Chapter 411: Familiarize yourself while eating
Friday morning at half past eight, the director's office of the small building of the center.
Qi Yue said mildly: "Zhou Mo, the job transfer between you and Qiao Lei is not mandatory, and it will only be carried out if you agree to it." ”
"What's your opinion?"
Zhou Mo looked at Yu Zhiming, who was standing aside with an expression, and Qiao Lei, who had a straight face, and nodded gently.
"Director, I have no opinion, obey the arrangement."
Qi Yue chuckled and said, "Since you have no opinion, let's do the work handover with 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, and it is better to start and finish."
Zhou Mo snorted......
Yu Zhiming and Zhou Mo left the director's office and had no time to communicate.
They hurried to the examination room to conduct medical examinations for the retired employees of the hospital and their families......
was busy until half past ten in the morning, and when Yu Zhiming briefly drank water and replenished energy, Zhou Mo had the opportunity to ask a question.
"Doctor Yu, you took the initiative to transfer the jobs between me and Qiao Lei? Or did the director mention it? ”
"Director!" Yu Zhiming's answer was concise and to the point.
Zhou Mo sighed lightly, and said with a smile on his face: "I am your assistant, and I can follow you out to earn extra money in the future." ”
"With a lot of income, I can be confident when I get home."
Yu Zhiming glanced at her.
"You and your mother are both big enough, huh? It's been so long, and it's still not reconciled? ”
Zhou Mo waved his small fist, "Principled issues cannot be easily succumbed......"
Yu Zhiming was eating sandwich biscuits while chatting with Zhou Mo, and from time to time he heard the voices of people waiting outside the door.
"Doctor Wan, you're here too."
"I heard, you're retired?"
A hearty voice sounded, "Last month, the retirement procedures that I just completed officially entered the time of enjoyment." ”
A voice asked, "Doctor Wan, didn't the hospital rehire you?" ”
"I am only the deputy chief physician, and the department is full of talents, not more than me, no less than me, no less than me, and there is no rehiring."
The voice just now asked again: "Doctor Wan, with your strength, if you go to a slightly smaller hospital, you won't be treated as a big expert." ”
"Have you already contacted the next unit? If not, I can help introduce one or two. ”
Dr. Wan's voice sounded again, "Alas, to tell you the truth, when you are old, you have to serve the old." ”
"This year, I always feel a little overwhelmed, and I plan to recuperate for a while before anything else."
"I've got my visa, and I'll go to my daughter in Australia next week to see my little grandson go to ......"
Yu Zhiming, who was in the examination room, drank all the water in the cup, went to the bathroom again, and devoted himself to the physical examination after coming back.
After examining six people in succession, Yu Zhiming saw a medium-sized man with thinning hair on the top of his head walking into the examination room.
"Hello, Dr. Yu!"
Hearing this voice, Yu Zhiming knew that this man was Doctor Wan, who had just retired.
He nodded at the other party, said hello, and then motioned for Dr. Wan to lie down on the examination table.
Yu Zhiming changed into a pair of surgical gloves, and then pressed his hands on Dr. Wan's head.
He examines the brain, mainly by checking the blood flow and velocity of the blood vessels in the brain, as well as whether the blood vessels themselves are abnormal, and then deduces whether there is a problem in the brain.
With the current level of quietness in the examination room, Yu Zhiming can preliminarily detect the blood flow and blood vessels of the cerebral arteries and veins with a diameter of 1 to 1.5 mm.
And don't go too deep into the brain yet.
If you want Yu Zhiming's exploration ability to go further, you can only go to a quieter environment without external noise interference.
Even though his ability to probe the brain was limited, not long after Yu Zhiming examined the brain of this Doctor Wan, he noticed that something seemed to be wrong.
The problem seems to be in the frontal temporal lobe of the brain.
Yu Zhiming worked hard to eliminate the interference of external noise, so that he could focus more on exploring the abnormalities of the frontal temporal region.
First, the arteriovenous blood flow rate ......
There were no obvious signs of slowing blood flow in the vessels, suggesting that no obstruction had occurred.
As for the blood vessels themselves, Yu Zhiming found that compared with healthy blood vessels, the narrowest part is about three or four percent narrower.
This narrow range, at Dr. Wan's current age, is considered to be well maintained, but it has not yet reached the level of treatment.
All you need to do is eat a healthy diet and exercise in your daily life......
Yu Zhiming repeatedly probed the frontal and temporal lobe area of Dr. Wan's brain two or three times, but he did not find anything abnormal or wrong.
"Could it be that I was wrong in the first place?"
Yu Zhiming muttered to himself, and after exploring again without giving up, he still found nothing, and was a little reluctant to transfer and explore other parts of the brain.
It was this metastatic exploration that Yu Zhiming suddenly discovered the abnormality of the frontal temporal lobe area.
Compared to other areas of the brain, the distance between the blood vessels in the frontal temporal lobe seems to be smaller and denser.
