Chapter 981 - Just Your Words (Ask for Monthly Pass Support)
It is said that life is priceless, but in real life, life is marked with a price, and it is divided into three, six, nine and so on.
The most obvious example is that the price of compensation for the death of a person who died in a traffic accident is clearly defined.
Moreover, the prices are different for rural and urban people, and different prices for people in small cities and large cities.
In hospitals, life is marked everywhere.
Some people give up treatment because they can't afford to pay tens of thousands of treatment fees, while others spend millions and tens of millions to renew their lives.
Yu Zhiming looked at the unconscious man in front of him who looked about forty years old, his body was full of monitoring data cables, and he was connected to an external pacemaker, and said in his heart, this person was also marked with a price by his family.
"Dr. Yu......"
At the invitation of Yu Zhiming, Wang Chunyuan, who came to the emergency room more than ten minutes early, said: "I have read the patient's various physical examination information, and there is no obvious organic cardiac lesion, and no systemic cause has been found......
"The patient's recurrent malignant arrhythmia, as well as cardiac arrest, I suspect that it is most likely caused by genetic defects of hereditary factors."
The main causes of arrhythmias can be divided into hereditary and acquired.
Hereditary factors, mostly genetic mutations.
Acquired factors include physiological factors, such as exercise, emotional changes, etc., as well as pathological factors, such as cardiovascular diseases, systemic causes.
Arrhythmias can also be induced by structural or functional changes in organs other than the heart.
After listening to Dr. Wang Chunyuan's brief introduction, Yu Zhiming began to give the patient a physical examination.
His first test is the patient's heart.
In Yu Zhiming's exploration, no cardiovascular blockage and obstruction were found, nor were abnormalities such as myocardial inflammation, myocardial hypertrophy, or valve lesions.
Indeed, as Dr. Wang Chunyuan said, there was no organic lesion in this person's heart, but his heartbeat gave Yu Zhiming a wild convulsion feeling of taking the wrong medicine.
Yu Zhiming then gave the patient a full body examination.
The systemic causes of arrhythmia include drug toxicity, acid-base balance and electrolyte imbalances, and neurological and humoral regulatory dysfunction.
Irregular arrhythmias can also be caused by changes in the function or structure of other extracardiac organs, such as hyperthyroidism and stroke.
Yu Zhiming's examination also mainly focused on these two parts, in order to find the cause of the disease and treat it with the right medicine......
"Dr. Wang......"
A short-haired woman in her thirties with red and swollen eyes asked Wang Chunyuan with a sad face, "Is it true that my husband has a malignant arrhythmia caused by a genetic defect, is it easy to treat?" ”
Wang Chunyuan groaned: "This requires the use of genetic testing technology for genetic defect screening and risk assessment, so as to formulate targeted treatment plans. ”
"This genetic test takes time, at least a week or more to get results."
"As for the treatment effect......
Wang Chunyuan said truthfully: "It can only be said that it is difficult to cure it by actively preventing it and correcting it when it occurs." ”
This answer made the short-haired woman's heart sink again and again.
She looked at Yu Zhiming again, only to see that his hands had moved to her husband's abdomen.
At this moment, Yu Zhiming is exploring the patient's liver.
This liver gave him a peculiar feeling.
It seems that after 300 rounds of fighting, it feels like I am tired and paralyzed and I am doing things on instinct.
The liver is the body's detoxification organ.
Thinking of this, Yu Zhiming asked, "Doctor Wang, what did you find in the patient's toxic substance test?" ”
When Wang Chunyuan heard this, he stretched out his hand.
The assistant next to him hurriedly rummaged, found a toxic substance test report from a pile of test sheets, and hurriedly handed it over.
Wang Chunyuan said while flipping through it: "The concentration of caffeine is obviously super high, and several other stimulating ingredients are also super high. However, it should not be sufficient to cause recurrent malignant arrhythmias. ”
The short-haired woman also spoke: "My husband is a bit addicted to coffee, and he drinks five or six cups of coffee a day at work. ”
Yu Zhiming frowned and asked: "Didn't check out the toxic substances such as phenylmethyl bud base, ketamine, ephedrine?" ”
As soon as Wang Chunyuan heard this question, he understood, and said, "Do you suspect malignant arrhythmia caused by drug abuse?" ”
"The main components of these drugs belong to the key monitoring objects, and if they are detected, they will definitely be labeled."
Yu Zhiming thought about it, and finally said without giving up: "Draw ten milliliters of blood and send it to the most authoritative drug testing center in Binhai for testing." ”
As he spoke, a small nurse stepped forward and began to draw blood from the unconscious patient.
Wang Chunyuan asked: "Where is the most authoritative in Binhai?" ”
Yu Zhiming just said it casually, and he didn't know where it was.
However, this does not bother him, the most authoritative, he does not know, the police must know.
Yu Zhiming looked at Zhang Hai, who seemed to be invisible, and said, "Zhang Hai, please contact me on your behalf and ask for an examination result as soon as possible." ”
Zhang Hai nodded, took a small tube of blood handed over by the little nurse, and went to shake people outside the door.
