After lunch, Yu Zhiming did not go back to the big office of the center to close his eyes and recuperate, but took Zhou Mo, a follower, to the ward area and found the patient with esophageal spasm......

"Can I recover without treatment?"

Yu Zhiming faced the surprised expression on the patient's face, and replied cautiously: "I can only say that there is such a possibility." ”

"There are patients in the world who are in a very similar situation to yours, and after a year, the symptoms suddenly disappear."

"It's just that everyone's situation is different, and your symptoms are quite rare, and what happened to that patient may not be replicated in you."

The patient, who was round and round, touched his neck with some difficulty, which was almost gone.

"Doctor Yu, is there really no cure for my disease?"

Yu Zhiming said frankly: "My teacher, that is, the director of the center, Qi Yue, has contacted Dr. Ramon in the United Kingdom, who has treated cases similar to yours. ”

Dr. Ramon said he tried a variety of treatments, but none of them worked, and he had to give up.

After a pause, Yu Zhiming explained: "This situation of yours is very rare, and it is the first time we have encountered it. ”

"How to treat, we can only exhaust all kinds of tests, and then try different treatment options."

"There's going to be a lot of money in the process."

After a pause, Yu Zhiming added: "Coupled with your excessive obesity, there are some problems in your cardiovascular and cerebrovascular, heart, liver and kidney organs. ”

"And trial-and-error treatment may also cause unintended damage to your body."

Yu Zhiming suggested: "You might as well be optimistic and treat this symptom as a mandatory weight loss." ”

"After a year, if your esophageal spasms haven't gone away, you can come to us again."

"At that time, in the face of a much thinner but healthier you, our trial-and-error treatment can also be more daring."

Yu Zhiming's words made the patient quite moved.

He touched his round belly and said with a wry smile: "Doctor Yu, in fact, I also know that I am too fat. ”

"My family and friends kept trying to persuade me to lose weight."

"But, I just can't control myself, I just want to eat food when I see it."

"Since I had difficulty swallowing and pain when I was eating, I really didn't want to eat much."

"Even when it came to the meal, I was scared and fearful when I saw the food."

"Just ......"

The patient showed a painful expression again and said, "In the future, I will drink porridge, eat liquid food, and eat all kinds of paste." ”

"Just thinking about it is a terrible thing."

Yu Zhiming smiled and said, "Losing weight is a very difficult and painful thing. ”

"You can't control yourself, and now you have a physical abnormality to force you to lose weight, which is a good thing!"

The next moment, Yu Zhiming became serious.

"I have to tell you, you Chinese New Year's Eve seven years old today, if you continue to be fat like this, in terms of your viscera, there is a high probability that you will not be able to last forty-five years old."

As soon as these words came out, the patient immediately became nervous.

"Doctor Yu, are you sure?"

Yu Zhiming nodded, and said in a deep voice: "Your three highs have caused varying degrees of damage to your blood vessels and various viscera. ”

"Once a person is over forty, there will be a significant decline in the function of the body and internal organs."

"At that time, your brain and viscera will accelerate the damage, your own immunity will also be rapidly reduced, and all kinds of diseases, even tumors, will find you one after another."

"At forty-five years old, I'm already optimistic."

Hearing this, the patient finally made a decision.

"Lose weight, it's gone."

"Doctor Yu, I listen to you, turn harm into benefit, take advantage of this opportunity, lose weight well, and work hard to lose weight."

"If, after a year, my esophageal spasm symptoms have not disappeared, I will come to the hospital to see you again."

Yu Zhiming nodded in response, and said, "I will talk to the nurse and go through the discharge procedures for you in the afternoon......

Returning to the big office together, Zhou Mo, who had been quiet, couldn't help but speak.

"Dr. Yu, in the face of such a rare case, shouldn't you actively persuade him to accept treatment? If the treatment is successful, a core journal paper will not run. ”

Yu Zhiming glanced at her.

"The duty of a doctor is to treat the sick and save people, but the ultimate goal of treating diseases is to save people."

"The patient's esophageal spasm, although rare, is not fatal, and what is really fatal is his excessive obesity."

"Since he doesn't have enough perseverance to lose weight, it is better to use this esophageal spasm to force him to lose weight."

Zhou Mo nodded and said, "Indeed, the fat on his body, I feel tired of panicking just by looking at it." ”

She put on a fan-girl expression again, pretending to exaggerate and said, "Doctor Yu, I admire you more and more." ”

"Truly put yourself in the patient's best interests and put yourself in the patient's shoes."

Yu Zhiming chuckled: "Don't worship me so much, it's not as noble as you say." ”

"I just didn't have any clue about the patient's condition, and I didn't have a lot of energy to invest in him, so I persuaded him to lose weight first."

Zhou Mo grinned and said: "Regardless of your intentions, judging from this matter itself, you really put the interests of patients first." ”

"Hey, Dr. Yu......"

Zhou Mo turned to ask: "What you said about the patient who does not lose weight, there is a high probability that he will not live to be forty-five years old, is your real speculation?" ”

Yu Zhiming said slowly: "It's a bit exaggerated. ”

"However, from the physical examination I did on him in the morning, it was clear that his organs had suffered a lot of damage due to obesity."

