medical treatment

Chapter 524 Only Found Problems, Not Solved

"Teacher, there is a possibility of heart failure."

Yu Zhiming said on the phone: "I feel that his right ventricle is contracting very hard, and he feels out of breath."

"If this state extends to the entire heart, there is a high possibility of heart failure and even cardiac arrest."

Yu Zhiming pondered for a moment, and then said: "Teacher, I personally suggest that ICD be implanted first, just in case, and then fully investigate the cause of the heart problem."

"At the same time, suspend work, adjust your work, rest and diet, and take comprehensive care of your heart and body."

Qi Yue replied during the call: "I will pass on your findings and suggestions to the other party."

Pausing for a moment, Qi Yue turned to ask again: "Zhi Ming, my second son Qi Zhen has come back from abroad, have you met him?"

Yu Zhiming hummed, and then said vaguely: "I've met two or three times, but I'm busy with work, so I just chatted a few words."

Qi Yue said softly: "My son is very smart and easy to learn. I also wanted him to study medicine at the time."

"It's just that I was separated from his mother at that time, and his mother finally let him study liberal arts."

Qi Yue sighed regretfully, and then said: "After I go back, I will find a time for you to get to know each other better."

This made Yu Zhiming grin a little, not thinking it was a good idea.

However, he is the teacher's son, and Yu Zhiming still knows the reason why he cannot be close to each other.

He answered vaguely first.

Two or three minutes later, Yu Zhiming ended the call with the teacher and started on his way to the nursing home again.

After the car drove into the main road, Gu Qingning asked with interest: "To Ming, does that person have a serious heart problem?"

Yu Zhiming said cautiously: "From the sound of his heartbeat, I feel that his heart may have a serious problem."

"It must be treated with caution."

"What's the specific disease?" Zhou Mo interrupted and asked.

Yu Zhiming replied frankly: "I don't know. I can only detect that there is a problem with the right ventricle. As for what caused it, I don't know much."

Gu Qingning said hehe: "This is enough."

"After telling the danger, it is relatively simple to trace the source and find the real reason."

"At worst, you can heal your head if you have a headache, and heal your feet if your feet hurt, so that you can control your illness and prevent it from becoming fatal."

Gu Qingning roared: "Zhiming, you saved another life, I'm proud of you..."

At a quarter past nine in the morning, the three finally arrived at the nursing home.

This is a beige building complex located at the foot of the mountain. At a glance, there are at least twenty or thirty buildings.

They are centered on a dome building with a height of six or seven floors and a visually estimated area of ​​one to two thousand square meters, spreading along the foot of the mountain to both sides.

The buildings on both sides include low-rise buildings with a height of five or six floors, and there are also two or three-story single-family buildings with different shapes.

Yu Zhiming also saw a chimney that was about ten meters high, emitting white smoke, and a small lake that was over a thousand square meters.

Although it is the twelfth lunar month of winter, you can still see a lot of green in the hills in front of you, which brightens your mood.

The bed cart stopped at the small square in front of the dome building.

When Yu Zhiming got out of the car, he saw Gu Changyan leading three men and a woman in white coats who looked to be at least five or sixty years old, two men and a woman, and two middle-aged men and women came to greet him.

"Doctor Yu, you have worked hard all the way..."

After some greetings and introductions, Yu Zhiming realized that the three white coats were all medical seniors who had been hired to work here after retiring from a tertiary hospital.

Among the three, one is Dr. Chen of Chinese medicine, the other is Dr. Zhang of internal medicine, and the third is Dr. Tang of emergency department with rich experience in emergency and rescue.

Yu Zhiming had to admit that the three doctors, apart from their older age, had a reasonable combination of professional fields, which was quite reasonable for a nursing home in the suburbs where it was not convenient to seek medical treatment.

Moreover, the presence of these three experienced senior doctors also saved Yu Zhiming a lot of trouble.

In the following physical examination, Yu Zhiming only needs to describe the physical symptoms found.

If the examinee has something he doesn't understand, or wants to know how to carry out targeted treatment, restore the body, and maintain health, three senior doctors can answer for him.

This saves a lot of time...

Yu Zhiming declined Gu Changyan's proposal to take a break and have a cup of morning tea, and directly stated that the physical examination will begin immediately.

"Doctor Yu, please follow me..."

While walking, Yu Zhiming communicated with the three medical seniors about the upcoming physical examination work. As Gu Changyan walked into the dome building, he was enveloped by abundant warmth.

He is very familiar with this feeling.

Gu Changyan introduced with a smile: "We have our own boiler, and all rooms have achieved central heating."

Yu Zhiming took off his down jacket, and Gu Qingning at the side naturally reached out to take it and held it in his arms.

After walking dozens of steps, they came to the medical center on the first floor.

Yu Zhiming took a tour and found that this small medical center with five or six rooms is small, but it has all internal organs, and even has the ability to perform emergency surgery.

His examination room is also ready.

Yu Zhiming discovered that the next door to the examination room was also a doctor's office.

