medical treatment

After lunch, Yu Zhiming didn't go back to the central office to close his eyes and rest his mind. Instead, he took his follower Zhou Mo to the ward area and found the patient with esophageal spasm...

"Can my disease heal itself without treatment?"

Facing the surprised expression on the patient's face, Yu Zhiming replied cautiously: "I can only say that there is such a possibility."

"There are patients in the world who are highly similar to your situation. After one year, the symptoms suddenly disappeared."

"It's just that everyone's situation is different, and your symptoms are quite rare. What happened to that patient may not necessarily be replicated in you."

The chubby patient touched his almost disappearing neck with some effort.

"Doctor Yu, is there really no cure for my disease?"

Yu Zhiming said frankly: "My teacher, that is, Director Qi Yue of the center, has contacted Dr. Ramon from the UK who has treated similar cases to yours."

"Dr. Ramon said that he had tried a variety of treatment methods, but none of them worked, and he had to give up in the end."

After a pause, Yu Zhiming explained: "Your situation is very rare, and this is the first time we have encountered it."

"How to treat, we can only exhaust all kinds of examinations, and then try different treatment options."

"In this process, there will be a lot of expenses."

After a pause, Yu Zhiming added: "In addition to your excessive obesity, there are some problems in your cardiovascular and cerebrovascular, heart, liver and kidney organs."

"And the trial-and-error treatment may also cause unexpected damage to your body."

Yu Zhiming suggested: "You might as well think optimistically and treat this symptom as a mandatory weight loss."

"After a year, if your esophageal spasms have not gone away, you can come to us again."

"At that time, facing you who has lost a lot of weight but is in a healthier body, our trial and error treatment can also be bolder."

Yu Zhiming's words moved the patient quite a bit.

He touched his round belly and said with a wry smile, "Doctor Yu, I also know that I am too fat."

"Family and friends kept telling me to lose weight."

"However, I just can't control myself. When I see food, I just want to eat it."

"Since eating has difficulty swallowing and pain, I really don't want to eat much."

"Even when it was time to eat, I still had fear and dread when I saw the food."

"only……"

The patient showed a painful expression again, and said: "From now on, I will drink porridge, liquid food, and all kinds of paste all day long."

"Just thinking about it is a scary thing."

Yu Zhiming smiled and said, "Losing weight is a very difficult and painful thing."

"You can't control yourself, now that you have a physical abnormality to force you to lose weight, it's a good thing!"

The next moment, Yu Zhiming became serious.

"I must tell you that you are 37 years old. If you continue to gain weight like this, there is a high probability that you will not be able to survive the age of 45 based on your internal organs."

As soon as these words came out, the patient immediately became nervous.

"Doctor Yu, are you sure?"

Yu Zhiming nodded, and said in a deep voice, "Your three highs have already caused varying degrees of damage to blood vessels and internal organs."

"Once a person passes forty, the function of the body and viscera will decline significantly."

"At that time, your brain and viscera will be damaged at an accelerated rate, and your immune system will also be rapidly reduced. Various diseases, even tumors, will come to you one after another."

"45 years old, I'm already an optimistic estimate."

After hearing this, the patient finally made a decision.

"Losing weight, no cure."

"Doctor Yu, I listen to you, turn harm into benefit, use this opportunity to lose weight, and work hard to lose weight."

"If my esophageal spasm doesn't disappear after a year, I'll come to the hospital to see you again."

Yu Zhiming nodded in response, and said, "I'll talk to the nurse, and I'll go through the discharge procedures for you in the afternoon..."

Back in the big office together, Zhou Mo, who had been keeping quiet all this time, couldn't help but speak.

"Doctor Yu, in the face of such a rare case, shouldn't you actively persuade him to receive treatment? If the treatment is successful, a core journal paper will not run."

Yu Zhiming glanced at her.

"The duty of a doctor is to cure diseases and save lives, but the ultimate goal of treating diseases is to save lives."

"The patient's esophageal spasm, although rare, was not fatal. What really killed him was his obesity."

"Since he doesn't have enough willpower to lose weight, why not use this esophageal spasm to force him to lose weight."

Zhou Mo nodded and said: "Indeed, I feel tired of his fat body just by looking at it."

She put on a fangirl expression again, pretending to be exaggerated and said: "Doctor Yu, I admire you more and more."

"Truly starting from the best interests of patients, and putting yourself in the shoes of patients."

Yu Zhiming smiled lightly and said, "Don't worship me so much, it's not as noble as you said."

"I just didn't have any clue about the patient's condition, and I didn't have a lot of energy to devote to him, so I just persuaded him to lose weight first."

Zhou Mo giggled and said, "You don't care about your deeds. From the perspective of this matter itself, you really put the interests of patients first."

"Hey, Doctor Yu..."

Zhou Mo turned to ask again: "You said that if the patient does not lose weight, there is a high probability that he will not live to be 45 years old. Is this your true guess?"

Yu Zhiming said slowly, "It's a bit exaggerated."

