Yu Zhiming followed Teacher Qi Yue to a single ward on the fourth floor and met the patient and his family.

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

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

Yang Yimin, male, 59 years old, underlying disease, diabetes mellitus, grade 2 hypertension......

Yu Zhiming still wanted to glance at it a second time and learn more about it, when the voice of Qi Yue sounded in his ears.

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

Yu Zhiming hurriedly obeyed the instructions and started a full body examination for Yang Yimin.

In order to get more detailed physical information and make up for the mistake of forgetting to study the medical condition data before, Yu Zhiming was extremely meticulous in this examination.

After this examination, in addition to grasping the damage to the brain, heart and other organs caused by the erosion of underlying diseases such as hypertension and diabetes, he really made a major discovery.

It's just that this discovery is not easy to say to patients and their families for the time being.

Yu Zhiming, who had finished the inspection, gave Teacher Qi a look of private chat alone, and stood aside.

Qi Yue received Yu Zhiming's eyes, and he was very speechless in his heart, and he wanted to hold his forehead and sigh.

You guy, you have a major discovery on your face, you are blind as a patient and your family?

Didn't you see that Mr. Yang couldn't lie down?

In this case, Qi Yue couldn't say a few perfunctory words, and then took Yu Zhiming back to the office to talk in detail.

"Zhiming, if you find anything, just say it. As a doctor, there is no need to hide the condition from the patient. ”

Qi Yue emphasized: "Any discovery, just say." ”

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

Since the teachers have said so, Yu Zhiming said frankly: "Mr. Yang, many organs in your body have been damaged, which is caused by the long-term effects of high blood pressure and diabetes. ”

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

"Just ......"

Yu Zhiming saw that Yang Yimin was nervous, and then said: "Mr. Yang, this discovery of mine is just my personal feeling, it may not be accurate, don't care too much......

Qi Yue interrupted unceremoniously: "Zhiming, just talk about your findings, don't be verbose." ”

Yu Zhiming sighed, met Yang Yimin's worried gaze again, and said, "Mr. Yang, your heart is a little burdensome, I feel that it is almost unbearable......"

His words made the atmosphere in the ward suddenly freeze.

Yang Yimin involuntarily reached out and grabbed his left chest, and asked in a trembling voice, "Doctor Yu, will I have cardiac arrest?" ”

Yu Zhiming pondered and said: "This, I personally think it is more appropriate to describe it as exhaustion." ”

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

Although cardiac arrest is extremely dangerous, as long as you survive it, treat the disease, and recuperate, there will basically be no major problems.

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

Yang Yimin's high blood pressure and diabetes are already very unfriendly to the heart and can easily induce heart failure.

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

It's just that judging from the performance of Yu Zhiming, Qi Yue can assert that this heart failure will not be ordinary heart failure.

In terms of Yang Yimin's physical condition......

Qi Yue shook his head secretly, and saw Yang Yimin, whose face had turned pale, looking at him.

He hurriedly comforted and said, "Mr. Yang, Dr. 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 your heart function twenty-four hours a day."

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

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

After half past nine in the morning, Qi Yue, who had finished inspecting the ward, took Yu Zhiming back to the director's office.

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

Qi Yue taught with a serious face: "When you check your body, patients and family members will keep an eye on you. ”

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

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 make some discoveries, I may unconsciously show them on my face."

Qi Yue snorted lightly: "Practice more, it's really not good, just go and sign up for an acting training class." ”

Yu Zhiming pouted slightly.

Qi Yue's eyes widened, and he admonished: "Zhiming, don't think that this is a trivial matter that is not worth mentioning. ”

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

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

Qi Yue noticed the doubts on Yu Zhiming's face and said, "This incident has really happened, if you don't believe it, you can ask other doctors." ”

"At that time, because of the division of responsibility, an arbitration was held, and our hospital finally assumed 30% of the responsibility."

