medical treatment

Chapter 759
The 40-year-old husband and wife who have gained hundreds of millions of dollars and want to enjoy retirement early, but both suffer from cancer, Yu Zhiming is not very optimistic about them.

In particular, the husband invited well-known hepatobiliary surgeons from all over the country for consultation and surgery, so that the preserved liver after surgery can basically maintain the body's needs.

The problem is that it can only be "sustainable". Once there is a little abnormal situation, it will easily collapse.

This time, luck didn't favor him.

Yu Zhiming glanced at the text message again, and after confirming that there was no misreading with sleepy eyes, he continued to look through it.

Fortunately, I only received such a message.

But Yu Zhiming knew that this would not be the last one.

In the coming week, those frail patients who insisted on gambling their luck will receive CAR-T treatment one after another.

I just don't know if the coin that represents life and death will end up heads or tails when it falls...

Today is Thursday. In order to allow Yu Zhiming to have more rest time, the hospital leaders moved the original physical examination every other Saturday to Thursday.

Today is the first day of practice.

After 10:[-] in the morning, Yu Zhiming arrived at the third basement floor of Zhizhen Building about [-] minutes earlier than usual.

To his relief, Doctor Qin, Zhou Luo, Shen Qi, Sui Chi, and Duan Yi also arrived.

What Yu Zhiming didn't expect was that there were already more than a dozen medical examiners from donation units waiting in the corridor.

All positive enough.

"Doctor Yu, Wei Chen's sleep monitoring data from last night."

Duan Yi took the lead in reporting: "Fall asleep at 38:[-] in the evening and wake up at [-]:[-] in the morning."

"The monitoring showed that he entered a deep sleep state at 51:[-] in the morning and lasted until [-]:[-] in the morning."

This data is not very good.

Up to six and a half hours of sleep, deep sleep is only 32 minutes.

Generally speaking, deep sleep should account for at least a quarter of the total sleep time.

Perhaps, Wei Chen is weak and sick due to lack of deep sleep for a long time?
Yu Zhiming ordered: "Give her another two tests, it may also be that the change in the sleeping environment has caused physical and mental vigilance."

Duan Yi responded crisply.

Yu Zhiming scanned the crowd, and said again: "At nine o'clock, you still go to the ward round with the chief physician."

"On my side, if an interesting patient is detected today, I will let you have a consultation."

Yu Zhiming saw that Zhou Luo and Duan Yi were eager to try, and he emphasized: "I only want to look, hear, ask, and the examination supplies you carry with you."

Yu Zhiming looked at Dr. Qin and said, "Dr. Qin, you are an experienced senior. You will preside over their consultations!"

Qin Qiushi smiled lightly and said, "No problem..."

After Yu Zhiming explained the work, he made some preparations, and then started the physical examination...

As time progressed, Huashan Hospital was like a huge and sophisticated instrument. After a short period of low-speed operation, it rumblingly began to increase its horsepower and speed up...

Nearly nine o'clock in the morning, General Surgery Building.

Dr. Cui Zhitan looked at Dr. Lahm of Braun Medical and another German doctor with a smile and enthusiasm on his face.

"It's a coincidence that you are here. My team and I happened to have a total laparoscopic pancreatoduodenectomy this morning. Please give me some pointers and valuable suggestions."

Dr. Lahm smiled politely on his face, but he felt contempt in his heart.

I can't believe what you said was a coincidence.

The observation of the operation was confirmed last night, and this morning let them observe the most difficult operation?
Pancreaticoduodenectomy is known as the ceiling in the difficulty of general surgery.

It has always been known for its difficulty and high risk.

The quality of surgery directly affects the prognosis of patients and the incidence of complications.

During the operation, the gallbladder, part of the bile duct, pancreatic head, stomach, duodenum, and part of the jejunum need to be resected, and the anastomotic channels of the gallbladder, pancreas, and gastrointestinal tract need to be reconstructed.

