Chapter 463 Another Talent
At 8:10 the next morning, Yu Zhiming came to the central building of the hospital and took the weak-legged young man to the laboratory.
As soon as he entered the laboratory, he saw a high-power microscope ready on the operating table, as well as a set of trauma treatment instruments, anesthesia acupuncture, disinfectant alcohol and other supplies.
This was prepared by the nurse on duty at the center over the phone while he was having breakfast at home that morning.
The execution ability of the nurses in the center is quite good.
Yu Zhiming nodded in satisfaction and turned to look at the young man sitting in the wheelchair with weak legs and a nervous expression.
"Don't be afraid. I thought of a possibility last night. I need to give you a trauma examination."
Yu Zhiming gestured on the young man's calf and further explained, "We need to make a small incision on your calf and then peel off a small piece of endomuscular membrane from the muscle."
"I want to observe the blood microcirculation inside."
Muscles have their own blood supply.
In order to adapt to the vigorous metabolism of muscles, the blood supply to muscles is also quite abundant.
Each muscle has its own blood supply.
Its main blood vessels often accompany nerves, run along the muscle septa and fascial spaces, and branches enter the muscles from the muscle gates and repeatedly branch out within the muscles.
Finally, a capillary network is formed in the endomuscular membrane, surrounding the muscle fibers, and then the capillary network flows into the venules and small veins to exit the muscle gate.
During yesterday's physical examination, Yu Zhiming had discovered that the amount of atrophy in the blood vessels in the lower limbs of the young man with weak legs, which were larger than 0.5 mm in diameter, was normal, which was consistent with the condition of the lower limbs of the young man with weak legs who had not exercised for a long time.
Yu Zhiming speculated that if there was indeed a problem with blood circulation, it would most likely be in the blood microcirculation.
Therefore, he decided to take a small piece of endomysium from the calf gastrocnemius muscle of the young man with weak legs, where there were obvious signs of muscle atrophy, and examine it under a high-power microscope.
Yu Zhiming noticed the frightened look on the young man's face and said to him, "Don't be afraid. We'll give you anesthesia. The incision will only be one or two centimeters. No stitches will be needed, and there won't be any sequelae."
In the current situation, the young man with weak legs can only cooperate obediently in order to find out the cause of his illness.
He endured the worry and fear, and also the pain, and allowed Yu Zhiming to operate on his left calf with needles and surgery.
A few minutes later, he saw Yu Zhiming running to the high-power microscope and getting busy...
Yu Zhiming placed the slide on the microscope and slowly adjusted the objective lens to make the eyepiece field of view clear...
In the clear field of view of the high-power microscope, Yu Zhiming quickly discovered the abnormality.
The arterioles were twisted and deformed in a strange way, as if they were spasming due to being burned by flames.
This discovery made Yu Zhiming very excited.
It was just as he analyzed!
Small arteries with a diameter of less than 300 microns are called arterioles. They are located at the beginning of the microcirculation and are important for regulating microcirculatory blood volume. They are resistance vessels before capillaries.
In the microcirculation, arterioles act as the "main gate". The contraction and relaxation of smooth muscle fibers can control the size of the artery diameter, and its diameter determines the blood flow in the microcirculation.
Such abnormal twisting and spasm of the arterioles will undoubtedly significantly reduce the blood supply to the muscles.
This can lead to muscle and nerve degeneration due to insufficient oxygen and nutrient supply.
Yu Zhiming, who had made the discovery, quickly took photos to collect evidence.
Next, he took samples from the young man's right leg, as well as his left and right arms.
What excited Yu Zhiming was that the young man with weak legs also showed abnormal spasms in the arterioles on the endomuscular membrane of his right leg.
However, no micro-arteriospasm was found in the two specimens taken from the young man's left and right arms.
This proves that it was the spasm of the micro-arteries in the blood supply to the lower limbs that caused the young man's weak legs.
But this creates new problems.
What causes lower limb microarteriolar spasm in young people?
Yu Zhiming informed the weak-legged young man of his discovery and asked him to go back to the ward first. He then excitedly returned to the big office.
But as soon as he entered the big office, several people surrounded him.
"Doctor Yu, do you still recognize me? I'm here to give you a banner."
The voice and the slightly plump figure made Yu Zhiming recognize the other person immediately.
"I remember you were the one who pretended to be pregnant last night."
This made the plump woman blush, and she said awkwardly, "Doctor Yu, please don't mention that. It's so embarrassing."
She quickly turned around and said, "Doctor Yu, the diagnosis you gave me at that time..."
"Mucinous cystadenoma of the ovary."
The woman recited the medical terminology word for word accurately, and then continued, "We went to the hospital for an examination overnight, and it's true."
"The next day, the doctor performed a minimally invasive surgery on me and extracted a myxoma that weighed nearly six kilograms."
"Doctor Yu, please see..."
The woman touched her belly and said, "My belly is gone."
To be precise, she still has a belly, but it is not as big or obvious as before.
