Chapter 883 My apprentice has not made any mistakes yet
Migraine is the most common type of primary headache in clinical practice, but its specific etiology and mechanism are still unclear.
Hormone levels, emotional excitement, overwork, even weather, food, etc. can all trigger migraines.
The important point is that this migraine not only gives the patient a headache, but also gives the doctor a headache.
Because many migraine patients often undergo various examinations, but the results show that everything is normal.
This left the doctors at a loss as to what to do.
However, there is a type of migraine where the root cause of the problem is found. The "culprit" is a small hole in the heart.
It's the foramen ovale.
This is a channel between the left and right atria, which is formed during the fetal period and closes about three months after birth.
Patent foramen ovale is actually not a rare disease, with an incidence rate of about 15% to 35% in the general population.
Most cases of patent foramen ovale will not have much impact on our health and do not require special treatment.
Among migraine patients, about 5% to 10% have a patent foramen ovale.
After the patent foramen ovale was blocked and treated, most patients' migraines were cured or effectively relieved.
However, Yu Zhiming took over the treatment of the 34-year-old male patient who had a splitting headache during a migraine attack at nearly noon on Monday. It was determined that his migraine had nothing to do with the foramen ovale.
After examination, Yu Zhiming found that his heart was intact without any defects.
Not only that, after Yu Zhiming carefully examined the man's brain and body, he found no suspicious problems worthy of attention.
Yu Zhiming looked at the patient, who had a shiny head and a forty-five-year-old appearance, and asked: "You said that your first attack of migraine was more than half a year ago, and it has occurred one to three times a month since then."
"Do you still remember any physical discomfort or special events that occurred before the first migraine attack?"
The bald patient recalled: "There was nothing special during that period, except that the mental pressure was extremely high."
"Anxiety at thirty-five!"
"I work in IT, and turning 35 is a life-or-death hurdle. I can't eat well and sleep well. However, I'm lucky enough to be promoted to a management position and become the project leader."
"It's just that the good times didn't last long. Less than a month after I was promoted, I started to have a headache, which continues to this day."
Yu Zhiming said softly, took the person's medical records and quickly looked through them.
His migraine came on suddenly and violently, without any warning. The headache would reach its peak in just over ten seconds, and after lasting for dozens of seconds, the pain would slowly subside.
The entire migraine attack lasts about half an hour to an hour.
This period is sometimes accompanied by dizziness, nausea and vomiting.
Also, the interval between this man's headache attacks was variable, ranging from five to twenty days.
The last attack was around 9pm the night before yesterday...
Yu Zhiming looked through the person's medical information and looked at Zhou Luo and Duan Yi who were standing aside.
"I haven't found any clues worth paying attention to yet. Maybe I can find something when the headache attacks."
Yu Zhiming warned: "You eight immortals are crossing the sea, each showing your magical powers, to see if you can induce his migraine..."
He handed over the job and completed all the work on Monday morning.
Yu Zhiming returned to the soundproof office to have lunch, only to find Teacher Qi Yue waiting for him with a father and son.
Qi Yue pointed to a man of the same age next to him with almost all white hair and dark complexion, and introduced him first.
"Zhi Ming, let me introduce to you. This is my friend An Wenming who I told you about."
"This is his son An Guohao."
Yu Zhiming waited for the teacher to finish the introduction, but before he could say anything, An Wenming quickly stepped forward, leaned forward, stretched out his hands, and held his right hand tightly.
"Dr. Yu, I cannot thank you enough for your kindness."
An Wenming said with a grateful face: "Please rest assured that our family will do our best to pay back the three million life-saving money with interest as soon as possible."
Yu Zhiming's bank account currently does not have 3 million.
However, Qing Meng has money.
Knowing that Teacher Qi Yue's friend was in urgent need, Yu Zhiming transferred three million from Qing Ning to him.
Yu Zhiming said politely: "Uncle An, you are my teacher's friend, that is, my elder, so you should help me."
"Don't worry about paying back this money. I don't need it on a daily basis."
After a pause, he said solemnly: "Uncle An, you need to take care of yourself."
"Your blood pressure is a little high, and this heart rate..."
Qi Yue interrupted with a concerned look on his face and asked, "Zhi Ming, what's wrong with your heart rate?"
"A little unstable!" Yu Zhiming replied.
An Wenming finally put down Yu Zhiming's hand and explained with a smile: "High blood pressure, unstable heart rate, etc. are all caused by getting angry during this period."
"In just a few days, all the hard work gained over decades was gone, and I still owed two to three million to others."
"I feel like I'm in pretty good shape because I didn't burp my butt all of a sudden to see the King of Hell."
Qi Yue said with a serious face: "You are already old, and something like this happened again. You should pay more attention to your health."
He also warned: "Zhi Ming, check him out."
With Qi Yue's insistence, An Wenming knew that there was really nothing wrong with his body now, so he lay on the sofa and underwent an examination by Yu Zhiming.
This test result is not very good!