He pointed to this office and said, "There is also an examination bed in this office."

"The old man's movements are a bit slow. After I have checked here, you can come to this office to do a physical examination on the ready old man, so that no time is wasted."

Gu Changyan nodded in praise and said, "It's still Dr. Yu who is thoughtful, we'll deal with it now..."

Yu Zhiming and Zhou Mo put on their white coats and got ready for work. The first examinee was also brought into the examination room by a young nurse.

This is an old man who looks 70 to [-] years old, with gray hair and a slightly hunchbacked back.

After he lay down on the examination bed, Yu Zhiming started the first physical examination in the nursing home wearing surgical gloves.

"There is slight inflammation in the left bronchus!"

"Mild slow lung emphysema!"

"The stent in the left circumflex branch of the coronary artery is narrowed, approaching the dangerous level..."

Every time Yu Zhiming mentioned a symptom, the internal medicine doctor Zhang who stayed in the examination room to assist him recorded it in a small notebook.

It's just that Yu Zhiming spoke too fast and quickly, which made Dr. Zhang feel that he couldn't catch up.

She suddenly realized that more than 100 elderly people had undergone physical examinations earlier today. If such a record continues, she must be exhausted.

Thinking of this, she simply stopped recording and took out her mobile phone from her pocket to record.

When you are not busy, tidy up slowly...

Six or seven minutes later, Yu Zhiming completed the old man's physical examination and walked quickly to the office next door.

Here, there is already a rich old lady in her 70s, accompanied by a nurse, lying quietly on the examination bed.

Yu Zhiming changed into a pair of surgical gloves, and started to give the old lady a physical examination.

The old lady has severe high blood pressure.

During Yu Zhiming's examination, it was found that her cardiovascular and cerebrovascular organs, as well as her liver and kidneys, had suffered varying degrees of damage due to high blood pressure.

He described the big and small problems he found out, and was about to turn around and leave, but was stopped by the old lady.

The old lady who stood up took a large kraft paper envelope from the desk beside her and handed it over.

"Doctor Yu, these are some tests and tests I did at the city's No. [-] Hospital."

"Please take a look, is there anything wrong?"

Yu Zhiming didn't answer, and replied: "Old man, I will do a physical examination, and I don't need to read your previous physical examination information."

"Unless I'm not sure."

"As far as you are concerned, old lady, there is no need to read the previous inspection data and test sheets."

After saying this, Yu Zhiming turned around again and prepared to leave.

"Hey, why are you doing this, doctor?"

The old lady became a little anxious, her voice raised two or three degrees, and she said angrily: "The physical examination every ten thousand times will be over in five or six minutes?"

"It's 1 yuan for 2000 minute of co-authoring, and I just heard you talk about high blood pressure, and my injury, that injury."

"At the very least, you have to prescribe me a special prescription for high blood pressure!"

"Otherwise, why is it worth this ten thousand?"

Hearing this, Dr. Zhang couldn't help but said: "Sister Gao, our nursing home specially invited Dr. Yu to have a physical examination, but we didn't force anyone to pay for the physical examination."

"Now that you've finished your physical examination, but you're still dissatisfied, that's a little bad."

The old lady glared and said, "I have spent so much money, but the service is not good, and no major problems were found during the inspection, so I can't give my opinion?"

Yu Zhiming endured his displeasure, and let himself explain patiently: "Old man, since you paid for the physical examination, you must know something about me."

"As you must be aware, I'm best at finding problems, not solving them."

"Also, high blood pressure is a worldwide problem that has no cure in the global medical community. The current treatment is to control blood pressure as much as possible."

"Of course I don't have any specific prescription."

After a pause, Yu Zhiming said again in a deep voice: "As for not finding any major problems, old man, don't you really expect to find out serious illnesses, even cancer?"

The old lady was choked for a while, and her breathing became a little short of breath the next moment.

She gritted her teeth and shouted, "I don't care, anyway, I'm not satisfied with this physical examination, very dissatisfied."

"Unless you give me a serious look at the inspection data and test sheets inside."

Seeing that the old man was so persistent, Yu Zhiming was rather curious about what was in the cowhide envelope.

He took the envelope, opened it, and pulled out a stack of checklists and test sheets inside.

Yu Zhiming only looked at a few data on the top kidney function test sheet, and he understood.

He had just finished examining the old man, and he didn't dare to say that he understood her kidney function in detail, but he was sure that the few data on the test sheet were unlikely to appear.

Putting the receipt back into the cowhide envelope, Yu Zhiming said slowly: "Old man, are you testing me on purpose by taking someone else's test report?"

While speaking, Yu Zhiming put the cowhide envelope on the examination bed, turned around and walked out of the examination room quickly.

He told Zhou Mo, who came out after him: "Advertise to the people who have the physical examination, and say that I am only responsible for finding problems, not solving them."

"If you think it's worthless, you can refund the money and withdraw from the medical examination..."

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(End of this chapter)