Chapter 523 Only Finding Problems, Not Solving Problems
"Teacher, there is a possibility of heart failure."
Yu Zhiming said on the phone: "I feel that his right ventricle is contracting very hard, and I feel like I can't catch my breath." ”
"If this state extends to the entire heart, it is very likely to cause heart failure and even cardiac arrest."
Yu Zhiming pondered for a moment, and then said, "Teacher, I personally recommend that an ICD be implanted first, just in case, and then comprehensively explore the cause of the heart problem. ”
"At the same time, take a break from work, adjust your work and diet, and take care of your heart and body."
Qi Yue replied on the phone: "I will relay your findings and suggestions to the other party." ”
After a pause, Qi Yue turned to ask again: "Zhiming, my second son Qi Zhen has come back from abroad, have you seen him?" ”
Yu Zhiming hummed, and said vaguely: "I've met two or three times, but I'm busy with work, so I chatted briefly." ”
Qi Yue said softly: "My son is very smart and studious, and I was also thinking about letting him study medicine." ”
"It's just that I was separated from his mother, who eventually enrolled him in liberal arts."
Qi Yue sighed regretfully, and then said, "When I go back, find a time for you to get to know each other better." ”
This made Yu Zhiming grin a little, and he didn't think it was a good idea.
However, that is the teacher's son, and Yu Zhiming still knows the truth of intimacy.
He responded vaguely first.
Two or three minutes later, Yu Zhiming ended the call with the teacher and resumed his journey to the nursing home.
After the car drove into the main road, Gu Qinglime asked with great interest: "Zhiming, that person has a serious heart problem?" ”
Yu Zhiming said cautiously: "From the sound of his heartbeat, I feel that his heart may have a serious problem. ”
"It has to be treated with caution."
"What is it?" Zhou Mo interjected and asked.
Yu Zhiming replied frankly: "I don't know." I can only detect a problem with the right ventricle, and I don't know exactly what caused it. ”
Gu Qingqing said, "That's enough." ”
"It's easier to tell where the danger is and trace the source to find the real cause."
"The worst can also be used to treat headaches, and to control the condition with foot pain, so as not to become terminally ill."
Gu Lime roared: "Zhiming, you have saved the lives of others again, proud of you......"
At a quarter past nine in the morning, the three of them finally arrived at the sanatorium.
It is a complex of beige buildings nestled at the foot of the mountain, and at a glance there are at least twenty or thirty buildings.
They are centered around a dome building six or seven stories high and covering an area of one or two thousand square meters, spreading along the foot of the hill to both sides.
On both sides of the building, there are low-rise buildings with five or six storeys of height, as well as single-family buildings of different shapes with two or three floors.
Yu Zhiming also saw a chimney about ten meters high and white smoke constantly emitting, as well as a small lake of thousands of square meters.
Although it is a cold winter, you can still see a lot of green on the hill in front of you, which makes people feel bright.
The bed cart stopped in the small square in front of the dome building.
When Yu Zhiming got out of the car, he saw Gu Changyan, leading three men and one woman in white coats, who looked to be at least fifty or sixty years old, and two middle-aged men and women.
"Dr. Yu, you have worked hard all the way......"
After some greetings and introductions, Yu Zhiming realized that the three white coats were all medical seniors who were hired to work here after retiring from a tertiary hospital.
Among the three, one is a traditional Chinese medicine doctor, one is an internal medicine doctor, and the other is an emergency doctor with rich experience in emergency and rescue.
Yu Zhiming must admit that these three doctors, in addition to their age, the combination of their professional fields is quite reasonable for nursing homes that are located in the suburbs and are not very convenient for medical treatment.
Moreover, with these three experienced senior doctors, it also saves Yu Zhiming a lot of trouble.
In the following physical examination, Yu Zhiming only needs to describe the physical symptoms found.
If there is anything that the physical examiner does not understand, or wants to know how to carry out targeted treatment, restore the body, and health preservation, the three senior doctors can answer for him.
This saves a lot of time......
Yu Zhiming politely rejected Gu Changyan's proposal to rest and drink a cup of morning tea, and directly said that he would start the physical examination immediately.
"Dr. Yu, please come with me......"
Yu Zhiming was walking and communicating with the three medical seniors about the upcoming physical examination, and as the ancient monzel entered the dome building, there was abundant warmth.
This feeling is very familiar to him.
Gu Changyan said with a smile: "We have our own boiler, and all the rooms have realized central heating. ”
Yu Zhiming took off his down jacket, and the ancient lime on the side naturally reached out to take it and hugged it in his arms.
After walking a few dozen steps, they came to the medical center located on the first floor.
Yu Zhiming visited it and found that this small medical center, which has five or six sizes, is considered to be small, but it has all the organs, and even has the ability to perform emergency surgery.
His examination room is also ready.
Yu Zhiming found that next door to the examination room was also a doctor's office.
