After two o'clock in the afternoon, Yu Zhiming was at the Qiyue Medical Research Center. He first waited for the younger brother of Zeng Yan's classmate.
He is only fourteen years old, but he is tall and fat, with a height of 1.72 meters and a weight of 170.
It obviously gave Yu Zhiming a feeling of obesity.
Yu Zhiming asked a few simple questions and realized that the child's reaction speed was a bit slow and dull.
He sometimes needs to repeat simple questions two or three times to get feedback from the child.
Yu Zhiming asked the child to lie on the examination bed and explore his brain.
As soon as Yu Zhiming got started, he noticed something unusual.
The blood flow velocity in one cerebral branch artery is slower than the flow velocity in other cerebral branch arteries.
Yu Zhiming further explored along the blood vessels with abnormal flow speed and found smaller arteries with slower flow speed.
This small artery is mainly responsible for supplying blood to the temporal lobe of the brain.
Yu Zhiming is still clear about the main functions of the temporal lobe area.
It is the hearing analysis center and is responsible for analyzing hearing.
The sound is transmitted to the ears, and the ears transmit the hearing to the brain. The temporal lobe performs final analysis and tells us what the other party said and what it meant.
This is also responsible for memory. The human body's ability to produce memories is also accomplished by the temporal lobe system.
The temporal lobe is also the olfactory analysis center.
After smelling the taste through the nose, the taste signal is transmitted to the brain and eventually to the temporal lobe.
The temporal lobe completes the analysis and tells what smell is smelled, whether it is fragrance or odor...
After a few minutes, Yu Zhiming withdrew his hand.
"Doctor Yu, is there really something wrong with my brother?"
The person in question was Zeng Yan's classmate, who was slightly shorter and thinner than his younger brother.
In addition to him, there was also an honest-looking father who accompanied the child.
Yu Zhiming first asked the nurse to take the child to the corridor outside, and then made it clear to the child's brother and father.
"There is a problem!"
Yu Zhiming affirmed and explained: "Your brother suffers from vascular dementia."
"This disease is caused by damage to the blood vessels in the brain, which reduces the supply of oxygen and nutrients to the brain parenchyma, leading to a decline in brain function."
As Yu Zhiming spoke, he quickly drew a simple diagram of cerebral blood vessels on a piece of paper.
"The blood flow supplying the functional area of the temporal lobe is more than twice as low as the blood flow in other areas."
"Long-term insufficient blood supply can cause damage to the temporal lobe, causing patients to suffer severe impairment of high-level cognitive functions such as memory, analytical ability, executive function and language."
These words made the child's brother and father look very ugly.
The child's brother asked: "Dr. Yu, why is the blood flow to the temporal lobe of the brain reduced significantly?"
Yu Zhiming replied softly: "During the examination, I found that the small arterial blood vessels in the temporal lobe area have more attachments on the inner wall, and the blood vessels are much narrower than those in other brain areas."
"Currently, it is not clear whether the blood flow rate was slow first, resulting in a large number of attachments on the inner walls of the arteries in the temporal lobe area."
"There are also many attachments to the inner walls of arteries in the temporal lobe area, which leads to narrowing of the blood vessels, resulting in slow blood flow and low blood flow."
"But judging from the current situation, this has obviously formed a vicious cycle, causing the condition to become more serious."
After a pause, Yu Zhiming added: "I don't need to go for a laboratory test to know that this child's blood lipids are definitely not low."
The child's brother looked at his father and criticized: "I have said more than once that he should eat less meat and fried food, eat more fruits and vegetables, and exercise more."
"Now look, here's the problem, right?"
The child's father said with a bitter look on his face: "We also asked him to eat more fruits and vegetables, but the problem is that he doesn't listen."
"If you don't like tasteless food, you have to eat meat and fried food, otherwise it will be noisy and noisy."
"When he made trouble, your mother and grandparents softened their hearts, and there was nothing I could do about it."
Hearing this, Yu Zhiming said seriously: "The temporal lobe is also responsible for olfactory analysis."
"Damage to the temporal lobe area will cause the sense of smell to be less sensitive and lead to cravings for foods that are rich in flavor, heavy in oil and salt."
At this time, the child's brother asked with concern: "Doctor Yu, can my brother's condition be cured?"
Yu Zhiming pondered and said: "The cause of blood vessel damage and low blood flow in the temporal lobe has not yet been determined."
"I suspect that your brother's temporal lobe may have vascular malformations or other problems, causing blood flow to be seriously affected."
"This requires further detailed examination."
"I need to wait for the clear test results to come out before I can determine the treatment plan."
The child's father asked nervously: "Doctor, will this examination be expensive?"
Yu Zhiming introduced: "This requires enhanced nuclear magnetic resonance, which is about 1,500 yuan."
"Coupled with other basic tests such as blood lipids, the full set of tests costs about two thousand."
This number made the child's father feel relaxed.
But he still couldn't help but said: "Didn't you say that if you, the doctor, do an examination and only spend one or two hundred yuan, you can confirm the diagnosis?"
"Why do you still need to spend so much money on other examinations?"
