medical treatment

Abdominal stiffness is associated with a variety of 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, which is a normal physiological phenomenon.

In addition, pathological causes such as gastrointestinal dysfunction, fecal ileus, peritonitis, ascites cirrhosis, and abdominal tumors can also cause abdominal muscle tension and sclerosis.

After Yu Zhiming checked the woman with straight hair, he found no obvious pathological factors.

He also found that the straight-haired woman only had tightness and stiffness in her abdominal wall muscles, and the muscles in other areas of the body were still normal.

At this moment, the sound of someone dragging their legs outside the door reached Yu Zhiming's ear drum.

Yu Zhiming suddenly had a flash of inspiration.

He thought of a possibility, thinking of a type of patient, the muscle stiffness of patients with cerebral infarction.

This is a neurological sequelae of partial brain tissue damage in some patients with cerebral infarction.

It is due to the failure of nerve control, which leads to increased muscle tension in a certain part of the body, and the muscles are in a state of tension for a long time, resulting in stiffness, which in turn makes the actions or movements of patients with cerebral infarction appear very stiff and unnatural.

Therefore, some patients with cerebral infarction need long-term rehabilitation training after treatment in order to alleviate the increase in muscle tension and promote the recovery of physical activity.

In the case of the woman with straight hair, Yu Zhiming suspected that there was a problem with the nerves controlling the abdominal muscles, which kept them tense and stiff.

When girls are having sex with men, if they break through a threshold of excitement, some girls will show extreme excitement with tense muscles all over their bodies.

For a straight-haired woman, the muscles of the abdominal wall have always been in a tight state. After being extremely excited, she shivered again, and some muscle fibers were constantly under the strain and broken?

To verify his guess, Yu Zhiming asked the woman with straight hair how she behaved after high excitement.

"It's like getting an electric shock, the whole body will tremble uncontrollably, and the body will become stiff."

The straight-haired woman blushed and added in a low voice: "Well, it doesn't always reach the level of high excitement for me."

Yu Zhiming asked again: "Is it true that every time you reach the goal, the pain in your stomach will get worse?"

The straight-haired woman was slightly taken aback, and recalled, "Doctor, you asked, it's true, every time I arrive, my stomach hurts more and more."

"Doctor, is it?"

Yu Zhiming explained: "That's just an inducement. The direct cause is your abdominal wall muscles. I found that there are a lot of tears in your abdominal wall muscle fibers."

"I suspect that there is something wrong with the nerves that control your abdominal muscles. I need to go to the neurology department for further examination..."

In fact, in the case of a woman with straight hair, it is appropriate to arrange to go to the center for further examination and treatment.

It's just that Yu Zhiming had a lot of work during this period, so he pushed out as much as possible the work that could be accepted or not.

The straight-haired woman held the referral form and grabbed her boyfriend by the ear before she walked out of the outpatient room.

"Come on, tell me how soft the belly of another girl is..."

After this interesting case, Yu Zhiming's subsequent patients' conditions were somewhat lackluster, such as colon cancer, kidney disease, diabetes, coronary heart disease, etc...

At [-]:[-] noon, Yu Zhiming and Zhou Mo finished cooking in the staff cafeteria and started having lunch.

Yu Zhiming tried to call Dr. You Weixian, but he was picked up after two rings.

"Doctor Yu, hello!"

Hearing Dr. You's voice, Yu Zhiming smiled lightly and said, "Dr. You, hello, I heard from my assistant that you entered the operating room early in the morning. Is this a successful conclusion?"

Dr. You sighed from the phone, "More than half of the operation was done, but it failed, and the patient could not be rescued."

Yu Zhiming suppressed his smile, and went straight to the topic: "Doctor You, I have a patient with brain damage, and currently has symptoms such as stupidity, aphasia, and emotional irritability."

"He had close to ten blood clots in his brain."

"The patient's family hopes that I can help remove the blood clot and speed up the patient's physical recovery."

"Doctor You, I would like to ask you to design the puncture route. I wonder how convenient it is for you recently?"

Yu Zhiming waited for more than ten seconds before hearing Dr. You's reply.

"Doctor Yu, please send over the latest brain imaging data of that patient. I'll take a look at it in two or three days."

Just as Yu Zhiming wanted to thank him, Dr. You's voice rang from the phone again.

"Doctor Yu, happy engagement! Congratulations, I will definitely attend the engagement banquet this Sunday."

"I'll tell you one more thing, that patient with skull base tumor, Zhang Yong, is recovering well, and he will be discharged from the hospital in two days..."

After finishing the call with Dr. You, Yu Zhiming found that the mobile phone had just received a message from the head nurse, Zhan Qi.

The information stated that the police formally concluded that yesterday's patient's death was an accident and the case would not be filed. The family members of the deceased had taken the body to the funeral home.

After reading the information on the phone, Yu Zhiming looked at Zhou Mo who was also staring at the phone across the dining table, and said, "Zhou Mo, please contact that teacher Tian Wen and ask her to share her husband's brain image..."

Yu Zhiming recalled that the brain CT film he saw this morning was dated eight days ago.

He turned to say: "Let her do another comprehensive MRI examination for her husband today. After the imaging data comes out, you go to Dr. You."

Seeing that Zhou Mo was still staring at his mobile phone, Yu Zhiming asked with some displeasure: "Zhou Mo, did you hear me clearly?"

