Fast forward to the sixth, Sunday.

After two o'clock in the afternoon, Yu Zhiming was at the Qiyue Medical Research Center, and first waited for the younger brother of Zeng Yan's classmate.

is only fourteen years old, but he is tall and chubby, with a height of 1.72 meters and a weight of 17.

obviously gave Yu Zhiming a sense of obsession.

Yu Zhiming asked a few questions briefly, and noticed that the child's reaction speed was a little slow and dull.

He sometimes had to repeat the simple question two or three times to get feedback from the child.

Yu Zhiming let the child lie on the examination table and probed his brain.

As soon as Yu Zhiming got started, he noticed the abnormality.

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

Yu Zhiming further explored the blood vessels with abnormal flow rate, and found the thin branch artery with a slower flow rate.

This artery is mainly responsible for blood supply to the temporal lobe region of the brain.

The main functions of the temporal lobe region are still clear to Yu Zhiming.

It is the audiometric analysis center and is responsible for analyzing hearing.

The sound travels to the ear, which transmits the hearing to the brain, and the temporal lobe does the final analysis, telling us what the other person is saying and what it means.

It is also responsible for memory, and the body can also rely on the temporal lobe system to produce memory.

The temporal lobe is also the center of olfactory analysis.

After smelling from the nose, taste signals are transmitted to the brain, and eventually to the temporal lobe.

The temporal lobe completes the analysis and tells you what to smell, whether it is scented or foul......

After a few minutes, Yu Zhiming withdrew his hand.

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

It was Zeng Yan's classmate who was asking, who was slightly lower and thinner than his younger brother.

In addition to him, there is also a father who seems to be honest with the child.

Yu Zhiming first asked the nurse to take the child to the corridor outside before he said it to the child's brother and father.

"There's a problem!"

Yu Zhiming affirmed and explained: "Your brother has vascular dementia. ”

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

As Yu Zhiming spoke, he quickly drew a simple diagram of the cerebral blood vessels on a piece of paper.

"The blood flow to the temporal lobe functional area is more than twice as low as that of other areas."

"Long-term inadequate blood supply can cause damage to the temporal lobe, resulting in severe impairment of higher cognitive functions such as memory, analytical ability, executive function, and language."

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

The child's brother asked, "Dr. Yu, why is the blood flow to the temporal lobe of the brain reduced so much?" ”

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

"At present, it is not clear whether the slow blood flow rate is the first to cause many attachments to the inner wall of the arteries in the temporal lobe area."

"There are also many attachments in 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 low blood flow."

"But as things stand, it's clear that it's a vicious circle that is getting worse."

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

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

"Now you see, here's the problem, right?"

The child's father said with a bitter face: "We also let him eat more vegetables and fruits, but the problem is that he doesn't listen." ”

"If you don't like it, you have to eat meat and fried food, otherwise it will be noisy and noisy."

"As soon as he makes a fuss, your mother and grandparents will be soft-hearted, 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 can lead to a less sensitive sense of smell and a desire to eat foods with strong flavors and heavy oil and salt."

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

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

"I suspect that there may be vascular malformations or other problems in the temporal lobe area, which is causing severe blood flow."

"This needs to be further examined."

"I need to wait for the results of the tests to come back before I can determine the treatment plan."

The child's father asked a little nervously, "Doctor, will this examination cost be very expensive?" ”

Yu Zhiming introduced: "This requires enhanced MRI, about 15,000. ”

"Coupled with other basic tests such as blood lipids, a full set of examinations is about two thousand."

This number made the child's father's expression relaxed.

He still couldn't help but say: "Didn't you say that the doctor would do the examination, and it would only cost one or two hundred yuan to confirm the diagnosis?" ”

"Why do you have to spend so much money to do other tests?"

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

"It's just that further tests are needed to confirm the final cause and treat the symptoms."

"Isn't it, Dr. Yu?"

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

"After the inspection today, all the test results are estimated to come out tomorrow."

"Tomorrow is Monday and the hospital is fully back to normal. I'll be in the outpatient room 15. ”

"You can take the test results and come to me directly."

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

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

Yu Zhiming first gave Bao Guan's parents a full body examination.

Bao Guan's parents are in good health, but they have found some problems that people in their fifties and sixties often have.

It should be noted that Bao Guan's father's cardiovascular, as well as Bao Guan's mother's cerebrovascular!

This problem is not serious for the two, they need to take some medicine, and usually pay more attention to diet and physical exercise.

Also, you can have regular check-ups every year.

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

He noticed that Zeng Yan was tired, and asked with a light smile, "Aren't you tired?" ”

Zeng Yan nodded her little head and said, "I didn't sleep for twelve hours in two days, so I was tired and sleepy. ”

"Sister Bao said, this is not bad, if you are on duty on a small night shift or a big night shift, then it is really hard work."

After a pause, Zeng Yan said again: "Uncle, this point has not discouraged my determination to study medicine. ”

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

"They came one by one with pain. However, there are still many patients who go home to recuperate with the hope of healing. ”

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

Yu Zhiming listened to Zeng Yan's straightforward words, saw that her eyes were full of clarity, and nodded lightly.

"When you go back to school, get some sleep, think about it, and ask your parents for advice if you don't change."

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

Zeng Yan grinned and said fearlessly: "Uncle, don't worry, my parents are quite supportive of me." ”

"They'll agree, hehe......"

"Wait until you have your parents' permission to say that."

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

"I'll give it a try for you first and see if you can transfer directly to the university and medical school."

"Uncle, is this okay?"

Zeng Yan's eyes couldn't help but widen, her face full of excitement and expectation.

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

"There is a great possibility that you still need to take the college entrance examination again."

Zeng Yan sighed, and said with a smile: "Let you bother a lot, uncle, hehe!" ”

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

"This time, I am not confused, I am studying for the exam under the supervision of my parents and teachers."

"I am working hard for my ideals and goals, this motivation is comparable to a rocket, and the review score is definitely a qualitative leap."

Yu Zhimingle said: "Don't talk so much, many students who return to school are not as good as a year. ”

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

Zeng Yan lifted the big backpack, put it on her shoulder, and followed Yu Zhiming outside.

"Uncle, that, Sister Bao has really taken good care of me in the past two days."

"Uncle, do I want to give a gift?"

"Or, treat her to a meal?"

Yu Zhiming said casually: "You don't have to worry about Dr. Bao's thanks, I will arrange it." ”

After a resident like Bao Guan comes to Huashan Hospital, he will first undergo a one-year rotation training in various departments.

Then, according to their training and assessment results, they will choose specific departments in both directions and determine their main direction.

However, if there is no connection, and your own ability is not particularly outstanding, then you can only passively accept the arrangement of the hospital.

There is even the possibility of being swept away by the hospital.

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

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

The room was empty.

Yu Zhiming was a little depressed and sad, the fourth sister is a typical boyfriend, and she forgot about his younger brother.

As for Gu Lime, I went back to Gu's house yesterday afternoon.

This dinner problem?

Just when Yu Zhiming was thinking about how to make up for this dinner, he received a call from Teacher Qi Yue.

"Zhiming, do you have time at night? Come out and get together! ”

Ask for support such as monthly passes, recommended tickets, etc.!

(End of chapter)