The most enlightened doctor

It’s 7:30 on Monday morning in the underground garage of Junshan Mansion.

Zhou Mo leaned on the front of the bed cart, scrolling through his cell phone, and heard familiar footsteps coming from far and near.

She put away her phone, stood up straight, and saw Yu Zhiming approaching.

Noticing that this guy looked radiant and refreshed, Zhou Mo leaned closer to him.

He also sniffed his nose like a puppy.

Yu Zhiming pushed her away and said with a look of disgust, "Are you suffering from rabies that has been dormant for many years?"

Zhou Mo hummed: "It smells like hormones."

Yu Zhiming laughed and said, "Are you jealous? You should find a boyfriend as soon as possible."

Zhou Mo made a light sound, turned around and got into the car.

After fastening his seat belt and lighting the ignition, Zhou Mo took another look at Yu Zhiming's preparations beside him, and suddenly made a big discovery.

"Hey, why aren't you wearing the engagement ring?"

Yu Zhiming pulled out a red string from his collar and said, "I'm not used to wearing it on my fingers, and it also affects my work. I have obtained approval from Qing Ning to wear it around my neck as a pendant."

"Let me show you. I'm also wearing a suet-fat jade safety buckle, which was also given by my Qing Ning."

Zhou Mo curled his lips and drove the car out of the parking space.

She suddenly asked: "Hey, Doctor Yu, how many millions did you buy that imperial green pendant?"

"Keep it secret!"

Zhou Mo curled his lips again and said: "It's different when you have money. Millions of jewels are given away directly."

"But it's not a loss. The Gu family's dowry for Qing Ning is not only 100 million, but also 50 million."

"Dr. Yu, you are the one who really saved twenty years of hard work."

Yu Zhiming glanced sideways at her and said with a stern look on his face: "With my ability, do I still need to rely on women?"

Zhou Mo nodded and said, "You really don't need to rely on anyone."

"However, Dr. Yu, given your conditions, you should help the poor instead of relying on the rich and wasting resources."

Yu Zhiming corrected him: "We are a powerful combination."

"Hey, let me tell you, Zhou Mo, not only did you talk too much this morning, but you also smelled sour. Are you really stimulated by Qing Ning and me?"

"How can this be!"

Zhou Mo denied it and then talked about work.

"The cancerous tissue removal surgery is scheduled for 6:30 pm. The brain blood clot puncture surgery is tentatively scheduled for 8:30 pm."

"The neurosurgeon is invited by the fifty-six-year-old chief physician Zhao Ge."

"This afternoon, Dr. Zhao will lead the surgical team to conduct a comprehensive inspection of the soundproof operating room in the old specimen building to ensure that the operating room can be put into normal use without problems."

Yu Zhiming nodded with satisfaction and said, "Yes, thank you for your hard work. I will give you a bigger bonus when your salary is paid next month."

Zhou Mo Hehe suggested: "Dr. Yu, if this kind of bonus is paid immediately, I think it will have a more motivating effect."

Yu Zhiming rolled his eyelids and said, "Don't worry, I have a good memory and I won't forget it."

"Even if I really forget, you will definitely remind me."

He added: "With rewards, there will be penalties. Zhou Mo, if you do something wrong, I will also fine you money."

Zhou Mo followed Yu Zhiming's example and rolled his eyelids...

Today is Yu Zhiming's outpatient clinic day. He is in a good mood and devotes himself to outpatient work in excellent physical and mental condition.

Unexpectedly, the seventh outpatient in the morning gave Yu Zhiming a stick.

He was stumped.

The patient is a 37-year-old woman and a middle school teacher. Her main symptoms are generalized muscle pain, insomnia, fatigue, and upset and anxiety.

Moreover, her symptoms have lasted for one and a half months, seriously affecting her work and life.

There are many reasons that can cause pain throughout the body.

For example, arthritis, systemic lupus erythematosus, hypothyroidism, neuroinflammation, and certain autoimmune diseases can also cause systemic chronic pain.

Yu Zhiming first gave the woman a detailed body examination, and the result was that he did not find any inflammation in the body or organic changes in the organs and tissues.

This allowed him to rule out conditions such as arthritis, lupus, and hypothyroidism.

The woman had antibody tests done at other hospitals and the possibility of autoimmune disease was also ruled out.

This left Yu Zhiming at a loss for a while.

Or, depression or anxiety?

Depression and anxiety may lead to autonomic nervous system disorders and neurasthenia.

Autonomic nerve disorders and neurasthenia may cause muscle tension throughout the body, causing blood vessels to constrict and tighten.

At this time, it is easy to cause general pain or general discomfort, as well as symptoms such as nervousness and excessive worry.

However, through these few minutes of contact, Yu Zhiming found that the woman expressed clearly and was full of desire for recovery, and did not seem to be depressed.

As for the mental symptoms such as upset and anxiety reported by the woman, Yu Zhiming can also understand it.

My whole body has been in pain for more than a month, and I can't sleep or eat well. Anyone who experiences this kind of thing would be upset and anxious.

Therefore, Yu Zhiming believes that the woman's current upset and anxiety are caused by systemic pain and insomnia.

Rather than having anxiety first and then causing pain all over the body.

Yu Zhiming had no clue for a while, and his outpatient work did not allow him to spend more time to conduct more detailed inquiries and examinations of the woman.

