Chapter 444: Still Friends
It took nearly two hours for Yu Zhiming to complete the difficult labor position adjustment for eight pregnant women, as well as the position adjustment for a fetus with the umbilical cord wrapped around the neck for three weeks.
Afterwards, he rushed to the examination room of the cardiology department and performed physical examinations on the Gu family.
Yu Zhiming found problems with the first person who underwent a physical examination.
Liver cysts.
It is a common liver disease in clinical practice.
Most liver cysts are simple liver cysts, which are small in size, grow slowly, have no obvious symptoms, and generally do not require treatment.
However, the 51-year-old patient examined by Yu Zhiming had a liver cyst with a diameter of about eight centimeters.
Although there are no obvious symptoms now, when the child grows older, there will be obvious upper abdominal pain and bloating.
Such a large cyst has the risk of rupture.
Surgical resection is necessary.
The second patient who walked into the examination room was a woman in her early forties.
As soon as she came in, she told Yu Zhiming that she had been constipated in recent months and often had to rely on medication to help with bowel movements.
I hope Yu Zhiming can find out the exact cause of the disease and solve her defecation pain.
This made Yu Zhiming grin secretly.
Although constipation is not a serious problem, its causes are varied.
There are both organic and functional causes.
If the details were described, it would be enough for medical experts in this field to talk about it for ten days or half a month.
Just by taking less than ten minutes of full body examination, Yu Zhiming was able to find out the exact cause of his constipation. This must be a deliberate attempt to make things difficult for him.
Although Yu Zhiming thought so in his heart, in order to maintain his honor as a medical genius, he did not want to be really stumped by this woman, so he focused more on the physical examination.
First, a brain examination.
One of the organic causes of constipation is nervous system diseases, such as central brain diseases, stroke, multiple sclerosis, etc.
Yu Zhiming did not discover that the woman had any brain problems that deserved special attention.
Next is the neck check.
Yu Zhiming focused on her thyroid gland.
Endocrine or metabolic diseases, such as diabetes, hypothyroidism, and parathyroid disease, can sometimes cause constipation symptoms.
Yu Zhiming then examined the woman's breasts, heart, left and right lungs, stomach and other internal organs...
After failing to find any problems requiring attention and treatment, Yu Zhiming moved his hands to the woman's abdominal cavity.
After examining the kidneys, gallbladder, reproductive organs and other internal organs in the abdominal cavity, Yu Zhiming left the most important examination of the woman's intestinal system for last.
He first quickly explored the woman's intestinal system.
Yu Zhiming first confirmed that the woman had no organic intestinal lesions, such as tumors, inflammation or other reasons that caused intestinal stenosis or obstruction.
In addition, causes of constipation such as pseudo-intestinal obstruction, congenital megacolon, and megarectum have also been ruled out.
After further exploration, Yu Zhiming ruled out intestinal polyps, rectal prolapse, hemorrhoids, rectal muscle hypertrophy, pelvic floor disease and other conditions.
This woman's intestinal system is quite healthy.
Perhaps, constipation is caused by functional reasons?
For example, if you eat less, or your food lacks fiber, or you don't drink enough water, the stimulation to colon movement will be reduced, which can easily lead to constipation.
In addition, emotional stress, fast pace of life, changes in work and living habits may also cause constipation.
Abuse of laxatives and excessive dependence on drugs can also cause constipation.
Just when Yu Zhiming wanted to ask about the woman's diet, lifestyle and medication habits, he suddenly noticed something.
This woman's colon seems to be a little long.
In normal adult anatomy, the ascending colon is 15 cm long, the transverse colon is 55 cm long, the descending colon is 20 cm long, and the sigmoid colon is 40 cm long.
If it exceeds normal values and the range of motion increases, it can be diagnosed as redundant colon.
After a careful examination, Yu Zhiming found that the woman's sigmoid colon was nearly 44 centimeters long.
This is a proper colonoscopy.
A long colon is also one of the causes of constipation.
Just as Yu Zhiming was about to tell the woman about his discovery, he realized something was wrong.
The woman said that she had only developed symptoms of constipation in the last few months.
If constipation is caused by a lengthy colon, it should be long-term stubborn constipation that has existed since childhood.
In other words, the culprit that caused the woman's constipation in recent months was not her long colon.
It is at most an auxiliary bonus factor.
Could it be that today I will be defeated by a little constipation and my reputation will be damaged?
Yu Zhiming's gaze fell on the woman's lower abdomen again.
No noticeable belly.
For a woman of her age, her belly is quite flat, which shows that she attaches great importance to maintaining her figure.
At least you eat well and exercise.
exercise?
Yu Zhiming thought of this word and poked the woman's lower abdomen with his finger.
The abdominal muscles are not as tight as expected, and the resilience is a little insufficient.
Perhaps it is because the abdominal and pelvic muscles are not strong enough, the force required to push stool out of the body is insufficient?
“How many sit-ups can you do?”
