7:30 on Monday morning, Junshan Mansion underground garage.
Zhou Mo was leaning on the front of the stretcher, browsing his phone, when he heard familiar footsteps approaching from afar.
She put away her phone, stood up straight, and saw Yu Zhiming approaching.
Noticing that the guy looked radiant and refreshed, Zhou Mo leaned closer to him.
He even sniffed his nose like a puppy.
Yu Zhiming pushed her away and said with a look of disgust, "Is your rabies that has been dormant for years breaking out?"
Zhou Mo hummed, "It smells like strong hormones."
Yu Zhiming chuckled and said, "Are you jealous and envious? You should also find a boyfriend quickly."
Zhou Mo snorted softly, turned around and got into the car.
After fastening his seat belt and starting the engine, Zhou Mo took another look at Yu Zhiming's preparations and suddenly made a big discovery.
"Hey, why aren't you wearing your engagement ring?"
Yu Zhiming pulled a red string from his collar and said, "I'm not used to wearing it on my finger, and it affects my work. I've got my Qing Ning's permission to wear it around my neck as a pendant."
"Let me show you. She's also wearing a mutton-fat jade peace locket, which was also given to her by Qing Ning."
Zhou Mo curled his lips and drove out of the parking space.
She suddenly asked, "Hey, Doctor Yu, how many millions did you buy that imperial green pendant for?"
"Keep it a secret!"
Zhou Mo curled his lips again and said, "It's different when you have money. Millions of dollars worth of jewelry are just given away."
"But it's not a loss. The dowry that the Gu family gave to Qing Ning must be at least 50 million, if not 100 million."
"Doctor Yu, you are the one who truly saved twenty years of hard work."
Yu Zhiming glanced at her and said with a smug look on his face, "With my abilities, do I still need to rely on women?"
Zhou Mo nodded and said, "You really don't need to rely on anyone."
"However, Doctor Yu, given your situation, you should be helping the poor, not just hanging out with the rich. That would be a complete waste of resources."
Yu Zhiming corrected him, "We are a powerful combination."
"Hey, Zhou Mo, you're not only talkative this morning, but you also smell sour. Are you really irritated by me and Qing Ning?"
"How is this possible!"
Zhou Mo denied it and then started talking about work.
"The cancerous tissue removal surgery is scheduled for 6:30 p.m. The brain blood clot puncture surgery is tentatively scheduled for 8:30 p.m."
"The neurosurgeon invited is 56-year-old Chief Physician Zhao Ge."
"This afternoon, Dr. Zhao will lead the surgical team to conduct a comprehensive inspection of the soundproof operating room in the old specimen building to ensure that it can be put into normal use without any problems."
Yu Zhiming nodded with satisfaction and said, "Not bad, thank you for your hard work. I'll give you a bigger bonus next month when the salary is paid."
Zhou Mo chuckled and suggested, "Doctor Yu, I think this kind of bonus, if paid immediately, will be more motivating."
Yu Zhiming rolled his eyes and said, "Don't worry, I have a good memory and I won't forget it."
"Even if you really forgot, you will definitely remind me."
He added, "With rewards comes punishment. Zhou Mo, if you do something wrong, I will also fine you."
Zhou Mo imitated Yu Zhiming and rolled his eyelids...
Today is Yu Zhiming's outpatient day. He is in a good mood and devotes himself to the outpatient work in excellent physical and mental state.
Unexpectedly, the seventh outpatient patient in the morning gave Yu Zhiming a blow.
He was stumped.
The patient is a 37-year-old woman, a middle school teacher. Her main symptoms are systemic muscle pain, insomnia, fatigue, irritability and anxiety.
Moreover, these symptoms have lasted for a month and a half, seriously affecting her work and life.
There are many reasons that can cause pain throughout the body.
For example, arthritis, systemic lupus erythematosus, hypothyroidism, neuroinflammation, and certain autoimmune diseases can also cause systemic chronic pain.
Yu Zhiming first gave the woman a thorough full-body examination and found no internal inflammation or organic changes in her organs and tissues.
This allowed him to rule out diseases such as arthritis, lupus, and hypothyroidism.
The woman had antibody tests at other hospitals, which also ruled out the possibility of autoimmune diseases.
This left Yu Zhiming clueless for a moment.
Or, depression or anxiety?
Depression and anxiety may lead to autonomic nervous system disorders and neurasthenia.
Autonomic nervous system disorders and neurasthenia may cause muscle tension throughout the body and cause blood vessels to contract and tighten.
At this time, it is easy to cause body pain or discomfort, accompanied by symptoms such as nervousness, anxiety, and excessive worry.
However, through just a few minutes of contact, Yu Zhiming found that the woman expressed herself clearly and was full of desire for recovery, and did not seem to be depressed.
As for the mental symptoms such as irritability and anxiety that the woman described herself, Yu Zhiming could also understand them.
I have been in pain all over my body for more than a month, and I can't sleep or eat well. Anyone would be upset and anxious if this happened to them.
Therefore, Yu Zhiming believes that the woman’s current anxiety and irritability are caused by systemic pain and insomnia.
Instead of having anxiety first and then causing pain all over the body.
Yu Zhiming was at a loss for a moment, and his outpatient work did not allow him to spend more time to conduct more detailed questioning and examinations on the woman.
