Chapter 487: Substitution
An old friend of Dr. Wang Wu lives in a community called Rhine Mansion in the southern part of Binhai.
Around eight o'clock in the evening, Yu Zhiming entered the community and found that the houses in the community were mainly multi-story villas with five, seven, and nine floors. There was also a large open space and many ornamental trees.
More importantly, it was quite quiet, giving Yu Zhiming a sense of tranquility in the midst of noise.
"Doctor Wang, the housing prices here are very high, right?"
Wang Wu chuckled and said, "It's over 200,000, and the smallest unit is 180 square meters."
"Doctor Yu, do you see those five- and seven-story houses next to us?"
Wang Wu gestured with his fingers and explained, "Those buildings, and the ones to the west, are said to have been bought as a whole by wealthy people and used as single-family villas."
Yu Zhiming couldn't help but breathe in and said, "There are still quite a few rich people in Binhai."
Wang Wu also sighed, "We doctors are considered high-income groups in Binhai, with monthly incomes of six or even seven figures."
"But compared to the truly wealthy people in Binhai, our income is nothing. They can spend hundreds of thousands of yuan on food and drinks in one night."
Yu Zhiming said softly, "The higher the level, the greater the gap. This gap cannot be made up by individual efforts."
Wang Wu laughed and said, "That's for others."
"Doctor Yu, with your ability, given enough time, you will definitely become one of the top figures in Binhai, and even the entire country."
Yu Zhiming chuckled and said, "I won't be too ambitious."
“I am quite satisfied with the current situation.”
He also lamented, "We must learn to be content, otherwise we will always be driven by desires and live a very tiring life."
Zhou Mo interrupted and asked, "Doctor Yu, have you suddenly become more open-minded and clear-headed after your illness?"
Yu Zhiming, looking like someone who had attained enlightenment, said, "I have indeed gained something. In the past two or three months, I have been a little too obsessed with material things."
"My heart is somewhat obsessed with external things, which is not good and not appropriate."
Zhou Mo curled his lips quietly...
Under Wang Wu's guidance, Zhou Mo finally parked the car in front of a nine-story villa.
The three of them entered the villa and took the elevator directly to the ninth floor.
As soon as the elevator door opened, Yu Zhiming saw an old man and a young boy waiting outside to greet him.
The old man had short hair with black and white hair, more white hair than black hair, and his figure looked a little bloated.
The young man looked to be about 27 or 28 years old, with a slicked-back hairstyle, a height of 1.8 meters, and a masculine and handsome appearance.
"Doctor Yu, this is my old friend Mr. Lian Wei, and this is Mr. Lian's youngest son, Lian Huaiji."
Yu Zhiming walked out of the elevator and observed the old man while listening to Dr. Wang's introduction.
His face was somewhat dull and grayish yellow, and his eyes were somewhat cloudy, which was consistent with poor liver function.
This also makes him look not like a 66-year-old man, but more like a 76-year-old octogenarian.
"Hello, Mr. Lian!" Yu Zhiming greeted him politely.
Lian Wei smiled faintly and said, "Doctor Yu, I've already heard of your name."
"After seeing you today, I can see that you are indeed a rare talent among men."
"Everyone, please come home..."
Yu Zhiming walked slowly, following the Lian family father and son towards the open door.
He noticed that Lian Wei walked slowly, with his feet lifted very low, as if he was dragging his feet.
Entering the elegantly decorated living room, Lian Wei, who was still on his feet, invited us again, "Dinner is ready."
"We'll eat while..."
Yu Zhiming interrupted, "Mr. Lian, let's get down to business first and check your body."
"No matter what the results of this physical examination are, we can feel more at ease when we eat this meal."
Lian Wei stopped and chuckled, "Doctor Yu, you are a famous doctor. I will follow your instructions."
"What preparations do I need to make?"
Yu Zhiming pointed to the sofa next to him and said, "Just lie down on the sofa."
At this time, Wang Wu said: "Lao Lian, I think it is necessary to confirm again..."
He paused and said slowly, "If this time, Doctor Yu finds the root of your illness, according to our previous agreement, that wild ginseng..."
Lian Wei hummed softly, "I'll give it to you, I'll give it to you!"
"Doctor Wang, we have known each other for so many years. Am I the kind of person who doesn't keep his word?"
Wang Wu said with an embarrassed look on his face, "I'm just too concerned."
"Old Lian, you know I'm going to use this wild ginseng to make pills."
Lian Wei ignored Wang Wu and slowly lay down on the sofa with the help of his youngest son.
Yu Zhiming took a new pair of surgical gloves from Zhou Mo and put them on, then bent down to examine Lian Wei's body.
The first thing he examined was Lian Wei's liver.
As soon as he checked it, Yu Zhiming understood it.
Why did Dr. Wang diagnose that the liver meridian was weak, the liver meridian was blocked, and the qi and blood were not flowing smoothly?
The liver is our body's detoxification organ and is the organ with the most blood flow besides the heart.
Under normal circumstances, the amount of blood flowing through the liver is about one to one and a half liters per minute.
It takes about three minutes for all the blood in the body to flow through the liver.
However, Yu Zhiming found that the blood volume and blood flow rate flowing through Lian Wei's liver were less and slower.
According to his estimation, it takes five to six minutes for Mr. Wei's liver to circulate blood throughout the body.
Is this a liver problem?
Yu Zhiming, who discovered the suspicious points, began to conduct a detailed examination of Mr. Lian's liver.
