The most enlightened doctor

Fat people are more resistant to freezing than thin people.

It is because the fat layer of fat people is like a thick quilt, which effectively prevents the loss of heat in the body.

Zou Xuan, who is skinny and skinny, is not very afraid of the cold, which means she has heat in her body.

Suddenly realizing this, Yu Zhiming also noticed his negligence.

When he was doing a full-body examination on Zou Xuan, he could clearly feel Zou Xuan's body surface temperature through physical contact.

Human body surface temperature is greatly affected by the external environment, ranging from 27 to 37 degrees.

Yu Zhiming could still recall the feeling of performing physical examinations on Zou Xuan twice. Although it was a bit tingling to the touch, it was warm, and the body surface temperature should be above thirty-six degrees.

This is a normal value for body surface temperature, so Yu Zhiming naturally ignored it.

Now, Yu Zhiming asked the nurse to measure Zou Xuan's rectal temperature, which fell into the category of body core temperature.

Core temperature is a concept corresponding to body surface temperature. It is the body temperature referred to in physiology or clinical medicine and refers to the average temperature of the core area of ​​the human body.

It is usually stable, generally 37.5-38℃.

Under different ambient temperatures, the extent of the human core zone changes.

In a cold environment, the core area is concentrated on the head, chest and abdomen; in a hot environment, the core area can extend to the limbs.

Core body temperature is not easy to measure. Clinically, rectal temperature (i.e. anal//temperature), oral temperature, and armpit temperature are usually measured to represent body core temperature.

Among them, rectal temperature is closest to body core temperature...

"Doctor Yu, the temperature was measured and it was 37.6 degrees. Is this temperature normal?"

"Do you have a fever?"

Yu Zhiming chuckled and said: "As long as the anal//temperature does not exceed 37.7 degrees, it is within the normal range."

"But this temperature is a bit too high for Zou Xuan, who is skinny and frighteningly thin."

Finally making an abnormal discovery, Yu Zhiming said cheerfully: "She doesn't have much fat in her body to keep herself warm. She needs to consume a lot of energy to maintain such a core temperature."

As warm-blooded animals, humans need to maintain a stable body temperature, and maintaining body temperature consumes a lot of energy.

More than 50% of the energy the human body obtains through nutrition is directly converted into heat energy to maintain body temperature.

The rest is transferred to the body and converted into adenosine triphosphate into adenosine triphosphate, which is stored in the form of chemical energy to supply muscle contraction, nerve conduction, gland secretion, etc.

In order to obtain enough energy and maintain body temperature, you need to eat food constantly.

In contrast, ectotherms do not need to maintain a high body temperature and can survive for a long time after a good meal.

Take snakes as an example. After a pet snake eats food, it usually takes about ten days to slowly digest it.

Zou Xuan's situation is even worse.

Her body lacked fat for insulation, and was like a broken house with air leakage from all sides. In order to maintain the temperature of this house, she could only continuously increase the input of fuel.

This should be the reason why she doesn't eat much but is still so lean.

Most of the energy absorbed by the body is converted into heat to maintain body temperature.

Zhou Mo heard the change in Yu Zhiming's tone and asked, "Doctor Yu, have you discovered the reason why Zou Xuan is so thin?"

Yu Zhiming pondered and said: "In a situation like Zou Xuan's, the body core temperature should be 37.5 degrees, or even lower, to be considered normal."

"But judging from her rectal temperature of 37.6, her body core temperature should be 38 degrees, or even slightly higher."

"This body core temperature is normal for normal people, but for Zou Xuan, it is abnormal."

Yu Zhiming said thoughtfully: "I suspect that there is something wrong with Zou Xuan's body temperature regulation mechanism."

"so……"

Yu Zhiming warned: "Zhou Mo, ask the nurse on duty to tell Zou Xuan and her mother to get ready..."

"Rush to Ning'an Hospital early tomorrow morning to do an enhanced MRI of the hypothalamus."

The function of regulating body temperature is the hypothalamus deep in the brain, which is responsible for the anterior hypothalamus and the posterior hypothalamus respectively.

The role of the anterior hypothalamus is to regulate the body's heat dissipation.

If the ambient temperature rises, or when strenuous exercise is required, the hypothalamus will send a signal to trigger the body's perspiration function.

The posterior part of the hypothalamus regulates the body's rapid warming to resist cold.

If the body is in a cold environment, the posterior hypothalamus will receive temperature signals from cold receptors and direct the subcutaneous blood vessels to reduce blood flow on the surface of the skin, lowering the skin temperature to slow down the loss of body heat.

The most important point is that the hub that regulates thyroid hormone secretion is the hypothalamus.

Thyroid hormone can promote the oxidative decomposition of substances and promote the body's production of heat.

This is why with hyperthyroidism, the human body becomes thin and most of the energy is converted into calories and consumed.

However, when Yu Zhiming examined Zou Xuan, he was able to confirm that there was no problem with her thyroid.

Yu Zhiming guessed that there should be some minor problems with Zou Xuan's hypothalamus, which caused Zou Xuan's body core temperature to remain at a level of 38 degrees higher than her body's needs, which consumed a lot of body energy in vain.

And this temperature level is also within the normal range of the human body, so the doctors who examined Zou Xuan before habitually ignored it?

This should be considered a kind of darkness under the light, right?

Because the hypothalamus is located deep in the human brain, it is a part that Yu Zhiming cannot reach and cannot detect clearly.

