The most enlightened doctor

The corpus luteum is unique to women of pregnancy age and is a gland-like structure rich in blood vessels that rapidly transforms from follicles after ovulation.

After the ovary discharges follicles, an irregular cyst containing blood clots is formed in the ovulation hole, which is called a "blood body".

Thereafter, this blood body is regulated by the central hypothalamus and pituitary gland, and under the action of a series of reproductive endocrine hormones, it evolves into a larger cell mass rich in capillaries and with endocrine functions.

It appears yellow when fresh, so it is called corpus luteum.

During pregnancy, the corpus luteum can continue to exist and secrete progesterone to maintain a stable state of the uterus in the first three months of pregnancy.

In a non-pregnant state, the corpus luteum will gradually evolve into the "corpus luteum" within two weeks, which will be slowly absorbed by the body and return to become part of the ovarian tissue.

Therefore, the corpus luteum in girls of pregnant age does not always exist. The corpus luteum formed by girls during each menstrual cycle generally lasts for fourteen days.

In addition to rupture caused by lesions, most ruptures of the corpus luteum are caused by strong external forces.

Among these external forces, the most common reason is that the movement of applause is too intense and violent.

Of course, the chance of making an exception for the corpus luteum is very low, with preliminary statistics ranging from one in a thousand to one in ten thousand.

This is mainly because the corpus luteum is in the female pelvic cavity and is protected by pelvic tissue.

Moreover, the corpus luteum is a tissue formed by ovarian cells about a week after ovulation. It is protected by surrounding organs in the pelvic cavity and is absorbed and disappeared before menstruation.

Therefore, its external force rupture needs to occur at the right time and requires very strenuous activities.

Once the corpus luteum ruptures, some may only have sudden and very mild lower abdominal pain on one side.

Severe cases may present with sudden severe and unbearable abdominal pain, accompanied by nausea, vomiting, frequent urination, anal/oral// distension, etc.

The corpus luteum has rich blood supply, and rupture will inevitably be accompanied by bleeding.

When bleeding is severe, symptoms such as decreased blood pressure, pale complexion, and hemorrhagic shock may occur, which may even be life-threatening and require timely surgical treatment.

When the amount of bleeding is small, conservative treatment can be performed, and medications to stop bleeding and control infection can be used as directed by the doctor.

At the same time, stay in bed and avoid activities...

It is naturally impossible for Yu Zhiming to act recklessly regardless of Qing Ning's health in order to prove himself.

However, he did work hard.

After several clouds/rains, Yu Zhiming lay on the bed and didn't even have the strength to turn over.

Qing Ning, whose face was covered with sweat, arched his body like a caterpillar and pressed tightly against Yu Zhiming's body.

"Zhi Ming?"

"Um?"

"husband?"

"Um!"

"Husband...husband...husband..."

Yu Zhiming was so tired that he didn't even want to open his eyelids, so he quickly replied, "Wife!"

Gu Qingning smiled with satisfaction.

"Hey, are you tired? Do you really want to sleep?"

Yu Zhiming snorted again.

Gu Qingning asked again: "Then you are extremely tired, can you still fall asleep even if I am by your side?"

Yu Zhiming said frankly: "It must be the kind of person who has stayed up for two or three days and is extremely tired and sleepy."

"Today's level is far from enough."

Gu Qingning said with disappointment: "That's it. It seems that this method won't work."

Yu Zhiming sighed softly: "Don't worry about this. Sleeping in separate beds is unavoidable."

After a pause, he continued: "After moving to your new home in Junshan Mansion, I can wait until you fall asleep before going back to my room."

"In the morning, I'll wake you up again."

Gu Qingning shook her head gently and said, "I don't want you to work so hard. You have so much work every day and you still have to study."

"I chose you, not only to accept everything about you, but also to work hard to take care of you."

"Instead of making you work harder to take care of me."

Yu Zhiming turned around and kissed Qing Ning on the forehead, put on his hat and said, "A good wife and loving mother, my Qing Ning is also here."

Gu Qingning said with a smile: "You are so talented and a famous doctor in the country. As a little girl, I naturally have to make more sacrifices."

"I am making a sacrifice for the country and the people."

Yu Zhiming smiled softly and said, "The results I will achieve in the future will be half of yours."

"This is necessary." Gu Qingning responded confidently, and chuckled: "You are also quite good at coaxing people."

Yu Zhiming said with a hint of sarcasm: "It's not that I don't know how to interact with people and talk nicely, it's just that I think it's unnecessary and not worth the fuss."

"But for you, of course it's different..."

Just then, there was a knock on the door.

Immediately afterwards, the bedroom door was pushed open a crack.

"Are you done?"

Yu Xiangwan's voice came through the crack in the door, "Qing Ning, your mother called and said she has something urgent to look for you."

Gu Qingning sat up from the bed.

She got up quickly and urgently, pulling at the painful spot in her lower abdomen, and groaned involuntarily.

After a moment of relief, Gu Qingning got out of bed, grabbed the pajamas thrown on the ground, put them on casually, and left the bedroom.

Yu Zhiming also got up.

When he put on his pajamas and left the bedroom, he saw Qing Ning sitting on the sofa with a sad look on his face.

