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Chapter 468 Free Clinic (First Update)
Director Huang was very pleased that Sun Lien brought two American experts to support the free clinic.The medical team is not short of staff, but the main people here are doctoral students with little clinical experience.Moreover, the main research directions of these doctors are focused on geriatrics and respiratory medicine.There are relatively few directions such as surgery and heart.

The free clinic team of Ningyuan Medical College came to Guojia Village for the first time, and they thought it was just a small village with inconvenient transportation at first.Such villages are the main coverage areas of free clinics.Most of the patients that need to be treated in the village are chronic diseases and mild diseases, but occasionally there will be patients who become extremely serious due to delay.

However, the patients from Guojia Village who came to consult were rather strange, especially middle-aged and elderly people over the age of 40. Most of the complaints were consistent, "headache, dizziness, and memory loss."

Headache is a symptom that bothers doctors the most.There are countless diseases that can cause headaches, from infections to genetic diseases, from high blood pressure to increased intracranial pressure, from tumors to parasites... There are too many diseases that may show "headache" symptoms.Moreover, most headaches lack obvious differences. Anyway, for patients, dull pain, sharp pain, and radiating pain are all "the pain is severe, the doctor will help me quickly."

If it is a well-equipped and powerful tertiary hospital with a variety of testing equipment and laboratory assistance, at least some common causes can be ruled out through imaging examinations when encountering such a private complaint.The conditions for free clinics are really unsustainable. In addition to blood pressure and temperature checks for these patients, only the ophthalmology department can check the intraocular pressure.

If the problem cannot be found out, then only a referral recommendation letter can be issued, suggesting that the patients who come for consultation should go to a large hospital for further examination as soon as possible.

The free clinic in Guojia Village has started for more than three hours, and eight referral proposals have been issued so far.This made Director Huang feel that something was wrong.At least in her opinion, the conditions of these patients in Guojia Village are very similar, and the possibility that these eight people suffer from the same disease cannot be ruled out.But it's not like a genetic disease or an infectious disease—in the same family of five or six, only patients over the age of 40 will have this condition.Among the slightly younger crowd, none of them reported having a headache or dizziness.

"There are a few patients whose main complaints are headache and dizziness. We are not sure about the current situation, so we suggest that they be referred to a third-level hospital." Director Huang introduced the situation to the three, and at the same time greeted the staff on the side He helped bring masks, gloves and white coats. "However, I always feel that there is something wrong with this situation, but we have done all the blood tests and other tests that can be done, and everything is still within the normal range."

Everything was within normal limits, but the patient reported chronic discomfort.This is a big problem.Sun Li'en frowned and sat down, feeling a little uneasy.He began to recall Zhou Jun's words—he couldn't be so unlucky, could he?Have you encountered a rare disease again?
A rare disease that causes at least nine people to become ill at one time?what is this?Rare Disease Discounted Clearance Sale?

Sun Lien was uneasy, but Pascal and Brunn looked overjoyed.After experiencing mahjong for five days at Sun Lien's house, the two really didn't want to continue playing.The two of them are thinking of getting some patients as soon as possible, even if it's just a small cold.

"How about this, you are in groups of three, first see these villagers who come to see the doctor." After all, Director Huang has rich experience, and he arranged the work vigorously, "The nine patients who complained of headaches and dizziness, I will let them come again later. Let's take a look. Maybe you can find some blind spots that we didn't notice during the consultation process?"

Sun Lien is a well-known figure in the Fourth Hospital. In addition to his iconic black face and Conan physique, he is also well-known for his diagnostic methods.It was also a patient that other doctors could not handle. Sun Lien was able to find clues to solve the problem during the consultation process.Director Huang Wenhui was also deeply impressed by this point.They are both doctors, and they treat patients seriously. They all have one head and two arms. How can Sun Lien find the direction and clues of diagnosis?
After much deliberation, Director Huang felt that the problem still lies in patience.Sun Lien asked the same question, but he was able to finish it seriously.Unlike some young doctors who are full of self-confidence, it is inevitable that there will be some frizzy and not serious situations in their work.Every question was carefully asked, and every answer was carefully considered.

It is very rare for a medical student who has just graduated to work seriously.What's even more rare is that while he is serious about his work, he is also empathetic.Sun Lien's achievements are not due to strong winds. To be able to carefully and meticulously complete the diagnosis and treatment of each patient under the circumstances of rare diseases, rare diseases, and difficult diseases, at least requires Sun Lien to treat every patient as a "person" Not an unfinished work process.This is actually the most important but also the rarest quality of being a doctor.

Thinking of this, Director Huang glanced at Sun Li'en with some sympathy. Of course, doing such a job is good for everyone, but the psychological pressure on the doctor himself will be great.I don't know if the child will be traumatized psychologically.

People who are too soft-hearted are not suitable to be emergency doctors.

