Yu Zhiming followed Teacher Qi Yue to a single ward on the fourth floor and met the patient and his family.
The patient is a man with a stout body, a round face, a double chin, and gray hair.
Yu Zhiming entered the ward, took two more steps, and glanced at the patient information card hanging at the end of the bed.
Yang Yimin, male, 59 years old, with basic diseases, diabetes, grade 2 hypertension...
Yu Zhiming wanted to take a second glance and get to know more, when Qi Yue's voice rang in his ears.
"Zhiming, please check Mr. Yang's body first."
Yu Zhiming quickly obeyed the instructions and began to perform a full body examination on Yang Yimin.
In order to obtain more detailed physical information and make up for the mistake of forgetting to study the disease information before, Yu Zhiming conducted an extremely detailed examination this time.
After this examination, in addition to understanding the damage to the brain, heart and other organs caused by the patient's basic diseases such as hypertension and diabetes, he also made a major discovery.
It's just that this discovery cannot be made clear to patients and their families for the time being.
After completing the examination, Yu Zhiming gave Teacher Qi a look that meant they were having a private conversation alone, and stood aside.
When Qi Yue received Yu Zhiming's look, he was speechless and wanted to hold his forehead and sigh.
You guy, with the expression of a major discovery clearly written on your face, do you think the patients and their families are blind?
Didn’t you see that Mr. Yang could hardly lie down?
Under this situation, Qi Yue couldn't just say a few perfunctory words, and then took Yu Zhiming back to the office to discuss it in detail.
"Zhi Ming, if you find anything, just tell me directly. As a doctor, there is no need to hide the condition from the patient."
Qi Yue emphasized: "If you find anything, just tell me."
At this time, the patient Yang Yimin also asked his son to shake the hospital bed into a sitting and lying position.
Since the teacher said this, Yu Zhiming said frankly: "Mr. Yang, many organs in your body are damaged, which is caused by the long-term effects of high blood pressure and diabetes."
"These injuries can be treated and controlled through medication."
"only……"
Seeing Yang Yimin's nervous look, Yu Zhiming turned to say, "Mr. Yang, this discovery of mine is just my personal feeling and may not be accurate. Don't take it too seriously..."
Qi Yue interrupted rudely: "Zhi Ming, tell me your findings directly, don't be long-winded."
Yu Zhiming made a sound, and once again met Yang Yimin's worried eyes, and said: "Mr. Yang, your heart is a little heavy, and I feel like it can't hold it anymore..."
His words made the atmosphere in the ward suddenly tense.
Yang Yimin involuntarily reached out and grabbed the left side of his chest and asked with a trembling voice: "Doctor Yu, will I have a cardiac arrest?"
Yu Zhiming considered it and said: "I personally think that exhaustion is more appropriate to describe this."
The word "exhaustion" made Qi Yue's heart sink.
Although cardiac arrest is extremely dangerous, as long as you survive it, get medical treatment, and rest well, you will basically be fine.
However, there is currently no effective treatment for heart failure.
Yang Yimin's high blood pressure and diabetes are inherently unfriendly to the heart and can easily induce heart failure.
His condition was under good control before, but as Yu Zhiming said, it seems that heart failure is inevitable.
But judging from the performance of Yu Zhiming, Qi Yue can conclude that this heart failure is not an ordinary heart failure.
As far as Yang Yimin's physical condition...
Qi Yue shook his head secretly and saw Yang Yimin, whose face turned pale, looking towards him.
He quickly comforted him and said, "Mr. Yang, Dr. Yu's findings may not be accurate."
"Judging from your current heart examination data, your heart is still healthy and the problem is still under control."
"In this case, I will transfer you to the special care unit and monitor your heart function for 24 hours."
"Today, I will also invite cardiologist Dr. Wang Chunyuan to come over and give you a consultation..."
Next, there is a busy schedule, as well as preventive treatment arrangements for Yang Yimin’s heart failure attack...
At half past nine in the morning, Qi Yue, after inspecting the ward, took Yu Zhiming back to the director's office.
"Zhi Ming, you are no longer what you used to be. Basically everyone knows that your detection skills are unparalleled."
Qi Yue taught with a serious face: "When you are checking your body, the patients and their families will be staring at you."
"You have to learn to manage your expressions, keep everything in your heart, and don't let your expressions change to reveal your findings."
Yu Zhiming said with some embarrassment: "Teacher, when I examine the patient's body, I need to devote myself physically and mentally."
"When I make some discoveries, I may reveal them unconsciously on my expression."
Qi Yue hummed softly: "Practice more, if it doesn't work, then go sign up for an acting training class."
Yu Zhiming curled his lips slightly.
Qi Yue's eyes widened and he warned: "Zhi Ming, don't think this is a trivial matter worth mentioning."
"I can tell you that five years ago, a chief physician in the Department of Neurology caused the patient to have a heart attack because of a sigh while watching a movie in the outpatient clinic. In the end, rescue efforts failed."
"The doctor sighed just because he was too tired, not because he found a big problem on the patient's X-ray."
Qi Yue noticed the doubt on Yu Zhiming's face and said, "This incident actually happened. If you don't believe it, you can ask other doctors."
"At that time, an arbitration was held because of the division of responsibilities, and our hospital finally assumed 30% of the responsibility."
