The most enlightened doctor

Friday is Yu Zhiminglei’s physical examination day.

At nearly ten o'clock in the morning, he paused his physical examination and ran to the small conference room on the seventh floor of the Zhizhen Building to get to know and chat with more than a dozen diagnostic experts from across the country, including Yan Haidong and Lin Wei.

Ten or twenty minutes later, Yu Zhiming returned to the third underground floor and continued his physical examination...

At this time, a high-end commercial vehicle and an ambulance drove away from the Binhai International Passenger Terminal one after another.

In the business car, Gu Qingran and his temporary assistant Haruko Ohura were warmly entertaining a woman who looked to be about forty years old, with good temperament and quite good looks.

"Dr. Sakurada, wine? Juice? Or water?" Gu Qingran asked enthusiastically!

Sakurada Akemi said politely: "A glass of ice water, thank you."

Oura Haruko took out two ice cubes from the small wine cabinet in the car and put them into the crystal glass. She also took out a bottle of mineral water said to be from the polar regions and filled the crystal glass with water.

Sakurada Akemi took a sip from the water glass, looked at Haruko Oura, and said, "I have heard about your brother, Dr. Oura, and I heard that many people are vying to date him."

Oura Haruko said modestly: "Dr. Sakurada makes you laugh. My brother is just relying on Dr. Yu's brilliance."

Sakurada Akemi smiled, turned to Gu Qingran, and said softly: "The craniopharyngioma patient who came with me had a tumor discovered more than two years ago."

"However, because the surgery is risky, the patient doesn't want to take the risk, so he uses various methods to delay it until now."

She sighed softly: "Now I really can't put it off any longer, so I can only choose to take a risk."

Gu Qingran was actually not interested in how the patient was doing, but for the sake of chatting, he pretended to be confused and asked: "Dr. Sakurada, I see that the patient can move quite freely and is in good physical condition. It doesn't look like he can't hold on any longer. What does it look like?”

Sakurada Akemi explained: "His body can continue to support for a while, but if it continues to be delayed, I will not dare to risk surgery for his craniopharyngioma, and I can only do conservative treatment."

She went on to explain: "The patient is a medical scientist and wants to continue his previous medical research after the operation."

"For this very reason, he kept putting off the surgery."

"However, he is lucky. With Dr. Yu's help this time, there is a high probability that my surgical confidence will once again be improved to 30% to 40% compared to more than two years ago."

Sakurada Akemi sighed again: "Even if the operation is successful, whether his brain ability will be the same after the operation and he can continue his previous medical research can only be left to luck."

Gu Qingran chuckled and said: "You and Dr. Yu are joining forces this time. One plus one is far greater than two. The success of the operation can be foreseen."

He specifically added: "Dr. Sakurada, as for luck, I must tell you something..."

"Dr. Yu's luck has always been good. Whether he treats patients or cooperates to help others, the results of his treatment are basically better than expected."

Sakurada Akemi showed a bright smile and said: "I especially like to cooperate with lucky doctors."

"Neurosurgery requires luck."

Gu Qingran said with a smile: "Dr. Nayu is definitely your best partner. He has always been accompanied by good luck."

Sakurada Akemi leaned over and said with a chuckle: "I also hope to have more opportunities to cooperate with Dr. Yu."

The smile on Gu Qingran's face became even brighter.

He also knew not to appear too impatient, so he asked instead: "Dr. Sakurada, is this your first time in China?"

Sakurada Akemi nodded and said: "Because of my fear of flying, this is the first time I mustered up the courage to go abroad for real."

Gu Qingran said with a smile: "Our country is vast and rich in resources, and it is also covered with high-speed railways. When you come to our country for vacation this time, you must stay more time and look around..."

At 12 noon, Yu Zhiming finished his morning physical examination and returned to the soundproof office for lunch.

Today's lunch was cooked by Zhou Mo's aunt.

As agreed, Zhou Mo also brought lunch to several people in the big office.

Because she didn’t have such a big pot of food at home, she used disposable paper tableware. Each person had a portion of three meat dishes, one vegetable dish and one soup, which was like a fast food lunch box.

"Dr. Yu and Zhou Luo's father disclosed the analysis report at the seminar, saying that the lipophilic substance found in Ms. Yao's body is a new organic compound."

Zhou Mo's small mouth introduction said: "It is also said that this new compound is particularly lipophilic and can polymerize and separate fats in the blood."

"He also said that if it could be synthesized artificially, this substance could theoretically be used to perfectly purify the oils in the blood."

"And, and..."

Zhou Mo said with excitement: "Doctor Yu, Zhou Luo's father also did an experiment at the seminar. He threw a small piece of fat into the organic liquid, and soon the fat became smaller and flatter. The grease was separated out.”

She said with big eyes: "Dr. Yu, this can be used as a magic medicine for weight loss. Using it to lose weight is definitely safer and more convenient than liposuction surgery."

Yu Zhiming pondered and said: "What you said makes sense. If it can really be used to lose weight, it can produce considerable economic benefits."

He asked again: "As for Ms. Yao's disease, is it confirmed that it is a genetic mutation?"

Zhou Mo nodded and said, "It is said that through genetic analysis, it was determined that there was an abnormality in a gene, which caused the patient's liver to secrete this new organic substance."

"Most of this organic matter flows into the duodenum with the bile, and a small part leaks into the blood."

Yu Zhiming nodded gently.

Bile is secreted by liver cells, is continuously secreted, and is stored in the gallbladder during non-digestive periods.

When we eat food, the gallbladder releases bile into the duodenum through the bile duct to assist in the digestion of food.

One of the great functions of bile is to promote the digestion and absorption of fat in food.

It mainly emulsifies fat in food. The emulsified fat forms small fat particles, which can be dissolved in liquid and promote the action area of ​​pancreatic lipase.

It can also combine with fatty acids to form water-soluble complexes to promote the absorption of fatty acids.

However, the function of this new lipophilic organic compound secreted by the liver is rebellious. It runs counter to the original function of bile and separates and aggregates fats.

As for how this new organic matter enters the blood, refer to the reflux of bile into the blood.

When bile excretion is blocked, the tension in the small hepatic ducts increases. When this tension exceeds the pressure of the surrounding capillaries, bile will flow back into the capillaries.

This leads to an increase in bilirubin in the blood, which then travels to other places with the blood, causing yellowing of the skin and mucous membranes and yellowing of the urine, causing jaundice, the most common form of liver disease...

Yu Zhiming thought about the principles of the disease in his mind, and also had some ideas about treatment plans.

Gene mutations are difficult to treat and can only treat the symptoms.

One is hemodialysis, which separates the new organic matter leaked into the blood together with its polymerized oils.

The second is to prevent this new organic matter from leaking out of the small liver ducts and then into the capillaries as much as possible.

Zhou Mo's voice sounded in Yu Zhiming's ears again, "Remember the uterus transplant surgery performed by Dr. Liu Yun, right?"

Yu Zhiming looked at Zhou Mo and heard her continue: "I saw the mother and daughter coming this morning."

"Dr. Liu Yun, Dr. Xizhen from Gulou Hospital, and your college classmate will greet you together. Perhaps your college classmate will stay in our Zhizhen Building for a short time..."