After careful examination, Yu Zhiming confirmed that there was indeed a bubble with a diameter of about 0.5 centimeters in the patient's cervical spinal canal.
There is gas accumulation in the spinal canal. This phenomenon is rare in clinical practice and is called vacuum phenomenon.
Studies have shown that as age increases, the annulus fibrosus of the intervertebral disc degenerates, and the nucleus pulposus gradually dehydrates, dries, and loses elasticity, resulting in cracks. When the cracks continue to grow, negative pressure is generated, allowing the gas in the extracellular fluid in the surrounding soft tissue to escape and enter.
This crack creates a vacuum phenomenon in the disc.
Due to changes in intervertebral pressure, gas may enter the spinal canal through disc cracks.
The spinal canal lacks a vascular network to reabsorb gas, and gas accumulation can persist, causing compression of nerve roots, sometimes causing clinical symptoms similar to intervertebral disc herniation.
Or other neurological-related symptoms.
The patient told Yu Zhiming that in the past three or four months, he had often noticed soreness and discomfort in his neck, and sometimes pain.
He thought it was because of a stiff neck while sleeping or working with his head down for a long time.
As for the chills, there are indeed a lot more.
The patient did not think of anything else, thinking that it was due to his age and physical weakness, so he continued to take dietary supplements for the past two months.
"Doctor Yu, is the air bubble in the cervical spine easy to treat?"
Yu Zhiming told the patient that it is much easier to eliminate the bubble than to remove the solid space-occupying tumor.
You can use a puncture needle to puncture the bubble directly, or use spinal endoscopy to remove the bubble and decompress the spinal canal.
However, due to time factors, this requires the patient to go to neurosurgery and receive relevant treatment.
Yu Zhiming sent the patient away, and the subsequent cancer screening of the stomach and liver entered the fast lane mode again.
It was not until 6:10 in the evening that he completed today's cancer screening work, and a total of two suspected liver cancers and three suspected gastric cancers were detected.
After tidying up for a while, Yu Zhiming left the examination room, saw Qing Ning waiting in the corridor, and jumped to greet her.
"Zhi Ming, are you tired?"
Yu Zhiming noticed that Qing Ning's eyebrows, eyes, and mouth were full of smiles, and he realized that he had indeed neglected to accompany her.
He tapped the tip of Qing Ning's nose and chuckled: "It's not bad, I have less work than usual today."
"Just wait for me a few more minutes and we can set off..."
Yu Zhiming returned to the big office, tidied up his desk, and changed his clothes.
Just as he was about to leave with Qing Ning, Zhou Mo also packed up the examination room and returned to the big office.
Qing Ning extended the invitation politely, "Momo, do you want to hang out with us?"
Zhou Mo yawned, shook his head and said: "Last night, I almost didn't sleep all night, and I almost couldn't hold it anymore."
"Go back to sleep and stop being your light bulb..."
Plaza 66 is nearly an hour's drive from Huashan Hospital. When Yu Zhiming and Qing Ning rushed here, they found that there were really many people here.
In the square in front of the shopping mall building, there are several rows of tents set up, filled with tourists, and the shouts are loud.
After spending some time parking the car, the two of them wandered around the square with the flow of people.
Inside the tent are food stalls one after another, offering foods such as kebabs, stinky tofu, roasted pig's feet, grilled squid, fried potato skewers, pan-fried buns, oden, etc.
Although the aroma of all kinds of food made Yu Zhiming and Qing Ning hungry, neither of them were interested in these snacks.
First, the ingredients may not be fresh.
The second is that in order to make the fragrance rich, I don’t know how much technology and hard work have been added.
After eating, it may take ten days and a half for the body to eliminate the harmful additives in the food.
But when he saw a stall selling roasted sweet potatoes, Yu Zhiming went up and spent nearly 50 yuan to buy two large pieces of sweet potatoes, one for each of them and a piece of lime, and ate while shopping...
"Zhi Ming, look over there. She has an oval face, a small nose, a big waist, round buttocks and long legs. She is a top beauty."
Yu Zhiming looked in the direction indicated by Qing Ning, and sure enough, a few meters away, he saw a young woman with fair skin, good looks and a good figure.
This woman was in the biting cold wind, but her thick coat was hanging on her arms. She was wearing slim-fitting and thin clothes that showed off her figure, with her chest half exposed, showing off her wealth.
She walked longingly among the crowd alone, enjoying the glances returned by many young people around her.
Being so unafraid of the cold and still walking through the city with swagger is Sima Zhao's ambition, and everyone on the street knows it.
Yu Zhiming muttered: "I wanted to catch rich and handsome people, so I came here, but I chose the wrong place."
"The people who come here are basically ordinary people."
Qing Ning took a small bite of the sweet potato and said with a smile: "Didn't you come here too? You are now a tall, rich and handsome person, creating a new generation."
Yu Zhiming smiled and said: "Essentially speaking, I am still an old man from the countryside."
"In essence, he is an old man with superb medical skills."
Qing Ning followed up with a comment and nudged Yu Zhiming with her body.
"Hey, Zhi Ming, let me judge from a professional point of view, has this beauty had plastic surgery?"
