Yu Zhiming was not very optimistic about the forty-year-old couple who had gained hundreds of millions of dollars in wealth and wanted to enjoy their retirement life early, but both suffered from cancer.
In particular, the husband invited nationally renowned hepatobiliary surgery experts for consultation and surgery, so that the liver preserved after surgery could basically maintain the body's needs.
The problem is that it can only be "sustainable". Once something abnormal happens, it will easily collapse.
This time, luck did not favor him.
Yu Zhiming glanced at the text message again, and after confirming that he had not read it wrongly, he continued to read it.
Fortunately, I only received this message.
But Yu Zhiming knew that this would not be the last one.
In the coming week, those frail patients who insist on gambling their luck will receive CAR-T treatment one after another.
I just don’t know whether the coin representing life and death will land heads or tails when it finally falls...
Today is Thursday. In order to allow Yu Zhiming more rest time, the hospital leaders moved the physical examination that was scheduled every other Saturday to Thursday.
Today is the first day of implementation.
After 8:10 in the morning, Yu Zhiming arrived at the third basement floor of Zhizhen Building about ten minutes earlier than usual.
To his relief, Dr. Qin, Zhou Luo, Shen Qi, Sui Chi, and Duan Yi also arrived.
What Yu Zhiming didn't expect was that there were already more than a dozen medical examiners from the donation unit waiting in the corridor.
They are all positive enough.
"Doctor Yu, Wei Chen's sleep monitoring data from last night."
Duan Yi was the first to report: "I fell asleep at 12:38 pm and woke up at 7:11 am."
"Monitoring shows that it entered deep sleep at 3:19 a.m. and lasted until 3:51 a.m."
This data is not very good.
After six and a half hours of sleep, deep sleep lasts only thirty-two minutes.
Generally speaking, deep sleep should account for at least a quarter of the entire sleep duration.
Perhaps Wei Chen was frail and sickly due to lack of deep sleep for a long time?
Yu Zhiming ordered: "Test her twice more. It may also be a physical and mental alert caused by changes in the sleeping environment."
Duan Yi responded crisply.
Yu Zhiming glanced at everyone and said again: "At nine o'clock, you should go to the ward rounds with the chief physician."
"On my side, if there are interesting patients found during today's examination, I will let you have a consultation."
When Yu Zhiming saw Zhou Luo and Duan Yi, both of them were eager to try, and emphasized: "I only allow you to see, hear, and inquire, as well as the examination supplies you bring with you."
Yu Zhiming looked at Dr. Qin and said, "Dr. Qin, you are an experienced senior. You will preside over their consultation!"
Qin Qiushi chuckled and said: "No problem..."
After Yu Zhiming finished explaining his work, he made some preparations and then started the physical examination...
As time goes by, Huashan Hospital is like a huge and precise instrument. After a short period of low-speed operation, it rumbles and begins to increase its power and speed up...
Nearly nine o'clock in the morning, General Surgery Building.
Dr. Cui Zhitan looked at Dr. Ram from B. Braun Medical and another German doctor with smiles and enthusiasm on his face.
"What a coincidence that you are here. My team and I happened to be having a laparoscopic pancreatoduodenectomy surgery this morning. Please give us some advice and valuable advice."
Dr. Ram responded with a polite smile on his face, but he felt contempt in his heart.
I don't believe what you said is so clever.
The surgical observation was only decided last night. Are they allowed to observe the most difficult operation this morning?
Pancreaticoduodenectomy is known as the ceiling of difficulty in general surgery.
It has always been known for its difficulty and high risk.
The quality of surgery directly affects the patient's prognosis and the incidence of complications.
During the operation, the gallbladder, part of the bile duct, pancreatic head, stomach, duodenum and part of the jejunum need to be removed, and the bile-intestinal, pancreatic-intestinal and gastrointestinal anastomosis channels must be reconstructed.
