Chapter 889: A Mother is Strong
Sui Chi should have gone to lunch and was not in the big office, so Yu Zhiming took the elevator to the sixth floor alone.
He walked into a two-person ward and saw a female patient in her sixties eating lunch under the care of her family.
Another middle-aged man in his forties was lying on a hospital bed that was tilted 30 degrees at the headboard, playing with his cell phone.
Yu Zhiming walked straight to the middle-aged man's bedside and asked, "Renal artery vasculitis? Unexplained stomach pain?"
The middle-aged man nodded and asked impatiently, "Doctor Yu, do you want to examine me?"
Yesterday, Yu Zhiming heard Sui Chi talk about the patient's condition.
Suffering from chronic stomach problems for many years.
In the past two or three months, I have also had a new problem: stomach pain after eating a full meal, as well as lower back pain, fever, and general discomfort.
After a thorough full-body examination at the hospital, no signs of worsening of the stomach problem were found, but renal arteritis was diagnosed.
The patient came to the center for renal arteritis.
After a period of treatment by Dr. Xie Jianmin, the arteritis was effectively controlled, but the symptoms of stomach pain after a full stomach were still not relieved.
Dr. Xie consulted with Dr. Fang Chen, a digestive system expert, and the patient was ultimately diagnosed with functional dyspepsia caused by chronic stomach disease.
In addition to prescribing some medicine for him, Dr. Fang Chen also advised him to chew his food slowly and eat small meals frequently.
He was just a middle-aged man and didn't quite agree with this diagnosis.
Because of years of stomach problems, he has long developed the habit of chewing slowly and eating small meals frequently.
Every time he eats, he only eats until he is 40% to 50% full.
But now, even if he eats half a meal, his stomach starts to hurt.
The middle-aged man was very worried that he might have stomach cancer.
During this period, he had repeatedly requested Dr. Xie and Sui Chi to ask Yu Zhiming to give him a physical examination...
The middle-aged man waited for Yu Zhiming to finish his gastrointestinal examination. He looked uneasy and asked in a tense voice, "Doctor Yu, do I have stomach cancer?"
Yu Zhiming shook his head and said, "Although you have some calcifications and small polyps in your stomach, it hasn't turned into cancer yet."
Gastric calcification is a stomach problem caused by diseases such as gastric ulcer or gastritis.
It is caused by erosion and ulceration of the gastric mucosa after damage. At the same time, calcium, phosphorus and other substances in the blood are deposited locally. With the body's self-repair and the necrosis and shedding of mucosal tissue, calcification foci are gradually formed during the healing process.
Gastric calcification is not a malignant disease in essence, so there is no need to worry too much, but it may affect gastric motility and be detrimental to digestion and absorption. Some patients may experience symptoms such as abdominal pain, bloating, and decreased appetite.
Small gastric polyps refer to polyps smaller than six millimeters. If they are not malignant lesions, they can be observed regularly.
Yu Zhiming warned the middle-aged man, "However, just because there's no cancer now doesn't mean there won't be in the future. Your stomach needs to be taken good care of."
The middle-aged man, who had breathed a sigh of relief, smiled wryly and said, "Doctor Yu, I've been taking good care of my stomach, but it just keeps causing problems from time to time."
"I'm helpless too."
"Doctor Yu, do you have any good suggestions for nourishing the stomach?"
Yu Zhiming met the middle-aged man's expectant gaze and shook his head, saying, "All I know are the same old things, like chewing food slowly and thoroughly, and not eating raw, cold, spicy, or other irritating foods."
After a pause, he suggested, "You could ask Dr. Qin, a well-known Chinese medicine practitioner who works with me, to take your pulse and see if he can prescribe a stomach-nourishing prescription for you."
The middle-aged man said, "Oh," and then asked with concern, "Doctor Yu, my stomach hurts after I eat a full stomach?"
Yu Zhiming pondered and said, "It might be caused by gastric calcification. The empty stomach is only the size of a fist, but when full it can expand six or seven times, or even larger."
"Calcification points may pull on the gastric mucosa and stomach wall muscles, causing pain."
The middle-aged man nodded in agreement.
Yu Zhiming then added, "To rule out other possibilities, I need you to have a full stomach so I can examine you again."
After hearing what Yu Zhiming said, the middle-aged man took out three cans of eight-treasure porridge given by his relatives and friends, asked the nurse to heat it up slightly, and then poured it into his stomach.
He touched his bulging belly, and after a while, he said with joy, "Doctor Yu, it hurts, it hurts, my stomach starts to hurt again."
Yu Zhiming placed his hand on the middle-aged man's upper abdomen and began to explore again.
This time, he mainly explored the blood circulation in the abdominal cavity.
The fullness and distension of the gastrointestinal tract will cause pressure and compression on other internal organs and the blood vessels supplying the gastrointestinal tract.
This may cause insufficient blood supply and lead to ischemia of the entire or partial gastrointestinal tissue.
This is also the reason why some people experience abdominal pain after overeating.
After Yu Zhiming's examination, he did not find any problems with the middle-aged man's gastrointestinal blood circulation.
He tapped and pressed a few more times, ready to end the examination, when he suddenly noticed the middle-aged man's muscles tense.
Did you hit a pain point?
Although the middle-aged man did not groan in pain and there was no abnormal expression on his face, the natural reaction of his muscles did not escape Yu Zhiming's perception.
