The most enlightened doctor

Tuesday is grand rounds day.

Yu Zhiming led Zhou Luo, Shen Qi, Sui Chi, Duan Yi and others, along with Qi Yue's team, to pass through the dozens of patients in charge of the team.

Later, Yu Zhiming assisted the medical team of Wang Chunyuan, Tang Jianxiong, Fang Chen, Liu Yun and others to conduct confirmatory examinations on nine patients whose causes needed to be further clarified or whose treatment needs to be confirmed.

Next, Yu Zhiming listened to the reports from Zhou Luo, Shen Qi, Sui Chi, and Duan Yi, and conducted a confirmation examination on the patients they were responsible for.

After completing the above three main tasks, the whole morning has almost passed.

When Yu Zhiming returned to his office, Zhou Mo came up to him and asked, "How does it feel like having a professional bodyguard?"

this……

Yu Zhiming suddenly discovered that as soon as he got busy, he forgot about Zhang Hai, as if he didn't exist.

However, if I think about it carefully, this person will always appear somewhere that I can see or see from the corner of my eye.

Yu Zhiming nodded lightly and said: "It's pretty good. He is indeed professional. Not only does it not affect my work, but he is everywhere, which is reassuring."

Zhou Mo curled his lips secretly and said sourly: "Who calls them professionals? They have been trained rigorously for many years and have rich security experience. They are naturally much better than an amateur like me."

The next moment, she said again: "Wash your hands and eat."

Yu Zhiming simply washed up, sat down at the coffee table, picked up chopsticks and was about to start lunch, when Zhou Mo spoke again.

"Dr. Yu, some old men and women did come to petition again this morning, but the number was not large, only a dozen or so."

"It's okay to have a large number of people. With just a dozen people, the hospital will definitely not be used to it, and all the benefits will definitely be gone."

After a pause, Zhou Mo continued: "A junior high school classmate with whom I have a good relationship came to me this morning. He has a serious gynecological disease and wants to be transferred to us."

"I'm going to see Dr. Liu, do you mind?"

Yu Zhiming took a sip of the white fungus soup, swallowed the food in his mouth, and said, "I don't mind. It's a normal request like this. You can just do what you want. You don't need to ask for my opinion."

Zhou Mo smiled as brightly as a flower, and said with a smile: "I am using your name to do things, so I have to ask for permission."

"Also, Dr. Yu, you may not know that the beds in our center can be said to be the most difficult to find in the whole hospital!"

Yu Zhiming asked doubtfully: "Why do you say that?"

Zhou Mo explained: "Why else? Because our center has the best young doctors and the most powerful medical experts."

"If they still can't solve the problem, there's Dr. Yu, the ultimate medical guru."

After a two-second pause, Zhou Mo introduced: "Although the patient turnover rate has dropped a lot due to the move to the Zhizhen Building and the increase in hospital beds, it is still far ahead of other departments."

Yu Zhiming said with a hint of pride: "This is the result of the joint efforts of all the medical staff in the center, and it is not my fault alone."

Zhou Mo added: "I didn't say that this is mainly due to you, Dr. Yu. Anyway, it is a central bed, which is very hard to find."

Yu Zhiming raised his eyelids and glanced at this guy and said, "Hurry up and eat, you talk a lot..."

The work that started at one o'clock in the afternoon is still going on.

It mainly dissects fresh pathological specimens and diagnoses and treats patients who have made appointments due to various relationships.

At nearly 3:30 in the afternoon, because of the relationship between Yu's father and Yu's mother, a restaurant owner in the capital came to Zhizhen Tower with his 26-year-old sister.

In the soundproof examination room, Yu Zhiming looked at the chubby, long-haired woman in the wheelchair with her head lowered.

The owner of a restaurant in his thirties introduced: "Dr. Yu, my sister got this strange disease more than three years ago. She can't move or stand for a long time. When she walks for a little longer, her legs become sore."

"I have been examined in several major hospitals in Beijing, but the cause has not been found."

Yu Zhiming made a soft noise and asked, "How long did you mean by standing and moving for a long time?"

The restaurant owner replied: "At home, I can walk from the bedroom to the bathroom and the kitchen, but if I go downstairs to pick up the express delivery, my legs will be unbearably painful on the way back."

Yu Zhiming pondered and said: "From your description, it sounds like intermittent claudication. Let's check it first!"

The so-called intermittent claudication refers to common symptoms of the lower limbs caused by spinal cord, blood vessel and neuropathy.

It mainly manifests as more and more obvious pain, numbness, and heaviness in the lower limbs when walking, so that the patient cannot continue to walk normally and needs to rest.

Usually after a short rest, the symptoms will be relieved and you can continue walking, but lower limb discomfort will reappear after a while.

Because this kind of claudication occurs repeatedly and intermittently, it is called intermittent claudication.

This is mainly caused by nerve compression caused by lumbar central canal stenosis, or vascular factors caused by various reasons, resulting in the inability of the arterial blood supply to meet the oxygen and energy required for lower limb muscle movement.

