medical treatment

Chapter 870 Risk, I am willing to bear it
This unexpected interview was just a small episode and did not affect Yu Zhiming's appetite for lunch or his afternoon work.

After finishing the diagnosis and treatment of 23 registered patients and the cancer screening of [-] volunteers in the very early cancer project, after six o'clock in the evening, Yu Zhiming saw Dr. Cui Zhitan accompanying an old man in a wheelchair and a woman walking. Entered the soundproof examination room.

Yu Zhiming couldn't help but glance at the woman a few more times.

Apart from her haggard look, this woman named Feng Wei was much more outstanding in terms of age, appearance, figure and temperament than Yu Zhiming had imagined.

She looks to be at least 35 years old, about 1.7 meters tall, with shoulder-length hair tied back in a simple yet beautiful style, fair skin, big eyes, a beautiful nose, a small mouth, and a slender neck.

Looking at it, it gives people a sense of elegance and beauty.

Yu Zhiming glanced at Dr. Cui, who was already a bit old next to him, and couldn't help but feel the contrast between an old cow eating young grass and flowers planted with cow dung.

"Doctor Yu..."

Yu Zhiming waved his hand and interrupted: "Check your body first."

Dr. Cui and Feng Wei carefully helped the old man in the wheelchair onto the examination bed.

Yu Zhiming first made a quick examination of the old man's brain and internal organs, and then focused on the heart.

The results of the examination showed that the body and organ functions were weak, the heart problem was quite prominent, and there were signs of heart failure.

The stenosis of several coronary arteries exceeded 80.00%, and about one-third of the myocardium had mild to moderate ischemic symptoms.

In addition, atherosclerosis is relatively serious, and there is a risk of myocardial infarction and blood vessel damage and bleeding during interventional surgery.

After the examination, the nurse sent the old man to the ward. Yu Zhiming told the truth to Dr. Cui and Feng Wei who stayed behind.

"This surgery is quite risky."

Feng Wei said with a bitter look on her face: "In the past few years, I have invited several cardiologists, but they did not dare to operate on my father."

"It has been delayed until now. With my father's physical condition, he may have a heart attack one day, and there is a high probability that rescue efforts will be ineffective."

"After being rescued, there is a high possibility of heart failure."

She looked at Yu Zhiming and prayed: "Dr. Yu, you are my last hope."

this……

Yu Zhiming looked at Dr. Cui and saw that he cupped his hands towards him, and his request was self-evident.

He closed his eyes slightly and simulated the heart stent implantation operation in his mind.

For coronary stent implantation, the main approaches for the stent are the radial artery and the femoral artery.

The first choice is radial artery puncture, because this does not affect the patient's life and there is no need to stay in bed after the operation.

There is also puncture from the radial artery, which has a relatively short path and low complexity.

The specific path is to puncture from the radial artery, through the brachial artery, subclavian artery, aorta, to the coronary artery, and implant a stent in the narrowed coronary artery.

However, Yu Zhiming discovered during the physical examination of the old man that his brachial artery and subclavian artery were severely atrophied, which could easily cause blood vessel damage and rupture.

Yu Zhiming transferred the puncture path to the femoral artery.

The patient enters the body from the right femoral artery, and gradually introduces guidewires and catheters to the iliac artery, abdominal aorta, thoracic aorta, until the aorta opens, and then to the coronary artery for treatment.

The complexity of this route is more than twice as difficult as transradial artery.

Yu Zhiming simulated the interventional surgery path and found that the blood vessels were still smooth and there was room for maneuver. If the operation was done carefully, it was still possible to avoid damaging the blood vessel walls and causing damage or the loss of fat plaques...

He opened his eyes, met Feng Wei's hopeful gaze, and said bluntly: "Dr. Feng, I can give this interventional surgery a try. However, I can't make any guarantees."

"In other words, you need to be mentally prepared for the elderly to be unable to get off the operating table."

Feng Wei exhaled a long breath and said: "To be honest with you, Doctor Yu, in the past few months, I have been nervous about entering my dad's room every morning, fearing that I would see my dad as if he had fallen asleep. "

"I have already been mentally prepared for this."

Yu Zhiming nodded lightly and said: "In that case, the operation will be scheduled for tomorrow afternoon..."

Yu Zhiming separated from Dr. Cui and Dr. Feng and returned to the big office to see Bao Wan waiting for him.

"The problem is solved?"

Bao Wan nodded fiercely and said: "Solved."

Yu Zhiming took her into the soundproof office and said, "Tell me carefully how to solve it."

Bao Wanshu said: "I found Director Yang early in the morning and made a confession."

"Then Director Yang didn't do any investigation and directly called Zhang Jun to the hospital."

After a pause, Bao Wan showed a frightened expression and continued: "After Zhang Jun arrives, Director Yang directly asked us to confront each other face to face."

"Director Yang also said with an impatient look, give us 15 minutes first. If we cannot properly negotiate a solution, we will directly call the police and report it to Zhejiang University."

"He also said that there are only two outcomes. If I lied, it would be a false accusation. I would be expelled from the hospital and the police would impose relevant penalties."

