With the warmth of the brazier, Sun Lien and the others suddenly felt that the cold feeling on their bodies had subsided a lot. It's still a little uncomfortable, but at least it's much stronger than just now.

Because it's an open stove heating unit with no chimneys, it can't be used in two tents – carbon monoxide poisoning is not something to be taken lightly. But fortunately, the insulation effect of the tent itself is not bad, but it can barely stay.

While inviting the next patient, Sun Lien asked the aunt with high blood pressure and diabetes, and suspected of blocked arteries in the lower limbs, to take a B-ultrasound in the tent - although there was no CT and MRI examination, the B-ultrasound could check the closure of the aortic valve in the old man's home. It can also be regarded as a way to rule out the excessive pulse pressure difference caused by aortic valve insufficiency.

The situation of this aunt is more complicated, and the hints given in the status bar are also very simple. The organ location and extent of the lesion are not directly stated. It is probably the type that needs to be checked slowly to find the crux of the problem. It is impossible for Sun Lien to complete all the examinations here, and it is unlikely that he will ask this aunt, who has difficulty even going down the mountain to the hospital, to run more than 100 kilometers to Ningyuan Fourth Hospital for treatment. Therefore, we can only do one point at a time, eliminate all the problems that can be eliminated, and do all the inspections that can be done.

sent away the aunt, and the next one to come was an aunt. But it's older, and it's old enough to be a "grandma".

"What's wrong with you?" Sun Lien saw the old lady's hunched and bent over, quickly stood up and pulled out the stool, and helped the old man to sit down slowly before asking, and while still asking questions, he cast a pleading look at Dr. Pascal for help.

I haven't dealt with the elderly to see a doctor!

Dr. Pascal took the initiative to sit down at the table, took out a pair of gold-rimmed reading glasses from his pocket, and took a pen from his pocket and held it in his hand.

With the change of movements, Dr. Pascal's temperament changed abruptly, from an old American man with his hands together and his neck to roast the fire, to an experienced ...... Old Chinese medicine doctor.

Sun Lien was dumbfounded, and Dr. Pascal seemed to notice Sun Lien's psychological changes, so he smiled and said in English, "Some of the little skills I learned in the past are especially useful for elderly patients." ”

Strange to say, when the old lady, who was a little hesitant at first, saw Dr. Pascal, she suddenly seemed relieved, and began to say in a loud voice with a thick accent and poor ears for old people, "Doctor, I have back pain!"

Sun Lien sat aside and began to help Dr. Pascal record the patient's self-report, and at the same time secretly opened the status bar and began to observe the old lady's state. Although I don't have much experience seeing the elderly, the status bar is always something to look at.

"Guo Ying, female, 71 years old. Osteoporosis (100671.07.21), osteomalacia (89934.05.33), osteosclerosis (88323.33.28), soft tissue calcification (73498.44.58), hippocampal demyelination lesions (69635.12.53), olfactory decline (51476.49.36), spinal stenosis (2714.51.52)"

The status bar of the old man is amazing. Sun Lien secretly swallowed his saliva, the six-digit symptoms lasted for hours, and this osteoporosis had to last for at least nearly ten years, right?

But what the hell is this state? Osteoporosis combined with osteomalacia, and then there is osteosclerosis ......? Sun Lien frowned and looked at the top of Guo Ying's head again, and it was indeed osteosclerosis. This is strange, postmenopausal women have osteoporosis combined with osteomalacia. Calcium supplements, vitamin D, and estrogen replacement therapy are generally effective. But where does osteosclerosis come from?

If osteosclerosis is not related to osteoporosis and osteomalacia, then it should be benign osteopetrosis. Patients may have some anemia or cranial nerve compression in the early stages, or may not have obvious symptoms. And this may indeed cause hearing loss - Guo Ying's current state of "bad ears" may be evidence of hearing loss caused by osteopetrosis.

Soft tissue calcification is easier to understand, after all, it is the elderly, and after many years of normal functioning, the body will have some residual inflammatory tissue necrosis calcification. However, the status bar does not clearly state the type of calcification, so you may need to do an X-ray to judge it? Sun Lien squinted his eyes and looked at the old man's hunched back, and estimated that the location of calcification was on the ligament of the spine.

As for the myelin lesions...... Sun Lien thought about it, and this symptom had been appearing for about seven or eight years. The old man's current self-complaint obviously has nothing to do with this. The cause of low back pain should be the "shortest" duration of the spinal stenosis.

"Do you have a back ache?" Dr. Pascal nodded suddenly under the translation of the village party secretary, "How long has it been painful?"

"I can't remember. The old man shook his head suddenly, "I'm old, I can't remember clearly." ”

Dr. Pascal raised an eyebrow, "How much does it hurt?"

"Oops, that hurts. The old man nodded very seriously, "I can't eat because of the pain!"

Dr. Pascal wrote down this feedback in the notebook in front of him, "Does it hurt all the time, or does it hurt occasionally?"

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

In order to let the 71-year-old man come to see a doctor and not have back pain because of his actions, they deliberately drove a farm tricycle, filled the cleaned back bucket with quilts, and wrapped three down jackets on the old man's body, and then sent the old man to the free clinic as if he was caring for a newborn baby.

"What are you doing at home when you're not working?" Dr. Pascal recorded as he talked to the old man about his routine, "Do you watch TV on the house?" The word "house" with an obvious Changning accent was still learned by him and the village party secretary.

"Look at it, but not much. 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 field, I can make tea at home, go out to milk goats, and earn a living by myself!"

For these old people who have worked hard all their lives, the most important principle of being born is to be able to support themselves. At the age of 71, Guo Ying is still proud of her work.

"Everyone in our village drinks tea. Dr. Pascal laughed, "We drank it too, and it tasted pretty good." ”

Guo Yingle's eyes narrowed into a slit, "It's delicious, isn't it? More than ten years ago, this was a rare good thing, and we were usually reluctant to drink it!" she smiled and knocked on her somewhat painful back and sighed, "The country's policy is good, more than ten years ago there was electricity, and then a well was drilled in the village, and every household can afford to drink tea." A few years ago, the road was repaired, and it was much more convenient to sell mountain goods to the city. ”

"Your back hurts, it may be a geriatric disease. Dr. Pascal chatted with Guo Ying a few more words, and then prescribed, "In this case, you can wait to stand for a while on the side of the tent next to you." As soon as your back hurts, lie on the bed, and we'll show you what's going on. ”

Guo Ying nodded, opened her mouth as if to say something, and then was suddenly stunned for a while. She blinked, then refocused her gaze on Dr. Pascal's face, "Doctor, I have back pain!"

Sun Lien watched the exchange between the two, and his brows furrowed deeper and deeper. He vaguely sensed that something was wrong, but he always felt that something was wrong, and he couldn't figure it out.