The most enlightened doctor

At 8:10 the next morning, Yu Zhiming came to the central building of the hospital and took the young man with weak legs to the laboratory.

As soon as he entered the laboratory, he saw at a glance that a high-power microscope had been prepared on the operating table, as well as a set of trauma treatment equipment, anesthesia and acupuncture, disinfectant alcohol and other supplies.

This was prepared by the nurse on duty at the center over the phone while he was having breakfast at home in the morning.

The execution ability of the nurses in the center is quite good.

Yu Zhiming nodded with satisfaction and turned to look at the weak-legged young man sitting in the wheelchair who looked nervous.

"You don't have to be afraid. I thought of a possibility last night and need to give you a trauma examination."

Yu Zhiming made gestures on the young man's calf and further introduced: "You need to make a small incision on your calf, and then peel off a small piece of muscle endothelium from the muscle."

"I want to observe the blood microcirculation inside."

Muscles have their own blood supply system.

In order to adapt to the strong metabolism of muscles, the blood supply to muscles is also quite rich.

Each muscle has its own blood supply.

Most of its main blood vessels are accompanied by nerves, running along muscle intervals and fascial spaces, with branches entering the muscle from the muscle door and branching repeatedly within the muscle.

Finally, a capillary network is formed around the muscle fibers in the intima of the muscle, and then the capillary network merges into the venules, and the venules exit the muscle portal.

During yesterday's physical examination, Yu Zhiming had detected blood vessels in the lower limbs of the young man with weak legs. The amount of shrinkage of blood vessels with a diameter of more than 0.5 mm was normal, which was consistent with the condition of the young man with weak legs who had not exercised for a long time.

Yu Zhiming speculated that if there is really a blood circulation problem, it is most likely to occur in the blood microcirculation.

Therefore, he decided to take a small piece of muscle intima from the gastrocnemius muscle of the calf, which showed obvious signs of muscle atrophy in young people with weak legs, and use a high-power microscope to examine it.

Yu Zhiming noticed the frightened look on the face of the weak-legged young man, and comforted him: "Don't be afraid, we will give you an anesthetic, the incision is only one or two centimeters, no sutures are needed, and there will be no sequelae."

In the current situation, the weak-legged young man could only cooperate obediently in order to find out the cause of his illness.

He endured worry and fear, as well as pain, and allowed Yu Zhiming to use needles and knife on his left calf.

A few minutes later, he saw Yu Zhiming running to the high-power microscope and getting busy...

Yu Zhiming placed the slide on the microscope and slowly adjusted the objective lens to make the eyepiece view clear...

In the clear field of view of a high-power microscope, Yu Zhiming quickly discovered the abnormality.

The arterioles were actually twisted and deformed in a different way, as if they had been spasmed by the flames.

This discovery made Yu Zhiming very excited.

It turned out just as he analyzed!

Arterioles with diameters less than 300 microns are called arterioles. They are located at the beginning of microcirculation and play an important role in regulating blood volume in microcirculation. They are resistance vessels in front of capillaries.

In microcirculation, arterioles play the role of "general gate". The contraction and contraction of smooth muscle fibers can control the size of the diameter, and its diameter determines the blood flow of microcirculation.

Such abnormal twisting and spasming of the arterioles will undoubtedly significantly reduce the blood supply to the muscles.

This can lead to functional deterioration of muscles and nerves due to insufficient supply of oxygen and nutrients.

After making the discovery, Yu Zhiming quickly took photos to collect evidence.

Next, he took samples from the weak-limbed young man's right leg and left and right arms.

What excited Yu Zhiming was that the arterioles on the muscle intima of the soft-legged young man's right leg also had abnormal spasms.

However, no arteriolar spasm was found in the two specimens taken from the young man's left and right arms.

This proves that it is the spasm of the arterioles in the blood supply to the lower limbs that causes the young man's legs to become weak.

But this creates new problems.

What causes arteriospasm of the lower extremities in young people?

Yu Zhiming informed the weak-legged young man of his discovery and asked him to go back to the ward first, while he happily rushed back to the big office.

But as soon as he entered the big office, several people cheered and surrounded him.

"Doctor Yu, do you still recognize me? I'm here to give you a banner."

This voice, as well as the slightly plump figure, made Yu Zhiming immediately recognize the other person.

"I remember, you were the one who pretended to be pregnant last night."

These words made the plump woman's face turn red, and she said sarcastically: "Doctor Yu, please don't mention that. You're so embarrassed."

She hurriedly turned around and said, "Dr. Yu, what was the diagnosis you gave me at that time..."

"Mucinous cystadenoma of the ovary."

The woman explained the medical terminology accurately word for word, and then continued: "We went to the hospital overnight for examination, and it was really true."

"The next day, the doctor performed minimally invasive surgery on me, and the myxoma extracted weighed nearly six kilograms."

"Doctor Yu, look..."

The woman touched her belly and said, "My belly is gone."

To be exact, she still has a belly, but it's not as big or obvious as before.

