medical treatment

Chapter 412

At 08:30 on Friday morning, the office of the director of the small building of the center.

Qi Yue said with a gentle attitude: "Zhou Mo, the job swap between you and Qiao Lei is not compulsory, it needs your own consent to proceed."

"What is your opinion?"

Zhou Mo looked at Yu Zhiming who was standing aside with an expression on his face, and Qiao Lei who was stern-faced, and nodded slightly.

"Director, I have no objection, I will obey the arrangement."

Qi Yue lightly smiled and said, "Since you have no objection, then hand over work to Qiao Lei as soon as possible."

"Hey, Zhou Mo, you will continue to be responsible for the management and recruitment of narcolepsy volunteers."

"This project is expected to end in two or three months. It is better to start and finish."

Zhou Mo hummed...

Yu Zhiming and Zhou Mo left the director's office and didn't have time to communicate.

They hurried to the examination room, and performed physical examinations for the retired hospital employees and their families who had been waiting for a long time...

He was busy until 10:30 in the morning, when Yu Zhiming briefly drank water and replenished energy, Zhou Mo had a chance to ask a question.

"Doctor Yu, Qiao Lei and I switched jobs. Did you propose it? Or the director?"

"Director!" Yu Zhiming replied concisely.

Zhou Moruo let out a sigh of relief, and said with a smile on his face: "I am your assistant, and I can go out with you to earn extra money in an open and honest manner."

"With a lot of income, I can be full of confidence when I go home."

Yu Zhiming gave her a sideways look.

"You and your mother are both angry enough? It's been such a long time, and you still haven't reconciled?"

Zhou Mo waved his small fist, "A matter of principle, one cannot give in easily..."

Yu Zhiming was eating sandwich biscuits while chatting with Zhou Mo, and heard the voices of people waiting outside the door from time to time.

"Doctor Wan, you're here too."

"I heard that you are retired?"

A hearty voice sounded, "Last month, I just completed the retirement procedures, and officially entered the time of enjoyment."

A voice asked, "Doctor Wan, didn't the hospital rehire you?"

"I'm just the deputy chief physician. There are many talents in the department. There is no more than one, and there is no re-employment."

The voice just now asked again: "Doctor Wan, with your strength, you went to a slightly smaller hospital, and you still haven't been treated as a great expert."

"Have you already contacted the next unit? If not, I can help introduce one or two."

Dr. Wan's voice sounded again, "Well, to be honest, when you get old, you have to obey your old age."

"This year, I always feel a little powerless. I plan to take a good rest for a while before talking about other things."

"I have already got the visa, and I will go to my daughter in Australia next week to see my little grandson..."

Yu Zhiming in the examination room drank all the water in the cup, went to the bathroom again, and started the physical examination after returning.

After examining six people in succession, Yu Zhiming saw a medium-sized man with thinning hair on the top of his head walk into the examination room.

"Doctor Yu, hello!"

Hearing this voice, Yu Zhiming knew that this man was Dr. Wan who had just retired.

He nodded towards the other party as a greeting, and then motioned for Dr. Wan to lie on the examination bed.

Yu Zhiming changed into a pair of surgical gloves, and then put his hands on Dr. Wan's head.

He checked the brain, mainly by checking the blood flow and speed of the blood vessels in the brain, and whether the blood vessels themselves were abnormal, and then deduced whether there was a problem with the brain.

With the current quietness of the examination room, Yu Zhiming can at most initially detect the blood flow and blood vessels of the cerebral arteries and veins with a diameter of 1 to 1.5 mm.

Moreover, it should not go too deep into the brain.

To further improve Yu Zhiming's detection ability, he can only go to a quieter environment without external noise interference.

Even though the ability to detect the brain was limited, after Yu Zhiming checked Dr. Wan's brain for a while, he noticed that something seemed wrong.

The problem appears to be in the frontotemporal area of ​​the brain.

Yu Zhiming tried his best to eliminate the interference of external noise, so that he could focus more on detecting abnormalities in the frontal and temporal regions.

First, the arterial and venous blood flow rate...

No obvious signs of slowing of blood flow were found in the various vessels, which indicated that no obstruction had occurred.

As for the blood vessels themselves, Yu Zhiming discovered that compared with healthy blood vessels, the narrowest part is about [-] to [-] percent narrower.

This narrow range, considering Dr. Wan's current age, is considered to be well maintained, not yet to the extent of treatment.

You just need to pay attention to healthy eating and exercise in your daily life...

Yu Zhiming checked Dr. Wan's frontal and temporal areas of the brain two or three times, but he couldn't find any abnormality or anything wrong.

"Could it be that my initial perception was wrong?"

Yu Zhiming muttered something to himself, and searched again unwillingly, but after finding nothing, he was a little reluctant to move to explore other parts of the brain.

It was through this metastatic investigation that Yu Zhiming suddenly discovered the abnormalities in the frontal and temporal regions.

Compared with other areas of the brain, the distance between the blood vessels in the frontotemporal lobe seems to be smaller and denser.

Not a good change.

This means one thing, Dr. Wan's brain's frontal and temporal regions are smaller than other brain regions.

