Chapter 610 To save or not to save?
After a careful examination, Yu Zhiming confirmed that there was indeed a bubble with a diameter of about 0.5 cm in the patient's cervical spinal canal.
There is gas accumulation in the spinal canal, which is rare in clinical practice and is called vacuum phenomenon.
Studies have shown that with age, the annulus fibrosus of the intervertebral disc degenerates, the nucleus pulposus gradually dehydrates, dries out, loses elasticity, and cracks appear. As the cracks continue to grow, negative pressure is generated, causing the gas in the extracellular fluid in the surrounding soft tissue to escape into the cracks, thereby creating an intervertebral disc vacuum phenomenon.
Due to changes in intervertebral pressure, gas may enter the spinal canal through the intervertebral disc fissure.
The spinal canal lacks a vascular network for gas reabsorption, so gas accumulation can persist, causing compression on the nerve roots and sometimes causing clinical symptoms similar to a herniated disc.
Or other nerve-related symptoms.
The patient told Yu Zhiming that in the past three or four months, he often felt soreness and discomfort in his neck, and sometimes pain.
He thought it was a stiff neck from sleeping or from working with his head down for a long time.
As for chills, there are indeed a lot more of them.
The patient did not think of anything else, believing that it was due to his age and physical weakness, so he kept taking dietary supplements for the past month or two.
"Doctor Yu, is this bubble in the cervical spine easy to treat?"
Yu Zhiming told the patient that eliminating the bubble is much easier than removing the solid space-occupying tumor.
The bubble can be directly punctured with a puncture needle, or the bubble can be removed and decompressed under spinal endoscopy.
However, due to time factors, patients need to go to neurosurgery for relevant treatment.
Yu Zhiming sent the patient away, and the subsequent screening for stomach and liver cancer entered the fast lane mode.
By 6:10 in the evening, he had completed today's cancer screening work, detecting two suspected cases of liver cancer and three suspected cases of stomach cancer.
After a quick tidy up, Yu Zhiming came out of the examination room and saw Qing Ning waiting in the corridor, jumping towards him.
"Zhiming, are you tired?"
Yu Zhiming noticed that Qingning's eyebrows, eyes, and mouth were all full of smiles, and realized that he had indeed neglected to accompany her.
He tapped the tip of Qing Ning's nose and chuckled, "Not bad, there's less work today than usual."
"Give me a few more minutes and we'll be ready to go..."
Yu Zhiming returned to the large office, tidied up his desk, and changed his clothes.
Just as he was about to leave with Qing Ning, Zhou Mo cleaned up the examination room and returned to the big office.
Qing Ning politely invited her, "Momo, do you want to go out and play with us?"
Zhou Mo yawned and shook his head, "I almost didn't sleep last night. I can't hold on any longer."
"Go back to sleep, I won't be your light bulb..."
Hang Lung Plaza is nearly an hour's drive from Huashan Hospital. When Yu Zhiming and Qing Ning rushed here, they found that there were really a lot of people here.
There are several rows of tents in the square in front of the shopping mall building. It is crowded with tourists and the shouts are deafening.
After spending some time parking the car, the two of them strolled around the square with the crowd.
There are snack stalls lined up next to each other in the tent, selling foods such as grilled meat skewers, stinky tofu, grilled pork feet, grilled squid, fried potato skewers, pan-fried buns, and oden.
Although the aroma of various foods filled the air and Yu Zhiming and Qing Ning were hungry, they were not interested in these snacks.
First, the ingredients are likely not fresh.
Secondly, in order to achieve a rich aroma, I don’t know how much technology and hard work were added.
After eating, it may take ten days or half a month for the body to eliminate the harmful additives in the food.
But when he saw a roasted sweet potato stall, Yu Zhiming went up and spent nearly 50 yuan to buy two large sweet potatoes, one for Qing Ning, and one for Qing Ning, eating while he walked around...
"Zhiming, look over there. Oval face, small nose, big breasts, slim waist, round buttocks, long legs. A top-notch beauty."
Yu Zhiming looked in the direction Qingning pointed, and sure enough, a few meters away, he saw a young woman with fair skin, beautiful looks and a good figure.
The woman was standing in the biting cold wind, with her thick coat hanging on her arms. She was wearing a thin, slim-fitting dress that showed off her figure, with her chest half exposed, showing off her wealth.
She walked alone in the crowd, looking around, enjoying the gazes cast back at her by many young people around her.
He is not afraid of the cold and yet he flaunts himself in public. This is Sima Zhao's intention, and everyone knows it.
Yu Zhiming muttered, "If you want to hook up with a tall, rich, and handsome guy, you came here, but you chose the wrong place."
“The people who come here are basically ordinary people.”
Qing Ning took a small bite of the sweet potato and said with a giggle, "Aren't you here too? You're now a truly tall, rich, handsome guy, a first-generation entrepreneur."
Yu Zhiming smiled and said, "In essence, I'm still a country bumpkin from the countryside."
"In reality, he is just a country bumpkin with extraordinary medical skills."
Qing Ning followed with a comment and nudged Yu Zhiming lightly with her body.
"Hey, Zhiming, can you tell me from a professional perspective whether this beauty has had plastic surgery?"
Yu Zhiming once again turned his gaze to the beautiful woman with an outstanding appearance and figure, and examined her carefully.
