Chapter 359: Improving Treatment
The next morning, Yu Zhiming had breakfast, packed up, picked up his briefcase and prepared to go to work.
But he was stopped by Gu Qingning at the door.
"Kiss, if you don't kiss me, I won't let you go!"
Yu Zhiming raised his hand and flicked Qing Ning's forehead, "Stop it, you're a girl, you should be more reserved."
Gu Qingning covered her forehead, pouted, and said pitifully, "One of us should take the initiative, right?"
"Otherwise, there would be too much between us."
Yu Xiangwan came over with a smile, enjoying the fun and saying, "That's right, you two are boyfriend and girlfriend now, so you can't be too plain."
"Hey, Lao Wu, Qing Ning, how about I go ahead and give you guys some space to cook?"
Yu Zhiming glared at his sister, then suddenly reached out and took Gu Qingning into his arms, and kissed her little lips hard.
Then, he twisted his waist again, moved Qing Ning aside, opened the door and left...
I really don't know what he was thinking, it's too plain?
While driving to the hospital, Yu Zhiming couldn't help but recall the scene of last night.
Under Gu Qingning's provocation, Yu Zhiming, a young man full of vigor and vitality, took the initiative...
If Yu Zhiming had not stopped the fight at the last moment with his great willpower, the result would have been an accidental war.
This also made Yu Zhiming himself feel strange.
The relationship is too familiar, making it difficult to take action?
Or is it really because of companionship and habit that he regards Qing Ning as an important person in his heart and doesn't want to be so careless?
Thinking back to that night, when faced with the temptation of his old classmate Su Tong, he didn't hesitate much.
Thinking of Su Tong and that night, Yu Zhiming began to come to his senses.
Although he had some bad thoughts of a man, it was Su Tong who held the initiative from beginning to end.
Yu Zhiming sighed softly, knowing that Su Tong was no longer the same Su Tong.
At the same time, he also understood.
He is no longer the same person he used to be. Others are changing, and he himself is changing too...
Not long after Yu Zhiming arrived at the central building of the hospital, Qi Yue called him and Wang Zejia into the director's office.
"Xiao Wang, you should have heard in the past few days that our Huashan Hospital and Ning'an Hospital have started to cooperate in overseas training."
Qi Yue got straight to the point: "Zhi Ming has a close relationship with Ning An and has a recommendation quota. Do you have any thoughts on going abroad?"
Wang Zejia was shocked and nervous at first, then he showed an exaggerated and pitiful expression.
"Director, do you not want me anymore?"
Qi Yue couldn't help but say with amusement: "You are already over thirty years old, yet you still act like a child."
"I'm not rejecting you, I just think this is a rare opportunity. You're the only one among you who hasn't studied abroad before."
Wang Zejia looked relieved and chuckled, "Thank you, Director, for your kindness. Thank you, Doctor Yu, for thinking of me. I still want to study with you for a few more years..."
At this time, Zhou Mo knocked on the door and came in.
"Director, Doctor Yu, Mr. and Mrs. Wei Zesheng are here."
"So early?" Yu Zhiming was a little displeased.
Qi Yue persuaded: "It's understandable that you're anxious."
"It's just right, Zhiming. After you examine his wife, you can still do your normal work..."
Yu Zhiming came to the big office and met Wei Zesheng and his wife who were waiting there.
Compared to her arrogance at Yiyuan Restaurant, Yu Zhiming found that Mrs. Wei looked embarrassed today, as if she wanted to laugh but couldn't.
Not only that, even with light makeup on, Yu Zhiming could see that she looked haggard.
Yu Zhiming was too lazy to pretend to be polite and flatter the other party, so he simply took the person to the examination room and gave Mrs. Wei a physical examination.
Knowing that Mrs. Wei's main discomfort was in her liver and stomach, Yu Zhiming started investigating these two areas directly.
Yu Zhiming examined the organs, first checking from the inside out for any abnormal deformation, ulceration or bleeding, the vitality of the organs, and the overall feeling they gave Yu Zhiming.
If there are no noteworthy issues in these aspects, then continue to explore the blood circulation.
If there is nothing abnormal in the blood circulation, it basically means that there is no major problem with the internal organs to be examined.
During Yu Zhiming's initial investigation, he found that there was nothing wrong with Mrs. Wei's stomach and liver, except that they were slightly lacking in vitality and felt a little weak.
He then explored the blood circulation.
After this in-depth exploration of the blood circulation, Yu Zhiming keenly noticed something was wrong.
There is a problem with the amount of blood flowing into the liver.
Total hepatic blood flow refers to the blood flow flowing through the liver per unit time.
The total liver blood flow of a normal adult is about 1500 ml per minute.
This accounts for about 25% to 40% of the heart's stroke volume.
Our liver has two blood supply systems, including the portal vein and the hepatic artery.
Among them, the amount of blood flowing through the liver through the portal vein accounts for 60% to 80% of the total hepatic blood flow, with an average of 75%, which is about 1100 ml per minute.
The hepatic artery blood flow is about 350 ml per minute, accounting for 20% to 40% of the total liver blood flow, with an average of 25%.
The ratio of portal vein blood flow to hepatic artery blood volume is basically three to one.
