When it really comes to the time when he has to go, Jin Cheng will leave without hesitation, an old man once said that development is the last word. Only when you are strong can you help more people and get more merit points.

Back in the clinic, Jin Cheng continued to treat the patient.

A sixty-year-old lady sat in front of Jin Cheng, with kind eyebrows and a faint smile on her face. She was accompanied by a middle-aged man, probably her son, who was dressed very well, and Jin Cheng noticed that they were coming by car.

Jin Cheng asked for her name and address, and knew that the old lady was from Hanlin Town, and she heard from relatives at home that there was a "little miracle doctor" in Gangtou Village, whose medical skills were very good, and she came to see the doctor.

"What's wrong with you, old man?" Jin Cheng took the old lady's pulse, scanned her with his divine sense, and found no abnormalities, that is to say, there was no organic disease, and the possibility of considering functional diseases was high, so he could only open his mouth to ask for a diagnosis to see if he could find clues.

"I just don't feel strong, my body is soft."

"How long has it been?"

"It's been more than a month, and I've been checked at the county hospital and the city hospital, but I haven't found any cause."

"Well, it's a bit strange, you really haven't noticed anything other than high blood pressure, change your hand, and I'll give you another pulse." Jin Cheng's research on pulse signs is not inferior to that of ordinary Chinese medicine experts, and he is more unique in some rare pulse signs, and he is confident that he can find the reason.

The old lady changed to her left hand very cooperatively, and two minutes later, Jin Cheng withdrew his hand with a solemn expression and was silent.

If there is no abnormal pulse finding, what is the cause of the patient's fatigue? Jin Cheng quickly turned his brain while continuing to observe the old lady.

Just as the old lady withdrew her left hand, Jin Cheng noticed a detail, her hand was trembling slightly.

A flash of inspiration flashed in Jin Cheng's mind, and he thought of a possibility, hyperthyroidism. The full name of this disease is hyperthyroidism, which is caused by excessive secretion of thyroid hormones, and a series of symptoms, its clinical symptoms are diverse, the main symptoms are hypermetabolic syndrome, such as hyperhidrosis, emaciation, palpitations and other symptoms, the most representative symptom is proptosis, but these symptoms are not available in the old lady.

Fatigue is a common symptom in many diseases, and it is basically of little value, and it is really difficult to make a diagnosis if it is not for the detection of hand tremors.

"Old lady, I suspect that your disease is hyperthyroidism, of course, I am only a preliminary diagnosis, and I need you to go to the county hospital for an examination to confirm the diagnosis." Jin Cheng observed the old lady's thyroid gland again, and found that there was an inconspicuous symmetrical enlargement of the thyroid gland on both sides, or it was the lack of careful observation of the divine sense that caused his trouble. With this discovery, although he said that he could not diagnose the diagnosis, he actually had 80% certainty in his heart.

"Dr. Jin, what do I need to check?" The old lady's son asked.

"I'll give you a list, check T3 and T4, that is, take some blood for testing, and when the results come out, call me and tell me." Jin Cheng wrote down an inspection application form and handed it to the middle-aged man.

"Well, Dr. Jin thank you, no matter whether my mother has hyperthyroidism or not, at least it is a new way of thinking, which makes me feel refreshed, I will call you as soon as there is a result, and I have already written down the number. This is my business card, please take care of it. ”

The business card reads Hao Quanduo, general manager of Jichang Golden Eagle Pharmaceutical Factory.

"Manager Hao, I am a doctor, you are a medicine, we can be regarded as peers, and we may cooperate in the future." Jin Cheng said with a smile.

"Yes, that's the best, I wish you a happy cooperation." Hao Quanduo stretched out his hand and shook Jin Cheng, not paying attention to the cooperation he said at all, taking it as a joke, and forgetting it when he turned his head.

In fact, when Jin Cheng said this, he also had a half-truth, even if there was cooperation, it was a very distant thing.

……

After ten o'clock, there were still a few patients left in the clinic, Lao Wang went to the cafeteria to prepare lunch, and when he left, he told Jin Cheng that there was not much stock of medicinal materials, and the medicinal materials could not make ends meet during this time.

After the medicinal materials were handed over to Lao Wang for management, Jin Cheng had not paid attention to it, and it was reasonable for this situation to occur, after all, his business had improved significantly compared to before, and it was time to add new strength to the medicine collection team.

At half past ten, all the patients left, and Jin Cheng swept the ground with a broom and then with a mop, which was also his daily homework. A clean and tidy environment is a must, and patients are satisfied with it and comfortable to live in.

At this moment, there was the roar of a tractor on the road, and the tractor drove until it stopped at the door of the health room, and Jin Cheng put down the mop in his hand to meet it.

There are a total of four people on the tractor, including the driver, three men and one woman, all around forty years old, the back of the tractor is covered with a quilt, under the quilt is a thick grass, on the quilt lies a middle-aged man, acute pain, his body curled up, rolling from side to side, and howling loudly in his mouth, "Ouch, ouch, it hurts me to death." ”

"Doctor Jin, help my brother take a look, he has a stomachache, since last night, and now it is getting worse and worse." The tractor driver said to Jin Cheng with an anxious expression.

"Okay, I'll see." Jin Cheng didn't know these people, guessing that they might be from a nearby village, he nodded with a solemn expression, and thought: Severe abdominal pain often indicates that the condition is not light.

Jin Cheng took off his shoes and jumped on the tractor, "Bear with me a little and don't move, give me your hand." ”

The patient with abdominal pain gritted his teeth and persevered, trying not to make a sound, so as not to affect Jin Cheng's diagnosis, and his eyes full of help were very pitiful.

"Did you drink a lot of wine and eat a lot of greasy food last night?" Jin Cheng asked after accosting him.

"Yes, yesterday our village chief's family held a happy event, and my brother went to eat and drink too much." The tractor driver hurriedly said.

"Yes, he was drunk and unconscious, but his brother sent him back, and at about two or three o'clock in the night, his stomach began to hurt." The middle-aged woman was the patient's wife, and she explained the situation to Jin Cheng as she added, and at the same time felt deeply shocked, this little doctor only took the pulse and knew that her husband had drunk too much last night, and he really deserved to be a little miracle doctor.

"The condition is very serious, it is acute pancreatitis, and it has to be sent to the county hospital immediately, once it develops hemorrhagic necrotizing pancreatitis, it will be troublesome." Jin Cheng didn't say the latter words, there are many complications of hemorrhagic necrotizing pancreatitis, and the mortality rate is very high, even if a life can be saved, the treatment cost is amazing.

"Then can you get a painkiller injection first, my brother can't stand the pain, I'm afraid he will ......" The tractor driver looked at his brother's unbearable pain, and he was really worried, and he couldn't talk anymore after half of his words.

"Yes, Dr. Jin, please help." The middle-aged woman kept wiping the tears from the corners of her eyes, and she was already panicked.