The most enlightened doctor

Today is Saturday, and I have to make up for Thursday's class.

However, for Yu Zhiming, cancer screening for volunteers in the very early cancer project will not officially begin until next Monday.

Because it was the first official day of work after the New Year, Yu Zhiming received specialties brought from his hometown by many medical staff at the center.

For example, cured fish, local game, specialty pastries, local nuts, specialty snacks, etc.

This made Yu Zhiming feel a little ashamed.

Why didn't he think of bringing some souvenirs from his hometown to maintain the friendship between his colleagues?

It was just this feeling of shame that lasted less than ten minutes in Yu Zhiming's mind before it was forgotten.

Because, work comes one after another.

In addition to Yu Zhiming, Qi Yue, Han Shuo, Xie Jianmin, Wang Zhijin and Wang Zejia from the center each received as many as five and as few as two inpatients.

Qi Yue had the most patients, receiving five patients at once, not counting the terminal cancer patient.

It seems that this year, in order to wipe his son's ass, he will make rapid progress on the road of making money.

After 10:30 in the morning, Yu Zhiming, who was conducting a physical examination on Wang Zejia's patient in the examination room, heard the strange Chinese voice of his Chinese father at the door of the examination room.

"Doctor Yu, my son wants to urinate."

These words made Yu Zhiming stop the examination and said to the patient in front of him: "Please wait for me for a while. I have a patient who needs to deal with an emergency."

Yu Zhiming left a word and trotted with his Chinese father to the single ward No. 5 in the ward area upstairs.

The Chinese boy named Tai Er is still sitting on the hospital bed

Yu Zhiming directly started to explore his lower abdomen.

As soon as his hand touched Tyre's lower abdomen, he could clearly feel that Tyre's lower abdomen was somewhat swollen.

After a brief exploration, Yu Zhiming found that his bladder was full of urine, about 320 to 30 milliliters.

He felt the expansion of Taylor's bladder and the tightness of the bladder wall again, and estimated that there was still a maximum capacity of 100 milliliters.

"Tiel, describe to me your current need to pee. There are five levels. First, you have the need to pee, but there is no need to rush. You can slowly look for the bathroom."

"Five means I can't hold it in anymore and I need to deal with it immediately, otherwise I'll pee my pants."

After a pause, Yu Zhiming asked: "Tiel, what level is your urge to pee now?"

Taylor thought for a moment and replied: "The third level."

The third one? !

This answer is one step lower than the correct answer four that Yu Zhiming imagined.

However, out of understanding and personal bias, answer three is not unacceptable.

However, Yu Zhiming noticed that Tai'er's facial expression was quite relaxed and did not look anxious or uncomfortable at all. He thought that his "three" should be closer to the answer two in Yu Zhiming's heart.

Alas, this is the same drawback as the degree of pain, which cannot be uniformly and specifically quantified.

"Tyle, you can pee now."

Yu Zhiming confessed and left the ward.

After walking a few steps, he heard his Chinese father chasing him out.

"Doctor Yu, Terta?"

Yu Zhiming felt that it was necessary to explain, so that the patient's family members could not be confused and did not know why.

"In my preliminary examination, I found no organic lesions worthy of concern in Tier's internal organs."

"However, based on Tyre's ability to sense the urge to urinate, I suspect that his visceral sensory nerves have become dull."

The main innervation of visceral organs is the visceral nervous system, which can be divided into visceral motor nerves and visceral sensory nerves.

The two together control the internal organs and regulate various activities of the organs to maintain normal physiological functions. They can also transmit various messages, cause pain and other uncomfortable symptoms, and alert the occurrence of diseases.

The visceral sensory nerves mentioned by Yu Zhiming transmit the stimulation of various organs to nerve centers at all levels, and can also reach the cerebral cortex.

The information transmitted by the visceral sensory nerves is integrated by the central nervous system and then passes through the visceral motor nerves to regulate the activities of the corresponding organs, thereby maintaining the dynamic balance of the internal and external environments of the body and the normal life activities of the body.

Painful stimuli in our internal organs are sensed by visceral sensory nerves and transmitted to our brains.

However, because the pain threshold of visceral sensory nerves is high and the sensory input is scattered, when visceral pain occurs, we often cannot accurately locate the pain point.

Therefore, pain in many internal organs requires detailed examination to make a clear diagnosis.

The degree of urge to urinate in our bladder is naturally sensed by the bladder sensory nerves and transmitted to the nerve control center.

Generally speaking, visceral sensory nerves are more obvious and sensitive to feelings such as stretch, hunger, and cramps.

If the visceral sensory nerves become dull, they may become less sensitive to hunger, which will then affect the function of the digestive organs and the secretion of digestive glands. People will become less fond of eating, and their digestion and absorption capabilities will also decrease.

Of course, sometimes there is another extreme, that is, eating like crazy, eating very full but still not feeling full.

Yu Zhiming explained patiently and said, "Of course, this is just a guess on my part, and there is currently a lack of evidence."

"Further exclusion checks are needed."

After explaining these contents, Yu Zhiming found that the Chinese father's face became ugly and he became thoughtful.

"Do you have anything to tell me about Tyre?"

The Chinese father looked bitter and said, "Dr. Yu, your guess is probably correct."

