medical treatment

From one noon to three o'clock in the afternoon, after a heated discussion full of gunpowder, You Weixian finally agreed with some of Qi Yue's suggestions.

He made an appropriate offset of three to four millimeters for the implantation positions of the two radioactive source particles.

At the same time, the puncture paths of these two implantation positions have also been slightly revised.

Don't underestimate this small change, maybe because of this small change, the patient can live for another year or a half.

Or let them reduce one of the sequelae of brain damage.

Yu Zhiming's role in the red-faced debate between the two was to pour tea and water from time to time.

Lest they quarrel dry mouth.

The main reason is that the brain knowledge they involved is too profound, beyond Yu Zhiming's current knowledge.

After confirming the final operation plan, You Weixian and Qi Yue became calm and gentle again.

It was as if the previous rhetoric did not exist at all.

You Weixian picked up the teacup, took a big sip, and moistened his overstretched throat.

“Good tea!”

You Weixian had nothing to say to find something to compliment, and then asked: "Director Qi, after the Spring Festival, the center will be relocated to the old specimen building, right?"

Qi Yue nodded.

You Weixian smiled and said, "Congratulations! Congratulations!"

"The center suddenly has a broad space for development, and the sea is wide enough to leap."

Qi Yue urged: "Doctor You, if you have anything to say, just say it, don't beat around the bush."

You Weixian laughed and said, "The center has been relocated to the old specimen building, so the number of hospital beds has more than doubled, right?"

"The only surgeon in the center is Dr. Han. It seems a bit busy, right?"

"Do you want to add one more?"

Qi Yue snorted lightly and said, "Even if we want to increase, we won't need a neurosurgeon."

"Our center does not support idlers."

You Weixian smiled lightly: "Director Qi, even if you wanted a doctor from our department, you wouldn't give it to you."

"Every one of them is very expensive, but you can't put them here and you can't do a few operations in a month, just for the elderly."

After a pause, he said slowly, "Director, I'm talking about my friend, Dr. Xu Lu, the deputy chief physician of the Department of Urology."

Qi Yue's expression changed slightly, and he asked in confirmation, "Xu Lu? Did he want to come here?"

You Weixian nodded and said: "We had dinner together last night and talked about the changes in the center."

"He asked me to ask, director, do you still need a surgeon here?"

Qi Yue said with a complicated expression: "You and him came to Huashan Hospital almost in the same batch. I remember that back then, he was even more dazzling than you."

"but now……"

Qi Yue sighed lightly and said, "If I remember correctly, he is only 46 years old this year, right?"

You Weixian nodded and hummed.

Qi Yue said: "When you come to our place, the workload may not be too big, but the operation is rather complicated. As you said, Doctor You, it is basically equivalent to retirement."

"Is he giving up?"

"Don't want to attack the chief physician?"

You Weixian said softly: "He told me that the child has entered high school this year, but his grades are not satisfactory. He also said that he has neglected his wife and family for many years."

"He wants to spend more time with his family."

Qi Yue asked directly: "Is there something wrong with him, his wife, or his parents?"

You Weixian was slightly taken aback, and said, "I haven't heard of any information about this."

Qi Yue analyzed: "A man suddenly said that he needs to spend more time with his family, probably because he was stimulated."

"Either the loved one has a physical problem, or there is a change in the emotional family, such as divorce."

After a pause, Qi Yue decided: "Doctor You, you ask him to come and see me in these two days."

"My place can be used as a retirement home, but it cannot be a refuge."

You Weixian said with a smile: "I will tell the director exactly what you said..."

After sending away Doctor You, Yu Zhiming was told another thing by Teacher Qi.

"Dr. Weng Yang from the Plastic Surgery Department wants to treat you this weekend to thank you for saving his daughter."

Yu Zhiming asked: "His daughter's matter is settled? Don't you think about looking for life anymore?"

Qi Yue replied: "It should be."

"The girl's emotions come and go quickly, and she should be fine after a good enlightenment."

"Hey, what time are you free on weekends?"

Yu Zhiming declined and said, "Teacher, this dinner treat is unnecessary. For such a thing, you should work hard."

Qi Yue said: "Okay, I will decline the invitation for you..."

When Yu Zhiming returned to the big office, Zhou Mo greeted him and reported, "Dr. Yu, I received a call from one of your college classmates, Zhai Junfeng, this afternoon."

"He wants to ask, can you help buy it..."

Zhou Mo looked at the information on the phone and read: "Kras G12c site-targeted drug for lung cancer?"

After Zhou Mo became Yu Zhiming's assistant, Qiao Lei took over Yu Zhiming's old mobile phone that was originally in the hands of her.

Zhou Mo went on to introduce: "Your classmate said that this lung cancer targeted drug targets a rare mutated gene."

"It has not been approved for listing in China, so it is difficult to buy in China."

