Today is Saturday, and I make up for Thursday's class.

However, for Yu Zhiming, the cancer screening for volunteers in the Very Early Cancer Program will not officially start until next Monday.

Because it was the first day of work after the New Year, Yu Zhiming received many specialties brought by the center's medical staff from their hometowns.

For example, preserved fish, hometown game, special pastries, local nuts and specialty snacks and so on.

This made Yu Zhiming a little ashamed.

Why didn't he think of it, and also brought some souvenirs from his hometown to maintain the friendship of his colleagues?

It's just that this bit of shame was left behind in Yu Zhiming's heart for less than ten minutes.

Because, work comes one after another.

In addition to Yu Zhiming, including Qi Yue, Han Shuo, Xie Jianmin, Wang Zhijin and Wang Zejia from the center, each of them received as many as five and as few as two inpatients.

Qi Yue has the most patients, accepting five people at once, not counting the one patient with terminal cancer.

It seems that this year, in order to wipe his son's ass, he has to make great progress on the road of trying to make money.

After half past ten in the morning, Yu Zhiming, who was doing a physical examination of Wang Zejia's patient in the examination room, heard the somewhat strange Chinese voice of his Chinese father ring at the door of the examination room.

"Dr. Yu, my son wants to pee."

These words made Yu Zhiming stop the examination and said to the patient in front of him: "Please wait for me for a while, I have a patient who needs to be dealt with urgently." ”

Yu Zhiming dropped a sentence and trotted with his Chinese father to the No. 5 single ward in the upstairs ward area.

A Chinese boy named Tyre is still sitting on a hospital bed

Yu Zhiming directly probed his lower abdomen,

As soon as his hand touched Tyr's lower abdomen, he could clearly detect that Tyre's lower abdomen was slightly distended.

After a little exploration, Yu Zhiming found that his bladder was full of urine, about 323 milliliters.

He felt the expansion of Tyre's bladder and the tightness of the bladder wall, and estimated that there was a maximum of a hundred milliliters of allowance.

"Tell me how much you're urinating right now. There are five levels, one is to urinate, but there is no need to rush, you can slowly find the bathroom. ”

"Fifth, I can't hold it anymore, and I need to solve it immediately, otherwise I'll pee my pants."

After a pause, Yu Zhiming asked, "Tyre, what level of urine do you have now?" ”

Tyre pondered for a moment and replied, "Third level." ”

Third?!

This answer is one notch lower than the correct answer four in Yu Zhiming's imagination.

However, out of understanding and personal feeling bias, the answer to three is not unacceptable.

It's just that Yu Zhiming noticed that Tyre's facial expression was quite relaxed, and he didn't look a little anxious and uncomfortable, thinking that his "three" should be closer to the answer two in Yu Zhiming's heart.

Alas, this is the same disadvantage as the degree of pain, which cannot be quantified in a unified and specific way.

"Tyre, you can pee."

Yu Zhiming confessed and left the ward.

He hadn't walked a few steps when he heard his Chinese father chase him out.

"Doctor Yu, Terta?"

Yu Zhiming felt that it was necessary to explain, and the patient's family should not be confused and not know why.

"During my initial examination, I did not find any organic lesions of concern in Tyre's viscera."

"However, based on the extent of Tyre's perception of urine, I suspect that his visceral sensory nerve perception has become sluggish."

The visceral nervous system is mainly innervated by the visceral organs, which can be divided into visceral motor nerves and visceral sensory nerves.

Together, they control the internal organs, regulate the activities of the organs, maintain normal physiological functions, and can also transmit various messages, cause pain and other uncomfortable symptoms, and remind the occurrence of diseases.

The visceral sensory nerves mentioned by Yu Zhiming are to transmit the various visceral stimuli felt to the nerve centers at all levels, and can also reach the cerebral cortex.

The information transmitted by the visceral sensory nerve is integrated by the center, and then through the visceral motor nerve, the activity of the corresponding organs is regulated, so as to maintain the dynamic balance of the internal and external environment of the body, as well as the normal life activities of the body.

Painful stimuli like our viscera are sensed by the sensory nerves of the internal organs and transmitted to our brain.

However, due to the high threshold of visceral sensory neuralgia and the scattered sensory afferents, we often cannot accurately locate the pain point when visceral pain occurs.

Therefore, many visceral pains require a detailed examination to confirm the diagnosis.

The degree of urine in our bladder is naturally sensed by the bladder sensory nerve and transmitted to the nerve control center.

In general, visceral sensory nerves are more pronounced and sensitive to sensations such as stretching, hunger, and spasms.

If the sensory nerves of the internal organs become sluggish, they may no longer be sensitive to hunger, which will affect the function of the digestive organs and the secretion of the digestive glands, and the person will become less fond of eating, and the ability to digest and absorb will also decrease.

Of course, sometimes there is another extreme, that is, binge eating, eating a lot but still not feeling full.

Yu Zhiming patiently explained and said: "Of course, this is just a guess of mine, and there is still a lack of evidence. ”

"Further exclusion tests are needed."

After explaining these contents, Yu Zhiming found that his Chinese father had become ugly and pondered.

"Do you have something about Tyre that you want to tell me?"

The Chinese father said with a bitter face: "Doctor Yu, your guess is very likely to be correct. ”

"Before he had obvious symptoms such as weight loss, Tyre once had a big bite and ate a lot of food, which shocked me and frightened me."

