"The pin you swallowed should have passed through the intestines, penetrated the left inner lobe of the liver, and then..."
Yu Zhiming clicked on the left lower back of the man with a short hair.
"Penetrate and come out."
"In other words, the pin you swallowed is no longer in your body."
Yu Zhiming further analyzed: "I detected that the penetrating injury on the left inner lobe of your liver should have healed for many years."
"Such an injury will cause a lot of pain. You should have noticed it at the time, right?"
When the short-haired man heard this, he suddenly shouted as if he suddenly realized something.
"Doctor Yu, Doctor Yu, I know what's going on. I remembered it."
He said excitedly: "In the summer vacation after the college entrance examination, several classmates and I went to a classmate's factory to play."
"That factory has a very large electromagnetic crane that can lift several tons of steel."
"That classmate wanted to elude us and secretly activated the electromagnetic crane."
"Another classmate and I were unlucky enough to be knocked down to the ground by a flying steel pipe."
"I was slapped in the stomach and it hurt so bad. I also had a few small wounds on my body from the iron nails and pieces of iron on the ground."
The short-haired man clicked his tongue and said, "Let me tell you, my stomach hurt for several days before it stopped hurting."
"It turns out that I injured my liver at that time."
Hearing this, Yu Zhiming didn't know what to say.
This guy is really lucky to be able to live in good health till now.
Maybe this is to live a rough life and be blessed by God?
Yu Zhiming sent away the short-haired man who was relieved of his worries and kept thanking him, and started a new physical examination...
After four o'clock in the afternoon, Yu Zhiming examined the body of a 63-year-old party director who had retired for two or three years.
This old comrade is in pretty good health, but he needs to control his blood pressure and pay attention to his cardiovascular, cerebrovascular and prostate health.
After Yu Zhiming finished talking about the points that needed attention, the retired comrade reached out his hand enthusiastically.
Yu Zhiming was slightly startled.
Then, out of politeness and not letting the old comrade's hand hang there stupidly, he quickly took off his surgical gloves and held them.
The old comrade said with a smile on his face: "Dr. Yu, as a retired cadre, I can't represent others now. I can only express my gratitude to you on behalf of myself."
"Dr. Yu, thank you for your hard work."
"It's okay, it's okay, it's just hard work!"
Yu Zhiming said perfunctorily, and did not let go of the other person's hand, but used some strength to hold it back.
Because, he discovered a new symptom.
The old comrade's fingers started to tremble slightly.
There are many reasons for the symptoms of hand shaking and tremor in the elderly.
Such as Parkinson's disease.
Parkinson's disease is a degenerative disease that occurs with age.
A typical symptom of this disease in its early development is finger trembling.
.It may also be essential tremor.
It mainly refers to common movement disorders, clinically characterized by postural or action tremor of the upper limbs, and is closely related to genetics, aging and environmental factors.
In addition, some medical diseases, such as hyperthyroidism, autonomic nerve dysfunction caused by anxiety, adverse drug reactions, cerebellar lesions, etc., may also cause hand tremors in the elderly.
Yu Zhiming, who discovered the new symptoms of his old comrade, not only shook the opponent's hand with his right hand, but also shook it with his left hand.
However, his left hand is holding the opponent's wrist.
Yu Zhiming's left hand shook the old comrade's wrist and squeezed it a little harder.
Then, his expression couldn't help but become serious.
This scares retired comrades.
It’s no longer a secret that Yu Zhiming has trouble hiding things on his face.
At least within the hospital, it has spread.
Obviously, retired cadres know this.
Therefore, when he saw Yu Zhiming changing from a smile to a serious face, he couldn't help but feel nervous and uneasy.
"Dr. Yu, haven't you already completed my physical examination? Didn't you just make a new discovery just now?"
Yu Zhiming nodded and said honestly: "Indeed, we have made a new discovery."
"I noticed a tremor in your fingers."
"I checked your wrist just now and found that your wrist muscles are slightly stiffer than other places."
Yu Zhiming said with a worried look: "The early diagnosis of Parkinson's disease mainly relies on clinical manifestations."
"The main early symptoms are bradykinesia, resting tremor, myotonia, abnormal posture and gait, etc."
"Myotonia usually first appears in the wrists and ankles."
After a pause, Yu Zhiming said in a deep voice: "You already have two symptoms: tremor and myotonia."
"I suggest you get a Parkinson's disease..."
Speaking of this, Yu Zhiming was surprised to see that the old comrade's body began to shake, and there was not much blood on his face.
"Old comrade, you..."
Damn it...
Yu Zhiming suddenly realized that this was because the old comrade couldn't bear the blow of the news and was about to faint.
Think about it, although Parkinson's disease is not a fatal disease, it is currently not curable by the medical community.
Especially in the advanced stages, patients will lose their ability to take care of themselves and need to stay in bed for a long time.
