Chapter 1668: Can two hearts hold it?
It's Monday again, and it's Yu Zhiming's outpatient clinic day.
Yu Zhiming rushed to the Zhizhen Building of the hospital and called Zhou Luo, Shen Qi, Sui Chi and Duan Yi to the soundproof office.
As he prepared for the upcoming work, he asked, "The day before yesterday, in the competition with He Xie and Sun Duo, where did you lose?"
Duan Yi quickly replied, "Teacher, we went to the emergency department and randomly selected four patients."
"We both correctly diagnosed the patient's illness, but we failed three to one in terms of diagnostic speed."
Yu Zhiming asked, "What are these diseases?"
Sui Chi was the first to answer, "Teacher, the four patients have Crohn's disease, uremic encephalopathy, pancreatic cancer, and tricuspid stenosis, a rheumatic heart disease."
Hearing this, Yu Zhiming frowned.
"These four diseases are difficult to diagnose with routine examinations. Did you really select these patients at random?"
"Are the emergency rooms overwhelmed with patients suffering from difficult-to-diagnose diseases?"
"Teacher, you don't know..."
Duan Yi, who had taken back the floor, said quickly, "Ever since the hospital implemented the outstanding young doctors' group consultation method you proposed in the outpatient and emergency departments, the number of patients coming to the department has increased."
“Especially on Saturdays and Sundays.”
Duan Yi paused briefly, then quickly explained, "Because on Saturdays and Sundays, many young doctor teams work in the outpatient and emergency departments to improve themselves."
"Our group of young doctors are quite capable, and as part of a group consultation, they are comparable to chief physicians. They are also very thorough in their diagnoses. When we encounter difficult cases that we cannot solve, we can even call on the medical experts behind us for help."
"So the word spread among patients that seeing us is the most cost-effective option. They pay the price of a regular doctor but receive treatment comparable to that of a specialist clinic."
"So, on weekends, many patients with difficult and complicated diseases come here to try their luck by making an appointment for a regular appointment."
Yu Zhiming nodded gently, and then Zhou Luo added, "They said they were four randomly selected patients, but they actually did a simple screening. Those who could be diagnosed based on their medical records were excluded."
Duan Yi hurriedly said, "Teacher, we're slightly behind in terms of diagnosis time for Crohn's disease, uremic encephalopathy, and pancreatic cancer, but we've made up a point in the diagnosis of tricuspid stenosis in rheumatic heart disease."
"Teacher, it's me who keeps the reputation of being the absolute authority on heart disease, hehe..."
Yu Zhiming looked at Duan Yi's face, which looked like she was begging for praise. He rolled his eyes and criticized her, "Why are you still taking defeat as an honor? Failure is failure. You must work harder in the future."
"Yes, teacher, we will work harder!" Zhou Luo, Shen Qi and others responded quickly.
Yu Zhiming said, "Crohn's disease, uremic encephalopathy, pancreatic cancer, and tricuspid stenosis caused by rheumatic heart disease can be divided into five or six medical departments. Because of me, you have learned more in-depth knowledge in various medical fields, which is normal."
“How do they have such deep breadth of medicine?”
Sui Chi reminded him, "Teacher, the main issue is Sun Duo. Although the other two are also excellent, their performance that day was obviously much worse than Sun Duo's, and they also had shortcomings compared to us."
Yu Zhiming nodded to indicate that he understood.
He already knew that Sun Duo's teacher, Academician Song, mainly focused on the research of lung-related diseases.
It is not easy to train a very good general practitioner from a specialized medical scholar like this one.
Is it true that Sun Duo is a medical genius who is hidden for some reason?
While Yu Zhiming was thinking, he waved to Zhou Luo, Duan Yi and the others and said, "Let's get ready for work."
"Hey, Shen Qi..."
Yu Zhiming stopped Shen Qi and asked, "You proposed to Olivia successfully, but did you get the blessings of both sides' parents and families?"
Shen Qi said awkwardly, "Teacher, well, my parents have some opinions and don't quite agree."
"Olivia's parents haven't told me yet."
Yu Zhiming said solemnly: "Marriage is not just a matter between the two of you, it is also the union of two families. Only a marriage with the blessing of both families can be happy and long-lasting."
"We have to deal with both sets of parents, understand?"
Shen Qi replied honestly: "Yes, teacher..."
After Yu Zhiming understood the situation and made preparations for work, he immediately started working in the outpatient clinic...
At around eleven o'clock in the morning, Yu Zhiming received a 23-year-old male patient with heart disease.
Heart failure caused by myocarditis.
As soon as Yu Zhiming began to examine the patient, his brows furrowed. "Was the treatment for myocarditis delayed?"
The patient's father said with a bitter look on his face, "My child was in college at the time, and he didn't pay much attention to it. The school hospital was also sloppy and couldn't diagnose the case. Only when the problem became serious did he transfer to a large hospital."
"My son almost died, but he finally made it through, but his heart wasn't working."
"I've been seeing several cardiologists lately, and they all say my heart can only last a year or two, and I'll eventually need a heart transplant."
The patient's father pleaded, "Doctor Yu, you are unmatched in the field of cardiology. Please save my son."
"He's only 23 years old. Even if he's lucky enough to get a heart transplant, I heard he wouldn't last more than a few years."
"Doctor Yu, please save my son, save his heart..."
After the father finished speaking, Yu Zhiming also completed his son's heart and physical examination.
He withdrew his hands and said thoughtfully, "Even though your son has lost a lot of weight and is weaker due to his illness, his physical functions are quite strong given his age."
"The heart has to bear a huge burden, which puts an already severely damaged heart into overload."
"This will cause the heart to become increasingly damaged, and the ultimate result will be a heart transplant."
The patient's father pleaded, "Doctor Yu, is there really nothing you can do?"
this……
Yu Zhiming quickly thought of a treatment method in his mind and said, "Your son's heart needs a good rest, so that there is a chance of recovery."
"You can't let your son lie in bed and struggle to survive from now on. If you do that, his heart will get some rest, but his body will completely collapse, and his heart will eventually be affected as well."
Suddenly, Yu Zhiming thought of a way.
"Is your family rich?"
The patient's father was slightly startled, then seemed to come to his senses and said in a low voice, "Doctor Yu, although our family is not wealthy, we can still come up with two or three million."
"If it's not enough, I can still borrow. Doctor Yu, just name the amount, and I'll sell everything I have to come up with it."
When Yu Zhiming heard him say this, he knew he had misunderstood and explained, "When I asked if your family had any money, it wasn't for me, it was for your son's surgery."
"A heart transplant surgery still needs to be performed, and it should be performed as soon as possible. However, given your son's current condition, the likelihood of finding a heart donor in China is extremely slim, so he can only go abroad for this heart transplant surgery."
Yu Zhiming then instructed, "Transplant a heart and add the original heart, so that the two hearts can support the body together."
"In this way, the original heart can get an effective rest and has a good chance of recovery."
"Once his original heart has recovered, we can have another surgery to remove the transplanted heart."
The patient's father felt a little unbelievable and asked cautiously: "Doctor Yu, is this method really feasible?"
He hurriedly explained, "Doctor Yu, you are the authority among cardiac authorities. I have absolutely no intention of questioning you."
"I just have some doubts..."
The patient's father gestured to his chest and said, "The chest cavity is only this big. Can two hearts fit in it?"
Yu Zhiming chuckled and said, "It can fit."
"Did you know that our stomach is about the size of a fist when empty, but when full, it can expand to seven or eight times its size..."
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