He pondered for a moment, then wrote a referral form and asked the woman to go to the center to see Teacher Qi Yue for further diagnosis.
Perhaps, Mr. Qi's rich clinical experience would allow him to discover the woman's exact problem...
Teacher Qi Yue did not disappoint Yu Zhiming.
Near noon, Yu Zhiming received a phone call telling him that the woman had fibromyalgia syndrome.
When Yu Zhiming was searching for relevant information about the disease in his mind, Qi Yue's voice came from the phone again.
"Zhiming, when you were doing a full body checkup on her, were you still tapping and pressing gently?"
Yu Zhiming responded with a "hmm".
Qi Yue laughed and said, "Although fibromyalgia syndrome is a widespread pain, it has a distinct characteristic, which is the presence of obvious tender points."
"You need to press these tender points with your thumbs, and you need to have a certain amount of force, usually about 4kg."
Hearing this, Yu Zhiming grinned.
My greatest advantage in physical exploration turned into a disadvantage and negligence in this patient.
"Suboccipital muscle attachment; midpoint of the upper edge of the trapezius muscle; anterior to the interspace between the transverse processes of the 5th and 7th cervical vertebrae..."
Qi Yue told Yu Zhiming a total of nine pairs of eighteen tender points on the phone in a very excited tone.
"Zhiming, the patient felt obvious pain in at least eleven of these eighteen tender points. There's a high probability that she has fibromyalgia."
After a pause, Qi Yue continued, "Zhi Ming, medicine is extensive and profound, and the patients are even more bizarre."
"As doctors, we must constantly enrich and improve ourselves, and not rely too much on one trick."
Yu Zhiming replied obediently, "Teacher, I will take this as a warning and work hard to improve my diagnostic methods..."
After finally ending the call with Teacher Qi, Yu Zhiming heard Zhou Mo's chuckle.
"why are you laughing?"
Zhou Mo chuckled and said, "What I'm laughing at is that the director finally found an opportunity to satisfy his teacher addiction."
Yu Zhiming glanced at the guy, put down his phone, and quickly completed the interrupted physical examination for the last registered patient in the morning.
During the examination, he discovered that the man had an adrenal tumor.
He also discovered that the man's kidneys were in critical condition.
"Your kidney function may be failing. I strongly recommend that you consult a kidney specialist and strengthen your kidney care."
The 43-year-old man with a flat head hurriedly asked, "Doctor Yu, my kidneys are in serious trouble."
"To be honest, Doctor Yu, I've been taking all kinds of kidney-tonifying and yang-strengthening health supplements and medicines non-stop over the past few years."
After hearing what he said, Yu Zhiming knew where the problem lay.
Most health supplements do not have much therapeutic value for the kidneys and it is difficult for them to play a health-care role for the kidneys.
On the contrary, some health products can cause considerable damage to the kidneys.
For example, Chinese herbal medicines containing aristolochic acid are very harmful to the kidneys and may cause acute renal failure. Long-term use can also cause chronic tubular interstitial damage and even cause uremia.
Some health products containing heavy metals can damage the glomeruli, causing nephrotic syndrome, and can also cause atrophy and fibrosis of the renal tubules and renal interstitium.
The man with the flat head seemed to be afraid that Yu Zhiming would not believe him, so he provided evidence to explain: "Doctor, although I have entered middle age, when it comes to our married life, I am not bragging. My wife is very satisfied, very satisfied."
"My kidneys should be the strongest, but according to you, doctor, they are the most serious problem?"
Yu Zhiming said patiently, "I don't know the effectiveness of the health supplements and medicines you take, so I won't make any assertions."
"I can only tell you that, in addition to your adrenal tumor, your kidneys are in urgent need of maintenance and recovery."
"I suggest you stop taking the health supplements and medicines at home, and also stop having sex. I suggest you take comprehensive and scientific care of your kidneys."
After a pause, Yu Zhiming warned, "Just in case, you'd better do as I say..."
After sending the registered patient away, Yu Zhiming and Zhou Mo packed up and went to a lounge in the emergency department to have lunch.
Aunt Qiu prepared the meals at home and had the errand boy deliver them.
Yu Zhiming had just taken two bites of food when Zhou Mo's chattering voice rang in his ears.
"Doctor Yu, the center held a small meeting with all staff this morning. Starting today, we will be moving to the old specimen building in an ant-like manner, and at the same time, conducting a comprehensive test of the old specimen building."
"By Friday, all medical equipment, supplies, and personal belongings had been moved in, and the old specimen building was ready for use."
"On Saturday, all personnel will be transporting patients."
"Everyone will be at work on Sunday to get familiar with the situation."
Yu Zhiming uttered a soft "oh," and then heard Zhou Mo shout in shock, "Ah, Xie Wanwan has had plastic surgery, confirmed."
Zhou Mo read to the phone screen, "According to reliable sources, Xie Wanwan discussed a physical examination with Dr. Yu Zhiming, a renowned doctor at Binhai Huashan Hospital, and requested that Dr. Yu confirm that she had not undergone plastic surgery after the examination."
"Doctor Yu insisted on speaking his mind and refused to lie. He directly rejected Xie Wanwan's request for a physical examination."
Zhou Mo looked up, meeting Yu Zhiming's gaze, and said, "Doctor Yu, I wasn't the one who leaked this information."
"You have to believe me..."
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