Looking at Tian Fugui's excited look, Zhang Wenhao could also see that medical problems were a stubborn disease in Wanshan Township, so he made up his mind to do a comprehensive physical examination for all villagers here, and to test all diseases.
If you suffer from it, you must do everything you can to treat it.
But now that I am here, I will stay here for at least a week or even longer. I also need a suitable place to practice medicine. In addition, I also need a place to live. I just wanted to ask Tian Fugui to help solve these problems. Tian Fugui
Thinking of something, he looked at Zhang Wenhao nervously and asked, "Doctor, when you come here this time, don't you just walk around for a while and then leave?"
"Of course not." Zhang Wenhao said with a smile: "Since I'm here, I naturally have to check all the villagers. It's best if there is no health problem. If there is a problem, I will definitely solve it for everyone."
"That's good, that's good!" Tian Fugui breathed a sigh of relief. Several times in the past, doctors from the county and city came to hold free clinics, but it was just a formality. Everyone lined up to take their blood pressure.
, check the pulse and then look at the tongue coating, it took a day or two for thousands of people to read it. After a day or two, those doctors completed their tasks and left without looking back. They could not solve any practical problems at all.
What I was afraid of was that Zhang Wenhao also came here to fight guerrillas, wander around for a while, then pat his butt and leave.
Zhang Wenhao immediately said: "Head of the Township, I will stay here for at least a while, so I hope you can help me solve the housing problem."
"Easy to say, easy to say!" Tian Fugui said immediately: "If there is a vacant house in the township government, you can live there. The health center is at the township government, and you can treat everyone there."
Zhang Wenhao agreed immediately.
Hearing that a top student from the university had come to receive voluntary treatment, the adults in the village who were watching were immediately excited. They quickly moved out of the way for Zhang Wenhao's car, and Zhang Wenhao also said apologetically to Tian Fugui: "The car is full of medicines.
There’s really no room for anyone else, so I’d like to ask you to lead the way.”
When Tian Fugui heard that the car was full of medicines, he was even more excited. He nodded repeatedly. Zhang Wenhao started the car and followed Tian Fugui slowly. The surrounding houses were all thatched houses. Zhang Wenhao also understood in his heart that even here,
It is difficult to get medicines in. You can imagine how difficult it is to build a brick house here.
The barren surroundings also made Zhang Wenhao sigh with emotion. Fortunately, the houses in the village are not so compact and there is a main road that can accommodate this G65.
Following Tian Fugui to the township government he mentioned, it was nothing more than a slightly larger courtyard. Surprisingly, the houses here were built with bricks and tiles. There were five rooms in total, three of which were
The main house and the two side houses on the east and west sides have a yard of about 100 square meters. There is no parking lot, but there is a shed in the corner for parking the donkey cart and tethering the donkey, and there is a donkey standing inside.
Tian Fugui ordered a few strong laborers to push the cart out of the shed and take the donkey away. Then he said to Zhang Wenhao: "Doctor, please park the car here."
Zhang Wenhao said: "You can just park the car in the yard. You don't need to take the donkey away."
"It's okay." Tian Fugui waved his hand and said, "Anyway, the donkey is idle here. I'll let Zhuzi take it to his house and help him with farm work."
Zhang Wenhao looked happy when he saw the pillar holding the donkey. He nodded and parked the car sideways under the shed.
Tian Fugui hurriedly called an old man who was sleeping out of the main room, introduced him to Zhang Wenhao, and said: "This is the secretary of the township, Tian Jiefang." With that, he introduced Zhang Wenhao's origins to Tian Jiefang.
Later, Tian Fugui remembered something and asked Zhang Wenhao: "Doctor, what is your name?"
Zhang Wenhao hurriedly said his name, and Tian Fugui said: "Doctor Zhang, our township is relatively small. To put it bluntly, it is just one village, called Tianjia Village. It was just to unify the three villages on the mountain and settled here.
It's a small town, the place is poor, there are few people, and the conditions are limited, so don't worry about it."
Zhang Wenhao smiled and said: "Don't worry, I'm mentally prepared."