"If you continue to be obese like this, the probability of serious physical diseases in your forties is really not small."

Zhou Mo sighed and said, "If you say that, Doctor Yu, you are not exaggerating. ”

"It also makes patients more motivated to lose weight."

Zhou Mo took a glass of water from the water dispenser and put it on his desk.

"Doctor Yu, how many of the physical pathologies you predicted have been fulfilled?"

Yu Zhiming thought for a while and said, "There are only two people I know, the advertising director's kidney failure, and the acute pancreatitis attack of one of the Gu family. ”

Zhou Mo added: "The one who made the director realize your true ability suffered a cardiac arrest, doesn't it count?" ”

Yu Zhiming shook his head and said: "It's not a prediction, I found out that there is indeed something wrong with his heart." ”

"Prediction is that if you don't make changes or remedies, there is a possibility that something will happen, it's just a probability."

Zhou Mo smiled: "It sounds like a half-immortal with an iron mouth." ”

Yu Zhiming smiled and said: "It's really a bit like, I can't pack a ticket, it will definitely happen......"

Lu Qiu, the embroidery girl introduced by Zhou Mo, came to the central building at nearly three o'clock in the afternoon.

This is a slender lady of forty-six years old, who looks very elegant.

Different from the rough and thick cocoons that Yu Zhiming imagined, Lu Qiu's ten fingers were long, soft and shiny, and they were quite well maintained, no different from a young woman's hands.

Lu Qiu told Yu Zhiming that she relied on these hands to eat, and she usually took care of her.

Except for embroidery, heavy work is never done, even home-cooked work such as laundry and cooking, which is rarely done.

Lu Qiu told Yu Zhiming again that in the past ten years, her hands could not embroider as she wanted.

The pattern that is barely embroidered by yourself is skewed and the tightness is out of balance, which is the level of a beginner.

The words written with a brush, although the strokes are not crooked, but they also lose their style and charm, which is not as good as before.

Yu Zhiming judged from Lu Qiu's words that her hands were just not as sensitive as before, and she couldn't control them accurately, so she couldn't do the original fine work.

It has not reached the level of hand tremor that Zhou Mo said.

Yu Zhiming carefully examined Lu Qiu's hands, and after finding no problems with her hands, he took her to the examination room for further full-body examination.

Like Lu Qiu, the fine control of his hands is not as good as before, and there are many reasons for this.

For example, Parkinson's disease is a neurodegenerative disease that causes symptoms such as finger tremor or increased muscle tone of the hand, inflexibility of the fingers, and even hand tremors.

For example, there is tenosynovitis, which is the stiffness and inflexibility of the finger joints caused by long-term strain due to cold.

This reason has been ruled out by Yu Zhiming in the process of examining Lu Qiu's hands.

Another example is cervical spondylosis.

If the cervical spine has symptoms of compression of nerves, there will also be pain, numbness, and inflexibility of the arm.

It is also a lack of cerebral blood supply, or a slight cerebral infarction, which causes limb disorders and inflexible fingers......

Yu Zhiming first started with Lu Qiu's head examination, and then followed by the cervical spine, heart and lungs......

When Yu Zhiming's hand moved to Lu Qiu's abdominal cavity, he finally made a relatively unexpected discovery.

Pregnant!

Judging by the size of the gestational sac, pregnancy is about six weeks.

"Ms. Lu, you're pregnant, don't you know?"

"Pregnant?"

Lu Qiu sat up in an instant, looking frightened.

"I'm almost fifty, my period is not accurate, and I'm almost menopausal. Dr. Yu, don't you make such a big joke on me? ”

Yu Zhiming said in a deep voice: "Ms. Lu, I won't joke about this kind of thing. ”

"You're about six weeks pregnant."

After a pause, he added, "That would also explain why your hands can't do fine work anymore." ”

"Because of pregnancy, there will be significant changes in one's own hormones, and there is a certain probability that it will affect the fingers, resulting in stiffness and less flexibility than before."

Lu Qiu, who was sitting on the examination table, stroked his lower abdomen, still looking incredulous.

"I'm pregnant."

"At my age, I'm pregnant."

Zhou Mo, who was accompanying her, said: "Aunt Lu, women are still pregnant in their fifties, you are like you in your thirties, and it is normal to be pregnant again." ”

"Aunt Lu, congratulations."

Lu Qiu smiled bitterly: "Momo, let me tell you something, my daughter is also pregnant, just three months old. ”

"I'm going to be laughed to death by my friends and family."

Yu Zhiming persuaded: "Ms. Lu, others will only congratulate and envy, not laugh." ”

"Lie down again, my examination is not done yet."

Lu Qiu lay down again and let Yu Zhiming continue to check.

After a while, she noticed that Yu Zhiming's expression became solemn.

Lu Qiu's heart couldn't help but tighten.

"Dr. Yu, is there something wrong with your pregnancy?"

Yu Zhiming shook his head and said, "It's not that you're pregnant, it's that your colon is cancerous." ”

"You're going to have surgery to remove it, and you're going to need chemotherapy."

"You need to terminate the pregnancy ......"

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