The most enlightened doctor

Under normal circumstances, the blood pressure of the left and right upper limbs is not exactly the same, and there is a blood pressure difference.

This difference is generally within 10-20mmHg, and is mostly due to high blood pressure in the right upper limb.

The physiological reasons for this difference are generally caused by differences in the thickness of blood vessels in the left and right upper limbs, the thickness of muscles, and the distance and angle between the arteries and the heart.

If the difference between left and right blood pressure is higher than 20mmHg, you need to go to the hospital for detailed examination to find the cause.

There are many reasons for the excessive difference between left and right blood pressure.

For example, congenital heart disease.

It is often accompanied by supravalvular aortic orifice stenosis, which may induce higher blood pressure in the right upper limb than in the left upper limb.

Another example is aortic dissection.

Patients with aortic dissection have conditions such as increased aortic wall tension and abnormal aortic wall structure, which may result in excessive bilateral blood pressure differences.

In addition, arteritis, subclavian artery steal syndrome, subclavian artery dysplasia, aortic coarctation, aortic arch syndrome and other causes can also cause abnormal bilateral blood pressure differences.

When Yu Zhiming's hands were held by the eldest sister and the woman, his keen perception, coupled with his professional sensitivity, directly made him realize that the blood pressure of the woman's left hand was significantly higher than that of her right hand.

The so-called name of a person is the shadow of a tree. As soon as Yu Zhiming said this, the entire private room fell silent instantly.

The next moment, the eldest sister and eldest daughter were pulled to the rest area by several companions, and then pushed down on the sofa.

"Doctor Yu, come for a checkup quickly."

Yu Zhiming came to the sofa in the rest area and bent down to check the heart of the eldest sister and woman...

Heart, no problem!

Then, he checked along the artery to the radial artery in his left arm, but found no problem.

For comparison, Yu Zhiming explored the radial artery in the eldest sister's right arm.

From this comparison, Yu Zhiming discovered that the blood flow rate of the radial artery in the eldest sister's left arm was a bit slow, and there was a stagnation phenomenon compared to the radial artery in the right arm.

Is there terminal blood circulation disorder in the left arm?

Or is there something wrong with the venous blood return?

With these two questions, Yu Zhiming concentrated his attention and continued to check, and soon discovered the problem.

There is an embolism in the deep vein of the left arm.

Yu Zhiming retracted his hand, straightened up, and said: "Deep vein thrombosis in the left arm. It is recommended to go to the hospital for thrombolytic treatment."

He asked again: "Auntie, you should be able to obviously feel the swelling and pain in your left arm, right?"

The eldest sister stood up and shook her left arm.

"In the past few days, my left arm has been really sore, swollen and painful. I thought I had injured my left arm from overexercising."

She asked again: "Dr. Yu, is it serious?"

Yu Zhiming nodded slightly and said: "If the venous embolism breaks off, it will move to the lungs and cause pulmonary embolism."

"Potential risk to life."

The eldest sister said oh, shook her left arm again, and said: "I've been sore for a few days, but I'm still fine, and I won't miss it for a few hours."

"Eat and drink enough first. Maybe you won't be able to eat this or that after you go to the hospital."

this……

Yu Zhiming is really convinced by this eldest sister, she is really big-hearted.

He still wanted to persuade him a few words, when he felt a gentle poke in his waist.

Turning around, he saw it was Zhou Mo.

I saw this guy pointing in the direction of the door of the private room with his beady eyes.

If you don’t leave now, wait until later!

Yu Zhiming, who understood, walked towards the door and said quickly: "Auntie, I suggest you go to the hospital as soon as possible, don't take any chances."

Having said this, Yu Zhiming ran out of the private room without forgetting to drop the next sentence.

"I still have something to do over there, so I have to go back..."

Yu Zhiming first went to the bathroom to solve the problem, then returned to Chunhua Hall and sat down in his original position.

As soon as he sat down, he whispered to Qing Ning: "There are more than a dozen of the teacher's dancers and square dancers sitting in the Dongxue Hall. They are all middle-aged and elderly women."

"The teacher danced square dance with them. I can't even imagine the scene."

At this time, Dean Li Yao's voice sounded, "Doctor Yu, what happy thing happened to you?"

"Smiling so happily?"

When Yu Zhiming saw everyone at the table looking at him, he chuckled and said, "I just realized that the teacher is a square dance enthusiast, and nearly a table of fellow dancers came to the banquet."

"Director Qi actually danced in the square?"

Someone was surprised and then laughed: "Can't you imagine that Director Qi, who is usually serious and serious, dances happily?"

Dr. Wang Chunyuan chuckled and said, "This is normal. Doctors are under a lot of pressure. Square dancing is lively and crowded, but it is a good activity to relieve stress."

"Most doctors have their own unique hobbies to relieve depression and stress at work."

"Doctor Yu, do you have any hobbies?"

Yu Zhiming met Dr. Wang's gaze and said, "Does playing the erhu count? I learned the erhu when my eyesight was bad, and now I still play a few tunes from time to time."

