Chapter 524: Only discovering problems, not solving them
"Teacher, there may be heart failure."
Yu Zhiming said on the phone: "I feel that his right ventricle is contracting very hard, and he feels short of breath."
"If this condition spreads to the entire heart, it is very likely to cause heart failure or even cardiac arrest."
Yu Zhiming pondered for a moment and then continued, "Teacher, my personal suggestion is to implant an ICD first as a precaution, and then fully investigate the cause of the heart problem."
"At the same time, stop working, adjust your work and rest schedule and diet, and take comprehensive care of your heart and body."
Qi Yue replied on the call: "I will pass on your findings and suggestions to the other party."
After a pause, Qi Yue turned and asked, "Zhi Ming, my second son Qi Zhen has returned from abroad. Have you met him?"
Yu Zhiming hummed, then said vaguely: "I have met you two or three times. I was busy with work, so we just chatted briefly."
Qi Yue said softly: "My son is very smart and studious. I also wanted him to study medicine."
"It's just that I had separated from his mother by then, and his mother eventually let him study liberal arts."
Qi Yue sighed with regret and continued, "When I return, I'll find some time for you two to get to know each other better."
This made Yu Zhiming grin, and he didn't think this was a good idea.
However, he was his teacher's son, and Yu Zhiming still understood the principle of not alienating close relatives.
He responded vaguely at first.
Two or three minutes later, Yu Zhiming ended the call with his teacher and set out again on the journey to the sanatorium.
After the car drove onto the main road, Gu Qingning asked with interest, "Zhiming, does that man have a serious heart problem?"
Yu Zhiming said cautiously, "From the sound of his heartbeat, I feel that he may have a serious heart problem."
"We must treat it with caution."
"What kind of disease is it?" Zhou Mo interrupted.
Yu Zhiming replied frankly, "I don't know. I can only detect a problem with the right ventricle. As for the cause, I'm not sure."
Gu Qingning chuckled and said, "That's enough."
"Once we know where the danger lies, it will be easier to trace the source and find the real cause."
"At the very least, we can treat the symptoms and manage the condition so it doesn't become a serious illness."
Gu Qingning roared, "Zhiming, you saved another life. I'm proud of you..."
At 9:15 in the morning, the three finally arrived at the sanatorium.
This is a beige building complex located at the foot of the mountain. At a glance, there are at least twenty or thirty buildings.
They are centered around a six or seven-story dome building that covers an area of about one to two thousand square meters, and spread out to both sides along the foot of the mountain.
The buildings on both sides include low buildings with five or six stories high, as well as single-family buildings with two or three stories in various shapes.
Yu Zhiming also saw a chimney about ten meters high that kept emitting white smoke, and a small lake of over a thousand square meters.
Although it is the coldest time of the year, there is still a lot of green on the hills in front of us, which brightens our mood.
The bed truck stopped in the small square in front of the dome building.
When Yu Zhiming got out of the car, he saw Gu Changyan, leading three people wearing white coats, two men and one woman, who looked to be at least in their fifties or sixties, and two middle-aged men and women coming to greet him.
"Dr. Yu, thank you for your hard work along the way..."
After some greetings and introductions, Yu Zhiming realized that the three men in white coats were medical seniors who were hired to work here after retiring from Grade A hospitals.
Among the three, one is Dr. Chen, a traditional Chinese medicine practitioner, one is Dr. Zhang, an internal medicine practitioner, and the other is Dr. Tang, an emergency doctor with extensive experience in emergency and rescue.
Yu Zhiming had to admit that, apart from their older ages, the combination of the professional fields of these three doctors was quite reasonable for a nursing home located in the suburbs where medical care was not very convenient.
Moreover, the presence of these three experienced senior doctors saved Yu Zhiming a lot of trouble.
In the subsequent physical examination, Yu Zhiming only needed to describe the physical symptoms he found.
If the person undergoing the physical examination has any questions, or wants to know how to receive targeted treatment, restore the body, or maintain health, the three senior doctors can answer their questions.
This saves a lot of time...
Yu Zhiming politely declined Gu Changyan's suggestion to take a break and have a cup of morning tea, and directly stated that he would start the physical examination immediately.
"Doctor Yu, please follow me..."
As Yu Zhiming walked, he discussed the upcoming physical examination with three medical seniors. As Gu Changyan walked into the dome building, he was enveloped by abundant warmth.
He was very familiar with this feeling.
Gu Changyan smiled and introduced: "We have our own boiler, and all the rooms have central heating."
Yu Zhiming took off his down jacket, and Gu Qingning beside him naturally reached out to take it and held it in his arms.
After walking a few dozen steps, they arrived at the medical center on the first floor.
Yu Zhiming took a tour and found that this small medical center with only five or six rooms was small but fully equipped, and even had the ability to perform emergency surgery.
His examination room was also ready.
Yu Zhiming discovered that next to the examination room was also a doctor's office.
