Come on, Dr. Wu
Chapter 135 Disease enters through the mouth
Chapter 135 Disease enters through the mouth
"It's good to take medicine, it's good to take medicine!"
Sister Zhou's face immediately showed joy when she heard that taking medicine is enough. No one wants to get sick, but if they really get sick, their requirements will be lowered. It is not impossible to have a minor illness. If you can take medicine, you will definitely not need surgery. You can go to the outpatient clinic. It seems that he will never be hospitalized. Now that he just needs to take medicine, he is naturally very happy.
"Xiao Fu, what medicine are you going to prescribe?"
Zheng Xinxue suddenly asked. Wu Xiaofu pondered for a moment and then said, "Teacher Zheng, what do you think of nifedipine controlled-release tablets plus perindopril and hydrochlorothiazide? I used to prescribe this to people in my hometown, and the effect is All pretty good.”
Zheng Xinxue also nodded at this time. She did not expect that Wu Xiaofu was still a promising cardiologist.
Now Sister Zhou’s blood pressure has exceeded 10, and her diastolic blood pressure has also exceeded . With such high blood pressure, even if she takes medicine for the first time, one medicine cannot lower it. She must use a combination of medicines. Wu Xiaofu still uses these three medicines. It is very reasonable. When people usually take medicine, any one of the three drugs can lower blood pressure by about mmHg. The effect of the combination of the three drugs is not that one plus one plus one equals three.
Maybe five, six or seven.
Moreover, these three types of drugs can also help lower the heart rate, diuresis, and effectively protect the patient's heart, which is very commendable.
"good."
Seeing that Zheng Xinxue had no objection, Wu Xiaofu immediately placed the order.
The boss is the boss, even when the inspection equipment is imperfect, he can still see everything.
Sister Zhou's face suddenly turned bitter. Without pickles, the taste would be half as bad. She was afraid that she would lose weight in the future.
This afternoon, the protagonists are Xiong Hongye and the others. Wu Xiaofu and the others will watch first and learn first, and then starting from tomorrow, they will join the battle.
In fact, those who can come at this time are basically not seriously ill. Those who are seriously ill have already gone to major hospitals to see themselves. Even those who come in the afternoon are basically fine.
Looking at the aunt's skinny face and sallow complexion, this is not just a symptom of malnutrition.
Wu Xiaofu suddenly became serious, "Sister, if you do this, I will confiscate it."
"It's okay, I'm young and resistant."
Most of them are old men and old ladies, and they don’t spend any money anyway. At such an old age, they don’t feel well anywhere, so they just want to take a look and prescribe some medicine.
Zheng Xinxue was also a little helpless, and the cardiologist became the specialist in dealing with family conflicts.
He smiled and said, "Taking the pulse is a skill passed down from our ancestors. How could we not do it? What's more, Western medicine also needs to master the pulse, but it's just not as in-depth as Chinese medicine."
After eating, the free clinic will begin.
In fact, they still enjoy this kind of moment. The pace of daily life is too fast. They are either out of the clinic, in the ward, or undergoing surgery. When they get home, they basically just fall asleep. When have they ever been so relaxed? Paid leave.
Wu Xiaofu and the others are also interesting to watch, and there is still a lot to learn.
Wu Xiaofu and the others are finally going into battle. After all, they are all people who have been outpatients. After looking at it yesterday, they think it is quite simple and can be dealt with.
This is already the forty-seventh patient that Wu Xiaofu has seen that day. Although most of the patients go to Xiong Hongye and the others, there are only four of them in Xiong Hongye. Some patients are not willing to line up or wait. , and they are also willing to come to Wu Xiaofu and the others to see it.
Wu Xiaofu should have the most patients here. After all, the village is so big, and Wu Xiaofu is quite reliable. If there is such a rumor among the villagers, if there is a general like Wu Xiaofu among the eight short men, naturally there will be more people gathered. , but they are just minor illnesses and disasters, but the one in front of me seems to be a little different.
If you don’t eat pickles, the taste will be reduced by half. If you don’t drink wine, people will be unhappy.
Wu Xiaofu gestured, "Auntie, come on, let me take your pulse first."
Ah!
No more pickles!
For minor illnesses, it depends more on the level, because when treating minor illnesses, it is not only necessary to solve the minor illness, but also to avoid missed diagnosis and misdiagnosis. It is easy for these big guys, but it is different for them.
Lin Shaoyuan didn't care, since he had never seen anything before, so if he couldn't do it, just chatting would be fine.
Take a pulse!
"Auntie? What's wrong with you?"
Xiong Hongye was helpless, and neurosurgery became a specialist in insomnia.
"What are you talking about? Am I that kind of person? Unless you give it to me, sister, how can I do that?"
"I have a big vat of pickled food at home. It would be a pity to throw it away. If I don't finish it, I won't eat it."
"Ahem, I feel weak. I always lose my appetite. I feel like vomiting even after taking a few bites."
Confiscated!
The health center had already told the group in the village that Xiong Hongye and the others were coming, and before three o'clock in the afternoon, they all came.
The aunt and the aunt's children were both shocked, "Aren't you Western doctors? Can you still take a pulse?"
on Tuesday.