Since Zou Xuan had had a brain examination before and found nothing, Yu Zhiming simply asked her to go to Ning'an Hospital to undergo an enhanced MRI examination with the highest accuracy...

It is said that men who work hard are the most attractive. Qing Ning felt hot in her heart when she saw Yu Zhiming's face shining brightly.

"Zhiming, have you solved another difficult disease?"

Yu Zhiming chuckled and said, "It's hard to say yet. We need to verify it with the MRI results coming out tomorrow."

"However, it is rare to find a suspicious point. The possibility of it being the cause of the disease is still relatively high."

Qing Ning roared: "My family is the best in Zhiming!"

"No. 1 in the world."

Yu Zhiming laughed and said, "You didn't drink much tonight, so why do you feel like you're drunk?"

"I'm not drunk, but everyone gets drunk."

Qing Ning looked at Yu Zhiming affectionately, and the moisture in her eyes was so wet.

Zhou Mo looked a little blank and hummed and joked: "How about you find an underground parking lot to park temporarily, and I can step aside for half an hour so that you two can do your work?"

Qing Ning glanced at her and said without much shyness: "Zhou Mo, when you have someone you love, you will understand what it feels like to be in love."

Yu Zhiming quickly said: "Okay, okay, don't talk about this topic, I'm still driving."

"Safety first! Safety first!"

Yu Zhiming took the initiative to change the subject and said: "The three underground floors of the old specimen building will be put into use this Friday."

"Zhou Mo, inform all of them to report for work on Friday and get familiar with the work environment."

Zhou Mo hummed and asked again: "Does Dr. Qin from the Traditional Chinese Medicine Department of Union Hospital also come to report on Friday?"

Yu Zhiming thought for a while and said, "Let him do it next Monday."

After a pause, he asked again: "Zhou Mo, will you go to Qiao Lei's wedding this Saturday?"

Zhou Mo hummed and said, "After all, we are colleagues in an office, so we have to give him face."

"Also look at the level of their wedding banquet."

Yu Zhiming added: "When I present the gift, you can give me a red envelope according to the level of Dr. Han and Dr. Xie."

Zhou Mo said "Okay" and then asked: "Doctor Yu, has the location of your wedding banquet been confirmed?"

Qing Ning replied: "It hasn't been decided yet."

"My eldest brother's wedding banquet is scheduled to be held at the Lijing Hotel today. My dad said that my eldest brother and I's weddings are a bit close together. If we are in the same hotel, the taste of the banquet will inevitably be the same."

"He's looking for other suitable locations."

"There are just a lot of guests, and there are not many restaurants that can host it. Some good places have already been booked."

Qing Ning chuckled again: "My dad also said that there is a solid plan, which is to find a suitable open space to hold an open-air wedding and an open-air banquet."

Yu Zhiming smiled and said: "This plan is not bad."

"In our rural areas, banquets for weddings and banquets are basically open-air."

Zhou Mo expressed his opinion: "Qing Ning, your wedding is in late October. The autumn weather is crisp and clear at that time, so it is perfect to hold an open-air wedding."

"The only thing I'm worried about is the weather and typhoons."

Qing Ning hummed and said, "This is what my dad is worried about, so the open-air wedding is just a back-up plan."

Zhou Mo said hehey: "There are many ways to do an open-air wedding, including helicopters, hot air balloons..."

Yu Zhiming interrupted: "No need for new tricks, just follow the traditional wedding steps."

"New tricks mean new unexpected risks."

Zhou Mo curled his lips and asked, "Dr. Yu, I guess you have never bungee jumping, right?"

Yu Zhiming looked disgusted and said: "What's so fun about bungee jumping? If you're not careful, there are dangers such as temporary blindness, joint damage, syncope and shock. It's a typical thing to pay for your suffering."

Zhou Mo asked again: "Qing Ning, you must have played with it before, right?"

Qing Ning said with a guilty conscience: "When I went out to play with my friends before, I was encouraged to play."

She added: "It doesn't feel very good. It's true as my family Zhiming said, you just spend money to buy the pain..."

Time flew by unknowingly as the three of them chatted. At ten ten o'clock in the evening, they returned to Junshan Mansion.

After entering the elevator, Qing Ning clung tightly to Yu Zhiming's body, her little body still twisting and turning.

"Husband...husband..."

Yu Zhiming hugged this guy, preventing her from moving, and reminded: "Why are you so anxious? There are surveillance cameras in the elevator."

"Hehe, don't be afraid, it's not too much to hug each other..."

As soon as she entered the house, Qing Ning couldn't wait to jump on Yu Zhiming's body. A pair of powerful and elastic long legs were firmly wrapped around Yu Zhiming's waist.

Yu Zhiming was about to respond enthusiastically, but he noticed something was wrong in the living room and said hurriedly: "Come down, come down first."

Qing Ning roared: "Auntie should be asleep. She won't come out even if she hears any noise."

"Husband, we are not afraid no matter what we do..."

At this moment, a clear cough suddenly sounded.

Hearing this voice, Qing Ning slid off Yu Zhiming's body and hid behind Yu Zhiming like a monkey.

The next moment, she poked half of her head out, looked at the two people in the living room, and said with a red face: "Mom, aunt, why are you here?"

"Why didn't you call and tell me in advance?"

When Yu Zhiming saw his mother-in-law and Aunt Qing Ning suddenly appearing in his home, he felt much more nervous than Qing Ning.

Did the father-in-law incident come to light?

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