medical treatment

Chapter 463 Another Talent

At [-]:[-] the next morning, Yu Zhiming came to the small building in the center of the hospital, and brought the weak-legged young man to the laboratory.

As soon as he entered the laboratory, he saw at a glance a high-power microscope prepared on the operating table, as well as a set of trauma treatment equipment, anesthesia and acupuncture, disinfectant alcohol and other supplies.

This was prepared by the nurse on duty at the center over the phone when he was having breakfast at home in the morning.

The execution ability of the nurses in the center is quite good.

Yu Zhiming nodded in satisfaction, then turned his head to look at the young man with weak legs who was sitting on the wheelchair showing nervousness.

"You don't have to be afraid. I thought of a possibility last night. I need to give you a trauma examination."

Yu Zhiming gestured on the young man's calf, and further introduced: "You need to make a small incision on your calf, and then peel off a small piece of muscle endometrium from the muscle."

"I want to observe the blood microcirculation inside."

Muscles have their own blood supply.

In order to adapt to the strong metabolism of the muscles, the blood supply of the muscles is also quite rich.

Each muscle has its own blood supply.

Most of its main blood vessels are accompanied by nerves, running along the muscle interval and fascial space, and the branches enter the muscle from the muscle door, and branch repeatedly in the muscle.

Finally, a capillary network surrounding the muscle fibers is formed in the intima of the muscle, and then the capillary network flows into the venules, and the venules exit the muscle portal.

In yesterday's physical examination, Yu Zhiming has detected the blood vessels of the lower limbs of the young man with weak legs. The atrophy of the blood vessels with a diameter of more than [-] mm is normal, which is consistent with the condition of the lower limbs of the young man with weak legs who have not exercised for a long time.

Yu Zhiming speculates that if there is really a problem with blood circulation, it is most likely to be caused by blood microcirculation.

Therefore, he decided to take a small piece of muscle endometrium from the gastrocnemius muscle of the calf, which has obvious signs of muscle atrophy in young people with soft legs, and examine it with a high-power microscope.

Yu Zhiming noticed the frightened expression on the young man's limp legs, and comforted him: "Don't be afraid, an anesthetic will be administered, and the incision is only one or two centimeters, no sutures are needed, and there will be no sequelae."

In the current situation, in order to find out the cause of his illness, the young man with weak legs can only obediently cooperate.

He endured worry and fear, and endured the pain, allowing Yu Zhiming to use needles and knives on his left calf.

A few minutes later, he saw Yu Zhiming running to the high power microscope and getting busy...

Yu Zhiming placed the glass slide on the microscope, and slowly adjusted the objective lens to make the field of view of the eyepiece clear...

In the clear field of view of the high-power microscope, Yu Zhiming quickly discovered the abnormality.

The arterioles unexpectedly showed a different twist and deformation, as if they were convulsed by the flames.

This discovery made Yu Zhiming very excited.

Sure enough, his analysis was as good as it was!
Small arteries with a diameter of less than 300 microns are called arterioles. They are located at the beginning of the microcirculation and are important for regulating the blood volume of the microcirculation. They are the resistance vessels in front of the capillaries.

In the microcirculation, the arteriole acts as a "general gate", and the contraction and contraction of smooth muscle fibers can control the size of the tube diameter, which determines the blood flow of the microcirculation.

Such abnormal twisting and spasm of the arterioles will undoubtedly greatly reduce the blood supply to the muscles.

This can lead to muscle and nerve degeneration due to insufficient supply of oxygen nutrients.

Having discovered it, Yu Zhiming quickly took pictures to collect evidence.

Next, he took samples from the right leg and the left and right arms of the young man with weak legs.

What excited Yu Zhiming was that the arterioles on the muscle intima of the right leg of the young man with soft legs also spasmed abnormally.

However, no arteriole spasm was found in the two specimens taken from the young man's left and right arms.

This proves that it is the spasm of the arterioles in the blood supply of the lower limbs that causes the youth's legs to be weak.

But this created new problems.

What causes lower extremity arteriolar spasm in young people?
Yu Zhiming told the young man with weak legs about his discovery, and asked him to go back to the ward first, while he rushed back to the big office excitedly.

It's just that as soon as he entered the big office, several people cheered and surrounded him.

"Doctor Yu, do you still know me? I'm here to give you a pennant."

This voice, as well as the slightly plump figure, made Yu Zhiming recognize the other party immediately.

"I remember, you were the one who pretended to be pregnant last night."

These words made the plump woman's face turn red, and she said embarrassingly, "Doctor Yu, don't mention that, you're so ashamed."

She hurriedly turned around and said, "Doctor Yu, what did you diagnose me at that time..."

"Mucous cystadenoma of the ovary."

The woman recounted the medical terminology accurately word by word, and continued: "We went to the hospital overnight for an examination, it's true."

"The next day, the doctor performed a minimally invasive operation on me. The myxoma extracted weighed nearly six catties."

"Doctor Yu, look..."

The woman touched her belly and said, "My belly is gone."

To be exact, she still has a small belly, but it's not as big or as obvious as before.

