medical treatment

Chapter 729 Safety First
Fat people are better at freezing than skinny people.

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

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

Suddenly realizing this, Yu Zhiming also realized his negligence.

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

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

Yu Zhiming can still recall the feeling of giving Zou Xuan two physical examinations. Although it feels a little cold to the touch, it is warm, and the body surface temperature should be above 36 degrees.

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

Now, Yu Zhiming asks the nurse to measure Zou Xuan's rectal temperature, which falls under the category of core body temperature.

Body core temperature is a concept corresponding to body surface temperature, which 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 at 37.5-38°C.

Under different ambient temperatures, the range of the core area of ​​the human body will change.

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

Body core temperature is not easy to measure. Clinically, rectal temperature (ie rectal temperature), oral temperature, and axillary temperature are usually measured to represent body core temperature.

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

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

"Did 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."

After finally discovering something abnormal, Yu Zhiming said in a cheerful mood: "She doesn't have much fat in her body to keep warm, but she consumes a lot of energy to maintain such a core temperature."

As a warm-blooded animal, human beings need to maintain a stable body temperature, and maintaining body temperature consumes a lot of energy.

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

The rest is transferred to the body to convert adenosine diphosphate into adenosine triphosphate, which is stored in the form of chemical energy and supplied to muscle contraction, nerve conduction, gland secretion and so on.

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

In contrast, ectothermic animals do not need to maintain a high body temperature, and they can survive for a long time after a full meal.

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

And Zou Xuan's situation is even worse.

Her body lacks fat insulation, like a broken house with air leaks on all sides. In order to maintain the temperature of this house, she can only continuously increase the input of fuel.

This should be the reason why she is still so lean despite not eating too little.

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, did you discover the reason why Zou Xuan is 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, which is normal."

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

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

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

"so……"

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

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

It is the hypothalamus deep in the brain that regulates the body temperature function, which is respectively responsible for the front part of the hypothalamus and the back part of the hypothalamus.

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

Assuming that the temperature of the surrounding environment rises, or when strenuous exercise is about to be performed, the hypothalamus will send a signal to trigger the body's sweating function.

The posterior part of the hypothalamus has the function of regulating the body's rapid temperature rise to resist the cold.

If the body is in a cold environment, the posterior part of the hypothalamus will receive temperature signals from the cold receptors, direct the subcutaneous blood vessels to reduce the blood flow on the surface of the skin, and lower 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 hormones can promote the oxidation and decomposition of substances, and can promote the body to generate heat.

This is why with hyperthyroidism, the human body will become thin, and most of the energy is converted into heat and consumed.

However, when Yu Zhiming checked Zou Xuan, he could confirm that there was no problem with her thyroid.

Yu Zhiming guessed that there should be some small problems in Zou Xuan's hypothalamus, which made Zou Xuan's body core temperature maintain at a level of 38 degrees higher than her body needed, consuming a lot of body energy in vain.

And this temperature level is also within the normal range of the human body, so this made the doctors who had examined Zou Xuan negligent?
This should also be regarded as a kind of darkness under the lights, right?

Because the hypothalamus is located in the depths of the human brain, it is beyond the reach of the naked eye and cannot be explored clearly.

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

It is said that men who work hard are the most attractive, and Qing Ning's heart is hot when she looks at Yu Zhiming whose face is shining brightly.

"To Ming, another intractable disease has been solved?"

Yu Zhiming laughed and said, "It's hard to say, it needs to be verified by the MRI results coming out tomorrow."

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

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

"First in the world."

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

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

Qing Ning looked at Yu Zhiming affectionately, the moisture in her eyes could be drawn.

Zhou Mo was a little hesitant, he hummed and said with a smile: "Do you want to find an underground parking lot to stop temporarily, and I will avoid it for half an hour so that you two can do business?"

Qing Ning gouged her out, and said without much shyness: "Zhou Mo, when you also have a loved one, 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 third basement floor of the old specimen building will be put into use this Friday."

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

Zhou Mo hummed, and then asked, "Dr. Qin from the Traditional Chinese Medicine Department of Xiehe Hospital, also came to report on Friday?"

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

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

Zhou Mo hummed, and said, "After all, I'm a colleague in the office, so I have to save face."

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

Yu Zhiming said again: "When presenting the ceremony, you can give me a red envelope according to the level of Dr. Han and Dr. Xie."

Zhou Mo responded with "Yes", and asked again: "Doctor Yu, have you confirmed the location of your wedding banquet?"

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

"My elder brother's wedding banquet is scheduled to be held at this Lijing Hotel today. My father said that my elder brother and I's weddings are a bit close to each other. In the same hotel, the taste of the banquet will inevitably be the same."

"He is looking for other suitable locations."

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

Qing Ning giggled again: "My dad also said that there is a backstop 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 funerals are basically open-air."

Zhou Mo commented: "Qing Ning, your wedding will be in late October, when autumn is crisp and clear, it would be perfect to have an open-air wedding."

"The only thing I worry about is the weather and the typhoon."

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

Zhou Mo giggled: "There are many tricks for open-air weddings, helicopters, hot air balloons..."

Yu Zhiming interrupted: "You don't need any new tricks, just follow the traditional wedding steps."

"New tricks mean new unexpected risks."

Zhou Mo curled his lips and asked, "Doctor Yu, I guess you have never played bungee jumping before?"

Yu Zhiming looked disgusted and said: "What's so fun about bungee jumping? If you are not careful, you will be in danger of temporary blindness, joint damage, fainting shock, etc. It is a typical case of spending money to buy a crime."

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

Qing Ning said with some guilt: "When I went out to play with my friends before, I was encouraged to play."

She added: "I don't feel very good. It is indeed like what my family Zhiming said, it is just spending money to buy pain..."

Time passed quickly while the three of them were chatting, and they returned to Junshan Mansion at ten ten o'clock in the evening.

After entering the elevator, Qing Ning stuck tightly in front of Yu Zhiming's body, her small body still twisting and turning.

"Husband...husband..."

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

"Hee hee, don't be afraid, hugging is not too much..."

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

Just as Yu Zhiming wanted to respond enthusiastically, he noticed that the situation in the living room was different, and hurriedly said: "Come down, come down first."

Qing Ning roared: "Auntie should be asleep, even if she hears movement, she won't come out."

"Husband, we are not afraid of anything..."

At this moment, a clear cough suddenly sounded.

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

The next moment, she stuck out half of her head again, looked at the two people in the living room, and said blushingly, "Mom, aunt, why are you here?"

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

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

What about the father-in-law happened?
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(End of this chapter)