medical treatment

Chapter 660 Do You Trust Me

Today is Saturday, and the make-up is Thursday's class.

However, for Yu Zhiming, the cancer screening of volunteers for the very early stage cancer project will not officially start until next Monday.

Because it was the first day of work after the new year, Yu Zhiming received many special products brought by the center's medical staff from their hometown.

For example, cured meat and fish, hometown game, special pastries, local nuts and specialty snacks, etc.

This made Yu Zhiming a little ashamed.

Why didn't he think of bringing some souvenirs from his hometown to maintain the friendship with colleagues?

It's just that this feeling of shame lasted less than 10 minutes in Yu Zhiming's heart, and then it was forgotten.

Because, work keeps coming.

In addition to Yu Zhiming, Qi Yue, Han Shuo, Xie Jianmin, Wang Zhijin, and Wang Zejia from the center received as many as five or as few as two hospitalized patients.

Qi Yue had the most patients, and he accepted five of them at once, not counting the terminal cancer patient.

It seems that this year, in order to wipe his son's ass, he is going to make great strides on the road of making money.

After 10:30 in the morning, Yu Zhiming, who was doing a physical examination for Wang Zejia's patient in the examination room, heard his Chinese father's strange Chinese voice at the door of the examination room.

"Doctor Yu, my son wants to pee."

These words made Yu Zhiming stop the examination, and said to the patient in front of him: "Please wait for me, I have a patient who needs to be dealt with in an emergency."

Yu Zhiming left a sentence, and trotted with his Chinese father to the single ward No. [-] in the upstairs ward area.

The Chinese teenager named Tire is still lying on the hospital bed

Yu Zhiming directly probed his lower abdomen,
As soon as his hand touched Tire's lower abdomen, he could clearly feel that Tire's lower abdomen was a little swollen.

After a little inspection, Yu Zhiming found that his bladder was full of urine, about [-] to [-] milliliters.

He felt the expansion of Tyre's bladder and the tightness of the bladder wall again, and estimated that there was at most [-] milliliters of room left.

"Tell, describe to me your current urge to urinate. It is divided into five levels. One is the urge to urinate, but there is no need to worry. You can find the bathroom slowly."

"Five is that I can't hold it anymore, and I need to solve it immediately, or I will pee my pants."

After a pause, Yu Zhiming asked, "Tayer, what level is your urge to urinate now?"

Tell thought for a moment, then replied: "The third level."

third? !

This answer is one notch lower than the correct answer four that Yu Zhiming imagined.

However, due to the deviation of understanding and personal feelings, answering the answer of three is not unacceptable.

However, Yu Zhiming noticed that Taier's facial expression was quite relaxed, without any anxious or uncomfortable look, and thought that his "three" should be closer to the answer two in Yu Zhiming's mind.

Alas, this is the same as the degree of pain, which cannot be uniformly quantified.

"Tyl, you can pee now."

Yu Zhiming confessed and left the ward.

After walking a few steps, he heard his Chinese father chasing him out.

"Doctor Yu, Tell him?"

Yu Zhiming felt that it was necessary to explain, so that the patient's family members could not be confused and not know why.

"During my preliminary examination, I found no organic lesions worthy of attention in Thire's viscera."

"However, based on Thiel's perception of urination, I suspect that his visceral sensory nerve perception has become dull."

The internal organs are mainly innervated by the visceral nervous system, which can be divided into visceral motor nerves and visceral sensory nerves.

These two together control the internal organs, regulate the activities of the organs to maintain normal physiological functions, and can also transmit various information, cause various discomfort symptoms such as pain, and remind the occurrence of diseases.

The visceral sensory nerve mentioned by Yu Zhiming is to transmit the various visceral stimuli felt to the nerve centers at all levels, and can also reach the cerebral cortex.

The information transmitted by visceral sensory nerves is integrated by the central nervous system, and then through the visceral motor nerves to regulate the activities of corresponding organs, so as to maintain the dynamic balance of the internal and external environments of the body and the normal life activities of the body.

Pain stimuli like our viscera are sensed by visceral sensory nerves and transmitted to our brains.

It's just that due to the high threshold of visceral sensory neuralgia and the scattered sensory afferents, when visceral pain occurs, we often cannot accurately locate the pain point.

Therefore, many visceral pains require detailed examinations to make a definite diagnosis.

The degree of urination in our bladder is naturally sensed by the bladder sensory nerve and transmitted to the nerve control center.

Generally speaking, visceral sensory nerves are more obvious and sensitive to sensations such as stretching, hunger, and spasm.

If the visceral sensory nerve becomes dull, it may become less sensitive to hunger, which in turn affects the function of the digestive organs and the secretion of the digestive glands, people will become less fond of eating, and the ability to digest and absorb will also decline.

Of course, sometimes there will be another extreme, that is binge eating, eating very full but still not feeling full.

Yu Zhiming explained patiently and said, "Of course, this is just my guess, and there is still no evidence."

"Further exclusion tests are required."

After explaining these contents, Yu Zhiming found that the Chinese father's face became ugly, and he fell into deep thought.

"Do you have something to tell me about Tyre?"

The Chinese father said bitterly: "Doctor Yu, your guess is very likely to be correct."

