medical treatment

Chapter 246 Thanks
Time flies to the sixth, Sunday.

After two o'clock in the afternoon, Yu Zhiming was at the Qiyue Medical Research Center, waiting for Zeng Yan's classmate's brother to come first.

He is only 14 years old, but he is tall and fat, with a height of 1.7 meters and a weight of [-].

It obviously gave Yu Zhiming a feeling of obesity.

After Yu Zhiming asked a few simple questions, he noticed that the child's reaction speed was a little slow, and he was dumbfounded.

He sometimes needs to repeat simple questions two or three times to get feedback from the child.

Yu Zhiming let the child lie on the examination bed to explore his brain.

As soon as Yu Zhiming got started, he noticed something unusual.

The blood flow velocity of one cerebral artery is slower than that of other cerebral arteries.

Yu Zhiming followed the blood vessel with abnormal flow rate to further explore, and found a small artery with a slower flow rate.

And this thin artery is mainly responsible for blood supply to the temporal lobe of the brain.

Yu Zhiming is still clear about the main functions of the temporal lobe.

It is the hearing analysis center responsible for analyzing hearing.

The sound is transmitted to the ear, and the hearing is transmitted from the ear to the brain, and the temporal lobe performs the final analysis to tell us what the other party said and what it means.

It is also responsible for memory, and the human body can produce memory through the temporal lobe system.

The temporal lobe is also the center of olfactory analysis.

Usually, after smelling the taste through the nose, the taste signal is transmitted to the brain, and finally to the temporal lobe.

The analysis is done by the temporal lobe, which tells what it smells, whether it is a fragrance or a smell...

A few minutes later, Yu Zhiming withdrew his hand.

"Doctor Yu, is there something wrong with my brother?"

The questioner was Zeng Yan's classmate, who was slightly shorter and thinner than his brother.

Besides him, there was also an honest-looking father who accompanied the child.

Yu Zhiming asked the nurse to take the child to the corridor outside before telling the child's brother and father.

"There is a problem!"

Yu Zhiming affirmed, and then explained: "Your brother suffers from vascular dementia."

"This disease is due to damage to the blood vessels in the brain, which reduces the supply of oxygen and nutrients to the brain parenchyma, resulting in a decline in brain function."

While talking, Yu Zhiming quickly drew a simple diagram of cerebral blood vessels on a piece of paper.

"The blood flow supplying the functional area of ​​the temporal lobe is more than twice as low as the blood flow in other areas."

"Long-term insufficiency of blood supply can cause temporal lobe damage, leading to severe impairment of advanced cognitive functions such as memory, analysis ability, executive function and language in patients."

These words made the faces of the child's brother and father very ugly.

The child's brother asked, "Doctor Yu, why is the blood flow to the temporal lobe of the brain reduced significantly?"

Yu Zhiming replied softly: "During the examination, I found that the small arteries in the temporal lobe region have more attachments on the inner wall, and the blood vessels are much narrower than other brain regions."

"At present, it is not clear that the slow blood flow first caused more attachments on the inner wall of the arteries in the temporal lobe area."

"There are also many attachments on the inner wall of the arteries in the temporal lobe area, which leads to narrowing of the blood vessels, resulting in slow blood flow and less blood flow."

"But as things stand, it's clearly a vicious cycle that's leading to more serious illness."

After a pause, Yu Zhiming added: "I don't need to go to the laboratory test, I can also know that this child's blood fat is definitely not low."

The child's elder brother looked at his father and criticized: "I have said more than once, let him eat less meat and fried food, eat more vegetables and fruits, and exercise more."

"Now look, is there a problem?"

The child's father said bitterly: "We also asked him to eat more fruits and vegetables. The problem is that he doesn't listen."

"I hate the tasteless, so I have to eat meat and fried food, otherwise it will be noisy and noisy."

"When he makes a fuss, your mother and your grandparents will soften their hearts, and I can't help it."

Hearing this, Yu Zhiming said with a serious face: "The temporal lobe is also in charge of olfactory analysis."

"Damage to the temporal lobe area will lead to a less sensitive sense of smell, and you will want to eat foods with strong flavors, heavy oil and salt."

At this time, the child's elder brother asked with concern: "Doctor Yu, my brother's condition can be cured, right?"

Yu Zhiming pondered and said: "The cause of the blood vessel damage and low blood flow in the temporal lobe area has not yet been determined."

"I suspect that there may be a vascular malformation or other problem in Ling's temporal lobe area, causing blood flow to be severely affected."

"This requires further scrutiny."

"I need to wait for clear test results before I can determine the treatment plan."

The child's father asked nervously, "Doctor, is the examination fee expensive?"

Yu Zhiming introduced: "This requires enhanced nuclear magnetic resonance, which is about [-] yuan."

"In addition to other basic tests such as blood lipids, the full set of tests will cost about [-]."

This number made the child's father relax.

But he still couldn't help but said: "Didn't it mean that if you come to the doctor for an examination, it only costs one or two hundred yuan to make a diagnosis?"

"Why do you need to spend so much money for other inspections?"

