medical treatment

Chapter 754

Dimly, Yu Zhiming heard the sound of the door being pushed open, followed by footsteps.

At this time, Yu Zhiming had become much more sober, and two creeping figures clearly appeared in his mind.

After a while, the two came to the bed, and one of them reached out and touched Yu Zhiming's forehead.

"Fourth sister, no fever, no recurrence."

When the other person reached out to touch Yu Zhiming's forehead, Yu Zhiming grabbed his hand.

"Hey, fifth, you're awake."

Yu Zhiming got up and sat on the bed, and said depressedly: "Fourth sister, Qing Ning, counting this time, you came in three times in one night, why don't you let me have a good rest?"

The fourth sister, Yu Xiangwan, arrived after nine o'clock last night, and slept with Qing Ning in the master bedroom.

"Isn't it worried that your body temperature will rise again at night?"

Yu Xiangwan explained a sentence, and then asked concerned: "Old Wu, did you stay up all night? Why do you know everything about the fact that we came in several times to measure your temperature?"

Yu Zhiming rolled his eyelids and said, "I had a lot of rest yesterday, and I slept lightly at night."

"Besides, you two still come in together every time. After taking your body temperature, you don't rush to leave, and you even tuck me in the quilt and fiddle with the pillow. Isn't this obviously trying to wake me up?"

Qing Ning giggled and said, "Isn't it because you're afraid that you'll catch the cold again and sleep uncomfortable?"

"Zhiming, you can lie down and sleep again, we promise not to come in and disturb you again."

Yu Zhiming glanced at the electronic clock on the bedside table and said, "It's almost six o'clock in the morning, and I can't sleep anymore."

"It's the two of you who need to catch up on sleep..."

Little nurse Wang Li also stayed at Yu's house last night.

She gave Yu Zhiming a simple physical examination in the morning, and found that Yu Zhiming was fine. After breakfast at Yu's house, she rushed back to the hospital to work alone with a stack of medical records that Yu Zhiming asked her to carry.

Zhou Mo, who came over early in the morning to have breakfast, waited for Wang Li to leave before asking for confirmation: "Doctor Yu, do you really want Boss Xiao to bring that patient here directly?"

What Zhou Mo was talking about was the patient that Xiao Han had asked for a few days ago at the Four Seasons Club, worried that he would die suddenly in his sleep because of a family hereditary disease.

The original appointment date for seeing a doctor is today.

"As far as my current physical condition is concerned, it is more than enough to go to the hospital to work. It's just that the dean and the others are too careful and must let me rest for one more day."

Yu Zhiming sighed softly, and continued: "Since we have made an appointment for today, it's not good for the patient to come here for nothing."

"For me, this is also a matter of time, and it is better to solve it sooner than later."

"Doctors who procrastinate may die."

Zhou Mo flattered and said: "Doctor Yu, you are really a famous doctor full of responsibility, and I admire more and more."

Yu Zhiming glanced at this guy, got up and said, "I'll go to the bedroom to read some books."

"You can..."

In the master bedroom on the second floor, Qing Ning and Yu Xiangwan were sound asleep.

Yu Zhiming didn't disturb them, and went back to his soundproof bedroom lightly, and sat down at the desk.

He took out the mobile hard disk that Dr. Yang Xi had given him, and connected it to his laptop.

Yu Zhiming checked it first, and suddenly found that the mobile hard disk with a capacity of 2TB was almost full of data.

He clicked on the mobile hard disk, entered the case data folder, and found dozens of folders including lung cancer, gastric cancer, and pancreatic cancer.

Click on gastric cancer, and found several folders such as gastric antrum cancer, gastric lesser curvature cancer, cardia cancer, and gastric body cancer.

Continuing to click, Yu Zhiming successively clicked on the medium-term gastric cancer folder, and then clicked on the invasive type folder...

Just like a nesting doll, Yu Zhiming opened eight folders one after another before seeing the specific individual case information.

Yu Zhiming discovered that the patient's information collected by Dr. Yang was very detailed.Such as the patient's basic information, physical examination information, medical history data, pathological analysis report, tumor imaging data, treatment plan, medication records, physical review information, until the death of the patient...

Compared with the case data collected by Dr. Yang, Yu Zhiming found that the case data he had compiled were too rough and simple to read at all.

After reading this case file, Yu Zhiming seemed to see a 53-year-old, middle-aged, honest, thin man with a sad face.

Under the examination of Dr. Yang, he was diagnosed with an infiltrating tumor of the lesser curvature of the stomach in the middle stage.After a little recuperation of the body, he underwent gastric tumor resection.

After some chemotherapy and other treatments, the patient recovered well and spent four years with his family.

Four years later, a recurrence and metastasis were unfortunately discovered.After nearly a year of painful treatment, he finally died...

As if doing it himself, Yu Zhiming examined the patient, made a treatment plan for him, and adjusted the prescription again and again...

At the last moment, try to ease his pain as much as possible...

Yu Zhiming seemed to be able to feel that after Dr. Yang finished the physical examination for this person, every time he adjusted the prescription, he was either happy, or full of a sense of accomplishment, or feeling disappointed and self-blaming...

At nearly eleven o'clock in the morning, the sound of the bedroom door being pushed open pulled Yu Zhiming out of the study of case materials.

He turned his head to look and found Zhou Mo's half head poking in through the crack of the door.

