This Doctor is Great
Chapter 126: The patients at the grassroots level are either not very sick or very sick
After dinner, there is no lunch break.
Zhou Mo and others started to get busy.
The mountainous area of northern Guangdong is a bit colder, much colder than the city, but fortunately, it is warmer when busy.
The free clinic is located in the room of the community center, where the villagers' meetings are usually held.
A table lined up.
At this time, villagers have come to the community one after another.
Since yesterday, the village leaders have arranged for personnel to use the village radio and motorcycles to run loud speakers everywhere in the village to inform the villagers that there are expert doctors from the provincial capital to see the doctor free of charge.
For the sake of seeing a doctor and watching the fun, they came to the community one after another.
Zhou Mo and others looked around,
Good guy, there are about 70 villagers!
Zhou Mo glanced at it.
"Most are old people."
"It should be that all the young people have gone out to work, and only the elderly are there."
"I've heard before that patients at the grassroots level are either not sick or very sick... I don't know if it's true."
"It's hard to say..."
soon,
The village leader stood on the podium: "Hello, fellow villagers, now we warmly welcome the experts from the provincial capital."
wow~~~
The villagers who joined in the fun gave enthusiastic applause.
The experts in the provincial capital are very rare!
look,
Experts move!
so amazing!
A look of excitement and curiosity like watching a big horse monkey show.
Teacher Huang Li was wearing a white coat and standing on the podium.
Generally speaking, white coats can only be worn in the hospital, and cannot be worn outside the cafeteria and other places.
why?
Because the white coat may carry a lot of germs, if you go to the cafeteria and pass it on to others, you will feel the whole hospital, and you will be finished.
Today, Zhou Mo and the others are all wearing white lab coats, brand new ones they have never worn.
Mr. Huang Li stood on the podium:
"Dear folks and elders, I'm very happy to come to our village today to give you some popular science publicity and free clinics..."
"This is my first time going to the countryside for a free clinic. I feel a little excited and a little nervous. I hope that our free clinic will help everyone..."
"We are a cardiologist, and we are good at cardiovascular, hypertension, heart, coronary heart disease, and others..."
"Does everyone know that you have high blood pressure?... If you know you have high blood pressure, raise your hand..."
Soon, more than half of the thirty or forty villagers raised their hands.
"Wow, most of them have..."
"Auntie, how old are you this year? How many years have you had high blood pressure?"
"70 years old, high blood pressure for more than 20 years..."
"Wow, it's been a long time... Everyone should pay attention, the most effective way to control high blood pressure is to intervene in life, avoid unhealthy diets, such as high salt, oily, inactive, smoking, drinking, poor sleep... these high blood pressure..."
"Also, does anyone have a sphygmomanometer? Raise your hand and see..."
Soon, most of them raised their hands.
"There are almost all sphygmomanometers... Those who don't have one, you can buy one. What should you buy? It's best to use an arm type, and try not to choose acupressure or the like... Because the closer it is to the heart, the more accurate it is."
"Do you all use a sphygmomanometer?"
"Okay, let's show you how..."
Then he shouted to Zhou Mo: "Little Mo, come here..."
Zhou Mo nodded and walked to the podium with a blood pressure monitor, in front of the old woman who was in her 70s just now.
"Old lady, how about you come and help me set an example?"
"Okay~~"
Zhou Mo brought an upper-arm sphygmomanometer to the old lady, and said popularly: "Elders, wear this sphygmomanometer, which is usually two finger widths above the elbow... When measuring, try to measure with bare arms, which is more accurate, right. Well, the sitting test is more accurate..."
"Everyone knows, do you measure your left hand or your right hand?" Zhou Mo interacted.
"I don't know." The old people were still quite lovely and responded enthusiastically.
Zhou Mo said: "Generally, which side is high blood pressure, which side is measured... Of course, if one side is high and the other side exceeds 20, you must go to the hospital for an examination as soon as possible. Don't delay..."
Soon, the old woman's blood pressure came out.
154/89mmhg...
"Auntie, you need to control your blood pressure..."
"When your blood pressure is high, it's like a water pipe. If the pressure is too high, it's easy to burst... By the way, are there any elders with cerebral infarction here?" Zhou Mo asked.
"Yes..." Many villagers pointed to an old man with a sullen expression, "He has a cerebral infarction..."
Villager: "After he was sent to the hospital, that's it, he can't even speak."
Zhou Mo nodded: "It should be because the blood pressure is too high, causing the blood vessels in the brain to burst..."
...
I also learned about other knowledge, such as cardiopulmonary resuscitation, but this is a bit difficult for these elderly people. It is estimated that they are not strong enough to press.
In half an hour,
Formal free consultation begins.
Zhou Mo came to an auntie: "Auntie, let me give you a heart and lungs..."
Zhou Mo took the stethoscope and began to listen.
Upon hearing it,
Atrial fibrillation!
Zhou Mo is madly sweating, awesome.
Ventricular fibrillation, he encountered.
But atrial fibrillation has never been encountered.
Atrial fibrillation is not ventricular fibrillation, ventricular fibrillation is already dying.
Atrial fibrillation, also known as atrial fibrillation, is irregular blood flow in the heart.
It has a consequence: prone to local thrombosis, these thrombus are usually attached to the atrium above.
Once the thrombus falls off, it may flow to different organs with the blood flow, causing corresponding embolism, such as 'cerebral infarction'...
It may also cause superior mesenteric artery embolism, limb arterial embolism, renal artery embolism...
Once embolized, what will happen?
Local tissue ischemia, hypoxia, and then necrosis!
Once these situations occur, the patient will die in minutes, which is more dangerous!
"Old lady, you have atrial fibrillation, and your heart rate is not very consistent. It is best to go to the county hospital for a checkup and prescribe some medicine. If the county hospital does not work, you can go to the provincial capital, or come to our second provincial hospital... etc. I'll leave a phone call for you, you can call us if you have anything..."
Zhou Mo brushed and wrote down the diagnosis, blood pressure results, and department contact numbers.
"By the way, as soon as possible..."
The old woman laughed, but she didn't take it seriously, but she still put away the paper that Zhou Mo wrote down.
Next,
Also an old woman, Zhou Mo heard that heart sound, no, there was valve regurgitation, and it was quite serious. Blood pressure is also high.
"Oh, you have this problem, go to the hospital for an examination, it's very serious... If this disease is not cured, it will not be cured after 2 years..."
The next one is the old lady.
"How long have you had chest pains?"
"One month~www.readwn.com~ You have a problem, is your son at home? Maybe go to the provincial capital for an imaging..."
"what?"
"Really, don't delay, you may have a heart attack."
Continue to write diagnosis results, blood pressure results, contact numbers...
I saw four in a row, all of which were big problems.
At the fifth time, I finally only had high blood pressure, and no heart disease was heard.
Sixth, he said that he did not have high blood pressure. As a result, Zhou Mo took a test, oh, 160, and he was definitely high blood pressure, but the patient didn't think he didn't find it.
really,
Huang Yiming is right, the patients at the grassroots level are either not sick or very sick.
.
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