At half past seven on Monday morning, the underground garage of Junshan Mansion.

Zhou Mo leaned on the front of the bed car, swiped his mobile phone, and heard the familiar footsteps coming from far and near.

She put away her phone, stood up straight, and saw that Yu Zhiming had come closer.

Noticing that this guy was radiant and refreshed, Zhou Mo leaned closer to him.

Also sniffed his nose like a puppy.

Yu Zhiming pushed her away and said with a disgusted face: "You have had a rabies attack that has been hidden for many years?" ”

Zhou Mo snorted: "Strong hormonal taste." ”

Yu Zhiming smiled and said, "Envy, jealousy, hatred, right?" You also hurry up to find a boyfriend. ”

Zhou Mo cut lightly, turned around and got into the car.

Fastening a seat belt and igniting a fire, Zhou Mo glanced at Yu Zhiming's preparation beside him again, and suddenly made a big discovery.

"Hey, why didn't you wear your engagement ring?"

Yu Zhiming pulled out a red rope from the collar and said: "I am not used to wearing it on my fingers, and it also affects my work, so I have obtained the approval of my family's lime, and I wear it on my neck as a pendant." ”

"I'll show you, I also wore a mutton fat jade safety buckle, which was also given by my lime."

Zhou Mo pursed his lips and drove the car out of the parking space.

She suddenly asked, "Hey, Doctor Yu, the imperial green pendant was bought for millions of dollars?" ”

"Confidential!"

Zhou Mo pouted again: "It's different to have money, millions of jewels will be sent out directly." ”

"But I don't suffer a loss, the Gu family's dowry to lime is not 100 million, but 50 million."

"Doctor Yu, you are the one who really struggles for twenty years."

Yu Zhiming glanced at her, and said with a sneering face: "With my ability, do I still need to rely on women?" ”

Zhou Mo bowed his head and said, "You really don't have to rely on anyone. ”

"However, Dr. Yu, on your terms, it should be poverty alleviation, not wealthy, and it is a waste of resources."

Yu Zhiming corrected: "We are a strong combination. ”

"Hey, I said Zhou Mo, not only did you talk a lot this morning, but you also had a sour taste, you were really stimulated by me and lime?"

"How is this possible!"

Zhou Mo denied it, and then talked about work.

"The surgery to remove the cancerous tissue was scheduled for half past six in the afternoon. The brain clot puncture surgery is tentatively scheduled for 8:30 p.m. ”

"Neurosurgeon, the one invited is the fifty-six-year-old chief physician Zhao Ge."

"This afternoon, Dr. Zhao will lead the surgical team to conduct a comprehensive inspection of the soundproof operating room in the old specimen building to ensure that the operating room can be used normally and there are no problems."

Yu Zhiming nodded with satisfaction and said, "Yes, it's hard work, when I pay my salary next month, I will give you more bonuses." ”

Zhou Mo proposed: "Doctor Yu, this kind of bonus, which is paid out immediately, I think it can be more motivating." ”

Yu Zhiming rolled his eyelids and said, "Don't worry, I have a good memory, I can't forget it." ”

"Even if I did, you'd have reminded me."

He added: "If there is a reward, there will naturally be a punishment, Zhou Mo, if you do something wrong, I will also fine you money." ”

Zhou Mo learned from Yu Zhiming's appearance and rolled his eyelids......

Today is Yu Zhiming's outpatient day, and he is in a beautiful mood and devotes himself to the outpatient work with an excellent physical and mental state.

Unexpectedly, the seventh outpatient in the morning gave Yu Zhiming a stick with a bang.

He was stumped.

The patient, a 37-year-old woman who is a secondary school teacher, presents with generalized muscle pain, insomnia, fatigue, and anxiety.

Moreover, these symptoms have lasted for a month and a half, seriously affecting her work and life.

There are a variety of causes that can trigger pain throughout the body.

For example, arthritis, systemic lupus erythematosus, hypothyroidism, neuroinflammation, and certain autoimmune diseases can also cause systemic chronic pain.

Yu Zhiming first gave the woman a detailed body examination, and the results showed that no inflammation in the body or organic changes in organs and tissues were found.

This allowed him to rule out diseases such as arthritis, lupus erythematosus, hypothyroidism, etc.

The woman had undergone antibody tests at other hospitals, which also ruled out the possibility of autoimmune diseases.

This made Yu Zhiming have no clue for a while.

Or, depression or anxiety?

Depression, anxiety, may lead to autonomic disorders and neurasthenia.

Autonomic disorders and neurasthenia may make muscles throughout the body tense, causing blood vessels to constrict and tighten.

At this time, it is easy to cause general pain or discomfort, and it is also accompanied by symptoms such as nervousness and excessive irritability.

However, through just a few minutes of contact, Yu Zhiming found that the woman was clear and full of desire for recovery, not like she was depressed.

As for the mental symptoms such as upset and anxiety reported by the woman, Yu Zhiming can also understand it.

The whole body has pain for more than a month, and I can't sleep or eat well, and whoever this kind of thing rests on will be upset and anxious.

Therefore, Yu Zhiming believes that the woman's current upset and anxiety are caused by systemic pain and insomnia.

Instead of having anxiety first, then causing pain all over the body.

Yu Zhiming had no clue for a while, and the outpatient work could not allow him to devote more time to more detailed inquiries and examinations of the woman.