That's not a good change.
This means one thing, Dr. Wan's frontal temporal lobe area of the brain has become smaller than other brain regions.
That is, atrophy.
"Dr. Yu, is there something wrong with my brain?"
Yu Zhiming focused his gaze and 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 your body for more than 20 seconds, there must be a problem."
"The longer you stay, the more serious the problem."
"Doctor Yu, it's been more than a minute since you examined the frontal temporal lobe area of my brain, the problem must be serious, isn't it?"
Yu Zhiming groaned and said, "Doctor Wan, it's hard to say whether it's serious or not, I just have some uncertain findings. ”
Dr. Wan sat up from the examination table and took a deep breath.
"Dr. Yu, I have been practicing medicine for 34 years, and during this time, I have told patients or their families thousands of times the worst news."
"Doctor Yu, just tell me what you find, and I can bear it."
Seeing him say this, Yu Zhiming said bluntly: "Doctor Wan, I suspect that the frontal and temporal lobes of your brain have atrophied. ”
"It is recommended that you do further testing at our center."
Dr. Wan's eyes widened a little and he asked confirmatively, "Is it just that the frontal and temporal lobes of the brain have atrophy?" ”
Yu Zhiming said: "Other brain regions, in my perception, are still normal. ”
After he said this, he found that Dr. Wan, who was sitting on the examination table, was stunned.
"Doctor Wan? Doctor Wan? ”
Dr. Wan slowly sat up straight, and said with a bitter face: "For more than a year, I have obviously noticed that my memory is declining, and I often forget to write and forget to speak. ”
"You found out that the frontal and temporal lobes of my brain were atrophy, and I knew what was wrong with me."
"What disease?" Yu Zhiming asked.
Doctor Wan sighed: "Aphasia, the same disease as the starring Die Hard." ”
Yu Zhiming snorted sympathetically.
Aphasia, also known as frontotemporal dementia, is caused by atrophic lesions in the temporal and frontal lobes.
It can lead to personality changes, behavioral disorders, and loss of speech skills.
Frontotemporal lobe lesions account for about one to two percent of people with dementia, but they are different from the well-known Alzheimer's disease, also known as Alzheimer's disease.
It mainly affects the patient's personality, language and behavioral ability, and has relatively little impact on memory.
Like Alzheimer's disease, the cause of frontotemporal dementia is unknown, and there is no treatment, and the patient's behavior can only be controlled by medication.
However, no matter what means are taken, the patient will gradually become incapacitated, unable to eat, and eventually become another person who dies in silence.
Yu Zhiming saw Doctor Wan, who was originally sitting upright, arched his body again and opened his mouth to comfort.
"Doctor Wan, aphasia is just our guess, there may be others, let's not scare ourselves first."
Yu Zhiming saw that Dr. Wan was sitting in a daze, not reacting much to his words, and knew that he was having 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 his scope of research.
After Wang Zejia learned about Dr. Wan's condition, he immediately took Dr. Wan for further examination.
Wang Wu looked at Dr. Wan's somewhat depressed back and sighed lightly, turned to Yu Zhiming and said, "Your fellow patient, I have finished acupuncture." ”
"His body is recovering quite well."
"I also left him two food supplements, go home and recuperate for half a year and should be fine."
Yu Zhiming thanked him, and then said, "Doctor Wang, the pharmacy of the Chinese medicine department should have good ginseng and American ginseng, right?" I want to buy some, is it convenient? ”
Wang Wu didn't answer and asked, "Doctor Yu, what are you buying ginseng and American ginseng for?" Who is it for? ”
Yu Zhiming replied honestly: "My parents are old, buy some ginseng and American ginseng for them to stew in soup, or soak in wine and water to replenish their bodies. ”
Wang Wu chuckled: "It turned out to be bought for Ling Zun Ling Ci to supplement the body, this is easy to do, you don't need to go to the pharmacy to buy it." ”
"I have it at home, and the quality is better."
"I don't have to buy it, I'll give you some."
Yu Zhiming hurriedly said: "Doctor Wang, send it, I definitely won't accept it, it's still okay to buy it." ”
After some back and forth, the two sides finally decided to buy 20 20-year-old understory ginseng and 500 grams of American ginseng from Dr. Wang at a preferential price of 20% off the market price.
Tomorrow morning, Wang Zejia will bring ginseng and American ginseng to the center......
After 12:10 p.m., Yu Zhiming completed the morning physical examination.
Back in the big office, Yu Zhiming was called into the director's office by Teacher Qi.
Walking into the director's office, in addition to Teacher Qi, Yu Zhiming saw a tall young man with two or three points similar facial features to Teacher Qi.
There was also a beautiful young woman with long flowing hair.
Yu Zhiming also found that the coffee table in the reception area was still full of delicious meals.
"Zhiming, this is my eldest son and daughter-in-law."
"We sat down to eat together and got acquainted with ...... as we ate"
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(End of chapter)