"Before Thiel showed obvious symptoms such as weight loss, he once ate a lot and ate a lot of food, which shocked me and terrified me."

"At that time, I took him to the hospital to induce vomiting, and I warned him severely not to eat like this."

After a pause, the Chinese father said again: "Since then, his diet has returned to normal."

Yu Zhiming asked, "How much is normal?"

The Chinese father said: "It's the amount of food a fourteen-year-old child should have."

Yu Zhiming asked again: "How does it compare to your appetite?"

The Chinese father said: "Of course it can't compare with mine, it's about one-half of mine."

These words made Yu Zhiming more and more sure that Thiel was suffering from dull visceral sensory nerves.

He sighed softly: "Don't you know there is a saying in China? It's called, half a child, eat a poor old man."

"At Thiel's age, he is in the developmental period of his body, and his body needs a lot of energy supplements."

"It's normal for him to eat more food than you."

The Chinese father was stunned for a moment, and then asked with a self-blaming expression: "Doctor Yu, is this to confirm that Thiel's visceral sensory nerves are slow?"

"Is this the ultimate cause of his ill health?"

Yu Zhiming replied frankly: "It can't be confirmed yet, I can only say that there is a lot of possibility, and some inspections are needed to confirm."

After a pause, Yu Zhiming said again: "This visceral sensory nerve insensitivity is most likely not the ultimate cause, but the manifestation and symptom of some chronic disease."

"Tracing back to the root cause, it is possible that there may be lesions in the brain ganglion, spinal ganglion, neurotransmission center, or brain control center that are closely related to visceral sensory nerves."

Yu Zhiming thought for a moment, and said, "Well, I will ask my teacher, Dr. Qi Yue, a well-known neurologist, to preside over Thiel's visceral sensory nerve examination..."

Yu Zhiming first went back to the examination room on the second floor, finished the unfinished physical examination of Dr. Wang Zejia's patient, and then went to the director's office to look for Teacher Qi.

Unexpectedly, on the way, he was stopped by a girl in her twenties who was exquisitely dressed but had a haggard face.

"You are Doctor Yu Zhiming?"

"The medical genius who can claim to cure terminal cancer? Are you 30 years old?"

"Are you sure you're not a big fool?"

"Advanced cancer is a problem recognized by the world's medical community. It can only prolong the life of patients as much as possible, but it cannot be cured."

Yu Zhiming's face darkened.

He, who has soared in fame, has never been accused and questioned face to face, so he is naturally angry.

He was unceremonious and angry: "You are not my patient, you can disbelieve my ability, but you have no right to question me."

"Good dogs don't get in the way, get out of the way."

Yu Zhiming's words made the woman in front of her go crazy.

"You are the dog, and your whole family are dogs."

The next moment, her mouth was like a machine gun, and she said quickly, "I'm telling you, I'm Ke Xixi. My father is Ke Minzhi, who was ranked 142 on the Forbes China Rich List last year."

"My dad was treated well at the famous Mayo Clinic abroad, but suddenly he wanted to return to China to receive your treatment as if he was possessed, and he didn't listen to any persuasion."

Speaking of this, Ke Xixi's eye circles suddenly turned red.

"The experts at the Mayo Clinic said that according to their treatment plan, it is sure that my dad will live for another three years."

"But if you give up halfway, all previous efforts will be wasted."

"Doctor Yu, if you are not sure that my dad will live for another three years, can you please stop blaming my dad?"

"If you want money, I'll give it to you!"

"Give as much as you want."

Hearing what she said, Yu Zhiming felt less angry towards her in his heart.

After all, she is also a caring father.

However, her behavior is absolutely unacceptable.

Yu Zhiming didn't bother to explain to her, so he stretched out his hand and pulled the guy aside, and walked quickly to the director's office.

Seeing that she couldn't stop it, Ke Xixi stomped her feet angrily, but she could only wipe her eyes vigorously, and followed Yu Zhiming.

Entering the director's office, Yu Zhiming saw five other people besides Teacher Qi and Zhou Mo.

Zhou Mo was pouring tea and water.

Among the five strangers, one was sitting in a wheelchair, a thin man in his 50s, wearing a felt hat, with a tired expression on his face.

When Yu Zhiming saw Ke Xixi standing next to the wheelchair with a straight face, he knew that the person in the wheelchair was the owner.

At this time, Qi Yue's voice sounded.

"Zhiming, let me introduce you. This is Mr. Ke Minzhi from the capital."

Yu Zhiming met Ke Minzhi's gaze, and said in a deep voice, "Mr. Ke, I had a conversation with your daughter outside just now."

"Ling Ai is very suspicious of my ability."

"Mr. Ke, do you trust me?"

Ke Minzhi first glanced at the stubborn daughter who was biting her lips, and said to Yu Zhiming, "Doctor Yu, my daughter has been spoiled by me since she was a child, and she acts a little recklessly and impulsively."

"Please also see that her original intention is to care about the filial piety of my old father, and forgive her rudeness."

"As for trust..."

After a pause, Ke Minzhi said again: "Doctor Yu, I directly interrupted the treatment plan of the Mayo Clinic in the United States, and I came back on a chartered flight without any delay, which should be enough to prove it?"

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(End of this chapter)