This can cause serious complications such as pneumonia, urinary tract infections, suffocation, and bedsores, resulting in fatal hazards.
"Zhou Mo, come and help."
While Yu Zhiming shouted, he took a step forward and supported the old comrade.
The next moment, Zhou Mo ran in and helped Yu Zhiming help the old comrade onto the examination bed.
Yu Zhiming quickly gave the old comrade a quick check-up and found that he had fainted due to excessive stress.
This made him take a long breath.
Fortunately, there was no big problem!
Zhou Mo asked doubtfully: "Doctor Yu, who is he?"
Yu Zhiming said with a smile on his face: "He was frightened and fainted by what I said."
"Cancer?"
Yu Zhiming shook his head and said: "Parkinson, I just said it is possible and let him go for further examination."
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"He fainted before he was diagnosed."
"I didn't expect that his endurance would be so weak."
Zhou Mo resisted the urge to roll his eyelids and said: "Doctor Yu, your diagnosis is as good as your words. I haven't missed it yet."
"How can you not be scared when you hear that you have a difficult and tormenting disease like Parkinson's?"
Yu Zhiming said truthfully: "I really don't have much confidence in the diagnosis this time. I just made a probability judgment based on the current symptoms..."
After waiting for a while, the old comrade still didn't wake up.
Yu Zhiming’s next work should not be delayed.
He had no choice but to ask Zhou Mo to call a nurse to transfer the old comrade to the observation room and notify his family members.
Welfare physical examination continues...
At nearly six o'clock in the afternoon, Yu Zhiming finally completed today's physical examination. When he was twisting his waist and swinging his arms to relieve physical fatigue, he saw Teacher Qi Yue entering the examination room with a sullen face.
"Teacher, what's wrong?"
Qi Yue hummed softly: "Zhi Ming, you are so brave."
"No cerebrospinal fluid examination was done, no imaging examination was done, and there is no key diagnostic basis. Just based on two physical symptoms, do you dare to say that you have Parkinson's disease?"
Yu Zhiming defended softly: "Teacher, I didn't make any assertions. I just suggested that he go for a special examination for Parkinson's disease!"
Zhou Mo also said: "Director, I can testify that I heard clearly that Dr. Yu recommended that person to undergo a screening test for Parkinson's disease."
"That person was too nervous and frightened himself."
Hearing what Zhou Mo said, Yu Zhiming glanced at her.
He knew that Zhou Mo had lied.
If Zhou Mo had heard the conversation between him and the old comrade, he would not have asked whether the old comrade was fainted by cancer.
Yu Zhiming recognized this feeling of protection.
The next moment, Yu Zhiming asked: "Teacher, you should have done a detailed examination of the old comrade, right?"
"Isn't it Parkinson's?"
Qi Yue said slowly: "I have examined him, and based on some of his own symptoms, I also think that Parkinson's disease is more likely."
Hearing this, Yu Zhiming beamed with joy.
"It's just..."
Qi Yue criticized: "Zhi Ming, although what you said is a possibility and a suggestion, with your current identity and status, and the patients' blind trust in you, they will selectively think that that is your diagnosis result."
."
He also taught: "Zhi Ming, if you encounter this kind of situation in the future, you must give the patient more psychological preparation and explanation, so as not to make it difficult for them to accept it for a while."
Yu Zhiming asked, "Teacher, everyone only has a few minutes for examination, so why should we prepare for it?"
"This work efficiency?"
Qi Yue criticized: "Only a very small number of people are diagnosed with serious illnesses. How much will it affect work efficiency if we spend more time?"
He said earnestly: "Zhi Ming, think about it, if the patient today was not frightened and fainted, but was frightened to the point of having a heart attack."
"Do you think it will become very troublesome?"
Yu Zhiming nodded quickly and replied "Yes".
Next, Qi Yue taught for a long time, enjoying the joy of being a teacher, before leaving.
Zhou Mo curled his lips and said: "The director is really old and has become verbose."
Yu Zhiming chuckled and said: "It's for my own good to be verbose. I'm worried that I might not handle it properly and get into trouble."
After a pause, he said in a deep voice: "Zhou Mo, you don't need to lie for me from now on, just tell the truth."
Zhou Mo chuckled and said: "Doctor Yu, I am your assistant, so naturally I have to protect your interests as my top priority."
"I accept this idea, it's better to tell the truth."
Yu Zhiming warned Zhou Mo, and then said: "We have a family gathering tonight, you can come with me."
Zhou Mo hesitated and said, "Isn't it good? Your family is gathering together tonight, and I am an outsider."
Yu Zhiming sighed softly: "It's mainly for Qing Ning. A cousin of hers who she had a good relationship with passed away in an accident."
"As for you, just drink some wine with her, and then sleep with her at night, so that she won't dream and be afraid that she won't sleep well..."
