Chapter 246: Thanks
Time flies and it is the 6th, Sunday.
After two o'clock in the afternoon, Yu Zhiming waited for the younger brother of Zeng Yan's classmate at the Qi Yue Medical Research Center.
He is only fourteen years old, but he is tall and fat, 1.72 meters tall and weighs 170 kilograms.
It clearly gave Yu Zhiming a feeling of being obese.
Yu Zhiming asked a few simple questions and noticed that the child's reaction speed was a little slow and he seemed dull.
Sometimes he had to repeat simple questions two or three times before he could get the child's feedback.
Yu Zhiming asked the child to lie on the examination bed and explore his brain.
As soon as Yu Zhiming took action, he noticed something unusual.
The blood flow rate in one cerebral artery is slightly slower than that in other cerebral arteries.
Yu Zhiming further explored the blood vessel with abnormal flow rate and found a small artery with an even slower flow rate.
This thin artery is mainly responsible for supplying blood to the temporal lobe area of the brain.
Yu Zhiming is still clear about the main functions of the temporal lobe.
It is the hearing analysis center and is responsible for analyzing hearing.
The sound reaches the ears, which then transmit the hearing to the brain. The temporal lobe does the final analysis and tells us what the other person said and what they meant.
This area is also responsible for memory, and the human body's ability to produce memories is also accomplished through the temporal lobe system.
The temporal lobe is also the center for olfactory analysis.
Normally, after the nose smells an odor, the taste signal is transmitted to the brain and eventually to the temporal lobe.
The temporal lobe completes the analysis and tells you what the smell is, whether it is fragrant or smelly...
A few minutes later, Yu Zhiming withdrew his hand.
"Doctor Yu, is there really something wrong with my brother?"
The person asking the question was Zeng Yan's classmate, who was slightly shorter and thinner than his brother.
In addition to him, there was also a seemingly honest father who came with the child.
Yu Zhiming first asked the nurse to take the child to the corridor outside before telling the child's brother and father.
“There is a problem!”
Yu Zhiming confirmed it and explained, "Your brother suffers from vascular dementia."
"This disease is caused by damage to blood vessels in the brain, which reduces the oxygen and nutrients supplied to the brain parenchyma, leading to a decline in brain function."
As Yu Zhiming spoke, he quickly drew a simple diagram of the cerebral blood vessels on a piece of paper.
"The blood flow to the functional areas of the temporal lobe is more than double that of other areas."
"Long-term insufficient blood supply can cause damage to the temporal lobe, leading to severe impairment of patients' higher-level cognitive functions such as memory, analytical ability, executive function, and language."
These words made the child's brother and father look very ugly.
The child's older brother asked, "Doctor Yu, why is the blood flow to the temporal lobe of the brain so significantly reduced?"
Yu Zhiming replied softly, "During my examination, I found that the fine arteries in the temporal lobe have a lot of attachments on their inner walls, and the blood vessels are much narrower than those in other brain regions."
"At present, it is not clear whether the slow blood flow first causes the excessive attachments on the inner walls of the arteries in the temporal lobe."
"In addition, there are many attachments on the inner walls of the arteries in the temporal lobe, which leads to stenosis of the blood vessels, slowing blood flow and reducing blood volume."
"But judging by the current situation, this has clearly formed a vicious cycle that has made the condition worse."
After a pause, Yu Zhiming added, "I can tell without any tests that this child's blood lipids are definitely not low."
The child's older brother looked at his father and criticized him, "I've told him more than once to eat less meat and fried foods, eat more vegetables and fruits, and exercise more."
“Now you see, here comes the problem, right?”
The child's father said bitterly, "We've asked him to eat more fruits and vegetables, but he won't listen."
"They dislike the taste and insist on eating meat and fried food, otherwise they become noisy and noisy."
"Once he started making a fuss, your mom and your grandparents softened their hearts, and I couldn't do anything about it."
Hearing this, Yu Zhiming said seriously, "The temporal lobe is also responsible for olfactory analysis."
"Damage to the temporal lobe can lead to a less sensitive sense of smell, which can cause a craving for strong-smelling, oily, and salty foods."
At this time, the child's brother asked with concern: "Doctor Yu, my brother's condition can be cured?"
Yu Zhiming pondered and said, "The cause of the vascular damage and low blood flow in the temporal lobe area has not yet been determined."
"I suspect there may be a vascular malformation or other problem in your brother's temporal lobe area, which has severely affected blood flow."
"This requires further careful examination."
"I need to wait for clear test results before I can determine the treatment plan."
The child's father asked nervously, "Doctor, will this examination be very expensive?"
Yu Zhiming explained: "This requires an enhanced MRI, which costs about 1,500 yuan."
"Adding other basic tests like blood lipids, the full set of tests will cost about two thousand."
This number made the child's father's expression relax.
He still couldn't help but ask, "Didn't you say that if you, the doctor, did the examination, it would only cost a hundred or two hundred yuan to confirm the diagnosis?"
"Why do you have to spend so much money to do other tests?"
