The most enlightened doctor

At 3:30 on Sunday afternoon, Yu Zhiming, his eldest sister Yu Zhaoxia, and his niece Fu Xiaoxue took the high-speed train G211 and arrived at Binhai South Station smoothly.

They were dragging two large suitcases and carrying two backpacks. They got off the train and walked a few steps when they were stopped by someone.

The person who stopped them was a young woman with a plump body and nearly average height.

There is also a middle-aged woman in her forties or fifties.

"Doctor, I'm sorry to bother you."

The young woman who quickly came forward was dragging a small suitcase with one hand and holding a large leather envelope with an embarrassed look on her face.

"Doctor, when you took the initiative to help others on the train, I knew you were a kind-hearted doctor and a good doctor..."

What this woman meant by taking the initiative to help others was that when the train was approaching Binhai, an announcement suddenly sounded.

It was said that a six-year-old child kept vomiting blood, was very frightened, and sought medical help.

Yu Zhiming, who took the high-speed train, naturally stepped forward.

Upon inspection, he discovered that the child's throat had been pierced by a foreign object, but no blood vessels were damaged.

It was said that he was vomiting blood, but there was some blood mixed in the spit, and his parents were just too worried.

Yu Zhiming used the eyebrow tweezers provided by the child's mother to easily remove the foreign object.

A small piece of sharp melon seed peel...

Yu Zhiming interrupted the other party's flattery and asked directly: "What do you want from me?"

The young woman smiled coquettishly and said, "Doctor, I came to Binhai to see a doctor."

"I've been married for four years and I haven't gotten pregnant."

"I went to several hospitals in the past two years and spent a lot of money, but it just didn't work."

The young woman handed over the large thick cowhide envelope and asked expectantly: "Doctor, this is my physical examination information. Can you take a look at it?"

To be honest, Yu Zhiming didn't want to deal with non-emergency medical consultations like this.

The human heart is really unpredictable.

The lesson learned from being beaten into a pig's head was still fresh in Yu Zhiming's memory.

Therefore, facing the woman's request, Yu Zhiming politely refused: "Sorry, I am not a gynecologist and cannot give a more professional diagnosis."

"Now that you are in Binhai, I suggest you go to a large hospital in Binhai and consult a gynecologist."

Fu Xiaoxue, who was standing aside, interjected: "Huashan Hospital is one of the four famous hospitals in Binhai. It has strong medical resources. I suggest you go to Huashan Hospital."

Yu Zhiming glanced at his talkative niece, and the young woman's question rang in his ears: "Is Huashan Hospital better than Donghai Infertility Hospital in terms of gynecology?"

Her question left Yu Zhiming and others speechless.

Fu Xiaoxue couldn't help but reply: "Sister, Donghai Infertility Hospital. When you hear the name, you know it is a private pheasant hospital."

"The purpose of such a hospital is to make money, how can the medical level be high?"

"You don't believe their advertising, do you?"

The young woman whispered awkwardly: "I met him on the live broadcast, a medical expert from their hospital."

"That man looks very powerful."

She looked at Yu Zhiming and asked, "Doctor, is Donghai Infertility Hospital really bad?"

"Are their advertisements all deceptive?"

Yu Zhiming smiled lightly and replied vaguely: "I don't understand, and I dare not say that the quality of this hospital in Donghai is poor."

"I can only say that the Huashan Hospital recommended by my niece, as well as the other three major hospitals with the same reputation, have a high probability of solving your problem."

The young woman nodded and said, "Doctor, you are a good doctor, I believe in you!"

"I will go to Huashan Hospital to see a doctor."

Facing the young woman's trusting gaze, Yu Zhiming noticed that although this woman was plump, her complexion was a little dull and her hair was a little dry.

He was still a little hard-hearted and asked again: "Have you always been so fat?"

The young woman smiled shyly and said, "When I got married, I was quite slim, less than 110 pounds."

"But after getting married, my weight gradually increased and I never lost weight."

"Are you sure you have never lost weight?" Yu Zhiming asked seriously!

"Every time I weigh myself, I occasionally lose a pound or two, but over a long period of time, I keep getting fatter."

