Abdominal muscle sclerosis is related to various causes.
If you do abdominal muscle exercises for a long time, the abdominal muscles will become very strong and tough, and the abdominal muscles will become hard. This is a normal physiological phenomenon.
In addition, pathological causes such as gastrointestinal dysfunction, fecal intestinal obstruction, peritonitis, ascites cirrhosis, abdominal tumors, etc. can also lead to abdominal muscle tension and hardening.
After examining the woman with straight hair, Yu Zhiming found no obvious pathological factors.
He also found that the straight-haired woman only had tight and stiff muscles in her abdominal wall, while the muscles in other areas of her body were normal.
At this moment, the sound of someone dragging their legs outside the door reached Yu Zhiming's ears.
Yu Zhiming suddenly had an idea.
He thought of a possibility, a type of patient who had muscle stiffness due to cerebral infarction.
This is a neurological sequelae in some patients with cerebral infarction, in which part of the brain tissue is damaged due to infarction.
It is because of the failure of nerve control that the muscle tension in a certain part of the body increases, the muscles are in a state of tension for a long time, and become stiff, which makes the actions or movements of patients with cerebral infarction appear very stiff and unnatural.
Therefore, some patients with cerebral infarction need to undergo long-term rehabilitation training after treatment to relieve increased muscle tension and promote the recovery of the body's activity ability.
As for the case of the woman with straight hair, Yu Zhiming suspected that there was a problem with the nerves controlling the abdominal wall muscles, causing them to be in a tense and stiff state.
When girls have sex with boys, if they exceed a certain threshold of excitement, some girls will show extreme excitement with their muscles tensed all over their body.
For women with straight hair, the abdominal wall muscles have always been in a tense state. After being extremely excited, and then shivering like this, some muscle fibers can no longer bear the pressure and break?
To verify his guess, Yu Zhiming asked the straight-haired woman how she behaved after being highly excited.
"It's like getting an electric shock. My whole body trembles uncontrollably and my body tenses up."
The straight-haired woman blushed and added softly, "Well, it doesn't always reach a level that makes me highly excited."
Yu Zhiming asked again: "Does the stomach pain get worse every time you reach orgasm?"
The straight-haired woman was slightly startled, then recalled, "Doctor, now that you ask, it's true. Every time I have an orgasm, my stomach hurts more."
"Doctor, is it possible?"
Yu Zhiming explained: "That was just the trigger. The direct cause was your abdominal wall muscles. I found that there were a lot of tears in your abdominal wall muscle fibers."
"I suspect there's something wrong with the nerves that control your abdominal wall muscles. You need to go to the neurology department for further examination..."
In fact, in the case of the straight-haired woman, it is appropriate to arrange for her to be admitted to the center for further examination and treatment.
It’s just that Yu Zhiming has had a lot of work to do recently, so he tries to push away any work that he can choose to do or not.
The straight-haired woman, holding the referral form, grabbed her boyfriend's ear before he even left the clinic.
"Come on, tell me how soft other girls' bellies are..."
After this interesting case, the conditions of the patients Yu Zhiming subsequently saw were somewhat unremarkable, such as intestinal cancer, kidney disease, diabetes, coronary heart disease, etc.
At ten o'clock in the afternoon, Yu Zhiming and Zhou Mo prepared their meals in the staff canteen and started to eat lunch.
Yu Zhiming tried to call Dr. You Weixian, but to his surprise, the call was picked up after two rings.
"Hello, Doctor Yu!"
Hearing Dr. You's voice, Yu Zhiming chuckled and said, "Hello, Dr. You. I heard from my assistant that you went into the operating room early this morning. Did it go smoothly?"
Doctor You sighed over the phone, "The operation was more than halfway done, but it failed. The patient couldn't be saved."
Yu Zhiming suppressed his smile and went straight to the point: "Doctor You, I have a patient with brain damage. He currently has symptoms such as dementia, aphasia, and irritability."
"He had nearly ten blood clots in his brain."
"The patient's family hopes I can help remove the blood clot and speed up the patient's recovery."
"Doctor You, I'd like you to design a puncture route. I wonder if you're available in the near future?"
Yu Zhiming waited for more than ten seconds before hearing Dr. You's reply.
"Doctor Yu, please send me the latest brain imaging data of that patient. I'll take a look at it in the next two or three days."
Yu Zhiming was just about to say thank you when Dr. You's voice rang out from the phone again.
"Dr. Yu, congratulations on your engagement! I will definitely attend the engagement party this Sunday."
"Let me tell you one more thing. Zhang Yong, the patient with the skull base tumor, is recovering well and will be discharged in the next two days..."
After ending the call with Dr. You, Yu Zhiming found that his phone had just received a message from head nurse Zhan Qi.
The message stated that the police officially concluded that the patient's death yesterday was an accident and no case would be filed. The deceased's family had taken the body to the funeral home.
After reading the message on his phone, Yu Zhiming looked at Zhou Mo, who was also staring at her phone across the table, and said, "Zhou Mo, please contact Teacher Tian Wen and ask her to hand over her husband's brain imaging data..."
Yu Zhiming recalled that the date on the brain CT scan he saw this morning was eight days ago.
He then said, "Have her give her husband another comprehensive MRI scan today. Once the imaging data comes out, you can give it to Dr. You."
Seeing Zhou Mo still staring at his phone, Yu Zhiming asked unhappily, "Zhou Mo, did you hear that clearly?"
