The most enlightened doctor

Time flies by like a white horse, and it’s busy Monday again.

Yu Zhiming arrived at the Zhizhen Building of Huashan Hospital at about the same time as usual, and immediately went into work, examining and diagnosing patients registered in the outpatient clinic.

Busy until 12 noon, Yu Zhiming finished his morning work and came to the big office, where he met Qin Jingmo who was waiting.

"That patient..."

Qin Jingmo, who had neatly cut short hair and a decent slim casual suit, looked very capable, replied first: "On the way, expected to arrive at 1:30."

"I have already told you that abstaining from food and drink will not affect tonight's surgery."

Yu Zhiming let out a light oh.

Qin Jingmo said with another smile: "Dr. Yu, congratulations on your successful completion of a heart cleaning operation, which has created a new way for the treatment of severe coronary heart disease."

Yu Zhiming said modestly: "The success of that operation was due to luck. It is premature to say that it opened up a new way."

Qin Jingmo smiled and said: "What Dr. Luo said in the circle of friends is more optimistic than what I expressed!

Yu Zhiming smiled and said, "Let's talk about the patient's surgical plan."

"Okay! Doctor Yu, look..."

Qin Jingmo took a few steps to the viewing lamp, pointed to the five sets of brain MRI images above, and introduced: "Here, here...and this, I have designed a total of five radioactive particle rod placement points, and also There are corresponding puncture paths.”

Yu Zhiming discovered that these five particle rod delivery points were all concentrated in the western half of the skull base tumor.

"Do you want a second surgery?"

Qin Jingmo said excitedly: "The particle rod worked normally, the tumor collapsed, and the pressure on the brain was squeezed. Everything is as I expected, and the difficulty of the operation will be reduced by 20 to 30%."

"If the operation goes well, the patient's life will be extended by five to ten years, or even longer."

After a pause, she said frankly: "This is the inspiration I got from Dr. You Weixian's surgery case."

Yu Zhiming asked: "How sure are you?"

Qin Jingmo replied softly: "The changes in the tumor are in line with expectations, and there is a 30 to 40 percent chance of a successful operation."

She hurriedly explained: "Based on the complexity of the patient's skull base tumor, the possibility is 30% to 40%, which is not low."

"The patient also agreed to my surgical plan."

Yu Zhiming asked with an unchanged expression: "If the tumor changes do not meet expectations, how much longer can the patient's life be extended?"

"Also, if you only perform radioactive particle rod implantation surgery without considering secondary surgery, how much longer can you extend the patient's time with your ability?"

Qin Jingmo met Yu Zhiming's burning eyes and said with a somewhat evasive look: "The tumor has not changed as expected. If it is inoperable, it can probably be extended for half a year to a year."

"It is only a particle rod implantation surgery. It needs to be implanted in eight places. It is expected to extend by two to three years."

Seeing her like this, Yu Zhiming knew that she was a little dishonest, and he probably had some guidance on the data issue.

Because this life span is all "expected" and no one can make a 100% judgment.

Some doctors can be ambiguous about the data and induce patients to choose the treatment plan they want.

For example, life expectancy can be extended by five to ten years after a successful second surgery.

Patients will remember it for ten years.

Because when it comes to their own situation, patients always tend to think about the good and think that they are the lucky one.

This ten-year life span is more attractive than two or three years, but it ignores the prerequisites and huge surgical risks.

Yu Zhiming warned: "Dr. Qin, I have many partners to choose from..."

Qin Jingmo responded first again: "Dr. Yu, I understand, so this time, I worked at my best."

"The five particle rod implantation points and the puncture path were determined by me thinking repeatedly over the past few days and discussing with the teacher many times."

Qin Jingmo said: "I have confidence in the second surgery. I also hope to continue to cooperate with Dr. Yu for a long time."

At this time, Dr. Qin Qiushi, who had gone to the bathroom or arranged for outpatients to be hospitalized, came back together with Shen Qi and Sui Chi.

Yu Zhiming said: "Dr. Qin, when the patient comes, we will discuss the surgical plan."

"Let's have lunch first..."

After speaking, he turned and entered the soundproof office.

Qin Jingmo, who stayed outside, looked at Qin Qiushi and said with a depressed tone: "After all, I am also the doctor invited by Dr. Yu to cooperate. I came all the way here and it's time for lunch. Why don't you arrange lunch? "

Qin Qiushi laughed and said: "Doctor Yu is very tight at noon. He only has one hour. In addition to eating, he also has to rest and recuperate for the afternoon work. How can he have time to entertain you?"

"Your nephew has already prepared lunch at the rental house. Come on, come back with me to eat..."

After returning to his office, Yu Zhiming took a shower and sat at the coffee table. Just as he was about to have lunch with Zhou Mo, his cell phone rang.

He picked up his phone and saw that it was a call from Wei Hao of the City Bureau.

"Is something wrong?"