That is, shrinking.

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

Yu Zhiming focused his gaze, met Doctor Wan's gaze, and found that his eyes were full of worry.

"Everyone said that as long as Dr. Yu's hand stays on a certain part of the body for more than 20 seconds, there must be something wrong."

"The longer the stay, the worse the problem."

"Doctor Yu, you have been examining the frontal and temporal regions of my brain for more than a minute. The problem must be serious, isn't it?"

Yu Zhiming pondered and said, "Doctor Wan, it's hard to say whether it's serious or not. I just have some uncertain discoveries."

Dr. Wan sat up from the examination bed and took a deep breath.

"Dr. Yu, I have been practicing medicine for 34 years. During this period, I have told patients or their families the worst news thousands of times."

"Doctor Yu, just tell me what you found, I can bear it."

Seeing what he said, Yu Zhiming said bluntly: "Doctor Wan, I suspect that your frontal and temporal lobes of the brain have atrophied."

"It is recommended that you do further examination in our center."

Dr. Wan's eyes widened, and he asked in confirmation, "Is it just the atrophy of the frontal and temporal lobes of the brain?"

Yu Zhiming nodded and said, "The other brain regions are still normal in my perception."

After he finished speaking, he found that Dr. Wan, who was sitting on the examination bed, was stunned.

"Doctor Wan? Doctor Wan?"

Dr. Wan sat up straight slowly, and said with a bitter face: "Over the past year, I have clearly noticed that my memory has declined, and I often forget words when I pick up a pen and speak."

"You found out again that the frontal and temporal lobes of my brain have shrunk, and I know what disease I have."

"What disease?" Yu Zhiming asked.

Dr. Wan sighed, "Aphasia is the same disease as the lead actor in Die Hard."

Yu Zhiming let out a sympathetic sigh.

Aphasia, also known as frontotemporal dementia, is due to atrophic lesions in the patient's temporal lobe and frontal lobe.

It causes personality changes, behavioral disturbances, and loss of language skills.

Frontotemporal lobe lesions account for about [-]% to [-]% of dementia patients, but they are different from Alzheimer's disease, which is well-known to the public.

It mainly affects the patient's personality, language, and behavioral abilities, and has relatively little impact on memory.

Similar to Alzheimer's disease, the cause of frontotemporal dementia is unknown, and there is no treatment, and only drugs can be used to control the abnormal behavior of patients.

But no matter what method is used, the patient will gradually lose his ability to act, even unable to eat, and eventually become another person who dies in silence.

Seeing Dr. Wan who was sitting upright, Yu Zhiming arched his body again and spoke to comfort him.

"Doctor Wan, aphasia is just our guess, and there are other possibilities. Let's not scare ourselves first."

Seeing Dr. Wan sitting blankly, Yu Zhiming didn't respond much to his words, so he knew that he had a nervous breakdown.

He was just about to ask Zhou Mo to call a nurse over when he saw Wang Zejia accompany Dr. Wang Wu into the examination room.

Wang Zejia specializes in neurology, and this aphasia is also within the scope of his research.

After Wang Zejia learned about Dr. Wan's situation, he immediately took Dr. Wan for further examination.

Wang Wu looked at Dr. Wan's distraught back and sighed softly, then turned to Yu Zhiming and said, "Your fellow patient has finished acupuncture."

"His body is recovering fairly well."

"I also left him two food supplement prescriptions. Go home and recuperate for half a year, and he should be fine."

Yu Zhiming thanked him, and then said, "Doctor Wang, the pharmacy of the Department of Traditional Chinese Medicine should have good ginseng and American ginseng, right? I want to buy some, is it convenient?"

Wang Wu didn't answer but asked instead: "Doctor Yu, what are you buying ginseng and American ginseng for? Who is it for?"

Yu Zhiming replied honestly: "My parents are getting old, buy some ginseng and American ginseng for them to stew soup, or soak in wine and water to nourish their bodies."

Wang Wu smiled lightly and said, "It turned out that I bought it for your father Ling Ci's health. It's easy to handle, and you don't need to go to the pharmacy to buy it."

"I have it at home, and the quality is better."

"You don't need to buy it, I'll give you some."

Yu Zhiming quickly expressed his opinion: "Doctor Wang, I will definitely not accept it if you give it away. It is still possible to buy it."

After a lot of back and forth, the two parties finally decided to buy twenty 20-year-old forest ginseng and five hundred grams of American ginseng from Dr. Wang at a discounted price of [-]% off the market price.

Tomorrow morning, Wang Zejia will bring ginseng and American ginseng to the center...

At ten past twelve noon, Yu Zhiming finished the morning physical examination.

Back in the big office, Yu Zhiming was called into the director's office by Mr. Qi.

Walking into the director's office, besides Mr. Qi, Yu Zhiming saw a tall young man with two or three points of facial features similar to Mr. Qi.

There is also a young and beautiful woman with fluttering hair.

Yu Zhiming also found that the tea table in the reception area was still full of meals exuding attractive aromas.

"Zhiming, these are my eldest son and daughter-in-law."

"Let's sit down and eat together, and get acquainted with each other while eating..."

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(End of this chapter)