Chapter 124: Seeking Medical Treatment at Random Disasters
There are two main percutaneous interventional treatment pathways for coronary arteries: one is through the femoral artery and the other is through the radial artery.
The femoral artery in the thigh is thick and the puncture success rate is high.
However, its disadvantages are long bed rest time after surgery and a high incidence of puncture-related complications, such as bleeding, hematoma, pseudoaneurysm, arteriovenous fistula, retroperitoneal hematoma, etc.
Nowadays, the preferred route for coronary intervention is through the radial artery in the arm, which has relatively fewer side effects.
As for interventional treatment for bile duct stone removal, a small hole needs to be made in the waist and abdomen first, and the bile duct is punctured with the help of the laparoscope.
When Yu Zhiming held the guide wire in his hand and slowly passed it through the radial artery and bile duct, he had a clear feeling.
This guide wire is an extension of his limbs and senses.
Yu Zhiming could clearly feel the situation the guide wire head encountered in the narrow channel.
This perception was so vivid that he didn't need the guidance of medical imaging equipment. He could control the guide wire like a fish, choosing the appropriate direction to break through and swim upstream.
Yu Zhiming's immersive perception and control allowed him to complete the dilation treatment of a patient's coronary artery stenosis and the removal of common bile duct stones in another patient without much effort.
Wang Chunyuan and Han Shuo, who were guiding and supervising the doctors, expressed the same admiration when they saw Yu Zhiming's skillful and effortless operation.
Yu Zhiming is a natural for interventional therapy...
Yu Zhiming had finished all his work in the afternoon and it was already past the end of the working day. He had just returned to the big office to pack up and go home when he was called to the director's office.
"Zhiming, your diagnosis of young Yu Qiao is correct. I've monitored that his brain blood flow accounts for 28% of his total body blood flow."
Qi Yue handed a copy of the test data to Yu Zhiming.
"And that's not even assuming the boy is giving it his all. I did a simple test, and when he's thinking hard, his brain's blood demand can instantly reach 32 percentage points."
Qi Yue sighed again and said, "The psychological consultation also confirmed your judgment. The young man is under considerable psychological pressure."
"The boy revealed that one day a few years ago, he overheard his parents' conversation."
"I know his parents despise him for being stupid and resent him for bringing shame to the family. They even say they wish they could have him kidnapped."
Yu Zhiming knew that it was probably these extremely hurtful words that deeply stimulated the young man and awakened his BUFF.
Teacher Qi continued, "From that day on, the boy began to study very hard, not daring to slack off even for a moment."
Yu Zhiming placed the checklist he had read on his desk and said slowly, "The achievements this young man has made have at least proven one thing to many students..."
“Diligence can truly make up for lack of talent; persistent effort can also make up for lack of talent.”
Qi Yue uttered a soft sound.
"The price is stunted growth and a shortened lifespan."
"Zhuge Liang worked himself to death at Wuzhangyuan, exhausting himself to death. These sayings and stories have a lot of scientific basis and are indeed possible."
Yu Zhiming chuckled and asked, "Teacher, now that the diagnosis has been made, how should this young man's condition be treated and adjusted?"
Qi Yue pondered and said, "The young man's diligence and hard work have become second nature now. It's unlikely that he will stop and be content with mediocrity."
"The first priority is psychological counseling to ease his obsession and relieve him from the immense psychological pressure."
"This heavy psychological pressure is also one of the important factors affecting his physical development."
"Also, the teenager's parents need to receive psychological counseling and learn how to communicate with their children."
"Furthermore, it seems that getting daily nutrition from ordinary food is not enough to meet the physical development needs of teenagers nowadays."
"He needs to supplement with high-energy nutrient solution or something like that."
"Finally, proper physical exercise is also necessary."
Qi Yue said with regret: "It's just that these measures cannot be completed overnight."
"Besides, he's already seventeen. Even if these measures are effective and he gets a chance for rapid compensatory growth, a fifteen-centimeter increase in height over the next two to three years would be the best he can hope for."
Yu Zhiming imagined what Yu Qiao would look like in the future and said with a smile, "1.65 meters. If he wears four or five centimeters of high-heeled shoes, he'll be 1.7 meters tall."
"If she dressed more upright and had a high-top hairstyle that would make her look taller, she would look 5 feet 4 inches tall."
"One meter seventy-five, that's quite tall for a man."
Qi Yue was immediately amused and laughed, "Your exaggerated estimate is too outrageous."
"It's fake, it's fake."
"In fact, for men, height and appearance are not the most important things. What matters is inner qualities, ability and wealth."
"If you own a castle, even a beast and a beautiful woman will fall in love with you."
After a pause, Qi Yue turned and asked, "You went to the Medical Department at noon. What did the new Director Yang say?"
"Teacher, he punished me by making me write a letter of apology..."
Yu Zhiming briefly and clearly recounted his experience of going to the medical department.
Qi Yue's brows furrowed slightly.
"This guy's intentions are unclear!"
"Should I use you to establish my authority?"
Qi Yue shook his head and said, "Although the punishment he made against you was justified, it was a light punishment, better than nothing, and it didn't achieve the effect of establishing his authority."
"It doesn't seem like a show of goodwill."
"He could have just treated this as something that happened during his previous term and let it go."
Yu Zhiming, with a casual attitude, said, "Teacher, he asked me to write this self-criticism, so I will write it."
"That incident caused quite a stir, and I was indeed at fault. It's not good for the hospital to just ignore it and let it go."
"For me, this letter of apology is the hospital's statement of its stance, and it also puts an end to the incident."
Qi Yue nodded gently and said, "It's good that you think this way."
He exhaled again, "Let's see...how Director Yang behaves and handles things in the future."
"It's clear how important you are now. A mere director of the Medical Department can't touch you."
After talking about work, Qi Yue told Yu Zhiming another good news.
His paper on extracorporeal major bypass surgery has been confirmed to be accepted by the Chinese Journal of Surgery and will be published in the November issue.
This news made Yu Zhiming very happy.
Looking back to the past, when he was working in the county hospital, he published professional papers in provincial journals in order to be promoted to attending physician. He used connections, gave money and treated people to meals, which took a lot of effort.
It wasn’t as easy as it is now. I handed the paper to the teacher for review on Sunday, and on Tuesday, I got the confirmed news that it was accepted by a national core medical journal.
"Teacher, did you use your connections?"
Qi Yue chuckled and said, "I just sent the paper to an editor I know well. After reading it, he thought it had great reference and inspirational value, so he accepted it."
“Ultimately, it comes down to the quality of the paper itself.”
Yu Zhiming just listened to these words and would not be so naive as to believe them.
Imagine that there is a little-known young doctor and a well-known medical expert. Even if the young doctor's paper is of better quality than the medical expert's, if it is a choice between the two, the young doctor's paper will definitely be rejected.
This is the current national situation in our country.
When Yu Zhiming left the director's office, he also took away a thick stack of medical records.
This is a new little patient that Teacher Qi has taken over.
He was only nine years old and had been sickly since childhood.
Over the years, the young patient has been treated by no less than ten medical experts and veteran Chinese medicine practitioners, but his frail condition has not only not improved, but has become more serious.
Nowadays, young patients spend most of the month either recuperating in bed or traveling in a wheelchair.
Teacher Qi also told Yu Zhiming that the little patient's home was in Beijing, so coming to him was a random search for medical help.
They arrived in Binhai around Thursday or Friday, and Yu Zhiming spent the next two days familiarizing himself with the little patient's physical condition...
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(End of this chapter)
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