"Dr. Yu, I want to congratulate you. You have once again made a great contribution."

"What merit have I accomplished again?" Yu Zhiming, a monk of two feet, was confused.

He did not remember assisting the police in handling cases during this period.

Wei Hao asked during the call: "Yesterday evening, a pregnant woman in labor was knocked down by a dog, causing her amniotic fluid to break. She was sent to Licorice Hall. Did you check her?"

Yu Zhiming hummed and said, "Yes, the pregnant woman only had ruptured amniotic fluid, her body was fine, and the fetus was fine, so she was sent to a nearby hospital for a caesarean section."

"Could it be that the pregnant woman is a criminal?"

Wei Hao said: "The pregnant woman is not a criminal, but a victim."

"Last night at 11 o'clock, she gave birth to a boy by caesarean section, but it was a stillborn baby."

"Dead baby?"

Yu Zhiming was very surprised and asked: "How could it be a stillborn baby? With current medical technology, the possibility of accidents during caesarean section cannot be said to be impossible, but the chance is quite low."

"Let's put it this way, the probability of something happening to the pregnant woman is higher than the probability of something happening to the fetus."

"Officer Wei, what exactly happened?"

Wei Hao did not answer directly during the call and continued to introduce: "The pregnant woman was heartbroken when she learned that she had given birth to a dead baby, but she was also suspicious."

"Because you told her that her baby was healthy. The pregnant woman suspected that the doctor had made a medical error during the caesarean section."

"She asked the nurse to bring the dead baby and examine it herself. After this examination, she found that the dead baby was a little small, weighing only seven or eight pounds."

"The pregnant woman said, Dr. Yu, you clearly told her that her fetus is very big, weighing more than nine pounds if not ten pounds."

Yu Zhiming confirmed: "I did say this."

"But..."

Before Yu Zhiming finished speaking, Wei Hao's voice came from the phone again, "Pregnant women believe that with your ability, Dr. Yu, your judgment will never be wrong."

"So, this dead baby is not her child. Her real child was dumped by the hospital."

"The pregnant woman called the police."

After a pause, Wei Hao continued: "After the police arrived, they learned that this matter involved you, Dr. Yu, and they paid special attention to it. After conducting an investigation, they found something fishy."

"Now this case has been upgraded to an elevated level of investigation, and our city bureau is fully responsible for it."

"It has been preliminarily found that the obstetrics and gynecology department of this hospital also engages in criminal activities such as baby trafficking, birth certificates, and vaccine books."

He continued: "Doctor Yu, the baby that was replaced by the dead baby has been successfully recovered and weighs 9.4 pounds."

"Hey, Doctor Yu, what did you want to say just now?"

Yu Zhiming quickly replied: "It's nothing important."

He then turned around and said, "I never expected that such an appalling replacement of dead babies would happen in Binhai. The sale of babies is really so lawless."

What Yu Zhiming said "but" just now was that his judgment of the baby's weight was just a rough estimate, and the error should be relatively large.

After all, between the belly, uterus, and amniotic fluid, and because Yu Zhiming only made a general inspection, that weight is probably just what he casually said.

It was said that it was not ten pounds but more than nine pounds. In the end, the child weighed more than eight pounds, which should be within the range of Yu Zhiming's estimate.

Unexpectedly, the pregnant woman recognized Yu Zhiming's judgment and concluded that the child was not hers.

Unexpectedly, this is actually the case.

Yu Zhiming also didn't expect that the estimate he made casually was actually quite accurate.

Perhaps his understanding and mastery of the baby in his belly has reached a state of perfection?

This incident also alerted Yu Zhiming.

Today, in the eyes of many people, he is a medical expert and an absolute authority.

A word said casually may be regarded as fact and standard by patients and some people.

"You should pay more attention in the future and be cautious in your words and deeds."

Yu Zhiming muttered in his heart, and then heard Wei Hao continue: "We were also quite shocked to find out such a thing. This also shows that for the sake of money, some people have no principles and bottom lines, and there is nothing they dare to do. .”

Wei Hao said extremely seriously during the call: "Dr. Yu, this also makes us reconsider your safety."

"What if one day there is a madman or there is an accident..."

Wei Hao said in a deep voice: "This kind of thing has happened more than once in our country. Several top scientists and academicians in our country have sadly passed away like this."

"Dr. Yu, the leaders have decided to arrange for a special service police officer to be by your side to protect your safety."

Yu Zhiming instinctively refused and said: "Officer Wei, there is no need for this, right? Zhou Mo beside me, even though she is a girl, she is also very good at beating. She can beat three or five strong men."

"Having her by my side is more than enough."

Wei Hao persuaded, "Doctor Yu, special service police officers have received strict training and can block knives and bullets for you at critical moments."

"That Zhou Mo, can he do this?"

"Dr. Yu, this is the government's care and love for you. Just accept it with peace of mind..."

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