"Clear! Very clear!"

Zhou Mo finally raised his head, met Yu Zhiming's gaze, and repeated: "Contact Teacher Tian Wen and ask her husband to have a brain MRI examination, and I will send the imaging data to Dr. You."

"Doctor Yu, right?"

Zhou Mo didn't wait for Yu Zhiming to respond, and showed a happy look of stealing oil again.

"Doctor Yu, just saw a very happy and relieved news."

Zhou Mo chirped: "The mother and son who lost weight, that mother thought I was making trouble on purpose, and scolded me even if she didn't believe me."

"However, her son believed it."

"This morning, his son didn't go to school, asked the teacher for leave, and went to the hospital for a knee examination."

"Doctor Yu, take a guess, what did you find out?"

Yu Zhiming replied: "The patellar cartilage is severely worn, there must be some."

Zhou Mo nodded and said: "There is indeed this item, the patellar cartilage has worn out nearly two-thirds."

"In addition, there are several problems such as patella deviation, synovial effusion, meniscus injury, and joint tendon and ligament injury."

After a pause, Zhou Mo asked, "Doctor Yu, is his situation serious?"

Yu Zhiming said softly: "A boy in his teens has knee joints of 50 to [-] years old. Do you think it's serious?"

"Especially his patellar cartilage, which has worn down nearly two-thirds, should have surpassed the limit of self-healing."

"This boy needs to always pay attention to the maintenance of his knee joints."

Patellar cartilage is a layer of hyaline cartilage with a thickness of 3 to 5 mm in the human knee joint. Its function is to cushion the impact of knee joint movement.

However, because the patellar cartilage has no innervation, before it is completely worn out, there will only be an "early warning signal" in the fragile period, and there will be short-term knee joint pain, which will last for several weeks to months.

Some people don't even notice it.

During this period, strenuous exercise should be avoided.

It is also from this time that the use of the knee joint can no longer be done as one likes.

If the patellar cartilage wears out, the knee joint will feel obvious pain, and arthritis will gradually develop.

Yu Zhiming asked again: "Now that the knee problem has been found out, did the teenager's mother apologize in the group?"

Zhou Mo curled his lips and said, "No, he's still pretending to be dead. It was the boy who posted the results of the examination in the community group."

She giggled and said, "It is estimated that this boy did this because he wanted the residents of the community to be a witness and supervision, so that his mother would not force him to run to lose weight."

"Mother and son are turning against each other, haha."

Yu Zhiming smiled lightly and said, "Stop gloating, hurry up and eat..."

After 12:30 noon, the two finished their lunch.

Because the canteen and the emergency department are some time away from the comprehensive office building where the bed trolley is parked, and the time at noon is short, Yu Zhiming didn't go to the bed trolley to take a nap.

He walked slowly to the emergency room, taking a walk as a rest.

Zhou Mo, who was by the side, turned his head to look at Yu Zhiming, and said, "Doctor Yu, sometimes I feel that you are very strange."

Yu Zhiming gave this guy a sideways look.

Zhou Mo said slowly: "When someone asks you, you seldom refuse it. When you meet a patient by chance, you will make a move. You are very caring and talkative."

"However, the patients you are in charge of seldom take the initiative to care about them, ask for their health, and show indifference."

"For example, Wen Ling, a girl with a deformed heart who was recovering in the Affiliated Hospital of Binzhou University, you seem to have forgotten her."

"For example, those terminal cancer patients in Ning'an Hospital are still in a dangerous and suffering moment, but you didn't take the initiative to ask them about their situation."

"Fortunately, Dr. Yu, you don't need to take the patient satisfaction assessment, otherwise your score will definitely not be high."

Yu Zhiming cut lightly and said, "One, I don't have extra time to inquire about my health."

"Second, take those terminal cancer patients as an example, I have done what I should do."

"Even if they have an accident now, I can't deal with it. It's useless to care, and it's useless at all."

Zhou Mo curled his lips and said, "How come it doesn't work?"

"You are their attending doctor. A word of your concern may arouse their stronger hope of survival."

"If you don't care about it now, they may think pessimistically, have you given up on them?"

Yu Zhiming retorted: "They all have medical staff taking care of them 24 hours a day, how could they think they were given up?"

"Okay, don't worry about it."

Zhou Mo curled his lips and stopped talking.

When he was about to reach the emergency room, Zhou Mo suddenly said, "Doctor Yu, are you resisting intimacy?"

"I don't want to get too close to patients, nor do I want to get too close to friends."

"If Qing Ning hadn't let go of her status and reserve and chased after you, I think you might be a bachelor for the rest of your life."

Yu Zhiming snorted lightly, and teased, "Zhou Mo, do you want to change your career to become a psychoanalyst?"

Zhou Mo hehe said: "I didn't say this, it's a psychological profile written for you by a psychological counselor on the Internet."

"The man also said that you still have a certain pleasing personality. If others make requests, as long as they are not excessive, you will be satisfied."

"So, patients begging you to see a doctor, begging to come to you, with a sincere attitude and sincerity, will generally succeed."

Yu Zhiming grinned and asked angrily, "Which guy wrote this nonsense?"

Zhou Mo laughed and said, "That person is anonymous."

"I think she's quite accurate in her analysis..."

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