medical treatment

Chapter 256 I'm afraid they will think too much
Yu Zhiming followed Teacher Qi Yue to a single ward on the fourth floor, and met the patient and his family.

The patient was a man with fat body, round face, double chin, and gray hair.

Yu Zhiming entered the ward, took another two steps, and glanced at the patient information card hanging at the end of the bed.

Yang Yimin, male, 59 years old, basic diseases, diabetes, grade 2 hypertension...

Yu Zhiming wanted to take a second look, and when he wanted to learn more, Qi Yue's voice sounded in his ear.

"Zhiming, first check Mr. Yang's body."

Yu Zhiming quickly obeyed his orders, and began to perform a full-body examination on Yang Yimin.

In order to obtain more detailed physical information and make up for the previous mistake of forgetting to study the disease information, Yu Zhiming took an extraordinarily detailed examination this time.

After his examination, he found a major discovery in addition to understanding the damage to the brain, heart and other organs caused by the erosion of the patient's underlying diseases such as high blood pressure and diabetes.

It's just that this discovery is not yet clear to the patients and their families.

After the inspection, Yu Zhiming gave Teacher Qi the look of chatting alone and privately, and stood aside.

Qi Yue received Yu Zhiming's gaze, and was so speechless that he wanted to hold his forehead and sigh.

You guy, you have a big discovery written on your face, are you blind as a patient and family member?
Didn't you see that Mr. Yang could hardly lie down?
Under such circumstances, Qi Yue couldn't be perfunctory, so he took Yu Zhiming back to the office to discuss in detail.

"To Ming, if you find something, just say it directly. As a doctor, you don't need to hide your illness from your patients."

Qi Yue emphasized again: "Any discovery, just say it."

At this time, the patient Yang Yimin also asked his son to shake the hospital bed into a sitting and lying position.

Now that the teacher said so, Yu Zhiming said frankly: "Mr. Yang, many organs in your body are damaged, which are caused by the long-term effects of high blood pressure and diabetes."

"These injuries can be treated and controlled with drugs."

"only……"

Seeing Yang Yimin's nervous expression, Yu Zhiming turned to say: "Mr. Yang, this discovery of mine is just my personal feeling and may not be accurate. Don't worry too much..."

Qi Yue interrupted bluntly: "Zhi Ming, just tell me what you found, don't be verbose."

Yu Zhiming let out a groan, and once again met Yang Yimin's worried eyes, he said, "Mr. Yang, your heart is a bit heavy, and I feel like it's about to lose its hold..."

His words made the atmosphere in the ward suddenly tense.

Yang Yimin involuntarily reached out and grabbed his left chest, and asked with a trembling voice, "Doctor Yu, will I go into cardiac arrest?"

Yu Zhiming thought about it and said, "I personally think it's more appropriate to describe it as failure."

The word "exhaustion" made Qi Yue's heart sink.

Although a sudden cardiac arrest is extremely dangerous, as long as you survive it, get medical treatment if you are sick, and take a good rest, basically there will be no serious problems.

However, there is currently no effective treatment for heart failure.

Yang Yimin's high blood pressure and diabetes are not friendly to the heart and can easily induce heart failure.

His condition was under control before, but Yu Zhiming said so, it seems that heart failure is inevitable.

Just judging from Yu Zhiming's performance, Qi Yue can assert that this heart failure is not an ordinary heart failure.

Regarding Yang Yimin's physical condition...

Qi Yue shook his head secretly, and saw Yang Yimin, whose face turned pale, look towards him.

He hurriedly said comfortingly, "Mr. Yang, Doctor Yu's discovery may not be accurate."

"Judging from your current heart examination data, your heart is still healthy and the problem is still under control."

"In this way, I will transfer you to the intensive care unit and monitor the heart function for 24 hours."

"Today, I will also invite Dr. Wang Chunyuan, a cardiologist, to give you a consultation..."

Next, there is a busy schedule, as well as preventive treatment arrangements for Yang Yimin's heart failure attack...

After 09:30 in the morning, Qi Yue, who had finished patrolling the ward, brought Yu Zhiming back to the director's office.

"Zhiming, you are not what you used to be now, basically everyone knows that your detection skills are unparalleled."

Qi Yue taught with a serious face: "When you are checking your body, patients and family members will stare at you."

"You have to learn how to manage your expressions, keep everything in your heart, don't let your expressions change, and expose your discoveries."

Yu Zhiming said with some embarrassment: "Teacher, this, when I examine the patient's body, I need to devote myself physically and mentally."

"When I have some discoveries, I may show them unconsciously on my expression."

Qi Yue snorted lightly and said, "Practice more, if it really doesn't work, go and enroll in an acting training class."

Yu Zhiming curled his lips slightly.

Qi Yue rolled his eyes and warned, "Zhi Ming, don't think this is a trivial matter."

"I can tell you that five years ago, a chief physician in the Department of Neurology had a heart attack because of a sigh while watching a film in the outpatient clinic, and finally died of the failure of rescue."

"The reason why the doctor sighed was because he was too tired, not because he found a big problem in the patient's film."

Qi Yue noticed the suspicion on Yu Zhiming's face, and said, "This incident actually happened, if you don't believe me, you can ask other doctors."

"At that time, because of the division of responsibilities, an arbitration was conducted, and our hospital finally assumed [-]% of the responsibility."

