The most enlightened doctor

After eight o'clock in the evening, when I returned to Zijinyuan's residence, Yu Zhiming found that the living room had become much emptyer.

"Have everything been moved to the new home?"

Qing Ning said with a showy face: "I contacted a moving company and moved everything at once."

"I spent the whole afternoon tidying up my new home, and I'm very tired."

Yu Zhiming touched the guy's head and praised: "It's great! Thank you for your hard work."

Yu Xiangwan saw clearly what Yu Zhiming and Qing Ning had brought back, and said with joy: "Ah, Jinling's famous duck."

“I ate it last time in Jinling. It was delicious. I’ve never forgotten it.”

Yu Xiangwan took out a bagged salted duck from the box and said with a smile, "I remember it very clearly, it's this brand."

"Hey, Lao Wu, the baby with torsion of the umbilical cord that we rushed to Jinling for treatment at the beginning must have been born several months ago, right?"

Yu Zhiming nodded and said, "If nothing else happens, he should be four or five months old now."

Yu Xiangwan complained with a tone of voice: "The child was born successfully, you should let us know."

"Nowadays, many patients forget about their doctors after they recover and never think of them again."

Yu Zhiming chuckled and said: "They paid a huge sum of 100,000 yuan to invite us, so they have nothing to do with us."

Seeing that the fourth sister couldn't put it down while holding the duck, he said again: "Sister, you can eat it if you want."

Yu Xiangwan felt a little moved, but held it back.

"Let's eat it tomorrow morning. We had a lot for dinner. If we eat duck again, we will definitely gain weight again."

"I have gained more than ten pounds."

Yu Xiangwan looked troubled again and said: "I work very hard every day, but I still keep gaining weight. The fundamental reason is that the food is too good. Old Five, this is all your fault."

Yu Zhiming rolled his eyelids.

"Sister, this fully illustrates two points."

"First, you work hard, it's just an illusion. Second, you failed to keep your mouth shut and ate too much."

"Look at me, I can eat so much and so hard, but I still maintain a thin figure."

Yu Xiangwan snorted lightly and said, "You are just a freak. Who can compare with you?"

She then said, "Tomorrow night, we will all have a dinner in the cafeteria. Do you two want to come together?"

Yu Zhiming shook his head and said: "Forget it, we won't go. Qing Ning and I can just eat whatever we want for dinner."

Qing Ning continued: "Tomorrow I will sort out the clothes, shoes, and bags left at eldest brother's house, and then I will move to the new home and sort them out again. It will probably take a whole day."

Just then, the doorbell rang.

Yu Xiangwan ran to open the door and found the beautiful and freezing Jiang Quan standing outside the door.

But tonight, she looked quite normal in her attire.

Yu Xiangwan noticed that there was a box of Wuliangye and a box of Remy Martin XO at her feet.

"Is something wrong?"

Jiang Quan smiled and said, "Hello, Sister Yu. I'm here to express my gratitude and talk to Doctor Yu about something."

"Oh, come in..."

Jiang Quan carried two boxes of wine into the living room. After exchanging pleasantries and sitting on the sofa, he expressed his gratitude solemnly.

"Dr. Yu, Miss Gu, Sister Yu, thank you for your selfless and friendly help, which allowed my boyfriend to pass away peacefully."

"Now, my boyfriend's funeral arrangements have been taken care of."

"Well, um, I am also going through the inheritance procedures for my boyfriend's inheritance. Because the will is standardized and effective, the inheritance of the inheritance is considered smooth and is now going through the procedures."

Yu Xiangwan interrupted: "Your boyfriend's family?"

Jiang Quan said with a wry smile: "My boyfriend never mentioned his family to me before he was alive. I asked him two or three times, but every time, he changed the subject."

"As for what happened after his death, he told me that I don't need to notify anyone, just let me scatter his ashes quietly into the sea."

Yu Zhiming listened quietly and saw Jiang Quan turning his attention to him again.

"Dr. Yu, you once said that being insensitive to cold might be a disease?"

Yu Zhiming rolled his eyelids and ignored her.

Jiang Quan smiled coquettishly and said, "Dr. Yu, to be honest, I once thought about it, really thought about it, whether I should go to the hospital to see you for a physical examination."

"It's just that my boyfriend can't do without my care. I'm afraid that if there is a serious problem with his body, I won't be able to take care of him."

"Another point……"

Jiang Quan sighed: "At that time, I also had some wild thoughts. I thought it was simply a terminal illness, and it would be a good time for me and my boyfriend to become a pair of mandarin ducks with the same fate."

Yu Zhiming couldn't help but said bluntly: "Now that you have money and real estate, are you afraid of death?"

Jiang Quan nodded without any embarrassment.

"Well, indeed, I don't want to die."

After a moment of pause, she said slowly: "With my original situation, I shouldn't have true love."

"God has given me a generous gift."

"Even for my boyfriend, I have to live well and live well with his expectations."

Yu Zhiming didn't know how to evaluate it for a while.

Is it high-sounding and sanctimonious?

Or has he really become innocent?

Jiang Quan continued: "Dr. Yu, after graduating from high school, I went to Hengdian with my dream of being an actor and started working as a group actor."

"I made very little money at the time, so in order to save as much money as possible, I kept bathing with cold water."

"Even in the winter."

"After two years in Hengdian, there was really no hope, so I came to Binhai to work in the bar atmosphere team."