With the support of the restaurant owner, the long-haired woman lay on the examination bed.

Yu Zhiming examined her from head to toe, focusing especially on her legs, feet, spine, and blood circulation in the lower body.

However, Yu Zhiming found no other abnormalities worthy of attention except that the long-haired woman had some atrophy of leg muscles, slight bone loss, and weak organ function due to long-term lack of exercise.

Yu Zhiming looked through the various examinations that the long-haired woman had done before in other hospitals.

Brain MRI, no problem.

Various neurological examinations of the legs and lumbar spine, as well as blood circulation examinations, were also normal.

Yu Zhiming was a little stumped and said frankly to the restaurant owner: "From my physical examination, your sister is in good health and has no major physical problems."

The restaurant owner met Yu Zhiming's gaze and said, "Dr. Yu, can you take a step to speak?"

Yu Zhiming nodded, and accompanied by Zhang Hai, he and the restaurant owner came to the corridor outside the soundproof inspection room.

After the soundproof door was reset, the restaurant owner said with a bitter look on his face: "Doctor Yu, to tell you the truth, I also suspected that my sister was pretending to be sick. However, I have seen my sister suffer from leg pain more than once, and her face turned pale from the pain. , there was no blood at all, and beads of sweat the size of peas came out of the face desperately."

"This kind of pain cannot be faked. Doctor Yu, you only need to see it once and you will know."

Yu Zhiming pondered and said: "In order to find out the cause, it seems that the only way is to let your sister's pain attack again."

The three returned to the soundproof examination room.

Yu Zhiming looked at the long-haired woman sitting on the examination bed, still with her head lowered, and said, "In order to find out the cause, I need an attack of pain in your leg."

"May I?"

The long-haired woman nodded slightly.

The restaurant owner knelt down and carefully put on his sister's shoes, and then helped her get off the examination bed.

"Dr. Yu, how many times should I take my sister out for a walk?"

Yu Zhiming said: "No, just walk around here. It shouldn't take too long, right?"

The restaurant owner replied: "No, if you walk for two to three hundred meters in a row at most, you will have an attack."

He comforted his sister and said, "Don't be afraid. We all know how powerful Dr. Yu is. This should be your last pain attack. Just bear it and it will pass."

"Doctor Yu finds the cause of the disease and cures it, and you can go shopping and travel around like other people."

The long-haired woman nodded slightly, let go of her brother's support, and walked slowly.

The soundproof examination room is only a dozen square meters in size. It contains an examination bed, a laboratory table, and a first aid box with various rescue drugs and emergency supplies. With the few of them included, there is not much room to turn. .

Fortunately, the long-haired woman only had to walk slowly back and forth.

She took seven or eight steps, turned around, took another seven or eight steps, turned around again, and so on...

A person wandering back and forth in front of him seemed to have quite a hypnotic effect, causing Yu Zhiming to close his eyes.

When the restaurant owner saw this scene, he opened his mouth to remind him, but stopped as soon as he spoke.

Although the other party is young, his status is a nationally recognized medical authority, which is not something he can question.

But the restaurant owner didn't know that at this time, Yu Zhiming had already devoted all his attention to the long-haired woman.

For Yu Zhiming, vision is just a distraction. He is more accustomed to it and relies more on auditory information collection.

Because this is a soundproof examination room, Yu Zhiming can collect more sound information.

Under his full attention, he could clearly hear the sound of the long-haired woman's soles rubbing against the ground, the sound of her clothes rubbing together, and the sounds of various joints...

These various sounds and echoes gathered in Yu Zhiming's mind one by one, turning into an almost lifelike figure that kept moving.

Not only that, at the heart of this figure, there is a heart that is contracting and expanding, and the pumped blood continues to flow along the major blood vessels to all parts of the body...

Suddenly, a crisp sound suddenly sounded, which instantly attracted all of Yu Zhiming's attention.

The long-haired woman actually dislocated the second knuckle of her left ring finger.

What the hell kind of operation is this?

Just when Yu Zhiming was full of doubts, he suddenly discovered to his surprise that the femoral artery in the long-haired woman's left thigh was spasming and twisted.

this……

This will inevitably lead to a significant reduction in blood transfusion in the femoral artery of the left leg, causing severe pain in the left leg due to acute ischemia.

Yu Zhiming opened his eyes and looked at the long-haired woman who still lowered her head and walked back and forth slowly.

She certainly wasn't pretending to be sick.

She only actively induced femoral artery spasm by herself, which resulted in acute ischemic pain in her left leg.

Yu Zhiming just didn't understand why dislocation of the second joint of the ring finger on his left hand could cause spasm of the femoral artery in his left leg.

This should be a complex neurological conditioned reflex involving the brain or spine...

While thinking, an urgent voice sounded in Yu Zhiming's ears: "Doctor Yu, my sister has an attack and the pain is coming."

"Look quickly, do a checkup quickly..."

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