The most enlightened doctor

After the Lantern Festival, it means that the new year has finally passed and it is time to devote oneself to work.

Yu Zhiming had somewhat similar feelings.

When he arrived at the hospital at nearly 8:20 on Monday morning, he felt energetic and motivated.

He took out a stack of red invitations from his briefcase and handed them to Zhou Mo, saying, "Don't follow me to the outpatient and emergency department yet. Help me send out these engagement invitations."

This invitation was finalized by Yu Zhiming last night.

At the suggestion of his family, Yu Zhiming also added several leaders including the boss of the nursing department, finance department, personnel department, and logistics department of the hospital.

Zhou Mo took the invitation and opened the top one.

“He Yue Tower in Zhongshan Park!”

Zhou Mo smiled happily and said, "Ah, what a great place. I heard that the food there is exquisite and delicious. It's hard to get a reservation."

"My mother and I can have a good taste this time."

Yu Zhiming smiled and confessed: "Zhou Mo, remember to say one more thing when sending invitations. You will not accept red envelopes or gifts. I just invite everyone to get together."

Zhou Mo chuckled and said, "Having a high income means you have the confidence to do whatever you do and you are also generous."

"Doctor Yu, promise to complete the task..."

Yu Zhiming put on his white coat, packed up, left the small building's office, and went to the outpatient and emergency department.

He walked out of the small building and was surprised to see someone he knew walking towards him.

Teacher Tian Wen from No. 7 High School not far from the hospital.

Years ago, her husband showed Yu Zhiming and others a stunt in the buffet restaurant of Youyou Hotel, beating his chest and falling into a coma.

However, he later had a conflict with others and was beaten unconscious. He was never able to come to Yu Zhiming for a physical examination.

When Yu Zhiming saw this teacher Tian Wen, he suddenly remembered that he had a one-month appointment with her.

If her husband fails to regain consciousness after a month, she can seek him out for a physical examination.

Is this a month's time up?

Yu Zhiming counted the time and asked, "Teacher Tian, ​​are you here to see me?"

"Your husband hasn't woken up yet?"

Tian Wen came closer and hurriedly replied: "Doctor Yu, I'm here to ask you for help!"

Yu Zhiming said, "Let's talk while we walk."

Tian Wen followed Yu Zhiming's footsteps and said, "My husband has regained consciousness for ten days, but he has cognitive problems. He is stupid, can't speak, and his mood has become unstable."

"The doctor said that the brain was damaged and needs to be nursed back to health slowly."

After a pause, Tian Wen pleaded again: "Doctor Yu, some of the blood in my husband's brain turned into clots. The doctor said that eliminating these clots will definitely speed up his recovery from brain injury."

"Doctor Yu, can you please use puncture to remove the clot in his brain?"

The blood stasis in the brain turned into a clot, and it would take who knows how many years to dissolve.

Yu Zhiming secretly sighed at this man's unlucky attributes, stretched out his hand and said, "Let me watch the movie."

Tian Wen quickly took out the CT film from the bag and handed it to Yu Zhiming.

Yu Zhiming held up the film and looked at it carefully against the light in the east.

There were quite a few blood clots, seven or eight large and small, which showed that the intracranial hemorrhage was quite serious.

Yu Zhiming noticed that the blood clots were mainly concentrated in the frontal and temporal areas, and the location was quite deep.

The frontal lobe governs voluntary body movement and speech, and also regulates memory, judgment, emotion, and impulsive behavior.

The functions of the temporal lobe are related to hearing, language, memory, smell, taste, emotion and mental activities.

If the damage to these two brain tissues mainly affects functional areas such as memory, language, and emotion, it is normal for people to become stupid, aphasic, and furious.

Yu Zhiming returned the film to Tian Wen and said slowly: "Teacher Tian, ​​the general principle is to let the blood clot in the brain dissolve naturally, and no surgery is necessary."

"If puncture is used to remove clots, it will inevitably cause some damage to the brain."

Tian Wen smiled bitterly and said: "Which is the lesser of two evils? The situation will not be worse than the current stupidity, aphasia, and occasional anger, right?"

After a pause, she said frankly: "Dr. Yu, there is no filial son in bed for a long time. I also have an elder and a younger child, and I still have a job. With my husband's situation, I don't know how much longer I can last."

"To put it bluntly, if he keeps doing this, he might as well have been beaten to death by those people in the first place."

"Dr. Yu, we are willing to bear the risk of treatment failure, please help us!"

"I really can't hold it any longer."

this……

Looking at Tian Wen with tears in her eyes and a pleading look on her face, Yu Zhiming felt a little complicated.

After all the calculations, it would only take a month for her husband to be injured and ten days for him to wake up.

Can't you support this?

Many patients who cannot take care of themselves require careful care from their families year after year.

However, if you go through my suffering, you may not be as good as me. Yu Zhiming doesn't know how Tian Wen got through this period of time, and naturally he is not qualified to judge anything.

He pondered for a moment and said: "The key to puncture is to find the path with the least damage to the brain. In this regard, I am not able to do it and I still need the help of others."

"In this case, I need to contact a brain surgery expert in our hospital first."