Yu Zhiming then asked, "How is your cousin who was driving the car?"
The woman waved her hand and replied, "Drunk driving, this isn't your first time. Ten days of administrative detention."
"He's still squatting in there. He should be taught a lesson..."
After chatting for a while, Yu Zhiming said that he still had to work.
The woman and her family expressed their gratitude again with understanding, then presented the doctor with a banner that read "Miracle Doctor", a large fruit basket, and a large bouquet of flowers, and then said goodbye and left.
"Zhou Mo, the flowers are yours, and we'll share the fruits."
Yu Zhiming gave instructions, left the office, and went upstairs to the ward area. He found the large group led by Teacher Qi and joined them in the ward rounds...
He was so busy that he didn't finish until lunch time.
Yu Zhiming returned to the big office to have lunch with Zhou Mo, but found that this guy was not waiting at his workstation and had left him a note.
"I'm being treated to a delicious meal at noon, so you have to go alone."
Yu Zhiming came to the hospital cafeteria alone, got his food, and found a relatively quiet place to sit down.
He had eaten halfway when he saw Bao Guan carrying a tray and sitting down in the empty seat opposite him.
As soon as Bao Guan sat down, he asked, "Doctor Yu, do you know about Doctor Wang's situation?"
Yu Zhiming knew that she was asking about Dr. Wang Jiangyue from the General Surgery Department, so he nodded slightly.
"I know. They said the hospital's investigation report will be out tomorrow."
"Doctor Yu, is there any serious problem?"
Yu Zhiming saw Bao Guan's concerned expression and consoled him, "The primary responsibility does not lie with Dr. Wang."
"And Dr. Wang is a key chief physician in general surgery. The hospital will protect her."
"However, disciplinary action is unavoidable, and this year's year-end bonus is expected to shrink significantly."
Yu Zhiming added, "I learned this from Director Yang Mai of the Medical Department."
Bao Guan let out a long sigh and said, "That's a relief. Doctor Wang has been on leave these past few days, and I didn't dare ask around. I've been feeling really nervous."
Yu Zhiming smiled and asked, "How is your work going recently?"
Bao Guan smiled and said, "Very good! The hospital's rectification campaign has been very effective."
"Although we residents are still very tired, there is no obvious injustice. We are tired but happy."
"I can still accept Dr. Wang's guidance from time to time and do some small things for Dr. Wang to the best of my ability."
Bao Guan continued, "What we've been talking about the most these days is the expansion of the Qi Yue Medical Research Center."
Yu Zhiming said bluntly: "The center will select some outstanding attending physicians, and resident physicians will not be considered."
Bao Guan said with an undiminished smile, "We are all aware of this and will definitely select the best from among the attending physicians."
After a pause, she asked, "Hey, Dr. Yu, if there is an excellent attending physician working in another hospital who wants to join your center."
"Will you accept it?"
Yu Zhiming chuckled and said, "That depends on how good he is. For example, wasn't I hired as an exception?"
Bao Guan chuckled and said, "Of course he can't be as good as you, Doctor Yu, but he's much better than me."
She explained in detail: "He and I are from the same prefecture-level city. He graduated from Capital Medical University with a doctorate in clinical medicine and now works in a Class 3 hospital in our city."
"If I hadn't been lucky enough to be hired by Huashan Hospital, I would have gone back to work there."
Bao Guan took a sip of seaweed soup and continued, "He has been working for five years and has published five papers in core journals, including two in SCI journals."
Scientific research medical talent?
Yu Zhiming commented in his heart.
Medical papers are his weak point.
Although as of now, five papers signed by Yu Zhiming as the second or third author have been confirmed to be published in core medical journals.
But only family members know their own business. Yu Zhiming's contribution in those papers was to serve as a tool to provide detailed physical examination data of patients to Teacher Qi, Xie Jianmin, Wang Zhijin, Wang Zejia and others.
He did not do the main case research work.
Bao Guan went on to say, "Three provincial-level tertiary hospitals have offered him jobs, but he has never accepted them."
Yu Zhiming smiled and asked, "Want to come to our Huashan?"
Bao Guan hummed and said, "Last night, he took the initiative to call me to inquire about the situation at your center and expressed his intention to change jobs."
Yu Zhiming smiled again and said solemnly, "It's a bit inappropriate for such an outstanding talent to contact me."
"Perhaps, I would have rejected him out of jealousy."
Bao Guan was slightly startled and said, "I believe, Doctor Yu, you are not such a person."
Yu Zhiming laughed and said, "Doctor Bao, don't look down on me. I am also an ordinary person and I also feel jealous and envious."
After a two-second pause, he smiled again and said, "The most important thing is that I'm good at diagnosing diseases, but I don't have that ability to judge whether a person is good enough."
He pondered for a moment and said, "Well, I'll talk to Dean Tan, and you report his situation to him."
Yu Zhiming took out his cell phone and called Vice President Tan...
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(End of this chapter)
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