Yu Zhiming conducted a thorough physical examination on the eleven-year-old girl. In addition to obvious symptoms such as low fever, oral ulcers, and kidney damage, he discovered some new conditions.
The knee joints of both legs were slightly swollen. Yu Zhiming also found that the girl's liver and heart had minor damage.
This gave Yu Zhiming a guess.
"Doctor Sui, please take this little patient to the rheumatology and immunology department for a lupus erythematosus screening."
This shocked the girl's father so much that he almost jumped up and asked in a trembling voice, "Lupus?"
"Isn't the typical symptom of lupus erythematosus a butterfly-shaped rash on the face?"
"Also, isn't this disease more common in women of childbearing age? My daughter is only eleven, there's no way she could have lupus."
Duan Yi explained: "In the early stages of lupus, butterfly-shaped erythematosus on the face may not appear."
"Also, the youngest lupus patient on record in our country is six years old."
After a pause, Duan Yi asked the girl's father, "From what you've said, I can tell you have some understanding of lupus."
"Are there any relatives of yours who suffer from lupus?"
The girl's father was silent for a moment, then slowly said, "My wife's aunt is a lupus patient."
These words made Duan Yi's heart sink.
Originally, Yu Zhiming's words basically confirmed the girl's illness, and the girl's father's words could be said to have made lupus erythematosus a foregone conclusion.
The onset of lupus erythematosus is hereditary and tends to cluster in families, and the incidence rate among relatives of patients is significantly higher than that among the general population.
At the same time, this also made Duan Yi realize the negligence in his own work and that he had not done a good job in inquiring about the family's medical history.
This was obviously influenced by Dr. Yu.
Dr. Yu doesn't even ask about the patient's personal or family medical history, and sometimes he doesn't even ask where the patient is feeling unwell. He just starts examining the patient and knows exactly what's wrong with the patient and what disease they have.
The problem is that they don't have Dr. Yu's ability to detect the body from the smallest details.
Therefore, for those of them with average abilities, all the work required for diagnosis needed to be done thoroughly without missing a single one, and also required to be done in detail...
After Sui Chi took the girl and her father out of the examination room, Yu Zhiming began to diagnose and treat outpatient patients.
This time, the person who came in was a young woman with long flowing hair and a very plump chest.
As soon as she entered the examination room, she began to unbutton her tight fitted top.
"No need to unbutton your clothes!"
Yu Zhiming quickly stopped him and said, "I can do a physical examination even through the clothes."
The young woman chuckled and explained, "Doctor Yu, although you are very handsome and your appearance just suits my aesthetic taste, I have no intention of exposing my chest and back to seduce you."
"I'm showing you my physical symptoms."
Yu Zhiming knew that he had overreacted and raised his hand to let the other party continue.
The young woman unbuttoned three buttons of her shirt and pulled the clothes open a little, revealing most of her fair chest.
In addition to feasting his eyes, Yu Zhiming also saw an irregular red spot the size of a child's fist.
"This is?"
"Ghost pinching green!"
The young woman replied, and then explained, "For the past two or three months, every few mornings, I've noticed patches of red or blue spots appearing on my body."
"The location is not fixed. It can appear on the chest, neck, and back, and the area can be large or small."
"Some people say I have a case of ghost pinching. During this period, I have supplemented a lot of vitamin C and protein, and tried many methods, but it still appears."
"I'd like to ask Dr. Yu to check if there's something wrong with my body."
The so-called ghost pinch bruises refers to waking up in the morning and inexplicably finding bruises on the body.
This is a sign of subcutaneous bleeding.
The main reason for its occurrence is the lack of vitamin C and protein in the body.
This will lead to insufficient collagen synthesis in the body, making the skin and blood vessels fragile, prone to injury and blood vessel rupture, which can cause eczema.
If you are a patient with hypertension, because you need to take antihypertensive drugs frequently, it will cause blood vessels to constrict, resulting in poor blood circulation, which may lead to ghost pinching.
Long-term use of anticoagulants, topical hormone ointments for the skin, etc. may also cause ghost pinching.
Yu Zhiming put on medical gloves and carefully examined the red spots on the young woman's chest, confirming that they were caused by damage to the subcutaneous capillaries.
Then he asked the woman to lie on the examination bed and gave her a full body examination.
Yu Zhiming found no abnormalities during the examination, but only discovered repeated abrasions on the woman's reproductive tract.
He asked bluntly, "Have you ever considered the possibility that the so-called ghost pinching bruises on your body are caused by excessively intense physical activity?"
The young woman was slightly startled, and said without any embarrassment: "Doctor Yu, I hope so, but my boyfriend and I have been separated for three months."
"I've lived without a surname for three whole months."
She suddenly sighed and said, "Ghost Pinching Green has only appeared in the last two or three months. What a coincidence."
