medical treatment

At 07:30 on Monday morning, the underground garage of Junshan Mansion.

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

She put away her mobile phone, stood up straight, and saw Yu Zhiming had come close.

Noticing that this guy's face was radiant and refreshed, Zhou Mo leaned closer to him.

And sniffed his nose like a puppy.

Yu Zhiming pushed her away a step, and said with a look of disgust, "Is this a rabies attack that you have been hiding for many years?"

Zhou Mo snorted, "It's a strong hormonal smell."

Yu Zhiming chuckled and said, "Are you envious or jealous? You should also quickly find a boyfriend."

Zhou Mo cut lightly, turned and got into the car.

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

"Hey, why don't you wear your 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 will affect my work. I have obtained the approval of my Qing Ning to wear it around my neck as a pendant."

"I'll show you, I'm also wearing a suet jade safety buckle, which was also a gift from Lime."

Zhou Mo pouted, and drove the car out of the parking space.

She suddenly asked: "Hey, Doctor Yu, did you buy the imperial green pendant for several million?"

"Secret!"

Zhou Mo pursed his lips again and said, "It's different to have money. Millions of jewels are just given away."

"But it's not a disadvantage. The Gu family gave Qing Ning a dowry, not 5000 million, but [-] million."

"Doctor Yu, you are the one who has saved 20 years of struggle."

Yu Zhiming gave her a sideways look, and said with a sullen expression, "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, Doctor Yu, with your conditions, it should be helping the poor, not being rich, and waste resources properly."

Yu Zhiming corrected: "We are a strong alliance."

"Hey, let me say Zhou Mo, not only did you talk too much this morning, but you also had a sour smell. Are you really stimulated by Lime and me?"

"how can that be!"

Zhou Mo denied it, and then talked about work.

"Resection of cancerous tissue is scheduled for 06:30 in the afternoon. Brain clot puncture surgery is tentatively scheduled for 08:30 in the evening."

"Neurosurgeon, the 56-year-old chief physician Zhao Ge is invited."

"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 use normally without any problems."

Yu Zhiming nodded in satisfaction and said, "That's right, you've worked hard, and when you get paid next month, I'll give you an extra bonus."

Zhou Mo suggested, "Doctor Yu, this kind of bonus is paid out immediately. I think it will be more motivating."

Yu Zhiming rolled his eyelids and said, "Don't worry, I have a good memory and I will never forget it."

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

He added: "If there is a reward, there will be a fine. Zhou Mo, if you do something wrong, I will also fine you."

Following Yu Zhiming's example, Zhou Mo rolled his eyelids...

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

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

He was stumped.

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

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

There are many reasons that can cause pain all over 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 physical examination, and it turned out that no internal inflammation or organic changes in organs and tissues were found.

That allowed him to rule out conditions like arthritis, lupus, hypothyroidism, and more.

The woman had done antibody tests in other hospitals, and the possibility of autoimmune diseases was also ruled out.

This made Yu Zhiming at a loss for a moment.

Or, depression or anxiety?

Depression, anxiety, may lead to autonomic disorders and neurasthenia.

Autonomic 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, accompanied by symptoms such as nervousness and excessive worry.

However, through this short few minutes of contact, Yu Zhiming found that the woman expressed clearly and was full of desire for recovery, not like depression.

As for the woman's self-reported mental symptoms such as upset and anxiety, Yu Zhiming can also understand.

The whole body has been in pain for more than a month, and I can't sleep or eat well. Anyone who puts this kind of thing on him will feel upset and anxious.

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

Instead of having anxiety first and then causing pain all over the body.

Yu Zhiming was at a loss for a while, and the outpatient work did not allow him to spend more time to conduct more detailed inquiries and examinations on 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 exact problem of the woman...

Teacher Qi Yue did not disappoint Yu Zhiming.

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

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

"Zhiming, when you gave her a full body checkup, did you still keep patting and pressing?"

Yu Zhiming replied humbly.

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 you need a certain amount of force, usually the pressing force is about 4kg."

Hearing this, Yu Zhiming grinned a little.

My biggest advantage in physical exploration has turned into a disadvantage and negligence for this patient.

"The attachment of the suboccipital muscles; the midpoint of the upper edge of the trapezius muscle; the front of the space between the transverse processes of the 5th - 7th cervical vertebrae..."

On the phone, Qi Yue vividly told Yu Zhiming nine pairs of eighteen tender points.

"To Ming, when the eighteen tender points were pressed, the patient felt obvious pain in at least eleven of them. There is a high probability that it is fibromyalgia syndrome."

After a pause, Qi Yue said again: "Zhi Ming, medicine is profound and profound, and patients are even more strange."

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

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

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

"why are you laughing?"

Zhou Mo giggled and said, "What I'm laughing at is that the director finally found an opportunity to overcome his addiction to being a teacher."

Yu Zhiming gave this guy a sideways look, put down his phone, and hurriedly completed the interrupted physical examination for the last registered patient in the morning.

During the examination, he found 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."

A 43-year-old man with a crew cut hurriedly asked, "Doctor Yu, do I have serious kidney problems?"

"To be honest with Dr. Yu, in the past few years, I have been taking all kinds of health care products and medicines for nourishing the kidney and strengthening the yang."

Hearing what he said, Yu Zhiming knew the problem.

Most health products do not have much therapeutic value for the kidneys, and it is difficult to play a role in health care for 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 harmful to the kidneys and may cause acute renal failure. Long-term use can also cause chronic tubulointerstitial damage and even uremia.

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

The crew-cut man seemed to be afraid that Yu Zhiming would not believe it, and he gave evidence to explain: "Doctor, although I have entered middle age, in terms of married life, I really am not bragging. My wife is very, very satisfied."

"My kidney should be the most powerful one, but according to the doctor, it is the most serious problem?"

Yu Zhiming said patiently, "I don't know how effective the health care products and medicines you are taking, so I won't make any assertions."

"I can only tell you that apart from your adrenal adenoma, your kidneys urgently need maintenance and recovery."

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

After a pause, Yu Zhiming warned again: "Just in case, you'd better do as I say..."

After dismissing the registered patient, Yu Zhiming and Zhou Mo cleaned up a bit and went to a lounge in the emergency department to have lunch.

Auntie Qiu cooked the food at home and asked the errand brother to deliver it.

Yu Zhiming had just eaten two mouthfuls of food when Zhou Mo's chattering voice sounded in his ears.

"Doctor Yu, the center held a small meeting for all staff in the morning. Starting today, we will move to the old specimen building in an ant-like manner, and at the same time conduct a comprehensive test on the old specimen building."

"By Friday, the medical equipment, medical supplies and personal items have been moved, and the old specimen building is guaranteed to be put into use."

"Saturday, all staff transported patients."

"On Sunday, all staff go to work and get familiar with running-in."

Yu Zhiming let out a soft oh, and then Zhou Mo shouted in surprise: "Ah, Xie Wanwan's plastic surgery is really hammered."

Zhou Mo read to the phone screen: "According to information from reliable sources, Xie Wanwan communicated with Yu Zhiming, a well-known doctor from 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."

"Doctor Yu insisted on telling the truth, not falsifying, and directly rejected Xie Wanwan's request for a physical examination."

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

"You have to believe me……"

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