"At that time, I took him to the hospital for vomiting, and I sternly warned him not to eat like this."

After a pause, the Chinese father added: "Since then, his diet has returned to normal. ”

Yu Zhiming asked, "How much is normal?" ”

The Chinese father said: "It's the amount of food that a fourteen or fifteen-year-old child should have." ”

Yu Zhiming asked again: "How does it compare to your meal?" ”

The Chinese father said: "Naturally, it can't be compared with mine, about half of me." ”

These words made Yu Zhiming more and more sure that Thiel was a dull sensory nerve in his internal organs.

He sighed lightly: "Don't you know that there is a saying in China? It's called, half a big child, and eats a poor old man. ”

"At Tyre's age, he is in the development period of his body, and his body needs a lot of energy."

"It's normal that he eats more food than you do."

The Chinese father was stunned for a moment, then asked with self-reproach: "Doctor Yu, is this to confirm that Thiel is dyssensory nerves in his internal organs?" ”

"Is this the ultimate cause of his ill health?"

Yu Zhiming replied frankly: "I can't confirm it yet, I can only say that there is a big possibility, and I still need some checks to confirm." ”

After a pause, Yu Zhiming said again: "This visceral sensory nerve retardation is most likely not the ultimate cause, but the manifestations and symptoms of some chronic disease. ”

"Tracing back to the source, it is possible that there are lesions in the cranial ganglia and spinal ganglia, which are closely related to the visceral sensory nerves, the nerve transmission center, or the brain control center."

Yu Zhiming thought for a moment and said, "In this way, I will ask my teacher, Dr. Qi Yue, a well-known neurologist, to conduct Tyre's visceral sensory nerve examination......"

Yu Zhiming first went back to the examination room on the second floor and finished the unfinished physical examination of Dr. Wang Zejia's patients before going to the director's office to find Mr. Qi.

Unexpectedly, on the way, he was stopped by a girl in her twenties, dressed in exquisite clothes, but with a somewhat haggard face.

"You're Dr. Yu Zhiming?"

"The medical genius who can claim to cure terminal cancer? Are you thirty years old? ”

"Are you sure it's not a big fool?"

"Advanced cancer is a recognized problem in the world's medical community, which can only prolong the patient's life as much as possible, but cannot be cured."

Yu Zhiming's face sank.

He has become famous, and he has been accused and questioned so face-to-face, so his heart is naturally on fire.

He was unceremoniously angry: "You are not my patient, you can not believe in my ability, but you have no right to question me." ”

"Good dogs don't get in the way, get out of the way."

Yu Zhiming's words made the woman in front of her explode.

"You're the dog, your whole family is a dog."

The next moment, her mouth was like a machine gun, and she said in a fast tone: "Tell you, I'm Ke Xixi." My dad is Ke Minzhi, and he was ranked 142nd on the Forbes China Rich List last year. ”

"My dad was originally treated well at the famous Mayo clinic abroad, but he suddenly wanted to return to China to receive your treatment like a demon, and he didn't listen to any persuasion."

Speaking of this, Ke Xixi's eye circles suddenly turned red.

"The experts at the Mayo Clinic said that according to their treatment plan, they are sure that my dad will live another three years."

"But if you give up halfway, you'll lose all your efforts."

"Doctor Yu, if you are not sure that my father will live for another three years, you will not trouble my father, okay?"

"If you want money, I'll give it to you!"

"Give as much as you want."

When Yu Zhiming heard her say this, the anger towards her in his heart was somewhat reduced.

After all, she is also a beloved father.

However, her actions are absolutely undesirable.

Yu Zhiming didn't bother to explain to her, he stretched out his hand and pulled this guy aside, and walked quickly to the director's office.

Seeing that he couldn't stop it, Ke Xixi stomped his feet angrily, but he could only wipe his eyes vigorously and keep up with Yu Zhiming.

When he entered the director's office, Yu Zhiming saw that in addition to Teacher Qi and Zhou Mo, there were five other people.

Zhou Mo was pouring tea and water.

One of the five strangers was in a wheelchair, a thin man in his mid-fifties, wearing a felt hat, with a tired expression on his face.

Yu Zhiming saw Ke Xi standing next to the wheelchair with a straight face, and knew that the person in the wheelchair was the main master.

At this time, Qi Yue's voice sounded.

"Zhiming, let me introduce to you, this is Mr. Ke Minzhi from the capital."

Yu Zhiming met Ke Minzhi's gaze and said in a deep voice: "Mr. Ke, I had some communication with Ling Ai outside just now. ”

"Love is very skeptical of my abilities."

"Mr. Ke, do you trust me?"

Ke Minzhi first glanced at his daughter beside him, biting her lip and looking stubborn, and said to Yu Zhiming: "Doctor Yu, my daughter has been spoiled by me since she was a child, and she is a little reckless and impulsive. ”

"Please also forgive her for her rudeness because her original intention was to care about my old father's filial piety."

"As for trusting ......"

After a pause, Ke Minzhi said again: "Doctor Yu, I directly interrupted the treatment plan of the Mayo Clinic in the United States, and came back without any delay, it should be enough to prove it, right?" ”

Ask for support such as monthly passes, recommended tickets, etc!!

(End of chapter)