Tian Fugui was overjoyed then, pointed to the west room and said: "This is the health center. It's just an old-fashioned doctor. But he went into the mountains to collect medicine early this morning. The house opposite is empty. I'll have someone prepare it for you right now."
Futon, you can stay here."
Zhang Wenhao nodded. As long as he has a place to live, everything else is not a problem. He is not suffering. What's more, the biggest purpose of his trip is to provide free medical treatment to villagers in these impoverished areas and earn points for himself at the same time.
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The east room was an empty room with some food piled inside. Because the air here was humid, it had a heavy musty smell. Tian Fugui had people move all the food out and clean the room again. Then he gave some orders.
A young laborer built a simple wooden bed in the house and sent someone to his wife's house to get a new bedding and pillows.
For Zhang Wenhao's convenience, he brought a dilapidated writing desk from the office to Zhang Wenhao's room. Zhang Wenhao did not refuse. He always had a place to put his things.
After finishing all this, it was already noon. Tian Fugui invited Zhang Wenhao to eat at his house, and said that from now on, Zhang Wenhao’s food problem would be solved by the entire Tianjia Village villagers. Every meal would be eaten at a different person’s house. In this way,
You can get better familiar with the people and environment here.
Zhang Wenhao did not refuse. After all, his car contained mostly medicines and medicinal materials, as well as two barrels of gasoline, and he did not bring any food.
When they arrived at Tian Fugui's home, his wife had already killed the chickens and made a fire under the shed to cook. Zhang Wenhao chatted with Tian Fugui in the yard. Tian Fugui had four children. Three of his sons worked outside and one daughter was married to the county town.
, it can be regarded as stepping out of the mountains to a certain extent. Tian Fugui used to be the village chief of Tianjia Village. Later, in order to facilitate management, the county merged the three villages on the mountain into Tianjiazhuang, and then created Wanshan Township, Wanshan Township.
After its establishment, the county did two more things than before. One was to provide electricity to Wanshan Township, and the other was to get some bricks and tiles to build a township government.
Through the conversation with Tian Fugui, Zhang Wenhao also learned about some of the humanistic conditions of Wanshan Township. First of all, there is no industrial pollution here, so there are no endemic diseases. The only endemic disease is probably arthritis, because it is among the mountains.
In the middle, the humidity is very heavy. Most of the older people have arthritis.
There are three old midwives in the village. Basically, if a child is born in the village, the midwife can handle it if it is a normal birth. However, the mortality rate for dystocia is very high because there are no surgical conditions here, and it takes more than half a day to temporarily transport it to the county.
It takes a long time, and the road conditions are extremely bad. Pregnant women with difficult labor cannot bear it at all.
When Zhang Wenhao asked why he didn't go to the county hospital to wait for delivery before the due date, Tian Fugui explained with a very simple and straightforward but very convincing reason: no money.
Where does the money come from? It costs at least several thousand yuan to give birth to a baby in the hospital. The villagers here basically spend nothing on weekdays. Most of their annual harvest is food rations. The rest are sold out to make some money.
We’ve already bought daily necessities. It’s already great for anyone to have a thousand yuan savings. The cost of having a baby is too high and most people can’t afford it.
Some young people who are more ambitious have basically gone out to work. If there are people in the family who go out to work, the family conditions will be slightly better. Others are basically impoverished.
Zhang Wenhao sighed in his heart, thinking that he must do his little bit to do something for the people here. While eating, he said to Tian Fugui: "Township chief, please use a loudspeaker to shout a message to Tianjia Village.
All the old and young men, please go to the township government after dinner. I will give them a physical examination."
Tian Fugui nodded repeatedly and said: "If you want it, I will inform everyone after dinner."
After dinner, Zhang Wenhao and Tian Fugui returned to the township government. Zhang Wenhao took out some medical tools from the car, set up a table in the yard, and prepared to conduct a physical examination on the villagers here. He first looked for problems. After discovering the problems,
Then solve them one by one.
Tian Fugui used a loudspeaker to shout a few words in the local dialect. Soon, a large number of villagers came to the township government, including men, women and children, but most of them were middle-aged and elderly people and children, with a smaller number of young and middle-aged people.