Yu Zhiming discovered that the ratio of Mrs. Wei's portal vein blood flow to hepatic artery blood volume exceeded four to one.
This ratio means that the blood volume in the hepatic artery is relatively low.
After realizing the problem, Yu Zhiming focused his attention on the blood flow upstream of the hepatic artery and made some discoveries in the upper part of the hepatic artery.
There are continuous bud-like protrusions on the arterial wall.
It is these protrusions that thicken the blood vessel walls and slow down blood flow!
Is this a vascular disease?
Vasculitis?!
This discovery made Yu Zhiming feel depressed, as vasculitis is a troublesome disease.
It is a chronic disease and is difficult to cure, especially large artery vasculitis.
However, this vasculitis is a specific disease.
Its diagnosis requires excluding the possibility of multiple diseases such as autoimmune diseases, atherosclerosis, thromboangiitis obliterans, fibromuscular dysplasia, congenital coarctation of the aorta, and combining multiple data such as imaging examinations and pathological examinations for comprehensive evaluation.
Next, Yu Zhiming could only conduct a full-body examination on Mrs. Wei, especially a detailed examination of her blood vessels.
After this inspection which took more than twenty minutes, the results were pretty good.
Yu Zhiming only found abnormal granulomatous protrusions in the upper part of Mrs. Wei's hepatic artery and the upper-level hepatic artery.
In addition, Yu Zhiming made another discovery.
"Mrs. Wei, you need to take a pregnancy test. You may be about ten days pregnant."
Mrs. Wei looked surprised.
"I am pregnant?"
She touched her belly and asked, "Doctor Yu, doesn't this mean that my physical discomfort during this period is a physical reaction caused by pregnancy?"
Wei Zesheng standing by was also overjoyed.
He only has one son now, and given his family background, he would not mind having too many children.
Yu Zhiming corrected her, "Madam Wei, besides the physical reaction caused by pregnancy, there are indeed some problems with your body."
"As for what the problem is, further investigation is needed."
Mrs. Wei, immersed in the joy of pregnancy, obviously did not hear what Yu Zhiming said next.
She suddenly started and shouted, "Oh, I've done a lot of tests and taken some medicine, including Chinese medicine, during this period."
"Doctor Yu, will it affect the child?"
Yu Zhiming said frankly: "It's best to consult a gynecologist about this issue. I can't say for sure."
Wei Zesheng asked worriedly, "Doctor Yu, you just said that my wife does have a health problem."
"Doctor Yu, is it serious?"
Yu Zhiming pondered and said, "First of all, according to my judgment, it is not cancer."
"As for how serious it is, it's hard to say. You need to go to the rheumatology and immunology department for further examination!"
"I personally suspect it's large artery vasculitis..."
At this time, it was already past nine in the morning.
Small conference room on the seventh floor of the Huashan Hospital Comprehensive Office Building.
When Li Yao saw that Vice President Tan, Vice President Liu, the Discipline Inspection Secretary, and the heads of major departments such as the Medical Department, Nursing Department, and Finance Department had arrived, he announced the start of the emergency meeting.
"Everyone, the topic of this temporary meeting is only about one person, Dr. Yu Zhiming."
After saying this, Li Yao waved his hand to signal his secretary He Yingjun who was sitting behind him.
He Yingjun immediately stood up and said loudly: "Dear leaders, let me first report some survey data."
"I investigated each of the fifty registered patients Dr. Yu saw yesterday."
"Among these fifty people, only seven were lucky enough to get a registration through our online registration system."
"The other 43 patients all bought their registrations from scalpers at exorbitant prices."
After a pause, He Yingjun continued, "Their account prices range from a minimum of 1,500 yuan to a maximum of 5,000 yuan."
"The average purchase price for forty-three people was 2,645 yuan."
He Yingjun added: "Because this is a private investigation, it relies entirely on the patients' own statements and cannot be verified, so the authenticity of the data cannot be guaranteed."
After reporting this, He Yingjun bowed slightly and sat down again.
Li Yao said slowly, "Even if this data isn't entirely true, it's still 80% true."
"That also means that scalpers have driven up Dr. Yu's registration fee to over 2,000 yuan."
"This price exceeds the scalper price paid for registrations by many senior medical experts in our hospital."
Li Yao said solemnly, "The fact that scalpers can drive up the price so high also proves something else..."
"Patients highly recognize Dr. Yu's abilities and feel his registration fees are worth the money."
Li Yao glanced at the people present and said, "I won't elaborate on Dr. Yu's abilities and his performance in the first few months since joining Huashan. You all know it well."
"I was just wondering if it's necessary to increase Dr. Yu's salary?"
At this time, Vice President Liu, with his long face and thick eyebrows, spoke up, "Doctor Yu is naturally very capable. I am convinced. His ability is also reflected in his income."
"In his first month, his salary exceeded 100,000. In the second and third months, his salary soared to 500,000 or 600,000."
"This income level crushes all of us here and exceeds that of many senior medical experts in our hospital."
"As far as I know, Dr. Yu also has a fairly lucrative part-time job at Ning'an Hospital."
Vice President Liu chuckled and said, "With Dr. Yu's income, do we really need to increase his salary?"
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(End of this chapter)
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