Chapter 660 Do You Trust Me?
Today is Saturday, and I am making up for Thursday's class.
However, for Yu Zhiming, cancer screening for volunteers in the very early cancer project will not officially begin until next Monday.
Because it was the first day of official work after the New Year, Yu Zhiming received many specialties brought by the medical staff of the center from their hometowns.
For example, cured meat and fish, local game, special pastries, local nuts and specialty snacks, etc.
This made Yu Zhiming feel a little ashamed.
Why didn’t he think of bringing some local specialties from his hometown to maintain the friendship among his colleagues?
However, this feeling of shame only lasted less than ten minutes in Yu Zhiming's heart before it was forgotten.
Because, work comes one after another.
In addition to Yu Zhiming, everyone from the center, including Qi Yue, Han Shuo, Xie Jianmin, Wang Zhijin and Wang Zejia, each received as many as five and as few as two inpatients.
Qi Yue had the most patients, admitting five at once, not counting the one with terminal cancer.
It seems that in order to support his son, he will have to work hard to make money this year.
A little after half past ten in the morning, Yu Zhiming, who was performing a physical examination on Wang Zejia's patient in the examination room, heard his Chinese father's somewhat strange Chinese voice coming from the door of the examination room.
"Doctor Yu, my son needs to urinate."
This made Yu Zhiming stop his examination and said to the patient in front of him: "Please wait for a moment, I have a patient with an emergency that needs to be treated."
Yu Zhiming said something and trotted to the single room number five in the upstairs ward area with his Chinese father.
The Chinese teenager named Taier is still lying on the hospital bed
Yu Zhiming directly probed his lower abdomen.
As soon as his hand touched Tyr's lower abdomen, he could clearly feel that Tyr's lower abdomen was a little swollen.
After a brief examination, Yu Zhiming found that his bladder was full of urine, about 320 to 300 milliliters.
He felt the expansion of Tel's bladder and the tightness of the bladder wall again, and estimated that there was still a maximum of 100 ml of capacity left.
"Tail, describe to me how badly you feel the urge to urinate. There are five levels. One is that you feel the urge to urinate, but you don't need to rush. You can take your time looking for a bathroom."
"Five means I can't hold it anymore and need to relieve myself immediately, otherwise I'll pee my pants."
After a pause, Yu Zhiming asked, "Tail, what's your current level of urge to urinate?"
Tyr thought for a moment and replied, "Third level."
Third?!
This answer is one level lower than the correct answer four that Yu Zhiming imagined.
However, due to differences in understanding and personal feelings, answer three is not unacceptable.
However, Yu Zhiming noticed that Taier's facial expression was quite relaxed, without any sign of anxiety or discomfort, and thought that his "three" should be closer to the answer two in Yu Zhiming's mind.
Alas, this is the same disadvantage as the pain level, which is that it cannot be quantified in a unified and specific way.
"Tyl, you can pee now."
Yu Zhiming gave some instructions and left the ward.
After walking a few steps, he heard his Chinese father chasing after him.
"Doctor Yu, Telta?"
Yu Zhiming felt it necessary to explain so as not to leave the patient's family confused and without knowing what was going on.
"During my initial examination, I found no organic lesions in Tyr's internal organs that warranted attention."
"However, judging by how well Tyr senses the urge to urinate, I suspect his visceral sensory nerves have become dulled."
The visceral nervous system is mainly responsible for controlling the internal organs, which can be divided into visceral motor nerves and visceral sensory nerves.
The two together control the internal organs and regulate their activities to maintain normal physiological functions. They can also transmit various information, cause pain and other discomfort symptoms, and alert people to the occurrence of diseases.
The visceral sensory nerves mentioned by Yu Zhiming transmit the stimulation of various internal organs to nerve centers at all levels and can also reach the cerebral cortex.
The information transmitted by the visceral sensory nerves is integrated by the central nervous system and then regulates the activities of the corresponding organs through the visceral motor nerves, thereby maintaining the dynamic balance of the internal and external environment of the body and the normal life activities of the body.
For example, pain stimulation of our internal organs is perceived by visceral sensory nerves and transmitted to our brain.
It is just that the pain threshold of visceral sensory nerves is high and the sensory input is scattered, so when visceral pain occurs, we often cannot accurately locate the pain point.
Therefore, many organ pains require detailed examination for a clear diagnosis.
The degree of urinary urge in our bladder is naturally sensed by the bladder sensory nerves and transmitted to the nerve control center.
Generally speaking, visceral sensory nerves are more obvious and sensitive to sensations such as pulling, hunger, and cramps.
If the visceral sensory nerves become dull, people may no longer be sensitive to hunger, which will in turn affect the function of the digestive organs and the secretion of the digestive glands. People will become less interested in eating, and their digestion and absorption abilities will also decline.
Of course, sometimes there is another extreme, which is eating a lot and still not feeling full even after eating a lot.
Yu Zhiming patiently explained, "Of course, this is just my guess. There's currently no evidence."
"Further exclusion tests are needed."
After explaining these things, Yu Zhiming noticed that his Chinese father's face turned grim and he began to fall into deep thought.
