The forty-year-old couple who have gained hundreds of millions of wealth and want to enjoy retirement as soon as possible, but both suffer from cancer, Yu Zhiming is not very optimistic about them.

In particular, the husband invited a nationally renowned hepatobiliary surgeon to consult and surgeon, so that the liver preserved after surgery could basically maintain the body's needs.

The problem is that it can only be "maintained", and once there is a little abnormality, it is easy to collapse.

This time, luck didn't favor him.

Yu Zhiming glanced at the text message again, and after confirming that there was no sleepy mistake, he continued to read it.

Fortunately, I only received this one message.

Yu Zhiming understands that this will not be the last one.

In the coming week, those who insist on gambling their luck will receive CAR-T therapy one after another.

I just don't know if the coin, which represents life and death, will eventually fall, face up, or tails......

Today is Thursday, and in order to allow Yu Zhiming to get more rest, the hospital leaders moved the physical examination that was originally held every other Saturday to Thursday.

Today is the first day of implementation.

After 8:10 in the morning, Yu Zhiming arrived at the third basement floor of the Zhizhen Building about 10 minutes earlier than usual.

What made him happy was that Dr. Qin, Zhou Luo, Shen Qi, Sui Chi, and Duan Yi also arrived.

What Yu Zhiming didn't expect was that there were already more than a dozen medical examiners from the donation unit waiting in the corridor.

It's all positive enough.

"Doctor Yu, Wei Chen's last night's sleep monitoring data."

Duan Yi was the first to report: "I fell asleep at 12:38 p.m. and woke up at 7:11 a.m. ”

"Monitoring showed that it was 3:19 a.m. before entering a deep sleep and lasted until 3:51 a.m."

That's not a good statistic.

Six and a half hours of sleep, with only 32 minutes of deep sleep.

In general, deep sleep accounts for at least a quarter of the total sleep duration.

Perhaps, Wei Chen was frail and sickly because of the lack of deep sleep for a long time?

Yu Zhiming instructed: "Test her twice again, it may also be a change in the sleeping environment, which triggers physical and mental alertness." ”

Duan Yi responded crisply.

Yu Zhiming swept everyone around, and then spoke: "At nine o'clock, you still go to the ward with the chief physician." ”

"On my side, if there is an interesting patient who is checked out today, I will ask you to do a consultation."

Yu Zhiming saw that Zhou Luo and Duan Yi were eager to try, and emphasized: "I only hope to ask for a question, as well as the inspection supplies you bring with you." ”

Yu Zhiming looked at Doctor Qin and said, "Doctor Qin, you are an experienced senior, you will preside over their consultation!" ”

Qin Qiushi chuckled and said, "No problem......"

Yu Zhiming finished explaining his work, made a little preparation, and then began the physical examination......

With the advancement of time, Huashan Hospital is like a huge and sophisticated instrument, after a short period of low-speed operation, it begins to increase its horsepower and speed up its operation......

Nearly nine o'clock in the morning, the General Surgery Building.

Dr. Cui Zhitan looked at Dr. Ram from B. Braun Medical, as well as another German doctor, with a smile and enthusiasm on his face.

"It's a coincidence that you guys are here, my team and I happen to have a total laparoscopic pancreaticoduodenectomy this morning, please give me some advice and more valuable advice."

Dr. Ram smiled politely, but his heart was full of disdain.

I don't believe it's a coincidence.

The observation of the operation that was only confirmed last night, and let them observe the most difficult operation this morning?

Pancreaticoduodenectomy is known as the ceiling in the difficulty of general surgery.

It has always been known for its difficulty and risk.

The quality of surgery directly affects the prognosis of patients and the incidence of complications.

During the operation, the gallbladder, part of the bile duct, pancreatic head, stomach, duodenum, and part of the jejunum are removed, and the biliary intestine, pancreatic intestine, and gastrointestinal anastomosis channel is reconstructed.

This requires the surgeon to have rich surgical experience and a tacit team.