Zhang Wenhao said to Tian Fugui: "Head of the township, please tell everyone that we will start with the children, then the older people, and finally the middle-aged and young people. Let everyone line up consciously. The young people can
Go back to work first and come back later."
Tian Fugui nodded and shouted a few words at the top of his voice. Some young and middle-aged people left with smiles. The rest were old people and children. Tian Fugui knew everyone here and asked them to line up.
, starting with the children.
Zhang Wenhao opened his laptop and created an EXCEL table. Every time Tian Fugui called someone, Zhang Wenhao would ask for the person's name and then record it.
Although the children are usually naughty, they are now very obedient. They lined up one by one and walked to Zhang Wenhao in an orderly manner.
Zhang Wenhao did not have much medical equipment, and things like blood pressure monitors were basically useless for children, so he mainly used pulse counting.
Even pulse counting is much better than ordinary Chinese medicine. As long as it is not a disease of the nervous system, pulse counting can basically detect something. Zhang Wenhao looked at seven or eight children in a row and found that these children's bodies were not only nutritionally deficient.
In addition to being balanced, they are also healthy.
Some children's systems were slightly weaker. After Zhang Wenhao's diagnosis, he found that many children had parasites in their bodies, so each of them was given two pills of intestinal worm serum.
The physical condition of nearly a hundred children was pretty good, and no serious illness was found. Just when Zhang Wenhao breathed a sigh of relief, a woman ran over in a hurry with a three or four-year-old child in her arms.
"Doctor, please take a look at my dog Dan quickly. He has had diarrhea for three days. The doctor at the health center prescribed herbal medicine, but it doesn't get better after drinking it."
Zhang Wenhao basically couldn't understand what she said, so Tian Fugui acted as a translator. After Zhang Wenhao understood, he looked at the child in the woman's arms and was surprised to find that the child was in very poor condition, extremely lethargic, very thin, and his eye sockets were all broken.
Somewhat sunken.
Zhang Wenhao hurriedly stepped forward, touched the child's hands and feet, and found that his limbs were cold. Then, Zhang Wenhao took the child's pulse and found that the child's heart rate and pulse were much weaker than those of normal children.
"Has the child peed in the past two days?" Zhang Wenhao asked eagerly.
"No." The woman shook her head firmly and said, "It's just diarrhea, it just keeps coming."
Zhang Wenhao frowned, checked the pulse again, and checked the child's skin elasticity. He found that the skin elasticity was very poor, so he said, "The child probably has enteritis. He had diarrhea for three days and is now severely dehydrated."
When Tian Fugui heard that he was severely dehydrated, he didn't understand the specific meaning, so he knew that the child was short of water. Seeing that the child was very sluggish, Tian Fugui couldn't help but cursed: "You stupid bitch! Why don't you give the child water!"
Zhang Wenhao vaguely understood something. The woman looked innocent, so Zhang Wenhao said: "Head of the township, this child's dehydration is due to loss of body fluids and cannot be solved by drinking water."
As he spoke, Zhang Wenhao said: "The child's current condition is very critical. If he goes into shock, it will be troublesome. Let's pause the physical examination for a while and I will give the child some 3:2:1 isotonic fluid."
After finishing speaking, Zhang Wenhao ignored Tian Fugui's doubts and turned to the car to get glucose water, physiological saline and baking soda water. That is, sodium bicarbonate. After mixing it strictly according to the proportion, he took out the syringe and walked to the child.
He asked the woman to put the child on the desk, then found the child's blood vessel and inserted it very accurately.
The child has not yet reached the stage of shock, so there is no need to expand the volume and correct the acid first, but Zhang Wenhao slightly speeded up the infusion to quickly alleviate the emergency situation of the child's massive loss of body fluids.
The biggest danger of diarrhea in children caused by enteritis is dehydration. As long as the dehydration problem is stabilized and appropriate anti-inflammatory drugs and anti-diarrheal drugs are used, the condition can be stabilized and the medication can be continued. It can be cured in a few days.
After infusing the child with fluid, Zhang Wenhao said to Tian Fugui: "Let the child lie down on my bed, cover him with dry quilts to maintain body temperature."
Tian Fugui said: "The west room is the health center. There are beds there. There are also poles for carrying water. Go there."