"Qing Ning, what happened?"

Gu Qingning raised her little face and said with red eyes: "My mother said that grandpa passed away just two or three hours ago."

Yu Zhiming sat down on the sofa next to Gu Qingning and put his arms around her.

"Is it an accident? A chronic illness? Or a sudden illness?"

Gu Qingning said slowly: "Mom said that grandpa said he was a little tired after dinner, so he went back to the room to rest."

"More than half an hour ago, my uncle went to grandpa's room to ask if he wanted to drink water or go to the bathroom. He found that grandpa was not breathing and had already left."

Yu Zhiming hugged Gu Qingning a little tighter.

"Although it was difficult for the family to accept the sudden death, for the old man, it was a very good thing that the death was painless."

Gu Qingning wiped her eyes and said, "My grandpa is already ninety-one years old. It is a sad moment to leave so suddenly to reunite with my grandma in another world."

She stood up and said, "Zhiming, I need to pack up and rush to my parents' house, and then I'll rush to my uncle's house with my parents overnight."

Yu Zhiming stood up and said, "I'll send you..."

Gu Qingning shook her head and said, "No, you have work tomorrow and need a good rest."

"I'll just take a taxi and go back."

Yu Xiangwan said: "Qing Ning, I'm here to see you off..."

Finally, Gu Qingning quickly rinsed her body, packed a few changes of clothes, and Yu Xiangwan drove her away from Zijinyuan Community...

The next morning, the first thing Yu Zhiming did after waking up was to have a phone call with Qing Ning, who had successfully arrived at his uncle's house in Zhejiang Province, to learn about her situation.

After 8:20 in the morning, Yu Zhiming rushed to the hospital and started a new day of work.

At nearly 11 o'clock in the morning, Qi Yue, Yu Zhiming, Xie Jianmin, Wang Zhijin, Wang Zejia and others from the center gathered in the main office to hold a disease discussion meeting.

The first thing they discussed was the condition of a patient whose esophagus spiraled while eating that Yu Zhiming received yesterday.

Wang Zhijin was the first to speak: "We can confirm that this is the deformation of the esophagus caused by muscle spasm caused by stimulation."

"I saw a similar case analysis in an issue of a foreign medical journal five or six years ago."

"Unfortunately, the authors of the paper did not find a treatment for this condition and only recommended that patients take a liquid diet."

Qi Yue also spoke: "I have seen that paper before, but I didn't expect that Zhi Ming would encounter a similar case."

"Last night, I also got in touch with the author of the paper, the British Dr. Ramon, through some connections, and learned about the patient's subsequent condition from him."

Qi Yue met Yu Zhiming's gaze and continued: "Dr. Ramon told me that the patient lost more than 60 pounds after nearly a year, and suddenly the symptoms of esophageal spasm disappeared."

"Dr. Ramon said that the patient's symptoms came and disappeared suddenly, and he found no useful information."

Yu Zhiming nodded lightly and said, "This is good news. This disease can heal itself."

"It's just that the self-healing time is too long."

Wang Zejia chuckled and said, "Wouldn't this be better?"

"This patient is so fat and weighs more than 210 kilograms. He just used this opportunity to lose weight."

Qi Yue said again: "Zhi Ming, please tell the patient about the case in that paper."

"Seek his treatment advice again."

"If he wants to continue treatment, there is no problem, but he must be mentally prepared to have completed various examinations and spent a lot of examination fees, but still have no results."

"We should not belittle ourselves, but we should not overestimate ourselves too much. For difficult and complicated diseases that foreign medical experts cannot solve, the possibility that we can solve them is not very high."

Yu Zhiming nodded and said, "I will explain it to the patient in detail."

He understood the reason why the teacher did not pay attention to this patient.

First, the disease is too rare. It is estimated that there are only a few cases in the country, and it is not worthy of investing heavily in key research.

Secondly, it is not life-threatening and may be self-limiting and self-healing.

Even if you can't heal on your own, you can still live a lifetime by drinking mush every day.

Of course, if the patient is willing to spend money, Qi Yue will definitely not mind investing more energy and resources...

"Let's move on to the second case..."

At 12 o'clock at noon, Yu Zhiming finished the disease seminar and went to the cafeteria for lunch.

Zhou Mo chased him out.

"Didn't you make peace with your mother? Why didn't you let your aunt at home make lunch?"

Zhou Mo explained: "I said I am your work assistant, but actually my biggest role is as a bodyguard."

"If you go to a crowded cafeteria to eat alone, if something unexpected happens, I will definitely be responsible for your death."

Yu Zhiming chuckled and said: "It seems that I have caused trouble for you."

Zhou Mo said solemnly: "Since I accepted this job, I naturally have to do my best."

"Besides, as a famous doctor, you can eat the food in the cafeteria, and I, as a little assistant, can also eat it."

"Dr. Yu, if you feel sorry for yourself..."

Zhou Mo chuckled and said, "The embroiderer who works for my mother will arrive in the afternoon. Just pay more attention to her."

Yu Zhiming snorted softly and said: "You don't need to tell me this, I will spare no effort for every patient..."

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