Chapter 949: She's Not Pretending to Be Sick
Tuesday is the big round day.
Yu Zhiming took Zhou Luo, Shen Qi, Sui Chi, Duan Yi and others, and followed Qi Yue's team to go through the dozens of patients in charge of the team.
Subsequently, Yu Zhiming assisted the medical team of Wang Chunyuan, Tang Jianxiong, Fang Chen, Liu Yun and others to confirm the nine patients whose causes needed to be further clarified or whose treatment needed to be confirmed.
Next, Yu Zhiming listened to the reports of Zhou Luo, Shen Qi, Sui Chi, and Duan Yi, and did a confirmation examination of the patients they were responsible for.
After the completion of the above three major tasks, the morning has almost passed.
Yu Zhiming returned to his office, and Zhou Mo greeted him and asked, "How about having the feeling of a professional bodyguard?" ”
This one......
Yu Zhiming suddenly found that as soon as he got busy, he forgot about Zhang Hai's person, as if this person did not exist.
However, if you think about it carefully, this person will always appear as far as the eye can see or out of the corner of the eye.
Yu Zhiming nodded lightly and said: "It's very good, it deserves to be professional, it doesn't affect my work, it's everywhere, it's reassuring." ”
Zhou Mo pursed his lips secretly, and said sourly: "Who called them professionals, they have many years of strict training and rich security experience, so they are naturally much better than me as an amateur." ”
The next moment, she said again: "Wash your hands and eat." ”
Yu Zhiming washed up briefly, came to the coffee table and sat down, picked up the chopsticks and was about to start lunch, Zhou Mo spoke again.
"Doctor Yu, there is really an old man and old lady Toutie who came to petition again in the morning, but there are not many people, only a dozen people."
"It's okay that there are a lot of people, just a dozen people in this area, the hospital will definitely not get used to it, and the benefits will definitely be gone."
After a pause, Zhou Mo said again: "In the morning, a junior high school classmate who has a good relationship begged me to come here, his mother has a more serious gynecological disease, and wants to transfer to us." ”
"I'm going to go find Dr. Liu, do you mind?"
Yu Zhiming took a sip of white fungus soup, smoothed the food in his mouth, and said, "Don't mind, like this kind of normal request, you can just watch it and do it, you don't need to ask for my opinion." ”
Zhou Mo smiled like a flower, and said with a grin: "I am more or less doing things in your name, so I have to ask for permission." ”
"Also, Dr. Yu, you may not know that the beds in our center can be said to be the most difficult to find in the whole hospital!"
Yu Zhiming asked suspiciously: "Why do you say that?" ”
Zhou Mo explained: "What else can it be, because our center has the best young doctors and the most powerful medical experts. ”
"If they can't solve the problem, there's Dr. Yu, the ultimate medical master."
After a pause of two seconds, Zhou Mo introduced: "Although the patient turnover rate has decreased a lot with the increase in beds due to the move to Zhizhen Building, it is still far ahead of other departments. ”
Yu Zhiming said with a little pride: "This is the result of the joint efforts of the medical staff in the center, not my alone." ”
Zhou Mo said again: "I didn't say that this is mainly due to Dr. Yu, anyway, it is the central bed, which is particularly difficult to find." ”
Yu Zhiming raised his eyelids and glanced at this guy, and said, "Hurry up and eat, you really have a lot of words......
The work, which started at one o'clock in the afternoon, continued.
There are mainly fresh pathological specimens for dissection, and patients who come by appointment due to various relationships are diagnosed.
At nearly half past three in the afternoon, because of the relationship between Yu's father and Yu's mother, a restaurant owner in Beijing came to Zhizhen Building with his twenty-six-year-old sister.
In the soundproof examination room, Yu Zhiming looked at the long-haired woman in the wheelchair, a little chubby, with her head down.
The owner of the restaurant in his thirties said: "Dr. Yu, my sister got this strange disease more than three years ago. I can't move and stand for a long time, and if I walk for a long time, my legs will hurt. ”
"I have been tested in several major hospitals in the capital, but the cause has not been found."
Yu Zhiming sighed lightly and asked, "How long is the long movement and long standing you are talking about?" ”
The restaurant owner replied: "At home, I can walk from the bedroom to the bathroom and the kitchen, but I go downstairs to pick up the express, and my legs hurt on the way back." ”
Yu Zhiming groaned and said, "Listening to your description, it's like intermittent limping, let's check it first!" ”
Intermittent claudication refers to common symptoms of the lower extremities caused by spinal cord, blood vessels, and neuropathy.
It is mainly manifested by the gradual and more obvious pain, numbness, and heaviness of the lower limbs when walking, so that the patient can no longer walk normally and needs to rest.
Usually with a short rest, symptoms are relieved and you can continue walking, but after a while, you will experience lower limb discomfort again.
Because this claudication occurs repeatedly and intermittently, it is called intermittent claudication.
This is mainly caused by nerve compression caused by narrowing of the central canal of the lumbar spine, or vascular factors caused by various reasons, resulting in the arterial blood supply being unable to meet the oxygen and energy required for the movement of the muscles of the lower limbs.
