After lunch, Yu Zhiming did not go back to the central office to close his eyes and rest. 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 cautiously replied: "I can only say that it is possible."
"There are patients in the world who are in a very similar situation to yours. After a year, their 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-disappeared neck with some effort.
"Doctor Yu, is there really no cure for my disease?"
Yu Zhiming said frankly: "My teacher, Director Qi Yue of the center, has contacted Dr. Ramon from the UK who has treated cases similar to yours."
"Dr. Ramon said that he tried a variety of treatments, but none 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 it, we can only exhaust various examinations and then try different treatment options."
"There will be a lot of expense in this process."
After a pause, Yu Zhiming added: "Coupled with your excessive obesity, it has caused some problems in your cardiovascular and cerebrovascular, heart, liver, kidney and other organs."
"And trial-and-error treatment may cause unexpected damage to your body."
Yu Zhiming suggested: "You might as well think optimistically and treat this symptom as a forced weight loss."
"After one year, if your esophageal spasm has not gone away, you can come to us again."
"At that time, facing you who has lost a lot of weight but is healthier, our trial and error treatment can be more bold."
Yu Zhiming's words moved the patient quite a lot.
He touched his round belly and said with a wry smile: "Dr. Yu, actually I also know that I am too fat."
"My family and friends keep urging me to lose weight."
"But, I just can't control myself. When I see food, I just want to eat it."
“Ever since I had difficulty swallowing and pain when eating, I really don’t want to eat much.”
"Even when it was time to eat, I still felt scared and fearful when I saw the food."
"It's just..."
The patient showed another expression of pain and said: "From now on, I will have to drink porridge, eat liquid food, and eat all kinds of lakes and lakes 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, you are thirty-seven years old this year. If you continue to gain weight like this, there is a high probability that your internal organs will not survive the age of forty-five."
As soon as these words came out, the patient immediately became nervous.
"Dr. Yu, are you sure?"
Yu Zhiming nodded and said in a deep voice: "Your three highs have caused varying degrees of damage to blood vessels and various internal organs."
"Once a person passes forty, the body and organ functions will experience a significant decline."
"By then, your brain and internal organs will be damaged at an accelerated pace, your immunity will be rapidly reduced, and various diseases, even tumors, will come to you one after another."
"Forty-five years old, I am already optimistic."
After hearing this, the patient finally made a decision.
"Losing weight, there is no cure."
"Dr. Yu, I listen to you, turn disadvantage into advantage, use this opportunity to lose weight, and work hard to lose weight."
"If my symptoms of esophageal spasm haven't disappeared after a year, I will come to the hospital to see you again."
Yu Zhiming nodded in agreement, and then said: "I will tell the nurse and I will handle the discharge procedures for you in the afternoon..."
We returned to the big office together, and Zhou Mo, who had been keeping quiet, couldn't help but speak.
"Dr. 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 article will not be published."
Yu Zhiming glanced at her.
"A doctor's duty is to treat illnesses and save lives, but the ultimate goal of treating illnesses is to save lives."
"Although the patient's esophageal spasm is rare, it is not fatal. What is really fatal is his excessive obesity."
"Since he doesn't have enough willpower to lose weight, it's better to use this esophageal spasm to force him to lose weight."
Zhou Mo nodded and said, "Indeed, the fatness all over his body makes me sick and tired just by looking at it."
She put on a girly look again and said exaggeratedly: "Dr. Yu, I admire you more and more."
"Really start from the patient's best interests and put yourself in the patient's shoes."
Yu Zhiming chuckled and said: "You don't have to worship me so much, I'm not as noble as you say."
"I just had no clue about the patient's condition and didn't have much energy to invest in him, so I just took advantage of the situation and persuaded him to lose weight first."
Zhou Mo chuckled and said: "Regardless of your intentions, judging from the matter itself, you really put the interests of the patients first."
"Hey, Doctor Yu..."
Zhou Mo turned to ask: "You said that if the patient does not lose weight, there is a high probability that he will not live to be forty-five years old. Is this your true speculation?"
Yu Zhiming said slowly: "It's a bit exaggerated."