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"As for your situation, there may be many reasons." The emergency doctor Sun Lien, who was judged by Director Huang Wenhui as unsuitable to be an emergency doctor, is trying to persuade the patient in front of him to go to a big hospital for treatment. "I've also seen it just now. There are no obvious bone injuries and trauma marks on your legs, and your nerve reflexes and sensations are also normal. In this case, you have a sudden limp... that is, you suddenly feel that you can't use your legs. It could be a huge problem.”

The aunt in front of Sun Lien resisted, as if what Sun Lien was saying was intended to harm her.But out of respect for the doctor, the aunt continued to listen - but the expression on her face was not very good-looking.

"In addition, your blood pressure has a large pressure difference - high pressure 170, low pressure 68, such a large pressure difference must be taken very seriously." Sun Lien picked up the teacup from the table, pulled off the mask and took a sip.The tea is brick tea provided by the village. It is not so good to drink it in the cold wind after soaking it in a thermos cup. "Now the equipment is limited, but you have also seen the results of your blood sugar test. The result of 13.3mmol/L has more than doubled the normal index. You should really go to a big hospital for a check."

The aunt continued to resist, "I just don't want to go to the hospital, please prescribe me some medicine!"

Sun Lien shook his head with a wry smile and said, "If I can, I'll do it for you. Your blood pressure is so high now, this sudden claudication may be caused by atherosclerosis and blockage of arteries in the lower extremities. Diabetic patients feel very Weak. Many patients don’t know it, but they get injured on their feet, and they don’t even know that their toes are rotten!” Sun Lien tried hard to tell his aunt about the horror of diabetes and high blood pressure. "I have taken such a patient before, God, the big toe of that foot is completely rotten, and he doesn't feel at all."

Seeing the "vivid image" Sun Lien said, the aunt couldn't help but gasped, "And then?"

"Then..." Sun Li'en sighed pretending to be sad, "Young boy in his twenties, amputated!"

Li Songzhao, whom I met in an Internet cafe in the capital a few months ago, finally had an operation to amputate his left thumb.Sun Lien deliberately did not say that he was amputated with half of his foot and his thumb.Instead, he continued to sigh with a wistful expression, "It's because he didn't pay attention to the high blood sugar, and because he didn't want to go to the hospital. After he found out, he had to amputate his limbs to save his life. Tell me, such a young boy is still alive. Not married yet!" He deliberately sighed in a homely tone, "This is amputation, how will I live the rest of my life?"

The aunt thought and thought, and asked cautiously, "Doctor, can drinking brick tea cure this high blood pressure?"

"Auntie, wash the rotten shirt with soap, can you wash the rotten cloth?" Sun Lien explained with a simple and easy-to-understand analogy as close to life as possible, "No matter how good brick tea is, it is not medicine. , if you took good care of your clothes before, you wouldn’t have ruined them all, right? You have to ask a good tailor to patch up your problem now. Otherwise, when the cloth is completely rotten, the clothes will be useless wore!"

The aunt thought about it, and finally nodded with a painful expression, "Okay, then I will listen to you. I will ask San'er to come up tomorrow and let him take me to the hospital!"

It took 10 minutes for consultation and examination, and then another 10 minutes to persuade the aunt to go to the hospital for treatment.After half an hour of hard work, Sun Lien felt that he had completely entered the state of healing—tired.Director Huang, who was a little further away, also nodded, Sun Li'en's arrangement is quite good, at least it is very suitable for the way of free clinics.

In fact, it is impossible to solve all the problems of patients who come to see a doctor through rounds and free clinics.After all, it was only a bus that came with the doctors, not an ocean-going medical ship.There are too many devices and treatments to choose from.For these patients, the most important thing is to go to the hospital for further treatment and examination in time.

"Everyone has worked hard." The village party secretary came over with a few younger boys. They all carried burdens on their shoulders, and enamel pots filled with cement and yellow mud hung on both ends of the burden. "The weather is too cold this time. The village found some braziers to light a fire for everyone to keep warm."

The location of the free clinic was chosen on a flat concrete field in front of the village committee.This flat land was probably built according to the standard of a basketball court in the beginning.Surrounded by villagers' houses, there was no wind.But in the winter environment, it is still a bit cold to rely on the sun alone.The secretary of the village party committee searched many homes before borrowing the braziers that the villagers usually use to keep warm, and lit fires for the doctors of the medical team to keep warm.

"This charcoal is also made of peat dug next to our village." The village party secretary seemed to be very proud of the fuel, "The smell of burning wood is too strong, the coal outside is full of smoke when burned, and the peat in our village is warm when burned. No smoke, it was famous in Changning before!"

Although the road from Guojia Village to the village is difficult, in the past, this area was the only way to trade with the border areas.It is precisely because of this that Guojia Village has the habit of drinking brick tea.And the method is quite similar to that of the ethnic minorities in the frontier - the goat's milk raised on the mountain is combined with the brick tea soup that has been boiled for several hours, and finally some salt is sprinkled into it.Take a sip in the cold winter, it is simply a good thing for the whole body to relax.

It's a pity that the medical team is not used to drinking "milk tea" cooked in this way.The village party secretary was a little helpless, these city people really don't know what to do!
(End of this chapter)