After a minute or two, Yu Zhiming discovered something strange.
Lian Wei's liver had no obvious fatty lesions, no abscesses, cysts, inflammation or other organic lesions.
Its own blood circulation is also good and there is no congestion.
This is a rare healthy liver.
However, such a healthy liver gave Yu Zhiming a lazy feeling.
It's like an adult with strong limbs slacking off and not putting in any effort.
He could obviously move fifty bricks at a time, but he only moved two or three bricks at a time.
Is there something wrong with the nerves that control and regulate the liver?
Yu Zhiming, who had some guesses in his mind, began to concentrate all his efforts on exploring the liver's nervous system.
The liver has two types of innervating nerves.
The liver parenchyma is innervated by the hepatic nerves, which arise from the hepatic plexus and include both sympathetic and parasympathetic (vagal) nerve fibers.
They enter the liver through the hepatic portal, mostly accompanying the hepatic artery and bile duct, and a few can directly enter the liver parenchyma.
There are some small branches of the intercostal nerves distributed in the liver capsule, which are also distributed in the peritoneal wall, especially in the bare area and above the liver.
Clinically, severe pain caused by expansion or rupture of the liver capsule is extremely well localized.
Yu Zhiming first carefully examined the nerves inside the liver. After finding no suspicious points, he traced the origin of the hepatic plexus nerves.
He tracked down the intervertebral nerves...
The spinal cord again...
Yu Zhiming went up along the spine all the way to the medulla oblongata.
The medulla oblongata is in the shape of an inverted cone, about three centimeters long, and is the direct upward extension of the spinal cord and the posterior segment of the brainstem.
It has the nuclei of the fifth to sixth cranial nerves and multiple nerve bundles, and has certain functions in processing sensory and motor information transmission.
In addition, some nuclei in the medulla oblongata receive visceral sensory afferents and are involved in the regulation of visceral movements and glandular secretions.
The liver is naturally also affected by certain nerve nuclei located in the medulla oblongata.
Yu Zhiming traced the source to the medulla oblongata and finally made some discoveries. He had a vague feeling that some changes that should not have occurred had occurred.
He sensed it carefully for a moment and finally straightened up.
"Mr. Lian, you can turn over now."
Just now, in order to explore the spine, Yu Zhiming asked Lian Wei to turn over from lying upright to lying prone.
Wang Wu narrowed his eyes and asked expectantly, "Doctor Yu, have you found the problem?"
Yu Zhiming replied cautiously, "I feel that some changes have occurred inside Mr. Lian's medulla oblongata."
"My understanding of the brain is still quite superficial. Mr. Lian needs to go to the hospital..."
After a pause, Yu Zhiming suggested, "Ning'an Hospital's MRI machine is the most advanced and has the highest resolution."
"I suggest that Mr. Lian go to Ning'an Hospital for a medullary scan."
Next, Yu Zhiming examined other parts of Lian Wei's body.
There really was a great discovery.
Suspected small intestine cancer.
Yu Zhiming's discovery finally broke Lian Wei's tense spirit and he showed signs of collapse.
"I've been taking care of my liver for years, but today I discovered that my liver has always been perfectly healthy. The root cause of my abnormal liver function is actually in my brain stem?"
Yu Zhiming said cautiously: "This is just my personal feeling. There may be errors. Further inspection is needed to confirm it."
Lian Wei said with a bitter expression, "I also have colon cancer!"
Yu Zhiming also added: "It also needs to be checked and confirmed."
Noticing that Lian Wei was sitting on the sofa in a daze, not showing much anger, Yu Zhiming felt that it would be better not to invite him to dinner and just say goodbye and leave.
He looked at Wang Wu and said, "Doctor Wang, it's getting late, and the journey will take quite some time. Why don't we say goodbye and go back?"
It’s not that Wang Wu was reluctant to give up this dinner, but he just couldn’t let go of the wild ginseng.
He struggled for a moment, then finally said, "Lao Lian, let's not talk about the possible problem with your medulla oblongata, let's talk about the small intestine cancer."
"When Dr. Yu says it's suspected, it means it's only a very early stage cancer. With this kind of early stage cancer, you can cure it with a single surgery and a course of radiotherapy."
"Don't scare yourself."
Wang Wu saw that Lian Wei's facial expression had regained some vitality after his persuasion, and knew that his persuasion had worked.
He asked tentatively, "Old Lian, Dr. Yu's physical examination of you has gone this far. Can it be said that it has exceeded our previous agreement?"
"As agreed, that ginseng?"
Lian Wei said angrily, "Doctor Wang, it seems that in your heart, that ginseng is much more important than me."
"Here you go! Here you go!"
He looked at his youngest son beside him.
"Hurry up and bring that ginseng here..."
After ten or twenty seconds, Wang Wu carefully took a long brocade box from Mr. Lian's youngest son.
"Old Lian, I'm not taking advantage of you. I know you spent 120,000 yuan to find this ginseng."
"I'll give you 150,000."
Lian Wei snorted softly, "Do I need your 150,000 yuan?"
"I don't want your money. Didn't you say before that you wanted to use this ginseng to make pills to save people?"
"Then just give me half of the prepared pills."
"That won't do. I'll give you 180,000!"
Wang Wu replied, his hands already moving non-stop to open the brocade box containing the ginseng.
The next moment, he frowned.
"Lao Lian, this isn't that ginseng. This is a garden ginseng worth only a few dollars..."
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(End of this chapter)
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