Normally, the blood pressure of the left and right upper limbs is not exactly the same, and there is a difference in blood pressure.

This difference is generally within 10-20 mmHg, and most of them are high blood pressure in the right upper extremity.

The physiological reasons for this difference are generally caused by differences in the thickness of blood vessels in the left and right upper limbs, the thickness of muscles, and the distance and angle between the arteries and the heart.

If the difference between left and right blood pressure is higher than 20mmHg, you need to go to the hospital for a detailed examination to find the cause.

There are many reasons for the large difference between left and right blood pressure.

For example, congenital heart disease.

It is often accompanied by suppervular aortic stenosis, which may induce higher blood pressure in the right upper extremity than in the left upper extremity.

Another example is aortic dissection.

Patients with aortic dissection have increased aortic wall tension and abnormal aortic wall structure, which may cause excessive bilateral blood pressure differences.

In addition, arteritis, subclavian artery steal syndrome, subclavian artery dysplasia, coarctation of the aorta, aortic arch syndrome and other causes can also cause abnormal bilateral blood pressure differences.

When Yu Zhiming's hands were held by the eldest sister and eldest woman, his keen perception, coupled with his professional sensitivity, directly made him perceive that the pressure in the woman's left hand was significantly higher than that in the right hand.

The so-called name of the person, the shadow of the tree, as soon as Yu Zhiming's words came out, the entire private room instantly quieted down.

The next moment, the eldest sister and the eldest woman were pulled to the side of the rest area by several companions, and then were pressed down on the sofa.

"Doctor Yu, come and get checked."

Yu Zhiming came to the sofa in the rest area, bent down to check the heart of the eldest sister and eldest woman first......

Heart, no problem!

He then followed the artery all the way to the radial artery in his left arm and found no problems.

As a comparison, Yu Zhiming explored the radial artery of the eldest sister's right arm again.

In this comparison, Yu Zhiming found that the blood flow rate of the radial artery in the left arm of the eldest sister and the eldest woman was somewhat slow, and there was stagflation compared to the radial artery in the right arm.

Left arm with terminal circulation disorders?

Or is there a problem with venous return?

With these two questions, Yu Zhiming concentrated his mind and continued to check, and soon found the problem.

There is embolism in the deep vein of the left arm.

Yu Zhiming withdrew his hand, straightened up, and said, "Deep vein embolism in the left arm, it is recommended to go to the hospital for thrombolysis treatment." ”

He asked again, "Auntie, you should be able to clearly feel the soreness and soreness in your left arm, right?" ”

The eldest sister and the eldest woman stood up and shook her left arm.

"In the past few days, my left arm has indeed been sore, swollen and painful, and I thought it was too much exercise to hurt my left arm."

She asked again, "Dr. Yu, is it serious?" ”

Yu Zhiming nodded lightly and said, "If the venous embolism falls off, it will move to the lungs, causing pulmonary embolism." ”

"There is a risk to life."

The eldest sister and the eldest woman sighed, shook her left arm again, and said, "It's been sore for a few days, and it's still fine, and it's not bad for a few hours." ”

"Let's eat and drink enough first, maybe I won't be able to eat this or that when I go to the hospital."

This......

Yu Zhiming is really a little convinced by this eldest sister, this heart is really big enough.

He still wanted to persuade a few words, but he noticed that his ribs were gently poked.

Turning his head, he saw that it was Zhou Mo.

I saw this guy gesture to the direction of the door of the private room with his dripping eyes.

If you don't leave now, when will you stay!

Yu Zhiming, who understood, walked to the door and said in a quick tone: "Auntie, it is recommended to go to the hospital as soon as possible, don't be lucky." ”

Speaking of this, Yu Zhiming had already run out of the private room, and he didn't forget to drop a sentence.

"I still have something over there, I'm going back......"

Yu Zhiming first went to the bathroom to solve the problem, and then returned to the Chunhua Hall and sat down in his original position.

As soon as he sat down, he whispered to Lime: "There are more than a dozen teachers and square dancers sitting in the Winter Snow Hall, all of whom are middle-aged and elderly women. ”

"The teacher danced with them in the square, and I couldn't imagine the scene."

At this time, Dean Li Yao's voice sounded, "Doctor Yu, what happy things have you encountered?" ”

"Laughing so happily?"

Yu Zhiming saw that everyone at the table looked at him, smiled, and said, "I just knew that the teacher is a square dance enthusiast, and there are almost a table of dancers who come to the banquet." ”

"Director Qi actually danced a square dance?"

Someone was surprised, and said with a smile: "I can't imagine the appearance of the usually serious Director Qi dancing happily?" ”

Dr. Wang Chunyuan chuckled and said, "This is normal, the doctor is stressed, the square dance is cheerful and lively, and there are many people, but it is a good activity to release stress." ”

"The vast majority of doctors have their own unique hobbies to relieve depression and stress at work."

"Dr. Yu, do you have any hobbies?"