This requires the chief surgeon to have rich surgical experience and a well-understood team.

However, total laparoscopic pancreaticoduodenectomy is more difficult and more complicated, and it is called the Mount Everest of general surgery.

For this level of surgery, Braun Medical in Germany does not have three or five surgical seminars and full preparations, so they dare not push patients to the operating room.

Dr. Lahm guessed that the other party hastily demonstrated such a difficult operation just to intimidate him.

He didn't doubt that the other party had the ability to complete the operation, but the more difficult the operation, the easier it was for details to go wrong.

Dr. Yu requested that Dr. Bierman's operation should be perfect without any mistakes.

Dr. Lahm decided to find fault with Dr. Cui's operation...

Dr. Liu Wenzhao, a cardiopulmonary surgeon, led a German doctor to the operating area in a hurry.

"I happen to have a complicated lung cyst removal operation. You can take a look and give more suggestions for improvement."

In the Liver Disease Research Center, a German doctor is changing clothes with the chief surgeon in the dressing room of the operation...

It wasn't until after ten o'clock in the morning that Zhou Luo and Shen Qi waited for the patients Yu Zhiming asked them to consult.

The other party is a 51-year-old man with a slightly fat body and a small belly.

The man pointed to his chest and said, "Sometimes I have chest tightness, but I don't have a cough or chest pain."

After a pause, he continued: "Doctor Yu told me that you can ask and check whatever you want."

"Finally write down your respective diagnoses."

The consultation begins.

Qin Qiushi first took the pulse of the man, and asked a few questions about whether he had dizziness, headache, and sleepiness.

Then Zhou Luo listened to the man's heart and lung sounds with his stethoscope, and asked a bunch of questions.

Then came Shen Qi.

After carefully listening to the sounds of the heart and lungs with a stethoscope, he took out a sphygmomanometer from the pocket of his white coat.

Zhou Luo's eyes straightened.

"Shen Qi, Dr. Yu only asked us to use the supplies we brought with us for the examination. Don't tell me you carry a blood pressure monitor all day long?"

Shen Qi replied with a serious face: "But I brought it today, so it doesn't count as a violation of Doctor Yu's rules?"

Zhou Luo was speechless, but saw that Doctor Qin didn't stop him, so he didn't speak anymore.

After Shen Qi measured the blood pressure of the man's left and right arms, he stepped aside without asking any questions.

The main reason is that Dr. Qin and Zhou Luo have already asked all the questions that should be asked, and he has no new questions for a while.

Then, Sui Chi and Duan Yi spent three to four minutes each examining the man with a stethoscope.

Afterwards, several people looked at each other and took out a small notebook from their coat pockets, and wrote a few words in a hurry.

Seeing that they all stopped writing, the man under inspection asked in confirmation, "Is it all written?"

After getting a reply, the man took out a piece of paper folded in two from his coat pocket.

"This was drawn by Doctor Yu."

Doctor Qin took the paper, unfolded it, and watched it with Zhou Luo and Shen Qi who came over.

As always, Yu Zhiming's sketch style is simple and clear, but with outstanding features.

"Ah, it turned out to be a coronary-pulmonary fistula."

Coronary-pulmonary fistula is an abnormal connection between the trunk or branch of the coronary artery and the pulmonary artery, forming a coronary artery shortcut. It is a rare congenital coronary artery malformation.

The symptoms are related to the size of the fistula and changes in vasodilation, ranging from no symptoms to chest tightness, chest pain, dyspnea, dizziness and fatigue, etc.

Symptoms generally worsen with age.

Zhou Luo said with regret again: "I heard some reverberation echoes, and I didn't expect it to be this problem."

He showed everyone the diagnosis he had written in a small notebook, "My judgment is pulmonary regurgitation."

"What about your diagnosis?"

Shen Qi also revealed his diagnosis, "Dilated cardiomyopathy."

