The most enlightened doctor

Chapter 1131. Import of additional children

Liao Xiong told Yu Zhiming that he had severe pneumonia more than six years ago and was hospitalized for nearly a month before he was cured.

Although he recovered, the root of the disease has remained in his body since then, and he coughs from time to time.

Not only that, as long as the climate changes slightly, he will either suffer from inflammation of the lungs or bronchial tubes, which can occur as little as three or five times a year and as many as eight or nine times a year.

Moreover, there are many types of lung inflammation.

Common fungal pneumonias such as Staphylococcus aureus pneumonia, Streptococcus pneumoniae pneumonia, Klebsiella pneumoniae pneumonia, Pseudomonas aeruginosa pneumonia, etc. have been repeated more than once.

I have also passed through viral pneumonia such as influenza virus, parainfluenza virus, adenovirus, and respiratory syncytial virus.

As for pneumonia caused by various fungi such as Candida, Aspergillus, Cryptococcus, Actinomyces, etc., we have not escaped.

Liao Xiong saw Yu Zhiming put on medical gloves and looked at him quietly, knowing that he should shut up.

"I'm sorry, I'm sorry, I was excited for the moment and couldn't control my mouth."

"I'll lie down right now."

Liao Xiong followed Yu Zhiming's gaze and lay down on the sofa in the living room obediently. He couldn't help but said, "They say a long-term illness makes a good doctor, and I feel like I'm almost there."

"Every time I go to the hospital for treatment when I get sick, I can basically guess right what kind of injections and medicines to take."

Yu Zhiming didn't stop him anymore. He endured the guy's whisper and began to do a physical examination.

No problems were found in the head and neck.

Yu Zhiming then checked Liao Xiong's lungs, and when he explored them with his hands, his eyes were opened.

Different from common lung nodules, Liao Xiong's lungs were covered with healing scars caused by inflammation, and some lung tissues even showed varying degrees of fibrosis.

Yu Zhiming's preliminary estimate is that this guy's lung function has lost at least 20%.

Fortunately, no signs of double lung cancer were found.

Yu Zhiming continued to check his heart, and unsurprisingly found heart damage.

A slight cough has little impact on the heart.

However, severe coughing is still long-term, and its impact on the heart cannot be ignored.

Coughing excites the sympathetic nerves, causing the heart rate to increase. Severe coughing will also increase chest pressure and reduce blood return to the heart, resulting in reduced cardiac output. In addition, varying degrees of hypoxia symptoms may occur during coughing, which will increase the burden on the heart and may induce the onset of heart disease.

In addition, severe coughing may also involve local nerves and cause heart pain.

It’s not just the heart that will be affected. It’s said that one move affects the whole body. The human body is a complex and sophisticated system. When a certain organ is in a bad state such as disease for a long time, other organs will be affected to varying degrees.

After a thorough examination, Yu Zhiming discovered that this guy's liver and kidney damage were also serious.

It should be caused by the toxic side effects of long-term medication...

As soon as Yu Zhiming withdrew his hands for examination, Liao Xiong couldn't wait to ask: "Doctor Yu, have you found anything?"

Yu Zhiming pondered and said: "Your internal organs have been affected to varying degrees by the long-term cough and lung infection. However, judging from the extent of the damage, it is just that the function has been weakened, and it has not reached the level of causing disease."

"However, if your condition continues for a year or two and you still don't get better, it's hard to say."

Yu Zhiming met Liao Xiong's gaze and said bluntly: "In the examination just now, I did not find the root cause of your cough and lung infection."

"It seems that you are suffering from a weakened immune system or a neurological cough?"

Liao Xiong stood up and replied: "Doctor Yu, I am actively exercising and using drugs and vaccines to improve my body's resistance. However, the effect is not obvious at all, and I still can't avoid it when I get sick."

"The doctor also treated me for neurological cough, but there was no effect."

"Doctor Yu..."

Yu Zhiming saw this guy looking at him pitifully and helplessly, and said thoughtfully: "Your situation is somewhat similar to a patient I once had in my hometown. He also had various lung inflammations."

"The cause of his disease, the final result I found was bronchial foreign body."

Liao Xiong quickly introduced: "Dr. Yu, I have also checked for bronchial foreign bodies."

"Let's put it this way, I've had bronchoscopy at least ten times, and I've also had chest X-rays, ultrasounds, CTs, and MRIs several times, but no foreign matter has been found."

