The most enlightened doctor

It is said that life is priceless, but in real life, life has a price tag and is divided into three, six, and nine grades.

The most obvious example is that the price of compensation for lives lost in traffic accidents is clearly stipulated.

Moreover, prices are different for people in rural areas and cities, and for people in small cities and big cities.

In hospitals, it is common to see that life is priced.

Some people give up treatment because they cannot afford tens of thousands in treatment fees, while others spend millions and tens of millions to keep themselves alive.

Yu Zhiming looked at the unconscious man in front of him who looked to be about forty years old. His body was covered with monitoring data cables and connected to an external pacemaker. He thought to himself that this man had also been marked with a price by his family.

"Doctor Yu..."

Wang Chunyuan, who came to the emergency room more than ten minutes earlier at Yu Zhiming's request, said: "I have reviewed the patient's physical examination information, and there is no obvious organic cardiac disease, nor any systemic causes..."

"The patient's recurring malignant arrhythmias and cardiac arrests, I suspect, are most likely caused by genetic defects in genetic factors."

The main causes of arrhythmia can be divided into genetic and acquired.

Hereditary factors, mostly gene mutations.

Acquired factors include physiological factors, such as exercise, emotional changes, etc., as well as pathological factors, such as cardiovascular diseases and systemic causes.

Arrhythmias can also be induced when organs other than the heart undergo structural or functional changes.

After listening to Dr. Wang Chunyuan's brief introduction, Yu Zhiming began to perform a physical examination on the patient.

The first thing he checks is the patient's heart.

During Yu Zhiming's investigation, no blockage or obstruction was found in the patient's cardiovascular system, nor were abnormalities such as myocardial inflammation, myocardial hypertrophy, or valvular lesions found.

Indeed, as Dr. Wang Chunyuan said, this man's heart had no organic disease, but his heartbeat gave Yu Zhiming a wild convulsive feeling as if he had taken the wrong medicine.

Yu Zhiming then performed a full body examination on the patient.

Systemic causes of arrhythmia mainly include drug toxicity, acid-base balance and electrolyte disorders, nervous and humoral regulatory dysfunction, etc.

Functional or structural changes in other extracardiac organs, such as hyperthyroidism, stroke, etc., can also cause arrhythmia.

Yu Zhiming's examination also mainly focused on these two areas, in order to find the cause of the disease so that he can prescribe the right medicine for treatment...

"Doctor Wang..."

A short-haired woman in her thirties with red and swollen eyes asked Wang Chunyuan with a sad face, "My husband really has a malignant arrhythmia caused by a genetic defect. Is it easy to treat?"

Wang Chunyuan said thoughtfully: "For this, we need to use genetic testing technology to screen for genetic defects and assess risks, so as to formulate targeted treatment plans."

"This genetic test takes time, and it will take at least a week to get the results."

"As for the therapeutic effect..."

Wang Chunyuan said truthfully: "It can only be said that active prevention and correction when the disease occurs are difficult to cure."

This answer made the short-haired woman's heart sink again and again.

She looked at Yu Zhiming again and saw that his hands had moved to her husband's abdomen.

At this moment, Yu Zhiming is exploring the patient's liver.

This liver gave him a strange feeling.

It seemed like he had fought for three hundred rounds, and now he felt as if he was exhausted and was doing everything on instinct.

The liver is the body’s detoxification organ.

Yu Zhiming thought of this and asked, "Dr. Wang, did you find anything during the patient's toxic substance testing?"

When Wang Chunyuan heard this, he stretched out his hand.

The assistant beside him rummaged around in a hurry, found a toxic substance test report from a stack of test sheets, and hurriedly handed it over.

Wang Chunyuan said while browsing: "The concentration of caffeine is obviously very high, and several other stimulating ingredients are also very high. However, it should not be enough to cause repeated malignant arrhythmias."

The short-haired woman also said: "My husband is a little addicted to coffee. He drinks five or six cups of coffee a day at work."

Yu Zhiming frowned and asked: "No toxic substances such as benzyl ecgonine, ketamine, and ephedrine were detected?"

Wang Chunyuan understood the question as soon as he heard it and said, "Are you suspecting a malignant arrhythmia caused by drug abuse?"

"The main components of these drugs are the targets of key monitoring. If detected, they will definitely be highlighted."

Yu Zhiming thought for a while, and finally said without giving up: "Take ten milliliters of blood and send it to the most authoritative drug testing center in Binhai for testing."

As he said this, a little nurse came forward and started drawing blood from the unconscious patient.

Wang Chunyuan asked: "Where is the most authoritative place in Binhai?"

Yu Zhiming just said it casually, and he didn't know where he was.

However, this does not trouble him. The most authoritative thing is that if he doesn’t know, the police will definitely know.

Yu Zhiming looked at Zhang Hai, who seemed to be invisible, and said: "Zhang Hai, please contact me on my behalf and ask for a test result as soon as possible."

