Chapter 529: Obey authority in urgent matters
"Sir, do you think my strength is enough?"
Yu Zhiming, lying on the sofa, listened to the delicate voice that could make his body numb, and muttered: "Very good!"
"Sir, do you think my technique is not good enough?"
"Very little!"
"Sir, would you like to apply for a card?"
"We've launched a special gift package. If you apply for a Shengshengshishi card, you'll get services like dining, playing, and sleeping with your loved one, and even get a free birthing service."
"Apply for a card! Apply for a card! Apply for a card..."
Yu Zhiming replied hurriedly a few times, and suddenly turned over and grabbed the seductive little goblin beside him into his arms.
All over the place.
But the next moment, he smelled a familiar scent.
"What's going on?"
Gu Qingning blushed brightly, nodded with a smile, and replied softly, "Yes, just half an hour ago."
Yu Zhiming sat up and asked with concern: "Are you feeling uncomfortable? Does it hurt?"
"At dinner, I saw you eat quite a bit of that spicy conch. You also ate some of the cold lobster sashimi."
Gu Qingning chuckled and said, "There was some slight pain before, but this time I hardly felt anything."
"They say having a boyfriend can help with menstrual cramps. From my personal experience, it really does work."
Yu Zhiming said seriously: "Actually, boyfriends can't help women relieve dysmenorrhea, and there's no clinical evidence that men can help women relieve dysmenorrhea."
He further explained: "There are two causes of dysmenorrhea in women: physiological and pathological."
"Physiological dysmenorrhea is caused by changes in the body's hormonal environment and increased secretion of prostaglandins, which can cause uterine contractions and lead to dysmenorrhea in women."
"Generally speaking, this pain cannot be improved by men or by having regular sex."
"As for pathological dysmenorrhea caused by pathological reasons such as endometriosis, pelvic inflammation, and uterine fibroids, men are even more unable to relieve it."
Seeing this guy's serious and earnest attitude towards popularizing science, Gu Qingning suppressed her laughter and argued in a serious tone, "There are many people who have come forward to share their own experiences online."
"She said that her menstrual cramps have been significantly relieved since she got a boyfriend and started having sex."
"Facts speak louder than words. How do you explain it?"
Yu Zhiming snorted, "Are you sure all these posts online were posted by you girls?"
"Perhaps, most of them are sent by men with unspeakable motives, deliberately misleading you girls."
"Of course, since the base number is so large, it is not ruled out that some women do relieve their dysmenorrhea with the help of men."
Yu Zhiming pondered and said, "These girls may have some endocrine disorders."
"After they find a boyfriend, their interactions with him or her regulate their endocrine system, bringing their sex hormone levels into balance and reducing the sensitivity of their uterine smooth muscle to prostaglandins during menstruation, thus alleviating the symptoms of dysmenorrhea."
"But for the vast majority of girls, men don't have much effect on their dysmenorrhea."
After a pause, Yu Zhiming suddenly thought of something and chuckled, "You can't say that men can't play a role."
"They can get a cup of hot water to warm the girls' stomachs."
"You can chat and distract the girl, which can relieve the pain to some extent."
"You can also use your palm to gently rub the girl's lower abdomen."
Upon hearing this, Gu Qingning's eyes widened, and she pinched her waist, turning into a little tiger.
"Since you know so clearly, why don't you act quickly? I still feel a little uncomfortable."
Well, I'm digging a hole for myself...
Yu Zhiming first poured a cup of hot water for Gu Qingning, then held her in his arms and rubbed her belly...
Yu Zhiming, who turned into a warm man, was in love with Qing Ning for more than ten minutes. Suddenly, he heard hurried footsteps coming from outside.
He put down the lemon, stood up from the sofa, and saw a little nurse running towards the door.
"Doctor Yu... Doctor Yu..."
The young nurse ran too fast and bent down to take a few breaths before her breathing became smoother and she could speak coherently.
"It's an emergency, a heart problem. Doctor Chen is a Chinese medicine doctor and isn't good at treating it..."
Before the young nurse could finish her words, she looked up and saw Yu Zhiming, wearing a down jacket, walking quickly out the door.
The young nurse took a deep breath, turned around and ran out, leading the way and explaining the situation.
Two or three minutes later, Yu Zhiming hurried to the medical center on the first floor of the dome building and saw an elderly man in his sixties or seventies sitting on a multifunctional examination chair, breathing oxygen.
Even with oxygen, the old man was still breathing rapidly and looked pale.
Yu Zhiming also noticed that the old man's jugular veins were bulging.
Doctor Chen, who was standing nearby, saw Yu Zhiming come in and said anxiously, "Doctor Yu..."
As he spoke, Yu Zhiming's right hand had already pressed on the old man's left chest...
"Acute pericardial effusion, requiring pericardiocentesis."
The pericardium is a sac structure that surrounds the heart and is composed of two parts: the serous layer and the fibrous layer.
The pericardium secures the heart, cushioning the impact of cardiac contraction on surrounding blood vessels and preventing rapid expansion of the heart chambers due to exercise and increased blood volume.