He pondered for a moment, then wrote a referral form and asked the woman to go to the center to find Teacher Qi Yue for further diagnosis.

Perhaps, Teacher Qi’s rich clinical experience can enable him to discover the woman’s exact problem...

Teacher Qi Yue did not disappoint Yu Zhiming.

Near noon, Yu Zhiming was told by phone that the woman had fibromyalgia syndrome.

When Yu Zhiming was searching for relevant knowledge about this disease in his mind, Qi Yue's voice came from the phone again.

"Zhiming, when you were doing a full body check on her, did you still keep patting and pressing her?"

Yu Zhiming replied hummingly.

Qi Yue laughed and said: "Although this fibromyalgia syndrome is widespread pain, it has an obvious feature, that is, there are obvious tender points."

"At these tender points, you need to press with your thumb, and a certain amount of force is required. Usually the pressing force is about 4kg."

Hearing this, Yu Zhiming grinned a little.

My biggest advantage in body exploration turned into a disadvantage and negligence on this patient.

"The attachment point of the suboccipital muscle; the midpoint of the upper edge of the trapezius muscle; the front of the transverse process space of the 5th to 7th cervical vertebrae..."

Qi Yue told Yu Zhiming nine pairs of eighteen tender points in a lively voice on the phone.

"Zhiming, when pressing these eighteen tender points, the patient felt obvious pain in at least eleven places. There is a high probability that it is fibromyalgia syndrome."

After a pause, Qi Yue continued: "Zhi Ming, medicine is profound and profound, and the patients are all kinds of strange."

"As doctors, we must constantly enrich and improve ourselves, and we must not rely too much on one trick."

Yu Zhiming replied obediently: "Teacher, I will take this as a warning and work hard to enrich my diagnostic methods..."

After finally ending the call with Teacher Qi, Yu Zhiming heard Zhou Mo chuckle.

"why are you laughing?"

Zhou Mo said with a smile: "What I'm laughing at is that the director finally found an opportunity and got a taste of the teacher's addiction."

Yu Zhiming glanced at this guy sideways, put down his phone, and quickly completed the interrupted physical examination for the last registered patient in the morning.

During the examination, he discovered that the man had an adrenal tumor.

He also discovered that the man's kidneys were in critical condition.

"Your kidney function may collapse. It is strongly recommended that you consult a kidney specialist to strengthen kidney maintenance."

The 43-year-old man with a crew cut hurriedly asked: "Dr. Yu, do I have a serious kidney problem?"

"To be honest with Doctor Yu, in the past few years, I have been taking various health supplements and medicines that can replenish the kidneys and strengthen yang."

After hearing what he said, Yu Zhiming knew what the problem was.

Most health care products do not have much therapeutic value for the kidneys, and it is difficult for them to play a health care role in the kidneys.

On the contrary, some health products can cause considerable damage to the kidneys.

For example, Chinese herbal medicines containing aristolochic acid are very damaging to the kidneys and may cause acute renal failure. Long-term use can also cause chronic tubulointerstitial damage and even cause uremia.

Some health products containing heavy metals can damage the glomeruli and cause nephrotic syndrome. They can also cause atrophy, fibrosis, etc. of the renal tubules and interstitium.

The flat-headed man seemed to be afraid that Yu Zhiming would not believe it, so he gave evidence to explain: "Doctor, although I have entered middle age, I am not bragging about my marital life. My wife is very, very satisfied."

"My kidneys should be the strongest, but according to you, doctor, the problem is the most serious?"

Yu Zhiming patiently said, "I don't know how effective the health supplements you take are, so I can't make any assertions."

"I can only tell you that in addition to your adrenal adenoma, your kidneys are in urgent need of maintenance and recovery."

"I suggest you stop taking the health care products and medicines at home, stop your married life, and do a comprehensive scientific maintenance of your kidneys."

After a pause, Yu Zhiming warned again: "Just in case, you'd better follow my words..."

After sending the registered patient away, Yu Zhiming and Zhou Mo tidied up for a while and went to a lounge in the outpatient and emergency department to have lunch.

Aunt Qiu prepared the meals at home and had the errand boy deliver them.

Yu Zhiming had just taken two bites of food when Zhou Mo's chirping voice sounded in his ears.

"Dr. Yu, the center held a small meeting with all staff in the morning. Starting today, we will move ant-style to the old specimen building and conduct comprehensive tests on the old specimen building."

"By Friday, the transportation of medical equipment, medical supplies and personal belongings will be completed, and the old specimen building will be put into use."

"On Saturday, all personnel will be transferred to the patient."

"On Sunday, everyone will go to work and get familiar with it."

Yu Zhiming let out a soft ooh, and then heard Zhou Mo shout in surprise: "Ah, Xie Wanwan has had plastic surgery."

Zhou Mo read to the phone screen: "According to information from reliable sources, Xie Wanwan communicated with Yu Zhiming, a well-known doctor at Binhai Huashan Hospital, about the physical examination and asked Dr. Yu to confirm to the outside world that she did not have plastic surgery after the examination."

"Dr. Yu insisted on telling the truth and did not commit any fraud. He directly refused Xie Wanwan's request for a physical examination."

Zhou Mo raised his head to meet Yu Zhiming's gaze and said, "Dr. Yu, I didn't reveal this news."

"You have to believe me……"

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