Hardening of the abdomins is associated with a variety of causes.

If you do abdominal muscle exercises for a long time, your abdominal muscles will become very strong and tough, and your abdominal muscles will be stiff, which is a normal physiological phenomenon.

In addition, pathological causes such as gastrointestinal dysfunction, fecal intestinal obstruction, peritonitis, ascites cirrhosis, and abdominal tumors can also lead to abdominal muscle tension and sclerosis.

After Yu Zhiming did an examination of the straight-haired woman, he did not find those obvious pathological factors.

He also found that only the muscles of her abdominal wall were tight and stiff in the straight-haired woman, and the muscles in other areas of her body were still normal.

At this moment, the sound of someone dragging his legs and walking outside the door came into Yu Zhiming's ear drums.

Yu Zhiming's flash of inspiration.

He thought of a possibility, of a type of patient, a patient with cerebral infarction, who had stiff muscles.

This is the neurological sequelae of some cerebral infarction patients who have damaged part of the brain tissue due to infarction.

Because of the failure of nerve control, the muscle tone of a certain part of the body increases, the muscles are in a state of tension for a long time, and the phenomenon of stiffness occurs, which then makes the movement or action of the patient with cerebral infarction appear very stiff and unnatural.

Therefore, some patients with cerebral infarction need to undergo long-term rehabilitation training after treatment to alleviate the increased muscle tone and promote the recovery of physical activity.

In the case of the straight-haired woman, Yu Zhiming suspected that there was a problem with the nerves that control the muscles of the abdominal wall, which kept them in a state of tension and stiffness.

When a girl is with a man, if she breaks through a threshold of excitement, some girls will have extreme excitement with tense muscles all over the body.

For straight-haired women, the abdominal wall muscles have been maintained in a tight state, and after being extremely excited, some muscle fibers will continue to bear and break?

To test his guess, Yu Zhiming asked the straight-haired woman how she was doing after being highly excited.

"It's like an electric shock, and your whole body will tremble uncontrollably, and your body will straighten."

The straight-haired woman blushed and added in a low voice, "Well, not every time it reaches the level that makes me highly excited." ”

Yu Zhiming asked again: "Is it that every time I reach it, the stomach pain will be worse?" ”

The straight-haired woman was slightly stunned, and recalled: "Doctor, your question, indeed, every time I arrive, my stomach does hurt a little more." ”

"Doctor, really?"

Yu Zhiming explained: "That's just the trigger, the direct cause is your abdominal wall muscles, and I found that there are a lot of tears in your abdominal wall muscle fibers. ”

"I suspect that the nerves that control your abdominal wall muscles are wrong and need to be seen by neurology for further examination......"

In fact, in the case of straight-haired women, it is also appropriate to arrange for further examination and treatment in the center.

It's just that during the period from Yu Zhiming, the workload is a bit much, and the work that can be taken or not taken is pushed out as much as possible.

The straight-haired woman took the referral form and grabbed her boyfriend's ear before she left the outpatient room.

"Come, tell me how soft the belly of another girl is......"

After this interesting case, Yu Zhiming's next patients were a little lackluster, such as bowel cancer, kidney disease, diabetes, coronary heart disease, and so on......

At 12:10 o'clock in the afternoon, Yu Zhiming and Zhou Mo cooked a meal in the staff canteen and started lunch.

Yu Zhiming tried to call Dr. You Weixian's phone, but he didn't expect to be picked up after two rings.

"Hello, Dr. Yu!"

Hearing that it was Dr. You's voice, Yu Zhiming chuckled and said, "Hello, Dr. You, I heard my assistant say that you entered the operating room early in the morning, and this is a smooth end?" ”

Dr. You's sigh came from the mobile phone, "More than half of the operation was done, but it failed, and the patient could not be saved." ”

Yu Zhiming smiled and went straight to the point: "Doctor You, I have a patient who has brain damage and currently has symptoms such as stupidity, aphasia, and irritability. ”

"He had nearly ten clots of blood in his brain."

"The patient's family asked me to help remove the clot and speed up the patient's recovery."

"Doctor You, I want to ask you to design a puncture route, I wonder if it will be convenient for you in the near future?"

Yu Zhiming waited for more than ten seconds to hear Dr. You's reply.

"Doctor Yu, you send the latest brain imaging data of that patient, and I will take the time to take a look at it in the next two or three days."

Yu Zhiming just wanted to thank him, but Dr. You's voice rang from his phone again.

"Dr. Yu, Happy Engagement! Congratulations, I will definitely attend this Sunday's engagement party. ”

"Let me tell you one more thing, Zhang Yong, the patient with a skull base tumor, is recovering well and will be discharged from the hospital in two days......"

After ending the call with Dr. You, Yu Zhiming found that he had just received a message from the head nurse Zhan Qi on his mobile phone.

The information reads that the police have officially concluded that yesterday's death was an accident and that the case was not filed, and the deceased's family had taken the deceased's body to the funeral home.

After reading the information on the mobile phone, Yu Zhiming looked at Zhou Mo, who was also staring at the mobile phone across the dining table, and said, "Zhou Mo, you contact that teacher Tian Wen and ask her to ...... her husband's brain imaging data."

Yu Zhiming recalled that the date marked on the brain CT film he saw this morning was eight days ago.

