The most enlightened doctor

Yu Zhiming arrived at the Zhizhen Building of the hospital at about the same time as usual and met Dr. Luo Yu who was waiting in the big office.

Next to him was a middle-aged man in his forties who was slightly overweight.

After a brief introduction, Yu Zhiming did not let the other party wait too long. After a little preparation, he examined Luo Yu's friend in the soundproof office.

"Your heart is indeed well taken care of and recovered. This ICD can be removed."

Yu Zhiming gave the results of the heart examination, but then said: "You have a foreign body in your stomach. It is recommended that you do a gastroscopy."

"Foreign body? It can't be a stomach tumor?" Luo Yu's friend immediately became nervous.

Luo Yu quickly comforted him, "It's not a tumor. Foreign bodies in medicine refer to foreign objects."

"Think carefully about the past few days. Have you eaten anything difficult to digest or strange?"

Luo Yu's friend frowned and said, "It's all ordinary food. I'm not a little kid who can stuff everything into my mouth."

Luo Yu said, "Doctor Yu's exploration will not be wrong. You must have eaten something you shouldn't have eaten."

"Clean your stomach from now on. You should be able to do a gastroscopy before you get off work in the afternoon..."

Friday is a regular physical examination day. Yu Zhiming will first give a physical examination to 20 people from the donation unit.

At nearly 9:30 in the morning, a man in his fifties who looked very stylish walked into the soundproof examination room.

"Doctor Yu, I have had several attacks of nausea every day during this period. I have been treated several times but it has no effect."

Generally speaking, when you come to Yu Zhiming for a physical examination, you don't need to order food, but specifically indicate that you have any discomfort.

He will check you from head to toe and will not miss the relatively obvious lesions in the body.

However, to be on the safe side, Yu Zhiming would ask Zhou Mo or the nurse who was maintaining order outside to remind the people in line for the physical examination.

If you have any discomfort symptoms that have been treated in other medical institutions without success or the cause of the disease has been repeatedly undiagnosed, it is best to say so.

After all, the effects of an assembly line-like examination and a careful examination are slightly different.

Even Yu Zhiming, who has always been serious and responsible, dare not guarantee that there will be no naps or negligence in the repetitive rapid examinations like an assembly line.

After listening to the other party's story, Yu Zhiming nodded, indicating that he understood, and pointed to the examination bed.

Seeing this, the stylish man did not say anything more and lay down on the examination bed swiftly.

Yu Zhiming completed a physical examination of this person, which took more than seven minutes, more than one minute longer than the examination of others.

The main reason was that Yu Zhiming found no other major findings in this person except for the cardiovascular and cerebrovascular problems common in his age group and some minor gastrointestinal problems.

"When do you feel nauseous?" Yu Zhiming asked.

There are too many reasons for nausea.

Nausea can be caused by diseases of the digestive tract, vestibule, nervous system, and systemic diseases.

Certain drugs, life stimulation, environmental stimulation, and psychological factors can also cause nausea.

Yu Zhiming couldn't find out the factors that caused the nausea of ​​the man in front of him, so he needed to ask to narrow down the cause.

The stylish man said: "There is no regular time. It can happen before, during, or after meals."

"On average, it happens two or three times a day."

After a pause, the stylish man added: "It has lasted for one or two months. Every time the nausea symptoms appear, it lasts for three to five minutes, or even more than ten minutes before it subsides."

"It's very uncomfortable."

Hearing this, Yu Zhiming interrupted and said: "Well, don't go back yet, just stay in Zhizhen Building. When you feel nauseous again, come to me as soon as possible..."

After the stylish man left, Yu Zhiming continued his physical examination, but he didn't see the man come back until lunch time.

Throughout the morning, Yu Zhiming did not find any other interesting cases worth exploring except the stylish man.

He has already noticed that his desire to explore new things is getting stronger and stronger.

This is not a very good mentality, because more than 99% of the patients have common diseases and relatively common diseases.

For these diseases, a large part of the treatment is just symptomatic relief and supportive treatment, and they finally rely on the body's self-healing ability and resistance to get through. So far, there is no targeted special medicine that can cure the disease.

The best example is the most common disease in daily life, the common cold.

However, the common cold is the process of the human immune system fighting and adapting to the external environment and the common cold virus. Frequent colds are a warning from the body's low immunity.

From this perspective, if a special medicine for the common cold is really invented, it may not be a good thing.

Yu Zhiming thought that perhaps he could try to tackle some special treatments for viral diseases and inflammatory diseases.

For example, pneumonia, vasculitis, etc.

If we find effective treatments for these diseases, it will benefit tens of thousands of patients, which is much better than treating a few patients with difficult and complicated diseases.

But Yu Zhiming is still in the learning and growth stage, and needs to accumulate experience and gain more knowledge.

He thought that after a few more years of accumulation and precipitation, he would settle down and do some basic disease research...

During lunch, Yu Zhiming received a call from Gu Qingran, and was told that Feng Mo from the Fifth Municipal Hospital was willing to come to Ning'an to work.

"Feng Mo from the Fifth Municipal Hospital? Oh, trauma surgery, I remember him, a pretty good guy."

Gu Qingran chuckled on the phone and said: "It is because he and you have had some interactions and you recognize him that Ning An invited him with great sincerity."

"I originally thought that after he came to Ning An, he would be placed in Huashan Trauma Surgery for a period of time, and you should give him more experience and opportunities to improve himself."

After a pause, Gu Qingran said on the phone again: "When Feng Mo contacted me this morning, he said that he was willing to give up several of the employment conditions given by Ning An, and only asked Zhiming to help."

"What help?" Yu Zhiming asked.

Gu Qingran introduced on the phone: "An American patient said that he had migratory pain in his body and had not received effective treatment. He wanted to ask you to diagnose and treat him."

Yu Zhiming asked curiously: "How did he get involved with an American patient?"

"I asked, and the American patient was related to his department director, and it was the department director who persuaded him to accept Ning An's invitation."

Gu Qingran explained, and then said sarcastically: "I guess, the department director is nominally for Feng Mo's good, wanting him to get better development, but in fact it should be for the benefits promised by the American patient."

"I think Feng Mo should also understand this."

Yu Zhiming chuckled and said: "Everyone is busy and busy, it's normal."

"Agree, it's worth it to use this condition to exchange for a loyal Feng Mo..."

After lunch, Yu Zhiming just lay on the sofa bed for a nap, and Zhou Mo pushed the door in.

"Doctor Yu, the patient said he was having a nausea attack..."

Yu Zhiming quickly asked the nauseated man to come into the office and examine him on the multifunctional examination chair.

After a check, Yu Zhiming found that the man's intestines were actually twitching slightly.

This was different from normal intestinal peristalsis, but was twitching very regularly. Although the amplitude was not large, Yu Zhiming could feel it clearly.

Regular twitching? !

This made Yu Zhiming think of a possibility, and asked the stylish man to do a brain and spinal cord discharge examination...