Chapter 884 My Apprentice Hasn’t Made Any Mistakes Yet
Migraine is the most common type of primary headache in clinical practice, but its specific etiology remains unclear.
Hormone levels, emotional excitement, overwork, even weather, food, etc. can trigger migraines.
The important point is that this migraine not only causes headaches for patients, but also for doctors.
Because many migraine patients often undergo various tests, but the results show that everything is normal.
This left the doctors at a loss as to what to do.
However, for one type of migraine, the root cause has been found, and the "culprit" is a small hole in the heart.
It is the foramen ovale.
This is a channel between the left and right atria that is formed during fetal development and closes about three months after birth.
Patent foramen ovale is not a rare disease, with an incidence rate of approximately 15% to 35% in the general population.
Most cases of patent foramen ovale will not have much impact on our health and do not require special treatment.
Among migraine patients, approximately 5% to 10% have a patent foramen ovale.
After the patent foramen ovale was occluded, most patients' migraines were cured or effectively relieved.
However, Yu Zhiming took over the 34-year-old male patient who suffered from splitting headaches during migraine attacks at around noon on Monday. It can be confirmed that his migraine was not related to the foramen ovale.
After examination, Yu Zhiming found that his heart was intact and had no defects.
Not only that, after Yu Zhiming carefully examined the man's brain and body, he did not find any suspicious issues worthy of attention.
Yu Zhiming looked at the patient, whose shiny head looked as old as forty-five, and asked, "You said your migraine first struck more than six months ago, and has been occurring between one and three times a month since then."
"Do you remember any physical discomfort or special events that happened before your first migraine attack?"
The bald man recalled: "There was nothing special during that period, but the mental pressure was extremely high."
“Thirty-five years old anxiety!”
"I work in IT. Turning 35 was a life-or-death struggle. I couldn't eat or sleep well. But I was lucky enough to be promoted to a management position and become a project leader."
"But the good times didn't last long. Less than a month after the promotion, I started having headaches, and they've continued to this day."
Yu Zhiming said softly, took the man's medical records and quickly looked through them.
His migraine comes suddenly and violently, almost without any warning. The headache reaches its peak in just over ten seconds, and then lasts for dozens of seconds before the pain slowly subsides.
The entire migraine attack process lasts about half an hour to an hour.
Sometimes accompanied by dizziness, nausea and vomiting.
Also, the intervals between this person's headache attacks are irregular, ranging from five to twenty days.
The last time it happened was around nine o'clock the night before yesterday...
Yu Zhiming looked through the man's medical records and looked at Zhou Luo, Duan Yi and others standing beside him.
"I haven't found any clues worth paying attention to yet, but maybe I can find something when the headache comes."
Yu Zhiming urged, "Each of you should show your magical powers and see if you can induce his migraine..."
He handed over the task and completed all his work for Monday morning.
Yu Zhiming returned to the soundproof office to prepare for lunch, but found that Teacher Qi Yue was waiting for him with a father and son.
Qi Yue pointed to a man of the same age next to him with almost completely white hair and dark skin, and started to introduce him first.
"Zhiming, let me introduce you. This is my good friend An Wenming, whom I told you about."
“This is his son’s An Guohao.”
After Yu Zhiming and other teachers finished their introductions, before they could say anything, An Wenming stepped forward very swiftly, leaned forward, stretched out his hands, and tightly grasped his right hand.
"Doctor Yu, I cannot thank you enough for your kindness."
An Wenming said with gratitude, "Please rest assured that our family will do our utmost to repay the three million yuan in life-saving funds as soon as possible, including the principal and interest."
Yu Zhiming does not have three million in his bank account yet.
However, Qing Ning has money.
After knowing that Teacher Qi Yue's friend was in urgent need, Yu Zhiming transferred three million from Qingning to him.
Yu Zhiming said politely, "Uncle An, you are my teacher's good friend, and you are my elder. It is only natural for me to help you."
"There's no need to rush to pay back this money. I don't need it normally."
After a pause, he said solemnly, "Uncle An, you need to take care of your body."
"Your blood pressure is a little high, and your heart rate is so..."
Qi Yue interrupted with a concerned look on his face and asked, "Zhiming, what's wrong with your heart rate?"
"A little unstable!" Yu Zhiming replied.
An Wenming finally let go of Yu Zhiming's hand and explained with a smile, "High blood pressure, unstable heart rate, and so on, are all caused by being anxious and angry recently."
"In just a few days, not only did I lose all the hard work I'd earned over decades, but I also ended up owing others two to three million yuan."
"I think I'm in pretty good shape now that I haven't died."
Qi Yue said seriously, "You are not young anymore. Something like this has happened to you. You should take better care of your health."
He then instructed, "Zhi Ming, check him out."
At Qi Yue's insistence, An Wenming also knew that there really couldn't be any problems with his health now, so he lay on the sofa and accepted Yu Zhiming's examination.
This test result is not very good!