"Also, I didn't lie. That is Zhang Jun's frame-up and coercion. He notified the school and will be held criminally responsible."

"Director Yang also said that if the two of us can speak frankly, he can make big things into small things and make small things into nothing."

Bao Wan smiled again and said, "Zhang Jun couldn't bear the consequences of calling the police for verification. He confessed that he was eager to find a job, was confused and impulsive, and asked for forgiveness." "Finally, Director Yang asked him to write a handwritten apology. Letter, compensate me [-] yuan for mental damages, and let him get out."

Yu Zhiming did not expect that Director Yang would handle this matter so simply and rudely, but he succeeded in getting the bad guy to confess on his own initiative.

After thinking about it, he could understand Zhang Jun's mentality.

A graduate or a resident doctor are indispensable to a behemoth like Huashan Hospital, and they are not worth the excessive time and energy of Director Yang.

Either they negotiate and handle it themselves, or call the police. Anyway, they can't waste too much of Director Yang's time.

Zhang Jun had a guilty conscience and most likely did not dare to ask the hospital to call the police. Once what he had done was fully found out, the price to pay would be too high.

He didn't dare to take a gamble, so bowing his head and admitting his mistake was the best option.

Bao Wan said with a grimace: "However, Director Yang also told me that in addition to handing over the red envelopes received from patients, a demerit cannot be avoided."

Yu Zhiming chuckled and said: "In the midst of the storm, just a demerit is much lighter than being expelled."

"Work hard and achieve results at work, and many things will become easier to talk about."

Bao Wan hummed, expressed her gratitude to Yu Zhiming, and then left.

At 06:30 in the evening, Yu Zhiming, who had finished his paperwork, left work with Zhou Mo.

As soon as he came out of Zhizhen Tower, Zhou Mo approached Yu Zhiming and said mysteriously: "Dr. Yu, that Dr. Feng Wei, I heard that the relationship with Dr. Cui is somewhat unusual."

Yu Zhiming looked at Zhou Mo, who was winking, and asked, "So soon, news about them has spread in the work group?"

Zhou Mo said with a gossipy face: "Some people familiar with the matter told me that they had a relationship back then, and at that time, Dr. Cui's second child was still breastfeeding."

"But later, Dr. Feng suddenly resigned and left, and there was no follow-up."

Yu Zhiming snorted softly, and then criticized: "Don't spread this kind of hearsay information."

"Think about it before, there was a lot of news about you, but is any of it true?"

Zhou Mo snorted lightly and said, "There are still a lot of news about me circulating now. Do you want to hear it?"

Yu Zhiming shook his head and said, "I won't listen."

"We are together every day. If I have to rely on hearsay to know you, am I too unqualified?"

Zhou Mo's eyebrows were curved and he said very helpfully: "Thank you for trusting me. It's not in vain that I will devote myself to you wholeheartedly and devote myself to you."

Yu Zhiming chuckled.

Zhou Mo then said: "I have already told Dr. Zhang Pei from the Department of Hematology about finding a leukemia patient who can be funded. He will pay special attention to it..."

At this moment, Shen Qi, who had finished his afternoon work and was about to have dinner, was blocked by Qian Ya in the lobby on the first floor of Zhizhen Building.

"I heard that Dr. Yu is going to perform a cardiac interventional surgery on an old man with severe coronary heart disease?"

Shen Qi nodded and said, "Yes. How did you know?"

Qian Ya said with a sullen face, "How do I know? The old man's ward is diagonally opposite my father's ward."

"I saw that the old man was sitting in a wheelchair and had difficulty moving. He was older and his physical condition was much worse than that of my father."

"Why can he do the surgery but my dad can't?"

Shen Qi explained: "Qian Ya, that old man underwent cardiac stent implantation surgery, which is much less difficult than arterial vascular interventional surgery in the hippocampus of the brain."

"The most important thing is that the old man's life will be in danger at any time, and risking his life for treatment is no choice."

"Uncle Qian is suffering from amnesia due to lack of blood and is not in danger of life."

Qian Ya suddenly fell silent.

After a moment, she asked slowly: "Shen Qi, if my dad insists on doing cerebrovascular intervention without fear of the consequences, is Dr. Yu likely to succeed?"

Shen Qi was shocked and said: "Uncle Qian can take care of himself slowly. There is no need to risk his life for surgery."

Qian Ya said bitterly: "I don't want to do this either, but...but..."

"My dad is in a situation like this, and he can't live without people around him!"

"Judging from these two days, after my dad's memory is reset, he will notice that the time and place have changed dramatically compared to the home before the nap."

"Even if I explained it to him in time, it would be like being jet lagged. He would suffer from great physical and mental discomfort, his mood would become much worse, and he would become much more dependent on me."

Qian Ya said slowly: "I can take care of my dad every step of the way for a month or two."

"But no matter how long it takes..."

Qian Ya said with a painful look on her face: "I don't know if I can persist, as well as my work and career."

She looked up into Shen Qi's eyes and decided, "I want to ask Dr. Yu to perform cerebrovascular interventional surgery on my dad."

"I am willing to take any risk..."

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(End of this chapter)