It is said that life is priceless, but in real life, life is priced and divided into different levels.
The most obvious example is that there are clear regulations on compensation for lives lost in traffic accidents.
Moreover, the prices are different for rural and urban people, and for people in small cities and large cities.
In hospitals, the price tag on life can be seen everywhere.
Some people give up treatment because they cannot afford the tens of thousands of dollars in medical fees, while others spend millions or even tens of millions to prolong their lives.
Yu Zhiming looked at the unconscious man in front of him, who looked to be about 40 years old, with monitoring cables all over his body and connected to an external pacemaker, and thought to himself that this man had also been marked with a price by his family.
"Doctor Yu..."
At Yu Zhiming's request, Wang Chunyuan arrived at the emergency room more than ten minutes early. He said, "I've reviewed the patient's physical examination results. There's no obvious organic heart disease, and no systemic causes have been found..."
"I suspect the patient's recurring malignant arrhythmias and cardiac arrest are most likely caused by genetic defects."
The main causes of arrhythmias can be divided into hereditary and acquired.
Genetic factors, mostly gene mutations.
Acquired factors include physiological factors, such as exercise and emotional changes, as well as pathological factors, such as cardiovascular disease and systemic causes.
Structural or functional changes in organs other than the heart can also induce arrhythmias.
After listening to Dr. Wang Chunyuan’s brief introduction, Yu Zhiming began to perform a physical examination on the patient.
The first thing he checked was the patient's heart.
During Yu Zhiming's examination, he found no cardiovascular obstruction, myocardial inflammation, myocardial hypertrophy, or other abnormalities, as well as valvular lesions.
It was indeed as Dr. Wang Chunyuan said, this man had no organic disease in his heart, but his heartbeat gave Yu Zhiming a wild convulsion feeling as if he had taken the wrong medicine.
Yu Zhiming then gave the patient a full-body examination.
The systemic causes of arrhythmia mainly include drug toxicity, acid-base and electrolyte disorders, and dysfunction of nerve and fluid regulation.
Changes in the function or structure of other extracardiac organs, such as hyperthyroidism and stroke, can also cause arrhythmia.
Yu Zhiming's examination also focused on these two areas, hoping to find the cause of the disease so that he could prescribe the right treatment...
"Doctor Wang..."
A short-haired woman in her thirties with red and swollen eyes asked Wang Chunyuan with a look of grief, "My husband's malignant arrhythmia is really caused by a genetic defect. Is it easy to treat?"
Wang Chunyuan pondered for a moment and said, "This requires the use of genetic testing technology to screen for genetic defects and assess risk, thereby formulating a targeted treatment plan."
"This genetic test takes time. It will take at least a week to get the results."
"As for the therapeutic effect..."
Wang Chunyuan spoke frankly: "All I can say is that we should actively prevent and correct the symptoms when they occur, but it is difficult to cure them."
This answer made the short-haired woman's heart sink again and again.
She looked at Yu Zhiming again and saw that his hands had moved to her husband's abdomen.
At this moment, Yu Zhiming is examining the patient's liver.
This liver gave him a strange feeling.
It seemed as if he had fought for three hundred rounds, and now he looked exhausted and was doing things only by instinct.
The liver is the body's detoxification organ.
Yu Zhiming thought about this and asked, "Doctor Wang, the patient has been tested for toxic substances. Do you have any findings?"
When Wang Chunyuan heard this, he stretched out his hand.
The assistant beside him frantically searched and found a toxic substance test report from a stack of test sheets and quickly handed it over.
Wang Chunyuan flipped through the contents and said, "The caffeine concentration is clearly extremely high, and the other stimulants are also extremely high. However, it shouldn't be enough to cause recurrent malignant arrhythmias."
The short-haired woman also spoke up: "My husband is a little addicted to coffee. He can drink five or six cups of coffee a day when he works."
Yu Zhiming frowned and asked, "Did the test find any toxic substances such as benzylecgonine, ketamine, and ephedrine?"
Wang Chunyuan understood the question immediately and said, "You suspect that drug abuse may be causing your arrhythmia?"
"The main ingredients of these drugs are key monitoring targets. If they are detected, they will definitely be marked as such."
Yu Zhiming thought about it, and finally said, "Draw ten milliliters of blood and send it to the most authoritative drug testing center in Binhai for testing."
As he said this, a young nurse came forward and started drawing blood from the unconscious patient.
Wang Chunyuan asked, "Where is the most authoritative place in Binhai?"
Yu Zhiming just said it casually, he himself didn't know where it was.
However, this did not pose a problem for him. It was the most authoritative thing. Even if he did not know, the police definitely knew.
Yu Zhiming looked at Zhang Hai, who seemed to be invisible, and said, "Zhang Hai, please contact them for me and ask for an examination result as soon as possible."
