Friday morning at 8:30, Director’s Office, Central Building.
Qi Yue said gently: "Zhou Mo, the job exchange between you and Qiao Lei is not mandatory. It will only take place with your own consent."
"What's your opinion?"
Zhou Mo looked at Yu Zhiming, who was standing aside with an expression on his face, and Qiao Lei, who was sullen, and nodded gently.
"Director, I have no objection, just obey the arrangements."
Qi Yue chuckled and said: "Since you have no objection, then hand over the work to Qiao Lei as soon as possible."
"Hey, Zhou Mo, you will continue to be responsible for the management and recruitment of narcolepsy volunteers."
"This project is expected to be completed in two or three months, so it would be better to finish from beginning to end."
Zhou Mo hummed...
Yu Zhiming and Zhou Mo left the director's office and had no time to communicate.
They hurried to the examination room to conduct physical examinations for retired hospital employees and their families who had been waiting for a long time...
He was busy until 10:30 in the morning. During Yu Zhiming's short drinking session to replenish energy, Zhou Mo had the opportunity to ask a question.
"Dr. Yu, was it you who proposed the job swap between Qiao Lei and I? Or was it the director who proposed it?"
"Director!" Yu Zhiming answered concisely and to the point.
Zhou Moruo let out a light sigh of relief, and said with a smile on his face: "I am your assistant, and I can follow you out to make extra money openly from now on."
"With a lot of income, I can feel confident when I return home."
Yu Zhiming glanced at her sideways.
"You and your mother are both very angry, aren't you? It's been so long and you still haven't reconciled?"
Zhou Mo waved his fist, "Issues of principle cannot be surrendered easily..."
Yu Zhiming was eating sandwich biscuits and chatting with Zhou Mo. From time to time, he heard the voices of people waiting outside the door.
"Doctor Wan, you are here too."
"I heard that you have retired?"
A hearty voice sounded, "Last month, I just completed the retirement procedures, and it's officially time to enjoy it."
A voice asked: "Dr. Wan, didn't the hospital rehire you?"
"I'm just the deputy chief physician, and the department is full of talented people. There are only one person more than me, but no more than one person less than me. There is no re-employment."
The voice just now asked again: "Doctor Wan, with your ability, you can go to a smaller hospital and still not be treated as a great expert."
"Have you already contacted your next employer? If not, I can help introduce you."
Dr. Wan's voice sounded again, "Well, to be honest, when you get older, you have to accept your old age."
"This year, I always feel a little powerless. I plan to take a good rest for a while before talking about anything else."
"I have obtained the visa and will go to my daughter in Australia next week to see my grandson..."
Yu Zhiming, who was in the examination room, drank all the water in the glass, went to the bathroom again, and devoted himself to the physical examination after returning.
After examining six people in succession, Yu Zhiming saw a man of medium height with sparse hair walking into the examination room.
"Hello, Dr. Yu!"
Hearing this voice, Yu Zhiming knew that this man was Dr. Wan who had just retired.
He nodded towards the other party as a greeting, and then motioned for Dr. Wan to lie down on the examination bed.
Yu Zhiming changed into a pair of surgical gloves, and then put his hands on Dr. Wan's head.
He examines the brain, mainly by checking the blood flow and blood flow velocity of various blood vessels in the brain, as well as whether there are any abnormalities in the blood vessels themselves, and then infers whether there is any problem with the brain.
With the current quietness of the examination room, Yu Zhiming can at most initially detect the blood flow and blood vessels of the cerebral arteries and veins with a diameter of 1 to 1.5 mm.
Moreover, it should not be too deep into the brain.
If Yu Zhiming can further improve his detection ability, he can only go to a quieter environment without external noise interference.
Even though his ability to explore the brain was limited, Yu Zhiming noticed that something seemed amiss not long after he examined Dr. Wan’s brain.
The problem seems to occur in the frontal and temporal areas of the brain.
Yu Zhiming worked hard to eliminate external noise interference and focus more on exploring abnormalities in the frontal and temporal areas.
First, arteriovenous blood flow velocity...
No obvious signs of blood flow slowdown were found in each blood vessel, indicating that no obstruction occurred.
As for the blood vessels themselves, Yu Zhiming found that compared with healthy blood vessels, the narrowest point is about 30 to 40% narrower.
This narrow range, considering Dr. Wan’s current age, is considered to be a good maintenance condition and has not yet reached the level of treatment.
Just pay attention to healthy eating and exercise in your daily life...
Yu Zhiming repeatedly probed the frontal and temporal areas of Dr. Wan's brain two or three times, but could not find any abnormalities or anything wrong.
"Could it be that my initial perception was wrong?"
Yu Zhiming muttered to himself, and searched again without giving up. After still finding nothing, he reluctantly moved to explore other parts of the brain.
It was through this transfer of exploration that Yu Zhiming suddenly discovered the abnormality in the frontal and temporal regions.
Compared with other areas of the brain, the distance between blood vessels in the frontal and temporal areas seems to be smaller and denser.
This is not a good change.
This means one thing: Dr. Wan’s frontal and temporal areas of the brain have become smaller compared to other brain areas.
