medical treatment
Chapter 1668: Can two hearts fit in it?
Chapter 1668: Can two hearts hold it?
It's Monday again, and it's Yu Zhiming's outpatient day.
Yu Zhiming rushed to the Zhizhen Building of the hospital and called Zhou Luo, Shen Qi, Sui Chi and Duan Yi to the soundproof office.
As he prepared for the work that was about to begin, he asked, "The day before yesterday, in the competition between He Xie and Sun Duo, where did you lose?"
Duan Yi quickly responded, "Teacher, we went to the emergency department and randomly selected four patients."
"We both diagnosed the patient's illness correctly, but we failed three to one in terms of diagnostic speed."
Yu Zhiming asked, "What diseases are they?"
Sui Chi was the first to answer, "Teacher, the four patients are suffering from Crohn's disease, uremic encephalopathy, pancreatic cancer, and tricuspid valve stenosis in rheumatic heart disease."
Hearing this, Yu Zhiming frowned.
"These four diseases are difficult to diagnose through routine examinations. Did you really select the patients at random?"
“Are the people who come to the emergency department for treatment all suffering from diseases that are difficult to diagnose?”
"Teacher, you don't know..."
Duan Yi, who had taken back the right to speak, said quickly, "Since the hospital implemented the excellent young doctors' group consultation method you proposed in the outpatient and emergency departments, more and more patients have come to the outpatient and emergency departments for treatment."
“Especially on Saturdays and Sundays.”
Duan Yi paused for a moment, and then continued to explain: "Because on Saturdays and Sundays, many young doctor teams do not rest on weekends to open temporary clinics in the outpatient and emergency departments in order to improve themselves."
"Our group of young doctors are not bad in themselves, and they are also in group consultation, comparable to chief physicians. They are also very careful in diagnosing patients, and when they encounter difficult cases that they cannot solve, they can ask the medical experts behind them for help."
"So the word spread among patients that seeing us is the most cost-effective option. They spend the price of a regular doctor and enjoy treatment comparable to that of a specialist clinic."
"So, on weekends, many patients with difficult and complicated diseases come here to try their luck by making an appointment with a regular doctor."
Yu Zhiming nodded gently, and Zhou Luo added: "They said that the four patients were randomly selected, but in fact, a simple screening was done. Those who could be diagnosed roughly by looking at the medical records in the other party's hands were excluded."
Duan Yi hurriedly said, "Teacher, we are slightly inferior in the diagnosis time of Crohn's disease, uremic encephalopathy, and pancreatic cancer, but we have made up one point in the diagnosis of tricuspid stenosis of rheumatic heart disease."
"Teacher, it was me who kept the sign that you are the absolute authority on heart disease, hehe..."
Yu Zhiming looked at Duan Yi's face, which looked like she was begging for praise, and he rolled his eyes and criticized her, "Why are you still proud of your defeat? Failure is failure. You should work harder in the future."
"Yes, teacher, we will work harder!" Zhou Luo, Shen Qi and others responded quickly.
Yu Zhiming said: "Crohn's disease, uremic encephalopathy, pancreatic cancer, and tricuspid stenosis of rheumatic heart disease can be divided into five or six departments. Because of me, you have learned more deeply in various medical fields, which is normal."
“How do they have such great breadth of medicine?”
Sui Chi reminded: "Teacher, it's mainly Sun Duo. Although the other two are also excellent, their performance on that day was obviously much worse than Sun Duo, and they also had shortcomings compared to us."
Yu Zhiming nodded to indicate that he understood.
He already knew that Sun Duo's teacher, Academician Song, mainly focused on the research of lung-related diseases.
It is not easy for a specialized medical student like this to train an excellent general practitioner.
Is it possible that Sun Duo is really a medical genius who is hidden for some reason?
While Yu Zhiming was thinking, he waved his hand to Zhou Luo, Duan Yi and the others and said, "Go and prepare for work."
