The most enlightened doctor

Abdominal muscle stiffness is associated with a variety of causes.

If you do abdominal muscle exercises for a long time, the abdominal muscles will become very strong and tough, and the abdominal muscles will become hard. This is a normal physiological phenomenon.

In addition, gastrointestinal dysfunction, fecal intestinal obstruction, peritonitis, ascites cirrhosis, abdominal tumors and other pathological causes can also lead to abdominal muscle tension and hardening.

After Yu Zhiming examined the woman with straight hair, he found no obvious pathological factors.

He also found that in the straight-haired woman, only her abdominal wall muscles were tight and stiff, while the muscles in other areas of the body were normal.

At this moment, the sound of someone dragging their legs outside the door reached Yu Zhiming's eardrums.

Yu Zhiming suddenly had a flash of inspiration.

He thought of a possibility and thought of a type of patient, the muscle stiffness of patients with cerebral infarction.

This is the neurological sequelae of damage to part of the brain tissue caused by the infarction in some patients with cerebral infarction.

Due to the failure of nerve control, the muscle tension in certain parts of the body increases, and the muscles are in a state of tension for a long time, resulting in stiffness. This in turn makes the actions or actions of patients with cerebral infarction appear very stiff and unnatural.

Therefore, some patients with cerebral infarction need long-term rehabilitation training after treatment to alleviate the increased muscle tone and promote the recovery of the body's ability to move.

In the case of the straight-haired woman, Yu Zhiming suspected that there was a problem with the nerves that control the abdominal wall muscles, which kept them in a tense and stiff state.

When a girl is having sex with a man, if the excitement threshold is exceeded, some girls will show extreme excitement with their muscles all over the body tensing up.

For women with straight hair, the abdominal wall muscles are always in a tight state. After being extremely excited and shivering like this, some muscle fibers will be stressed and broken?

To verify his guess, Yu Zhiming asked the straight-haired woman how she behaved after being highly excited.

"It's like being electrocuted. My whole body will tremble uncontrollably and my body will tense up."

The straight-haired woman blushed and added in a low voice: "Well, it doesn't always reach the level that makes me highly excited."

Yu Zhiming asked again: "Does the stomach pain get worse every time you reach it?"

The straight-haired woman was startled for a moment, then recalled, "Doctor, you asked, it's true, my stomach hurts more every time I reach it."

"Doctor, is it true?"

Yu Zhiming explained: "That was just an inducement. The direct cause was your abdominal wall muscles. I found that there were a lot of tears in your abdominal wall muscle fibers."

"I suspect that there is something wrong with the nerves that control your abdominal wall muscles. I need to go to the neurology department for further examination..."

In fact, it is appropriate for a woman with straight hair to arrange to enter a center for further examination and treatment.

It's just that Yu Zhiming's workload is a bit heavy during this period, so he tries to push out as much work as possible.

The straight-haired woman took the referral form and grabbed her boyfriend's ear before leaving the clinic.

"Come on, tell me how soft other girls' bellies are..."

After this interesting case, the conditions of the patients Yu Zhiming received next were somewhat lackluster, such as intestinal cancer, kidney disease, diabetes, coronary heart disease, etc...

At 12:10 noon, Yu Zhiming and Zhou Mo prepared meals in the first employee canteen and started having lunch.

Yu Zhiming tried to call Dr. You Weixian, but unexpectedly he was picked up after two rings.

"Hello, Dr. Yu!"

Hearing Dr. You's voice, Yu Zhiming chuckled and said, "Hello, Dr. You. I heard from my assistant that you entered the operating room early in the morning. Did it end successfully?"

Dr. You's sigh came from the phone, "More than half of the operation failed, and the patient could not be rescued."

Yu Zhiming suppressed his smile and went straight to the point: "Dr. You, I have a patient who has a brain injury and currently has symptoms such as stupidity, aphasia, and irritable mood."

"He had nearly ten blood clots in his brain."

"The patient's family hopes that I can help remove the clot and speed up the patient's physical recovery."

"Dr. You, I would like to ask you to design a puncture route. I wonder if it will be convenient for you recently?"

Yu Zhiming waited for more than ten seconds before hearing Dr. You's reply.

"Dr. Yu, please send over the patient's latest brain imaging data. I will take the time to take a look at it in the next two or three days."

Just as Yu Zhiming was about to say thank you, Dr. You's voice rang from the phone again.

"Dr. Yu, happy engagement! Congratulations, I will definitely attend the engagement party this Sunday."

"Let me tell you one more thing. Zhang Yong, the skull base tumor patient, is recovering well and will be discharged from the hospital in the next two days..."

After ending the call with Dr. You, Yu Zhiming discovered that his phone had just received a message from head nurse Zhan Qi.

The message stated that the police officially concluded that yesterday's patient's death was an accident and would not file a case. The deceased's family had taken the deceased's body to the funeral parlor.

After Yu Zhiming read the messages on his phone, he looked at Zhou Mo who was also staring at his phone across the dining table and said, "Zhou Mo, please contact that teacher Tian Wen and ask her to share her husband's brain imaging data..."

Yu Zhiming recalled that the brain CT film he saw this morning was dated eight days ago.

He then said, "Ask her to do another comprehensive MRI examination on her husband today. After the imaging data comes out, you can hand it over to Dr. You."