While total laparoscopic pancreaticoduodenectomy is more difficult and more complicated, it is known as the Everest of general surgery.

For this level of surgery, B. Braun Medical in Germany, without three or five surgical seminars and adequate preparation, it is not possible to push patients to the operating room.

Dr. Ram guessed that the other party's hasty display of such a difficult operation was just to deter the momentum.

He did not doubt that the other party had the ability to complete the operation, but the more difficult the operation, the more likely it was to have problems with the details.

Dr. Yu demanded that Dr. Bierman's surgery be flawless and perfect.

Dr. Ram decided to find fault with Dr. Cui's surgery......

Dr. Liu Wenzhao of the Department of Heart and Lung Surgery led a German doctor to the operating area in a hurry.

"I happen to have a complicated lung cyst removal operation, you can take a look and make more suggestions for improvement."

At the Liver Disease Research Center, a German doctor is in the operating changing room, changing clothes with the surgeon......

It wasn't until after ten o'clock in the morning that Zhou Luo and Shen Qi waited for Yu Zhiming to let them do the consultation.

The other party was a fifty-one-year-old man with a slightly fat body and a small belly.

The man pointed to his chest and said, "Sometimes there is chest tightness, no cough, no chest pain. ”

After a pause, he added, "Doctor Yu told me that you can ask and check as you like." ”

"Finally, write down their respective diagnoses."

Consultation begins.

Qin Qiushi first gave the man a pulse, and asked a few questions about whether he had dizziness, headaches, and sleeping at night.

Then Zhou Luo listened to the man's heart and lung sounds with his stethoscope and asked a bunch of questions.

Then came Shen Qi.

He listened carefully to the sound of his heart and lungs with his stethoscope for a while, and then took out a blood pressure monitor from the pocket of his white coat.

Zhou Luo's eyes were straight.

"Shen Qi, Dr. Yu only asked us to use the supplies we brought with us for examination, do you carry a blood pressure monitor all day long?"

Shen Qi replied with a serious face: "But I brought it today, it doesn't violate Dr. Yu's rules, right?" ”

Zhou Luo was speechless, but seeing that Doctor Qin didn't open his mouth to stop him, he didn't speak again.

After Shen Qi measured the blood pressure on the man's left and right arms, he stepped aside without asking any questions.

The main reason is that Dr. Qin and Zhou Luo have asked all the questions that should be asked, and he has no new questions for a while.

Then, Sui Chi and Duan Yi each spent three or four minutes each examining the man with a stethoscope.

Then, several people looked at each other and took out a small notebook from their coat pockets and wrote down a few words with a brush.

Seeing that they all stopped writing, the man who was inspected asked confirmatively, "Are they all written?" ”

After receiving a reply, the man took out a piece of paper that had been folded in two from his coat pocket.

"This is drawn by Dr. Yu."

Doctor Qin took the paper, unfolded it, and watched it with Zhou Luo and Shen Qi, who came over.

As always, Yu Zhiming's sketch style is simple and clear, but the characteristics are outstanding.

"Ah, it's a coronary-pulmonary fistula."

Coronary artery-pulmonary fistula is an abnormal connection between the main trunk or branch of the coronary artery and the pulmonary artery, forming a coronary shortcut, which is a rare congenital coronary artery malformation.

The symptoms are related to the size of the fistula and changes in the dilation of blood vessels, ranging from no symptoms to chest tightness, chest pain, dyspnea, dizziness and weakness.

Symptoms usually become more severe with age.

Zhou Luo said with regret on his face: "I heard some reverberation echoes, but I didn't expect it to be this problem for a while." ”

He wrote his diagnosis in a small notebook and showed it to everyone, "My judgment is pulmonary regurgitation." ”

"What about your diagnosis?"

Shen Qi also showed his diagnosis, "Dilated cardiomyopathy." ”

Zhou Luo looked at Sui Chi and Duan Yi's small notebooks again, and saw that both of them had "coronary heart disease" written on them.