"Before Talta showed symptoms such as obvious weight loss, he once ate a lot and ate a lot of food. It shocked and frightened me."

"At that time, I took him to the hospital to induce vomiting and gave him a stern warning not to eat like this."

After a pause, the Chinese father added: "Since then, his diet has returned to normal."

Yu Zhiming asked: "What is normal?"

The Chinese father said: "It's just the amount of food a fourteen- to fifteen-year-old child should eat."

Yu Zhiming asked again: "How does it compare with your appetite?"

The Chinese father said: "Of course it cannot be compared with mine. It is about one-half of mine."

These words made Yu Zhiming more and more certain that Taier had a dull visceral sensory nerve.

He sighed softly: "Don't you know there is a saying in China? It's called, a half-grown man will eat a poor man."

"At Tyr's age, he is in the developmental stage of his body, and his body needs a lot of energy."

"It's normal for him to eat more food than you."

The Chinese father was stunned for a moment, then asked with a self-reproaching look on his face: "Dr. Yu, does this confirm that Taylor has a sluggish visceral sensory nerve?"

"Is this the ultimate cause of his ill health?"

Yu Zhiming replied frankly: "We can't confirm it yet. I can only say that it is quite possible and some inspections are needed to confirm."

After a pause, Yu Zhiming added: "This visceral sensory nerve dullness is most likely not the final cause, but a manifestation and symptom of some kind of chronic disease."

"Tracing back to the source, it is possible that there may be lesions in the brain ganglia, spinal ganglia, neurotransmission centers, or brain control centers that are closely related to visceral sensory nerves."

Yu Zhiming thought for a moment and said, "In this case, I will ask my teacher, Dr. Qi Yue, a well-known neurology expert, to preside over Tier's visceral sensory nerve examination..."

Yu Zhiming returned to the examination room on the second floor first and completed the unfinished physical examination of Dr. Wang Zejia's patient before going to the director's office to look for Teacher Qi.

Unexpectedly, on the way, he was stopped by a girl in her twenties, dressed in exquisite clothes but with a haggard face.

"Are you Dr. Yu Zhiming?"

"The medical genius who can claim to cure terminal cancer? Are you thirty years old?"

"Are you sure you're not a big liar?"

"Advanced cancer is a problem recognized by the world's medical community. We can only prolong the patient's life as much as possible, but cannot cure it."

Yu Zhiming's face darkened.

With his fame soaring, he had never been accused and questioned so face-to-face before, so he naturally became angry.

He retorted unceremoniously: "You are not my patient. You may not believe in my ability, but you have no right to question me."

“A good dog doesn’t block the road, get out of the way.”

Yu Zhiming's words made the woman in front of him furious.

"You are the dog, and your whole family is a dog."

The next moment, her mouth was like a machine gun, and she said quickly: "Tell you, I am Ke Xixi. My father is Ke Minzhi, ranked 142nd on the Forbes China Rich List last year."

"My dad used to be well treated at the famous Mayo Clinic abroad, but suddenly he seemed possessed and wanted to return to China to receive your treatment. He refused to listen to your advice."

Speaking of this, Ke Xixi's eye circles suddenly turned red.

"Experts from the Mayo Clinic said that according to their treatment plan, it is possible for my dad to live for another three years."

“But if you give up midway, all your efforts will be wasted.”

"Doctor Yu, if you are not sure that my dad can live for another three years, can you please stop causing trouble to my dad?"

"If you want money, I'll give it to you!"

"As much as you want."

After hearing what she said, Yu Zhiming's anger towards her lessened somewhat.

After all, she also cares about her father.

However, her behavior is absolutely unacceptable.

Yu Zhiming didn't bother to explain to her. He stretched out his hand and pulled this guy aside and walked quickly to the director's office.

Seeing that she couldn't stop him, Ke Xixi stamped her feet angrily, but she could only wipe her eyes hard and follow Yu Zhiming.

Entering the director's office, Yu Zhiming saw that besides Teacher Qi and Zhou Mo, there were five other people there.

Zhou Mo was pouring tea and water.

Among the five strangers, one was sitting in a wheelchair. He was a thin man in his fifties, wearing a felt hat, with a tired expression on his face.

Yu Zhiming saw Ke Xixi standing next to the wheelchair with a straight face, and knew that the person in the wheelchair was the real owner.

At this time, Qi Yue's voice sounded.

"Zhiming, let me introduce to you, this is Mr. Ke Minzhi from the capital."

Yu Zhiming met Ke Minzhi's gaze and said in a deep voice: "Mr. Ke, I just had a conversation with your daughter outside."

"My wife is very doubtful about my abilities."

"Mr. Ke, do you trust me?"

Ke Minzhi first glanced at his daughter beside him, who was biting her lip with a stubborn look on her face. She leaned over to Yu Zhiming and said, "Dr. Yu, my daughter has been spoiled by me since she was a child. She is a little reckless and impulsive."

"Please also consider that her original intention is to care about my filial piety as an old father, and forgive her rudeness."

"As for trust..."

After a pause, Ke Minzhi said again: "Dr. Yu, I directly interrupted the treatment plan at the Mayo Clinic in the United States, and came back on a chartered flight without any delay. This should be enough proof, right?"

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