"Doctor Yu, Boss Xiao and the others are here."

Yu Zhiming walked out of the soundproof bedroom and found that Qing Ning and Fourth Sister were no longer on the bed in the master bedroom.

Zhou Mohui reported: "Sister Xiang Wan left here to go to work, and Qing Ning is receiving Boss Xiao and the others downstairs..."

Yu Zhiming came to the living room downstairs and saw Xiao Han and Shen Qingjun who came for a physical examination.

There is also Shen Qingjun's wife, as well as Shen Qingjun's son who is in college and daughter in high school.

After Shen Qingjun introduced his family, he said gratefully: "Dr. Yu, thank you for insisting on giving me a physical examination when I was not feeling well."

"A small gift, please accept it with a smile."

Yu Zhiming saw that what he handed over was a box of ginseng, a total of ten trees, which should be the best 20-year-old forest ginseng in terms of quality, and should be worth about ten thousand yuan.

"Boss Shen, please be polite."

Yu Zhiming didn't refuse too much, took the ginseng, and handed it to Lime next to him.

He also understood that Shen Qingjun brought his children who were still studying.

In case a genetic disease is really detected, just do a verification on the children.

After exchanging a few pleasantries, Yu Zhiming, accompanied by Zhou Mo, took Shen Qingjun upstairs to the soundproof bedroom, and made him lie on a massage bed temporarily placed in the bedroom.

Yu Zhiming first checked Shen Qingjun's heart and lungs.

Causes of sudden death mainly include cardiac, pulmonary, and brain-derived causes.

The central source accounted for about 80.00%.

After a careful examination, Yu Zhiming discovered that Shen Qingjun's lung function was quite good, but his heart had coronary heart disease.

However, his coronary heart disease was not severe enough to require stents or bypass surgery.

This degree of coronary heart disease is not enough to cause sudden myocardial infarction death.It's just that it won't be so in another 20 years.

"Mr. Shen, do your father and your grandfather have a history of coronary heart disease?"

Shen Qingjun replied: "They don't have coronary heart disease."

"Dr. Yu, my father and my grandfather are both in good health. They both pay attention to physical exercise and go to the park to exercise every morning."

"I've never heard of it. They have heartache or discomfort."

"I mainly had coronary heart disease because I had a lot of entertainment, I didn't have regular rest, and I didn't have much time to exercise."

Yu Zhiming let out a soft sigh, and began to conduct an in-depth examination of Shen Qingjun's brain.

Sudden death of brain origin, caused by various types of stroke, convulsions or epilepsy, brain tumors, traumatic brain injuries, neurosurgery, strong emotional reactions, etc.

Yu Zhiming started to investigate from Shen Qingjun's forehead, exploring suspicious areas of the brain one by one.

After more than ten minutes, Yu Zhiming discovered a small suspicious point after probing Shen Qingjun's brainstem area.

At the depth of Yu Zhiming's exploration limit, a small artery with a diameter of about [-] millimeters suddenly swelled with a length of about one centimeter, and the diameter of the blood vessel became about [-] millimeters.

The brainstem is the life center of the human body and controls important functions. It is small in size but has a large impact. It is extremely sensitive to bleeding, and once bleeding occurs, it may cause very serious consequences.

If the amount of bleeding in the brain stem exceeds ten milliliters, the possibility of successful treatment is quite small.

Therefore, once the small artery with a diameter of [-] mm in the brain stem ruptures and bleeds, the result is fatal.

"Mr. Shen, did your cousin die from brain stem hemorrhage?"

Shen Qingjun nodded and said, "It's brain stem bleeding..."

The next moment, he was startled suddenly, and asked eagerly: "Doctor Yu, I don't seem to have told you about the exact location of my cousin's cerebral hemorrhage."

"Did you discover something?"

Yu Zhiming nodded and said, "I found something."

"Mr. Shen, call your children over, I need to do a confirmation check..."

Shen Qingjun and his son and daughter were quickly called into the soundproof bedroom.

Yu Zhiming briefly checked Shen Qingjun's son's heart and lungs, and then went straight to the brain stem.

To his surprise, in the same part of the brainstem, a small section of dilation of a small artery was found.

It's just that the expansion rate is slightly smaller than that of Shen Qingjun, from [-] mm in diameter to about [-] mm.

Then, Yu Zhiming checked the brainstem of Shen Qingjun's daughter.

To his surprise, no abnormal expansion of blood vessels was found in the same part of the brainstem.

Is this passing on from male to female?
Or is it because of the age?

Shen Qingjun said: "There is a high probability that it will be passed on to the male but not to the female. My aunt is 87 years old and she is in good health."

He asked worriedly again: "Doctor Yu, can our situation be treated or prevented?"

Yu Zhiming pondered and said: "If you find out the problem, you will have a way to deal with it."

"However, I don't have much experience in specific methods. You'd better consult a neurologist."

Shen Qingjun let out a sigh, and said gratefully: "Doctor Yu, you have discovered the real problem of our family, and you are the great benefactor of our Shen family."

Yu Zhiming smiled modestly, and then turned his attention to Shen Qingjun's son.

"You have serious inflammatory nodules under the skin on your chest. It is recommended to treat them well to avoid serious infection."

"Suggestion, no more tattoos."

"You got a tattoo?" Shen Qingjun glared at his son, his voice suddenly raised an octave...

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(End of this chapter)