This requires the surgeon in charge to have rich surgical experience and a team with good understanding.
Total laparoscopic pancreaticoduodenectomy is more difficult and the operation is more complicated. It is called the Mount Everest of general surgery.
For an operation of this level, B. Braun Medical in Germany would not dare to push the patient to the operating room without three or five surgical seminars and sufficient preparations.
Dr. Ram guessed that the other party's hasty demonstration of such a difficult operation was just to intimidate him.
He did not doubt the other party's ability to complete the operation, but the more difficult the operation, the easier it was to have problems with the details.
Dr. Yu demanded that Dr. Bierman's surgery should not make any mistakes and should be perfect.
Dr. Ram decided to find fault with the surgery performed by Dr. Cui...
Dr. Liu Wenzhao from the cardiopulmonary surgery department led a German doctor to the operating area in a hurry.
"I happen to have a complex pulmonary cyst removal operation. Please take a look at it and provide more suggestions for improvement."
At the liver disease research center, a German doctor was changing clothes with the chief surgeon in the surgical dressing room...
It was not until ten o'clock in the morning that Zhou Luo, Shen Qi and others came to see the patient Yu Zhiming asked them to consult.
The other party is a fifty-one-year-old man who is slightly overweight and has a small belly.
The man pointed to his chest and said: "Sometimes I feel chest tightness, but I don't have a cough or chest pain."
After a pause, he continued: "Doctor Yu told me that you can ask and check whatever you want."
"Finally write down your respective diagnoses."
The consultation begins.
Qin Qiushi first took the man's pulse and asked a few questions about whether he had dizziness, headaches, sleep problems, etc.
Then Zhou Luo listened to the man's heart and lung sounds with his stethoscope and asked a bunch of questions.
Next is Shen Qi.
After listening carefully to the sounds of the heart and lungs with a stethoscope for a while, he took out a blood pressure monitor from the pocket of his white coat.
Zhou Luo's eyes widened.
"Shen Qi, Dr. Yu only allows us to use the supplies we bring with us for examination. Do you carry a blood pressure monitor with you all day long?"
Shen Qi replied seriously: "But if I brought it today, it doesn't violate Dr. Yu's rules, right?"
Zhou Luo was speechless, but seeing that Dr. Qin didn't stop him, he didn't say anything more.
After Shen Qi measured the man's blood pressure on his left and right arms, he stepped aside without asking any questions.
The main reason was that Dr. Qin and Zhou Luo had asked all the questions that needed to be asked, and he had no new questions for the time being.
Then, Sui Chi and Duan Yi each spent three or four minutes examining the man with a stethoscope.
Then, several people looked at each other, took out a small notebook from their coat pockets, and wrote down a few words.
The man under inspection saw that they all stopped writing and asked in confirmation: "Has everything been written?"
After receiving the reply, the man took out a piece of paper folded in half from his coat pocket.
"This is what Dr. Yu painted."
Doctor Qin took the paper, unfolded it, and watched it with Zhou Luo and Shen Qi who came over.
As always, Yu Zhiming's sketch style is simple and clear, but has outstanding features.
"Ah, it turned out to be a coronary-pulmonary fistula."
Coronary-pulmonary fistula is an abnormal connection between the main trunk or branches of the coronary artery and the pulmonary artery, forming a coronary shortcut. It is a rare congenital coronary artery malformation.
The symptoms are related to the size of the fistula and changes in blood vessel dilation, ranging from no symptoms to chest tightness, chest pain, difficulty breathing, dizziness and fatigue, etc.
Generally, symptoms gradually become more severe as age increases.
Zhou Luo said with regret again: "I heard some reverberation echo, but I didn't expect it to be this problem."
He showed everyone the diagnosis he wrote in a small book, "My judgment is pulmonary regurgitation."
"Where's your diagnosis?"
Shen Qi also showed his diagnosis, "dilated cardiomyopathy."