Yu Zhiming met Dr. Wang's gaze and said, "Does pulling erhu count?" I learned the erhu when I had bad eyes, and now I play a few songs from time to time. ”

Wang Chunyuan said with a smile: "Naturally, music is also a good way to soothe your mood and relieve stress." ”

Dean Li said: "Doctor Yu, since you are good at playing erhu, then play a song at this year's annual meeting of the hospital, so that the whole hospital will know your versatility." ”

Yu Zhiming replied with a smile: "This year's program of our central newspaper is my erhu performance. ”

At this time, a medical supplies boss at the dining table suddenly spoke: "Doctor Yu, I have a friend who is not only a master erhu player, but also good at making erhu. ”

"The erhu he made is quite famous in the industry."

"However, he only makes three or five erhu a year, and basically all of them are custom-made."

"Doctor Yu, if you need it, can I contact you on your behalf?"

Yu Zhiming waved his hand lightly and said, "Thank you, Mr. Ai, for your kindness." I'm an amateur of erhu, and I usually play simple pop songs, and I barely play them to the level of being out of tune. ”

"At my level, don't spoil the master's craftsmanship."

The erhu that Yu Zhiming is pulling now, made of sour branch wood, was given by his eldest brother-in-law when he was eleven years old.

He said that he spent 800 yuan to buy second-hand goods from an employer who hired him to renovate.

Yu Zhiming pulled it very easily, and he felt that the sound quality was also good, in his ears, it was not much worse than those performance-level erhu worth thousands of yuan.

Mr. Ai smiled lightly: "In today's society, the vast majority of really good things are not in the hands of professionals, but in the hands of enthusiasts who are rich or have status. ”

"With your identity and status, Doctor Yu, you are fully qualified to have an erhu crafted by a master."

Yu Zhi knew that the other party had the intention of sending him off, so he politely refused: "My erhu has a special meaning for me, and for me, it is enough." ”

"Still don't spoil the good stuff......"

More than half an hour passed, and Qi Yue finally came back with some alcohol.

Yu Zhiming finally breathed a sigh of relief, no longer worried about the atmosphere in the private room, and turned on the eating and drinking mode again.

At this time, the banquet had been going on for more than an hour.

The guests who came to the banquet in the other private rooms were already full of food and drink and were about to leave.

Qi Yue hurriedly ate a few bites of food, suppressed the strength of the wine, and went out of the private room to start sending guests.

In this case, the Chunhua Hall will be closed in advance.

This made Yu Zhiming a little depressed.

Not full yet.

Yu Zhiming dragged his feet behind, and found that Dean Li and Dr. Wang Chunyuan had also stopped.

"Doctor Yu, haven't you eaten yet?"

Li Yao smiled and said, "I'll stay and tell you one thing, and you can also eat by the way." ”

He looked at Wang Chunyuan again and asked, "Doctor Wang, do you also have something to talk to Dr. Yu?" ”

Wang Chunyuan nodded and said, "If it's not convenient for you, Dean, I can go outside and wait for a while." ”

Li Yao chuckled and said, "It's okay, Doctor Wang, you can also sit down and listen together, maybe we are talking about one thing." ”

Li Yao, Wang Chunyuan, Yu Zhiming and Lime returned to the table and sat down.

It was said that there was something to talk about, and Yu Zhiming was really arrogant while eating and drinking, while listening to the dean.

After the waiter changed the tea, Li Yao said slowly: "On the 10th of this month, the hospital will announce the center's plan to recruit young doctors. ”

"This matter is mainly handled by Director Qi, as well as several senior chief physicians who have been transferred to the center such as Dr. Wang."

After a pause, Li Yao met Yu Zhiming's gaze and said, "Doctor Yu, in addition to independently identifying a few nurses with good voices, you can also independently identify three or five medical assistants who will assist you in case sorting and taking care of patients. ”

Yu Zhiming bowed his head and said: "The teacher told me about this a few days ago. ”

Li Yao asked, "Doctor Yu, do you have any ideas about medical assistants, or target candidates?" ”

This one......

Yu Zhiming said with an embarrassed face: "Dean, I won't tell you, I don't have much contact with the young doctors in the hospital. ”

"There are few familiar ones, so to speak."

"I'll have to take my time with this personnel selection......"

Yu Zhiming saw that Li Yao and Dr. Wang were staring at him, so his heart moved, and he asked, "Dean, Dr. Wang, do you have anyone to recommend?" ”

Li Yao sighed lightly and said, "Doctor Yu, although I am the head of a hospital, there are some times when the relationship between people is not too unprevaricated. ”

Yu Zhiming said with a happy face: "It's really good that you have the right people to recommend." ”

"With my experience, my ability to recognize people is limited, and the conditions will definitely not be bad in all aspects recommended by you."

Li Yao laughed and said, "You little guy, you have learned to wear high hats for us." ”

After a pause, he said confidently: "I have indeed learned about the young doctor I recommended. ”

"It can't be said that he is one of the best in all aspects, but his comprehensive strength definitely belongs to the excellent group of young doctors in our hospital."

"And it's okay to have a personality and behave in the world."

Wang Chunyuan continued: "Dr. Yu, I can also vouch for the candidate I recommend. ”

"His medical skills and character are all right."

At this time, Gu Qinglime interjected: "Can I take this opportunity to fight for a place in Ning'an Hospital?" ”

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

(End of chapter)