"Sister, after taking the medicine, you basically cannot stop it. You need to take the medicine regularly and have regular check-ups. By the way, the most important thing is to live a healthy life. You can't stay up late in the future. Exercise properly and stop eating that pickle. , I should try to eat as lightly as possible from now on.”
Lian Jingwei was even more helpless, and the general surgery department only treated constipation and indigestion.
What's more, what a wonderful era, and in places like Fugui Village, there is no such thing as poor food and clothing, and the children accompanying them don't look like they are unfilial, and there is no such thing as abuse, so , there is a high probability that there are still symptoms.
Sister Zhou suddenly looked at Wu Xiaofu with some suspicion, "Our child was reading comics at school and the teacher confiscated it. When he got it back, he found that it was all ruffled. I'm afraid the teacher didn't take it away so he read it on his own. Don't you? Are you interested in my pickles?"
The big guys have experience, but they still need a little bit of comparison and a little bit of elimination, so there is still a long way to learn.
Everyone couldn't help laughing when they saw Wu Xiaofu tricking pickles.
Sister Zhou suddenly felt dumbfounded, "I also said that you are not interested in my pickles. Forget it, I can't eat them anyway, so I'll give them to you. But don't worry, you may also raise your blood pressure."
The aunt was quite happy to hear this. To be honest, the elderly of this generation have a high degree of trust in Chinese medicine.
Although Wu Xiaofu often makes people live healthy lives, he cannot abide by them all when it is his turn.
With nothing to do, Xiong Hongye and the others started directly.
Seeing that Wu Xiaofu could take a pulse, I felt that it was very reliable.
Wu Xiaofu took the pulse with three fingers and felt the aunt's pulse, but he couldn't help but frown.
A thin, heavy and short pulse is a sign of stringy pulse.
Putting down the aunt's hand, Wu Xiaofu touched the aunt's belly.
"Does it usually hurt here?"
What Wu Xiaofu touched was under the aunt's right rib, going downwards, and there was a slightly swollen thing, which looked like an enlarged liver.
"It hurts. This right side always hurts."
The aunt and the child were a little more serious at this time. They looked at Wu Xiaofu. As the villagers said, he seemed to have two brushes. At the same time, they were a little nervous in their hearts. They couldn't really be sick.
He nodded, "Do you usually feel bad about eating, have a stomachache, often suffer from insomnia, and are always dizzy?"
The aunt became even more excited, "Yes, they are all right, that's it. I was actually in good health before, but I don't know what happened. I couldn't eat and I became thinner and thinner. I lost weight in a year or two." It’s dozens of kilograms.”
Another important message.
It was approaching dusk, and there were not many people on Qu Ying's side. At this time, seeing Wu Xiaofu's appearance, they all gathered over. In fact, the aunt's illness is still very obvious. Qu Ying and the others are used to seeing all kinds of patients. Just from the aunt's appearance, you can really tell that she is sick at a glance.
"Do you usually drink?"
"I used to drink occasionally, but that's all. I haven't drank for many years."
"Do you usually take a lot of medicine?"
"I don't take much medicine, so what about health supplements? There are a lot of health supplements to eat. I have a relative who sells health supplements, and it's not easy. Anyway, I heard that this food is very good, so I eat some often. .”
Health products!
Wu Xiaofu realized something in his heart. From the looks of it, Auntie's health products are not just for occasional consumption. I'm afraid they haven't been for many years.
"Have you ever been sick before?"
"No, as I've grown up, doctors come to the village to get vaccinations, and I've never been to the hospital."
The aunt's child seemed to have noticed something and was a little anxious.
"Dr. Wu, did my mother eat those health supplements that were bad? I told him not to eat them, not to eat them, but she refused to listen. For more than a year, she has been unable to eat, but the health supplements are not enough. Luo Luo, my fourth uncle is the same. My mother is like this and even told her that health supplements are more useful than rice. It’s okay to take some health supplements without eating. Can these health supplements be used as food? "
Ah!
This person who sells health care products shouldn't be so ignorant. How can he say this? He seems to be his younger brother. He shouldn't even trick his sister. What kind of health care products are he taking?
"Let's see, there may be something wrong with your liver. I can't make a conclusion yet as to the specific cause. Come here early tomorrow morning and I'll arrange for the aunt to take a blood test and do a liver ultrasound to see what's going on with the liver. Yes. Come on, take some photos of the packaging of those health care products and I’ll take a look at them tomorrow.”
Wu Xiaofu said it euphemistically, but the child was convinced that this was definitely tricked by his fourth uncle, and wasn't Wu Xiaofu just saying that he had eaten his liver?
"Okay Doctor Wu, I'll bring my mother here early tomorrow morning, please."
After that, the child took his mother and left.
Along the way, he was still nagging, "I told you to check early, but you didn't listen. You said that if you don't check, you won't have any disease. Now it's better. It's already ruined your liver, and there are those health care products." , you are not allowed to eat it from now on."
Although he was complaining, the anxiety on his face was not too obvious. He was distressed.
"Brother Fu, is it liver disease?"