"Uncle An, your heart feels very tired. It feels like an eighty-year-old man struggling to pull a cart."
"You need to rest for a while."
Yu Zhiming pondered for a moment and said, "Let's start with six months. During this six months, go to bed early and get up early, avoid strenuous exercise, and focus on relaxing exercises, such as walking and Tai Chi."
"As for diet, just eat less salt and less greasy food."
Yu Zhiming added: "Emotionally, don't be anxious and try to relax."
An Wenming smiled bitterly and said, "Doctor Yu, these points you mentioned are a bit difficult. Decades of accumulated wealth are gone, and I'm burdened with millions in debt. How can I rest and recuperate in peace?"
Qi Yue said sternly, “Even if you’re not at ease, you have to feel at ease.”
"My disciple, you should know something about this. Since he has given such instructions, you need to strictly follow them."
"Those who ignored his words before are now either dead or seriously ill."
Qi Yue warned again: "Lao An, I am not exaggerating, you must take it seriously."
"This heart problem is no joke."
Seeing Qi Yue's serious expression, An Wenming quickly said, "Okay, okay, I'll take good care of myself when I get back. I'll leave all the business matters to my son and I'll let him go."
He looked at his silent son and sighed softly, "After suffering such a huge loss all of a sudden, as the saying goes, every failure makes you wiser. I believe Guohao will be able to calm down and do business in a down-to-earth manner."
An Guohao looked ashamed, lowering his head and blaming himself: "It's my greed that's at work, and I made the wrong friends. It's all my fault."
Yu Zhiming had previously learned from Teacher Qi Yue that his friend was in the seafood business.
An Guohao deposited the money he had earned with great difficulty into a village bank in another province for the sake of high interest.
Unexpectedly, the person who solicited deposits turned out to be a scammer and took the money away directly.
Among the money saved, some was borrowed from relatives and friends.
In order to repay the debt, An Guohao did not conduct a thorough investigation and borrowed a lot of money to buy a batch of high-end seafood. Unexpectedly, the seafood turned smelly after it was delivered.
An Guohao added, "Uncle Qi, Doctor Yu, I will take good care of my dad and won't let him worry about anything when I get back."
Qi Yue solemnly warned: "Guohao, you must do what you say and take good care of your father."
"My apprentice has never made a mistake..."
The lunch time was short and Yu Zhiming also had work to do, so after chatting for a few more words, Qi Yue took the An father and son away.
Yu Zhiming started to have lunch with Zhou Mo.
Halfway through the meal, Zhou Mo reported softly, "That neighbor, Lu Hui, is really shameless. She contacted me this morning and asked me to arrange for you to give her husband and son a physical examination."
"I pushed her right back."
Yu Zhiming smiled and asked, "She hasn't apologized to you yet? Has she forgotten about it? Or does she think there's no need to apologize?"
Zhou Mo snorted lightly: "Who cares? Anyway, I have already blacklisted people like her."
After a pause, she chuckled again and said, "Doctor Yu, let me tell you some gossip."
"There's been a rumor circulating in the general surgery department that Dr. Cui has been staying in his office these past few days and hasn't been home. I heard that Dr. Cui has filed for divorce from his wife."
Yu Zhiming let out a soft "oh".
Zhou Mo said gossipingly, "After Dr. Cui got divorced, it's natural for him to be with the young and beautiful Dr. Feng."
"Hey, Doctor Yu, what do you think? Should Dr. Cui leave Binhai and go to Dr. Feng, or should Dr. Cui find a way to transfer Dr. Feng to Huashan?"
Yu Zhiming glanced at her.
"If you ask me about this kind of thing, who should I ask? Hurry up and eat. I still want to rest for a while..."
Yu Zhiming's wish to rest a little longer was not fulfilled.
After dinner, he had just laid down on the sofa for less than two minutes when Duan Yi rushed in.
"Doctor Yu, Doctor Yu, I have a migraine."
"We use noise and bright light stimulation, as well as electrical stimulation, pain stimulation, and rotational vertigo stimulation."
Duan Yi said with a hint of pride: "Anyway, after all our trouble, he got a migraine and he was holding his head in pain..."
Yu Zhiming got up and quickly walked to the soundproof examination room next door. He saw the patient lying on the examination bed with his teeth clenched and muscles tense, resisting the pain from the left side of his brain.
Yu Zhiming placed his hand on the patient's left brain, steadied his breathing, calmed his mind, and began to carefully examine...
As his body and mind adjusted, Yu Zhiming's ability to probe the brain's precision and depth gradually improved...
After a while, Yu Zhiming made a discovery.
A thin artery with a diameter of about one millimeter has a slower blood flow rate than other thin arteries of the same thickness.
He focused his attention on exploring this small artery.
Soon new discoveries were made.
Yu Zhiming discovered traces of twisting in the artery, and a thin vein entangled with the artery.
Is this cerebral ischemia pain caused by vasospasm?
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(End of this chapter)
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