Sun Lien brought two American experts to support the free clinic, which made Director Huang very pleased. The medical team is not small, but the main ones are doctoral students who do not have much clinical experience. Moreover, the main research interests of these PhDs are focused on geriatrics and respiratory medicine. Surgical and intracardiac directions are less common.

The volunteer team from Ningyuan Medical College came to Guojia Village for the first time, and they thought it was just a small village with inconvenient transportation. Such villages are the main areas covered by the free clinics. Most of the patients in the village are chronically ill and mildly ill, but occasionally there are patients who become extremely serious due to delay.

However, the patients who came to Guojiacun for consultation were more strange, especially the middle-aged and elderly people over 40 years old, and most of the complaints were very consistent, "headache, dizziness, memory loss".

Headache is one of the most headaches for doctors. 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 present with symptoms of "headaches". And most of the headaches lack obvious differences, anyway, for patients, dull pain, sharp pain, radiating pain, that is "it hurts badly, the doctor will help me take a look".

If it is a well-equipped and powerful tertiary hospital, with a variety of testing equipment and laboratory assistance, you can at least rule out some common causes through imaging examinations when encountering such a self-complaint. In addition to blood pressure and body temperature checks for these patients, only the ophthalmologist can check the intraocular pressure.

If the problem cannot be found, then only a referral letter can be issued, and the patient who comes to the consultation is advised to go to a major hospital for further examination as soon as possible.

The free clinic in Guojia Village has been in operation for more than three hours, and eight referral proposals have been issued so far. This made Director Huang feel that something was somewhat wrong in his heart. At least in her opinion, the situation of these patients in Guojiacun is very similar, and the possibility that these eight people suffer from the same disease cannot be ruled out. But it doesn't quite look like a genetic disease or an infectious disease – only patients over the age of 40 in a family of five or six will experience it. None of the younger people reported headaches and dizziness.

"There are a few patients who complain of headache and dizziness, and our current situation is not accurate, so we recommend that they go to a tertiary hospital. Director Huang briefed the three of them on the situation, and at the same time beckoned the staff on the side to help bring masks, gloves and white coats. "But I always felt that something was wrong with this situation, but whether it was blood or other tests that could be done, we did it, and everything was still within normal range. ”

Everything is within normal limits, while the patient complains of long-term discomfort. That's a big problem. Sun Lien sat down with a frown, a little uneasy in his heart. He began to recall Zhou Jun's words - he wouldn't be so unlucky, would he?

A rare disease that causes at least nine people to develop at one time? What is this? Rare disease discount clearance sale?

Sun Lien was nervous, but Pascal and Brune had a look of joy on their faces. After five days of mahjong at Sun Lien's house, the two really didn't want to continue playing. The two of them are now thinking about rushing a few patients, even if it's just a small cold.

"In this case, you will work in groups of three and receive these villagers first. After all, Director Huang has rich experience and arranges his work vigorously, "Those nine patients who report headaches and dizziness, I will let them come over again to have a look." Maybe you'll be able to spot some blind spots that we didn't notice?"

Sun Lien is a very well-known figure in the Fourth Hospital, in addition to his iconic black face and Conan's physique, his diagnostic methods are also famous. is also a patient that other doctors can't handle, Sun Lien can find clues to solve the problem in the process of consultation. Director Huang Wenhui himself was deeply impressed by this. They are all doctors, they are all serious about treating people, everyone is one head and two arms, why can he Sun Lien find the direction and clues of diagnosis?

After thinking about it, Director Huang felt that the problem was still 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 frizziness and lack of seriousness in their work. Every question has been asked carefully, and every answer has been carefully considered.

It is rare for a medical student who has just graduated to work hard. What's even more rare is that he is very empathetic while working hard. Sun Lien's achievements are not blown by the wind, and he can carefully and meticulously complete the diagnosis and treatment of each patient under the condition that rare diseases are rare and difficult diseases are frequent, and at least Sun Lien is required to treat every patient as a "person" rather than an unfinished work. This is actually the most important but also the rarest quality of being a doctor.

Thinking of this, Director Huang glanced at Sun Lien with some sympathy, of course it is good for everyone to do this kind of work, but the psychological pressure on the doctor himself is great. I don't know if this child will be traumatized psychologically.