Yu Zhiming turned to ask: "How is your cousin who was driving the car at that time?"

The woman waved her hand and replied: "This is not the first time for drunk driving. Ten days of public security detention."

"He's still squatting inside. He should be given a good education..."

After chatting for a while, Yu Zhiming said that he still had to work next.

The woman and her family expressed their gratitude again very understandingly, and then presented them with a banner of "Miracle Doctor", a large fruit basket, and a large bouquet of flowers, and then left.

"Zhou Mo, the flowers are yours and you will get a share of the fruits."

Yu Zhiming confessed, left the big office, went to the ward area upstairs, found the large team led by Teacher Qi, and followed him to check the ward...

He was busy until lunch time at noon, and then it came to an end.

Yu Zhiming returned to the big office and prepared to have lunch with Zhou Mo, but found that the guy was not waiting at his work station and left him a note.

"This beauty is inviting me to a big dinner at noon, so you can only go to lunch alone."

Yu Zhiming came to the hospital cafeteria alone, packed his meals, and found a relatively quiet place to sit down.

Halfway through his meal, he saw Bao Wan holding a dinner plate and sitting down at the empty seat opposite him.

As soon as Bao Wan sat down, he asked: "Dr. Yu, do you know about Dr. Wang?"

Yu Zhiming knew that she was asking Dr. Wang Jiangyue from the General Surgery Department, so he nodded gently.

"I know, they said the hospital investigation report will be out tomorrow."

"Doctor Yu, is there no big problem?"

Seeing Bao Wan's concerned look, Yu Zhiming comforted him: "The main responsibility does not lie with Dr. Wang."

"And Dr. Wang is also the backbone chief physician of the general surgery department, so the hospital will protect her."

"However, punishment is probably unavoidable, and it is estimated that this year's year-end bonus will also be significantly reduced."

Yu Zhiming added: "I learned this from Director Yang Mai of the Medical Department."

Bao Guan took a long breath and said, "I'm relieved now. Dr. Wang has been on leave for the past few days, and I don't dare to ask around. I've been feeling very nervous."

Yu Zhiming smiled and turned to ask: "How has your work been recently?"

Bao Wan had a smile on his face and said, "It's good. The hospital rectification campaign has been very effective."

"Although our residents are still very tired, there is no obvious injustice. We are tired and happy."

"I can still accept Dr. Wang's guidance from time to time and do some small things for Dr. Wang to the best of my ability."

Bao Wan continued: "In the past few days, what we have been talking about the most is the expansion of the Qiyue Medical Research Center."

Yu Zhiming said bluntly: "The center will select some outstanding attending physicians, but resident physicians will not be considered."

Bao Wan said with an undiminished smile: "We all know this, and we must select the best among the attending doctors."

After a pause, she asked again: "Hey, Dr. Yu, if there is an attending physician who works very well in other hospitals and wants to join your center."

"Will you accept it?"

Yu Zhiming chuckled and said: "It depends on how good he is. For example, wouldn't I be hired under the exception?"

Bao Wan chuckled and said, "Of course he can't be as good as you, Dr. Yu, but he is much better than me."

She introduced in detail: "He and I are from the same prefecture-level city. He graduated from Capital Medical University and has a doctorate in clinical medicine. He now works in a top-level hospital in our city."

"If I hadn't been lucky enough to be hired by Huashan Hospital, I would have gone back to work in that hospital."

Bao Wan took a sip of seaweed soup and continued: "He has been working for five years and has published five papers in core journals, including two in SCI journals."

Scientific research medical talents?

Yu Zhiming commented in his heart.

Medical papers were his weak point.

Although as of now, five papers signed by Yu Zhiming as the second or third author are confirmed to be published in core medical journals.

However, people know their own affairs, and Yu Zhiming’s contribution in those papers was to serve as a tool to provide detailed physical exploration data of patients to Teacher Qi, Xie Jianmin, Wang Zhijin, Wang Zejia and others.

The main case study work was not done by him.

Bao Wan continued: "Three provincial-level tertiary hospitals have already sent invitations to him, but he has never accepted."

Yu Zhiming smiled and asked: "Want to come to our Huashan?"

Bao Wan hummed and said, "Last night, he took the initiative to call me to inquire about the situation in your center and revealed his intention to change jobs."

Yu Zhiming smiled again and said solemnly: "For such an outstanding talent, it would be inappropriate to contact me."

"Perhaps, I would reject him outright out of jealousy."

Bao Wan was slightly startled and said, "I believe, Dr. Yu, you are not such a person."

Yu Zhiming chuckled and said: "Dr. Bao, don't think too highly of me. I am also an ordinary person, and I will also be envious, jealous, and hateful."

After a two-second pause, he smiled again: "The most important thing is that I am good at diagnosing diseases, but I don't have the ability to judge whether a person is good enough."

He pondered and said, "In this case, I'll talk to Dean Tan, and you can report his situation to Dean Tan."

Just as he said, Yu Zhiming took out his mobile phone and dialed the number of Vice President Tan...

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