The most enlightened doctor

Although Yao Qin's symptoms were only abdominal pain, Yu Zhiming's physical examination started from the head step by step.

After all, she had been tested for unknown abdominal pain in many major hospitals at home and abroad with no results.

To be cautious, Yu Zhiming needed to conduct a detailed physical examination of her first.

He must first rule out lesions or tumors in the brain, heart, spine and other parts of the body that may cause the patient's abdominal pain.

After this whole-body examination, Yu Zhiming eliminated these doubts and discovered a situation.

The vitality of Yaoqin's abdominal organs, such as the liver, gallbladder, spleen, pancreas, small intestine, large intestine and peritoneum, as well as the uterus, ovaries and other organs and tissues, are relatively weak.

Yu Zhiming didn't know whether the irregular abdominal pain caused the weak vitality of the abdominal organs, or whether the abdominal pain was caused after the weak vitality of these organs.

Next, he carefully explored Yao Qin's abdominal organs one by one.

Yu Zhiming's inspection is divided into three levels.

The first is to explore the physiological structure and status of the organs to see if there are any abnormalities or lesions; the second is to explore whether there are any problems with the blood circulation of the organs; the third is to explore whether there are any physiological abnormalities in the nervous system.

There are no abnormalities in these three aspects. Basically, this organ is healthy.

Even if an organ has functional problems, it is caused or implicated by lesions elsewhere.

This detailed and targeted examination of abdominal organs took Yu Zhiming nearly twenty minutes.

But there were no findings worthy of further exploration.

Yu Zhiming pondered and said to the patient Yao Qin: "The vitality of your abdominal organs is relatively weak, the blood circulation is relatively slow, and there are relatively many attachments to arteries and blood vessels."

When people reach middle age, some lipid substances inevitably adhere to the blood vessel walls, causing blood vessels to narrow.

However, Yao Qin's abdominal organ blood vessel stenosis is only 20 to 30% at most, which is still within the acceptable range.

Yu Zhiming went on to analyze: "But it will only cause you constipation, loss of appetite, and poor energy. It should not cause irregular abdominal pain."

Zhang Yiqing said: "My wife does suffer from constipation, and her appetite is indeed not very good."

"Also, she is an online writer. She likes to stay at home and write. She can not go out for a week."

After a pause, Zhang Yiqing introduced: "The doctor also recommended that she get out of the house more and exercise and keep fit."

"It's just that after a few days, I give up..."

Yao Qin sat up from the examination bed, interrupted and asked: "Doctor Yu, have you discovered the cause of my abdominal pain?"

Yu Zhiming met Yao Qin's gaze and said matter-of-factly: "We haven't found it yet."

The next moment, he asked again: "When was the last time you had abdominal pain?"

"Eight days ago." Yao Qin replied.

Zhang Yiqing understood Yu Zhiming's thoughts and spoke again: "Dr. Yu, my wife's abdominal pain attacks are irregular every time and last only for a short period of time."

"It's not easy to do a check-up when my wife has abdominal pain. It requires some luck."

Yao Qin took over and said: "Last year, I was hospitalized in Beijing Union Medical College Hospital for two and a half months. I was lucky enough to catch an attack of abdominal pain and do a quick physical examination."

"However, they didn't find any problems."

Yu Zhiming frowned, this is indeed a big problem.

Abdominal pain occurs from time to time and lasts only a short time. The main problem is that it is impossible for Yu Zhiming to wait and wait for the patient's abdominal pain to occur.

There was more work for him to handle.

“Can attacks of abdominal pain be induced by external factors?”

Zhang Yiqing shook his head and said, "During the two and a half months that Xie He was hospitalized, we tried a variety of methods."

"Staying up late, overeating, eating cold food, dieting, excessive exercise, hot compresses, cold compresses, etc., we tried every method we could think of, but none of them worked. Instead, it made my wife miserable."

Yao Qin also said: "During those two and a half months, I had a total of six episodes of abdominal pain, and each time it came suddenly and caught people off guard."

"On the sixth episode of abdominal pain, I was very lucky. My body happened to be connected to several monitoring devices."

"However, the medical experts at Concorde did not find any problems with the collected physical data."

After a pause, Yao Qin asked again with confirmation: "Doctor Yu, can you see the subtleties and not discover anything?"

Yu Zhiming nodded and saw the luster in Yao Qin's eyes fading away bit by bit.

Is she disappointed?

Or despair?

Yu Zhiming suddenly felt a little uncomfortable.

The patients he takes over always come with hope and leave with joy.

Unless the patient suffers from a disease that he cannot do anything about or is an incurable disease.

This living and unknown abdominal pain should not be beyond one's ability.

Yu Zhiming said with great interest: "Ms. Yao, lie down again and I will check you again."

Facing Yao Qin who was lying down again, Yu Zhiming examined her again.

Start at the beginning, with a full-body examination.

Moreover, this time, Yu Zhiming also did a particularly detailed physical examination.

Let’s explore it from three levels: physiological structure, hemolymph and other circulatory systems, nervous system...

God pays off!

Nearly half an hour later, Yu Zhiming, who had devoted himself wholeheartedly, finally made a discovery worth exploring.

He used a needle to draw out a tube of about fifteen milliliters of dark red blood from Yao Qin's calf vein.

In this tube of blood, there was a yellow bright spot the size of half a sesame seed floating up and down, which was particularly eye-catching.

Zhang Yiqing took a closer look and asked with confusion: "Doctor Yu, what are these? Are they bubbles?"

"Could it be... could it be a parasite?" Zhang Yiqing's voice trembled.

"It's not bubbles or parasites, it looks like grease!" Yu Zhiming replied, feeling a little strange.

For people with high blood lipids, one-third or more of the fat can be separated from a tube of blood.

But this was the first time that Yu Zhiming had seen fat particles like this gathering together in the blood circulation.

After making this discovery, Yu Zhiming devoted more attention to blood exploration.

More than ten minutes later, Yu Zhiming drew a tube of blood from Yao Qin's left arm, left foot, right foot, etc., and found another grease particle the size of half a sesame seed.

He mixed the tubes of blood together, and soon found that the fat particles fused together and became about the size of half a soybean.

Looking at the oil about half the size of a soybean swaying back and forth in the blood, Yu Zhiming suddenly had a guess.

He shook the syringe in his hand vigorously and watched as the blood lipid particles inside were broken up and then gathered together again.

"These small fat particles can aggregate into larger ones. Ms. Yao, your abdominal organs have weak vitality, slow blood flow, and relatively narrow blood vessels."

Yu Zhiming analyzed: "I have a guess that when the large aggregated fat particles pass through the relatively small arterioles of an organ in the abdominal cavity, they stick and cannot move away."

"This results in small artery obstruction, causing organ ischemia, which in turn causes varying degrees of abdominal pain."

Yu Zhiming shook the needle in his hand again and said, "Is it really as I guessed? I can do a verification..."

"Ms. Yao, just inject this oil particle into the arteriole of the organ with the weakest vitality in your abdominal cavity to see if it can cause abdominal pain..."

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