He pointed to the office and said, "This office also has an examination bed." ”
"The old man's movement is a little slow, and after I finish the check-up, I can come to this office to do a physical examination of the prepared old man, so as not to waste time."
Gu Changyan nodded and praised: "It's still Dr. Yu, you think thoughtfully, we'll deal with ......."
Yu Zhiming and Zhou Mo put on white coats and prepared for work, and the first physical examiner was also brought into the examination room by a young nurse.
This is an old man who looks to be sixty or seventy years old, with gray hair and a slightly hunched back.
After he lay down on the examination bed, Yu Zhiming put on surgical gloves and began his first physical examination in the nursing home.
"There is a slight inflammation of the left bronchi!"
"Mild slow pulmonary obstruction!"
"Coronary intra-left branch stent stenosis of the heart with near-dangerous ......"
Every time Yu Zhiming said a symptom, Dr. Zhang, an internal medicine doctor who stayed in the examination room to assist, recorded it in a small notebook.
It's just that Yu Zhiming said it too fast and too fast, which made Dr. Zhang feel a little unable to catch up.
She suddenly realized that more than 100 elderly people had undergone physical examinations this morning, and if such a good record continued, she would have to be tired.
Thinking of this, she simply stopped recording and took out her mobile phone directly from her pocket to record.
Wait until you're not busy, and then tidy up slowly......
Six or seven minutes later, Yu Zhiming completed the old man's physical examination and walked quickly to the next office.
Here, there was already an old lady in her seventies, somewhat rich, accompanied by a little nurse, lying quietly on the examination bed.
Yu Zhiming changed into a pair of surgical gloves and started a physical examination for the old lady.
The old lady has severe high blood pressure.
During the examination, Yu Zhiming found that her cardiovascular and cerebrovascular systems, as well as her liver and kidneys and other organs, had been damaged by high blood pressure of varying degrees of mildity.
He recounted the big and small problems he had discovered, and was about to turn away, but was stopped by the old lady.
The old lady who got up took a large brown paper envelope from the desk next to her and handed it over.
"Doctor Yu, these are the few tests and tests I have done in a city hospital before."
"Please take a look, is there anything wrong?"
Yu Zhiming didn't answer, and replied: "Old man, I do a physical examination, and I don't need to look at your previous physical examination information." ”
"Unless I'm unsure."
"In your case, old lady, there is no need to look at the data and test sheets beforehand."
After saying this, Yu Zhiming turned around again and prepared to leave.
"Hey, why are you like this, doctor?"
The old lady was a little anxious, her voice suddenly rose two or three degrees, and she said angrily: "Ten thousand physical examinations, five or six minutes will be over?" ”
"Two thousand yuan a minute, I heard you talk about high blood pressure, and my injury, that injury."
"At the very least, you have to prescribe me a special prescription for high blood pressure!"
"Otherwise, how can it be worth 10,000?"
Hearing this, Dr. Zhang couldn't help but speak: "Sister Gao, our nursing home specially invited Dr. Yu to do a physical examination, but we didn't force anyone to pay money for a physical examination. ”
"Now that you've finished your physical examination, you're dissatisfied, which is a bit unpleasant."
The old lady glared and said, "I spent so much money, not to mention that the service is not good, and I haven't checked out any major problems, so I can't give my opinion?" ”
Yu Zhiming endured the displeasure in his heart, and let himself explain patiently: "Old man, since you paid the money for the physical examination, you must have some understanding of me." ”
"As you know, what I'm best at is finding problems, not solving them."
"Also, this high blood pressure is a worldwide problem for which there is no cure in the global medical community, and the current treatment is to control blood pressure as much as possible."
"Naturally, I don't have any cure."
After a pause, Yu Zhiming said in a deep voice: "As for not checking out any major problems, old man, are you looking forward to checking out a serious illness, or even cancer?" ”
The old lady was choked for a moment, and the next moment her breathing became a little short.
She gritted her teeth and shouted, "I don't care, anyway, I'm not satisfied with this physical examination, very dissatisfied." ”
"Unless you give me a serious look at the test data and test sheets in here."
Seeing that the old man was so persistent, Yu Zhiming was a little curious about what was in the cowhide envelope.
He took the envelope, opened it, and pulled out a stack of checksheets and test sheets.
Yu Zhiming only looked at a few data from the top renal function test sheet and understood.
He had just finished examining the old man, and he didn't dare to say that he knew a lot about her kidney function, but he could be sure that it was impossible to have a few data on the test sheet.
Stuffing the slip back into the cowhide envelope, Yu Zhiming said slowly: "Old man, are you deliberately testing me by taking someone else's test sheet?" ”
As he spoke, Yu Zhiming put the cowhide envelope on the examination bed, turned around and walked out of the examination room quickly.
He told Zhou Mo who came out with him: "Tell the people who have a physical examination about it, and say that I am only responsible for finding problems, not solving them." ”
"If you think it's not worth it, you can refund the money and withdraw from the physical examination ......"
Ask for support such as monthly passes, recommended tickets, etc!!
(End of chapter)