Yu Zhiming smiled softly and said with great aura: "If the various instruments and equipment in the hospital can detect it, then there is no need for patients to come to me for examination again."

"Many of the patients who come to me have had all the tests they should and should not have done, but the doctors still have no clue."

Liao Xiong took over and said: "Just like me, I have been consulted by experts more than once, but my health still hasn't improved."

He pleaded again: "Dr. Yu, you are my last hope. Please take care of me."

Yu Zhiming said in a deep voice: "Don't worry, since I have taken action, there will definitely be a result."

He walked towards the inside of the small building.

"Follow me, we will go to a quieter place, and I will give you a more detailed examination."

Liao Xiong quickly stepped up to follow.

He followed Yu Zhiming into a bedroom and watched him suspiciously as he opened the closet door.

Then, I saw Yu Zhiming pushing open the back partition...

Liao Xiong's eyes suddenly went straight, and he said in surprise: "You...you...there is an elevator here?"

"You don't know?" Yu Zhiming was a little surprised.

He took it for granted that every small building here had such an elevator that went directly to the underground air defense facilities.

Liao Xiong shook his head and said: "I know that this place was once a combat readiness command center before it was turned into a resort and recuperation center. There must be complete underground air defense facilities."

"It's just that I've never seen it with my own eyes."

Yu Zhiming said oh and responded seriously.

On his first day here, when the staff introduced the elevator to him, they didn't specifically tell him to keep it secret.

He looked at Zhang Hai who was following him again, his expressionless face showed nothing in particular, and he said nothing more.

Yu Zhiming entered the elevator first, and Liao Xiong followed.

Zhang Hai also entered the elevator.

There were no floor number buttons in the elevator, only door opening and closing buttons and up and down buttons. Yu Zhiming walked out of the elevator again, already more than ten meters underground.

He took Liao Xiong and Zhang Hai to the room where Qing Ning rested, and let Liao Xiong lie on the sofa.

"Don't talk, just keep breathing deeply."

Yu Zhiming gave a solemn warning and checked Liao Xiong's lungs again.

In this silent environment underground, Liao Xiong felt solemn and nervous, and did not dare to be presumptuous. Following Yu Zhiming's instructions, he began to breathe deeply...

Breathe deeply...

The heavy inhaling and exhaling sounds sounded to Yu Zhiming like the roar of a train passing through a tunnel at high speed.

At the same time, his perception was like a cheerful deep-sea fish that quickly passed through the trachea with a stream of air and branched into the left and right bronchi.

Immediately afterwards, it bifurcated into dozens of strands, and followed the airflow into thinner bronchial tubes...

This meticulous lung exploration took more than nine minutes of Yu Zhiming's time, and a detailed whole-body examination was no more than that.

The hard work finally paid off. After such a long and detailed investigation, Yu Zhiming finally discovered some anomalies worthy of attention.

It's just that this is a little too abnormal.

Yu Zhiming found a total of thirteen abnormal points in Liao Xiong's left and right lungs where the airflow was abnormally disturbed or even blocked.

Some of these abnormal points appear in the trachea with a diameter of five to six millimeters, some in the bronchi with a diameter of three to four millimeters, and even bronchioles with a diameter of two to three millimeters.

Yu Zhiming could not determine whether these abnormal points were caused by inflammation of the trachea or lungs, or whether they were caused by foreign bodies.

We can only check and confirm one by one.

What Yu Zhiming knows is that the deepest bronchoscope can see bronchial tubes with a diameter of 4.5-6.3 mm.

Ultra-thin bronchoscopy can see bronchioles of 1.8-2.8 mm.

However, due to bronchial curvature and angles, not all bronchi and bronchioles can be explored.

At least half of the thirteen abnormal points discovered by Yu Zhiming should be blind spots that cannot be detected by bronchoscopy.

For abnormal points in the blind area, Yu Zhiming could not think of a particularly good method, so he could only examine them through traumatic lung puncture.

"Puncture is just a puncture. I'm not afraid at all. Doctor Yu, just check it out. If something goes wrong, it means my life is bad. I really don't want to suffer from coughing anymore."

Liao Xiong expressed his stance and asked eagerly: "Doctor Yu, should we do the examination now?"

Yu Zhiming shook his head and said, "We need to make some preparations."

He then told Liao Xiong, "You have to go to Dr. Wang Xingkui, the head of the medical center, and ask him to prepare an ultra-thin bronchoscope."

