Come on, Dr. Wu

Chapter 134 A fellow villager meets a fellow villager (please vote for me)

"We have more time. The program "Yi Lu Offer" is very popular now. Not only are we watching it, but our classmates are also watching it. We are still thinking about when we can participate in such a program like you." .”

The envy in Jin Jing's words was even greater, and the eyes she looked at Wu Xiaofu were filled with little stars.

"Brother Fu, you are our idol. After our service period is over, we will also take the postgraduate entrance examination. After graduation, we do not expect to go to a top hospital like the First Affiliated Hospital. We will be satisfied if we can stay in a top-level hospital in Donghai. ”

tertiary hospital.

There are many tertiary hospitals across the country. Regardless of their scale, without exception, these tertiary hospitals are at the top level in a region.

Patients in one area will also all go to this top-level hospital.

The development of Donghai is much better than that of Bei District. In a prefecture-level city in North District, there is basically one tertiary hospital, and the better ones are two or three. Only the capital can develop specialized hospitals, and there are more tertiary hospitals.

In Donghai, basically one district or county can develop one or even multiple tertiary hospitals.

They are both called tertiary hospitals, but the difference is huge.

Before studying medicine, they didn't think so, but after studying medicine, they realized that the gap between second and third could be so big.

"Huh? Are you from the north too? From the northeast of my hometown."

Some tertiary-level hospitals are just better than county-level second-level hospitals, and some are top hospitals like the First Affiliated Hospital.

"No wonder, my pastoral area is not far away."

In the cafeteria.

"Yeah! The food is good."

I suddenly started to cry in my heart, thinking about the past few years, how many years they have been missed by others.

Ah!
If you can't roll to death, roll to death!
Brother Fu, are you serious?
Not only Jin Jing and the others looked at Wu Xiaofu, but also Yu Xiaoze and the others, and they were all swept to death.

Wu Xiaofu couldn't help but admire, it wasn't a compliment, but the cooking skills of the lady from the health center were really better than the one from the First Affiliated Hospital. The taste was so authentic.

This is not a compliment. If you are used to eating northern food, you will find that when southerners eat, they always seem to lack a spoonful of seasoning and the taste is a bit bland, but today Wu Xiaofu finally found the taste of home.

"Sister, you are from the north, right? This taste is so authentic. It is definitely the most authentic thing I have eaten since I came to Donghai."

For any top tertiary hospital, the threshold for recruiting doctors is a master's degree. This is still in the North District and in Donghai. Except for some remote or small places, the basic threshold is raised to a doctorate. That's why Jin Jing and the others said this. Masters from non-prestigious schools If you can get into a tertiary hospital, you won’t have to choose.

"We who study medicine are hard work. If you can't get a bachelor's degree, you can get a master's degree. If you can't get a master's degree, you can get a doctorate. If you can't do it in one year, you can do it in two years. If you can't do it in two years, you can do it in three years. If sleeping less for one hour is not enough, then sleeping less for two hours will not kill you. Just roll into death, this is how we got here, we can all do it."

No wonder Wu Xiaofu was so good. Maybe Wu Xiaofu got up secretly to study after they fell asleep.

Sister Zhou!
Wu Xiaofu looked at the cooking lady. Although there were about ten more people, the cooking lady was still very efficient. No, this was already on the table.

One thing that is good about health centers is that there is little competition and a strong sense of humanity.

But without exception, only tertiary-level hospitals can ensure the continuous progress of doctors, because tertiary-level hospitals represent resources and support levels, as well as the number of patients, etc., which are incomparable to hospitals below third-level.

It tastes right.

Wu Xiaofu carried the rice bowl and came to Sister Zhou's side. Sister Zhou was shocked, "You kid, you scared me so much that you suddenly sat down here."

"Yes, this is the biggest motivation for us to persevere. If one day she leaves, Sister Zhou will definitely be the one we are most reluctant to part with."

what!
The eldest sister was also a little excited when a fellow countryman met a fellow countryman, "You told me earlier, wait."

After a while, the eldest sister came over with two more bottles.

"Taste it."

Authentic Northeastern pickles.

Wu Xiaofu took two bites, and the taste became more correct. Others looked at Wu Xiaofu and Sister Zhou mingling together, coaxing Sister Zhou to take out all the private goods, and they couldn't help but be a little dumbfounded.

Otherwise, you have to be a social gangster, my rich brother, that’s fine.

"What kind of dish is this?"

"Pickles, but they are different from the ones here."

This guy Yu Xiaoze didn't admit he was a stranger, so he came over and took a bite. Not bad, so he continued. After a while, everyone else came over to sit down.

