The most enlightened doctor
Chapter 295 There is no wrong nickname
At 11:30 on Sunday morning, a somewhat pale Yu Zhiming got off the plane and arrived at Chengdu-Chongqing Airport.
This long flight of more than three hours was a nightmare experience for Yu Zhiming.
The air pressure damage caused by airplanes at high altitudes can cause uncomfortable symptoms such as ear fullness and ear swelling.
For many people, this is just uncomfortable.
For Yu Zhiming, it is doubly uncomfortable for a large size.
Coupled with the long flight time and the unlucky encounter with a crying baby, the ultra-long standby sound that was everywhere and nowhere to hide made Yu Zhiming's flight a complete one. A journey of complete torture.
It wasn't until Yu Zhiming and Qi Yue got into the car that came to greet them and left the airport that Yu Zhiming felt relieved physically and mentally.
"Director Qi, Doctor Yu, it's past twelve o'clock when we arrive in the city, just in time for lunch."
The person who came to greet the two people was Zhao Hang, chief physician of the Department of Neurology of West China Hospital.
While driving, he said in Mandarin with a strong Sichuan flavor: "Let's have some lunch first and then see the patients."
"Should we have a more special hotpot? Chuanchuan? Or a more formal dish?"
Qi Yue smiled and replied: "Let's go see the patient first."
"I ate some on the plane and it was a long flight, so I have no appetite now."
"Let's wait for a while before we talk about lunch!"
"Okay, let's see the patient first!"
Zhao Hang responded calmly and explained: "The little patient has been recuperating at home during this period."
"I came to the hospital specifically to check in today."
"The little patient's family is full of confidence in the arrival of the two experts."
Qi Yue replied humbly: "We can only say that we will do our best, but we cannot say that we will definitely find something."
"Dr. Zhao, has there been any new progress in the little patient's condition during this period?"
Zhao Hang sighed softly: "It's still the same, with occasional trembling all over the body, accompanied by urinary incontinence."
"On average, I have seven or eight attacks a day."
"We did round-the-clock physical monitoring and found that this symptom suddenly occurred inexplicably. We couldn't find any external triggers, so we detected an abnormality in the brain waves."
"We have been treating autonomic nervous system disorders and neurological dysfunction for a period of time, but there is not much effect..."
During the disease exchange, at 12:30 noon, Yu Zhiming followed Teacher Qi and Dr. Zhao Hang to the famous West China Hospital, first to the Department of Neurology.
Yu Zhiming and Qi Yue exchanged pleasantries with the chief doctors waiting in the department, put on the white coats provided by them, and then rushed to the ward area with high spirits.
In a single luxury ward, Yu Zhiming met the young patient and his parents and family.
The little patient's actual age is only twelve and a half years old. He has a long ponytail and is pretty and cute.
Even though her body is thin, the children's hospital gown looks much wider when she wears it, which makes people feel affectionate.
More than ten doctors suddenly rushed into the ward, obviously frightening the little patient.
She hid her whole body behind her beautiful mother, and her hands tightly grasped the clothes around her mother's waist.
Qi Yue saw this scene and said, "I know you all want to see with your own eyes how I, a student, perform a full-body examination on people."
"Actually, it's very simple. Just follow the auscultation and percussion routine from head to toe, and pat and press it once. It's very normal. There is no dazzling special effect of lightning."
Amidst the chuckles, Qi Yue continued: "It's just that I, a student, have very high environmental requirements."
"That's as quiet as possible."
"Let's all go out first, and the family members will also go out. Just leave my students, patients, and the patient's mother..."
At Qi Yue's suggestion, everyone left and the ward quickly became empty.
Only Yu Zhiming, the young patient, and her mother were left.
Yu Zhiming put on surgical gloves while letting the little patient lie on the hospital bed.
"Doctor, do you need to take off your clothes?" the patient's mother asked in confirmation.
"Need not."
Yu Zhiming explained: "First do a preliminary inspection and find out where there is a problem, then get close to the skin for further exploration."
The patient's mother yelled, pulled her daughter out from behind with her little head lowered, and pushed her on the hospital bed.
"Yao Mei, go to bed quickly and get ready for this examination. Your problem will be diagnosed."
When Yu Zhiming came to the hospital bed, he happened to meet the shy look of the young patient.
He showed a smile that he thought was good-looking and said: "My examination is not painful or itchy, you don't have to worry, just relax."
The young patient nodded timidly.
Yu Zhiming bent down and started to check the heart and lungs from the patient's chest, and then went down to check the internal organs...
However, after this detailed inspection, Yu Zhiming found nothing worthy of attention.
Next, Yu Zhiming examined the little patient's limbs and brain.
Still nothing found.
Going back in vain?
Yu Zhiming couldn't help but frowned, and the patient's mother's worried voice sounded in his ears.
