medical treatment

Chapter 124

There are two main pathways for percutaneous coronary intervention, one is through the femoral artery and the other is through the radial artery.

The thigh femoral artery is thick and the puncture success rate is high.

However, its disadvantages are long postoperative bed rest time and high incidence of puncture-related complications, such as hemorrhage, hematoma, pseudoaneurysm, arteriovenous fistula, and retroperitoneal hematoma.

Today, the first route of coronary intervention is through the radial artery of the arm with relatively few side effects.

As for the interventional treatment of bile duct stone removal, a small hole needs to be opened in the waist and abdomen, and the bile duct can be punctured with the help of laparoscopy...

When Yu Zhiming held the guide wire and walked slowly through the radial artery and bile duct, he had a clear feeling.

This guiding wire is an extension of his body and senses.

Yu Zhiming could clearly perceive what happened to the wire guide head in the narrow passage.

This kind of perception is so vivid that he does not need the guidance of medical imaging equipment, but can also control the guide wire to choose the appropriate direction to break through like a fish, and swim upstream.

Yu Zhiming's immersive perception and control enabled him to complete the expansion treatment of the patient's coronary artery stenosis and the removal of another patient's choledocholithiasis without much effort.

As the guiding and supervising doctors, Wang Chunyuan and Han Shuo, faced with Yu Zhiming's handy operation, they all expressed the same exclamation at the same time.

Yu Zhiming is a natural fit for interventional therapy...

After Yu Zhiming finished all the work in the afternoon, it was already past the off-duty time. He just returned to the big office to pack up and go home when he was called to the director's office.

"To Ming, your diagnosis of the young Yu Qiao is correct. I have monitored that his blood transfusion to the brain accounts for 28% of the whole body."

Qi Yue handed over a copy of the test data to Yu Zhiming.

"This is not the premise that the boy is going all out. I did a simple test. When he is thinking with all his strength, the proportion of his brain's instantaneous blood demand can be as high as 32 percent."

Qi Yue sighed again: "The psychological counseling also confirmed your judgment, that young man is under a lot of psychological pressure."

"The boy revealed that he overheard his parents talking one day a few years ago."

"Knowing that his parents despise him for being stupid, resent him for losing face to the whole family, and say they wish the kidnapper could abduct him."

Yu Zhiming knew that it should be these extremely hurtful words that stimulated the boy deeply and awakened his BUFF.

Teacher Qi continued: "Since that day, the boy has been studying hard, and he dare not slack off in the slightest."

Yu Zhiming put the checklist that he had read on the desk, and said slowly: "The achievements this boy has achieved now at least prove a little for the majority of students..."

"Diligence can really make up for one's inadequacy; persistent hard work the day after tomorrow can really make up for a lack of talent."

Qi Yue cut lightly.

"The price is stunted growth and impaired longevity."

"I worked hard, ran out of fuel, and Zhuge Liang died of exhaustion in Wuzhangyuan. These sayings and allusions still have a lot of scientific basis, and it is really possible to happen."

Yu Zhiming chuckled and asked, "Teacher, since the diagnosis has been made now, how should the boy's condition be treated and adjusted?"

Qi Yue murmured and said: "The young man's diligence and hard work have become a habit now. It is probably unlikely that he will stop and be content with mediocrity."

"The first thing is psychological counseling, to relieve obsessions, so that he doesn't bear so much psychological pressure."

"This heavy psychological pressure is also one of the important factors affecting his physical development."

"Also, the parents of teenagers also need to receive psychological counseling and learn how to communicate with their children."

"Moreover, absorbing daily nutrition from ordinary food is not enough to meet the physical development needs of teenagers now."

"He needs to add something like high-energy nutrient solution."

"Finally, proper physical exercise is also a must."

Qi Yue said with regret: "It's just that these measures cannot be completed overnight."

"Besides, he is already 17 years old. Even if these measures are effective, he will get a chance to compensate for rapid physical development. In the next two to three years, he will increase his height by another [-] centimeters, which will be regarded as the sky."

Yu Zhiming imagined what Yu Qiao would look like in the future, and said with a smile: "1.6 meters five, and wearing four or five centimeters height increasing shoes, it will be 1.7 meters."

"If you dress up and look taller, and wear a tall hairstyle, you will look 1.7 meters five."

"1.7 meters five, enough for men."

Qi Yue was amused all of a sudden, he laughed and said: "Your inflated increase is too outrageous."

"Fake is fake."

"Actually, for a man, height and appearance are not the most important thing, what is important is inner character, ability and wealth."

"If you own a castle, you are a beast, and beautiful women will fall in love with you."

After a pause, Qi Yue turned to ask: "You went to the medical office at noon, what did the new Director Yang say?"

"Teacher, he punished me for writing a self-criticism..."

Yu Zhiming briefly and clearly described his experience of going to the medical office.

Qi Yue frowned slightly.

"This guy, the intention is unknown!"

"You want to use you to stand up?"

Qi Yue shook his head and said, "Although the punishment decision he made against you is well-founded, but the punishment is mild, it's better than nothing, and it can't achieve the effect of standing up."

"It's not like it's nice."

"He can completely treat this incident as something that happened during his predecessor's reign and let it go."

Yu Zhiming had the casual attitude of a soldier coming to block, and said: "Teacher, he asked me to write this review, so I will write it."

"That incident caused a lot of trouble, and I was indeed at fault. It's not good for the hospital to ignore it and let it go."

"This review, to me, is equivalent to an attitude of the hospital, and it also puts an end to that incident."

Qi Yue nodded lightly, and said, "It's pretty good that you can think that way."

He let out another breath, "Let's see... that Director Yang will behave and handle things in the future."

"Even knowing how important you are now, a mere director of the medical department can't move you."

After talking about the work, Qi Yue told Yu Zhiming another piece of good news.

His paper on in vitro bypass surgery has been confirmed to be accepted by the "Chinese Journal of Surgery" and will be published in the November issue.

This news made Yu Zhiming very happy.

Back then, when he was in the county hospital, in order to be promoted to the attending physician, he had to put in a lot of effort to publish professional title papers in provincial journals, entrust relationships, and send money and treat guests.

It's not as easy as it is now. I handed the thesis to the teacher for review on Sunday, and in a blink of an eye on Tuesday, I got the definite news that it was accepted by the national core medical journal.

"Teacher, have you left your relationship?"

Qi Yue smiled lightly and said, "I just sent the paper to a familiar editorial board member. After reading it, he thought the paper had a lot of reference and inspiration value, so he accepted it."

"In the final analysis, it is the quality of the paper itself."

Yu Zhiming had to listen to this, so that he wouldn't believe it naively and naively.

Just imagine, a little-known little doctor and a well-known medical expert. Even if the quality of the little doctor's paper is better than that of the medical expert, if you choose one of the two, the dissertation must be the little doctor's paper.

This is the current state of our country.

When Yu Zhiming left the director's office, he also took a solid medical record with him.

This is a young patient newly taken over by Teacher Qi.

He is only nine years old and has been sickly since he was a child.

Over the years, the little patient has been treated by no less than ten medical experts and old Chinese doctors, but the frail body has not improved, but has a tendency to become more serious.

Today, little patients spend more than half of a month either lying in bed to recuperate, or traveling in wheelchairs.

Teacher Qi also told Yu Zhiming that the little patient’s home is in the capital city, and finding him here is considered random.

They rushed to Binhai around Thursday and Friday, and Yu Zhiming first familiarized himself with the little patient's physical information in the past two days...

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(End of this chapter)