Chapter 1195 Yu Zhiming's Speculation
Although Yaoqin's symptom was only abdominal pain, Yu Zhiming still examined her body step by step, starting from the head.
After all, she had been examined in many major hospitals at home and abroad for unknown abdominal pain, but there was no result.
To be on the safe side, Yu Zhiming needs to give her a thorough full body examination first.
He must first rule out any lesions or tumors in the brain, heart, spine, etc. that may be causing the patient's abdominal pain.
After this full body examination, Yu Zhiming eliminated these doubts and also discovered a situation.
The vitality of Yaoqin's abdominal organs, liver, gallbladder, spleen, pancreas, small intestine, large intestine and peritoneum, as well as uterus, ovaries and other organs and tissues are relatively weak.
Yu Zhiming didn't know whether the irregular abdominal pain was caused by the weakening of the abdominal organs, or whether the abdominal pain was caused by the weakening of these organs.
Next, he carefully examined Yao Qin's abdominal organs one by one.
Yu Zhiming's examination is divided into three levels.
The first is to explore the physiological structure and state of the organ to see if there are any abnormalities or lesions; the second is to explore if there are any problems with the organ's blood circulation; and the third is to see if there are any physiological abnormalities in the nervous system.
If there are no abnormalities in these three aspects, the organ is basically healthy.
Even if there are functional problems with an organ, they are caused or implicated by lesions elsewhere.
This detailed and targeted examination of the abdominal organs took Yu Zhiming nearly twenty minutes.
But there were no findings worthy of further exploration.
Yu Zhiming pondered and said to the patient Yao Qin, "Your abdominal organs are weak, your blood circulation is relatively slow, and there are relatively many arterial attachments."
When people reach middle age, some lipid substances inevitably adhere to the blood vessel walls, causing blood vessel narrowing.
However, the degree of stenosis of Yaoqin's abdominal organ blood vessels is at most 20 to 30 percent, which is still within an acceptable range.
Yu Zhiming went on to explain, "But this will only cause constipation, loss of appetite, and poor spirits. It shouldn't cause irregular abdominal pain."
Zhang Yiqing said, "My wife does have a long-standing problem with constipation, and her appetite is not very good either."
"Also, she's an online writer who likes to stay at home and write. She can stay at home for a week."
After a pause, Zhang Yiqing continued, "The doctor also recommended that she go out more often to exercise and keep fit."
"But every time I give up after a few days..."
Yao Qin sat up from the examination bed and interrupted, "Doctor Yu, have you found the cause of my abdominal pain?"
Yu Zhiming met Yao Qin's gaze and said matter-of-factly, "I haven't found anything yet."
The next moment, he asked again: "When was the last time you had abdominal pain?"
"Eight days ago." Yao Qin replied.
Zhang Yiqing knew what Yu Zhiming was thinking and spoke again, "Doctor Yu, my wife's abdominal pain attacks are irregular and last only a short time."
"It's not easy to get a checkup when my wife has abdominal pain. It requires some luck."
Yao Qin took over and said, "Last year, I was hospitalized in Beijing Union Hospital for two and a half months. I was lucky enough to catch an abdominal pain attack and had a quick physical examination."
"But they didn't find any problems."
Yu Zhiming frowned. This was indeed a big problem.
The abdominal pain occurs at irregular intervals and lasts for a short time. The main problem is that it is impossible for Yu Zhiming to sit by the patient's side and wait for her abdominal pain to occur.
There is more work waiting for him to deal with.
"Can an abdominal pain attack be induced by external factors?"
Zhang Yiqing shook his head and said, "During the two and a half months of hospitalization at Union Hospital, we tried many methods."
"We've tried everything we can think of, including staying up late, overeating, eating cold food, dieting, over-exercising, applying hot and cold compresses, and so on. But none of them worked. Instead, they've made my wife suffer."
Yao Qin also explained: "During those two and a half months, I had six episodes of abdominal pain, each one coming on suddenly and catching me off guard."
"By the sixth time I had abdominal pain, I was lucky enough to have several monitoring devices connected to my body."
"However, the medical experts at Union Hospital haven't found any problems with the collected physical data."
After a pause, Yao Qin asked again to confirm: "Doctor Yu, you can see the big picture from the subtle details, but you didn't notice it?"
Yu Zhiming nodded, and saw the light in Yao Qin's eyes fading little by little.
Is she disappointed?
Or despair?
Yu Zhiming suddenly felt uncomfortable.
The patients he takes over always come with hope and leave with joy.
Unless the patient has a disease that he can't do anything about or an incurable disease.
This living unknown abdominal pain should not be beyond one's ability.
Yu Zhiming said with great interest: "Ms. Yao, lie down again and I will examine you again."
Facing Yao Qin lying down again, Yu Zhiming examined her again.
Start at the beginning, with a full body check.
Moreover, Yu Zhiming was particularly meticulous in this full-body examination.
Let's explore it from three levels: physiological structure, blood and lymphatic circulatory system, and nervous system...
God will not let down those who work hard!
After nearly half an hour, Yu Zhiming, who was fully committed, finally made a discovery worth exploring.
He used a syringe to draw out a tube of about 15 milliliters of dark red blood from Yao Qin's calf vein with steady and accurate precision.
In this tube of blood, there is a yellow bright spot half the size of a sesame seed floating up and down, which is particularly eye-catching.
Zhang Yiqing took a closer look and asked in confusion, "Doctor Yu, what is this? Is it a bubble?"
"Could it be...could it be a parasite?" Zhang Yiqing's voice trembled.
"It's not bubbles, nor are it parasites. It looks like grease!" Yu Zhiming replied, feeling a little strange.
For people with high blood lipids, one-third or even more of the fat can be separated from a tube of blood.
However, this was the first time Yu Zhiming had seen such oil particles aggregated in the blood circulation.
After this discovery, Yu Zhiming paid more attention to blood testing.
More than ten minutes later, Yu Zhiming drew a tube of blood from Yao Qin's left arm, left foot, right foot, etc., and found another fat particle the size of half a sesame seed.
He mixed these tubes of blood together, and after a while he found that the fat particles had merged together and become half the size of a soybean.
Looking at the half soybean-sized piece of fat swaying back and forth in the blood, Yu Zhiming suddenly had a guess.
He shook the syringe in his hand vigorously and watched the lipid particles inside being broken up and then gathered together again.
"These small fat particles can aggregate into a larger one. Ms. Yao, your abdominal organs are weak, your blood flow is slow, and your blood vessels are narrow."
Yu Zhiming analyzed, "I have a hypothesis. When these large aggregated fat particles passed through the relatively small arteries of an organ in the abdominal cavity, they got stuck and couldn't move away."
"This creates an obstruction in the small arteries, causing ischemia to the organs and leading to varying degrees of abdominal pain."
Yu Zhiming shook the syringe in his hand again and said, "Is it really as I guessed? Let's do a verification..."
"Ms. Yao, we're going to inject this fat particle into the arteriole, the organ with the weakest vitality in your abdominal cavity, to see if it can cause your abdominal pain..."
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