a look at me tomorrow?"
Yu Zhiming replied readily: "Okay. Let me take a look at the condition of the patient who can trouble the four of you..."
After ending the call with Zhou Luo, Yu Zhiming's cell phone rang again before he put it down.
It was another call from Dr. Dong Zhe of Xiehe Hospital.
"Dr. Yu, I'm sorry to bother you again, but it's the same elderly pregnant woman I mentioned this afternoon."
Dr. Tung explained on the phone: "The doctors at Hong Kong Island Sanatorium and Hospital gave her a comprehensive examination and comprehensive assessment. They believe that the risk of traveling north to Binhai is quite high given her current condition."
"The patient offered to pay you five million for your hard work."
Yu Zhiming replied: "Dr. Dong, this is not about money. My work schedule is very tight and I can't spare two days of free time in a short period of time."
"Also, my situation is not suitable for traveling long distances."
As soon as he finished speaking, an awkward Mandarin without straightening his tongue came out from the phone.
"Ten million! Ten million! Doctor Yu, I'll buy you two days. Is that enough?"
Yu Zhiming rolled his eyelids and said, "I told you, this is not about money."
"Twenty million!"
Yu Zhiming could tell that the awkward Mandarin spoken on the phone was already mixed with some impatience and anger.
"Plus a favor from me."
"Dr. Yu, I am well-known in Hong Kong Island and can speak some words. If you have something that you can't handle in Hong Kong Island in the future, I will try my best."
"Dr. Yu, I rarely give favors to others. This cannot be bought with money and connections."
The other party's words gave Yu Zhiming a feeling.
That is, I have given enough sincerity, so if you don't know how to flatter me, you will be fined if you don't drink the toast.
The other party was once the big brother on the road?
Yu Zhiming has heard of and seen Hong Kong's Young and Dangerous and gangster movies.
Yu Zhiming smiled softly and said, "That's the same, it's not about money."