"This job requires you to wear as thin a layer of clothing as possible, which is called sexy."

"At that time, I discovered that in winter, when other little sisters went out of the bar, they were still shivering from the cold even though they were wearing thick coats, but I didn't feel very cold."

"Dr. Yu, I have always used my resistance to cold and frostbite because I exercised myself by taking cold showers in Hengdian."

Jiang Quan picked up the tea cup and took a sip to moisten his throat.

"Dr. Yu, I have deliberately taken cold showers several times in the past few days. I found that the feeling of taking cold showers in Hengdian is very different."

She said slowly: "I take a cold shower in Hengdian, firstly, to save money, and secondly, to exercise my perseverance, and to motivate myself so that I can endure hardships that others cannot endure."

"Every time I take a cold bath, I need psychological construction, self-encouragement and hypnosis, but it's really cold."

"Every time I take a shower, I feel cold and shivering all over."

"But in the past few days of cold baths, I didn't notice much coldness, and I didn't shiver."

"This made me understand that there must be something really wrong with my body."

Jiang Quan requested: "Doctor Yu, please forgive me for my indifference, and check me to see if there is really something wrong with my body?"

"Or has my anti-freezing ability been greatly improved?"

Yu Zhiming said reluctantly: "For the sake of your dead boyfriend, I will reluctantly check it for you."

Although Yu Zhiming appeared reluctant, he was actually willing to examine Jiang Quan.

Jiang Quan's performance of not being afraid of the cold has always been remembered by Yu Zhiming, just like an itch on the back, which always makes people feel uncomfortable if they don't really scratch it.

Now that I have the opportunity, I will naturally not miss it.

He immediately stood up and said: "Lie down on the sofa so that I can check you."

Jiang Quan followed the instructions and lay down on the sofa. After Yu Zhiming put on surgical gloves, he gave her a full body examination.

The sensation of hot and cold is induced by peripheral nerves on the body surface and conducted to the central nervous system.

The lack of obvious feeling of hot and cold may be caused by physiological factors and pathological factors.

Physiological factors, such as long-term friction of local skin or exposure to extreme environments, can lead to compensatory thickening of the stratum corneum of the skin and even the formation of calluses, commonly known as calluses.

This will cause the subcutaneous nerve to be separated from the outside world by thicker skin tissue, and the induction of hot and cold stimulation from the outside will be weakened, resulting in an indistinct feeling of hot and cold.

This is a normal physiological phenomenon.

As for pathological factors, there are quite a few.

For example, chronic poisoning caused by exposure to heavy metals, chemical synthetic substances, etc. can lead to damage to peripheral nerves and indistinct feeling of hot and cold.

If the patient has chronic diseases such as diabetes and hypertension, and the blood sugar and blood control are not ideal, it can cause damage to the peripheral nerves, resulting in an indistinct feeling of hot and cold.

In addition, if there are serious infections, autoimmune diseases, nerve entrapment syndrome, etc., peripheral neuropathy can occur, resulting in abnormal nerve sensory function, resulting in indistinct sensation of hot and cold.

Another possibility is that the peripheral nerve sensation on the body surface is normal, but there is a problem in the process of transmitting the cold and warm sensation to the central nervous system.

Yu Zhiming still started to check from the head first.

Some cerebrovascular diseases may affect the temperature sensing center in the brain, making patients insensitive to temperature.

After some examination, Yu Zhiming found no brain problems.

Then, Yu Zhiming began to examine Jiang Quan's spine.

Long-term poor posture or severe lumbar muscle strain may cause cervical and lumbar spine diseases, such as intervertebral disc herniation, scoliosis, etc.

This situation generally causes the intervertebral disc to swell or become dislocated and herniate, which compresses the nerves, causing conduction disorders in nerve function and causing the limbs to become insensitive to temperature.

Yu Zhiming felt Jiang Quan's back with his hands and found that her skin was still smooth and tender, and there was no thickening of the stratum corneum.

However, he detected that Jiang Quan's subcutaneous tissue had a reasonably thick layer of fat.

This surprised Yu Zhiming.

Judging from the body shape, Jiang Quan is a bit slim, but he is a guy with a small frame, fat but not greasy.

Although fat has the effect of keeping warm, it cannot keep you cold.

Judging from Jiang Quan's description, she obviously had an imbalance in her perception of cold.

This is most likely caused by pathological reasons.

Yu Zhiming lowered his mind and explored Jiang Quan's spine.

After a while, a major discovery was made.

An oval liquid cavity with a length of about 0.5 centimeters in diameter was found in the spinal canal of Jiang Quan's second and third thoracic vertebrae.

Is this syringomyelia?

Yu Zhiming continued to check.

After completing the entire spinal examination, Yu Zhiming found a total of three abnormal fluid cavities in Jiang Quande's spinal cord.

This also made Yu Zhiming certain that Jiang Quan had syringomyelia.

This disease generally starts slowly and gradually worsens, and the course can last for decades.

Abnormal temperature sensation is one of the symptoms of syringomyelia.

It will cause the patient to gradually lose his sense of temperature, leading to frostbite and burns without even realizing it...

"Jiang Quan, you have syringomyelia and need to go to the hospital for further diagnosis and treatment."

Yu Zhiming comforted him again: "You don't have to worry too much, you are still in the early stages, and the surgical treatment effect is good..."

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