He pondered for a while, then wrote a referral form and asked the woman to go to the center to find Teacher Qi Yue for further diagnosis.

Perhaps, Mr. Qi's rich clinical experience can allow him to discover the exact problem of the woman......

Teacher Qi Yue did not disappoint Yu Zhiming.

Near 12 o'clock in the afternoon, Yu Zhiming was told by phone that the woman had fibromyalgia syndrome.

When Yu Zhiming searched for knowledge about this disease in his mind, Qi Yue's voice came from his mobile phone again.

"Zhiming, when you gave her a full body examination, did you still keep patting and pressing?"

Yu Zhiming replied.

Qi Yue laughed and said: "Although this fibromyalgia syndrome is generalized pain, it has an obvious feature, that is, there are obvious tender points. ”

"At these tender points, you need to press with your thumb, and you need a certain amount of force, usually about 4 kg."

Hearing this, Yu Zhiming grinned a little.

His greatest advantage in body exploration turned out to be a disadvantage and negligence in this patient.

"Suboccipital muscle attachments; midpoint of the superior border of trapezius muscle; The anterior ...... of the transverse process space of the 5th-7th cervical vertebrae"

Qi Yue told Yu Zhiming a total of eighteen tender points on the phone.

"Obviously, pressing these eighteen tender points, the patient feels obvious pain in at least 11 places, and there is a high probability that it is fibromyalgia syndrome."

After a pause, Qi Yue said again: "Zhiming, medicine is broad and profound, and the patients are even more strange. ”

"As doctors, we must constantly enrich ourselves and improve ourselves, and we should not rely too much on one trick."

Yu Zhiming replied obediently: "Teacher, I will take this as a warning and strive to enrich my diagnostic methods......

finally ended the call with Teacher Qi, and Yu Zhiming heard Zhou Mo's snort and chuckle.

"What are you laughing at?"

Zhou Mo grinned: "What I laugh at is that the director finally found a chance to get over the teacher's addiction." ”

Yu Zhiming glanced at this guy, put down his mobile phone, and hurriedly completed the interrupted physical examination for the last registered patient in the morning.

During the examination, he found that the man had an adrenal adenoma.

He also found that the man's kidneys were in jeopardy.

"There is a possibility that your kidney function will collapse, and it is highly recommended that you consult a kidney specialist to strengthen kidney maintenance."

The forty-three-year-old flat-headed man hurriedly asked, "Doctor Yu, I have a big kidney problem?" ”

"Don't hide it from Dr. Yu, in the past few years, I have been uninterrupted by all kinds of health products and health care drugs that tonify the kidney and strengthen the yang."

Hearing him say this, Yu Zhiming knew what the problem was.

Most health supplements do not have much therapeutic value for the kidneys, and it is difficult to play a role in kidney health.

On the contrary, some health supplements can cause a lot of damage to the kidneys.

For example, Chinese herbal medicines containing aristolochic acid can cause great damage to the kidneys, which may cause acute kidney failure, and long-term use can also cause chronic tubulointerstitial damage, and even uremia.

Some health products containing heavy metals can damage the glomeruli, cause nephrotic syndrome, and can also cause atrophy and fibrosis of the renal tubules and renal interstitium.

The flat-headed man seemed to be afraid that Yu Zhiming would not believe it, and gave evidence to explain: "Doctor, although I have entered middle age, in terms of married life, I really don't brag, my wife is very satisfied, very satisfied." ”

"My kidneys should be the strongest, but listening to the doctor, the problem is the most serious?"

Yu Zhiming was patient and said: "I don't know what the effect of the health care products and health care drugs you eat, so I won't make an assertion." ”

"All I can tell you is that in addition to your adrenal adenoma, your kidneys are in dire need of maintenance and recovery."

"I suggest that you don't take any more health care products and health care medicines at home, and stop your married life, and do a full range of scientific care for your kidneys."

After a pause, Yu Zhiming warned again: "Just in case, you'd better do my words......

After sending the registered patient away, Yu Zhiming and Zhou Mo cleaned up a little and went to a lounge in the outpatient emergency department for lunch.

The meal was cooked by Aunt Qiu at home and sent by the errand boy.

Yu Zhiming had just eaten two bites of food, and Zhou Mo's chirping sound sounded in his ears.

"Dr. Yu, the center held a small meeting for all staff in the morning, and from today onwards, we will carry out ant moving to the old specimen building, and at the same time conduct a comprehensive test on the old specimen building."

"By Friday, the removal of medical equipment, medical supplies and personal belongings was completed, and the old specimen building was ensured to be put into use."

"On Saturday, all the staff transferred the patients."

"On Sunday, all the staff went to work and were familiar with the run-in."

Yu Zhiming sighed lightly, and then heard Zhou Mo shout in shock: "Ah, Xie Wanwan has a real plastic surgery." ”

Zhou Mo read into the mobile phone screen: "According to reliable source information, Xie Wanwan communicated with Yu Zhiming, a well-known doctor at Binhai Huashan Hospital, about the physical examination, and asked Dr. Yu to confirm that she did not have plastic surgery after the examination. ”

"Dr. Yu insisted on saying one thing and not deceiving, and directly rejected Xie Wanwan's request for a physical examination."

Zhou Mo raised his head to meet Yu Zhiming's gaze and said, "Doctor Yu, I didn't reveal this news. ”

"You have to believe me......"

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