The most enlightened doctor

"Sir, do you think my strength is okay?"

Yu Zhiming, who was lying on the sofa, listened to the delicate voice that made his body tingle, and said in a low voice: "Very good!"

"Sir, do you think my method is too harsh?"

"Very cool!"

"Sir, do you want to apply for a card?"

"We have launched a large discount package. As long as you apply for a Life and Life card, you will be provided with food, play, and/or sleep services, as well as a friendly gift of childbirth services."

"Apply for a card! Apply for a card! Apply for a card..."

Yu Zhiming hurriedly replied a few times, then suddenly turned over and grabbed the seductive little goblin beside him into his arms.

Up and down his hands.

But the next moment, he smelled a familiar smell.

"What's going on?"

Gu Qingning's face turned bright red, and she nodded with spring in her eyes, and softly replied: "Yes, just half an hour ago."

Yu Zhiming sat up and asked with concern: "Are you feeling uncomfortable? Does it hurt?"

"During dinner, I saw that you ate a lot of the spicy conch. I also ate some of the cold lobster sashimi."

Gu Qingning chuckled and said, "There used to be some small pains, but this time I almost didn't feel much."

"It is said that having a boyfriend can cure menstrual cramps. I have personally experienced this and it is indeed effective."

Yu Zhiming said seriously: "Actually, boyfriends cannot help women relieve menstrual cramps. Clinically, there is no saying that men can help women relieve menstrual cramps."

He further popularized the science: "There are two types of causes of women's dysmenorrhea: physiological and pathological."

"Physiological dysmenorrhea is caused by changes in the hormonal environment in the body and increased prostaglandin secretion, which can cause uterine contractions and cause dysmenorrhea in women."

"Generally speaking, this kind of pain cannot be improved by men or by having regular sex."

"As for pathological dysmenorrhea caused by endometriosis, pelvic inflammatory disease, uterine fibroids and other pathological causes, men cannot relieve it."

Gu Qingning saw this guy's serious look about popularizing science. He suppressed a smile and argued in a serious tone: "There are many people on the Internet who have come forward to give their own opinions."

"It is said that after having a boyfriend and having sex, my menstrual cramps have been significantly relieved."

"Facts speak louder than words, how do you explain it?"

Yu Zhiming hummed and said, "Are you sure these posts on the Internet are all posted by you girls?"

"Perhaps, most of them are sent by men with unspeakable purposes and deliberately mislead you girls."

"Of course, because the base is too large, it cannot be ruled out that some girls have indeed relieved their menstrual cramps through men."

Yu Zhiming pondered and said: "These girls may have some endocrine disorders in their bodies."

"After they found a boyfriend, they adjusted their endocrine system during the contact with their boyfriend, harmonizing the sex hormone levels in the body, reducing the sensitivity of uterine smooth muscle to menstrual prostaglandins, thereby alleviating the symptoms of dysmenorrhea. .”

"But for the vast majority of girls, men have little effect on their menstrual cramps."

After a pause, Yu Zhiming suddenly thought of something and said with a soft smile: "It can't be said that men can't play a role."

"They can get a cup of hot water and let the girls warm their stomachs."

"You can chat, divert the girl's attention, and relieve the pain to some extent."

"You can also gently rub the girl's belly with your palms."

Gu Qingning's eyes widened when he heard this. He pinched his waist and transformed into a little tiger.

"Since you know so clearly, if you don't act quickly, people will still feel a little uncomfortable."

Yes, you are digging a hole for yourself...

Yu Zhiming first poured a cup of hot water for Gu Qingning, then held her in his arms and rubbed her belly...

Yu Zhiming, who transformed into a warm man, had been chatting with Qing Ning for more than ten minutes when he suddenly heard the sound of rapid footsteps coming from far to near outside.

He put down the lime, stood up from the sofa, and saw a little nurse running towards the door.

"Doctor Yu...Doctor Yu..."

The little nurse, who was running too fast, bent down and took two breaths before she could breathe more smoothly and speak coherently.

"Emergencies, heart problems, Dr. Chen is a traditional Chinese medicine doctor and is not good at dealing with them..."

Before the little nurse finished speaking, she looked up and saw Yu Zhiming, who was wearing a down jacket and quickly walking out of the door.

The little nurse quickly took a deep breath, turned around and ran out, leading the way and introducing the situation.

Two or three minutes later, Yu Zhiming, who walked quickly to the medical center on the first floor of the dome building, saw an old man in his sixties or seventies, breathing oxygen and sitting on a multi-functional examination chair.

Even though he was breathing oxygen, the old man still had shortness of breath and looked pale.

Yu Zhiming also noticed that the old man's jugular vein was round and bulging.

Dr. Chen, who was standing aside, saw Yu Zhiming coming in and said eagerly: "Doctor Yu..."

As he spoke, Yu Zhiming's right hand was already pressing on the old man's left chest...

"Acute pericardial effusion requires pericardiocentesis."

The pericardium is a sac surrounding the heart, consisting of a serous layer and a fibrous layer.

The pericardium anchors the heart, cushions the impact of cardiac contraction on surrounding blood vessels, and prevents rapid expansion of the heart chambers caused by exercise and increased blood volume.