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

"They are already physically weak, and they are highly nervous, and if you stimulate them violently, the probability of problems is still not small."

Yu Zhiming restrained his casualness and said seriously: "Teacher, I will pay attention to expression management." ”

Qi Yue snorted.

After a pause, he criticized again: "Zhiming, now that you are also famous, you really have found out, don't say anything that doesn't feel good, it's just a personal feeling, not necessarily accurate, it seems that you are not confident at all." ”

"What a famous doctor wants is a final word and give patients unswerving confidence in diagnosis."

Yu Zhiming said with an embarrassed face: "Teacher, there are many inspections, but I really only have feelings, and I can't say one, three, five." ”

Qi Yue glanced at him in disgust.

"The question is, so far, you've felt all right, why aren't you confident in your feelings?"

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

"At the end of the day, you still don't have enough confidence and confidence."

Yu Zhiming smiled hesitantly and said, "Teacher, to be honest, I am a young doctor who needs to continue to learn and accumulate." ”

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

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

"When Dr. Wang comes, let's discuss the countermeasures. I hope the outburst doesn't get too bad......"

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

The middle-aged man hurriedly introduced himself and said, "Doctor Yu, I'm Zhou Yang, and you specially reminded me that I have a liver problem at the massage center last night. ”

Yu Zhiming recognized this guy and said with a smile: "Oh, it turned out to be you, I didn't dare to recognize this dress." ”

"Your liver?"

Zhou Yang bowed and said, "Thanks to your reminder, Dr. Yu, I hurried to the hospital for an examination last night." ”

"The results are in this morning."

"Liver cyst, the doctor said, the cyst is relatively large, there are signs of worsening inflammation, and surgery is needed."

"Doctor Yu, I came to thank you, and I have to go back to the hospital to prepare for surgery."

Yu Zhiming sighed and said, "Liver cyst is not a big problem, you don't have to worry too much." ”

Zhou Yang nodded and said, "The doctor who examined me said that there are signs of inflammation, and if it is delayed for some time, the inflammation will spread severely, and it will be difficult to say." ”

"In short, Dr. Yu, I remember your reminder, this is a little bit of my heart......"

Saying this, Zhou Yang bent down and lifted several gift boxes.

Yu Zhiming naturally refused.

Between the two of them, a little nurse ran over.

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

Forked, this is coming too quickly.

"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 ward on the third floor, he saw Teacher Qi Yue and Dr. Xie Jianmin rescuing the patient.

Yu Zhiming didn't go in.

If it is first aid in terms of trauma, Yu Zhiming will step forward to take over.

But in terms of acute heart failure, Yu Zhi knew that he was a pound, so he didn't go in to make trouble.

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 also sent to the ICU.

Qi Yue told Yang Yimin's family.

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

The only effective treatment is a heart transplant.

However, given that Yang Yimin has suffered from diabetes and high blood pressure for a long time, he is not eligible for a heart transplant.

In the current situation, Yang Yimin will not be able to hold on for too long.

Qi Yue suggested that family members should accompany the patient more......

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

He followed Qi Yue back to the director's office, and then said with a smile: "Teacher, he had an acute heart failure, it can't be me who told you, right?" ”

Qi Yue cut lightly, "If you have the ability to speak and follow the law, you are not a doctor, you are an immortal." ”

After a pause, Qi Yue sighed lightly: "Diabetes and high blood pressure are very unfriendly to the heart, you just found the signs of heart failure in advance." ”

"You can't reverse the effect because you found heart failure and caused him to have a heart failure attack."

"Don't think about it."

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

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

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

Yu Zhiming nodded, signaling that he knew.

Zhou Mo turned to ask, "Doctor Yu, the time schedule for the physical examination we talked about on the roof of the building the night before yesterday?" ”

Yu Zhiming thought for a while and said, "Let's ...... tomorrow night."

It's the end of the month, ask for monthly pass support!

(End of chapter)