Chapter 759: Follow the good
Yu Zhiming was not optimistic about the couple in their forties who had accumulated hundreds of millions of wealth and wanted to enjoy their retirement life early, but both suffered from cancer.
Especially the husband, who invited a nationally renowned hepatobiliary surgery expert to consult and perform the surgery, so that the liver retained after the operation could basically meet the body's needs.
The problem is that it can only be "barely maintained" and it will easily collapse once any abnormal situation occurs.
This time, luck was not on his side.
Yu Zhiming glanced at the text message again, and after confirming that he had not read it wrongly due to sleepiness, he continued to read.
Fortunately, I only received this one message.
Yu Zhiming understood that this would not be the last one.
In the next week, those frail patients who insisted on taking a chance will receive CAR-T treatment one after another.
I just don't know whether this coin representing life and death will land heads or tails when it finally falls...
Today is Thursday. In order to allow Yu Zhiming to get more rest time, the hospital leaders moved the physical examination originally scheduled for every other Saturday to Thursday.
Today is the first day of implementation.
At 8:10 in the morning, Yu Zhiming arrived at the third basement floor of Zhizhen Building about ten minutes earlier than usual.
What made him happy was that Dr. Qin, Zhou Luo, Shen Qi, Sui Chi, Duan Yi and others had also arrived.
What Yu Zhiming didn't expect was that there were already more than ten people from the donating units waiting for physical examinations in the corridor.
All positive enough.
"Doctor Yu, Wei Chen's sleep monitoring data from last night."
Duan Yi was the first to report: "I fell asleep at 12:38 pm and woke up at 7:11 am."
"Monitoring shows that he entered a deep sleep state at 3:19 a.m. and lasted until 3:51 a.m."
This data is not very good.
Of the six and a half hours of sleep, only thirty-two minutes were spent in deep sleep.
Generally speaking, deep sleep accounts for at least a quarter of the total sleep time.
Perhaps, Wei Chen’s frailty and illness are caused by the lack of deep sleep for a long time?
Yu Zhiming instructed: "Test her twice more. It's also possible that the change in her sleeping environment has triggered physical and mental alertness."
Duan Yi responded crisply.
Yu Zhiming glanced at everyone and said, "At nine o'clock, you should all go with the chief physician to make rounds."
"If I find any interesting patients today, I'll have a consultation with you."
Seeing that Zhou Luo and Duan Yi were eager to try, Yu Zhiming emphasized, "Only observation, auscultation, questioning, and palpation are allowed. Also, bring the examination supplies with you."
Yu Zhiming looked at Dr. Qin and said, "Dr. Qin, you are an experienced senior. You will preside over their consultation!"
Qin Qiushi chuckled and said, "No problem..."
After Yu Zhiming finished explaining the work and made some preparations, he began the physical examination...
As time went on, Huashan Hospital was like a giant, sophisticated machine. After a brief period of slow operation, it began to rumble and accelerate...
It was almost nine o'clock in the morning in the general surgery building.
Dr. Cui Zhitan looked at Dr. Ram of B. Braun Medical and another German doctor with a smile and enthusiasm on his face.
"What a coincidence you've come! My team and I are performing a fully laparoscopic pancreaticoduodenectomy this morning. I'd appreciate any guidance and valuable advice."
Dr. Ram smiled politely on his face, but felt contempt in his heart.
I don't believe what you said is a coincidence.
The surgery observation was just confirmed last night, and now they are allowed to observe the most difficult surgery this morning?
Pancreaticoduodenectomy is known as the ceiling of difficulty in general surgery.
It has always been known for its difficulty and high risk.
The quality of surgery directly affects the patient's prognosis and the incidence of complications.
The operation requires removal of the gallbladder, part of the bile duct, pancreatic head, stomach, duodenum and part of the jejunum, and reconstruction of the bile-enteric, pancreatic-enteric and gastrointestinal anastomosis channels.