The child's elder brother quickly explained: "Dad, Dr. Yu has already diagnosed it, and my younger brother is suffering from vascular dementia."

"It's just that further examinations are needed to confirm the final cause, so that the symptoms can be treated."

"Is that right, Doctor Yu?"

Yu Zhiming nodded and smiled, then made a checklist and gave it to the child's brother.

"After the inspection today, all the inspection results may not come out until tomorrow."

"Tomorrow is Monday, and the hospital will fully resume normal work. I will sit in the NO.15 outpatient room of the outpatient and emergency department."

"Just take the test results and come to me directly."

Yu Zhiming warned again: "Your brother's diet can be controlled first..."

After three o'clock in the afternoon, Yu Zhiming and others came to see Zeng Yan, Bao Wan, and Bao Wan's parents.

Yu Zhiming first gave Bao Wan's parents a physical examination.

Bao Guan's parents are in fairly good health, but some problems that people in their 60s and [-]s often suffer from have been detected.

It should be noted that Bao Wan's father's cardiovascular and Bao Wan's mother's cerebral blood vessels!
The problem of the two of them is not serious. They need to take some medicine and pay more attention to diet and physical exercise.

Also, check it regularly every year.

Yu Zhiming thanked Bao Wan for taking care of Zeng Yan again, and then sent her and her parents away.

He noticed Zeng Yan's tired expression, and asked with a smile, "Are you tired?"

Zeng Yan nodded her head and said, "I have slept for only twelve hours in two days, so I am tired and sleepy."

"Sister Bao said, this is pretty good. If you are on the small night shift and the big night shift consecutively, it will be really hard."

After a pause, Zeng Yan expressed her opinion again: "Uncle, this has not discouraged my determination to study medicine."

"In the past two days, I followed Sister Bao and saw many patients, including adults, the elderly, and children."

"They came here one by one with pain. But there are still many patients who go home to recuperate with the hope of being cured."

"Uncle, I want to study medicine, I want to be a doctor, and use my own skills to relieve the suffering of patients."

Yu Zhiming listened to Zeng Yan's outspoken words, and seeing her eyes were full of clarity, he nodded slightly.

"After going back to school, get a good night's sleep and think about it again. If you are determined not to change, ask your parents for advice."

Yu Zhiming said with a serious face: "Studying medicine is a long and difficult process, and the support of family members is essential!"

Zeng Yan giggled and said confidently: "Uncle, don't worry, my parents support me."

"They will definitely agree, hehe..."

"Wait until you have your parents' consent before saying this."

Yu Zhiming warned again: "After obtaining the consent of your parents, don't rush to submit a withdrawal application to the school."

"Let me try it for you first to see if you can transfer directly to the university and transfer to the medical school."

"Uncle, is this okay?"

Zeng Yan's eyes doubled involuntarily, her face was full of excitement and anticipation.

Yu Zhiming said frankly: "There are many difficulties, and the possibility of success is extremely small. It is just a try."

"It is very possible that you still need to take the college entrance examination again."

Zeng Yan let out an oh, and smiled again: "Let uncle worry you a lot, hehe!"

"Uncle, I won't say thank you much. Even if I go home to review and retake the exam, I will come back with enough confidence."

"This time, I didn't muddle along and study for the exam under the supervision of my parents and teachers."

"I am working hard for my own ideals and goals. This motivation is comparable to a rocket. The review results must be a qualitative leap."

Yu Zhiming said happily: "Don't talk so much, many returning students are not as good as they are year after year."

He got up and said, "Let's go, I'll take you back to school."

Zeng Yan picked up the big backpack, put it on her shoulders, and followed Yu Zhiming to the outside.

"Uncle, well, Sister Bao has really taken good care of me these two days."

"Uncle, do you want me to give you a present?"

"Or, treat her to a meal?"

Yu Zhiming said casually: "You don't have to worry about the thank you from Dr. Bao, I will arrange it."

Resident physicians like Bao Guan will undergo a one-year rotation training in various departments after they come to Huashan Hospital.

Then, according to their training and assessment results, two-way selection of specific departments will determine their main direction of attack.

However, it's a two-way choice. If you don't have personal connections and your own abilities are not particularly outstanding, then you can only passively accept the hospital's arrangement involuntarily.

There is even the possibility of being kicked out by the hospital.

With Yu Zhiming's current status, it is quite easy to match Bao Wan with a reliable chief or deputy chief physician in the hospital, and guide her in medical skills from time to time...

Yu Zhiming sent Zeng Yan to Fisheries University, and then returned to Zijinyuan's residence. It was almost six o'clock in the evening.

There was no one in the room.

Yu Zhiming was a little depressed and sad. The fourth sister is typical of having a boyfriend and forgetting about his younger brother.

As for Gu Qingning, she returned to Gu's house yesterday afternoon.

Question about this dinner?
Just when Yu Zhiming was thinking about how to make do with this dinner, he received a call from Teacher Qi Yue.

"Zhiming, do you have time tonight? Come out and get together!"

　Ask for monthly tickets, recommendation tickets and other support!
　　
　
(End of this chapter)