The most enlightened doctor

Time flies to Monday, the beginning of a new week.

Yu Zhiming woke up at six o'clock in the morning. He first checked his mobile phone to see if there were any missed calls or messages, and then read the news about the earthquake in Turkey on his mobile phone.

According to reports, the epicenter of this earthquake was located near a large city, causing a large number of houses to collapse, and the number of casualties was estimated to be at least tens of thousands.

After the earthquake, countries around the world, including China, announced that they would dispatch rescue teams to participate in the rescue as soon as possible and donated a large amount of disaster relief materials.

Yu Zhiming searched and found no reports about the Turkish side asking him by name to participate in on-site rescue.

Obviously, this message should have been blocked...

Get up, wash up, and exercise. In addition to aerobics, Yu Zhiming also focused on practicing the breathing method of Longevity Gong, as well as the two postures that he has initially mastered...

At nearly 8:30 in the morning, Yu Zhiming and Zhou Mo rushed to the third underground floor of Zhizhen Building of Huashan Hospital.

Shen Qi, Zhou Luo and others came up together.

Duan Yi was the first to report: "Dr. Yu, Dr. Yu, we have discovered a very miraculous case, suspected Susak syndrome in a man."

"His memory can only last two or three hours."

Susak syndrome? !

The name of the disease immediately aroused Yu Zhiming's great interest.

This is a rare medical condition with unknown cause, and there are only two to three hundred known cases worldwide.

The patient's brain is damaged and his memory can only last up to twenty-four hours.

The patients are mainly women between the ages of 20 and 40, and are accompanied by symptoms such as headaches and photophobia. Vision, hearing and balance abilities are also affected.

The first time Yu Zhiming learned about this disease was from a film and television work called "Fifty First Dates".

However, because this disease is so rare, neurology departments in most large hospitals may not encounter a single case in years, or even decades.

Yu Zhiming asked confirmingly: "Real? False? The memory lasts for two or three hours and then overwrites it and starts again?"

Shen Qi replied softly: "Dr. Yu, it is true that the patient's memory can only last two or three hours. The diagnosis given by Director Qi is paroxysmal amnesia caused by ischemia of the hippocampus."

Yu Zhiming ordered with great interest: "Dr. Shen, please tell me the specific situation in detail."

Shen Qi and others followed Yu Zhiming into the soundproof office.

"Dr. Yu, the patient is my friend's father who has been hungry for 24 hours on Friday night."

While watching Yu Zhiming put on his white coat, Shen Qi continued to introduce, "After he woke up, he swore to tell us that he had just eaten and had not eaten for a day."

"I thought for a while that he was suffering from Alzheimer's disease and lost his memory. Later, when I learned more about it, I suddenly discovered that his memory was stuck on his afternoon nap on Thursday."

"And, every two or three hours, his nascent memory is overwritten."

"So all day Friday, his memory told him that he woke up after a post-meal nap and didn't need to eat."

After a pause, Shen Qi continued: "On Saturday, I asked Director Qi to examine him. Cerebral angiography revealed significant stenosis in the arteries that supply blood to the hippocampus."

"Director Qi believes that continued ischemia in the hippocampus causes it to be unable to convert short-term memory into long-term memory."

"Not only that, but the hippocampus also restarts every two or three hours, producing an effect similar to that of drinking alcohol."

The hippocampus is located deep inside the brain, between the thalamus and the medial temporal lobe, and is part of the limbic system.

It is mainly responsible for functions such as storage conversion and orientation of short-term memory.

Substances such as alcohol and fusel oil in wine can stimulate and paralyze the central nervous system.

Alcohol, if consumed in small amounts, can make people excited; excessive drinking can make people uncomfortable.

When excessive drinking reaches a certain level, alcohol paralyzes the hippocampus and inhibits its memory storage and transformation functions, which in turn leads to the generation of memory fragments after being drunk.

Yu Zhiming recalled some knowledge about the hippocampus, and then heard Shen Qi continue: "I was given drug treatments such as blood vessel dilation, lipid lowering, and anticoagulation, but the effect was not obvious."

"Director Qi said that in the patient's case, the only option is to slowly recover, or to perform surgical treatment regardless of the risk."

Yu Zhiming saw Shen Qi looking towards him and asked, "Want to do interventional surgery?"

Shen Qi asked expectantly: "I wonder if you can do it, Dr. Yu?"

Yu Zhiming recalled the information obtained from the cardiovascular and cerebrovascular examination of the man on Friday night, and said: "His atherosclerosis is quite serious, and interventional surgery can easily cause plaque to fall off the blood vessel wall, leading to blood vessel obstruction."

He shook his head and said: "The risk is too great."

"Keeping it like this, controlling the three highs, and slowly clearing the blood vessels is a safe way."

Shen Qi also knew that as far as Uncle Qian's situation was concerned, Dr. Yu's proposal was the best choice.

The next moment, he suddenly heard Yu Zhiming ask, "Dr. Shen, are you interested in that Qian Ya?"

"No, it's not interesting..."

Shen Qi replied in a panic: "Dr. Yu, don't think too much, she and I are just ordinary friends."