"Uncle An, your heart feels very tired to me. It feels like an eighty-year-old man struggling to pull a cart."
"You need to take a good rest for some time."
Yu Zhiming pondered for a moment and said: "Let's start in half a year. Within this half year, go to bed early and get up early. Don't do strenuous exercise. Focus on relaxing and fitness, such as walking and Tai Chi."
"In terms of diet, just less salt and less greasy food."
Yu Zhiming added: "Emotionally, don't be anxious and try to relax yourself."
An Wenming smiled bitterly and said: "Dr. Yu, these points you mentioned are a bit difficult. The wealth accumulated over the past few decades is gone, and I am burdened with millions of debts. How can I rest in peace and recuperate?"
This chapter is not over yet, please click on the next page to continue reading! Qi Yue said in a stern tone: "If you don't feel at ease, you have to feel at ease."
"As my apprentice, you should know something about it. Since he explained it like this, you need to strictly implement it."
"His words fell on deaf ears before, but now they are either dead or seriously ill."
Qi Yue warned again: "Lao An, I am not alarmist. You must take it seriously."
"This heart problem is no child's play."
Seeing Qi Yue's seriousness, An Wenming quickly expressed his position: "Okay, okay, I will take a good rest after I go back. All business matters will be left to my son. I will let go."
He looked at his son who was silent and sighed: "I have suffered such a big loss all at once. As the saying goes, one gains wisdom after one has suffered a loss. I believe that Guohao can also calm down and do business in a down-to-earth manner."
Already."
An Guohao looked ashamed, lowered his head and blamed himself: "It was my greed, and it was my fault that I made careless friends."
Yu Zhiming previously learned from Teacher Qi Yue that his friend was in the seafood business.
An Guohao had deposited the money he had earned so hard in a village bank in another province for the sake of high interest rates.
Unexpectedly, the person who solicited the deposit was a scammer and he took the money away.
Part of the money saved was borrowed by An Guohao from relatives and friends.
In order to repay the money, An Guohao borrowed a lot of money to buy a batch of high-end seafood without doing any serious inspection. Unexpectedly, the seafood turned smelly after it was delivered.
An Guohao said again: "Uncle Qi, Doctor Yu, I will take good care of my dad and won't make him tired and worried again after I go back."
Qi Yue solemnly warned: "Guohao, you must do what you say and take good care of your father."
"My apprentice has not made any mistakes yet..."
The time at noon was short, Yu Zhiming was also busy with work, and after chatting for a few more words, Qi Yue left with the An family and his son.
Yu Zhiming started to have lunch with Zhou Mo.
Halfway through the meal, Zhou Mo reported softly: "That neighbor Lu Hui is really shameless. Contact me in the morning and ask me to arrange for you to do a physical examination on her husband and son."
"I pushed her right back."
Yu Zhiming smiled and asked: "She has never apologized to you? Did she forget about that? Or does she think she doesn't need to apologize?"
Zhou Mo hummed and said, "Whatever, I've already blacklisted people like her anyway."
After a pause, she smiled again and said, "Dr. Yu, let me tell you some gossip."
"There is news circulating in the General Surgery Department that Dr. Cui has been staying in the office these days and has not gone home. I heard that Dr. Cui has filed for divorce from his wife."
Yu Zhiming said softly.
Zhou Mo said with a gossipy face: "After Dr. Cui's divorce, he will naturally be with the young and beautiful Dr. Feng."
"Hey, Dr. Yu, tell me, did Dr. Cui leave Binhai to go to Dr. Feng, or did Dr. Cui find a way to transfer Dr. Feng to our Huashan?"
Yu Zhiming glanced at her sideways.
"If you ask me about this kind of thing, who should I ask? Hurry up and eat, I still want to rest a little longer..."
Yu Zhiming's wish to rest for a while was not realized.
After dinner, Duan Yi rushed in within two minutes of him lying down on the sofa.
"Doctor Yu, Doctor Yu, I have a migraine attack."
"We use noise and bright light stimulation, as well as electrical stimulation, pain stimulation, and rotational dizziness stimulation."
Duan Yi said in a sullen voice: "Anyway, after all our efforts, he suffered a migraine attack and was holding his head in pain..."
After getting up, Yu Zhiming quickly went to the soundproof examination room next door. He saw the patient clenching his teeth and lying on the examination bed with his body muscles tense, resisting the pain coming from the left side of his brain.
Yu Zhiming pressed his hand on the left side of the patient's head, stabilized his breathing, calmed his mind, and began to explore carefully...
With the adjustment of his body and mind, Yu Zhiming's accuracy and depth in detecting the brain are slowly improving...
After a while, Yu Zhiming made a discovery.
The blood flow rate of a small artery with a diameter of about one millimeter is slower than that of other small arteries of the same thickness.
He focused his attention on exploring this small artery.
Soon there was a new discovery.
Yu Zhiming discovered the twisting traces of this artery and a small vein entangled with this artery.
Is this cerebral ischemia pain caused by vasospasm?