"Sister Zhou is usually reluctant to give us food. Brother Fu, you are more proud."

Sister Zhou heard this and immediately said, "For you guys to eat, it's fine chaff chewed by wild boars."

Sister Zhou has been working in the health center for ten years, and she is very familiar with them. She looks at Jin Jing and the others as if they were children. Once they are familiar with each other, they talk much more cordially.

What? Wild boar! Fine chaff!
No one dared to say anything. Who said this was Sister Zhou's thing.

"Sister, do you have high blood pressure?"

While eating, Wu Xiaofu suddenly asked, and Sister Zhou was also stunned, "Is it okay? I haven't measured it before."

Everyone also slowed down their eating movements and looked at Wu Xiaofu. What's going on? It's about to begin!

But can high blood pressure be seen at a glance? Just kidding!

Why didn't they see it? From this, Qu Ying and the others looked at Sister Zhou a few more times, and even Xiong Hongye and the others looked over with interest.

"Do you usually have headaches or dizziness? I see you are always looking closer when you are looking at something. It has happened several times. It shouldn't be myopia."

Sister Zhou nodded immediately after hearing this, "Sometimes I have a headache, but it only lasts for a while. I also get dizziness occasionally, and it basically just goes away in a flash. I guess it's from fatigue, but it's the dazzling feeling that I didn't deal with. Others say, if you hadn't said you were a doctor, your judgment would have been too accurate." What? There really is!
Everyone was shocked. The eight people at the other table, Xiong Hongye, also stopped eating. They did not expect that Wu Xiaofu would be the fastest to get into the mood during this free clinic in the countryside. Wu Xiaofu had not even had time to finish a meal. It actually started with cooking for Sister Zhou.

Zheng Xinxue was also a little surprised at this time, so she simply stood up, came directly behind Wu Xiaofu, and looked at Sister Zhou.

"Sister, there are a lot of bloodshot eyes in your eyes. I'm afraid it's not a matter of a day or two. It's probably not caused by poor rest. The bloodshot eyes are rugged. I'm afraid there are blood vessel changes. This is the phenomenon of arteriosclerosis. High blood pressure is It’s the most common reason, I just said casually, let’s take a blood pressure check later.”

Sister Zhou was also interested now, "Okay, after eating, you can take my blood pressure."

High blood pressure has become a common disease. At this age, half of ten people really have high blood pressure, and the other half probably have high blood lipids. Those who progress quickly are probably directly in the third high blood pressure. Sister Zhou's side She also has high blood pressure, and she is afraid of taking medicine every day.

In the internal medicine clinic.

Wu Xiaofu found a sphygmomanometer to measure Sister Zhou's blood pressure, which was 200/120mmHg. When everyone saw the result, they couldn't help but open their mouths in shock.

This is already grade three hypertension!
"So high? Isn't it wrong? Please measure this side for me again."

Wu Xiaofu did not refuse, and measured Sister Zhou's right arm again. It turned out that the right arm was higher than the left arm. Sister Zhou was even more frightened when she saw it, "It can't be that the blood pressure monitor is broken."

Wu Xiaofu immediately measured himself, which was 120/80mmHg. Since it was mercury, Wu Xiaofu directly rounded it up.

As soon as the results came out, everyone knew that Sister Zhou was probably suffering from high blood pressure.

"Sister, have you never fallen before?"

Jin Jing couldn't help but ask, after working in the health center for so long, they didn't find out that Sister Zhou had high blood pressure. Forget it if it was in the early stages. It's already more than 200 years old. It's simply terrible. An accident. , people disappeared at any time, and they didn't even notice it. It was really shocking.

"It's okay. As for what Xiao Fu just said, I don't have any other feelings. Well, sometimes I feel a little flustered. Now it seems that it may have something to do with this."

Wu Xiaofu nodded. In fact, it was not uncommon for Sister Zhou to be like this.

Individuals have different physical qualities. Some people feel uncomfortable when their blood pressure is slightly higher, while others feel fine even when their blood pressure reaches over 200.

Sister Zhou is from the north, her physical fitness seems to be much better, and it is understandable that she can tolerate a higher intensity.

But just because I don’t feel anything personally doesn’t mean there are no changes in my body. No, headaches, dizziness, and palpitation are all manifestations of high blood pressure. But the symptoms are so mild that Sister Zhou doesn’t care. Sister Zhou is also a poor child, and she has been used to it since she was a child. , I basically have to deal with minor illnesses and disasters. I'm afraid I really don't take the occasional dizziness and headaches seriously.

But the change in his eyes is from the inside out.