"However, judging from the physical examination I did on him in the morning, his viscera were indeed damaged a lot due to obesity."

"If you continue to be obese like this, the probability of developing serious physical diseases in your 40s is really not small."

Zhou Mo snorted and said, "If you say that, Doctor Yu, you are not exaggerating."

"It also makes patients more motivated to lose weight."

Zhou Mo got Yu Zhiming a glass of water from the water dispenser and put it on his desk.

"Doctor Yu, how many of the physical diseases you predicted have come true?"

Yu Zhiming thought for a while and said, "I know of only two, the commercial director's kidney failure, and the Gu family's acute pancreatitis attack."

Zhou Mo added: "The one who made the director realize your real ability went into cardiac arrest, doesn't that count?"

Yu Zhiming shook his head and said, "It's not a prediction, I found out that there is indeed something wrong with his heart."

"Forecasting is not making changes or remediating, there is a possibility that problems will happen, it is just a probability."

Zhou Mo smiled and said, "It sounds like a half-immortal with a straight mouth."

Yu Zhiming laughed and said, "It's true, I can't guarantee that it will happen..."

The embroiderer Lu Qiu introduced by Zhou Mo came to the small central building at nearly three o'clock in the afternoon.

This is a 46-year-old slim lady with a very elegant appearance.

Different from the rough and thick calluses that Yu Zhiming imagined, Lu Qiu's ten fingers were long, soft and shiny, well maintained, no different from young women's hands.

Lu Qiu told Yu Zhiming that she relies on these two hands for food, and she usually takes care of them.

Except for embroidery work, heavy work is never done, and even household tasks such as washing and cooking are rarely done.

Lu Qiu also told Yu Zhiming that in the past ten days, her hands could not embroider as she wanted.

The pattern I embroidered by myself is skewed and loose, which is the level of a beginner.

Although the characters written with a brush are not skewed, they have lost their strength and charm, and are not as good as before.

Yu Zhiming judged from Lu Qiu's words that her hands were just not as sensitive as before, unable to control them precisely, and unable to do the original fine work.

It hasn't reached the level of trembling that Zhou Mo said.

Yu Zhiming checked Lu Qiu's hands carefully, and after finding nothing wrong with her hands, he took her to the examination room for a further full-body examination.

Like Lu Qiu, the fine control of his hands is not as good as before, and there are many reasons for this.

For example, in neurodegenerative diseases such as Parkinson's disease, due to finger tremors or increased hand muscle tension, fingers are inflexible, and even hand tremors and other symptoms appear;

Another example is tenosynovitis, the finger joints are stiff and inflexible due to long-term strain caused by catching cold.

This reason has been ruled out by Yu Zhiming in the process of checking Lu Qiu's hands.

Also like cervical spondylosis.

If the cervical spine has compression nerve symptoms, there will also be pain, numbness and inflexibility in the arms.

Or insufficient blood supply to the brain, or a slight cerebral infarction, causing physical impairment, resulting in inflexible fingers, etc...

Yu Zhiming started with Lu Qiu's head examination, followed by cervical spine, heart and lung...

When Yu Zhiming's hand moved to Lu Qiu's abdominal cavity, he finally made a rather unexpected discovery.

pregnant!

Judging from the size of the gestational sac, the pregnancy is about six weeks.

"Ms. Lu, you are pregnant, don't you know?"

"Pregnant?"

Lu Qiu sat up in an instant, looking frightened.

"I'm almost fifty, and my menstrual period is irregular, and I'm about to go through menopause. Doctor Yu, don't you make such a big joke on me?"

Yu Zhiming said in a deep voice, "Ms. Lu, I won't joke about this kind of thing."

"You're about six weeks pregnant."

After a pause, he said again: "This can also explain why your hands can no longer do fine work."

"Because of pregnancy, your own hormones will change significantly, and there is a certain probability that it will affect your fingers, resulting in stiff fingers and not as flexible as before."

Lu Qiu, who was sitting on the examination bed, was stroking his lower abdomen with an expression of disbelief still on his face.

"I am pregnant."

"At my age, I'm pregnant."

Zhou Mo, who was by the side, said, "Aunt Lu, women in their 50s are still pregnant. You look like you are in your 30s. It's normal to get pregnant again."

"Aunt Lu, congratulations."

Lu Qiu smiled bitterly: "Momo, let me tell you something, my daughter is also pregnant, she has just turned three months."

"I'm going to be laughed to death by my relatives, friends and neighbors."

Yu Zhiming persuaded, "Ms. Lu, others will only congratulate and envy you, not make jokes."

"Lie down again, my examination is not finished yet."

Lu Qiu lay down again and let Yu Zhiming continue to check.

After a while, she noticed that Yu Zhiming's expression became serious.

Lu Qiu's heart tightened involuntarily.

"Doctor Yu, is there a pregnancy problem?"

Yu Zhiming shook his head and said, "It's not pregnancy, but your colon has cancer."

"You're going to have surgery to remove it, and you're going to need chemotherapy."

"You need to terminate the pregnancy..."

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