"Clear! Absolutely clear!"
Zhou Mo finally raised his head, met Yu Zhiming's gaze, and repeated, "Contact Teacher Tian Wen and have her husband undergo a brain MRI. I'll then send the imaging data to Doctor You."
"Doctor Yu, is that correct?"
Zhou Mo didn't wait for Yu Zhiming's response and showed a happy look as if he had stolen some oil.
"Doctor Yu, I just saw some very happy and satisfying news."
Zhou Mo chirped, "That mother and son who were losing weight, the mother thought I was deliberately making trouble, she didn't believe me, and she even scolded me."
"But her son believed it."
"This morning, his son didn't go to school. He asked for leave from his teacher and went to the hospital to have a knee checkup."
"Doctor Yu, guess what you found?"
Yu Zhiming replied: "The patellar cartilage is severely worn, that's for sure."
Zhou Mo nodded and said, "Indeed, there is this item. The patellar cartilage has been worn away by nearly two-thirds."
"In addition, there are several other problems, including patellar deviation, synovial effusion, meniscus injury, and joint tendon and ligament injuries."
After a pause, Zhou Mo asked, "Doctor Yu, is his condition serious?"
Yu Zhiming said softly, "He's only in his teens, but he has the knee joints of a 40- or 50-year-old. Don't you think it's serious?"
"Especially his patellar cartilage, which has been worn away by nearly two-thirds, should have exceeded the limit of self-healing."
"This young man needs to pay attention to the maintenance of his knee joints."
Patellar cartilage is a 3 to 5 mm thick layer of transparent cartilage inside the human knee joint. Its function is to cushion the impact caused by knee joint movement.
However, since the patellar cartilage has no nerve distribution, it will only sound a "warning signal" once during the fragile period before it is completely worn out, resulting in short-term knee pain, which can last for several weeks to several months.
Some people may not even notice it.
During this period, avoid strenuous exercise.
It is also from this time that the knee joint can no longer be used as you please.
If the patellar cartilage is completely worn away, the knee joint will feel obvious pain and arthritis will gradually develop.
Yu Zhiming asked again, "Now that the knee problem has been confirmed, the boy's mother has apologized in the group, right?"
Zhou Mo curled his lips and said, "No, he's still pretending to be dead. It was that boy who posted the test results in the community group."
She chuckled and said, "I guess this boy did this because he wanted the residents to be a witness and watchdog, so that his mother wouldn't force him to run to lose weight again."
"Mother and son are really at odds with each other, haha."
Yu Zhiming chuckled and said, "Don't gloat over other people's misfortunes. Let's eat quickly..."
A little after 12:30 noon, the two finished their lunch.
Because the cafeteria and the outpatient and emergency departments were some distance away from the comprehensive office building where the stretcher was parked, and the lunch break was short, Yu Zhiming did not go to the stretcher to take a rest.
He walked slowly towards the emergency room, taking a walk as a rest.
Zhou Mo, who was accompanying him, turned to look at Yu Zhiming and said, "Doctor Yu, I sometimes feel that you are quite strange."
Yu Zhiming glanced at the guy.
Zhou Mo said slowly: "When someone comes to you for help, you rarely refuse. If you occasionally encounter a patient, you will also help him. You are very loving and easy to talk to."
"However, you rarely take the initiative to care for the patients you are responsible for, ask about their well-being, and appear cold and indifferent."
"For example, you seem to have forgotten about Wen Ling, the girl with heart defects who was recovering at Bin University Affiliated Hospital."
"For example, those terminally ill cancer patients at Ning'an Hospital are still in a dangerous and agonizing moment, but you haven't taken the initiative to inquire about their conditions."
"Luckily, Dr. Yu, you don't need to take the patient satisfaction assessment, otherwise your score would definitely not be high."
Yu Zhiming snorted softly and said, "First, I don't have the time to ask about your well-being."
"Second, taking those patients with advanced cancer as an example, I have done what I should do."
"Even if something unexpected happens to them now, I can't handle it. My ineffective care is of no use at all."
Zhou Mo curled his lips and said, "How can it not work?"
"You are their attending physician. A word of concern from you might give them a stronger hope of survival."
"Since you're not paying any attention to them now, they might be pessimistic and think, have you given up on them?"
Yu Zhiming retorted, "They have medical staff taking care of them 24 hours a day. How could they feel they were abandoned?"
"Okay, stop worrying about it."
Zhou Mo curled his lips and said no more.
When they were almost at the emergency room, Zhou Mo suddenly asked, "Doctor Yu, are you resisting intimacy?"
“I don’t want to be too close to my patients, nor do I want to be too close to my friends.”
"If Qing Ning hadn't put aside her status and reservedness to pursue you, you might have been single for the rest of your life."
Yu Zhiming chuckled and said teasingly, "Zhou Mo, are you thinking of changing your career to become a psychoanalyst?"
Zhou Mo chuckled and said, "That's not what I said. This is a psychological profile that a psychologist on the Internet made for you."
"That person also said that you have a certain people-pleasing personality. As long as others make requests, you will satisfy them."
"So, if a patient comes to you seeking treatment with sincerity and genuine feelings, you will generally be successful."
Yu Zhiming grinned and asked angrily, "Who wrote this?"
Zhou Mo chuckled and said, "That person is anonymous."
"I think her analysis is quite accurate..."
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