The most enlightened doctor

At nearly 8:30 in the morning, Yu Zhiming rushed to the Zhizhen Building of the hospital and saw that the corridors on the third underground floor were full of people.

Today is Friday, and we are all waiting for a physical examination.

Yu Zhiming walked into the big office and found that Jiang Ge was also there.

"It only takes one day to settle in?"

Jiang Ge replied in a loud voice: "The place arranged for me has everything. Just bring your bags and move in. I will simply pack up, buy some daily necessities and personal items and everything will be ready."

Yu Zhiming said oh, pointed at Zhou Luo and Duan Yi and said, "You all know each other, right?"

Jiang Ge nodded and said yes.

Yu Zhiming added: "The cases of the patients I have seen will be sorted out by several of them, and finally compiled by you."

"Also, for the work I have done, such as the fluoroscopic diagrams of malformed hearts, various tumor diagrams, injury diagrams and other medical data generated by assisting others in surgery, you will also collect and summarize them."

Jiang Ge nodded again and said "Okay".

Yu Zhiming looked at Zhou Mo again and said, "Take Dr. Jiang Ge to the Human Resources Office to go through the secondment procedures, and arrange a workstation for her when she comes back."

Dr. Jiang Ge is a military doctor. Her working relationship is still with her original unit, and she works beside Yu Zhiming on secondment.

As for arranging workstations?

Zhou Mo couldn't help but feel a little worried.

There are nine desks in this office, which are used alternately by her, Zhou Luo, Shen Qi, Sui Chi, Duan Yi, Qin Qiushi, Zhao Fang and another accountant, as well as Zhang Hai and Sun Lin.

With so many people sharing a large office, plus a few pieces of office equipment, it's already quite crowded.

Now we have to squeeze out another office space.

Zhou Mo had a headache. The space on the three underground floors was inherently insufficient and too small.

In particular, Yu Zhiming also revealed that after a while, several young doctors will come over to learn from him.

At that time, only one ward can be used as an office.

Fortunately, if they persisted for another year, they would all move to Huashan Second Hospital.

It is said that the working space left for Yu Zhiming in Huashan Second Hospital is absolutely spacious...

Yu Zhiming made some preparations in the soundproof office, then came to the soundproof examination room to start today's physical examination.

The first people to undergo physical examination this morning were 20 people from the donation unit.

Yu Zhiming conducted physical examinations for them one by one and told them straightforwardly about the physical problems found.

As for how to treat and regulate the body, it is difficult for Yu Zhiming to tell you in detail due to limited time.

Moreover, Yu Zhiming also knew that he was not good at this aspect, so he asked them to consult relevant experts themselves.

In addition, Yu Zhiming's approach of only discovering problems and not solving them has become well-known, and those who come for physical examinations also understand Yu Zhiming's approach.

At nearly ten o'clock in the morning, Yu Zhiming began to examine the body of a man in his early forties with a gloomy expression, as if someone owed him eight million.

This person has maintained a pretty good figure, without the fat belly that most middle-aged people have. It shows that he lives a self-disciplined life and exercises regularly.

However, after some inspection, Yu Zhiming discovered a big problem with this man.

"Your liver has been damaged and you need to stop drinking to nourish your liver, otherwise you will be in danger of liver failure."

The man was startled and sat up from the examination bed.

"Me, liver damage? Liver failure?"

Yu Zhiming said solemnly: "Your current liver damage is still relatively mild, so you don't feel much."

"But I can tell you that if you continue like this, in just three to five months, you may develop acute liver failure, which will be life-threatening."

"So, starting from today, don't drink a drop of alcohol, and then quickly take care of your liver."

The man said anxiously: "Dr. Yu, I rarely drink. When I eat out, I never drink any alcohol. When I eat at home, I only drink a small bottle of beer at most."

"No more than three small beers a week."

"Can the way I drink it cause liver damage?"

Yu Zhiming frowned and said: "Don't hide it in front of me. I am a doctor, not a staff member of the Discipline Inspection Commission."

"Is your liver damage caused by drinking, drug poisoning or other reasons? Can I not be clear?"

"According to my investigation, based on your physical condition and liver damage, you should have been drinking continuously in the past six months."

When the man heard this, he became anxious.

"Dr. Yu, do I need to lie to you? I really don't have more than three small bottles of beer a week."

Yu Zhiming saw that this guy had a tough mouth and said impatiently: "Okay, whatever you say is fine."

"However, I would like to remind you again, you'd better believe what I say, don't drink a drop of alcohol from today on, and take good care of your liver."

Seeing that this guy was about to refute again, Yu Zhiming waved his hand in disgust.

"The physical examination is over, you can go out."

The man strode away with an angry look on his face.

But when he reached the door, he suddenly stopped, turned around and walked back.

The guy took a deep breath and said quickly: "Dr. Yu, I know you are a medical genius and extremely capable. Your investigation will not go wrong."

"But please believe me, I definitely didn't lie, and I didn't drink alcohol."

Yu Zhiming frowned at this guy and asked, "What exactly do you want to say?"

The man exhaled again and said, "Doctor Yu, let me tell you one more thing."

"Two nights ago, I had a traffic accident with someone else. The other person was originally responsible for the accident, but I was found to have an excessive amount of alcohol in my blood."

"Then I need to take responsibility."

"But I can swear that I didn't drink a drop of wine that day."

"This incident has a great impact on me. Maybe I will lose my current job and other things."

The man said with a bitter look on his face: "I applied for reconsideration, and the result of the reconsideration will be announced today."

After a pause, he continued: "Dr. Yu, to tell you the truth, I once thought that someone was secretly harming me."

"You must also know, Dr. Yu, that the relationships in this large company are very complicated, and there are a few people who are very dissatisfied with me."

The man took another deep breath and said, "Dr. Yu, there is absolutely nothing wrong with your examination..."

He tightened his lips and said, "Assuming I'm not lying to you, I don't consume more than three small bottles of beer a week."

"In this case, Doctor Yu, what do you think could be the reason for my situation?"

this……

I don’t usually drink much, but my body has liver damage caused by regular drinking...

Yu Zhiming was running rapidly in his mind, and said in a deep voice: "I didn't drink, but my blood alcohol content exceeded the standard..."

"Such a situation does exist."

"What caused it?" The man's eyes lit up.

Yu Zhiming said slowly: "A relatively rare disease, automatic brewery syndrome..."

Ethanol is a naturally occurring alcohol produced by fermentation of organic matter and is the alcohol in alcoholic beverages.

The human body produces its own alcohol all the time.

In humans, bacteria and yeast in the mouth and intestines cause carbohydrates to ferment in the gastrointestinal tract. This process produces a small amount of ethanol, which then enters the bloodstream.

According to multiple studies, a healthy and awake person typically has 0.8 milligrams of endogenous ethanol per liter of blood.

It's just that these values ​​are too small to be easily detected in blood and would not cause legal problems for people.

But people with autobrewery syndrome, it's a different story.

People with this disease have digestive systems that produce large amounts of fermenting bacteria and fungi that can produce large amounts of alcohol from sugar-rich foods.

Such patients can get drunk just by relying on the endogenous ethanol produced in their bodies, even without drinking any alcoholic beverages.

Because the liver must metabolize the alcohol produced, patients with autobrewery syndrome are prone to liver failure if their symptoms persist for a long time.

The man asked expectantly: "Dr. Yu, how can I be sure if I have automatic brewery syndrome?"

Yu Zhiming said: "It's very simple. Alcohol in the body comes from simple sugar substances, such as starch and carbohydrates."

"You can eat more of this kind of food, and we will do a dynamic alcohol content monitoring on you..."

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