It can also prevent chest infections from spreading to the heart.
There is fifteen to fifty milliliters of serous fluid in the pericardial cavity, which acts as a lubricant.
Pericardial effusion refers to excessive secretion of fluid by the pericardium and accumulation in the pericardial cavity due to pericardial disease or other causes involving the pericardium.
This is a relatively common clinical symptom.
Patients with a small pericardial effusion or a large, slowly accumulating pericardial effusion may be asymptomatic.
As pericardial effusion compresses the heart and local tissues, corresponding symptoms of varying severity may appear.
Dyspnea is the most prominent symptom, and irritability, pale complexion, cyanosis, etc. may also occur.
The occurrence of a large amount of pericardial effusion in a short period of time can lead to cardiac tamponade, obstruction of venous return, systemic congestion, and symptoms such as hypotension and jugular vein distension.
In severe cases, shock and cardiac arrest may occur.
During Yu Zhiming's examination, the old man had at least 600 to 700 milliliters of pericardial effusion.
This is a serious situation.
Yu Zhiming found that the old man's heartbeat was severely suppressed, resulting in obstructed blood circulation.
Urgent treatment must be given.
"Pericardiocentesis?"
Doctor Chen was shocked and said anxiously, "Doctor Yu, I can't do this puncture."
"We have our own ambulance ready, but it's a 40 to 50 minute drive to the nearest major hospital."
"Will you make it in time?"
A 45-50 minute drive?
Yu Zhiming couldn't help but frown. Judging from the old man's current symptoms and the heart compression caused by pericardial effusion, he really might not be able to survive.
"I'll do the pericardiocentesis."
Yu Zhiming, who had made the decision, then instructed, "Prepare the puncture needle, drainage tube, and surgical disinfection kit."
"Everyone else, please get out."
Pericardiocentesis must be performed in a sterile environment to avoid heart infection.
But given the current situation, Yu Zhiming could only take emergency measures and drain the pericardial effusion first to restore the old man's heart function to normal.
As for whether or not it is infected, that is a matter for the future.
Under Yu Zhiming's arrangement, only the young nurse who called him over was left at the scene.
Dr. Chen, other nurses and caregivers, and friends who cared for the elderly all went outside the clinic.
To avoid infection, Yu Zhiming also disinfected the environment and the elderly's puncture site as much as possible.
Not only did he wash his hands and disinfect them, he also put on disposable sterile surgical gowns, masks and surgical gloves.
After everything was ready, Yu Zhiming took the puncture needle handed to him by the nurse and tapped and pressed the old man's intercostal area a few times.
The next moment, without any hesitation, he thrust his hand in with force.
The frightened nurse next to her let out a cry and quickly covered her mouth.
Pericardiocentesis requires a high level of technical skills from the doctor.
Even at Huashan Hospital, one must be at least a senior attending physician and perform the operation under the guidance of ultrasound images.
This is because if the puncture needle accidentally touches the heart, it can easily trigger a cardiac stress response and cause cardiac arrest.
Given Yu Zhiming's perception and positioning, as well as the stability of his two hands, pericardiocentesis is not a big deal.
His main concern before was infection...
Yu Zhiming inserted the drainage tube skillfully and saw light white liquid spraying into the drainage bag along the drainage tube.
He checked the patient's heart again and found that its blood pumping function was gradually improving.
"Now we can send the old man to the hospital..."
Yu Zhiming tidied himself up, carried his coat and walked out of the clinic, where he saw Qing Ning waiting outside.
"Zhiming, you are awesome. You saved another person."
Yu Zhiming sighed softly and said, "It's hard to say now. We still need to survive the infection period."
"Let's go, let's go back..."
Gu Qingning took Yu Zhiming's arm and walked out of the dome building, and unexpectedly saw Gu Changyan surrounded by four or five people.
"No! I don't agree!"
"I can't let my men risk going into the mountains at night."
Curious, Yu Zhiming and Gu Qingning moved closer and listened for a while before they understood what was going on.
A high school couple, faced with strong opposition from both sides' parents, left a suicide note and threatened to commit suicide.
The parents will go crazy when they find out.
They found some clues and determined that the two children had most likely run to this mountainous area.
Hearing this, Yu Zhiming remembered that when he was on vacation at Huguangshanshe during the National Day holiday, the people there said that this mountain area was a relatively famous place for people to commit suicide and then be buried.
"Dean, please, my child is only seventeen years old."
As he spoke, a man knelt down and pleaded, "Dean, you don't need to order your staff into the mountains, just gather them together."
“We’re looking for volunteers.”
"Ten thousand yuan for each person who is willing to follow us into the mountains to search for people."
"If you find two children, you will be given 100,000 yuan."
"If you get injured while in the mountains, we'll take full responsibility and provide compensation..."
Yu Zhiming and Qing Ning didn't listen any further and walked towards the villa in the west hand in hand.
Although life is priceless and saving lives is extremely urgent, they will not recklessly put themselves in danger just to find those two ignorant guys...
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(End of this chapter)
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