Zhang Hai nodded, took a small tube of blood handed over by the nurse, and went to the door to shake people off.

The short-haired woman asked expectantly: "Doctor Yu, was my husband's cardiac arrest caused by toxic substances?"

Yu Zhiming said frankly: "This is just a suspicion of mine, but it is unlikely."

"After all, our hospital's testing center is also very powerful, but its testing found nothing."

After a pause, he added: "At present, the possibility that your husband has a malignant arrhythmia caused by a genetic defect is still the greatest."

Yu Zhiming said slowly: "Whether it is genetic testing or drug testing, it takes time, and it will definitely exceed the 48-hour time limit."

Speaking of this, Yu Zhiming saw pain and struggle on the face of the short-haired woman.

He sighed secretly and said, "Except for some suspicions that your husband's condition is caused by special drugs, I am powerless in other aspects."

The short-haired woman asked eagerly: "Doctor Yu, can you treat me according to drugs first?"

Wang Chunyuan replied on behalf of Yu Zhiming: "There are too many types of drugs, and the treatment methods are different. If you treat blindly, your husband's situation may be even worse."

At this moment, a muffled bang sounded in the rescue room, attracting everyone's attention.

This is because the external pacemaker detected an abnormality in the patient's heart rhythm and started spontaneously to correct it.

Fortunately, this time it did not cause cardiac arrest.

Facing the pleading look on the short-haired woman's face, Yu Zhiming opened his mouth, but his last words were: "You need to make this decision yourself."

"For your husband's situation, I have no better treatment methods or suggestions."

"I have other work to take care of."

As he spoke, Yu Zhiming quickly walked out of the emergency room, even feeling like he was escaping.

Accompanied by Zhang Hai, Yu Zhiming strode out of the outpatient and emergency building, bathing in the hot sunshine, and exhaled a long breath.

Although Yu Zhiming also knew that he was not omnipotent and could not solve all problems, the pleading eyes that seemed to linger in front of him made him feel guilty.

Still not capable enough.

Recently, I have become a little complacent and complacent, and have relaxed my requirements in learning.

While Yu Zhiming was introspecting and encouraging himself, a policeman wearing a helmet trotted up to him.

Zhang Hai took a step forward and handed the tube containing blood to the other party.

"Be fast!" Yu Zhiming couldn't help but warn him.

The helmeted policeman saluted Yu Zhiming and Zhang Hai, turned around and ran away...

Returning to the soundproof office in Zhizhen Building again, it was already lunch time.

Yu Zhiming sat down next to the coffee table with a depressed expression, and Zhou's concerned voice sounded in his ears.

"Dr. Yu, don't you lose your appetite again?"

Yu Zhiming picked up his chopsticks and said, "The world is so big and the earth is so big, eating is the biggest thing. How can I lose my appetite?"

He picked up a chopstick of beef and put it down in his mouth, chewed it hard and swallowed it, and said: "I once read a saying that said that a person either works hard enough to be outstanding, or he is too lazy to know his destiny, and he can do both. The happiest people are those who have the same level of happiness.”

"Anything in between, that's pretty painful."

"I feel that I am outstanding enough, but looking at it now, it is still far from enough."

Zhou Mo exhaled exaggeratedly and said: "Although I was stimulated, it was a positive stimulation, which is not bad."

"Hey, that patient was very bad, and there was nothing you could do. The family finally decided to give up?"

Zhou Mo didn't wait for Yu Zhiming's response, and said: "How can I give up my closest family members? If I were to spend all my family property and take on a lot of debt, I would not give up."

Yu Zhiming gave this guy a cold look.

"You have never lived a hard life and have never been deeply embarrassed by money, so you can say that you are not afraid of back pain."

"When you have no money to buy meat during the Chinese New Year, you will feel how wonderful money is."

Zhou Mo bit his lip and asked cautiously: "You are so moved by the scene, do you think of what happened when you were a child?"

Yu Zhiming glared at this guy, ignored her, and buried himself in his food.

A few minutes later, he said slowly: "Back then, because of financial problems, my family also held a family meeting to discuss whether to give up treating my eyes."

Zhou Mo said softly: "The result of the family meeting discussion is naturally self-evident. There must be more objections than approval."

"Did you overhear the discussion?"

Yu Zhiming was silent for a moment and said slowly: "After that, my eldest sister left her two-year-old daughter behind and went out to work with her eldest brother-in-law."

Zhou Mo suddenly said: "No wonder you are so kind to the eldest sister, and you are also very kind to the eldest sister's two children."

She asked in a low voice: "Does your second sister agree?"

Yu Zhiming hummed: "You talk a lot about eating..."

It was almost noon, and Yu Zhiming, who had taken a short nap, was ready to start his afternoon work.

Sui Chi came to Huihui again to report: "Dr. Yu, the patient's family has not given up. They say they firmly believe in your suspicion and want to take a gamble..."

PS.

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