With the support of the restaurant owner, the long-haired woman lay on the examination bed.
Yu Zhiming examined her from head to toe, especially focusing on her legs, feet and spine, as well as the blood circulation in the lower body.
However, Yu Zhiming did not find any other abnormalities worth paying attention to, except that the long-haired woman's leg muscles were somewhat atrophied due to a long-term lack of exercise, the bone was slightly loose, and the function of the viscera was weak.
Yu Zhiming looked at the various examinations that the long-haired woman had done in other hospitals before.
MRI of the brain, no problems.
The nerve examinations of the legs and lumbar spine and the blood circulation examination were also normal.
Yu Zhiming was a little stumped, and said frankly to the restaurant owner: "Judging from my physical examination, your sister is in good health and has no major physical problems. ”
The restaurant owner met Yu Zhiming's gaze and said, "Doctor Yu, can you take a step to speak?" ”
Yu Zhiming nodded, and accompanied by Zhang Hai, he and the restaurant owner came to the corridor outside the soundproof inspection room.
When the soundproof door was reset, the restaurant owner said with a bitter face: "Doctor Yu, I won't tell you, I also suspected that my sister was pretending to be sick." However, I have seen my sister's leg pain more than once, it was a painful face, there was no blood, and beads of sweat the size of beans came out of her face. ”
"This kind of pain is absolutely impossible to disguise. Dr. Yu, you only need to see it once to know it. ”
Yu Zhiming groaned and said, "In order to find out the cause, it seems that the only way to make your sister's pain attack is to do it again." ”
The trio returned to the soundproof inspection room.
Yu Zhiming looked at the long-haired woman who was sitting on the examination table, still with her head down, and said, "In order to find out the cause, I need you to have a leg pain attack." ”
"Is that okay?"
The long-haired woman nodded slightly.
The restaurant owner squatted down and carefully put on his sister's shoes, and helped her out of the examination bed.
"Doctor Yu, how many laps should I take my sister out for?"
Yu Zhiming said: "No, just go around in circles here." It shouldn't take too long, right? ”
The restaurant owner replied: "No, at most walk two or three hundred meters in a row, and you will have a seizure." ”
He comforted his sister again: "Don't be afraid, we all know how powerful Dr. Yu is, this should be your last pain attack, just endure it and pass." ”
"Dr. Yu finds the cause of the disease, and after it is cured, you can go out shopping, play and travel like everyone else."
The long-haired woman nodded slightly, let go of her brother's support, and walked slowly.
The soundproof inspection room is more than a dozen square meters in size, with an examination bed, an experimental table, and a first-aid kit equipped with various rescue drugs and emergency supplies.
Fortunately, the long-haired woman only had to walk slowly back and forth.
She walked seven or eight steps, turned around, walked another seven or eight steps, turned around again, and so on......
A person swaying back and forth in front of his eyes like this seems to have a great hypnotic effect, which makes Yu Zhiming close his eyes.
When the restaurant owner saw this scene, he opened his mouth to remind him, but the words stopped when he came to his mouth.
Although the other party is young, his identity is a nationally recognized medical authority, which is not something he can question.
The restaurant owner didn't know that Yu Zhiming at this time had already put all his attention on the long-haired woman.
For Yu Zhiming, vision is just a distraction, and he is more accustomed to and relies more on auditory information gathering.
Because this is a soundproof inspection room, Yu Zhiming can collect more sound information.
Under his full attention, he could clearly hear the sound of the long-haired woman's soles rubbing against the ground, the sound of clothes rubbing, and the sound of joints everywhere......
These various voices, as well as echoes, converged in Yu Zhiming's mind one by one, and turned into an almost lifelike figure that kept walking.
Not only that, but at the heart of this figure, there is a heart that is contracting and expanding, and the blood pumped out is constantly flowing down the major blood vessels to all parts of the body......
Suddenly, a crisp sound suddenly appeared, instantly attracting all of Yu Zhiming's mind.
The long-haired woman actually dislocated the second knuckle of her left ring finger.
What the hell is this?
Just when Yu Zhiming was full of doubts, he was suddenly surprised to find that the femoral artery in the left thigh of the long-haired woman had spasmed and distorted.
This......
This inevitably leads to a drastic reduction in femoral artery transfusions in the left leg, resulting in severe pain in the left leg due to acute ischemia.
Yu Zhiming opened his eyes and looked at the long-haired woman who was still with her head down and walking back and forth slowly.
She really wasn't faking illness.
She only voluntarily induced the spasm of the femoral artery, which in turn led to acute ischemic pain in her left leg.
Yu Zhiming just didn't understand why the dislocated second knuckle of the ring finger of his left hand could cause spasm of the femoral artery in his left leg.
This is supposed to involve complex neurological conditioning of the brain or spine......
While thinking about it, an eager voice sounded in Yu Zhiming's ears, "Doctor Yu, my sister has a seizure, and the pain is attacking." ”
"Look, check ......"
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