It can also prevent chest infections from spreading to the heart.

Within the pericardial cavity, there are fifteen to fifty milliliters of serosal fluid, which acts as a lubrication.

Pericardial effusion refers to excessive fluid secretion from the pericardium that accumulates in the pericardial cavity due to pericardial disease itself or other causes involving the pericardium.

This is a relatively common clinical symptom.

Patients with small pericardial effusions, or large, slowly accumulating pericardial effusions, may be asymptomatic.

As pericardial effusion compresses the heart and local tissues, corresponding symptoms of varying severity may occur.

Dyspnea is the most prominent symptom, and irritability, paleness, and cyanosis may also occur.

The occurrence of large amounts of pericardial effusion in a short period of time can lead to cardiac tamponade, obstruction of venous return, congestion of the systemic circulation, and symptoms such as hypotension and jugular venous distension.

In severe cases, shock and cardiac arrest may occur.

During Yu Zhiming's investigation, the old man's pericardial effusion was at least six to seven hundred milliliters.

This is a serious situation.

Yu Zhiming detected that the beating of the old man's heart was severely suppressed, causing blood circulation to be hindered.

Emergency treatment is required.

"Pericardiocentesis?"

Dr. Chen was shocked and said anxiously: "Dr. Yu, I can't do this puncture."

"Our own ambulance is ready, but it takes 40 to 50 minutes to drive to the nearest major hospital."

"Can you make it in time?"

Forty or fifty minutes' drive?

Yu Zhiming couldn't help but frown. Considering the old man's current symptoms and the heart compression caused by pericardial effusion, he might not be able to survive it.

"I'm going to do a pericardiocentesis."

After making the decision, Yu Zhiming warned: "Prepare puncture needles, drainage tubes and surgical sterilization kits."

"Everyone else who is not involved should get out."

Pericardiocentesis needs to be performed in a sterile environment as required to avoid infection of the heart.

But in the current situation, Yu Zhiming could only act urgently and drain the pericardial effusion first so that the old man's heart function could return to normal.

As for whether it is infected or not, that is a matter for later.

Under Yu Zhiming's arrangement, only the little nurse who called him over was left at the scene.

Dr. Chen, other nurses, caregivers, and friends who care about the elderly all went outside the clinic.

In order to avoid infection, Yu Zhiming also disinfected the environment and the puncture site of the elderly as much as possible.

Not only did he disinfect his hands, he also put on a disposable sterile surgical gown, mask and surgical gloves.

After being prepared, Yu Zhiming took the puncture needle handed over by the nurse and patted the old man's ribs a few more times.

The next moment, without any hesitation, he thrust his hand in with all his might.

The little nurse next to her was so shocked that she quickly covered her mouth.

Pericardiocentesis has high requirements on the technical level of doctors.

Even at Huashan Hospital, at least a senior attending physician is required to perform the operation under the guidance of ultrasound images.

This is because if the puncture needle accidentally touches the heart, it can easily trigger a cardiac stress reaction and cause cardiac arrest.

Judging from Yu Zhiming's sensory positioning and the stability of his hands, pericardiocentesis was not a big deal.

His main worry before was infection...

Yu Zhiming quickly inserted the drainage tube and saw the light white liquid spraying into the drainage bag along the drainage tube.

He then checked the patient's heart to see that its blood pumping function was gradually improving.

"Now the old man can be sent to the hospital..."

Yu Zhiming tidied himself up, walked out of the clinic holding his coat, and saw Qing Ning waiting outside.

"Zhiming, you are great, you saved another person."

Yu Zhiming sighed softly and said, "It's hard to say now. We still need to survive the subsequent infection period."

"Let's go back..."

Gu Qingning took Yu Zhiming's arm and walked out of the dome building, and unexpectedly saw Gu Changyan surrounded by four or five people.

"No! I don't agree!"

"I can't let my men venture into the mountains at night."

Curious, Yu Zhiming and Gu Qingning came closer and listened for a while before they heard the whole story clearly.

A pair of high school sweethearts were strongly opposed by their parents and left suicide notes to die for their love.

Parents will go crazy when they find out.

They found some clues and determined that the two children most likely ran into this mountainous area.

Hearing this, Yu Zhiming remembered that when he was on vacation at Huguangshanshe during the National Day, people there said that this mountainous area was a famous place for self-commitment and sleeping.

"Dean, please, my child is only seventeen years old."

As he spoke, a man knelt down and begged: "Dean, you don't need to order your employees to go into the mountain. You just need to summon them."

“We’re asking for volunteers.”

"Those who are willing to follow us into the mountains to find people are worth ten thousand each."

"If you find two children, give them one hundred thousand."

"If you are accidentally injured while hiking in the mountains, we will be fully responsible and will provide you with compensation..."

Yu Zhiming and Qing Ning didn't listen anymore and walked hand in hand towards the villa in the west.

Although life is priceless and saving people is urgent, they will not put themselves into danger recklessly just to find those two ignorant guys...

Please support with monthly votes, recommendation votes, etc.! ! !