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

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"There are many possible reasons for this. Sun Lien, an emergency physician who was judged by Director Huang Wenhui to be unfit to be an emergency doctor, is trying to persuade the patient in front of him to go to a major hospital for treatment. "I also saw it just now, and there are no obvious bone injuries and signs of trauma on your legs, and your nerve reflexes and sensations are normal. In this case, there is a sudden claudication...... That is, if you suddenly feel that you can't use your legs, this problem may be very big. ”

The aunt in front of Sun Lien looked resistant, as if what Sun Lien was saying seemed to be deliberately trying 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.

"Coupled with the fact that your blood pressure difference is very large - 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 down the mask and took a sip. The tea is a brick tea provided in the village, and it is not too good to brew it in a thermos cup and take a sip in the cold wind. "Now the equipment is limited, but you can also see the results of your blood sugar test, and the result of 13.3mmol/L is more than double the normal index, and you should really go to a big hospital to check it. ”

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

Sun Lien shook his head with a wry smile and said, "If I can open it for you, I'll open it." Your blood pressure is so high right now that this sudden claudication may be caused by a blockage of the arteries in your lower extremities after atherosclerosis. Diabetics have very weak sensations at the end of their body. Many patients don't know about it, but they have injuries on their feet, and they don't even know that their whole toes are rotten!" Sun Lien tried to tell his aunt about the horrors of diabetes and high blood pressure. "I've taken on such a patient before, my God, that foot and thumb are all rotten, and he doesn't feel it at all. ”

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

"And then ......" Sun Lien pretended to sigh sadly, "A young boy in his twenties, amputated!"

Li Songzhao, who met in an Internet café in the capital a few months ago, finally had his left thumb amputated. Sun Lien deliberately didn't say that he was amputated with half of his foot and thumb. Instead, he continued to sigh with a suffocating expression, "Just because I didn't pay attention to high blood sugar, just because he didn't want to go to the hospital." As a result, when he found out, he had to amputate his leg in order to save his life. Tell me, such a young boy is not married yet!" He deliberately sighed in a homely tone, "This is an amputation, how can I live the rest of my life?"

The aunt thought about it again and again, and asked cautiously, "Doctor, can I cure this high blood pressure by drinking brick tea?"

"Auntie, can you wash the rotten cloth with soap?" Sun Lien explained with a simple and easy-to-understand analogy that is as close to life as possible, "No matter how good the brick tea is, it is not medicine, if you used to take care of your clothes, it won't be rotten, right? Otherwise, when the cloth is completely rotten, this dress will not be able to be worn!"

The aunt thought about it, and finally nodded painfully, "Okay, then I'll listen to you." I'll let San'er come up tomorrow and let him take me to the hospital!"

It took ten minutes to consult and check, and then it took another twenty minutes to persuade my aunt to go to the hospital to see a doctor. After half an hour's effort, Sun Lien felt that he had completely entered the state of healing - tired. And Director Huang, who was a little farther away, also nodded, Sun Lien's chapter method is very good, at least the number of ways to patrol the free clinic.

In fact, it is unlikely that the rounds and free clinics will solve all the problems of the patients who come to see the doctor. After all, the doctors were accompanied by a bus, 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 in time for further treatment and examination.

"Everyone's done a great job. The village party secretary came with a few younger boys, all carrying burdens on their shoulders, and enamel basins filled with cement and yellow mud hung at both ends of the burdens. "It's too cold this day, so the village has found some braziers to make a fire for you to keep warm. ”

The place for the free clinic was chosen on a concrete flat ground in front of the village committee. This flat land was probably built to the standards of a basketball court at first. There are villagers' houses around it, but there is no wind. However, in winter, it is still a little cold to rely on the sun alone. The village party secretary found a number of homes, so he lent the braziers that the villagers usually use for heating and lit a fire for the doctors of the medical team to keep warm.

"This charcoal is also made from peat dug next to our village. The village party secretary seems to be very proud of the fuel, "The smell of burning firewood is too big, and the coal outside is full of smoke, and the peat here in our village is warm and smokeless, and it used to be famous in Changning!"

Although the road to the village of Guojia is not easy, in the past, this area was the only way to trade to the border areas. It is precisely because of this that Guojiacun has the habit of drinking brick tea. And the method is quite similar to that of the border ethnic minorities - goat's milk raised in the mountains, combined with brick tea and tea soup that has been boiled for several hours, and finally sprinkled with some salt in it. Take a sip on a cold winter day, and it's simply a good thing to be comfortable all over.

It's a pity that the medical team is not used to drinking "milk tea" in this way. The village party secretary is a little helpless, these people in the city really don't know the goods!