The child's older brother quickly explained, "Dad, Doctor Yu has confirmed that my brother has vascular dementia."
"It's just that further examination is needed to confirm the ultimate cause so that appropriate treatment can be given."
"Is that right, Doctor Yu?"
Yu Zhiming nodded and smiled, then wrote out a checklist and gave it to the child's brother.
"After the examination today, all the test results will probably not be available until tomorrow."
"Tomorrow is Monday, and the hospital will be fully operational. I'll be seeing patients in Room 15 of the Emergency Department."
"Just come to me directly with the test results."
Yu Zhiming then warned, "You can start controlling your brother's diet..."
After three o'clock in the afternoon, Yu Zhiming waited for Zeng Yan, Bao Guan, and Bao Guan's parents.
Yu Zhiming first gave Bao Guan's parents a full-body examination.
Bao Guan's parents were in relatively good health, but the examination revealed some common ailments for people in their fifties and sixties.
What needs to be noted is the cardiovascular disease of Bao Guan’s father and the cerebral blood vessels of Bao Guan’s mother!
The problem for the two of them is not serious. They just need to take some medicine and pay more attention to diet and physical exercise.
Also, regular checkups every year are sufficient.
Yu Zhiming thanked Bao Guan again for taking care of Zeng Yan, and then saw her and her parents off.
He noticed that Zeng Yan looked tired, and asked with a faint smile, "Are you very tired?"
Zeng Yan nodded her head and said, "I only slept for twelve hours in two days. I'm tired and sleepy."
"Sister Bao said this is still okay. If you work the small night shift and the big night shift consecutively, that would be really exhausting."
After a pause, Zeng Yan continued, "Uncle, this has not dampened my determination to study medicine."
"These past two days, I've been following Sister Bao and have seen many patients, including adults, the elderly, and children."
"They all come here in pain. But many patients go home to recuperate with the hope of recovery."
"Uncle, I want to study medicine and become a doctor, so I can use my skills to relieve patients' pain."
Yu Zhiming listened to Zeng Yan's frank words and saw the clarity in her eyes, so he nodded slightly.
"After returning to school, get a good night's sleep and think it over carefully. If you are determined not to change, ask your parents for advice."
Yu Zhiming said seriously: "Studying medicine is a long and difficult process, and the support of family is indispensable!"
Zeng Yan laughed and said fearlessly, "Don't worry, uncle. My parents both support me."
"They will definitely agree, hehe..."
"Wait until you get your parents' consent before you say this."
Yu Zhiming also warned: "Even after obtaining your parents' consent, don't rush to submit your application for withdrawal from school."
"I'll try to help you first and see if you can transfer directly to a university and then to a medical school."
"Uncle, is this okay?"
Zeng Yan's eyes couldn't help but widen twice as wide, her face full of excitement and anticipation.
Yu Zhiming frankly said: "It's very difficult and the possibility of success is very small. It's just a try."
"It's very likely that you will need to take the college entrance examination again."
Zeng Yan said with an "oh" and smiled, "Thank you for all the trouble, uncle, hehe!"
"Uncle, I won't say thank you any more. Even if I go home to review and retake the exam, I have enough confidence to pass it."
"This time, I didn't just muddle through. I studied and took the exam under the urging of my parents and teachers."
"I work hard for my own ideals and goals. This motivation is like a rocket, and my review results will definitely be a qualitative leap."
Yu Zhiming said happily, "Don't be so confident. Many students who have returned to school are getting worse year by year."
He stood up and said, "Let's go. I'll take you back to school."
Zeng Yan picked up the big backpack, put it on her shoulder, and followed Yu Zhiming outside.
"Uncle, um, Sister Bao has really taken good care of me these past two days."
"Uncle, should I give you a gift?"
"Or, treat her to a meal?"
Yu Zhiming said casually, "Don't worry about the thank you from Dr. Bao. I'll take care of it."
Resident doctors like Bao Guan will first undergo a year of rotation training in various departments after arriving at Huashan Hospital.
Then, based on their training and assessment results, they will be selected in both directions to select specific departments and determine their main focus.
However, it is a two-way choice. If you don't have any connections and your own abilities are not particularly outstanding, you can only passively accept the hospital's arrangements against your will.
There is even the possibility of being kicked out of the hospital.
With Yu Zhiming's current status, it would be quite easy for him to act as a matchmaker for Bao Wan and contact a reliable chief or deputy chief physician in the hospital to provide her with guidance on her medical skills from time to time...
Yu Zhiming sent Zeng Yan to the Fisheries University and returned to his residence in Zijinyuan. It was almost six o'clock in the evening.
The room was empty.
Yu Zhiming felt a little depressed and sad. His fourth sister was a typical example of someone who had a boyfriend and forgot about him as her younger brother.
As for Gu Qingning, she returned to the Gu family yesterday afternoon.
Is this dinner question?
Just when Yu Zhiming was thinking about how to make do with this dinner, he received a call from Teacher Qi Yue.
"Zhiming, are you free tonight? Let's get together!"
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(End of this chapter)
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