"I want to ask if you can do anything."

Yu Zhiming was thinking about how to answer, when Zhou Mo went on to say: "At that time, you were discussing the operation plan in the director's office, so I made my own initiative and got in touch with the assistant of cardiopulmonary expert Dr. Wang Chunyuan."

"He told me that they have long-term cooperation with several large foreign pharmacies and can help buy this targeted drug."

Yu Zhiming smiled and praised: "Be proactive in doing things, not bad, very good."

He pondered and said, "Zhou Mo, if possible, you can directly ask my college classmate to contact Dr. Wang's assistant."

"In this way, the intermediate links are reduced, efficiency is improved, and your workload is also reduced."

Zhou Mo responded with a smile...

At nearly six o'clock in the afternoon, Yu Zhiming completed today's cancer screening work for volunteers of the Very Early Cancer Project.

When he returned to the big office again, he saw Hua Sifan, and a pair of plainly dressed, middle-aged men and women who looked a bit honest.

That middle-aged woman especially attracted Yu Zhiming's attention.

Thin and small.

He is less than 1.5 meters tall, and about one-third of his hair is white and has no luster.

Hua Sifan introduced: "Doctor Yu, these two are Shi Hao's parents."

Yu Zhiming met Shi Hao's parents scrutinizing him, and heard Shi Hao's mother whisper: "It really looks like a real brother."

"It would be great if Shi Hao had his abilities."

Yu Zhiming pretended not to hear what she said, and led them directly into the examination room.

First, give Shi Hao's mother a physical examination.

Head and neck, no problem.

heart……

After checking Shi Hao's mother's heart, Yu Zhiming stopped involuntarily.

He sensed something was wrong in her heart.

Normally, our hearts are about the size of our own fists.

The size of a person's heart is related to age, body shape, and physical condition.

In clinical practice, doctors commonly use the size of four cardiac chambers to evaluate the size of the heart.

For example, the inner diameter of the left atrium is 24 to 36 mm, and the end diastolic diameter of the left ventricle is 37 to 55 mm.

At the same time, the thickness of the chamber wall also affects the chamber size.The thickness of the posterior wall of the left ventricle and the interventricular septum is generally 6 to 12 mm.

In Yu Zhiming's perception, Shi Hao's mother has a small heart because of her thin body.

Not only that, but her heart, with its heart chambers and ribcage, seemed a little too small compared to her body.

Is this small heart syndrome?

If a person's heart is too small, the corresponding blood pumping ability will also be weakened, and symptoms such as low blood pressure and insufficient oxygen content in the body may occur, such as chest tightness, asthma, dizziness, etc.

Moreover, their activity endurance will be significantly lower than normal people. Once they exercise excessively, it may cause persistent tinnitus, black eyes, headache and other uncomfortable symptoms.

It was the first time for Yu Zhiming to encounter such a small heart patient, so he was a little uncertain for a while.

After he gave Shi Hao's mother a full-body examination, he found that her viscera and organs were unusually weak.

This made Yu Zhiming more sure that it was small heart syndrome.

Under normal circumstances, if you have small heart syndrome, you can increase exercise appropriately and persevere, such as jogging, swimming, Tai Chi or Baduanjin, etc., to enhance the systolic function of the heart and increase the stroke volume.

However, if resting and accommodating are adopted, the heart function will only become weaker and weaker, which in turn will lead to weakness of the body and viscera, and lower resistance, forming a vicious circle and becoming a sick child.

Next, Yu Zhiming gave Shi Hao's father a physical examination.

After an examination, it was found that this person's health was not very good, because of long-term smoking and drinking, his lung function and liver function had deteriorated greatly.

No signs of cancer were found yet.

After the examination, Yu Zhiming informed the two that Shi Hao's mother's small heart syndrome needs further diagnosis.

Shi Hao's father needs to quit smoking and drinking, and take care of his body.

However, Yu Zhiming could see that Shi Hao's father didn't take his advice seriously.

Obviously, he is not going to quit smoking and drinking.

After sending Shi Hao's parents away, Hua Sifan stayed behind.

He let out a soft breath and said, "Doctor Yu, do you know what they said to me?"

"50, give them 50, and they will sever all ties with Shi Hao and don't want this son."

Yu Zhiming was in a daze.

Hua Sifan continued: "I've learned something about that guy being raised by his parents."

"I don't know what to say, but I eat and drink."

"It seems that the reason why the parents want 50 is because they are disappointed, and they don't count on that guy anymore."

Yu Zhiming said, "Judging from that guy's performance, he is quite affectionate and righteous?"

Hua Sifan said slowly: "It is very possible that that guy is just acting. Maybe for this day, he has rehearsed it in his heart for countless times."

"I asked the parents. That guy made 20 yuan by defrauding people, but he didn't give them a penny..."

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