"After the contact is complete, I will ask the assistant to contact you."

Tian Wen handed her contact information to Yu Zhiming and left with a lot of gratitude...

Yu Zhiming came to the outpatient room No. 15 on the second floor of the outpatient and emergency department.

I saw twenty or thirty patients waiting quietly in line. Two tall and strong security guards, General Ruhengha, were guarding the door of the outpatient room. The young nurse Wang Li also kept the outpatient room almost spotless.

Yu Zhiming made some preparations and started the day's work...

At nearly 9:30 in the morning, Yu Zhiming received a visit from his neighbor Jiang Feng and his wife.

"Dr. Yu, I have decided to perform eyeball removal surgery to solve the problem once and for all."

Jiang Feng pretended to be free and easy and said: "Compared to eyes, life is more important. I couldn't tell the priority before..."

After ten o'clock in the morning, Zhou Mo ran back in a hurry.

"Doctor Yu, all the invitations have been sent out."

"Three people were off duty today, and I also called and gave the invitations to their assistants or colleagues."

Zhou Mo introduced again: "I also took a look at Yu Zhen. His whole body was really wrapped like a rice dumpling."

She shook the phone in her hand and asked with a smile: "Dr. Yu, are you interested in seeing what he looks like?"

Yu Zhiming put down the water glass, glanced at her, and said, "What's so good about this?"

"Get to work quickly."

"Next."

Following Yu Zhiming's voice, a young man and woman walked into the clinic one after another.

The woman with long straight hair and good looks came directly in front of Yu Zhiming's body and said with a red face: "Doctor, I always have stomachaches after my boyfriend and I did that."

The woman emphasized: "It's my stomach that hurts, not that area. Sometimes it hurts for a day or two."

Yu Zhiming asked: "Does it hurt every time?"

The woman said softly: "It doesn't hurt every time. If the movements are bigger or more intense, your stomach will hurt."

"The more intense the action, the more painful it will be afterwards."

The woman added quickly: "We have gone to the hospital for several examinations. I have no inflammation such as pelvic inflammatory disease, endometriosis, or edema of the reproductive tract mucosa caused by excessive movements." , surrounding soft tissue injuries, pelvic floor congestion and other problems.”

"My uterus, ovaries, fallopian tubes, corpus luteum and other reproductive//organs have no inflammation or tumors, and are very healthy."

"The small intestine, large intestine, kidneys, liver and other organs are also intact, with no inflammation, no tumors, and are healthy."

After a pause, the woman added: "Apart from that incident, I haven't had any unexplained stomach pains at other times."

"Well, and also, we have tried many positions, and the conclusion is that they all cause stomach pain."

The woman took a long breath and said, "No for now, doctor, do you have anything else to ask?"

Yu Zhiming couldn't help but smile and asked: "It seems that you have quite a lot of experience in treating patients, right?"

The woman smiled bitterly and said: "There is no way. In the past two years, I have seen no less than ten so-called experts."

"The questions they asked were mostly the same, and the examinations were basically the same. The final diagnosis and treatment, it can be said, were ineffective."

"I'm also saving your time, doctor."

Yu Zhiming smiled softly, pointed to the examination bed beside him, and said, "Lie down on it and I'll do an examination."

After the woman took off her coat and lay down, Yu Zhiming first put his hand on her lower abdomen because she had a stomachache.

He patted it gently a few times and found that the woman's lower abdomen was a little hard and the elasticity was much less elastic.

Yu Zhiming asked casually: "Do you exercise regularly?"

The woman shook her head and said, "I'm so busy at work that I don't have time to exercise. Just walking on the way to and from get off work is enough to exercise."

She said proudly: "However, I control my diet well, so I have always maintained a good figure."

Yu Zhiming whispered, and then warned: "Don't be nervous, relax your abdominal muscles."

"Your abdomen is too hard for me to examine."

The woman said again: "Doctor, I have relaxed."

At this moment, the young man who had been silent as the woman came in spoke.

"Doctor, her abdomen has always been so hard, not as soft as other girls."

The next moment, Yu Zhiming noticed a murderous aura spreading in the clinic room.

"My belly is not as soft as other girls'?"

"Have you ever touched another girl?"

Yu Zhiming looked at the straight-haired woman with a frosty face and her eyes like swords directed at her boyfriend, and said with a serious face: "If there is a problem, go back and solve it. This is a hospital, and it is important to see a doctor."

He criticized and focused his exploration on the woman's abdominal muscles.

Just now, Yu Zhiming's focus of exploration has been the reproductive organs and other internal organs in the woman's abdominal cavity.

After investigating, I found no issues worthy of concern.

Just now, the statement about the hardness in the abdomen suddenly reminded Yu Zhiming.

When he focused on the woman's abdominal wall muscles, he really made a big discovery.

The woman's abdominal wall muscles gave Yu Zhiming the feeling of being stretched like a rubber band without much elasticity.

He even detected that there were many breaks in the woman's abdominal muscle fibers.

Is this abdominal myosclerosis?

Was the previous pain caused by rupture of abdominal wall muscle fibers?

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