Zhou Luo looked at the notebooks of Sui Chi and Duan Yi and saw "coronary heart disease" written on both of them.
"Yes, the entire army was wiped out!"
Duan Yi came to Zhou Luo with a smile and said: "Dr. Zhou, my stethoscope is very ordinary. It is not as high-end as your stethoscope, and the radio effect is good."
"Borrow it, let me listen to his heartbeat..."
After eleven o'clock in the morning, Yu Zhiming completed the physical examination of fifty people and walked out of the soundproof examination room. He unexpectedly found Ke Xixi waiting for him in the corridor.
What particularly surprised Yu Zhiming was that Ke Xixi didn't wear any makeup and looked bare-faced.
It has to be said that today’s makeup effects are comparable to the powerful beauty effects on mobile phones.
Without makeup, Ke Xixi has a lower-to-medium appearance than an ordinary girl, with a dull complexion and big dark circles under her eyes.
"Is it your father?" Yu Zhiming suddenly became excited.
Ke Xixi shook his head and said, "My father is fine. Although he still has a high fever, the doctor said his condition is quite stable."
"It's my own business for me to come here."
After hesitating for a moment, she said slowly: "Yesterday, you said my breath was sweet, so I went to the doctor to check it out."
"It turns out I'm pregnant."
"I measured my blood sugar on an empty stomach again this morning. The doctor said that my condition is likely to be gestational diabetes."
Yu Zhiming said softly.
He originally guessed it was respiratory inflammation or digestive disorder, but gestational diabetes had never occurred to him.
"Miss Ke, are you looking for me?"
Ke Xixi took a deep breath and said, "Because of your reminder, Dr. Yu, I found out that I was pregnant and also had diabetes. I feel it is necessary to tell you the results."
"Dr. Yu, thank you!"
Yu Zhiming watched Ke Xixi leave, and Zhou Mo came over.
"Dr. Yu, Dr. Lou Xinghua called half an hour ago and said that he had received another patient with a heart malformation..."
Yu Zhi clearly understood what Dr. Lou meant and interrupted: "Let the patient come to me tomorrow morning."
Zhou Mo hummed, then turned to say: "The director said that the dinner on Friday night is to celebrate the top ten collectives and to congratulate them on moving into a new house."
Yu Zhiming said oh.
"Hey, Zhou Mo, tell me, since I won this special contribution award, should I also treat me to a treat to celebrate?"
Zhou Mo said with a smile: "According to common sense, we have to treat guests to dinner. Dr. Wang, who won the top ten young doctors, decided to treat guests to dinner on Saturday night."
"Saturday night?"
Yu Zhiming frowned. He originally planned to go shopping with Qing Ning this Saturday night.
It has been more than half a year since he came to Binhai. He has been busy with work and has not taken a good tour of the city.
Zhou Mo saw Yu Zhiming's embarrassment and said kindly: "Doctor Yu, you don't have to be embarrassed, Doctor Wang didn't invite you!"
"Why didn't you invite me?" Yu Zhiming felt bad.
At this time, Zhou Mo wanted to give himself a slap, and tried his best to reply: "We all know that you are very busy at work and fell ill again a few days ago. Doctor Wang probably doesn't want to disturb your rest."
Yu Zhiming looked at Zhou Mo with burning eyes.
"Tell the truth."
Zhou Mo smiled and said: "The main reason is that you are superior and there is a status gap. Also, besides working, you usually work, and you don't interact with them in private."
"After you go, no one can let go."
She added: "Dr. Wang did not invite the director, but only his colleagues of the same age and a few friends."
Yu Zhiming snorted twice and said again: "Do I still want to treat you to the contribution award?"
Zhou Mo said softly: "You won the best contribution award. Everyone is convinced and happy for you."
"We all know that you are always busy, and no one will say anything if you don't invite guests."
Yu Zhiming followed the good example, nodded and said: "Then I'll listen to you, I won't treat you..."