Yu Zhiming finally asked a question.
The woman, still lying on the examination bed, said in distress, "Doctor Yu, I used to be able to do 50 or 60 sit-ups."
"I can't do it lately. I can't get up after doing more than ten."
"My back aches every time I move!"
Back pain?!
This made Yu Zhiming think of damage to the lumbar nerves, which in turn affected the control of the abdominal muscles, pelvic muscles, and intestinal peristalsis.
"Turn over. I want to check your spine."
Generally speaking, Yu Zhiming's physical examination does not require the subject to turn over.
Because if there is a problem with the spinal cord or intervertebral nerves, it will be reflected in other parts of the body.
Only when Yu Zhiming makes some discoveries or has any suspicions will he ask the person being examined to turn over and conduct an in-depth examination of the spine.
For example, this time...
Yu Zhiming began to carefully examine the woman's spine from the cervical spine to the bottom.
When he explored the woman's second lumbar vertebra, he finally made a major discovery.
Two peanut-sized intraspinal tumors were found in the spinal canal of the second and third lumbar vertebrae.
This finally made Yu Zhiming breathe a sigh of relief.
Once again, he proved his reputation as a medical genius by not being troubled by a minor constipation!
"What? I have a spinal tumor? My constipation in the past few months is caused by the spinal tumor?"
The woman was shocked and a little bit disbelieving.
Yu Zhiming explained: "Intraspinal tumor invasion causes spinal cord damage, which may affect the nerves that control intestinal peristalsis."
"This slows down bowel movements, which slows down the emptying of the intestines, leading to constipation."
"It can also affect the nerves that control the abdominal and pelvic muscles, preventing them from having enough strength to push through a bowel movement."
Yu Zhiming explained and then comforted her, "From what I've seen, the tumor in your spinal canal is only the size of a peanut, and the edges are quite regular."
"The possibility of complete surgical resection is quite high..."
After sending the somewhat shocked woman out, Yu Zhiming quickly let the third person for the physical examination in.
He spent too long on the woman, a full sixteen minutes.
He needs to speed up the process for the subsequent physical examination.
Fortunately, there were no major problems in the physical examinations of the next 28 people.
Three of them had cardiovascular problems, some of which were serious, so Yu Zhiming reminded them to get checked and treated.
There is also a 61-year-old man whose stomach needs some good care and maintenance...
At 5:20 pm, Yu Zhiming completed all his work at Ning'an Hospital.
As he moved his wrists and arms, twisted his waist, and stretched his body to relieve fatigue, Gu Qingran walked into the examination room.
"My cousin Jing's MRI results are out, and they're exactly the same as you described."
Gu Qingran sighed softly and said, "Even after seeing the video image, she still couldn't believe it."
"She didn't expect that she would come to you to check for constipation, but she ended up finding an intraspinal tumor."
Yu Zhiming smiled and said frankly, "Fortunately, she first suggested that I check the cause of her constipation."
"Otherwise, I wouldn't have investigated it so thoroughly. I might have missed the spinal tumor."
Gu Qingran chuckled and said, "That's because you're really capable. Other doctors might stop investigating after finding a long colon."
Yu Zhiming was slightly stunned and looked displeased.
"Are you testing me again?"
Gu Qingran quickly explained: "Zhiming, don't misunderstand me, this is definitely not arranged by us."
"It was my cousin Jing's own idea, and she just told me that."
"She had her examination done at another city hospital and was also asked to undergo colon surgery."
"She was scared, so she came to Binhai. She didn't believe it was a long colon, so she wanted to confirm it with you."
"I didn't expect your first move to be so extraordinary and to find the ultimate crux of the matter."
Yu Zhiming hummed twice.
Gu Qingran smiled again and apologized, "Zhiming, this is ultimately due to our poor organization. We didn't explain it clearly to them in advance. We will put an end to such things in the future."
"Let everyone in the family speak their mind. If there's anything to say, just say it. Don't come to you with the intention of testing your health."
"so……"
Gu Qingran apologized again, "Aren't you going to buy some red and white wine? I'll give you two boxes of each as an apology."
Yu Zhiming refused, "No, let's put this aside. I can't take advantage of you."
"I understand this so-called test, but I just hope it won't happen again."
After a pause, he asked again: "Where are Qing Ning and Zhou Mo?"
Gu Qingran smiled and said, "I have a wound on my face and I'm embarrassed to see anyone. I've already hidden in the car and waited for you..."
As Yu Zhiming walked into the parking lot, he heard cheerful voices coming from him.
"Momo, reporting Zhiming's name really works. I actually managed to get a table."
"Haha, let's have a big meal tonight."
Yu Zhiming heard Zhou Mo smile and say, "Judging from the restaurant reservation incident, Dr. Yu's reputation has surpassed your brother's."
"You can embarrass him..."
When Yu Zhiming heard their cheerful conversation, all his worries disappeared.
Still friends...
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(End of this chapter)
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