The most enlightened doctor
Chapter 754 Passing on a male rather than a female
Dimly, Yu Zhiming heard the sound of the door being pushed open, followed by footsteps.
At this time, Yu Zhiming had become much more awake, and two creeping figures clearly appeared in his mind.
After a while, the two people came to the bed, and one of them reached out and touched Yu Zhiming's forehead.
"Fourth sister, I don't have a fever or recurrence."
When another person also reached out to touch Yu Zhiming's forehead, his hand was grabbed by Yu Zhiming.
"Hey, Lao Wu, you're awake."
Yu Zhiming stood up and sat on the bed, and said depressedly: "Fourth sister, Qing Ning, counting this time, you came in three times in one night, will you let me have a good rest?"
The fourth sister, Yu Xiangwan, arrived at around nine o'clock last night and slept in the master bedroom with Qing Ning.
"Aren't you worried that your temperature will rise again at night?"
Yu Xiangwan explained, and then asked with concern: "Lao Wu, have you been up all night? Why do you know all the times we came in to take your temperature?"
Yu Zhiming rolled his eyelids and said, "I had a lot of rest yesterday, so I slept lightly at night."
"Besides, you two always come in together. After taking your temperature, you don't leave in a hurry. You tuck me in the quilt and mess with the pillow. Isn't it obvious that you want to wake me up?"
Qing Ning giggled, "Isn't this because I'm afraid you'll catch cold again and make your sleep uncomfortable?"
"Zhiming, you can lie down and sleep again. We promise not to come in and disturb you again."
Yu Zhiming glanced at the electronic clock on the bedside table and said, "It's almost six o'clock in the morning, and I can't sleep."
"But you two need to catch up on your sleep..."
The young nurse Wang Li also stayed at Yu's house last night.
She gave Yu Zhiming a simple physical examination in the morning and found that Yu Zhiming was fine. After breakfast at Yu's house, she rushed back to the hospital to work alone with a stack of case information that Yu Zhiming asked her to carry.
Zhou Mo, who came over for breakfast early in the morning, waited for Wang Li to leave before confirming and asking: "Doctor Yu, do you really want Boss Xiao to bring the patient here directly?"
What Zhou Mo was talking about was a patient that Xiao Han of the Four Seasons Club asked for care a few days ago. He was worried that he had a family hereditary disease and would die suddenly in his sleep.
The originally scheduled date for seeing a doctor was today.
"With my current physical condition, it's more than enough for me to go to work in the hospital. It's just that the director is too careful and will definitely let me rest for one more day."
Yu Zhiming sighed softly, and then continued: "Since we have made an appointment today, we can't let the patient go in vain."
"To me, it's also a matter of time, and it's better to resolve it sooner rather than later."
"If a doctor procrastinates, he may die."
Zhou Mo flattered you: "Dr. Yu, you are really a famous doctor with a strong sense of responsibility, and I admire you more and more."
Yu Zhiming glanced at this guy, stood up and said, "I'm going to the bedroom to read a book."
"It's up to you..."
In the master bedroom on the second floor, Qing Ning and Yu Xiangwan were fast asleep.
Yu Zhiming did not disturb them, and quietly returned to his soundproof bedroom and sat down at the desk.
He took out the mobile hard drive given by Dr. Yang Xi and connected it to his laptop.
Yu Zhiming checked it first and found to his surprise that the mobile hard drive with a capacity of 2TB was almost full of data.
He clicked on the mobile hard drive, entered the case information folder, and found dozens of folders for lung cancer, stomach cancer, pancreatic cancer, etc.
When I clicked on gastric cancer, I found several folders including gastric antrum cancer, gastric lesser curvature cancer, cardia cancer, and gastric body cancer.
Continuing to click, Yu Zhiming successively clicked on the mid-stage gastric cancer folder, and then on the invasive type folder...
Like a matryoshka doll, Yu Zhiming clicked on eight folders one after another before seeing the specific individual case information.
Yu Zhiming discovered that the information on this patient collected by Dr. Yang was very detailed. Such as the patient's basic information, physical examination information, medical history data, pathological analysis reports, tumor imaging data, treatment plans, medication records, physical review information, until the patient's death...
Compared with the case information collected and compiled by Dr. Yang, Yu Zhiming found that the case information he compiled was impossible to read, as it was too rough and simple.
After reading this case information, Yu Zhiming seemed to see a fifty-three-year-old, medium-height, honest, thin man with a sad face in front of his eyes.
Under Dr. Yang’s examination, he was diagnosed with mid-stage gastric lesser curvature invasive tumor. After some physical recovery, he underwent gastric tumor resection.
After some chemotherapy and other treatments, the patient recovered well and spent four wonderful years with his family.
Four years later, recurrence and metastasis were unfortunately discovered. After nearly a year of painful treatment, he finally died...
As if he was personally involved, Yu Zhiming examined the patient, made him a treatment plan, and adjusted his prescription again and again...
At the last moment, try to ease his pain as much as possible...
Yu Zhiming seemed to be able to feel that every time Dr. Yang adjusted the prescription after performing a physical examination on this person, he was either happy, feeling a sense of accomplishment, or feeling disappointed and self-blame...
At nearly eleven o'clock in the morning, the sound of the bedroom door opening pulled Yu Zhiming out of his study of case materials.
He turned around and saw half of Zhou Mo's head peeking through the crack in the door.
