I can see the status bar

Chapter 469 Guo Ying (Second Update)

With the warmth of the brazier, Sun Li'en and the others suddenly felt that the chill on their bodies subsided a lot.Although it is still a little uncomfortable, at least it is much stronger than before.

Since it is an open-stove heater, there is no chimney, so it cannot be used in two tents-carbon monoxide poisoning is not something to be taken lightly.Fortunately, the heat insulation effect of the tent itself is not bad, but it can barely stay there.

While inviting the next patient to come, Sun Lien asked the aunt who had high blood pressure combined with diabetes and suspected arterial blockage in her lower extremities to go to the tent to take a B-ultrasound scan - although there is no CT and MRI examination, B-ultrasound can be checked Closure of the aortic valve in the elderly.By the way, it can be regarded as excluding the excessive pulse pressure difference caused by aortic valve insufficiency.

The situation of this aunt is more complicated, and the prompt given in the status bar is also very simple.The organ location and extent of the lesion are not directly stated.It is estimated that it is the type that needs to be checked slowly to find the crux of the problem.It is impossible for Sun Li'en to complete all the examinations here, nor is it possible to invite this aunt who has difficulty even going down the mountain to the hospital to run more than 100 kilometers to the Fourth Hospital of Ningyuan for treatment.So we can only do a little bit, eliminate all the problems that can be eliminated, and do all the inspections that can be done.

After seeing off the aunt, the next one is still an aunt.But older, already enough to be "grandmother" age.

"What's wrong with you?" Seeing the old lady hunched over, Sun Li'en quickly stood up and opened the stool, helped the old man to sit down slowly, and then asked, and at the same time, asked Pascal The doctor cast a begging look.

I have never dealt with the elderly seeing a doctor!
Dr. Pascal took the initiative to sit in front of the table, and took out a pair of gold-rimmed reading glasses from his pocket, and took out a pen from his pocket by the way.

With the change of movements, Dr. Pascal's demeanor suddenly changed. From an old American man with his hands together and his neck huddled warming the fire, he suddenly became an experienced... old Chinese medicine doctor.

Sun Lien was dumbfounded, but Dr. Pascal seemed to have noticed Sun Lien's psychological changes, so he smiled and said in English, "Some little tricks I learned before are especially useful for elderly patients."

Strange to say, after seeing Dr. Pascal, the old lady who had a hesitant expression at first seemed relieved, and began to use the loud voice typical of old people with a heavy accent and aging ears. Said, "Doctor, my back hurts!"

Sun Lien sat aside and began to help Dr. Pascal record the patient's self-report. At the same time, he secretly opened the status bar and began to observe the status of the old lady.Although there is not much experience in seeing a doctor for the elderly, the status bar can always be seen.

"Guo Ying, female, 71 years old. Osteoporosis (100671.07.21), osteomalacia (89934.05.33), osteosclerosis (88323.33.28), soft tissue calcification (73498.44.58), hippocampus demyelination (69635.12.53 .51476.49.36), hyposmia (2714.51.52), spinal stenosis ([-])"

The old man's status bar is amazing.Sun Lien swallowed secretly, the six-figure symptoms lasted for hours, this osteoporosis must have lasted for at least ten years, right?
But what the hell is this state?Osteoporosis combined with osteomalacia and then osteosclerosis...?Sun Li'en frowned and looked at the top of Guo Ying's head again, it was indeed bone sclerosis.This is strange, postmenopausal women have osteoporosis combined with osteomalacia.Replacement therapy with calcium supplements, vitamin D, and estrogen generally works well.But where does osteosclerosis come from?
If osteosclerosis has nothing to do with osteoporosis and osteomalacia, it should be benign osteolithiasis.Patients may have some symptoms of anemia or cranial nerve compression in the early stage, or they may have no obvious symptoms.And this may indeed cause hearing loss-Guo Ying's current "ears are not working well" state may be evidence of hearing loss caused by scoliosis.

Soft tissue calcification is relatively easy to understand. After all, the elderly, after many years of normal operation of the body, will have some residual inflammatory tissue necrosis and calcification.However, the status bar does not clearly indicate the type of calcification. Maybe an X-ray is needed to judge?Sun Li'en squinted his eyes and looked at the old man's hunched back, guessing that the calcification was on the spinal ligament.

As for the myelin sheath disease... Sun Lien calculated, this symptom has appeared for about seven or eight years.The current private complaint of the old man is obviously not related to this.It should be the spinal canal stenosis with the shortest duration that causes back pain.

"Your back hurts?" Dr. Pascal nodded suddenly under the translation of the village party secretary, "How long has the pain been?"

"I can't remember clearly." The old man shook his head abruptly, "I'm getting old, so I can't remember clearly."

Dr. Pascal raised his eyebrows, "How bad is the pain?"

"Oh, that hurts." The old man nodded seriously, "It hurts so bad I can't eat!"

Dr. Pascal recorded this feedback on the notebook in front of him, "Does it hurt all the time, or does it hurt once in a while?"

"It hurts all the time." The old man patted his leg, "It's better when you lie down, and it's okay when you sit. It's just that you can't work in the field, and it hurts when you walk!"

The staff in the village probably also knew that the old man suffered from severe back pain. In order to let the 71-year-old man come to see a doctor without causing back pain due to action, they specially drove an agricultural tricycle and filled the cleaned back bucket. quilt, and wrapped three down jackets on the old man, and then sent the old man to the free clinic as if caring for a newborn baby.

"Then I'm not working, what are you doing at home?" Dr. Pascal was recording, chatting with the old man, "Do you watch TV in the roof?" Ci, he and the village party secretary are learning now.

"Look, but I don't see enough." The old lady was amused by the down-to-earth words of the American doctor in front of her, "I can't work in the fields, but I can still make tea at home, go out and milk goats, and earn a living by myself." Mile!"

For these elderly people who have worked hard all their lives, the most important principle of being a human being is to be able to support themselves. Guo Ying, 71, is still proud of being able to work.

"Everyone in our village drinks tea." Dr. Pascal said with a smile, "We also drank it just now, and it tastes pretty good."

Guo Yingle narrowed her eyes, "Isn't it delicious? Ten years ago, this was a rare and good thing, and we are usually reluctant to drink it!" She smiled and tapped her aching back Waist sighed, "The country's policy is good. Electricity was connected to the village more than ten years ago, and then wells were drilled in the village. Every household can afford tea. A few years ago, the road was repaired, and the mountain products were sold in the city. Much more convenient."

"Your back hurts, maybe it's a geriatric disease." Dr. Pascal chatted with Guo Ying for a few more words, and then issued a prescription, "In this way, you will go to the next tent and stand for a while. Lie down on the bed as soon as it hurts, and we'll show you what's going on."

Guo Ying nodded, opened his mouth as if to say something, and then froze for a while.She blinked, then refocused her gaze on Dr. Pascal's face, "Doctor, my back hurts!"

Sun Li'en watched the exchange between the two, his brows furrowed deeper and deeper.He vaguely sensed that something was wrong, but he always felt that something was wrong, and he was still unable to figure it out.

(End of this chapter)