The most enlightened doctor

Yu Zhiming did not tell Lu Kewen that his wife had a subcutaneous implant for contraception.

After all, in the next few years, his wife will have to undergo treatment for breast cancer and take various measures to prevent recurrence.

I definitely don’t want to think about getting pregnant and having a baby...

At nearly three o'clock in the afternoon, Yu Zhiming saw the violinist whose hands were shaking from time to time.

It is said that musicians have temperament. The handsome guy in front of him, who looks to be in his mid-twenties, nearly 1.80 meters tall, and has short hair that covers half of his ears, really gives Yu Zhiming a sense of grace.

If it weren't for the haggard look on this guy's face, Yu Zhiming felt that his grace would be overshadowed by him.

Yu Zhiming quickly looked through violinist Xia Jun's condition information and asked casually: "Hand tremors occur randomly. This is random. Can you explain it specifically?"

Xia Jun raised his right hand, showed his slender fingers to Yu Zhiming, and said, "The attacks of hand tremors are irregular and irregular. Sometimes they don't happen once for half a day, and sometimes they happen several times a day."

"There was no sign of the attack. When I was practicing the violin, eating with chopsticks, and drinking from a water glass, I suddenly started shaking a few times. At that moment, it was as if the hand was not mine and was not under control at all."

Xia Jun said with a bitter look on his face: "This irregular hand shaking has had a very fatal impact on my violin career. Because I am always worried about sudden hand shaking, I cannot devote myself to practicing. My violin playing level is... Straight down."

After a pause, he added: "I have been treated several times to no avail, and consultation with experts has not yielded a definite result."

"Dr. Yu, you are my last hope."

Yu Zhiming put down the disease information in his hand and said: "I will do my best, let's do a check-up first..."

The causes of hand tremors can be said to be diverse.

Such as overwork, excessive tension and anxiety, hyperthyroidism, Parkinson's syndrome, autonomic nervous system disorder, ion disorder, etc.

Yu Zhiming looked through Xia Jun's previous physical examination data and diagnosis and treatment information, and could rule out pathological factors such as thyroid, Parkinson's, brain and spinal cord lesions.

Xia Jun also received psychological treatment for excessive stress.

If you are overly nervous, your sympathetic nerves will easily be excited, leading to autonomic nervous system dysfunction, reflex hand tremors, and a slight tremor in your hands.

When the mood calms down, the trembling hands will return to normal.

Xia Jun said that although he attaches great importance to the World Violin Youth Grand Prix and is fully prepared for the competition, his hands will not shake due to excessive nervousness.

After all, he has experienced many big and small competitions over the years, and his hands have never shaken due to nervousness.

However, due to the disease, Xia Jun sought medical treatment indiscriminately, and Xia Jun still went for psychological counseling, but the results were disappointing.

Hand shaking from time to time, still there...

Yu Zhiming spent nearly twenty minutes giving Xia Jun a full-body and detailed physical examination.

Especially the brain, spinal cord, right hand nerve and other key parts, Yu Zhiming made more than one examination.

However, he found no organic abnormalities or lesions that could cause Xia Jun's hand tremors.

"How long does your hand shaking last for?"

Xia Jun replied: "Just a second or two, just like a shiver after urinating, two uncontrollable shakings and it's over."

This irregular hand shaking lasted only a short second or two, shattering an idea in Yu Zhiming's mind.

In such a short period of time, Yu Zhiming was unable to make a quick check to detect the problem when his hand trembled.

However, Xia Jun's words also gave Yu Zhiming some inspiration, like a shiver after urinating?

Shivering after urinating usually means urinary tremors.

Urinary tremor is a very common physiological reaction, which is probably caused by the rise and fall of blood pressure.

When the human body releases a large amount of water after holding in urine for a long time, the blood pressure level will drop slightly, so the sympathetic nerves will secrete neurotransmitters such as "catecholamines" to help the human body return blood pressure to normal. This may be one of the reasons for "urinary tremors".

Because men urinate while standing, their blood pressure drops more rapidly during urination, so they are more likely to tremble.

There are some other explanations for urinary tremor.

For example, because urinary tremors are more common in winter, peeing will cause the body to lose a lot of heat. In order to maintain a balance of heat, the brain will instruct the body to immediately replenish the lost heat by shivering.

For another example, holding in urine is more likely to cause urinary tremors. If you hold in urine for too long and suddenly empty it, it will cause strong enough stimulation to the sympathetic and parasympathetic nerves, causing nerve reflexes, and the body will tremble involuntarily.

Perhaps, Xia Jun's hand trembling is also a reflex caused by normal physiological reasons like urinary tremor?

Thinking of this, Yu Zhiming asked: "Do you have a record of every time your hands shake?"

Xia Jun was slightly startled and shook his head.

Yu Zhiming asked again: "Then can you recall when, where and under what circumstances each hand tremor occurred?"

He further reminded, "Can you still recall what you ate, what you drank, what you were doing, and what you had already done?"

Xia Jun said with an embarrassed look on his face: "Doctor Yu, I have been having trembling hand attacks for more than two months, at least hundreds of times."

"I certainly can't remember that many things."

Yu Zhiming said in a deep voice: "Xia Jun, I have not found anything abnormal in your body that causes hand tremors."

"I have a guess that your hand shaking may be caused by some normal physiological reasons, some kind of external stimulation, or other unknown reasons."

"If you can recall all the details of each hand tremor attack, maybe you can find the pattern and analyze the cause of your hand tremors?"

Speaking of this, Yu Zhiming noticed that Xia Jun's eyes became shiny.

Obviously, his words gave Xia Jun hope that his trembling hands would be cured.

Yu Zhiming added: "Of course, it is a little difficult to recall things that have passed one by one."

"While you are trying to remember, you should also be ready to take notes from now on, and try to record all the details of every time your hand shakes in the future."

"I think your hand shaking seems random and irregular. As long as you record it more times, you can always find some patterns."

"As long as we find the pattern of attacks, it may be very important to find the cause."

Xia Jun nodded vigorously and said: "Doctor Yu, I think your method is reliable, very reliable."

"You are truly a medical genius."

Xia Jun added: "I don't have to participate in this World Violin Youth Competition."

“But the violin, which has been with me as long as I can remember, has become a part of my life.”

"Dr. Yu, thank you for giving me hope when I was almost in despair. I will think about it when I go back and make sure to keep records..."

After sending Xia Jun away, Yu Zhiming also felt a little emotional.

Although Xia Jun's problem has not been solved yet, this time he did not rely on his subtle body exploration talent. Through his own medical wisdom, he came up with a method that has a high probability of success, and he feels full of accomplishment...

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