The woman explained, and then said distressedly: "I also know that it is not easy to get pregnant if you are fat."

"But I have also tried very hard to lose weight, but I just can't get rid of the weight."

As soon as she finished speaking, the middle-aged woman next to her murmured in a low voice: "I'm lazy and sleepy. I'll be damned if I can lose weight."

The middle-aged woman spoke in a very soft voice, almost whispering, but Yu Zhiming could hear her clearly.

This made Yu Zhiming have some guesses in his mind.

He felt itchy for a moment, and to verify his suspicion, he reached out and took the cowhide envelope from the woman's hand.

The envelope contained medical records, various physical examination sheets, laboratory tests, and images of the pelvis and abdomen.

Yu Zhiming glanced at the medical unit marked on the examination form and laboratory test form, and when he found out it was Angel Infertility Hospital, he shook his head secretly.

The guy in front of me is a typical infatuated person who has been cut off one after another.

Yu Zhiming quickly looked through the medical records, examination sheets, laboratory test sheets, and images, and found that there were no organic lesions in the woman's uterus, ovaries, fallopian tubes, etc.

Although the levels of various hormones in the body may be high or low, most of them are within a reasonable range.

Only the value of PRL (prolactin) is on the high side, and the PRL concentration in the serum is 95mg/dl.

This value is on the high side, which may be caused by some drugs or menstrual cycles, but in a way it confirms Yu Zhiming's guess.

The diagnosis in the medical record was irregular menstruation.

Yu Zhiming looked through the information, but did not find the exact test result he needed, so he put all the information into a leather envelope and returned it to the woman.

He thought about it and said, "You go to the hospital for a checkup this time and ask the hospital to do a pituitary adenoma checkup."

"Pituitary gland? Adenoma? Tumor?" The young woman couldn't help but widen her eyes and her breathing became rapid.

"I can't get pregnant. Is there a tumor in my brain?"

"Isn't this a bit outrageous?"

Yu Zhiming hurriedly explained: "Don't worry, it's just a rule-out test, it doesn't mean you have a brain tumor."

He further explained: "Judging from your various physical examination data, there is no problem with your conception organ."

"The cause of your infertility may be hormonal reasons."

Yu Zhiming pointed to his head and continued: "Our brain has a small organ called the pituitary gland, which is responsible for controlling the secretion of most hormones in our body."

"I found that among the various examinations you did, you missed the examination of the pituitary gland."

"I suggest you make up for this."

The young woman said half-understood, and with a smile on her face, she said, "Doctor, I listen to you and ask the doctor to do this test called pituitary gland for me."

"Doctor, excuse me for disturbing you. Goodbye!"

After saying this, the young woman and the middle-aged woman accompanying her strode away.

Fu Xiaoxue looked at the two people leaving quickly and hummed: "Uncle, you can't get pregnant due to brain problems. They probably think you are alarmist."

Yu Zhiming smiled softly.

In the case of a woman, years of infertility must have caused a lot of psychological pressure.

This can be seen from her dull complexion and dry hair.

But under this kind of long-term psychological pressure, her body is still so fat, and her weight has remained stable and increased, which is a bit contrary to common sense.

Based on the various physical examination data he saw, Yu Zhiming concluded that this woman was most likely to have a pituitary gland problem.

For example, pituitary PRL adenoma.

It is a functional pituitary adenoma that mostly affects women aged 20 to 40 who are suitable for marriage and pregnancy.

Female patients mainly present with irregular menstruation, infertility, increased subcutaneous fat, and are also accompanied by symptoms such as fatigue, easy fatigue, drowsiness, and headache.

This is consistent with some of the woman’s physical signs…

Yu Zhiming dragged his luggage and arrived at the exit of the station while chatting with Fu Xiaoxue.

The first thing that caught their eyes was a big sign saying "Donghai Infertility Hospital Pick-up Point".

Fu Xiaoxue said in surprise: "Is the hospital also so involved? Has it started coming to the station to pick up patients?"

She knocked carefully a few more times and said, "I didn't see those two people. I wonder if they listened to your suggestion, uncle?"

"It's up to them!"

Yu Zhiming responded casually and saw the smiling face of the fourth sister among the people picking up the bus...

PS.

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