The short-haired woman asked expectantly, "Dr. Yu, was my husband's cardiac arrest caused by a toxic substance?" ”
Yu Zhiming said frankly: "This is just a suspicion of mine, but it is unlikely. ”
"After all, the testing center of our hospital is also quite powerful, and its testing has not found anything."
After a pause, he added: "At present, the possibility that your husband is suffering from a genetic defect causing malignant arrhythmia is still the greatest. ”
Yu Zhiming said slowly: "Whether it is genetic testing or drug testing, it will take time, and it will definitely exceed the time limit of forty-eight hours." ”
Speaking of this, Yu Zhiming saw the pain and struggle on the face of the short-haired woman.
He sighed secretly and said, "Your husband's situation, except for some suspicions that it is caused by special drugs, I am also powerless in other aspects. ”
The short-haired woman asked eagerly, "Doctor Yu, can you treat it according to drugs first?" ”
Wang Chunyuan replied for Yu Zhiming: "There are too many types of drugs, and the treatment methods are different. With blind treatment, the situation may be even worse in your husband's case. ”
At this moment, a muffled bang sounded in the rescue room, attracting everyone's attention.
This is when the external pacemaker detects the abnormal heart rhythm of the patient and spontaneously activates and corrects it.
Fortunately, this time it didn't cause the heart to stop.
Facing the pleading gaze of the short-haired woman, Yu Zhiming opened his mouth, but the last exit was: "You need to make this decision yourself." ”
"I have no better treatment or advice for your husband's condition."
"I have other work to take care of."
As he spoke, Yu Zhiming walked out of the rescue room quickly, and even had a feeling of escape.
Accompanied by Zhang Hai, Yu Zhiming strode out of the emergency building, bathed in the somewhat hot sunlight, and exhaled a long breath.
Although Yu Zhiming also knew that he was not omnipotent and could not solve all problems, the pleading gaze that seemed to linger in front of him made him feel guilty.
It's still not enough.
In recent times, there has been some complacency and complacency, and there has been a relaxation of requirements in terms of learning.
Just as Yu Zhiming was self-reflecting and spurring, a policeman wearing a helmet trotted to the front.
Zhang Haihai took a step forward and handed the tube containing the blood to the other party.
"Be fast!" Yu Zhiming couldn't help but admonish.
The helmet policeman snapped and saluted Yu Zhiming and Zhang Hai, turned around and ran away......
Back in the soundproofed office of the Ultimate Building, it was already lunch time.
Yu Zhiming sat down beside the coffee table with a dazed expression, and Zhou's concerned voice sounded in his ears.
"Doctor Yu, you won't have no appetite again, will you?"
Yu Zhiming picked up the chopsticks and said, "The world is big, and the food is the biggest, how can you have no appetite." ”
He put a chopstick of beef in his mouth, chewed it fiercely, and said: "I once read a sentence that says that a person either works hard to excel, or is too lazy to know the destiny of heaven, and people who do these two levels are the happiest." ”
"In between, it's pretty painful."
"I think I'm good enough, but now, it's still not enough."
Zhou Mo exhaled exaggeratedly and said, "Although it was stimulated, it was positively stimulated, which was not bad." ”
"Hey, that person is a terrible patient, and you can't help it, and the family finally decided to give up?"
Zhou Mo didn't wait for Yu Zhiming to respond, and said, "My dearest family, how can I give up?" If I were to spend all my family property and take on a lot of debts, I would not give up. ”
Yu Zhiming glanced at this guy coldly.
"You haven't had a hard life, and you haven't been deeply embarrassed by money, so you can say that you are not afraid of back pain."
"When you don't have money to buy meat for the Chinese New Year, you will feel how beautiful money is."
Zhou Mo bit her lip and asked cautiously: "Touching the scene, do you think of what happened when you were a child?" ”
Yu Zhiming glared at this guy, ignored her, and buried himself in cooking.
A few minutes later, he said slowly: "Back then, because of financial problems, my family also held a family meeting to discuss whether to give up on continuing to treat my eyes. ”
Zhou Mo said softly: "The results of the discussion at the family meeting are naturally self-evident, and there must be more opposition than approval." ”
"Did you overhear the discussion?"
Yu Zhiming was silent for a moment, and said slowly: "After that, my eldest sister left her two-year-old daughter and went out to work with her eldest brother-in-law. ”
Zhou Mo said suddenly: "No wonder you are so good to the eldest sister, and you are also good to the two children of the eldest sister." ”
She asked in a low voice, "Your second sister agrees?" ”
Yu Zhiming snorted: "Eat, just your words......"
It was a little closer to noon, and Yu Zhiming, who took a short rest, was ready to start the afternoon's work.
Sui Chi came to report again: "Doctor Yu, the patient's family did not give up, saying that they firmly believe in your suspicions and want to gamble on ......."
PS.
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