Zhang Hai nodded, took the small tube of blood handed to him by the nurse, and went outside to call for help.
The short-haired woman asked expectantly, "Doctor Yu, was my husband's cardiac arrest caused by a toxic substance?"
Yu Zhiming admitted: "This is just a suspicion of mine, but it's unlikely."
"After all, our hospital's testing center is quite impressive, and its tests didn't reveal anything."
After a pause, he continued, "At this point, the greatest possibility is that your husband's malignant arrhythmia is caused by a genetic defect."
Yu Zhiming said slowly, "Whether it's genetic testing or drug testing, it takes time. It will definitely exceed the forty-eight-hour limit."
At this point, Yu Zhiming saw pain and struggle on the short-haired woman's face.
He sighed and said, "As for your husband's condition, apart from some suspicion that it was caused by special drugs, I am powerless to do anything else."
The short-haired woman asked anxiously, "Doctor Yu, can we start with drug treatment?"
Wang Chunyuan replied on Yu Zhiming's behalf, "There are so many different types of drugs, and each requires a different treatment. If you blindly treat your husband, the situation could get even worse."
At this moment, a muffled bang sounded in the emergency room, attracting everyone's attention.
This is because the external pacemaker detects abnormal heart rhythm in the patient and starts to correct it spontaneously.
Fortunately, this time it did not cause cardiac arrest.
Facing the short-haired woman's pleading gaze, Yu Zhiming opened his mouth, but what finally came out was: "This decision needs to be made by you."
"I don't have any better treatment or suggestions for your husband's condition."
"I have other work to attend to."
As he spoke, Yu Zhiming quickly walked out of the emergency room, even feeling like he was escaping.
Accompanied by Zhang Hai, Yu Zhiming strode out of the emergency building, bathed in the somewhat hot sunshine, and let out a long breath.
Although Yu Zhiming knew that he was not omnipotent and could not solve all problems, the pleading eyes that seemed to linger in front of him made him feel guilty.
I still don’t have enough ability.
Recently, I have become a little proud and complacent, and have relaxed my requirements in study.
Just as Yu Zhiming was reflecting on himself and spurring himself on, a policeman wearing a helmet trotted over.
Zhang Hai stepped forward and handed the tube filled with blood to the other party.
"Hurry up!" Yu Zhiming couldn't help but remind him.
The helmeted policeman saluted Yu Zhiming and Zhang Hai, then turned and ran away...
When I returned to the soundproof office in Zhizhen Building, it was already lunch time.
Yu Zhiming sat down at the coffee table with a sullen look on his face, and Zhou's concerned voice rang in his ears.
"Doctor Yu, you haven't lost your appetite again, have you?"
Yu Zhiming picked up his chopsticks and said, "Eating is the most important thing in the world, how can I not have an appetite?"
He picked up a piece of beef with chopsticks, put it in his mouth, chewed it vigorously, and swallowed it. He said, "I once read a saying that said a person can either work hard to excel, or be lazy and accept his fate. People who can achieve these two levels are the happiest."
"Anything in between, that's pretty painful."
"I thought I was already good enough, but now it seems that it's still far from enough."
Zhou Mo exhaled exaggeratedly and said, "Although I was stimulated, it was a positive stimulation, which is not bad."
"Well, that patient is in a very bad condition, and there's nothing you can do. Did the family finally decide to give up?"
Zhou Mo didn't wait for Yu Zhiming to respond before saying, "How can I give up on my closest family? If it were me, I wouldn't give up even if I had to spend all my wealth and go into debt."
Yu Zhiming gave the guy a cold look.
"You've never been through hard times, you've never been deeply troubled by money, so you can say that without worrying about your back."
"When you don't have money to buy meat during the Spring Festival, you will feel how wonderful money is."
Zhou Mo bit his lip and asked cautiously, "The scene brought back memories of your childhood?"
Yu Zhiming glared at the guy, ignored her, and buried his head in his food.
A few minutes later, he slowly said, "Back then, due to financial problems, my family held a family meeting to discuss whether to give up on continuing my eye treatment."
Zhou Mo said softly, "The result of the family meeting is self-evident. There are definitely more people opposing than supporting."
"Did you overhear the discussion?"
Yu Zhiming was silent for a moment, then slowly said, "After that, my eldest sister left her two-year-old daughter behind and went out to work with her brother-in-law."
Zhou Mo suddenly realized, "No wonder you are so kind to my eldest sister, and you are also very kind to her two children."
She whispered again, "Does your second sister agree?"
Yu Zhiming snorted, "You're the only one who talks too much while eating..."
It was almost noon, and after a short nap, Yu Zhiming prepared to start his afternoon work.
Sui Chi reported again, "Doctor Yu, the patient's family hasn't given up. They say they firmly believe in your suspicions and want to take a gamble..."
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