medical treatment

Chapter 103 A Visit from Peking University School of Medicine

On the next Tuesday morning, Yu Zhiming, who came to Huashan Hospital with dark circles under his eyes, took the suspected ALS patient admitted yesterday afternoon for a diagnostic examination.

This guy is 1.7 meters tall, weighs 33, and Gui Geng is [-] years old.

He claims to be a veteran game player, and also uses playing games as a career to earn money to support his family.

According to him, he can stay out of the house for a month or two without knowing the changes of the four seasons outside.

If it weren't for the atrophy of the arm muscles, which seriously affected his playing games, he really didn't want to come to the hospital for an examination.

Seeing this guy's happy appearance that he is satisfied with everything if he has a game, and he doesn't care about the future at all, Yu Zhiming sighed secretly, a typical optimist and contented person.

With such a mentality, I can stay out of the house for a month or two, but anyone who is a bit aggressive will definitely be depressed...

In addition to clinical symptoms, the diagnosis of ALS is mainly based on electromyography, plus imaging and neuropathological examinations.

Yu Zhiming had been busy all morning, and after the patient's various examination results came out, he cheerfully found Qi Yue.

"Teacher, the test results have come out. The main indications are not met. It's not ALS."

Qi Yue took a stack of inspection materials and flipped through the images, then nodded and said, "It's definitely not ALS."

He noticed Yu Zhiming's smiling face, and couldn't help but asked with a smile: "This test result means that your first diagnosis was wrong."

"You have been diagnosed wrong, why are you so happy?"

Yu Zhiming chuckled and said, "I wish my cancer premonitions were all wrong."

"If it's really ALS, his life will be over. I'm happy to see such a wrong diagnosis."

Qi Yue smiled lightly, and asked again: "Since the test results rule out ALS, what is your new diagnosis?"

"Teacher, it's Hirayama disease."

Hirayama disease, also known as juvenile distal upper extremity muscular atrophy, is a benign self-limiting motor neuron disease.

It is clinically very similar to ALS.

Yu Zhiming pointed out the main indications on the EMG and MRI images one by one.

"Teacher, his EMG showed neurogenic damage, and his cervical spine was obviously arched."

"My analysis shows that this is due to the patient's long-term unscientific sitting posture caused by the arching of the cervical spine, compressing the spinal cord, and causing ischemic and hypoxic damage to the motor neurons in the anterior horn of the spinal cord."

"According to these test indications, combined with the patient's clinical manifestations, I am sure that he has Hirayama disease."

"The treatment plan is anterior cervical internal fixation, combined with postoperative rehabilitation."

Qi Yue nodded in satisfaction, and said, "This time, Ni's diagnosis is correct, and the treatment plan is also acceptable."

"This minor surgery can be done by Dr. Han."

After a pause, Qi Yue said again: "Zhi Ming, although you are my student, there is no need to challenge intractable diseases at the beginning. You can start with the diagnosis and treatment of common diseases and typical diseases."

"Before running fast, walk steadily."

Yu Zhiming knew that this was the teacher beating himself, and he was a little aggressive.

He admitted his mistake: "Teacher, I know I was wrong. Next time I go to the emergency department, I will choose one or two suitable patients."

Qi Yue taught again: "Medical skills are never instant, the accumulation of experience should start from one basic case after another..."

Yu Zhiming's cute appearance made Qi Yue enjoy the teacher's addiction for a while.

Just when Qi Yue waved Yu Zhiming to leave, he heard this guy suddenly ask a question.

"Teacher, Qiu Yi ever wanted to be your student?"

Qi Yue hummed, and said, "He came to look for me in the year he graduated."

"I rejected him on the grounds that I never accept graduates without work experience."

Yu Zhiming let out a sigh, and asked again: "I heard that he is coming back after finishing his studies abroad."

"At that time, he still has this idea, teacher?"

Qi Yue smiled meaningfully, and asked back: "Are you afraid that I will accept him as a student and your status will be challenged?"

"how could be?"

Yu Zhiming said with an air of righteousness, "I wish, teacher, that you could recruit a few more students so that I can live the addiction of a big brother."

"Besides, I've never been afraid of competition."

"If someone chases and urges you, you will be more motivated and run faster."

Qi Yue chuckled and said, "Even if he still has the idea of ​​learning from me, I won't accept it."

"Why?"

Yu Zhiming asked curiously, and continued, "I heard a lot about Qiu Yi last night."

"The family has a deep family background, a top student, and the No. 1 young doctor. I don't know how many people are rushing to accept such a student."

Yu Zhiming asked tentatively again: "Teacher, have you really never been attracted to him?"

"Or, another reason?"

Qi Yue said slowly: "Such an outstanding young doctor, if I say that I have not been tempted, I would be hypocritical."

"only……"

Qi Yue stopped and warned first: "I'm just telling you this, so don't spread it indiscriminately."

Yu Zhiming immediately expressed his opinion: "Teacher, I am very good at keeping secrets, and I will never talk nonsense."

Qi Yue said softly: "I've read some of that guy's case diagnosis and treatment plan, what should I say?"

"He pursued risky adventures too much, and the actual situation is that there is obviously a more secure treatment plan."

"Think about his continuous honors and news along the way. This should be related to his personality and he wants attention."

"He is not the type of student I want..."

At nearly twelve in the morning, when Yu Zhiming returned to the big office, he saw a fruit basket on his desk.

Zhou Mo introduced: "The patient Zhang Zhe sent it."

Zhang Zhe underwent minimally invasive ICD implantation surgery last Friday. After three days of observation and no abnormal reaction, he was allowed to leave the hospital.

Another patient related to Yu Zhiming, Xu Feng, who suffered from a herpes virus outbreak, was also discharged from the hospital last Friday and went back to his hometown medical institution to recuperate.

Zhou Mo went on to say: "He was discharged from the hospital this morning."

"Some friends and colleagues couldn't take away the fruit baskets, so I specially sent you one to express my gratitude."

Yu Zhiming gave Zhou Mo a sideways look, and said, "You don't have to say the last sentence."

"What you said seriously lowered my happiness value, as well as the sincerity of the other party."

Zhou Mo giggled and said, "It's normal. Many patients will give the doctors and nurses fruits and flowers that they can't take with them when they are discharged from the hospital."

"I've seen it all, Doctor Yu, your fruit basket is the best and most expensive among the several fruit baskets he sent out."

"Look, there are also fine durians."

Yu Zhiming waved his hand in disgust, and said, "I don't eat durian, if you like it, take it quickly."

Zhou Mo was not polite at all, besides durian, he also took a few other fruits...

At 01:30 in the afternoon, Yu Zhiming received a gift from the Department of General Surgery.

Freshly cut two-thirds of the stomach.

The patient's stomach has been invaded by tumors, and surgery to remove more than half of his stomach is a helpless move to save his life.

The excised stomach was to be treated as medical waste, but to Yu Zhiming, it was like a precious treasure.

He can do all kinds of destructive examinations he wants, and observe the pathological characteristics of various parts of the stomach after canceration...

Yu Zhiming stayed in the laboratory of the center, enjoying the joy of acquiring knowledge, until he was interrupted by Zhou Mo at five o'clock in the afternoon.

Zhou Mo covered his eyes, not daring to look at the odds and ends on the console.

"Doctor Yu, the vice president of Peking University School of Medicine is here."

"The director asked you to go to his office..."

　On the last day at the end of the month, ask for monthly ticket and recommendation ticket support!

　　
　
(End of this chapter)