This requires the surgeon to have extensive surgical experience and a team with strong tacit understanding.
Total laparoscopic pancreaticoduodenectomy is more difficult and complicated to perform, and is known as the Mount Everest of general surgical operations.
For surgeries of this level, at B. Braun Medical in Germany, no patient would be pushed into the operating room without three or five surgical discussions and sufficient preparation.
Dr. Ram guessed that the other party hastily demonstrated such a difficult operation just to intimidate the opponent.
He did not doubt the other party's ability to complete the operation, but the more difficult the operation, the more likely it was that problems would arise in the details.
Dr. Yu demanded that Dr. Bierman's surgery must be perfect without any mistakes.
Dr. Ram decided to find fault with the surgery performed by Dr. Cui...
Dr. Liu Wenzhao from the cardiopulmonary surgery department hurried to the operating area with a German doctor.
"I happen to be performing a complicated lung cyst removal surgery. Please come and take a look and offer suggestions for improvement."
At the Liver Disease Research Center, a German doctor is changing clothes with the surgeon in the operating room...
It was not until after ten o'clock in the morning that Zhou Luo, Shen Qi and others finally arrived with the patient that Yu Zhiming asked them to consult.
The other person was a 51-year-old man, a little overweight and with a small belly.
The man pointed to his chest and said, "Sometimes I feel chest tightness, but I don't have a cough or chest pain."
After a pause, he continued, "Doctor Yu told me that you can ask whatever you want and check whatever you want."
"Finally, write down your respective diagnoses."
The consultation begins.
Qin Qiushi first took the man's pulse and asked him a few questions, such as whether he had dizziness, headache, or waking up during sleep.
Then Zhou Luo used his stethoscope to listen to the man's heart and lung sounds and asked a bunch of questions.
Next is Shen Qi.
He listened carefully to the heart and lung sounds with a stethoscope for a while, then took out a blood pressure monitor from his white coat pocket.
Zhou Luo's eyes widened.
"Shen Qi, Doctor Yu only allows us to use the supplies we carry with us for the examination. Do you carry a blood pressure monitor with you all day?"
Shen Qi replied seriously, "But I brought it today. Doesn't that count as violating Dr. Yu's rules?"
Zhou Luo was speechless, but seeing that Dr. Qin did not speak to stop him, he did not say anything else.
After Shen Qi measured the man's blood pressure in both arms, he stepped aside without asking any questions.
The main reason was that Dr. Qin and Zhou Luo had asked all the necessary questions, and he had no new questions for the time being.
Then, Sui Chi and Duan Yi each spent three or four minutes examining the man with a stethoscope.
Then, they looked at each other, took out a small notebook from their coat pockets, and quickly wrote a few words.
The man being checked saw that they had all stopped writing and asked for confirmation, "Are you all done?"
After receiving the reply, the man took out a piece of paper folded in half from his coat pocket.
"This was drawn by Doctor Yu."
Doctor Qin took the paper, unfolded it, and looked at it with Zhou Luo, Shen Qi and others who came over.
Yu Zhiming's simple drawing style is the same as always, simple and clear, yet distinctive.
"Ah, it turned out to be a coronary artery-pulmonary artery fistula."
Coronary artery-pulmonary artery fistula is an abnormal connection between the main trunk or branch of the coronary artery and the pulmonary artery, forming a coronary artery bypass. It is a rare congenital coronary artery malformation.
The symptoms are related to the size of the fistula and changes in vascular dilation, ranging from no symptoms to chest tightness, chest pain, difficulty breathing, dizziness, fatigue, etc.
Generally, symptoms become more severe with age.
Zhou Luo said with regret: "I heard some reverberation and echo, and I didn't expect that this was the problem."
He showed everyone the diagnosis he had written in his little notebook, "My diagnosis is pulmonary regurgitation."
"What's your diagnosis?"
Shen Qi also displayed his diagnosis, "Dilated cardiomyopathy."