He then said, "Let her give her husband another comprehensive MRI today, and when the imaging data comes out, you can go and give it to Dr. You." ”

Seeing that Zhou Mo was still staring at his mobile phone, Yu Zhiming asked a little unhappily: "Zhou Mo, did you hear clearly?" ”

"Clear! Clear! ”

Zhou Mo finally raised his head, met Yu Zhiming's gaze, and repeated: "Contact Teacher Tian Wen and ask his husband to do a brain MRI examination, and I will send the imaging data to Dr. You." ”

"Doctor Yu, right?"

Zhou Mo didn't wait for Yu Zhiming to respond, and showed a happy look of stealing oil.

"Doctor Yu, I just saw a very happy and relieved news."

Zhou Mo twittered: "The mother and son who lost weight, the mother thought I was deliberately making trouble, didn't believe my words, and scolded me." ”

But her son believed it.

"This morning, his son didn't go to school, so he asked the teacher for leave and went to the hospital for a knee check-up."

"Doctor Yu, guess what?"

Yu Zhiming replied: "The patellar cartilage is seriously worn, and there must be one." ”

Zhou Mo nodded and said, "There is indeed this one, and the patellar cartilage has worn out nearly two-thirds." ”

"In addition, there are several problems such as patellar deviation, synovial effusion, meniscus injury, joint tendon and ligament injury."

After a pause, Zhou Mo asked, "Doctor Yu, is his situation serious?" ”

Yu Zhiming said softly: "A teenager has a knee joint in his forties and fifties, don't you say it's serious?" ”

"His patellar cartilage, in particular, is worn out by nearly two-thirds and should be beyond the limits of self-healing."

"This teenager needs to pay attention to the maintenance of his knee joints at all times."

Patellar cartilage is a layer of 3 to 5 mm thick transparent cartilage in the human knee joint, which acts as a cushion for the impact of knee movement.

However, because the patellar cartilage has no nerve distribution, it will only sound once during the fragile period before it is fully worn out, and short-term knee pain will occur, which will last for a few weeks to months.

Some people don't even notice it.

During this period, strenuous exercise should be avoided.

It is also from this time that the use of the knee joint can no longer be arbitrary.

If the patellar cartilage wears down, the knee joint will feel significant pain and arthritis will develop gradually.

Yu Zhiming asked again: "Now that the knee joint problem has been confirmed, the teenager's mother apologized in the group, right?" ”

Zhou Mo pouted and said, "No, I'm still pretending to be dead, it was the teenager who posted the test results in the community group." ”

She grinned again: "It is estimated that this teenager wants the residents of the community to be a witness and supervision, so that his mother will not force him to run and lose weight again." ”

"Mother and son, this is the rhythm of the opposite purpose, haha."

Yu Zhiming chuckled and said, "Don't gloat, hurry up and eat......"

After half past twelve, the two finished lunch.

Because the canteen and outpatient emergency department were all a period of time away from the comprehensive office building where the bed car was parked, and the noon time was short, Yu Zhiming did not go to the bed car to take a nap.

He walked slowly to the emergency room, taking a walk as a rest.

Zhou Mo, who was accompanying him, turned his head to look at Yu Zhiming and said, "Doctor Yu, I sometimes feel that you are quite strange. ”

Yu Zhiming glanced at this guy.

Zhou Mo said slowly: "When someone asks for it in front of you, you rarely refuse, and when you encounter a patient occasionally, you will also take action, showing great love and being easy to talk." ”

"However, the patients you are responsible for rarely take the initiative to care, to ask for warmth, and to show coldness and coldness."

"For example, Wen Ling, the girl with a heart malformation who was recovered in the Affiliated Hospital of Binhai University, you seem to have forgotten her."

"For example, those terminal cancer patients in Ning'an Hospital are still in a dangerous moment, but you didn't take the initiative to ask about their situation."

"Fortunately, Dr. Yu, you don't need to do a patient satisfaction assessment, otherwise your score will definitely not be high."

Yu Zhiming cut lightly and said, "One, I don't have time to shush the cold and ask for warmth. ”

"Two, take those terminal cancer patients as an example, I've done what I have to do."

"Even if they have an accident now, I can't deal with it, and it doesn't care about it, and it doesn't help at all."

Zhou Mo pouted and said, "How can it not work?" ”

"You're their doctor. Your words of concern may arouse a stronger hope for their survival. ”

"If you ignore them now, they may be pessimistic and wonder if you have given up on them?"

Yu Zhiming retorted: "They all have medical staff to take care of them 24 hours a day, how can they think that they have been abandoned? ”

"Okay, don't worry about it."

Zhou Mo pursed his lips and stopped talking.

When he was about to walk to the emergency department, Zhou Mo suddenly said, "Doctor Yu, are you resisting intimacy?" ”

"I don't want to be too close to my patients, and I don't want to be too close to my friends."

"If it weren't for Lime to put down his identity and be reserved and chase you, it is estimated that you would be a bachelor for the rest of your life."

Yu Zhiming snorted lightly and teased: "Zhou Mo, do you want to change your career to become a psychoanalyst?" ”

Zhou Mo said: "This is not what I said, this is a psychological profile made for you by a psychological counselor on the Internet." ”

"The man also said that you still have a certain people-pleasing personality, and if others ask for it, as long as it is not too much, you will be satisfied."

"Therefore, patients beg you to see a doctor, beg to come to you, with a sincere attitude and sincerity, and they will generally succeed."

Yu Zhiming grinned and asked a little angrily: "Which guy wrote this nonsense?" ”

Zhou Mo smiled: "That person is anonymous." ”

"I think she's pretty accurate......"

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