medical treatment

Chapter 1637 Environmental Survey
October 10th, Thursday, almost nine in the morning.

Yu Zhiming came to the Zhizhen Building of Huashan Hospital and first took the elevator to Takeda Osamu's ward on the sixth floor.

After not seeing him for a few days, Yu Zhiming discovered that this guy looked to have lost 20 pounds, with wrinkles and a haggard look. Besides, no one would doubt him if he said he was 88 years old.

After accepting the other party's weak wedding wishes, Yu Zhiming gave him a physical examination.

The results of the examination still satisfied Yu Zhiming...

Yu Zhiming came to the third underground floor and was somewhat surprised to find that there were quite a lot of people in the large office.

Ding Ye, Zhou Luo, Shen Qi, Sui Chi, Duan Yi, Qiu Yi, Gong Yue, Shen Yiyi and others gathered together.

"With so many people gathered here, are we going to discuss the condition?"

Yu Zhiming saw that almost everyone had a copy of their medical records, so he asked casually and then looked at Ding Ye.

"When will you return to Germany?"

"The flight ticket has been booked for this Saturday."

Ding Ye replied, and then shook the medical information in his hand and said, "Teacher, we are discussing one of Shen Qi's patients. He is a 20-year-old college student. His intelligence and memory have declined significantly in more than a year, but no abnormalities were found in various physical examinations."

After a pause, Ding Ye asked curiously, "Teacher, you are newly married, and your wife has just been found to be pregnant..."

Yu Zhiming knew what this guy wanted to ask, so he interrupted and said, "I had an appointment to discuss something, so I came to see you."

He looked at Zhou Luo, Duan Yi and the others and said, "Don't bother with Takeda Osamu anymore."

"He will focus on physical recovery next, and try to have him discharged from the hospital like a normal person in a week."

"Yes, teacher!" Zhou Luo, Duan Yi and others responded in unison.

Yu Zhiming looked at the whiteboard and saw one possibility after another listed on it, such as craniocerebral trauma, brain atrophy, tumors, cerebrovascular disease, malnutrition, poor metabolism, poisoning, drug abuse, epilepsy, autoimmune encephalopathy, depression, bad living habits, etc.

Yu Zhiming discovered that the words "Alzheimer's disease" on the whiteboard were circled.

"Do you suspect Alzheimer's?"

Shen Yiyi spoke first: "Doctor Yu, the youngest confirmed case of Alzheimer's disease is 21 years old."

"The patient we have has symptoms of intellectual decline, memory loss, personality changes and other typical symptoms of Alzheimer's disease."

"The cognitive and neuropsychological tests conducted on the patient also met the diagnostic criteria for Alzheimer's disease, including sense of direction, reasoning and judgment, language skills and attention."

"However, brain imaging data do not support this. CT and PET medical imaging examinations did not show any imaging signs such as temporal lobe atrophy, amygdala volume reduction, and brain amyloid degeneration."

Shen Yiyi further explained: "But I think this is most likely because the patient is too young. After all, her brain is just beginning to age at this age."

After birth, brain nerve cells stop dividing and growing.

People begin to age gradually at the age of 0.8, losing % of brain cells each year, and the rate of brain cell loss varies depending on the type and location of the nerve cells.

By the age of 20, the number of nerves and cells in the cerebral cortex decreases by 25%-%, which may be the main cause of Alzheimer's disease, memory loss, insomnia, and inability to control emotions.

Yu Zhiming looked at Qiu Yi and Gong Yue. Qiu Yi glanced at Gong Yue before speaking: "From the current examinations, the patient only showed symptoms, but no physical abnormalities that caused these symptoms were found."

"The Alzheimer's disease mentioned by Shen Yiyi is indeed a possibility, but unless there is solid evidence for the diagnosis, I will not agree with the diagnosis of Alzheimer's disease."

Duan Yi took over the conversation and said with a look of reluctance: "That's right, she is only 20 years old. She really has Alzheimer's disease. Her life is over."

Yu Zhiming rolled his eyes and criticized, "Duan Yi, is this your first day as a doctor? Can you change the patient's illness by forbearing or not?"

Duan Yi stuck out her tongue, moved sideways and hid behind Ding Ye.

Yu Zhiming was somewhat speechless at Duan Yi's performance. He didn't want to pay attention to her and took another look at the many possibilities on the whiteboard.

"Since all the tests have not revealed any physical abnormalities, perhaps her symptoms are caused by external factors."

Yu Zhiming pondered and asked, "Her change happened in the past year or so? Can I assume that it happened after she went to college?"

Shen Qi's eyes lit up and he said, "Teacher, she is now a junior. The fact that she was able to be admitted to Binhai Normal University shows that her intelligence level was still good at that time."

"Perhaps it was the environmental factors after entering college that caused her intelligence to decline?"

Duan Yi reminded, "Speaking of college, I still remember the patient's father once said that she had performed poorly in the college entrance examination. With her past academic performance, she could have been admitted to a 211 university. If she had performed better, she might have been admitted to a 985 university."

“Perhaps, the college entrance examination was not a poor performance?”

Yu Zhiming said: "Then we should conduct an environmental investigation at the patient's home and school to see if we can find any suspicious causes."

When faced with illness, almost everyone will ask: Why am I sick? Why me?
Some people drink, smoke, eat meat, and have irregular sleep and rest schedules. They lead such an unhealthy lifestyle, yet they can still live to be ninety-nine.

But there are also people who don’t smoke, drink, stay up late, and love sports, but still end up getting seriously ill.

Is this illness caused by environmental factors or destiny?
A foreign university conducted a 24-year follow-up survey on tens of millions of people.

They found that of the 58 diseases studied, 40% were influenced by genetic factors, of which 32% were significantly affected, and 25% were influenced by environmental factors, of which % were significantly affected.

According to their research, the causes of the disease are mainly internal factors and supplemented by external factors.

However, except for congenital diseases, most diseases are the result of the interaction between innate genes and the acquired environment.

Therefore, in the diagnosis of difficult and complicated diseases, environmental investigation is an important task in disease diagnosis.

But doctors rarely do this work.

The main reason is that doctors are too busy. It is good enough for them to spend half an hour with each patient every day. They are sloppy even in their consultations. How can they have time to go to the patient's home and workplace to do environmental surveys?

When I arrived at the Ming Dynasty, I was secretly happy.

Once again, he used his wisdom, rather than his physical exploration ability, to provide these outstanding young doctors with an idea for solving the problem.

He didn't show it on his face, and walked into the soundproof office with a small problem in mind to prepare for the next scheduled meeting.

Gu Qingran made an appointment for him. At 10:30 in the morning, he would meet with the heads of three insurance companies to answer their questions...

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