"Hey, Shen Qi..."
Yu Zhiming stopped Shen Qi and asked, "You proposed to Olivia successfully, but did you get the blessings of both sides' parents and families?"
Shen Qi said awkwardly: "Teacher, well, my parents have some opinions and don't quite agree."
"Olivia's parents haven't said anything yet."
Yu Zhiming said solemnly: "Marriage is not just a matter between the two of you, it is also the union of two families. Only a marriage that is blessed by both families can be happy and long-lasting."
"We have to deal with both sets of parents, understand?"
Shen Qi replied honestly: "Yes, teacher..." After Yu Zhiming understood the situation, he also made preparations for work, and then devoted himself to the outpatient work...
At around eleven o'clock in the morning, Yu Zhiming received a 23-year-old male patient with heart disease.
Heart failure caused by myocarditis.
As soon as Yu Zhiming started to examine him, his brows furrowed, "Did the treatment for myocarditis get delayed?"
The patient's father said bitterly, "The child was in college at the time, and he didn't pay much attention to it. The school hospital was also sloppy and couldn't make a diagnosis. He was transferred to a large hospital only when the problem became serious."
"My son almost died, but he finally survived, but his heart was damaged."
"During this period, I have seen several heart specialists, and they all said that his heart can only last for one or two years, and he will eventually need a heart transplant."
The patient's father pleaded, "Doctor Yu, you are unmatched in the field of cardiology. Please save my son."
"He's only 23 years old. Even if he's lucky enough to get a successful heart transplant, I heard he wouldn't last more than a few years."
"Doctor Yu, please save my son, save my son's heart..."
Read the error-free version at 69shuba! 6=9+shu_ba is the first to publish this novel.
After the father finished speaking, Yu Zhiming also completed his son's heart and physical examinations.
He took back his hands and said thoughtfully, "Even though your son has lost a lot of weight and is weaker due to his illness, his age means that his physical functions are quite strong."
"The heart has to bear a lot of pressure, which puts the already severely damaged heart into an overloaded working state."
"This will cause the heart to become more and more damaged, and the ultimate result will be a heart transplant."
The patient's father begged, "Doctor Yu, is there really nothing you can do?"
this……
Yu Zhiming quickly thought of a treatment method in his mind and said, "Your son's heart needs a good rest, so that there is a chance of recovery."
"We can't let your son lie in bed and linger on from now on. If that happens, his heart will get some rest, but his body will be completely broken down, and his heart will eventually be affected as well."
Suddenly, Yu Zhiming thought of a way.
"Does your family have money?"
The patient's father was slightly startled, then he came to his senses and said in a low voice: "Doctor Yu, although our family is not rich, we can still come up with two or three million."
"If it's not enough, I can still borrow. Doctor Yu, just tell me the amount, and I'll sell everything I have to make it up."
When Yu Zhiming heard him say this, he knew he had misunderstood, and explained: "I asked if your family had any money, not for me, but for your son's surgery."
"The heart transplant surgery still needs to be done, and it should be done as soon as possible. However, given your son's current condition, the possibility of getting a heart donor in China is very slim, so the only option is to go abroad for this heart transplant surgery."
Yu Zhiming also advised: "Transplant a heart and add the original heart, so that the two hearts can support the body together."
"In this way, the original heart can get an effective rest and has a good chance of recovering."
"Once his original heart has recovered, we can have another operation to remove the transplanted heart."
The patient's father felt a little unbelievable and asked cautiously: "Doctor Yu, is this method really feasible?"
He hurriedly explained, "Doctor Yu, you are the authority among cardiac authorities. I have absolutely no intention of questioning you."
"I just have some doubts..."
The patient's father gestured to his chest and said, "The chest cavity is so small, can we stuff two hearts in there?"
Yu Zhiming chuckled and said, "It can fit."
"Did you know that our stomach is about the size of a fist when empty, but when full, it can expand to seven or eight times its size..."
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