Yu Zhiming once again set his sights on the beautiful woman with outstanding appearance and figure, and examined her carefully.
Read 300 Tang poems by heart, and can recite them even if you don’t know how to compose them.
This principle also applies to Yu Zhiming.
He has examined at least 10,000 bodies, and he is extremely familiar with the structure of the human body.
In this case, the insight of Yu Zhiming's eyes, although it is not as clear as any problem can be solved by clapping with both hands, is almost the same as that of a fiery eye.
Yu Zhiming's eyes are like scanners, reading out the external data of the beautiful woman, inputting it into his brain, and constructing a virtual three-dimensional portrait.
Then he started looking for inconsistencies.
"The makeup on the face covers too many details, but I can confirm that at least three places have been plastic surgery."
"I opened the corners of my eyes, my nose, and my mandible!"
Yu Zhiming lowered his eyes on the beauty, and then said slowly: "I don't see any signs of breast augmentation, it should be natural talent."
After a pause, he continued: "In order to have a small waist, to highlight the plump breasts, and round hips, I can confirm that she had a pair of ribs removed."
Yu Zhiming glanced at the beauty's chopstick legs a few more times.
"The shape of her legs must have gone through hard training and shaping."
Yu Zhiming clicked his tongue again: "If you have persistence and perseverance, and you are not afraid of pain or hardship, if you use it in your work and career, you will have a high possibility of success. Wouldn't it be better to rely on yourself?"
At this moment, the beautiful woman greeted a young man with a charming smile and held his arm intimately.
Seeing the young man's face clearly, Yu Zhiming's expression suddenly became calm.
He knows this guy, and he is still his enemy.
It was Xu An, the boyfriend of Gao Yun, his college classmate who had framed him before, and the son of the director of Yaoming Pharmaceutical.
The masterminds behind the first stage are Xu An and Yuan Xiuqiang.
Yuan Xiuqiang woke up from a coma. Now he still has slow thinking and slurred speech. He is working hard to recover.
The relationship between Yu Zhiming and Yuan Xiuqiang is over.
But the grudge with Xu An has not yet been settled.
The main reason is that Yu Zhiming is busy with work and has never found a suitable opportunity for revenge.
Seeing Xu An and the beauty being intimate, chatting and laughing as they walked towards Hang Lung Mall, Yu Zhiming guessed that this guy must have broken up with Gao Yun.
Obviously, Gao Yun was just being used. After he no longer had any further use value, he was naturally kicked away.
"Qing Ning, let's go into the mall and take a look?"
Qing Ning nodded and said "Okay".
The two walked into Hang Lung Mall and found that it was decorated in a prosperous New Year atmosphere.
Moreover, there are many shelves in the originally empty lobby, stacked with gift boxes, meat, poultry, eggs, milk, seasonings, fruits, tobacco, alcohol, sugar and tea, festive clothing, folk items, handicrafts, daily necessities and other dazzling products.<
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Yu Zhiming walked around for a while and found that the quality of the products at the Hang Lung New Year Fair was much higher.
Many annual goods are imported from abroad, and most of the domestic new year goods are high-end products.
For example, in the ham section, the whole hams from Spain and Italy are on display, while the domestic hams are well-known hams from Jinhua, Xuanwei and other places.
Most of the nuts are imported from abroad. There are some nuts that Yu Zhiming has seen for the first time.
Qing Ning knows that Yu Zhiming likes to eat nuts.
Seeing that there were many types of nuts in the nut section, she asked: "Zhiming, are there any nuts here that you like?"
"Buy some to eat back?"
Yu Zhiming shook his head and said: "It is better to eat local nuts. Unfamiliar nuts may cause allergies."
Nut foods have high nutritional value and are rich in plant protein, oils, minerals and vitamins.
After eating, it can supplement nutrition, effectively improve the body's resistance, and help maintain good health.
However, nut foods contain more plant protein.
Some people may develop allergies after eating it. This is mainly due to the body's immune system having an excessive immune response to plant proteins, causing patients to develop symptoms such as rashes and itchy skin.
People with severe allergies may even have life-threatening allergic reactions.
Perhaps it was Yu Zhiming's crow's mouth, or perhaps his calamitous constitution, but at the next moment, urgent shouts rang out.
"Someone is coming quickly!"
"Help!"
"Someone choked on a nut."
Yu Zhiming followed the sound and looked over, and found that more than ten meters away, the person calling was the beauty he had seen before.
The person she was supporting was Xu An, who was holding back his face and blushed, and was speechless.
As the beauty's shout ended, a tall man ran over and took Xu An from the beauty.
I saw his hands wrapped around Xu An's waist, crossed between his navel and sternum, and then began to thrust backward and upward.
This is the Heimlich maneuver suitable for adults. The one used by tall men is pretty standard.
It's just that the tall man hugged Xu An from behind and pounded hard again and again, but no foreign object came out of Xu An's mouth as expected.
On the contrary, Xu An's lips turned purple.
This is a sign of worsening suffocation.
At this moment, Yu Zhiming had already seen that Xu An was not choking on nuts.
He had an acute allergy, which caused laryngeal edema and sealed the trachea, leading to suffocation.
To save or not to save?
This is a major decision that needs to be made immediately before Yu Zhiming...
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