"Teacher, there is a possibility of heart failure."
Yu Zhiming said on the phone: "I feel that his right ventricle is contracting very hard, and he feels out of breath."
"If this state extends to the entire heart, it is very likely to cause heart failure or even cardiac arrest."
Yu Zhiming pondered for a moment and then said: "Teacher, I personally suggest that you implant an ICD first just in case, and then fully explore the cause of the heart problem."
"At the same time, stop working, adjust your work schedule and diet, and take comprehensive care of your heart and body."
Qi Yue replied during the call: "I will convey your findings and suggestions to the other party."
After a pause, Qi Yue turned to ask: "Zhi Ming, my second son Qi Zhen has returned from abroad. Have you seen him?"
Yu Zhiming hummed, and then said vaguely: "We met two or three times, but we were busy with work, so we just chatted a few words."
Qi Yue said softly: "My son is very smart and eager to learn. I was also thinking about letting him study medicine."
"It's just that I was separated from his mother at that time, and his mother finally let him study liberal arts."
Qi Yue sighed with regret, and then said: "After I go back, I will find a time for you to get to know each other better."
This made Yu Zhiming grin a little, but he didn't think this was a good idea.
However, he is the teacher's son, and Yu Zhiming still understands the principle of estrangement.
He responded vaguely at first.
Two or three minutes later, Yu Zhiming ended the call with the teacher and started on the way to the nursing home again.
After the car entered the main road, Gu Qingning asked with great interest: "Zhiming, that person has a serious heart problem?"
Yu Zhiming said cautiously: "From the sound of his heartbeat, I feel that there may be a serious problem with his heart."
"It must be treated with caution."
"What disease is it specifically?" Zhou Mo interrupted and asked.
Yu Zhiming replied frankly: "I don't know. I can only detect that there is a problem with the right ventricle. As for what caused it, I am not sure."
Gu Qingning said hey: "That's enough."
"After informing you of the danger, it will be easier to trace the source and find the real cause."
"In the worst case, you can treat a headache, treat a head, or treat a foot pain to control the condition, so as not to become terminally ill."
Gu Qingning roared: "Zhi Ming, you have saved another person's life again, I am proud of you..."
At 9:15 in the morning, the three finally arrived at the nursing home.
This is a group of beige buildings located at the foot of the mountain. At a glance, there are at least twenty or thirty buildings.
They are centered on a dome building that is six or seven stories high and covers an area of one or two thousand square meters, and spreads to both sides along the foot of the mountain.
The buildings on both sides include low-rise buildings with a height of five or six stories, as well as single-family buildings with two or three stories of different shapes.
Yu Zhiming also saw a chimney about ten meters high, emitting white smoke, and a small lake measuring over a thousand square meters.
Although it is the twelfth month of winter, you can still see a lot of green on the hills in front of you, which makes people feel brighter.
The bed cart stopped in the small square in front of the dome building.
When Yu Zhiming got out of the car, he saw Gu Changyan coming over with three men, two men and one woman, who looked to be at least fifty or sixty years old, and two middle-aged men and women wearing white coats.
"Dr. Yu, it's been a hard journey..."
After some pleasantries and introductions, Yu Zhiming realized that the three men in white coats were all medical seniors who were hired to work here after retiring from tertiary hospitals.
Among the three people, one is Dr. Chen, a Chinese medicine practitioner, one is Dr. Zhang, an internal medicine doctor, and the other is an emergency doctor, Dr. Tang, who has rich experience in emergency medicine and rescue.
Yu Zhiming must admit that, except for the older age of these three doctors, their professional combination is quite reasonable for a nursing home in the suburbs where medical treatment is not convenient.
Moreover, having these three experienced senior doctors here saved Yu Zhiming a lot of trouble.
In the subsequent physical examination, Yu Zhiming only needs to describe the physical symptoms found.
If the examinee does not understand anything, or wants to know how to carry out targeted treatment, restore the body, and maintain health, three senior doctors can answer the questions for him.
This can save a lot of time...
Yu Zhiming declined Gu Changyan's suggestion to take a break and have a cup of morning tea, and directly stated that he would start the physical examination immediately.
"Doctor Yu, please come with me..."
As Yu Zhiming walked, he communicated with three medical seniors about the upcoming physical examination. As Gu Changyan walked into the dome building, he was enveloped in abundant warmth.
This feeling is very familiar to him.
Gu Changyan introduced with a smile: "We have our own boiler, and all rooms have central heating."
Yu Zhiming took off his down jacket, and Gu Qingning beside him naturally reached out and took it, hugging him in his arms.
After walking dozens of steps, they arrived at the medical center on the first floor.
Yu Zhiming visited it and found that this small medical center has five or six rooms. Although it is small, it has all the internal organs, and it even has the ability to perform emergency operations.
His examination room is also ready.
Yu Zhiming discovered that next door to the examination room is also a doctor's office.