Zhou Luo looked at the notebooks of Sui Chi and Duan Yi again, and saw that both of them had "coronary heart disease" written on them.

"Yes, the whole army is wiped out!"

Duan Yi came to Zhou Luo with a smile, and said, "Doctor Zhou, my stethoscope is very ordinary. It is not as high-end as your stethoscope, which has a better radio reception effect."

"Borrow it, I'll listen to his heartbeat..."

After eleven o'clock in the morning, Yu Zhiming completed the physical examination of 50 people, walked out of the soundproof examination room, and unexpectedly found Ke Xixi waiting for him in the corridor.

What surprised Yu Zhiming especially was that Ke Xixi had no make-up on her face.

I have to say that today's makeup effect is comparable to the powerful beauty on mobile phones.

Ke Xixi, without makeup, has the middle-lower appearance of an ordinary girl, with a dark yellow complexion and a pair of big dark circles under her eyes.

"Is it your father?" Yu Zhiming raised his heart in an instant.

Ke Xixi shook her head and said, "My father is fine. Although he is still suffering from a high fever, the doctor said that his condition is still stable."

"I'm here, it's my business."

After hesitating for a moment, she said slowly: "Yesterday, you said that I have a sweet breath, so I went to the doctor for a checkup."

"It turned out that I was pregnant."

"I measured my blood sugar again on an empty stomach this morning. The doctor said that my condition is likely to be gestational diabetes."

Yu Zhiming let out a soft oh.

He originally guessed that it was respiratory inflammation or digestive disorder, but he really didn't expect gestational diabetes.

"Miss Ke, are you looking for me?"

Ke Xixi took a deep breath and said, "Because of Dr. Yu's reminder, I found out that I am pregnant and have diabetes. I think it is necessary to tell you the result."

"Thank you, Doctor Yu!"

Yu Zhiming watched Ke Xixi leave, and Zhou Mo came over.

"Dr. Yu, Dr. Lou Xinghua called half an hour ago, saying that he took another patient with a heart defect..."

Yu Zhi clearly understood what Dr. Lou meant, and interrupted: "Let that patient come to me tomorrow morning."

Zhou Mo hummed, and then turned to say: "The director said that the dinner on Friday night is to celebrate the top ten groups, and to congratulate the housewarming."

Yu Zhiming let out an oh.

"Hey, Zhou Mo, tell me, I won this special contribution award, do I have to treat me to celebrate?"

Zhou Mo giggled and said, "According to common sense, it's a treat for dinner. Dr. Wang, who won the top ten young doctors, set the dinner for Saturday night."

"Saturday night?"

Yu Zhiming frowned. He originally planned to go shopping with Qing Ning this Saturday night.

It has been more than half a year since he came to Binhai. He has been busy with work, so he hasn't visited the city well yet.

Zhou Mo saw Yu Zhiming's embarrassment, and kindly said: "Doctor Yu, you don't have to be embarrassing, Dr. Wang didn't invite you!"

"Why didn't you invite me?" Yu Zhiming didn't feel very good.

At this time, Zhou Mo wanted to slap himself, and tried to reply: "We all know that you are very busy at work and fell ill a few days ago. Dr. Wang probably doesn't want to disturb your rest."

Yu Zhiming looked at Zhou Mo with burning eyes.

"Tell the truth."

Zhou Mo smiled coyly, and said, "The main reason is that you are superior, there is a gap in status, and you usually work except for work, and you don't interact with them in private."

"After you go, everyone can't let go."

She added: "Dr. Wang didn't invite the director either, but only his colleagues of the same age and a few friends."

Yu Zhiming snorted twice, and said, "Do you want to treat me to the contribution award?"

Zhou Mo said softly: "You won the Best Contribution Award, everyone is convinced and happy for you."

"We all know that you are always busy, and no one will say anything if you don't treat guests."

Yu Zhiming followed the good advice, nodded and said: "Then listen to you, no more treats..."

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(End of this chapter)