Zhou Luo looked at Sui Chi and Duan Yi's notebooks again and saw that they both had "coronary heart disease" written on them.
"Well, the whole army is wiped out!"
Duan Yi came up to Zhou Luo with a smile and said, "Doctor Zhou, my stethoscope is very ordinary. It can't compare to your high-end stethoscope with good sound reception."
"Borrow it, let me listen to his heartbeat again..."
After eleven o'clock in the morning, Yu Zhiming completed the physical examination of fifty people. When he walked out of the soundproof examination room, he unexpectedly found Ke Xixi waiting for him in the corridor.
What surprised Yu Zhiming the most was that Ke Xixi was not wearing any makeup and had a bare face.
I have to say that today's makeup effects are comparable to the powerful beauty functions on mobile phones.
Without makeup, Ke Xixi has the average appearance of an ordinary girl, with a dark yellow complexion and big dark circles under her eyes.
"Is it your father?" Yu Zhiming's heart suddenly tightened.
Ke Xixi shook her head and said, "My father is fine. Although he still has a high fever, the doctor said that his condition is stable."
"I came here on my own."
After hesitating for a moment, she slowly said, "Yesterday, you said my breath was sweet, so I asked the doctor to check it out."
"It turns out I'm pregnant."
"I measured my blood sugar on an empty stomach again this morning, and the doctor said that this is likely gestational diabetes."
Yu Zhiming let out a soft "oh".
He originally thought it was respiratory inflammation or digestive dysfunction, but he never expected it to be gestational diabetes.
"Miss Ke, are you looking for me?"
Ke Xixi took a deep breath and said, "It was because of your reminder, Doctor Yu, that I discovered that I was pregnant and had diabetes. I felt it necessary to tell you the result."
"Dr. Yu, thank you!"
Yu Zhiming watched Ke Xixi leave, and Zhou Mo came over.
"Doctor Yu, Doctor Lou Xinghua called half an hour ago and said he has received another patient with heart malformation..."
Yu Zhiming understood what Dr. Lou meant and interrupted, "Tell the patient to come see me tomorrow morning."
Zhou Mo hummed, then said, "The director said that we'll have a dinner party on Friday night to celebrate winning the top ten group and also to celebrate the new house."
Yu Zhiming said "oh".
"Hey, Zhou Mo, I won this special contribution award. Should I treat you to a meal to celebrate?"
Zhou Mo chuckled and said, "According to common sense, we should treat everyone to a meal. Doctor Wang, who won the title of Top Ten Young Doctors, has scheduled the dinner for Saturday night."
"Saturday night?"
Yu Zhiming frowned. He had originally planned to go shopping with Qingning this Saturday night.
It has been more than half a year since he came to Binhai. He has been busy with work and has not had a good time exploring the city.
Zhou Mo saw Yu Zhiming's embarrassment and said kindly, "Doctor Yu, don't be embarrassed. Doctor Wang didn't invite you!"
"Why didn't you invite me?" Yu Zhiming felt unhappy.
At this moment, Zhou Mo wanted to slap himself, and tried to reply: "We all know that you are very busy with work and you were sick a few days ago. Doctor Wang probably didn't want to disturb your rest."
Yu Zhiming looked at Zhou Mo with burning eyes.
"Tell the truth."
Zhou Mo smiled awkwardly and said, "It's mainly because you are so high up there, there's a gap in status, and also because you usually just work and don't interact with them privately."
"After you went there, everyone couldn't let go."
She added: "Dr. Wang didn't invite the director either. He only invited his colleagues of the same age and a few friends."
Yu Zhiming hummed twice and said, "Do you still want me to treat you to the contribution award?"
Zhou Mo said softly, "You won the Best Contribution Award. Everyone is convinced and happy for you."
"We all know that you're always busy, so no one would say anything if you didn't treat us."
Yu Zhiming readily agreed and nodded, saying, "Then I'll do as you say. I won't treat you..."
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(End of this chapter)
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