He pointed to this office and said: "There is also an examination bed in this office."
"The old man's movements are a bit slow. After my examination here, you can come to this office to continue the physical examination of the prepared old man, so that you don't waste time."
Gu Changyan nodded in approval: "Dr. Yu, you are so considerate, we will deal with it now..."
Yu Zhiming and Zhou Mo put on their white coats and got ready for work. The first physical examiner was also brought into the examination room by a young nurse.
This is an old man who looks to be in his sixties or seventies, with gray hair and a slight hunchback.
After he lay down on the examination bed, Yu Zhiming put on surgical gloves and began the first physical examination in the nursing home.
"There is slight inflammation in the left bronchus!"
"Mild chronic pulmonary air obstruction!"
"The left circumflex coronary artery has stent stenosis, approaching dangerous levels..."
Every time Yu Zhiming mentioned a symptom, Dr. Zhang, a physician who stayed in the examination room to assist, recorded it in a small notebook.
It’s just that Yu Zhiming spoke too fast and too quickly, making Dr. Zhang feel like he couldn’t catch up.
She suddenly realized that more than a hundred elderly people had received physical examinations this morning. If such a consistent record continued, she would be exhausted.
Thinking of this, she simply stopped recording and took out her mobile phone from her pocket to record.
I'll sort it out slowly when I'm not busy...
Six or seven minutes later, Yu Zhiming completed the old man's physical examination and quickly came to the office next door.
Here, there is already a somewhat wealthy old lady in her seventies, accompanied by a young nurse, lying quietly on the examination bed.
Yu Zhiming changed into a pair of surgical gloves and began to perform a physical examination on the old lady.
The old lady has severe high blood pressure.
During the examination, Yu Zhiming found that her heart and brain blood vessels, as well as her liver and kidneys and other organs, had suffered varying degrees of damage due to high blood pressure.
He recounted the major and minor problems that he had discovered, and was about to turn around and leave, but was stopped by the old lady.
The old lady got up, took a large brown paper envelope from the desk nearby and handed it over.
"Dr. Yu, these are several examinations and tests that I have done before at a city hospital."
"Please take a look, is there anything wrong?"
Yu Zhiming did not answer and replied: "Old man, I am doing a physical examination. I don't need to see your previous physical examination information."
"Unless I'm unsure about something."
"In your case, old lady, there is no need to look at the previous inspection data and test sheets."
After saying this, Yu Zhiming turned around again and prepared to leave.
"Hey, why are you a doctor like this?"
The old lady was a little anxious, her voice suddenly rose two or three times, and she said angrily: "A physical examination that is done once every 10,000 times is completed in five or six minutes?"
"It's two thousand yuan per minute, and I just listened to you talk about high blood pressure, my injuries, and my injuries."
"At the very least, you have to give me a specific prescription for treating high blood pressure!"
"Otherwise, how could it be worth ten thousand?"
After hearing this, Dr. Zhang couldn't help but said: "Sister Gao, our nursing home specially invited Dr. Yu to do a physical examination, but we did not force anyone to pay for a physical examination."
"Now that you have finished the physical examination, but you are dissatisfied, this is not good."
The old lady glared and said: "I spent so much money, the service is not good, and no major problems were found in the inspection, so I can't give my opinion?"
Yu Zhiming endured his displeasure and patiently explained: "Old man, since you paid for the physical examination, you must know something about me."
"You must know that what I am best at is finding problems, not solving them."
"Also, high blood pressure is a global problem that has no cure in the global medical community. The current treatment method is to control blood pressure as much as possible."
"Of course I don't have any specific prescription."
After a pause, Yu Zhiming said in a deep voice: "As for no major problems being detected, old man, are you really looking forward to finding out about serious illnesses, even cancer?"
The old lady was choked for a moment, and her breathing became a little short the next moment.
She gritted her teeth and shouted: "I don't care, anyway, I am not satisfied with this physical examination, very dissatisfied."
"Unless you give me a serious look at the inspection data and laboratory test sheets."
Seeing that the old man was so persistent, Yu Zhiming was a little curious about what was in the cowhide envelope.
He took the envelope, opened it, and took out a stack of inspection sheets and test sheets inside.
Yu Zhiming only looked at a few data on the top renal function test sheet and understood.
Having just finished examining this old man, he could not say that he had a detailed understanding of her kidney function, but he was certain that several of the data on the test sheet were unlikely to appear.
Putting the documents back into the cowhide envelope, Yu Zhiming said slowly: "Old man, are you deliberately testing me by taking someone else's test report?"
As he spoke, Yu Zhiming placed the cowhide envelope on the examination bed, turned around and hurried out of the examination room.
He warned Zhou Mo who followed him out: "Let this be widely advertised to the people doing the physical examination, saying that I am only responsible for finding problems, not solving them."
"If you think it's not worth it, you can refund the money and withdraw from the physical examination..."
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