He pointed to this office and said, "There's also an examination bed in this office."
"The old man's movements are a bit slow. After I finish the examination here, you can come to this office to continue the physical examination on the prepared old man. This way we won't waste time."
Gu Changyan nodded in praise, "Doctor Yu, you are very thoughtful. We will take care of it right away..."
Yu Zhiming and Zhou Mo put on their white coats and prepared for work. The first person to be examined was also brought into the examination room by a young nurse.
This is an old man who looks to be in his sixties or seventies, with gray hair and a slightly hunched back.
After he lay down on the examination bed, Yu Zhiming put on surgical gloves and began his first physical examination in the sanatorium.
"There is a slight inflammation of the left bronchus!"
"Mild chronic pulmonary obstruction!"
"The stent in the left circumflex coronary artery is narrowing to a dangerous level..."
Every time Yu Zhiming mentioned a symptom, Dr. Zhang, an internal medicine doctor who stayed in the examination room to assist, would write it down in a small notebook.
It’s just that Yu Zhiming spoke so fast and so quickly that Dr. Zhang felt like he couldn’t keep up.
She suddenly realized that more than a hundred elderly people had received physical examinations today. If she continued to keep such a record, she would be exhausted.
Thinking of this, she simply stopped recording and took out her cell phone from her pocket to record.
Wait until I'm not busy, and then slowly sort it out...
After six or seven minutes, Yu Zhiming completed the old man's full physical examination and quickly walked to the office next door.
Here, there was already an elderly lady in her seventies, somewhat wealthy, lying quietly on the examination bed accompanied by a young nurse.
Yu Zhiming changed into a pair of surgical gloves and began to perform a physical examination on the old lady.
The old lady has severe hypertension.
During the examination, Yu Zhiming found that her cardiovascular system, liver, kidneys and other organs had suffered varying degrees of damage due to high blood pressure.
He recounted all the problems he had discovered, big and small, and was about to turn around and leave when the old lady stopped him.
The old lady stood up, took a large manila envelope from the desk beside her and handed it over.
"Doctor Yu, these are some of the examinations and tests I had done previously at the First Municipal Hospital."
"Please take a look and see if there is anything wrong?"
Yu Zhiming didn't answer and replied, "Old man, I'm doing a physical examination and don't need to see your previous physical examination information."
"Unless I'm unsure."
"In your case, old lady, there's no need to look at the previous examination data and test results."
After saying this, Yu Zhiming turned around again and prepared to leave.
"Hey, why are you like this, doctor?"
The old lady was getting a little anxious. Her voice suddenly rose two or three degrees. She said angrily, "A physical examination that costs ten thousand yuan is only finished in five or six minutes?"
"So I paid two thousand a minute just to listen to you talk about high blood pressure and my injuries."
"At the very least, you have to prescribe me a special prescription for treating high blood pressure!"
"Otherwise, how could it be worth ten thousand?"
Hearing this, Dr. Zhang couldn't help but say, "Sister Gao, our sanatorium specially invited Dr. Yu to do the physical examination, but we didn't force anyone to pay for the physical examination."
"Now that you've completed your physical examination, you're still dissatisfied. That's not good."
The old lady glared and said, "I spent so much money, not only was the service bad, but the examination didn't find any major problems. How can I not make a complaint?"
Yu Zhiming suppressed his displeasure and patiently explained, "Old man, since you paid for the physical examination, you must have some understanding of me."
"You must be aware that I'm best at finding problems, not solving them."
"Also, high blood pressure is a global problem that the medical community around the world has no cure for. The current treatment is to control blood pressure as much as possible."
"I naturally don't have any special prescriptions."
After a pause, Yu Zhiming said in a deep voice, "As for the fact that the examination didn't reveal any major problems, old man, are you really looking forward to finding out about a serious illness, or even cancer?"
The old lady choked for a moment, and her breathing became a little rapid the next moment.
She gritted her teeth and shouted, "I don't care. I'm not satisfied with this physical examination. I'm very dissatisfied."
"Unless you take a serious look at the examination data and test reports in here."
Seeing the old man so persistent, Yu Zhiming became curious about what was in the cowhide envelope.
He took the envelope, opened it, and pulled out a stack of examination and test reports.
Yu Zhiming only needed to look at a few data points on the top renal function test sheet before he understood.
Having just finished examining the old woman, he couldn't claim to have a detailed understanding of her kidney function, but he was certain that some of the data on the test report could not appear.
After stuffing the document back into the leather envelope, Yu Zhiming said slowly, "Old man, are you testing me by taking someone else's test report?"
As he spoke, Yu Zhiming placed the leather envelope on the examination bed, turned around and quickly walked out of the examination room.
He instructed Zhou Mo who followed him out, "Inform the people who are getting the physical examination that I am only responsible for discovering problems, not solving them."
"If you think it's not worth it, you can get a refund and cancel the medical examination..."
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(End of this chapter)
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