Qi Yue picked up the thermos cup, unscrewed the lid and took a sip of water, then continued: "Many of the patients who come to our hospital for treatment are seriously ill."

"They are already weak, and they are highly stressed. If you stimulate them violently, the probability of problems is not small."

Yu Zhiming refrained from being casual, and said seriously: "Teacher, I will pay attention to facial expression management."

Qi Yue hummed.

After a short pause, he criticized again: "Zhiming, you are also famous now, if you really find something, don't start by saying that it doesn't feel good, it's just a personal feeling, it may not be accurate, it seems that you are not confident at all."

"What a famous doctor wants is to make a final decision and give patients unwavering confidence in diagnosis."

Yu Zhiming said with a troubled face: "Teacher, there are so many inspections, I really only have feelings, and I can't say anything."

Qi Yue gave him a disgusted look.

"The question is, so far, your feelings are all right, so why don't you have confidence in your own feelings?"

"You still regard yourself as a young doctor who needs to learn and improve, and you don't regard yourself as a famous doctor."

"After all, you still lack confidence and confidence."

Yu Zhiming chuckled and said, "Teacher, to be honest, I'm just a young doctor who needs to keep learning and accumulating."

He didn't want to continue this topic, so he asked instead: "Teacher, that Mr. Yang has heart failure?"

Qi Yue sighed lightly: "Since you haven't missed it yet, his heart failure should be unavoidable."

"When Dr. Wang comes, let's discuss the countermeasures together. I hope the outbreak will not be too serious..."

When Yu Zhiming returned to the big office, he unexpectedly found a chubby, well-dressed middle-aged man waiting for him.

The middle-aged man hurriedly introduced himself, "Doctor Yu, I'm Zhou Yang. Last night at the massage center, you specifically reminded me that I have a problem with my liver."

Yu Zhiming recognized this guy, and said with a smile, "Oh, so it's you. I don't dare to recognize you in this outfit."

"Your liver?"

Zhou Yang leaned forward and said, "Thanks to Doctor Yu for your reminder, I hurried to the hospital for an examination last night."

"The results came out this morning."

"Hepatic cyst, the doctor said, the cyst is relatively large, with signs of deterioration and inflammation, and surgery is required."

"Doctor Yu, I came here to thank you, so I have to go back to the hospital to prepare for the operation."

Yu Zhiming let out a sigh, and said, "Liver cyst is not a big problem, so you don't need to worry too much."

Zhou Yang nodded and said: "The doctor who examined me said that there were signs of inflammation. If it takes some time and the inflammation spreads seriously, it will be difficult to say."

"Anyway, Doctor Yu, I will remember your kindness of reminding me. This is my heart..."

After saying this, Zhou Yang bent down and picked up several gift boxes.

Yu Zhiming naturally refused to accept.

While the two were giving way, a little nurse rushed over.

"Doctor Yu, a patient surnamed Yang in the intensive care unit has sudden heart failure and is in critical condition."

Chacha, this is coming too fast.

"Zhou Mo, receive Mr. Zhou for me!" Yu Zhiming confessed to Zhou Mo, and rushed out of the big office.

When he came to the intensive care unit on the third floor, he saw Mr. Qi Yue and Dr. Xie Jianmin resuscitating the patients.

Yu Zhiming didn't go in.

If it is first aid for trauma, Yu Zhiming will step forward to take over without hesitation.

But in terms of acute heart failure, Yu Zhiming knew his own weight, so he didn't go in and make trouble.

Just stay outside and watch and listen, and that's it.

After more than half an hour of rescue, Yang Yimin's condition was stabilized and he was sent to the ICU.

Qi Yue told Yang Yimin's family.

Yang Yimin has severe acute heart failure and currently needs to maintain his vital signs with the assistance of equipment.

The only effective treatment is a heart transplant.

However, since Yang Yimin suffered from diabetes and high blood pressure for a long time, he was not eligible for a heart transplant.

Under the current circumstances, Yang Yimin will not be able to persist for too long.

Qi Yue suggested that the family members spend more time with the patient...

When Qi Yue informed the family members of the patient's situation, Yu Zhiming hid aside, trying to minimize his presence.

He followed Qi Yue back to the director's office, and then he said with a smile: "Teacher, he broke out with acute heart failure, so I didn't tell you about it, did I?"

Qi Yue cut out lightly, "If you have the ability to follow your words, you're not a doctor, but a god."

Pausing for a moment, Qi Yue sighed lightly: "Diabetes and high blood pressure are both very unfriendly to the heart. You just discovered the signs of heart failure in advance."

"You can't turn the result into the cause, because you discovered heart failure and caused him to have a heart failure attack."

"Don't think too much."

Yu Zhiming smiled and said, "Teacher, I definitely won't think too much, I'm just afraid that patients and their families will think too much..."

When Yu Zhiming returned to the big office again, he saw that Zhou Yang, who came to thank him, had already left.

Zhou Mohui reported: "Doctor Yu, I left a fruit basket and a box of wild honey for you."

Yu Zhiming nodded, indicating that he understood.

Zhou Mo turned to ask again: "Doctor Yu, what is the schedule for the physical examination we talked about on the roof of our building the night before yesterday?"

Yu Zhiming thought for a while and said, "Tomorrow night..."

　At the end of the month, ask for monthly ticket support!

　　
　
(End of this chapter)