At 8:10 the next morning, Yu Zhiming came to the small building in the center of the hospital and brought the young man with weak legs to the laboratory.

As soon as he entered the laboratory, he saw at a glance that a high-powered microscope had been prepared on the operating table, as well as a set of trauma treatment instruments, 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 of the nurses in the center is quite good.

Yu Zhiming nodded with satisfaction, and turned his head to look at the young man with weak legs who was sitting in a wheelchair.

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

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

"I'm going to look at the blood microcirculation inside."

Muscles have their own blood supply system.

In order to adapt to the vigorous metabolism of the muscles, the blood supply to the muscles is also quite abundant.

Each muscle has its own blood supply.

Its main blood vessels are mostly accompanied by nerves, running along the muscle septum and fascial space, and the branches enter the muscle from the muscle portal and branch repeatedly within the muscle.

Finally, a capillary network surrounding muscle fibers is formed in the muscle endometrium, and then the capillary network merges into the venules and venules and exits the muscle portal.

In yesterday's physical examination, Yu Zhiming has already detected that the blood vessels of the lower limbs of the young man with soft legs, the blood vessels with a diameter of more than 0.5 millimeters, and the amount of atrophy is normal, which is consistent with the lower limbs of the young man with soft legs who have not exercised for a long time.

Yu Zhiming speculated that if there was really a problem with blood circulation, it was most likely in the blood microcirculation.

Therefore, he decided to take a small piece of muscle lining on the gastrocnemius muscle of the calf, where the signs of muscle atrophy were more obvious in the soft young man, and examine it with a high-powered microscope.

Yu Zhiming noticed the frightened look on the face of the young man with weak legs, and comforted: "Don't be afraid, you will be given an anesthetic, and the incision will be only one or two centimeters, no stitches, 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 cooperate obediently.

He endured worry and fear, and also endured the pain, and let Yu Zhiming move the needle and knife on his left calf.

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

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

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

The arteries were twisted and deformed in a different way, as if they had been spasmed by the flames.

This discovery made Yu Zhiming very excited.

Sure enough, it was as he analyzed!

The small arterioles with a diameter of less than 300 microns are called arterioles, which are located at the beginning of the microcirculation and are of great significance for regulating the blood volume of the microcirculation, and are the resistance blood vessels in front of the capillaries.

In the microcirculation, the arterioles act as the "general gate", and the contraction of smooth muscle fibers controls the size of the tube diameter, and its caliber determines the blood flow of the microcirculation.

The arterioles are so unusually twisted and spasmodic that there is no doubt that the blood supply to the muscles is drastically reduced.

This can lead to deterioration of muscles and nerves due to a lack of oxygen supply.

With Yu Zhiming, who was discovered, he hurriedly took pictures for evidence.

Next, he took samples on the right leg of the weak-legged young man, as well as on his left and right arms.

What made Yu Zhiming excited was that the arterioles on the muscular lining of the right leg of the young man with soft legs also had abnormal spasm.

However, two specimens taken from the youth's left and right arms showed no arteriolar spasm.

This proves that it is the spasm of the arterioles in the blood supply to the lower limbs that causes the weakness of the legs of the youth.

But this creates new problems.

What causes arteriolar spasm in young people?

Yu Zhiming informed the young man with weak legs of the discovery and asked him to go back to the ward first, while he rushed back to the big office.

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

"Dr. Yu, do you still know me? I'm here to bring you a pennant. ”

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

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

These words made the plump woman's face red, and she said, "Doctor Yu, don't mention that matter, you are panicked." ”

She hurriedly turned to "Doctor Yu, what kind of ...... did you diagnose me at that time?"

"Ovarian mycinous cystadenoma."

The woman recounted the medical terms word by word, and then continued: "We went to the hospital overnight for an examination, and it was true. ”

"The next day, the doctor performed minimally invasive surgery on me, and the myxoma that was extracted weighed nearly six pounds."

"Dr. Yu, what ......do you see?"

The woman touched her lower abdomen and said, "My little belly is gone." ”

To be exact, her little belly still has it, but it's not as big and obvious as before.

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

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

"He's still squatting in there. He should also be given a good education......"

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

The woman and her family expressed their gratitude again with understanding, and then sent the pennant of "Wonderful Doctor", a large fruit basket, and a large bouquet of flowers, and left.

"Zhou Mo, the flowers belong to you, and the fruits are divided into one point."

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

He was busy until lunchtime at noon, and it was over.

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

"This beauty has someone to eat at noon, and you can only go to lunch alone."

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

He was halfway through eating, and saw Bao Wan holding a plate and sitting 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 Zhi knew that she was asking Dr. Wang Jiangyue of the Department of General Surgery, so he nodded lightly.

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

"Doctor Yu, there won't be a big problem, right?"

Yu Zhiming saw that Bao Guan was concerned and comforted: "The main responsibility is not Dr. Wang. ”

"And Dr. Wang is also the backbone chief physician of the Department of General Surgery, and the hospital will protect her."

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

Yu Zhiming added: "This is what I heard from Director Yang Mai of the Medical Department. ”

Bao Guan exhaled a long breath and said, "I'm relieved to do this." In the past few days, Dr. Wang has been suspended from work and on vacation, and I don't dare to inquire blindly, and my heart has been up and down. ”

Yu Zhiming smiled and asked instead, "How have you been working lately?" ”

Bao Guan showed a smile on his face and said, "It's good, the hospital rectification campaign has been very effective." ”

"Although our residents are still tired, there is no obvious injustice, 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, what we have discussed the most 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 a smile: "We all know this, and we must choose the best from the attending physicians." ”

After a pause, she asked again, "Hey, Dr. Yu, if there is an attending physician who has worked well in other hospitals and wants to join your center." ”

"Will you accept it?"

Yu Zhiming chuckled: "It depends on how good he is, for example, me, won't he be hired exceptionally?" ”

Bao Guan smiled and said, "Naturally, he can't be as good as you, Doctor Yu, but he is much better than me." ”

She elaborated: "He and I are from the same prefecture-level city, graduated from Capital Medical University with a doctorate in clinical medicine, and now works in a tertiary hospital in our city. ”

"If I hadn't been lucky enough to be hired by Huashan Hospital, I would have gone back 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 SCI journals. ”

Research-oriented medical talents?

Yu Zhiming commented in his heart.

When it comes to medical papers, it's 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.

However, his own family knows his own affairs, and Yu Zhiming's contribution in those papers is to provide detailed body exploration data of patients to Mr. Qi, Xie Jianmin, Wang Zhijin, Wang Zejia and others as a tool.

The main case study work was not done by him.

Bao Wan continued: "Three provincial tertiary hospitals have sent him invitations, but he has not accepted them. ”

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

Bao Guan snorted and said, "Last night, he took the initiative to call me to inquire about the situation of your center, revealing the intention of changing jobs. ”

Yu Zhiming smiled again, and said solemnly: "With such an excellent talent, it is a little inappropriate to contact me." ”

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

Bao Wan was slightly stunned and said, "I believe that Dr. Yu, you are not such a person. ”

Yu Zhiming smiled and said, "Doctor Bao, don't look down on me, I am also an ordinary person, and I will be envious, jealous and hateful." ”

After a pause of two seconds, he smiled again: "The most important thing is that I am good at diagnosing diseases, but judging whether a person is good enough, I don't have that ability." ”

He groaned and said, "In this way, I will talk to Dean Tan, and you can report his situation to Dean Tan." ”

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

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

(End of chapter)