He recalled the spot where he had tapped.
The lower end of the greater curvature of the stomach.
This location...
Yu Zhiming made a careful examination and found that there was a small hard lump the size of a coin on the posterior wall of the stomach due to the presence of gastric polyps and calcification points.
This hard lump in the stomach wall is in close contact with the left outer lobe of the liver.
Yu Zhiming's mind moved, and he instructed the middle-aged man, "Kneel down on the bed."
The middle-aged man did as he was told.
After five or six seconds, Yu Zhiming asked, "Has the stomach pain been significantly relieved?"
The middle-aged man nodded hurriedly and said, "It's relieved, relieved, and it hardly hurts anymore."
"Doctor Yu, what's going on?"
Yu Zhiming chuckled and said, "You don't have a stomachache, but a liverache. It's the swelling of your stomach after a full stomach that irritates the liver capsule on the left outer lobe of the liver."
The liver capsule is a protective membrane covering the surface of the liver and has relatively rich pain nerves.
There are no pain nerves in the liver substance.
Only when the tumor or lesion inside the liver expands and causes traction on the liver capsule, giving the liver capsule sufficient stimulation, can it cause obvious liver pain.
Therefore, many liver diseases have basically reached the late stage by the time pain symptoms become obvious.
"There's a small lump on the back wall of your stomach. The pressure from the stomach's expansion has caused enough irritation to the capsule of the left outer lobe of the liver, causing liver pain..."
Yu Zhiming drew a simple diagram for the middle-aged man, explaining his supposed stomachache in a concise way...
A minute or two later, Yu Zhiming walked out of the ward and saw Duan Yi running towards him.
She gasped for breath and said, "Doctor Yu, I need your help... Help, a pregnant woman... had an accident..."
Yu Zhiming criticized: "Let your breathing settle before you speak. Doctors must not panic."
Duan Yi took a few deep breaths and said, "When we came out of the cafeteria after dinner, we saw several ambulances bringing car accident patients to the hospital."
"We went to the first aid area to help."
"I examined a female soldier and discovered she was over a month pregnant. She was very excited and said she had wanted a child for years and now that she was pregnant, she couldn't let the child get lost."
"But she suffered multiple fractures and needed surgery."
"But if you use anesthesia, you're only a little over a month pregnant."
Yu Zhiming glared and said, "Which is more important, the adult or the fetus? Don't tell me you can't tell the difference."
Duan Yi said timidly, "Of course I know, but the pregnant woman insisted. Doctor Yu, you can set the bones with your bare hands."
"Could you go and take a look first? If you can fix the bones with your bare hands without surgery, wouldn't you be able to save the baby?"
Duan Yi grabbed Yu Zhiming's arm, shaking it as she said in a tender voice, "Doctor Yu, you are the best and most caring person."
Yu Zhiming was startled, and with a flick of his arm, he shook off the guy's hands and asked disdainfully, "Where is the person?"
Duan Yi smiled and said, "It's on the way, it should be here soon..."
The standard operating room on the second floor of Zhizhen Building is still empty.
After Yu Zhiming finished his preparations and entered the operating room, he saw a woman with long hair lying on the operating table.
Her face was as clean as if washed, and she was biting a blood-soaked gauze in her mouth, looking at him with a pleading look.
Yu Zhiming went straight to the operating table and gave the woman a quick physical examination.
Judging from the examination results, this woman is still lucky.
There was no injury to the uterus and no signs of bleeding.
There were no serious internal injuries.
Although there were several fractures of the clavicle, ribs, arm bones, calf bones, etc., they were all traumatic closed fractures.
Yu Zhiming met the woman's gaze and said in a deep voice, "I'm going to set your bones. If you don't want to waste all your efforts, just bear with it."
The woman groaned in response.
At times like this, a short pain is worse than a long one. Moreover, after the pain reaches a certain threshold, even if the pain increases further, the stimulating effect will not be too significant.
Therefore, Yu Zhiming used simple and rough methods to suture the broken arm bone as quickly as possible and fixed it with a clamp.
Immediately afterwards, Duan Yi took over to treat the abrasions and lacerations on his arms.
With the help of Zhou Luo and Shen Qi, Yu Zhiming fixed the woman's broken leg bone, also using a clamp.
Then, he spent another minute reconnecting the woman's broken collarbone and ribs.
In this way, Yu Zhiming completed his work quickly and efficiently in just four or five minutes.
After Duan Yi, Zhou Luo and Shen Qi have taken care of the woman's skin injuries, they can perform plaster fixation on the fracture according to the actual situation.
Yu Zhiming looked at the woman again and found that her brows were slightly relaxed, which was a sign that her body pain was relieved.
He gave the woman a thumbs-up and said, "Women are weak by nature, but they become strong when they become mothers."
"You are amazing, amazing..."
A few minutes later, Yu Zhiming returned to the soundproof office on the third underground floor, and Zhou Mo greeted him with a pout.
"Dean Li just arrived."
"He said he would share the good stuff with everyone, so he took away two bottles of red wine, two bottles of foreign liquor, and a bottle of American ginseng, like a robber."
Yu Zhiming said unconcernedly, "The dean wouldn't accept gifts offered by others. He took the initiative to come and take it. He treats us as his own."
Zhou Mo said dissatisfiedly: "Dean Li's behavior is too self-conscious."
"When we're on the same page, we all value give and take..."
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(End of this chapter)
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