"Doctor Yu, Boss Xiao and the others are here."
Yu Zhiming walked out of the soundproof bedroom and found that Qing Ning and Fourth Sister were no longer on the bed in the master bedroom.
Zhou Mohui reported: "Sister Xiang Wan left here to go to work, Qing Ning is downstairs to receive Boss Xiao and the others..."
Yu Zhiming came to the living room downstairs and met Xiao Han and Shen Qingjun who came for a physical examination.
There is also Shen Qingjun’s wife, as well as Shen Qingjun’s son who is in college and his daughter who is in high school.
After Shen Qingjun introduced his family, he said with gratitude: "Dr. Yu, thank you for insisting on giving me a physical examination when you were feeling unwell."
"A small gift, please accept it."
Yu Zhiming saw that what he handed over was a box of ginseng. There were ten ginseng trees in total. Judging from the quality, they should be the best 20-year-old ginseng, and the value should be around 10,000 yuan.
"Boss Shen, you're welcome."
Yu Zhiming didn't refuse too much, took the ginseng, and handed it to Qing Ning beside him.
He also understood that Shen Qingjun brought his children who were still studying.
If a hereditary disease is really detected, it would be a good time to conduct a verification on the children.
After a brief exchange of greetings, Yu Zhiming, accompanied by Zhou Mo, took Shen Qingjun to the soundproof bedroom upstairs and let him lie on a massage table temporarily placed in the bedroom.
Yu Zhiming first checked Shen Qingjun's heart and lungs.
The causes of sudden death mainly include cardiogenic, pulmonary, and cerebral.
About 80% of them are of central origin.
After a careful examination, Yu Zhiming discovered that Shen Qingjun's lung function was quite good, but his heart had coronary heart disease.
However, his coronary heart disease was not serious enough to require a stent or bypass surgery.
This level of coronary heart disease is not enough to cause sudden death from myocardial infarction. However, it won’t necessarily be the case in another ten or twenty years.
"Mr. Shen, do your father and your grandfather have a history of coronary heart disease?"
Shen Qingjun replied: "They don't have coronary heart disease."
"Dr. Yu, my father and my grandfather are both in good health. They both pay attention to physical exercise and go to the park to exercise every morning."
"I've never heard of them having heartache or feeling uncomfortable."
"I contracted coronary heart disease mainly because I had a lot of social activities, didn't take regular breaks, and didn't have much time to exercise."
Yu Zhiming said softly and began to conduct an in-depth examination of Shen Qingjun's brain.
Sudden cerebral death can cause various types of strokes, convulsions or epilepsy, brain tumors, brain trauma, neurosurgery, strong emotional reactions, etc.
Yu Zhiming started to explore Shen Qingjun's forehead, exploring the suspicious areas of his brain area by area.
Ten minutes later, after probing Shen Qingjun's brainstem area, Yu Zhiming discovered a small doubt.
At the extreme depth of Yu Zhiming's exploration, a small artery with a diameter of about 1.5 millimeters suddenly expanded to a length of about 1 centimeter, and the diameter of the blood vessel became about 2.5 millimeters.
The brainstem is the life center of the human body and controls important functions. It is small in size but has a large influence. It is extremely sensitive to bleeding. Once bleeding occurs, it may cause very serious consequences.
If the amount of bleeding in the brainstem exceeds ten milliliters, the possibility of successful treatment is quite small.
Therefore, once this small artery with a diameter of 1.5 mm in the brainstem ruptures and bleeds, the result will be fatal.
"Mr. Shen, did your cousin die of brainstem hemorrhage?"
Shen Qingjun nodded and said: "It's brainstem bleeding..."
The next moment, he was suddenly startled and asked eagerly: "Doctor Yu, I don't think I told you the specific location of my cousin's cerebral hemorrhage."
"Did you discover something?"
Yu Zhiming nodded and said, "I made some discovery."
"Mr. Shen, call your children over. I need to do a confirmation check..."
Shen Qingjun's son and daughter were quickly called into the soundproof bedroom.
Yu Zhiming first briefly checked Shen Qingjun's son's heart and lungs, and then went straight to the brainstem.
To his surprise, he found a small segment of a small artery dilating in the same part of the brainstem.
It's just that the expansion is slightly smaller than that of Shen Qingjun, from 1.5 millimeters in diameter to about 2 millimeters.
Then, Yu Zhiming examined Shen Qingjun’s daughter’s brain stem.
To his surprise, no abnormal expansion of blood vessels was found in the same part of the brain stem.
Is this passing on male rather than female?
Or is it because he is still young?
Shen Qingjun said: "There is a high probability that it will be passed on from male to female. My aunt is eighty-seven years old and is in good health."
He asked again with a worried look on his face: "Dr. Yu, can our situation be treated or prevented?"
Yu Zhiming pondered and said: "If you find out the problem, you will have a way to deal with it."
"But I don't have enough experience with the specific methods. You'd better consult a neurologist."
Shen Qingjun said oh, and then said with gratitude: "Doctor Yu, you have discovered the real problem of our family, and you are the great benefactor of our Shen family."
Yu Zhiming smiled modestly, and then turned his attention to Shen Qingjun's son.
"There are serious inflammatory nodules under the skin on your chest. It is recommended that you treat them carefully to avoid serious infection."
"I suggest you not get any more tattoos."
"You have a tattoo?" Shen Qingjun glared at his son, his voice suddenly rising an octave...
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