"Gotcha, it's all gone!"

Duan Yi came to Zhou Luo with a smile and said, "Doctor Zhou, my stethoscope is very ordinary, not as high-end as your stethoscope, and the sound effect is good." ”

"Borrow it, and I'll listen to his heart......"

After eleven o'clock in the morning, Yu Zhiming completed the physical examination of fifty people, walked out of the soundproof inspection room, and unexpectedly found Ke Xixi waiting for him in the corridor.

What surprised Yu Zhiming especially was that Ke Xixi did not wear makeup, and he was plain.

I have to say that today's makeup effect is comparable to the powerful beauty on a mobile phone.

Ke Xixi, who has no makeup, is the middle and lower appearance of an ordinary girl, and her face is dark yellow, and she has a pair of big dark circles.

"Is it your father?" Yu Zhiming's heart instantly lifted.

Ke Xixi shook his head and said, "My father is fine, although he is still in a high fever, but the doctor said that the condition is quite stable." ”

"I'm coming, it's my own business."

After hesitating for a moment, she said slowly: "Yesterday, you said that I had a sweet breath, so I asked a doctor to check it." ”

"As it turned out, I was pregnant."

"I took my blood sugar again on an empty stomach this morning, and the doctor said that my condition is likely to be gestational diabetes."

Yu Zhiming sighed softly.

He originally guessed that it was inflammation of the respiratory tract or digestive disorders, but he really didn't expect this gestational diabetes.

"Miss Ke, are you looking for me?"

Ke Xixi took a deep breath and said, "Because of your reminder, Dr. Yu, I found out that I was pregnant and had diabetes, and I felt the need to tell you the results." ”

"Dr. Yu, thank you!"

Yu Zhiming saw Ke Xixi leave, and Zhou Mo came over.

"Dr. Yu, Dr. Lou Xinghua called half an hour ago, saying that he had picked up another patient with a heart malformation......"

Yu Zhi clearly understood what Dr. Lou meant, and interrupted, "Let that patient come to me tomorrow morning." ”

Zhou Mo snorted, and then said: "The director said that the dinner on Friday night is to celebrate the top ten collectives, and the second is to congratulate the housewarming. ”

Yu Zhiming sighed.

"Hey, Zhou Mo, you said, I won this special contribution award, do you want to have a treat to celebrate?"

Zhou Mo said hee-hee: "According to common sense, it is necessary to invite guests to dinner, and Dr. Wang, who has won the top ten young doctors, has scheduled a dinner on Saturday night. ”

"Saturday night?"

Yu Zhiming frowned, he had planned to go out shopping with Lime this Saturday night.

It's been more than half a year since he came to Binhai, and he's been busy with work, so he hasn't visited the city yet.

Zhou Mo saw Yu Zhiming's embarrassment, and said kindly: "Doctor Yu, you don't have to be embarrassed, Dr. Wang didn't invite you!" ”

"Why didn't you invite me?" Yu Zhiming didn't feel very good.

At this time, Zhou Mo wanted to slap himself, and tried to reply: "We all know that you are very busy with work, and you were sick again a few days ago, and Dr. Wang probably didn't want to disturb your rest." ”

Yu Zhiming looked at Zhou Mo with burning eyes.

"Tell the truth."

Zhou Mo smiled and said, "The main thing is that you are high and have a status gap, and you usually work or work, and you don't have any private interactions with them." ”

"After you go, everyone can't let go."

She added: "Dr. Wang didn't invite the director, he only invited his colleagues and a few friends. ”

Yu Zhiming snorted twice, and said, "That contribution award, do I still want to have a treat?" ”

Zhou Mo said softly: "You won the best contribution award, everyone is convinced, and they are all happy for you." ”

"We all know that you're always busy, and no one will say anything if you don't invite guests."

Yu Zhiming was as good as a stream, and said with his head bowed: "Then listen to you, don't invite a treat......"

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

(End of chapter)