"Do you have something to tell me about Tyr?"
The Chinese father said bitterly, "Doctor Yu, your guess is very likely correct."
"Before he started to lose weight and develop other symptoms, he once went on a binge eating spree. He ate a lot of food, which shocked and frightened me."
"At the time, I took him to the hospital to induce vomiting and sternly warned him not to eat like that."
After a pause, the Chinese father continued, "Since then, his diet has returned to normal."
Yu Zhiming asked, "What is normal?"
The Chinese father said, "That's the normal amount of food a 14 or 15-year-old should eat."
Yu Zhiming asked again: "How does it compare to your appetite?"
The Chinese father said, "Of course it can't compare to mine. It's probably about half of mine."
These words made Yu Zhiming even more certain that Taier's internal organs were dull.
He sighed softly, "Don't you know the Chinese saying? 'A young man will eat his father out of poverty.'"
"At Taier's age, his body is still in its growth phase and needs a lot of energy."
"It's normal for him to eat more food than you."
The Chinese father was stunned for a moment, then asked with a look of self-blame on his face, "Doctor Yu, is this confirming that Taier's internal organs are dulled?"
"Is this the ultimate cause of his ill health?"
Yu Zhiming replied frankly: "It cannot be confirmed yet. I can only say that there is a high possibility. Some tests are needed to confirm it."
After a pause, Yu Zhiming continued, "This visceral sensory nerve dullness is most likely not the ultimate cause of the disease, but rather a manifestation and symptom of some chronic disease."
"Tracing back to the source, it is possible that there are lesions in the cranial ganglia, spinal ganglia, nerve transmission centers, or brain control centers that are closely related to the visceral sensory nerves."
Yu Zhiming thought for a moment and said, "Well, I will ask my teacher, the well-known neurologist Dr. Qi Yue, to conduct a visceral sensory nerve examination on Taier..."
Yu Zhiming first returned to the examination room on the second floor to complete the unfinished physical examination of Dr. Wang Zejia's patient before going to the director's office to look for Teacher Qi.
Unexpectedly, on the way, he was stopped by a girl in her twenties, dressed in exquisite clothes but with a haggard face.
"Are you Dr. Yu Zhiming?"
"That medical genius who claims to have cured advanced cancer? Are you thirty?"
"Are you sure you're not a liar?"
"Advanced cancer is a recognized problem in the global medical community. We can only prolong the patient's life as much as possible, but we cannot cure it."
Yu Zhiming's face darkened.
As his fame soared, he had never been accused and questioned in such a way before, so he was naturally furious.
He angrily retorted without hesitation: "You are not my patient. You may not believe in my ability, but you have no right to question me."
"A good dog doesn't block the road. Get out of the way."
Yu Zhiming's words made the woman in front of him furious.
"You are the dog, your whole family are dogs."
The next moment, her mouth shot out like a machine gun, rapidly saying, "I'm Ke Xixi. My father is Ke Minzhi, who was ranked 142nd on the Forbes China Rich List last year."
"My father was originally receiving treatment at the famous Mayo Clinic abroad and was doing well, but he suddenly became possessed and insisted on returning to China to receive your treatment. No matter how much we persuaded him, he would not listen."
When she said this, Ke Xixi's eyes suddenly turned red.
"The experts at the Mayo Clinic said that according to their treatment plan, my father can live for another three years."
"But if you give up halfway, all your efforts will be wasted."
"Doctor Yu, if you're not sure you can give my dad another three years, please stop causing trouble for him, okay?"
"If you want money, I'll give it to you!"
"Give me whatever you want."
After hearing what she said, Yu Zhiming's anger towards her eased a little.
After all, she is also a caring father.
However, her behavior is absolutely unacceptable.
Yu Zhiming was too lazy to explain to her. He reached out and pushed the guy aside, then quickly walked towards the director's office.
Seeing that she couldn't stop him, Ke Xixi stomped her feet in anger, but she could only wipe her eyes vigorously and follow Yu Zhiming.
After entering the director's office, Yu Zhiming saw that in addition to Teacher Qi and Zhou Mo, there were five other people there.
Zhou Mo was pouring tea.
Among the five strangers, one was sitting in a wheelchair. He was a thin man in his fifties, wearing a felt hat and looking tired.
When Yu Zhiming saw Ke Xixi standing next to the wheelchair with a stern face, he knew that the person in the wheelchair was the real person.
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 just had a conversation with your daughter outside."
"Your daughter is very skeptical of my abilities."
"Mr. Ke, do you trust me?"
Ke Minzhi first glanced at his daughter, who was biting her lip with a stubborn look on her face, then bowed to Yu Zhiming and said, "Doctor Yu, I've spoiled my daughter since she was a child, and she's a bit rash and impulsive."
"Please forgive her rudeness, considering her original intention was to care about me, her old father, out of filial piety."
"As for trust..."
After a pause, Ke Minzhi continued, "Doctor Yu, I directly interrupted the treatment plan at the Mayo Clinic in the United States and returned on a chartered flight without any delay. That should be enough proof, right?"
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(End of this chapter)
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