The most enlightened doctor
Chapter 1341: Differences in Thinking Styles
American patient Da Costa was a little disappointed that Yu Zhiming only gave him an uncertain diagnosis.
However, given Yu Zhiming's past record, he still wanted to give this trial-and-error treatment a try.
It was just that Yu Zhiming's words were serious. If they were true, the disease would flare up violently and could be life-threatening, which made Da Costa extremely cautious again.
Although this country had a man named Yu Zhiming who could even treat advanced cancer, Da Costa still looked down on the medical level here, at least it was far behind that of the United States.
He thought for a while and said, "Doctor Yu, you said that this trial and error treatment will be extremely dangerous if it is successful. To be on the safe side, I would like to ask you to go to the United States to do this trial and error treatment on me."
Yu Zhiming refused and said, "Sorry, I can't take a long-distance flight due to my physical condition, and time does not allow it."
Director Chen of the Trauma Surgery Department of the Fifth Municipal Hospital, who accompanied Da Costa, no longer kept quiet and persuaded him, "Mr. Da Costa, Doctor Yu has the ability to see the big picture from the small details. When the disease is severe, he can detect various subtle changes in the body and make targeted treatment adjustments."
"With Doctor Yu supervising the treatment process, the risk will be much lower, and even if there is a fatal danger, it can be turned into a safe place."
Mr. Da Costa asked in disbelief, "Didn't even Doctor Yu admit one thing, that he is only good at finding problems, not solving them?"
He went on to say, "The United States has the most advanced and sophisticated medical instruments and equipment in the world. It should be easy to monitor changes in the body."
Seeing that this guy was more willing to believe in cold instruments and equipment, Director Chen stopped persuading him.
If they are not close relatives or friends, they can be persuaded appropriately.
As for Yu Zhiming, he will not persuade him vigorously, but only give suggestions, adhering to the principle of making his own decisions for his own life.
Seeing that Yu Zhiming refused to go to the United States, Da Costa finally politely said that since it might involve life and death, he needed to think seriously, and then left the soundproof examination room.
Yu Zhiming continued his interrupted outpatient work until nearly six o'clock in the evening before he finished today's work.
He left the soundproof examination room and walked a few steps into the ordinary examination room diagonally opposite, and found that Zhou Luo, Qiu Yi, and Gong Yue, who participated remotely, were still discussing the condition of the father of the woman who wanted to sell her body.
Zhou Luo reported: "Teacher, five possible diseases such as polio have been ruled out. We are increasingly inclined to believe that it may be some kind of mutant super virus."
The so-called super virus does not refer to a new virus, but a general term for viruses that are multi-drug resistant, very difficult to treat, and highly dangerous.
Yu Zhiming looked at the names of various diseases on the whiteboard that were crossed out or marked with question marks, and said: "From the information on the whiteboard, you have made a lot of bold assumptions."
"However, in my opinion, you obviously missed something and are not bold enough."
"What is missing?" Zhou Luo, Shen Qi, Sui Chi, Qiu Yi, and Gong Yue asked almost in unison.
Yu Zhiming said slowly: "We all know that this patient's condition has been going from mild to severe for more than a month."
"If the patient's condition only lasted for three or five days, what else do you think is possible?"
"The condition only lasted for three or five days?" Zhou Luo, Qiu Yi, and others murmured in silence.
The next moment, Qiu Yi's eyes lit up and he said, "Rabies!"
He said loudly, "Rabies paralysis patients do not have typical excitement periods and hydrophobia."
"It usually starts with high fever, headache, vomiting and other symptoms, followed by limb weakness, abdominal distension, ataxia, muscle paralysis, incontinence and other symptoms, which are 70% similar to the symptoms of this patient."
Zhou Luo questioned, "But teacher, once rabies attacks, the mortality rate within seven days is as high as 100%."
"This patient has been ill for more than a month, and he is still alive now."
Yu Zhiming said softly, "Since you have made bold assumptions, you shouldn't be afraid of a little inconsistency. So rabies, which has similar symptoms, was ruled out directly. "
After a pause, he slowly said, "Of course, I must admit that the possibility of this patient getting rabies is very small, but is there really no possibility at all?"
"The complexity of individuals and the mutation of rabies virus, is there really no possibility at all?"
Yu Zhiming said again, "You should know that there are exceptions to AIDS, which is generally recognized as incurable. Two AIDS patients have been confirmed to have recovered for unknown reasons."
Seeing Zhou Luo, Shen Qi, Sui Chi, Qiu Yi, and Gong Yue on the tablet computer all nodding like they were taught, Yu Zhiming felt a sense of accomplishment as a teacher.
In fact, last night, Yu Zhiming saw that the patient had been suffering for more than a month, and he also ruled out rabies as a matter of course.
Just now, Yu Zhiming saw that there were many diseases written on the whiteboard, but there was no rabies, so he took the opportunity to bring up rabies.
Of course, he didn't think the patient had rabies in his heart.
"Have you done a rabies check?"
Zhou Luo shook his head and said, "Not only us, but also the several hospitals that treated the patient have ruled out this possibility."
Yu Zhiming said seriously, "At this point, since there is still no clue, any possibility, even a small one, must be ruled out in substance, rather than ruled out by assumption."
Zhou Luo nodded and said, "Yes, teacher. I will contact the hospital where the patient is and ask them to do a rabies test."
Yu Zhiming hummed with satisfaction and said, "You can continue the discussion. If you still have no clue by tomorrow morning, let the family members send the patient to us."
After Yu Zhiming confessed this sentence, he left the general examination room like a teacher.
Qiu Yi withdrew his gaze from the closed door, took a deep breath, and said with emotion: "I learned from Dr. Yu again. This is not a gap in wisdom, but a gap in the way of thinking."
"Since it is a difficult and complicated disease that several of us have been thinking about to no avail, we really shouldn't rely on one or two so-called impossibilities to rule out some possible diseases for granted."
"With billions of people, the diversity and complexity of people, and the variability of disease development, nothing is impossible."
Zhou Luo and Gong Yue had expressions of approval on their faces...
Yu Zhiming, who returned to the soundproof office, said to Zhou Mo, who had followed him in: "I found that I forgot one thing. Please help me think about it, how to arrange the order of students for Zhou Luodingye and the five of them. Who is the senior brother?"
Zhou Mo sighed softly and said, "Doctor Yu, Zhou Luo is very concerned about the position of this senior brother. As for Ding Ye and Sui Chi, they are also a little concerned, but not as much as Zhou Luo."
"How about you let them compete to see who is the most powerful and who should be the senior brother?"
Yu Zhiming glanced at her and said, "It's not easy to compete. They all have their own strengths. It's hard to design the test questions. A bad one will show that I'm biased."
He then asked: "What's wrong with you?"
Zhou Mo replied: "Dean Gu called and said that Dr. Wang Yan has arrived in Binhai. He also said that if it is convenient for you, the meeting can be arranged tonight..."
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