If you read 300 Tang poems carefully, you will be able to recite them even if you can’t write poems.
This principle also applies to Yu Zhiming.
He has examined at least 10,000 bodies and is extremely familiar with the human body structure.
In this case, although the insight of Yu Zhiming's eyes is not as good as clapping his hands to expose any problem, it is almost as good as the Fiery Eyes and Golden Pupils.
Yu Zhiming's eyes were like a scanner, reading the external data of the beauty, inputting it into his brain, and constructing a virtual three-dimensional portrait.
Then he began to look for inconsistencies.
"The makeup on her face concealed too many details, but I can confirm that she had plastic surgery in at least three places."
"The corners of my eyes, the tip of my nose, and my jawbone were opened!"
Yu Zhiming lowered his gaze from the beauty and said slowly, "I don't see any signs of breast augmentation. It must be her natural talent."
After a pause, he continued, "To achieve that slim waist, to accentuate her ample breasts, and to achieve that rounded buttocks, I'm sure she had a pair of ribs removed."
Yu Zhiming glanced at the beauty's slender legs again.
"The shape of her legs must be the result of hard training and body shaping."
Yu Zhiming sighed again, "With persistence and perseverance, and a fearlessness of pain and hardship, if you apply that to your work and career, you have a great chance of success. Wouldn't it be better to rely on yourself?"
At this moment, the beautiful woman greeted a young man with a sweet smile and intimately held his arm.
After seeing the young man's face clearly, Yu Zhiming's expression suddenly became solemn.
He knew this guy, and he was his enemy.
He is Xu An, the boyfriend of his college classmate Gao Yun who had framed him before, and the son of the director of Yaoming Pharmaceutical.
The first level of masterminds behind the scenes are Xu An and Yuan Xiuqiang.
Yuan Xiujiang has woken up from a coma, but his thinking is still slow and his speech is slurred. He is working hard to recover his health.
The relationship between Yu Zhiming and Yuan Xiujiang is over.
However, the grudge with Xu An has not yet been settled.
The main reason was that Yu Zhiming was busy with work and never found a suitable opportunity for revenge.
Seeing Xu An and the beautiful woman being so close and chatting and laughing as they walked towards the Hang Lung Shopping Center, Yu Zhiming guessed that this guy must have broken up with Gao Jun.
It was obvious that Gao Yun was just being used, and when he was no longer useful, he was naturally kicked away.
"Lime, shall we go into the mall?"
Qing Ning nodded and said "Okay".
The two walked into the Hang Lung Shopping Center and found that the decorations were bright and prosperous, creating a New Year atmosphere.
Moreover, the originally empty lobby was now filled with many shelves, piled with a wide variety of goods including gift boxes, meat, poultry, eggs, milk, seasonings, fruits, tobacco, alcohol, sugar, tea, festive clothing, folk items, handicrafts, daily necessities, etc.
After walking around for a while, Yu Zhiming discovered that the merchandise at the Hang Lung New Year Goods Fair was of a much higher quality.
Many New Year goods are imported from abroad, and most domestic New Year goods are high-end and high-quality products.
For example, in the ham section, whole hams from Spain and Italy are on display, while domestic ones include well-known hams from Jinhua, Xuanwei and other places.
As for nuts, most of them are imported from abroad, and some of them are new to Yu Zhiming.
Qingning knew that Yu Zhiming liked eating nuts very much.
Seeing that there were quite a few varieties of nuts in the nut section, she asked, "Zhiming, are there any nuts here that you like?"
"Buy some to eat?"
Yu Zhiming shook his head and said, "It's better to eat local nuts. There's a risk of allergies to unfamiliar nuts."
Nuts have high nutritional value and are rich in plant protein, oil, minerals and vitamins.
After eating, it can supplement nutrition, effectively improve the body's resistance, and help maintain physical health.
However, nuts contain more plant protein.
Some people may experience allergic reactions after eating it. This is mainly because the body's immune system has an excessive immune response to plant protein, causing the patient to experience symptoms such as rash and itchy skin.
Severe allergies may even lead to life-threatening allergic reactions.
Perhaps it was Yu Zhiming's bad luck, or perhaps it was his disastrous constitution that was at work, but the next moment, urgent shouts were heard.
"Someone come quickly!"
"Help!"
"Someone choked on a nut."
Yu Zhiming looked in the direction of the sound and found that the person shouting from more than ten meters away was the beautiful woman he had seen before.
The person she was supporting was Xu An, whose face was flushed and he was unable to speak.
As the beauty's voice fell, a tall man ran over and took Xu An from the beauty.
He put his arms around Xu An's waist, crossed them between his navel and sternum, and then began to thrust backward and upward.
This is the Heimlich maneuver for adults, and the tall man used it quite standardly.
However, as the tall man held Xu An from behind and thrust hard again and again, the foreign object did not come out of Xu An's mouth as expected.
Instead, Xu An's lips turned purple.
This is a sign of worsening suffocation.
At this moment, Yu Zhiming had already realized that Xu An was not choked by nuts.
He had an acute allergy, which caused laryngeal edema, blocked his trachea, and led to suffocation.
To save or not to save?
This was a major decision that Yu Zhiming needed to make immediately...
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(End of this chapter)
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