"Also, ask him to temporarily set up a lung puncture operating room in my place or other civil defense facilities."

"Puncture sampling requires precise positioning, and I want to stay in this very quiet environment."

Liao Xiong nodded vigorously and said, "I'll go find him later. Doctor Yu, is there anything else you need to prepare?"

Yu Zhiming said: "That's all."

"That's it for today. Get all these ready, and I'll do a lung examination on you tomorrow afternoon or evening..."

Taking the elevator back to the ground again, Yu Zhiming heard Qing Ning chattering and her eldest sister talking on the phone.

Yu Zhiming watched Liao Xiong leave quickly, and saw Qing Ning ending the call and jumping up and down.

"Zhiming, Zhiming, I have great news for you. Our Yu family is about to add another child."

again?

Yu Zhiming caught this key word and asked: "Is it possible that the third sister is pregnant? Didn't she say that having two children is enough?"

Qing Ning smiled and said, "Guess again!"

"Second sister?" Yu Zhiming raised his eyebrows.

"No, you have to guess again."

Yu Zhiming frowned and said, "It can't be the eldest sister, right? The eldest sister is almost fifty years old and has gone through menopause, so the possibility of getting pregnant again is quite small."

Qing Ning chuckled and said, "Why don't you guess at this junior? It's Xiaobo's girlfriend Jiang Feng."

"The eldest sister said that they had two negative marks on the pregnancy test in the afternoon, so they hurried to the hospital for a blood test, and the results just came out."

Yu Zhiming said with a sudden look on his face: "It turns out to be this brat. This guy got pregnant before he got married. He was so careless and irresponsible."

Qing Ning chuckled and said, "Sister is very happy."

"The eldest sister said that Xiaobo and Jiang Feng are both in their mid-twenties, and it's time to get married and have children. Some of the children in Xiaobo's hometown who are the same age are already good at it."

Yu Zhiming chuckled and said, "In my hometown in the countryside, there are indeed some people who get married and have children just after they turn 20."

He thought of another thing and said, "Jiang Feng is pregnant and has to buy a house. It's not good for Jiang Feng to confine himself in a rented house."

"I wonder how much money that brat makes?"

Qing Ning said with a smile: "All the money earned by his decoration company was invested in the real estate mortgage housing project."

She reached out and patted Yu Zhiming's shoulder and said, "Dr. Yu Zhiming, work hard and make money."

"At this stage, you are the big cow of the whole family, and you have to work hard."

Yu Zhiming smiled and said: "Even a house on the seaside is nothing to me. I can just treat two or three foreigners."

"Yeah, yeah, my husband is the best at making money." Qing Ning stepped forward and hugged Yu Zhiming's waist, raising her little face.

"The eldest sister said that if I get pregnant this year, next year, our Yu family will be able to have three full moon parties."

Yu Zhiming pinched the tip of Qing Ning's nose and said, "Don't you want to relax for another year or two?"

"When you have a child, your legs and feet are tied up, and it's not so convenient to go out to play and do errands."

Qing Ning chuckled and said: "The eldest sister said that my parents are still in good health, and she and the second and third sisters will also help us take care of the children."

"And my biological mother, she will also help."

Yu Zhiming analyzed: "The situation is not as optimistic as you think. The fourth brother-in-law has no close relatives at home. The fourth sister's child will definitely require more worry and care from his parents."

"Jiang Feng can't count on her parents. She can only rely on the eldest sister to pay more. The second sister and the third sister are not only working, but they also have to take care of their two children."

"As for your mother, my mother-in-law..."

Yu Zhiming reminded: "Your sister-in-law, I dare not say that she will definitely give birth to triplets. Two or three children is a high probability."

He touched Qing Ning's head and said, "So, anyone who can help us take care of our children will be very busy next year. Our best option is to postpone having children for a year or two."

Qing Ning pursed her lips and hummed, "I think the real reason why you don't want children is because you're afraid of them making noise."

Yu Zhiming said half-truthfully: "It's partly because of this, but the main reason is that I'm afraid of your hard work."

"Although we can hire a confinement nanny, it is more peaceful to have our own family taking care of us."

He put his arms around Qing Ning's waist again, lowered his head and pressed Qing Ning's forehead together.

"Well, it's getting late. We'll discuss the child issue later. Let's practice the process of birth of life first?"

Qing Ning nodded hurriedly...

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