Yu Zhiming turned to ask: "The one who was driving at that time, your cousin, how is he doing?"

The woman waved her hand and replied: "Drunk driving is not the first time, ten days of public security detention."

"He's still squatting inside. He should be educated..."

After chatting for a few more words, Yu Zhiming said that he still has to work.

The woman and her family expressed their gratitude again in a very understanding manner, and then presented a pennant of "Skilled Doctor", a large fruit basket, and a large bouquet of flowers, and then left.

"Zhou Mo, the flowers are yours, and the fruits are yours."

Yu Zhiming confessed, left the big office, went upstairs to the ward area, found the large army led by Teacher Qi, and went to check the ward together...

He was so busy that he was busy until the lunch time at noon before it was considered over.

Yu Zhiming returned to the big office to have lunch with Zhou Mo, but found that this guy was not waiting at his desk, and left him a note.

"This beauty is invited to a big meal at noon, you can only go to lunch alone."

Yu Zhiming came to the hospital cafeteria alone, packed the meals, and found a relatively quiet place to sit down.

He ate half of it, and saw Bao Wan holding the plate, and sat down in the empty seat opposite him.

As soon as Bao Wan sat down, he asked, "Doctor Yu, do you know about Dr. Wang?"

Yu Zhiming knew that she was asking Dr. Wang Jiangyue from the General Surgery Department, so he nodded slightly.

"I know, it is said that the hospital investigation report will come out tomorrow."

"Doctor Yu, there will be no major problems, right?"

Seeing Bao Wan's concerned expression, Yu Zhiming comforted him, "Dr. Wang is not mainly responsible."

"And Dr. Wang is the backbone chief physician of the general surgery department, and the hospital will protect her."

"However, punishment should be unavoidable, and it is estimated that this year's year-end bonus will also be greatly reduced."

Yu Zhiming added: "I heard this from Director Yang Mai of the Medical Affairs Department."

Chief Bao Guan let out a breath and said, "I'm relieved now. These days, Dr. Wang is on leave and I don't dare to inquire about it. My heart is always up and down."

Yu Zhiming smiled, and then asked, "How is your work these days?"

Bao Guan showed a smile on his face and said, "Very good, the hospital rectification campaign has achieved great results."

"Although our residents are still very tired, there is no obvious injustice, and we are tired and happy."

"I can still accept Dr. Wang's guidance from time to time, and do some small things for Dr. Wang as much as I can."

Bao Wan continued: "In the past few days, the most talked about is the expansion of the Qiyue Medical Research Center."

Yu Zhiming said bluntly: "The center will select some excellent attending physicians, and residents will not consider them."

Bao Wan said with an undiminished smile: "We all know this, and we must choose the best among the attending physicians."

After a pause, she asked again: "Hey, Dr. Yu, if there is an attending physician who works very well in other hospitals, he would like to join your center."

"Will you accept it?"

Yu Zhiming chuckled and said, "It depends on how good he is. Like me, wouldn't I be hired as an exception?"

Bao Guan laughed and said, "Of course he can't be as good as you, Dr. Yu, but he's much better than me."

She introduced in detail: "He and I are from the same prefecture-level city. He graduated from Capital Medical University with a doctorate in clinical medicine. Now he works in a tertiary hospital in our city."

"If I hadn't been lucky enough to be hired by Huashan Hospital, I would have returned to work in that hospital."

Bao Guan took a sip of seaweed soup, and then introduced: "He has been working for five years and has published five papers in core journals, including two in SCI journals."

Scientific research medical talents?
Yu Zhiming commented in his heart.

In terms of medical papers, but his weakness.

Although up to now, five papers signed by Yu Zhiming as the second or third author have been confirmed to be published in core medical journals.

But my family knows my own family affairs. Yu Zhiming’s contribution in those papers is to provide detailed physical examination data of patients to Teacher Qi, Xie Jianmin, Wang Zhijin, Wang Zejia and others as a tool.

The main case study work, he didn't do it.

Bao Wan went on to say: "Three provincial-level tertiary hospitals have sent invitations to him, but he has not accepted."

Yu Zhiming smiled and asked, "Want to come to Huashan?"

Bao Guan hummed, and said: "Last night, he took the initiative to call me to inquire about the situation of your center, and revealed his intention to quit."

Yu Zhiming smiled again, and said solemnly: "It's not appropriate for such an outstanding talent to contact me."

"Perhaps, I will directly reject him because of jealousy."

Bao Wan was slightly taken aback, and said, "I believe, Doctor Yu, you are not such a person."

Yu Zhiming said with a chuckle, "Doctor Bao, don't think highly of me, I'm also an ordinary person, and I can also be envious and jealous."

After a pause of two seconds, he laughed again: "The most important thing is that I am good at diagnosing diseases, but I am not good at judging whether a person is good enough."

He pondered and said, "Well, let me talk to Dean Tan, and you can report his situation to Dean Tan."

Just do what you said, Yu Zhiming took out his mobile phone and dialed the number of Vice President Tan...

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(End of this chapter)