Chapter 1637 Environmental Survey
October 10th, Thursday, around nine in the morning.
Yu Zhiming came to the Zhizhen Building of Huashan Hospital and first took the elevator to Takeda Osamu's ward on the sixth floor.
After not seeing him for a few days, Yu Zhiming discovered that this guy looked to have lost twenty pounds, with wrinkles and a haggard look on his face. Besides, if he said he was eighty-eight years old, no one would doubt it.
After accepting the other party's weak wedding wishes, Yu Zhiming gave him a physical examination.
The results of the examination still satisfied Yu Zhiming...
Yu Zhiming came to the third underground floor and was somewhat surprised to find that there were quite a lot of people in the large office.
Ding Ye, Zhou Luo, Shen Qi, Sui Chi, Duan Yi, Qiu Yi, Gong Yue, Shen Yiyi and others gathered together.
"With so many people gathered here, are we going to discuss the patient's condition?"
Yu Zhiming saw that almost everyone had a copy of their medical records, so he asked casually and then looked at Ding Ye.
"When will you return to Germany?"
"I've booked a flight for this Saturday."
Ding Ye replied, then waved the medical records in his hand and said, "Teacher, we are discussing one of Shen Qi's patients. He is only 20 years old and a college student. His intelligence and memory have declined significantly in the past year, but all physical examinations have not found any abnormalities."
After a pause, Ding Ye asked curiously, "Teacher, you're newly married, and your wife just found out she's pregnant..."
Yu Zhiming knew what this guy wanted to ask, so he interrupted and said, "I had an appointment to discuss something, so I came to see you."
He looked at Zhou Luo, Duan Yi and the others and said, "There's no need to bother with Takeda Osamu anymore."
"He will focus on physical recovery from now on, and we will try to have him discharged from the hospital like a normal person within a week."
"Yes, teacher!" Zhou Luo, Duan Yi and others responded in unison.
Yu Zhiming looked at the whiteboard and saw one possibility after another listed on it, such as craniocerebral trauma, brain atrophy, tumors, cerebrovascular disease, malnutrition, poor metabolism, poisoning, drug abuse, epilepsy, autoimmune encephalopathy, depression, bad living habits, etc.
Yu Zhiming discovered that the words "Alzheimer's disease" on the whiteboard were circled.
"Do you suspect Alzheimer's?"
Shen Yiyi spoke first: "Doctor Yu, the youngest confirmed case of Alzheimer's disease is 21 years old."
"The patient we have has symptoms of intellectual decline, memory loss, personality changes, and other typical symptoms of Alzheimer's disease."
"The patient's cognitive and neuropsychological tests, including his sense of direction, reasoning and judgment, language skills and attention, also met the diagnostic criteria for Alzheimer's disease."
"However, brain imaging data do not support this. CT and PET medical imaging examinations have not shown any imaging signs such as temporal lobe atrophy, amygdala volume reduction, or cerebral amyloidosis."
Shen Yiyi further explained: "But I think this is most likely because the patient is too young. After all, her brain is just beginning to age at her age."
After birth, brain nerve cells stop dividing and growing.
People begin to age gradually at the age of 20, losing 0.8% of brain cells each year, and the rate of brain cell loss varies depending on the type and location of the nerve cells.
By the age of sixty, the number of nerves and cells in the cerebral cortex decreases by 20%-25%, which may be the main cause of Alzheimer's disease, memory loss, insomnia, and inability to control emotions.
Yu Zhiming looked at Qiu Yi and Gong Yue.
Qiu Yi glanced at Gong Yue before speaking, "Based on the various tests we've conducted so far, the patient has only shown symptoms, but no physical abnormalities have been found that could cause them."
"Alzheimer's disease, as proposed by Shen Yiyi, is indeed a possibility, but unless there is solid evidence for the diagnosis, I will not agree with the diagnosis of Alzheimer's disease."
Duan Yi took over the conversation and said with a look of pity: "That's right, she is only twenty years old. If she really has Alzheimer's disease, her life will be over."
Yu Zhiming rolled his eyes and criticized, "Duan Yi, is this your first day as a doctor? What's the patient's illness? Can you change it by forbearing or not?"
Duan Yi stuck out her tongue, moved sideways, and hid behind Ding Ye.
Yu Zhiming was speechless at Duan Yi's performance and didn't want to pay attention to her. He took another look at the many possibilities on the whiteboard.
"Since all the tests have found no abnormalities, perhaps her symptoms are caused by external factors."
Yu Zhiming pondered and asked, "Her change happened in the past year or so? Can I assume that it happened after she started college?"
Shen Qi's eyes lit up and he said, "Teacher, she is now a junior. The fact that she was able to be admitted to Binhai Normal University shows that her intelligence level was still good at that time."
"Perhaps it was the environmental factors after entering university that caused her intellectual decline?"
Duan Yi reminded her, "Speaking of college, I still remember the patient's father once said that she had performed poorly in the college entrance examination. With her past academic performance, she could have gotten into a 211 university. If she had performed better, she might have gotten into a 985 university."
"Perhaps, the college entrance examination was not a poor performance?"
Yu Zhiming said, "Then we should conduct an environmental investigation at the patient's home and school to see if we can find any suspicious causes."
When faced with illness, almost everyone will ask: Why am I sick? Why me?
Some people drink, smoke, eat meat, and have irregular sleep and rest schedules. They have such an unhealthy lifestyle, yet they can still live to be ninety-nine.
But there are also people who don’t smoke, drink, stay up late, and love to exercise, but still end up getting seriously ill.
Is this illness caused by environmental factors or destiny?
A foreign university conducted a 24-year follow-up survey on tens of millions of people.
They found that of the 560 diseases studied, 58% were influenced by genetic factors, 40% of which were significantly affected, and 32% were influenced by environmental factors, 25% of which were significantly affected.
According to their research, the causes of disease are mainly internal factors and supplemented by external factors.
However, except for congenital diseases, most diseases are the result of the interaction between innate genes and the acquired environment.
Therefore, in the diagnosis of difficult and complicated diseases, environmental investigation is an important task in disease diagnosis.
But doctors rarely do this work.
The main reason is that doctors are too busy. They are lucky to spend half an hour with each patient every day. Even the consultation is perfunctory, so how can they have time to go to the patient's home and workplace to conduct environmental surveys...
When I arrived at Ming, I was secretly happy.
Once again, he relied on his wisdom, rather than his physical ability, to provide this group of outstanding young doctors with a solution to the problem.
He didn't show it on his face, and walked into the soundproof office with a look of minor concern to prepare for the next scheduled meeting.
Gu Qingran made an appointment for him. At 10:30 in the morning, he would meet with the heads of three insurance companies to answer their questions...
Ask for support such as monthly tickets and recommendation tickets
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