"However, judging from the physical examination I did on him in the morning, his internal organs have indeed suffered a lot of damage due to obesity."
"If you continue to be obese like this, the probability of developing serious physical diseases in your forties is really high."
Zhou Mo snorted and said, "If you say this, Doctor Yu, you are not exaggerating."
"It can also give patients more motivation to lose weight."
Zhou Mo took a glass of water from the water dispenser to Yu Zhiming 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 only two people. The advertising director suffered from renal failure, and one of the Gu family suffered from acute pancreatitis."
Zhou Mo added: "The one who made the director realize your true ability suffered a cardiac arrest, doesn't it count?"
Yu Zhiming shook his head and said: "Not counting predictions, I discovered that there is indeed something wrong with his heart."
"Prediction does not mean making changes or remedies. Problems may occur. It is just a probability."
Zhou Mo said with a smile: "It sounds like a half-immortal with an iron mouth."
Yu Zhiming chuckled and said: "It does look a bit like it. I can't guarantee that it will definitely happen..."
Lu Qiu, the embroiderer introduced by Zhou Mo, came to the central building at nearly three o'clock in the afternoon.
This is a 46-year-old slender lady who looks very elegant.
Different from the rough and thick calluses Yu Zhiming imagined, Lu Qiu's fingers were long, soft, shiny and well-maintained, no different from a young woman's hands.
Lu Qiu told Yu Zhiming that she relied on these hands to make ends meet and she was always very caring.
Except for embroidery, I never do heavy work, 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 pleased.
The patterns I forced myself to embroider are skewed and loose, which is at the level of a beginner.
Although the characters written with a brush are not skewed, they have lost their character 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 accurately and unable to do the original delicate work.
It hasn’t reached the level of hand trembling that Zhou Mo mentioned.
Yu Zhiming carefully inspected Lu Qiu's hands. After finding no problems with her hands, he took her to the examination room for 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 neurological degenerative diseases such as Parkinson's disease, due to finger tremors or increased hand muscle tension, symptoms such as inflexibility of the fingers and even hand tremors may occur;
Another example is tenosynovitis, which is stiffness and inflexibility of finger joints caused by long-term strain due to colds.
This reason has been ruled out by Yu Zhiming during the inspection of Lu Qiu's hands.
Another example is cervical spondylosis.
If there are symptoms of nerve compression in the cervical spine, pain, numbness, and inflexibility in the arms may also occur.
Or it may be 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, then went to the cervical spine, heart and lungs...
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 old.
"Ms. Lu, you are pregnant, don't you know?"
"Pregnant?"
Lu Qiu sat up instantly, looking frightened.
"I'm almost fifty, I have irregular menstruation and am about to go through menopause. Doctor Yu, please don't make such a big joke on me?"
Yu Zhiming said solemnly: "Ms. Lu, I won't joke about this kind of thing."
"You are about six weeks pregnant."
After a pause, he added: "This can also explain why your hands can no longer do fine work."
"Due to pregnancy, your own hormones will undergo significant changes, which may affect your fingers with a certain probability, causing them to become stiff and less flexible than before."
Lu Qiu was sitting on the examination bed, stroking his lower abdomen, still looking in disbelief.
"I'm pregnant."
"At my age, I'm actually pregnant."
Zhou Mo, who was accompanying her, said, "Aunt Lu, there are women in their fifties who are still pregnant. You act like you are in your thirties, and it is normal for you to get pregnant again."
"Aunt Lu, congratulations."
Lu Qiu smiled bitterly and said: "Momo, let me tell you something, my daughter is also pregnant, just three months old."
"I'm going to be laughed to death by my relatives, friends and neighbors."
Yu Zhiming advised: "Ms. Lu, others will only congratulate and envy you, not laugh at you."
"If you lie down again, my examination is not finished yet."
Lu Qiu lay down again and asked Yu Zhiming to continue the inspection.
After a while, she noticed that Yu Zhiming's expression became serious.
Lu Qiu's heart tightened involuntarily.
"Dr. Yu, is there something wrong with the pregnancy?"
Yu Zhiming shook his head and said: "It's not pregnancy, it's cancer in your colon."