Immediately, Tian Fugui picked up the child. Zhang Wenhao held up the infusion bottle and sent the child to the dilapidated hospital bed. The infusion pole in front of the hospital bed was even DIYed from bamboo.
Zhang Wenhao knew that the child's condition would be relieved soon. After it was relieved, he used medicine to cure it, and he felt relieved. He just sighed in his heart that the child had acute enteritis, but the medical level in the village could only give him
He prescribed some herbal medicines. For a disease like acute enteritis that attacks in a short period of time and reaches its peak quickly, Chinese herbal medicines are too slow and there is no time at all. Moreover, the child already has severe diarrhea. If the Chinese medicines are taken into the abdomen, there is no chance to release the power of the medicine.
It is excreted by children. To treat this disease, oral medication has limited effect. Intravenous administration is the best and fastest way.
If there are no antibiotics and no conditions for preparing hydrating isotonic liquids, I am afraid that the child's life will not be long. The conditions here are so poor that the parents simply cannot afford to send their children to the county for treatment. Instead, they hope that herbal medicine can have an effect. If
It was only after the child went into shock that he realized the seriousness of the problem. Even if the child could be sent to the county hospital alive, he would have to be sent to the emergency room immediately.
Zhang Wenhao couldn't help but exclaimed that poverty-stricken areas lacked medical treatment and medicine. Behind these four words, it must be carried with life!
After settling the children, Zhang Wenhao came out and continued to conduct physical examinations for the remaining villagers.
The physical condition of the elderly is very worrying. Almost every elderly person suffers from malnutrition, which is only a trivial matter for them. Patients with severe rheumatoid arthritis need help even when walking.
I can't even stand and am bedridden at home for a long time. It's not paralysis, but it's better than paralysis. This problem is also very serious and very common.
Zhang Wenhao has no idea what to do about malnutrition. This situation not only requires the elderly to have a balanced diet and nutritional intake, but also requires appropriate exercise and a healthy lifestyle. Zhang Wenhao can only advise these arthritis patients one by one: Try not to suffer from pain.
Just give up exercise and take two steps a day. Even if you are on crutches, you should move your body appropriately. Don't stay in bed all day, as this will only aggravate their condition.
There were so many patients with arthritis that Zhang Wenhao couldn't treat them one by one at the same time. He could only write down their names first, and then took the time to prepare a dehumidifying soup for them to soak their joints, and then give them acupuncture treatment.
Shit decoction is a prescription of traditional Chinese medicine in the top medical skills package. This prescription was improved by later generations after scientific analysis of ancient methods and high-tech research. The effect is very good. If it can be combined with the decoction of dampness,
I am confident that I can cure all the rheumatoid arthritis patients here.
In addition, an old man had cardiac insufficiency, Zhang Wenhao recorded it, and made a systematic diagnosis and treatment for the old man another day; four people had high blood pressure, but fortunately Zhang Wenhao had antihypertensive drugs, and acupuncture could also play a supporting role.
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An old man's lung function was very weak. Even when he sat still, he was out of breath when talking, as if he had just climbed six or seven floors. This aroused Zhang Wenhao's alert. He carefully listened to the old man's lungs with a stethoscope and asked the old man.
Some general situations.
The old man said that she has been suffering from lung problems for more than three months, and the condition is getting more and more serious. She used to just have asthma, but now she not only has severe asthma, but also has a lot of phlegm. She also feels weak all over and it is very difficult to walk. She came from home today.
For such a short distance, her son had to use a cart to bring her there.
Zhang Wenhao's heart tightened. Through his diagnosis, he found that the old man's lung function was extremely weak, and her body was also greatly affected. Now she is as skinny as a stick, and her body organs are showing signs of failure.
These circumstances made Zhang Wenhao basically certain that the old man had lung cancer, and it was probably at an advanced stage. Her cancer cells might have already begun to spread, and tumors should have grown in her trachea. Her life could end at any time.
Time has the middle finger, and the most likely cause of death is respiratory failure. In other words, if a person does not take a breath, he may fall down forever. () {Piaotian Literature www.piaotian.net Thank you all book friends for your support.