Wang Chunyuan smiled and said: "Of course it does. Music is also a good way to soothe the mood and relieve stress."

Dean Li said: "Dr. Yu, since you are good at playing the erhu, then play a song at this year's hospital annual meeting to let the whole hospital know your versatility."

Yu Zhiming smiled and replied: "This year's program in our central newspaper is my erhu performance."

At this time, the boss of a medical supplies company at the dining table suddenly said: "Dr. Yu, I have a friend who is not only a master of erhu playing, but also good at making erhu."

"The erhu he made is quite famous in the industry."

"However, he only makes three to five erhus a year, and they are basically made to order."

"Dr. Yu, if you need anything, can I contact you on your behalf?"

Yu Zhiming waved his hand gently and said: "Thank you, Mr. Ai, for your kindness. I am just an amateur Erhu player. I usually play simple pop songs, and my performance can barely reach the level of listening and not going out of tune."

"At my level, don't waste the master's skills."

The erhu that Yu Zhiming plays now is made of rosewood and was given to him by his eldest brother-in-law when he was eleven years old.

It was said that he spent eight hundred yuan to buy it second-hand from an employer who hired him to decorate it.

Yu Zhiming played it very smoothly, and the sound quality was also good. To him, it was not much worse than those performance-grade erhus worth several thousand yuan.

Mr. Ai smiled softly and said: "In today's society, most of the real good things are not in the hands of professionals, but in the hands of enthusiasts who may have money or status."

"With your identity and status, Dr. Yu, you are fully qualified to own an erhu carefully crafted by a master."

Yu Zhiming knew that the other party wanted to send him off, so he declined politely: "My erhu has special meaning to me, and it is enough for me."

"It's better not to waste a good thing..."

More than half an hour later, Qi Yue finally came back smelling of alcohol.

Yu Zhiming finally breathed a sigh of relief, no longer worrying about the atmosphere in the private room, and started eating and drinking mode again.

At this time, the banquet had been going on for more than an hour.

Among the guests who came to the banquet in other private rooms, some were already full and ready to leave.

Qi Yue quickly took a few bites of the food, suppressed the alcohol in his head, and left the private room again to see off the guests.

In this case, Chunhua Hall will disperse the tables in advance.

This made Yu Zhiming a little depressed.

Not full yet.

Yu Zhiming shuffled behind and found that Dean Li and Dr. Wang Chunyuan had also stopped in their tracks.

"Doctor Yu, aren't you full yet?"

Li Yao said with a smile: "I will stay here to tell you something, and you can also have a full stomach."

He looked at Wang Chunyuan again and asked, "Dr. Wang, do you also have something to discuss with Dr. Yu?"

Wang Chunyuan nodded and said, "If it's not convenient for you, Dean, I can wait outside."

Li Yao chuckled and said: "It doesn't matter, Doctor Wang, you can sit down and listen together. Maybe we are talking about the same thing."

Li Yao, Wang Chunyuan, Yu Zhiming and Qing Ning returned to the dining table and sat down.

They all said that they had something to discuss, but Yu Zhiming was really careless, eating and drinking while listening to what the dean had to say.

After the waiter changed the tea, Li Yao slowly said: "On the 10th of this month, the hospital will announce the center's plan to recruit young doctors."

"This matter is mainly responsible for Director Qi, Dr. Wang and other senior chief physicians who have been confirmed to be transferred to the center."

After a pause, Li Yao met Yu Zhiming's gaze and said, "Dr. Yu, in addition to deciding on your own a few nurses with nice voices, you can also decide on your own three or five medical assistants who will assist you in sorting out cases and taking care of patients."

Yu Zhiming nodded and said, "The teacher told me about this a few days ago."

Li Yao asked: "Dr. Yu, do you have any ideas or target candidates for medical assistants?"

this……

Yu Zhiming said with an embarrassed look: "Dean, to tell you the truth, I don't have much contact with the young doctors in the hospital."

"It can be said that there are not many familiar ones."

"I have to take my time with this personnel selection..."

When Yu Zhiming saw Li Yao and Doctor Wang staring at him, his heart moved and he asked: "Dean, Doctor Wang, do you have anyone to recommend?"

Li Yao sighed softly and said, "Doctor Yu, although I am the head of a hospital, there are times when human relationships are not without excuse."

Yu Zhiming said happily: "You have suitable people to recommend. That would be great."

"Based on my experience, my ability to recognize people is limited. If you recommend me, the conditions will definitely not be bad in all aspects."

Li Yao laughed and said: "You little guy, you have learned how to wear a high hat for us."

After a moment of pause, he said confidently: "I have indeed learned about the young doctor I recommended in detail."

"I can't say that he is one of the best in all aspects, but his overall strength is definitely among the best among the young doctors in our hospital."

"And the character and behavior are also acceptable."

Wang Chunyuan continued: "Dr. Yu, I can also vouch for the candidates I recommend."

"His medical skills and character are both fine."

At this time, Gu Qingning interjected: "Can I take this opportunity to fight for a place in Ning'an Hospital?"

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