"Dr. Yu, are you finding something seriously wrong?"
"Still haven't found it yet?"
Yu Zhiming quickly replied: "We haven't found it yet."
He looked into the little patient's eyes again and asked, "Can you control your trembling symptoms once again?"
The little patient bit his lip, glanced at his mother on the other side of the bed, and then quickly drooped his eyelids.
She murmured softly: "It's possible sometimes, I can give it a try."
Hearing this, Yu Zhiming felt happy.
He bent down again and placed one hand on the little patient's lower abdomen and the other on her chest.
"Then give it a try."
"When symptoms develop, maybe I can figure out what the real problem is."
The little patient nodded.
She glanced at Yu Zhiming first, then clenched her fists and closed her eyes.
At this moment, Yu Zhiming realized that this little girl was really trying hard.
All the muscles in her body were tense, and her feet were stretched straight.
At the same time, the heartbeat was also rising, from the original eighty to around one hundred...
However, Yu Zhiming waited for five or six minutes with his whole body infused, but still found no abnormality.
He noticed that the little patient's face was red from suppressing the pain and there was sweat on his forehead.
Yu Zhiming was about to speak and stop his attempt when he suddenly noticed something unusual.
The small uterus in the little patient's abdominal cavity twitched inexplicably.
The next moment, blood began to gather towards the lower abdomen.
At the same time, Yu Zhiming noticed that the heartbeat of the young patient suddenly surged to one hundred thirty or forty.
Immediately afterwards, Yu Zhiming felt that the little patient's body was shaking like an electric shock for two or three seconds.
The next second, the little patient's body seemed to have lost its support, and he slumped and relaxed.
That included her bladder.
Fortunately she was wearing diapers...
Almost at the same time, the blood that gathered in the lower abdomen dispersed as quickly as it came.
this……
This gave Yu Zhiming a very strange feeling, as if a woman was experiencing the crest of a wave.
It's just that this wave peak is too compact and perfunctory, and it will be fine in just two or three seconds.
Yu Zhiming straightened his body thoughtfully.
At this time, the little patient also curled up into a ball after a brief period of confusion and got under the quilt at lightning speed.
"Doctor, I baby her..."
Yu Zhiming said frankly: "I have discovered something."
"It's just that further analysis and targeted inspections need to be done on the specific symptoms and causes..."
Yu Zhiming left the ward, joined Teacher Qi, Doctor Zhao Hang and others waiting outside, and came to a conference room.
After everyone sat down, Yu Zhiming began to report his findings.
"First, I did not detect any abnormal organic lesions in the young patient."
"Second, young patients can already, to a certain extent, induce the abnormal trembling on their own."
Yu Zhiming didn't wait for Zhao Hang and others to question, and continued: "Just now, the little patient was induced at my request, and I finally made a discovery."
Then, Yu Zhiming recounted his findings in detail.
The uterus twitches, the blood pools, the heartbeat soars, the body trembles, the muscles relax, the bladder becomes incontinent...
After Yu Zhiming finished speaking, Zhao Hang said in a deep voice: "Dr. Yu, in the previous physical monitoring we did, the patient's heartbeat was not soaring and the blood was not gathering in the lower abdomen before the patient was shivering abnormally."
"It can be inferred that the little patient is trembling abnormally by imagining that kind of thing."
Qi Yue said slowly: "The whole body trembling and urinary incontinence are exactly the same as a woman who is extremely excited."
"It's just that the little patient is only twelve and a half years old, so we subconsciously don't think about it in this aspect."
"Hey, Doctor Zhao, has this uterine twitching been detected before?"
Zhao Hang shook his head and said: "No."
"This kind of twitching in the body is also difficult to detect."
Qi Yue pondered and said: "From the report of my student, this uterine twitching is obviously a key."
"Why don't we do an experiment first?"
"Director Qi, what test is it?" Zhao Hang asked cooperatively.
Qi Yue said loudly: "Inject nerve blocking agent into the uterus and observe it for twenty-four hours."
"If it works, it means that the problem lies in the uterus. Then we will conduct a comprehensive and detailed examination of the uterus."
Zhao Hang grinned secretly.
This was really the wrong name, not the wrong nickname. This Qi was as bold as the legend said, and the treatment plan was really extremely bold.
If you perform a nerve block on the uterus of a twelve-and-a-half-year-old girl, are you not worried about adverse consequences such as nerve damage?
However, this proposal is indeed simple and effective.
Moreover, the possibility of serious adverse consequences if only blocked for 24 hours is relatively low.
The important thing is that given the young age of the patient, there are really adverse consequences and a long recovery and recuperation time.
Zhao Hang noticed that other colleagues did not express their objections, so he nodded and said: "Wait a minute, I will explain it to the family members and try to get their consent."
He stood up again and said, "It's past one o'clock now, why don't we go eat first."
"Discussing the condition while eating?"
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