"Well, I feel that the liver is enlarged and the pulse is also a sign of hyperactivity of liver yang. The symptoms are not mild. It is probably drug-induced hepatitis. I don't know until it reaches the stage of cirrhosis. Moreover, after more than a year, I have lost weight. After so many injuries, the possibility of deterioration is not impossible, and we won’t know the details until the examination is completed.”
This!
Qu Ying and the others were shocked when they heard this. Wu Xiaofu had already said this, and they were probably inseparable. The same words sounded one way to outsiders and another to insiders.
A suspected tumor was found at this free clinic, and everyone felt a little heavier.
During dinner in the evening, Lian Jingwei and the others nodded after hearing this.
"Let's take a look with Xiao Fu tomorrow."
This kind of disease means early detection and early treatment. If you are lucky, it may only be in the early stage and can still be cured. No one as a doctor can just sit back and ignore it.
Wednesday morning.
The child came with his aunt early in the morning. He had dark circles under his eyes. He probably didn't sleep well last night.
When the aunt went for a check-up, the child came to Wu Xiaofu and asked.
"Doctor, my mother can't be suffering from some serious illness. I always feel uneasy when I go home. After checking on Du Niang, I can't even sleep. Can you tell me the truth?"
Du Niang!
Wu Xiaofu was speechless when he heard this. Can Du Niang believe it? If you have a toothache, you can find out the countdown to your life. It scares you to death. No wonder you can't sleep all night.
Today's Du Niang is really just a series of online consultation platforms that pop up with one search.
The symptoms ranged from mild to severe, and she was not mentally strong. It was really the symptoms that people wrote about, and she felt that she had the symptoms. In the end, she felt that she had the disease.
They are here to attract patients, and most of them are private hospitals. If they are fooled, it will cost a lot of money.
"Don't worry yet, Du Niang can't see a doctor either. We still have to read the examination report before we can make a final decision."
Inside the medical office of the health center.
The color Doppler ultrasound report came out very quickly. It came out just after the check. Even Jingwei and Lin Shaoyuan were watching it together.
"Hey, there really is a tumor. It looks like it's about four to five centimeters."
Even Jingwei gasped.
After the blood tests came out, the liver function indicators were basically high, it was certain that the liver cell function was damaged, and drug-induced hepatitis was basically confirmed.
The aunt's child has already brought those health care products over. Speaking of which, he was really tricked by his younger brother.
In fact, most of the informal health products are just some flour with a few added things. They are very cheap, but they sell for huge profits. If you are deceived by such health products, you will be deceived. Anyway, you won’t have much harm after eating them. The harm is just like eating flour, but what the aunt eats is different. There are a lot of additives, including many chemical raw materials and pharmaceutical ingredients.
This guy, you say, he has no conscience. He spent a lot of money on illegal health products. You say he has a conscience? This thing is even more harmful to people when eaten.
Ordinary people, even if my aunt eats like this, will probably get drug-induced hepatitis in just a few months.
And the aunt has been taking it for several years. Her health is not good. She can’t eat and she doesn’t stop taking health supplements. The damage is even greater. The hepatitis has developed into cirrhosis, and the cirrhosis has worsened into tumors. Now she can only send her to hospital. I hope the tumor has not spread yet. In this case, there is at least a chance for surgery. Otherwise, it will be even more troublesome. "Doctor Wu, is this true?"
Looking at the color ultrasound report in his hand, the child couldn't believe it. Why did a tumor suddenly appear?
"The conditions in the health center are limited. If you want to do further examination, you can only go to a big hospital. You can go back and discuss it with others. If you want, you can go to the First Affiliated Hospital. This is my phone number. After we have discussed it, you can give me I call."
The aunt's child nodded blankly, then thanked Wu Xiaofu and left in a hurry.
There are several brothers and sisters among them, so such a big matter must be decided after discussion.
time flies.
The four days of free clinic passed quickly, and Wu Xiaofu and the others returned to the First Affiliated Hospital.
Within the medical department.
Lin Shaoyuan and the others looked at the data in their hands. This was the free clinic data they compiled from Wu Xiaofu and others, checking the number of cases, satisfaction, etc. As for the situation at the scene, they were at the scene, so naturally they could see clearly who was performing. Well, it’s clear who performed worse.
On the data sheet, Wu Xiaofu stands out.
A liver tumor patient was discovered, and the number of patients was more than 200. The number of cases was basically increasing every day. This was a reputation. For a young doctor, this is not easy. Without real strength, it is impossible. impossible.
In this program, the program team may only be watching the assessment every weekend, but they, the teachers and the hospital, are not only watching this, but also the daily performance of Wu Xiaofu and the others, which is even more important. It's already the fourth week, and the reason why I have this data chart is to see if anyone can perform well enough to overturn their previous decision.
It seems there is none now.
Friday.
"Doctor Wu, I am Lan Cong, do you still remember me?"
Lan Cong was the son of the woman with liver cancer whom he met at the free clinic. Wu Xiaofu knew that they had made a decision.
"Well, have you discussed it?"
"Yes, we want to take my mother to the First Affiliated Hospital for a visit. Do you think when is a good time for us to go see you?"
(End of this chapter)
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