He further explained: "She made it clear that she would not choose a doctor who is busy at work and has no time to accompany her as her boyfriend."

Hearing what he said, Zhou Mo, Zhou Luo, Duan Yi, and Sui Chi all smiled meaningfully.

Zhou Luo chuckled and said, "It turns out it's not that you have no interest in me, it's that I have rejected you a long time ago."

Duan Yi said angrily: "What's wrong with doctors? It's just that they don't like you!"

"As long as you like someone, it doesn't matter what your occupation, family, age, family opposition, education, wealth, beauty or ugliness, race, etc."

Zhou Mo also echoed: "Yes, yes!"

"The simplest example is based on Dr. Yu's conditions. Which girl would dislike him for being busy at work, unable to accompany him, and not considerate enough?"

Yu Zhiming saw that Shen Qi's expression was a little unnatural, so he changed the subject and said, "It's getting late, let's go get ready."

"In five minutes, start working..."

Monday is Yu Zhiming’s outpatient day.

Yu Zhiming led Dr. Qin Qiushi, as well as Zhou Luo, Shen Qi and others, and worked in the soundproof examination room until 12 noon, completing diagnosis and treatment for a total of 27 registered patients.

He was about to go back to the office for lunch. As soon as he came out of the soundproof examination room, he was almost hit in the face by a microphone.

Yu Zhiming took half a step back and saw a beautiful young woman dressed dignifiedly, holding a microphone in her hand.

Next to him, there was a bearded man holding a camera on his shoulder, filming him.

Yu Zhiming frowned, and then the woman with the microphone in front of him said, "Hello, Dr. Yu! I am Xie Qing, the reporter of Binhai TV's social column."

"Can I interview you with a few questions?"

"No!" Yu Zhiming replied simply and walked away.

Xie Qing was a little stunned. He didn't expect that Yu Zhiming would refuse the interview directly without giving any face.

She took two quick steps, followed up with Yu Zhiming, and asked loudly: "Dr. Yu, regarding the invitation issued by the Turkish government, Dr. Yu is requested to go to Turkey to participate in the treatment of earthquake victims."

"What do you think? Do you agree to the invitation?"

At this moment, there are many patients and family members waiting in the corridor for afternoon diagnosis and treatment.

Upon hearing this question, everyone looked curiously at Yu Zhiming, who stopped.

Yu Zhiming pretended to be stupid and asked, "Is there such a thing? Why didn't I know about it?"

She said with a proud look on her face: "Dr. Yu, you may not know that after the earthquake, you were the only one invited by Tuguo officials by name."

"They said that in disaster areas where power has not been restored and large medical equipment cannot be used, Dr. Yu's first aid skills can save hundreds or thousands of injured people from death."

After a pause, Xie Qing asked again: "Dr. Yu, based on the medical responsibility of saving lives and healing the wounded, as well as the spirit of humanitarianism and internationalism, will you accept the invitation and go to the rescue?"

Yu Zhiming glanced at Xie Qing and found that she looked excited and expectant.

Is this guy an enemy agent who has infiltrated our country? Or are you stupid and naive, just the kind who sits crookedly on your butt?

Yu Zhiming said seriously: "First of all, I would like to thank Turkey for its trust and attention in me. Also, I deeply sympathize with Turkey for such a major earthquake disaster."

"Just about this invitation..."

After a moment of pause, Yu Zhiming said with a heavy face: "I can only say I'm sorry."

"I have a busy work schedule and a constant stream of patients with serious illnesses. Basically, I can screen out five or six cancer patients every day, and there are more late-stage cancer patients waiting for my treatment."

"I can't leave."

Xie Qing looked shocked and asked: "Doctor Yu, can't you temporarily transfer your work in the hospital to your colleagues?"

"There are hundreds of thousands of injured people over there in the Earth Kingdom, waiting for you to rescue them."

Yu Zhiming said in a deep voice: "Reporter Xie, it seems you didn't get to know me well before coming here. My work in the hospital cannot be replaced or done for me by others."

Xie Qing added: "Even if you can't replace and do it for you, can you just take a break?"

She emphasized again: "There are hundreds of thousands of dying and injured people in the Tu Kingdom waiting for your help."

Yu Zhiming frowned and said, "Thank you reporter, please don't overexaggerate my role."

"I am just a young doctor with limited abilities. I cannot save or decide the life or death of hundreds of thousands of people."

"Also, for many seriously ill patients, time is life and cannot be suspended or delayed. No one knows whether the condition will suddenly attack or worsen at the next moment..."

Yu Zhiming asked unceremoniously: "In your opinion, I should abandon them and go to Tu Kingdom to participate in the rescue?"

Xie Qing quickly denied it and said, "Dr. Yu, don't misinterpret my meaning."

"I just feel that there are hundreds and thousands of people in the Earth Kingdom waiting for your help. How many people in the hospital need your treatment?"

"A dozen people? Or dozens of people?"

Yu Zhiming said slowly: "The life of one person or the lives of a hundred people, which one is more important, has always been controversial."

"But, for me, I will choose to treat the people around me within reach, whether it is one person or a hundred people..."

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