Qi Yue picked up the thermos cup, unscrewed the lid and took a sip of water, then continued: "Many of the people who come to our hospital for treatment are seriously ill patients."
"They are already weak and mentally stressed. If you stimulate them violently, the probability of problems is quite high."
Yu Zhiming restrained his casualness and said seriously: "Teacher, I will pay attention to expression management."
Qi Yue hummed.
After a moment of pause, he criticized again: "Zhi Ming, you are also famous now. If you really make a discovery, don't say it doesn't feel good first. It's just a personal feeling, and it may not be accurate. If you say it, you don't feel confident at all."
"What a famous doctor wants is to give the final word and give patients unwavering confidence in the diagnosis."
Yu Zhiming said with an embarrassed look on his face: "Teacher, after many inspections, I really only have feelings and can't tell."
Qi Yue gave him a disgusted look.
"The problem is, your feelings have been correct so far, so why are you still not confident in your own feelings?"
"You still regard yourself as a young doctor who needs to learn and improve, and you do not regard yourself as a famous doctor."
"In the final analysis, you still lack confidence and confidence."
Yu Zhiming smiled and said, "Teacher, to be honest, I am just a young doctor who needs to keep learning and accumulating."
He didn't want to continue this topic, so he asked instead: "Teacher, is Mr. Yang suffering from heart failure?"
Qi Yue sighed softly: "Since you haven't missed it yet, his heart failure should be inevitable."
"When Dr. Wang comes, let's discuss countermeasures together. I hope the outbreak won't be too serious..."
When Yu Zhiming returned to the big office, he unexpectedly found a chubby, well-dressed middle-aged man waiting for him.
The middle-aged man quickly introduced himself and said: "Doctor Yu, I am Zhou Yang. Last night at the massage center, you specifically reminded me that I have a liver problem."
Yu Zhiming recognized this guy and said with a smile: "Oh, it's you. I don't dare to recognize him when he's wearing this."
"Your liver?"
Zhou Yang leaned forward and said, "Thanks to Dr. Yu for your reminder, I rushed to the hospital for a checkup last night."
"The results came out this morning."
"Hepatic cyst. The doctor said that the cyst is relatively large, showing signs of worsening and inflammation, and requires surgery."
"Doctor Yu, I came here to thank you, and then I have to go back to the hospital to prepare for the operation."
Yu Zhiming snorted and said: "Liver cyst is not a big problem, you don't need to worry too much."
Zhou Yang nodded and said: "The doctor who examined me said that there were signs of inflammation. If it were delayed for some time and the inflammation spread seriously, it would be difficult to tell."
"Anyway, Dr. Yu, I will remember your kindness in reminding me. This is my little thought..."
Saying this, Zhou Yang bent down and lifted several gift boxes.
Yu Zhiming naturally declined.
While the two were pushing and shoving, a little nurse came running over in a loud voice.
"Doctor Yu, the patient surnamed Yang in the special care unit has sudden heart failure and is in critical condition."
Damn it, this happened too fast.
"Zhou Mo, receive Mr. Zhou Zhou for me!" Yu Zhiming told Zhou Mo and rushed out of the big office.
When he arrived at the special care ward on the third floor, he saw Teacher Qi Yue and Dr. Xie Jianmin rescuing patients.
Yu Zhiming did not go in.
If it was trauma first aid, Yu Zhiming would step forward to take over without hesitation.
But when it comes to acute heart failure, Yu Zhiming knows what he's doing and won't go in and cause trouble.
Just stay outside and watch and listen.
After more than half an hour of resuscitation, Yang Yimin's condition stabilized and he was sent to the ICU.
Qi Yue told Yang Yimin's family.
Yang Yimin has severe acute heart failure and currently needs the assistance of equipment to maintain vital signs.
The only effective treatment is heart transplantation.
However, given that Yang Yimin has long suffered from diabetes and high blood pressure, he is not eligible for a heart transplant.
Under the current circumstances, Yang Yimin will not be able to persist for too long.
Qi Yue suggested that family members spend more time with the patient...
When Qi Yue informed his family about the patient's condition, Yu Zhiming hid aside and tried to minimize his presence.
He followed Qi Yue back to the director's office and said with a chuckle: "Teacher, he had acute heart failure. Isn't it me who told him?"
Qi Yue said softly, "If you had the ability to follow your words, you would not be a doctor, but a god."
After a moment of pause, Qi Yue sighed softly: "Diabetes and high blood pressure are both very unfriendly to the heart. You just discovered the signs of heart failure in advance."
"You can't blame the cause for the cause, because you discovered heart failure and caused his heart failure."
"Don't think too much."
Yu Zhiming smiled and said, "Teacher, I definitely won't think too much about it. I'm just afraid that the patients and their families will think too much..."
When Yu Zhiming returned to the big office again, he saw that Zhou Yang, who came to thank him, had already left.
Zhou Mohui reported: "Dr. Yu, I left a fruit basket and a box of wild honey for you."
Yu Zhiming nodded, indicating that he understood.
Zhou Mo turned to ask: "Doctor Yu, the physical examination we discussed on the roof of our building the night before yesterday, what is the timetable?"
Yu Zhiming thought for a while and said: "Tomorrow night..."