In other words, shrinking.
"Dr. Yu, is there something wrong with my brain?"
Yu Zhiming focused his eyes, met Dr. Wan's gaze, and found that his eyes were full of worry.
"Everyone said that as long as Dr. Yu's hands stay on a certain part of the body for more than 20 seconds, there must be something wrong."
"The longer the stay, the more serious the problem."
"Doctor Yu, you have been examining the frontal and temporal areas of my brain for more than a minute. The problem must be serious, right?"
Yu Zhiming pondered and said: "Dr. Wan, it's hard to say whether it's serious or not. I just have some uncertain findings."
Dr. Wan sat up from the examination bed and took a deep breath.
"Dr. Yu, I have been practicing medicine for thirty-four years. During this period, I have told patients or patients' families the worst news thousands of times."
"Dr. Yu, just tell me your findings directly. I can bear it."
Seeing what he said, Yu Zhiming said bluntly: "Doctor Wan, I suspect that the frontal and temporal lobes of your brain have atrophied."
"It is recommended that you go to our center for further examination."
Dr. Wan's eyes widened and he asked with confirmation: "Is it just atrophy of the frontal and temporal lobes of the brain?"
Yu Zhiming nodded and said: "Other brain areas, in my perception, are still normal."
After he said this, he noticed that Dr. Wan, who was sitting on the examination bed, was stunned.
"Doctor Wan? Doctor Wan?"
Dr. Wan slowly sat up straight and said with a bitter look on his face: "Over the past year or so, I have clearly noticed that my memory has deteriorated, and I often forget to write or write when I speak."
"You also found that the frontal and temporal lobes of my brain have shrunk. I know what disease I have."
"What disease?" Yu Zhiming asked.
Dr. Wan sighed: "Aphasia is the same disease as the one starring in Die Hard."
Yu Zhiming gave a sympathetic sigh.
Aphasia, also called frontotemporal dementia, is caused by atrophic lesions in the patient's temporal and frontal lobes.
It can cause personality changes, behavioral disorders, and loss of language ability.
Frontotemporal lobe lesions account for about 10% to 20% of dementia patients, but they are different from Alzheimer's disease, also known as Alzheimer's disease.
It mainly affects the patient's personality, language and behavioral abilities, and has a relatively small impact on memory.
Like Alzheimer's disease, the cause of frontotemporal dementia is unknown and there is no treatment. The only way to control the patient's abnormal behavior is through medication.
But no matter what method is taken, the patient will gradually lose the ability to act, even be unable to eat, and eventually become another person and die in silence.
When Yu Zhiming saw Dr. Wan, who was sitting upright, he arched his body again and spoke to comfort him.
"Doctor Wan, aphasia is just our guess. There are other possibilities. Let's not scare ourselves first."
Yu Zhiming saw Dr. Wan sitting blankly, not responding much to his words, and knew that he had a mental breakdown.
He was just about to ask Zhou Mo to call a nurse when he saw Wang Zejia accompanying Dr. Wang Wu into the examination room.
Wang Zejia specializes in neurology, and aphasia is also within the scope of his research.
After Wang Zejia learned about Dr. Wan's situation, he immediately took Dr. Wan for further examination.
Wang Wu looked at Dr. Wan's somewhat lost figure and sighed softly, then turned to Yu Zhiming and said, "Your fellow patient has finished acupuncture."
"His body has recovered quite well."
"I also left him two dietary supplement prescriptions. He should go home and rest for half a year, and he should be fine."
Yu Zhiming thanked him and then said: "Doctor Wang, the pharmacy of the Department of Traditional Chinese Medicine should have good ginseng and American ginseng, right? I would like to buy some, is it convenient?"
Wang Wu didn't answer but asked: "Dr. Yu, what are you buying ginseng and American ginseng for? Who is it for?"
Yu Zhiming replied honestly: "My parents are getting older, so I bought some ginseng and American ginseng for them to make soup, or soak them in wine and water to replenish their bodies."
Wang Wu chuckled and said: "It turns out that I bought it for my father Lingci to replenish his body. It's easy to do. You don't have to go to the pharmacy to buy it."
"I have it at home, and the quality is better."
"No need to buy it, I'll give you some."
Yu Zhiming quickly expressed his position: "Dr. Wang, I will definitely not accept it as a gift. It is still okay to buy it."
After some back and forth, the two parties finally decided to purchase twenty 20-year-old forest ginseng and 500 grams of American ginseng from Dr. Wang at a discounted price of 20% off the market price. p>
Tomorrow morning, Wang Zejia will bring ginseng and American ginseng to the center...
At 12:10 past noon, Yu Zhiming completed the morning physical examination.
Returning to the main office, Yu Zhiming was called into the director's office by Teacher Qi.
Walking into the director's office, besides Teacher Qi, Yu Zhiming saw a tall young man whose facial features were two or three times similar to Teacher Qi's.
There is also a beautiful young woman with long hair.
Yu Zhiming also discovered that the coffee table in the reception area was full of deliciously fragrant meals.
"Zhiming, these are my eldest son and daughter-in-law."
"We sat down to eat together and got to know each other while eating..."