Measuring blood pressure means measuring the brachial artery, which measures the vasodilation and contraction pressure. A blood pressure of more than 200 means the pressure on the blood vessels. It is conceivable that over time, arteriosclerosis will appear, and the cause of palpitations is also From this, if the blood is not pumped enough, you will naturally feel flustered. There are small blood vessels in the eyes, which are all extended, and other blood vessels will only make it worse.

Closely connected is the skull, the fundus of the eyes have changed, and the intracranial pressure is unknown how high it is.

This is very dangerous. Many patients with high blood pressure say that cerebral hemorrhage means cerebral hemorrhage, which is extremely dangerous. Therefore, high blood pressure cannot be delayed and must be treated early.

Even if the intracranial blood vessels do not burst, the sclerosis of the blood vessels under the eyes will cause changes in the eyes. Blurred vision is only an initial symptom, and it is not impossible to become blind later.

"Xiao Fu, your observation skills are indeed good. Most people can't notice the changes in Sister Zhou's eyes."

Zheng Xinxue looked at Wu Xiaofu and couldn't help but praise. Lin Shaoyuan couldn't help laughing when he heard this, just like his own child being praised.

Wu Xiaofu also smiled shyly.

Observation is scary on one hand, but experience is more important. Medicine is empirical medicine. If you don’t see much, it’s useless no matter how good your observation is.

Coming from a pastoral area, he had a lot of high blood pressure. Wu Xiaofu had seen a lot of changes in his eyes, and he could naturally tell them at a glance.

There is an obvious difference between northerners and southerners, that is, northerners obviously have heavier tastes.

An important reason for the occurrence of high blood pressure is that the food we eat is too salty. Among other things, northerners prefer pickles. Just look at Sister Zhou, who has been in Donghai for ten years, and she still eats pickles every time.

Pickles are made from salt. The main component is sodium chloride, which contains a lot of sodium ions. Eating too much will increase the concentration of sodium ions in the blood, causing an increase in plasma osmotic pressure and causing more water to be absorbed in the tissue fluid. into the blood vessels, causing an increase in effective circulating blood volume and an increase in blood pressure.

The occurrence of this situation will also cause the arteriolar wall to increase its reactivity to norepinephrine, angiotensin and epinephrine in the blood, causing arteriolar spasm and increasing the resistance of small arteries throughout the body, leading to an increase in blood pressure. , Well, this is also an important reason for sclerosis of blood vessels under the eyes.

Therefore, doctors will repeatedly tell patients with high blood pressure to eat a light diet, which is actually a low-sodium diet.

People in pastoral areas eat saltier food. Not only do they eat salty food, but they also drink wine as water and eat more meat. The probability of high blood pressure is even higher.

Wu Xiaofu goes back every year, and there are many people who come to him for research. This is all done through practice. I don't dare to talk about other internal diseases. He is also an expert in high blood pressure and high blood lipids.

"Xiao Fu, please hurry up and prepare some medicine for me. I need to get it down as soon as possible."

Sister Zhou hurriedly said to Wu Xiaofu, who also comforted him by saying, "The medicine must be prescribed, but we have to check first. There are primary and secondary high blood pressure. If it is primary, just take the medicine." , if it’s a secondary disease, you have to look at the primary disease first. Sister, does anyone in your family have heart disease?”

Sister Zhou said before that it was palpitation. If the high blood pressure is secondary, it is mostly renal, but also cardiogenic. There are also some other diseases that can cause it. This is what people often say, even high blood pressure can cause it. The reason why you have to go to a big hospital is because in a small hospital, you might just ignore it and find out that your blood pressure is high and just prescribe medicine to fix the problem.

If it's primary, it's fine, but if it's secondary, it's terrible.

Not only is high blood pressure unable to be lowered, but the original disease may also be delayed, so a good check-up is necessary first.

Although the health center has limited conditions, it can check a lot.

It doesn’t require too much, just an electrocardiogram, renal color ultrasound, and blood and urine tests.

"No one in the family has heart disease. My mother has high blood pressure. This cannot be inherited from me."

Not to mention, hypertension nowadays is really more and more genetic. Not only hypertension, but also rhinitis and myopia are beginning to be inherited. Genes are also advancing with the times.

With so many people serving only Sister Zhou, the results came out very quickly.

"At present, it seems that there are no major lesions in the heart and kidneys, so let's take medicine first."

At this time, Wu Xiaofu seemed to have transformed into a cardiovascular medicine doctor. Yu Xiaoze and Luo Fei were also stunned: Brother Fu, you look like this, we are stupid.

(End of this chapter)