The child's brother quickly explained: "Dad, Dr. Yu has confirmed that my brother is suffering from vascular dementia."
"It's just that further examination is needed to confirm the final cause and provide symptomatic treatment."
"Isn't that right, Doctor Yu?"
Yu Zhiming nodded and smiled, then opened a checklist and gave it to the child's brother.
"After the examination today, all the examination results will probably not be available until tomorrow."
"Tomorrow is Monday, and the hospital has fully resumed normal operations. I will be sitting in the outpatient and emergency room No. 15."
"You can just come to me directly with the test results."
Yu Zhiming warned again: "Your brother's diet can be controlled first..."
After three o'clock in the afternoon, Yu Zhiming and others came to Zeng Yan, Bao Wan, and Bao Wan's parents.
Yu Zhiming first gave Bao Wan's parents a full-body examination.
Bao Wan's parents are in relatively good health, but they have been diagnosed with some common ailments that people in their fifties and sixties often suffer from.
This chapter is not finished yet, please click on the next page to continue reading the exciting content! What needs to be noted is that Bao Wan’s father’s cardiovascular system and Bao Wan’s mother’s cerebrovascular system!
The problem for both of them is not serious. They need to take some medicine and pay more attention to diet and physical exercise.
Also, just do regular inspections every year.
Yu Zhiming thanked Bao Wan again for taking care of Zeng Yan, and then sent her and her parents away.
He noticed that Zeng Yan had a tired look on her face, and asked with a smile: "Are you very tired?"
Zeng Yan nodded her head and said, "I only slept for twelve hours in two days. I am very tired and sleepy."
"Sister Bao said, this is pretty good. It would be really tiring if I had to work the small night shift and then the long night shift."
After a pause, Zeng Yan expressed her position again: "Brother-in-law, this has not dampened my determination to study medicine."
"In the past two days, I followed Sister Bao and saw many patients, including adults, the elderly, and children."
"Every one of them comes with pain. But there are still many patients who go home to recuperate with the hope of cure."
"Uncle, I want to study medicine, I want to be a doctor, and I can use my skills to relieve the pain of patients."
When Yu Zhiming listened to Zeng Yan's heartfelt words, he saw her eyes were full of clarity and nodded gently.
"After returning to school, have a good sleep and think about it carefully. If you are determined not to change, ask your parents for their opinions."
Yu Zhiming said with a serious face: "Studying medicine is a long and difficult process, and the support of family members is essential!"
Zeng Yan giggled and said confidently: "Uncle, don't worry, my father and mother are very supportive of me."
"They will definitely agree, hehe..."
"Wait until you get your parents' consent before you say this."
Yu Zhiming also warned: "After obtaining your parents' consent, don't rush to submit your withdrawal application to the school."
"Let me give you a try first to see if you can directly transfer to a university and then to a medical school."
"Uncle, is this okay?"
Zeng Yan's eyes couldn't help but double in size, her face full of excitement and anticipation.
Yu Zhiming said frankly: "There are many difficulties and the possibility of success is extremely small. It's just a try."
"There is a high possibility that you still need to take the college entrance examination again."
Zeng Yan said oh, and said with a cheerful smile: "I asked you to take more trouble, hehe!"
"Uncle, I won't say thank you anymore. Even if I go home to review and take the exam again, I will be confident enough to come back."
"This time, I am not just in a haze. I study for the exam under the supervision of my parents and teachers."
"I work hard for my ideals and goals. This motivation is comparable to a rocket. My review scores will definitely improve qualitatively."
Yu Zhiming said happily: "Don't be so flattering. Many students who resume classes are worse than the previous year."
He stood up and said, "Let's go, I'll take you back to school."
Zeng Yan picked up her big backpack, put it on her shoulders, and followed Yu Zhiming outside.
"Uncle, um, Sister Bao has really taken good care of me these past two days."
"Uncle, do you want me to give you a gift?"
"Or treat her to a meal?"
Yu Zhiming said casually: "You don't have to worry about Dr. Bao's thanks. I will arrange it."
Resident doctors like Bao Wan will first undergo a year of rotation training in various departments after arriving at Huashan Hospital.
Then, based on their training and assessment results, specific departments will be selected in both directions to determine their main direction of study.
However, it is a two-way choice. If you don’t have personal connections and your abilities are not particularly outstanding, you can only passively accept the arrangements of the hospital.
There is even a possibility of being kicked out of the hospital.
With Yu Zhiming's current status, it is quite easy to help Bao Wan connect with a reliable chief or deputy chief physician in the hospital, and to guide her in her medical skills from time to time...
Yu Zhiming sent Zeng Yan to Fisheries University and returned to Zijinyuan residence. It was nearly six o'clock in the evening.
There was no one in the room.
Yu Zhiming was a little depressed and sad. It was typical for the fourth sister to have a boyfriend and forget about his younger brother.
As for Gu Qingning, he returned to Gu’s house yesterday afternoon.
This dinner question?
Just when Yu Zhiming was thinking about how to prepare this dinner, he received a call from Teacher Qi Yue.
"Zhi Ming, do you have time tonight? Come out and get together!"