Seeing Zhou Mo still staring at his cell phone, Yu Zhiming asked unhappily: "Zhou Mo, did you hear that clearly?"

"Clear! Very clear!"

Zhou Mo finally raised his head, met Yu Zhiming's gaze, and repeated: "Contact Teacher Tian Wen and ask his husband to do a brain MRI, and I will send the imaging data to Dr. You."

"Dr. Yu, is that right?"

Zhou Mo didn't wait for Yu Zhiming's response and looked happy again.

"Dr. Yu, I just saw some very happy and relieving news."

Zhou Mo chirped and said: "That mother and son are trying to lose weight. The mother thinks I am deliberately causing trouble. She doesn't believe what I say and scolds me."

"But her son believed it."

"This morning, his son did not go to school. He asked for leave from the teacher and went to the hospital for a knee joint examination."

"Doctor Yu, guess what you found out?"

Yu Zhiming replied: "The patella cartilage is seriously worn, it must be there."

Zhou Mo nodded and said, "It's true that the patellar cartilage has worn out nearly two-thirds."

"In addition, there are several problems such as patellar deviation, synovial effusion, meniscus injury, joint tendon and ligament injury, etc."

After a pause, Zhou Mo asked: "Doctor Yu, is his condition serious?"

Yu Zhiming said softly: "A teenager has the knees of a forty or fifty year old. Do you think it's serious?"

"Especially his patellar cartilage, which has been worn down by nearly two-thirds, should have exceeded the limit of self-healing."

"This boy needs to always pay attention to the maintenance of his knee joints."

Patellar cartilage is a layer of 3 to 5 mm thick hyaline cartilage in the human knee joint. Its function is to cushion the impact caused by knee joint movement.

However, because the patellar cartilage has no nerve distribution, it will only sound an "early warning signal" during the fragile period before it is completely worn out, causing short-term knee joint pain, which will last from a few weeks to a few months.

Some people may not even notice it.

During this period, strenuous exercise should be avoided.

It is also from this time on that the use of the knee joint can no longer be done as one wishes.

If the patellar cartilage wears out, the knee joint will feel obvious pain and arthritis will gradually develop.

Yu Zhiming asked again: "Now that the knee joint problem has been confirmed, has the young mother apologized in the group?"

Zhou Mo curled his lips and said, "No, I'm still pretending to be dead. It was that boy who posted the test results to the community group."

She added cheerfully: "I guess this boy did this because he wanted the residents of the community to bear witness and supervise him, so that his mother would not force him to run to lose weight again."

"Mother and son are at odds with each other, haha."

Yu Zhiming chuckled and said: "Stop gloating about others' misfortunes and eat quickly..."

At half past twelve noon, the two of them finished their lunch.

Because the canteen, outpatient and emergency rooms are quite far away from the comprehensive office building where the bed cart is parked, and the lunch time is short, Yu Zhiming did not go to the bed cart to take a nap.

He walked slowly to the outpatient and emergency department, taking a walk as a break.

Zhou Mo, who was accompanying him, turned to look at Yu Zhiming and said, "Dr. Yu, sometimes I feel that you are quite strange."

Yu Zhiming glanced sideways at this guy.

Zhou Mo said slowly: "When someone comes to you, you rarely refuse. When you encounter a patient by chance, you will take action. You are very caring and easy to talk to."

"However, the patients you are responsible for rarely take the initiative to care about them, ask for help, and behave coldly."

"For example, you seem to have forgotten about Wen Ling, a girl with a heart malformation who is recovering in Binda Affiliated Hospital."

"For example, the terminal cancer patients in Ning'an Hospital are still in a dangerous moment of suffering, but you didn't take the initiative to ask about their situation."

"Fortunately, Dr. Yu, you don't need to take the patient satisfaction assessment, otherwise your score will definitely not be high."

Yu Zhiming gave a slight sigh and said: "First, I don't have extra time to ask for help."

"Two, take those terminal cancer patients as an example. I have done what I should do."

"Even if they have an accident now, I can't handle it. Ineffective care will have no effect at all."

Zhou Mo curled his lips and said, "How come it doesn't work?"

"You are their attending doctor. Your words of concern may give them a stronger hope of survival."

"With your indifference now, they may think pessimistically, have you given up on them?"

Yu Zhiming retorted: "They all have round-the-clock care from medical staff. How can they think they have been given up?"

"Okay, don't worry so much."

Zhou Mo curled his lips and stopped talking.

When he was about to reach the outpatient and emergency department, Zhou Mo suddenly said: "Doctor Yu, are you resisting intimacy?"

“I don’t want to be too close to my patients, and I don’t want to be too close to my friends.”

"If Qing Ning hadn't put aside her identity and modesty to pursue you, you might have been a bachelor for the rest of your life."

Yu Zhiming chuckled lightly and said teasingly: "Zhou Mo, do you want to change your career to be a psychoanalyst?"

Zhou Mo said hehey: "This is not what I said, this is a psychological profile done by a psychological counselor on the Internet for you."

"The person also said that you also have a certain pleasing personality. You will satisfy others' requests as long as they are not excessive."

"So, if a patient asks you to see a doctor, if he comes to you with a sincere attitude and sincere feelings, he will generally be successful."

Yu Zhiming grinned and asked angrily: "Which guy wrote this nonsense?"

Zhou Mo chuckled and said, "That person is anonymous."

"I think her analysis is quite accurate..."

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