"Doctor Yu, is it because I've never been able to get enough sex from a man that I've gotten these bruises?"
Yu Zhiming replied seriously, "I've never heard of this kind of reason causing ghost pinching."
"Um, did you sleepwalk?"
The young woman shook her head and continued, "The work is quite tiring. Most of the time, I just eat, wash up, and go to bed, and then sleep all night long."
"I sleep very soundly. I rarely even dream, let alone sleepwalk."
Yu Zhiming said softly, "Do you live alone?"
The young woman said, "I share a two-bedroom apartment with my best friend."
Yu Zhiming pondered for a moment and said, "I haven't found out the reason for your ghost pinching green yet."
"It may also be related to your sleeping position. If you maintain the same sleeping position for a long time, certain parts of your body will be compressed and blood flow will be blocked, which may also cause ghost pinching."
"so……"
Yu Zhiming suggested: "Buy a camera and put it next to your bed to record your sleeping posture until the next time Gui Qiaqing appears."
He also reminded me: "The fact that you're photographing your sleeping posture needs to be kept secret. You can't tell anyone, including your roommates."
The young woman's expression immediately became serious. She asked, "Doctor Yu, have you discovered anything?"
"I filmed myself sleeping and kept it a secret. I might be a bit careless, but I'm not stupid."
Yu Zhiming smiled and said, "Just do as I say. Next time you have inexplicable bruises, remember to bring the video of your sleeping posture from last night and come to me directly."
He emphasized again: "Remember, the photos of sleeping postures must be kept confidential and cannot be told to others..."
After 5:40 in the afternoon, Yu Zhiming finished all the work in Zhizhen Building, and accompanied by Sun Lin and Zhou Mo, he rushed to the Gynecology Building without stopping.
After meeting up with Dr. Ding Ye, Yu Zhiming made some preparations, put on sterile operating clothes, came to the embryo transfer operation room, and saw the first pregnant woman.
This is a middle-aged woman in her fifties. When Yu Zhiming saw her, he couldn't help but think of the young man with a sunny expression.
"Is your son still pretending his legs are not good?"
The woman sighed and said, "Doctor Yu, don't mention him. Fortunately, my husband and I have completely given up. No matter what he does, he can't offend us."
After a pause, she asked with concern, "Doctor Yu, our hope this time should be very high, right?"
Yu Zhiming first checked the woman's uterus and said softly, "I can only say that I will do my best, but considering your physical condition, there is hope."
In Yu Zhiming's heart, he perhaps hoped more than the woman that the embryo transplant would be successful in one go.
But he knew that the son of the woman in front of him suffered from a malignant glioma of the brain stem and would not last long. He would soon develop symptoms that could not be concealed, such as double vision, crooked mouth, hoarseness, facial numbness, and limb spasms.
The reason why the middle-aged woman came for in vitro fertilization and wanted to cultivate a baby at such an old age was because of her son's deliberate planning.
As for the purpose, it is to let his parents know that after his death, they still have hope and concern in their hearts so that they will not be too sad.
Although Yu Zhiming thought this approach was questionable, he still praised the young man's filial piety.
He hoped to succeed in one go, fulfill the young man's wish, and allow him to "run away from home" without regrets...
After completing this embryo transplant with extra care, Yu Zhiming spent another hour or so to complete the embryo transplants for the remaining sixteen people.
"Doctor Yu, I'd like to treat you to a nice dinner."
Yu Zhiming looked at Ding Ye who had extended the invitation and shook his head, saying, "No need. The meal is already prepared at home, and they're just waiting for me to get home."
"Hey, this Sunday at noon, Wang Shuisu and I will hold a brother-sister ceremony at Yiyuan Restaurant. Remember to go and watch the ceremony."
Ding Ye smiled and said, "I will definitely not miss such a rare occasion."
"Hey, Doctor Yu, shall we become sworn brothers too?"
Yu Zhiming glanced at her sideways and said with disdain, "I have four sisters, so I'm not short of sisters."
Ding Ye said shyly, "Doctor Yu, it's okay for me to call you brother."
"If you want to go a step further, I can also call you godfather."
Yu Zhiming was defeated immediately.
Compared to the shameless Ding Ye, Yu Zhiming is still too immature and thin-skinned...
On the way home, Yu Zhiming received a call from Hua Sifan.
"Big surprise, my niece agreed to have the body repair surgery. Not only that, she agreed to it as soon as possible."
"Doctor Yu, do you have time recently?"
Yu Zhiming asked in confirmation: "Won't you wait until President Hua and Dr. Geng's wedding is over?"
Hua Sifan replied on the phone: "No more waiting, lest she change her mind again."
"Relatively speaking, Zhiyu's surgery is more important."
Yu Zhiming uttered a soft "oh" and said thoughtfully, "For this body repair surgery, I need to contact the rest of the surgical team first to confirm their time..."
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(End of this chapter)
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