Looking at Tian Fugui's excited appearance, Zhang Wenhao could also see that the medical problem was a stubborn disease in Wanshan Township, so he made up his mind to do a comprehensive physical examination as much as possible for all the villagers here, and to treat all patients by all means.

But since he came, at least he would stay here for a week or even longer, and he also needed a suitable place to practice medicine, and in addition, he also needed a place to live, and he just wanted to ask Tian Fugui to help solve these problems, Tian Fugui remembered something, so he looked at Zhang Wenhao with a nervous face and asked: "Doctor, you came this time, didn't you just go around and leave?" ”

"Of course not." Zhang Wenhao said with a smile: "Since you are here, you naturally have to check it for all the villagers, it is best if there is no problem with your body, and if there is a problem, it will definitely be solved for everyone." ”

"That's good, that's good!" Tian Fugui breathed a sigh of relief, there were a few times before, doctors from the county and the city came to do free clinics, but they were all going through the motions, coming to a trip, everyone lined up to measure blood pressure, number and pulse and then look at the tongue coating, thousands of people had to read it for a day or two, a day or two later, those doctors completed their tasks, and left without looking back, and they couldn't solve any practical problems at all, what he was afraid of was that Zhang Wenhao also came here to fight guerrillas, swayed around, and then patted his ass and left.

Zhang Wenhao immediately said: "Township Chief, I came here at least to stay for a while, so I hope you can help me solve the problem of living." ”

"Well said, well said!" Tian Fugui immediately said: "The township government has a vacant house, you can live there, the health center is in the township government, you are there to treat everyone." ”

Zhang Wenhao immediately agreed.

Hearing that there was a high-achieving student from the university who volunteered for treatment, the onlookers in the village were immediately excited, and a group of people hurriedly gave way to Zhang Wenhao's car, and Zhang Wenhao also said to Tian Fugui apologetically: "The car is full of medicines, and I really can't sit down, so I bother you to always lead the way in front." ”

Tian Fugui heard that the car was full of medicines. He was even more excited, nodding again and again, Zhang Wenhao started the car and slowly followed behind Tian Fugui, the surrounding houses were all thatched houses, Zhang Wenhao also understood in his heart that it was difficult to even get medicine in here, and the difficulty of building a brick house here can be imagined.

The barrenness around also made Zhang Wenhao feel infinite emotion in his heart. Fortunately, the houses in the village are not so compact, and there is a main road that can accommodate the G65 to pass through.

followed Tian Fugui to the township government he said, which was nothing more than a slightly larger courtyard. Surprisingly, the houses here are built of bricks and tiles, there are a total of five rooms, three main houses and two side houses in the east and west, the yard is about 100 square meters, there is no parking lot, but there is a shed in the corner where the donkey cart and the donkey are tied, and there is a donkey standing in it.

Tian Fugui instructed a few strong laborers to push out the cart in the shed and take the donkey away. Only then did he say to Zhang Wenhao: "Doctor, you can park the car here." ”

Zhang Wenhao said: "Just park the car in the yard, you don't have to take the donkey away." ”

"It's fine." Tian Fugui waved his hand and said, "Anyway, the donkey is idle here, I let the pillar lead him to his house, and I can help him do farm work." ”

Zhang Wenhao was overjoyed when he saw the pillar leading the donkey. He nodded and parked the side of the car under the shed.

Tian Fugui hurriedly called out an old man who was sleeping from the main room, introduced him to Zhang Wenhao, and said, "This is the secretary of the township, Tian Jiefang." He said. and introduced Zhang Wenhao's origin to Tian Jiefang.

Then, Tian Fugui remembered one thing and asked Zhang Wenhao: "Doctor." What do you call it? ”

Zhang Wenhao hurriedly said his name, and Tian Fugui said: "Doctor Zhang, our township is relatively small, to put it bluntly, it is a village, called Tianjia Village, just to unify the three villages on the mountain, we have set up a township, the place is poor, there are few people, and the conditions are limited, don't mind." ”

Zhang Wenhao said with a smile: "Don't worry, I'm mentally prepared." ”

Tian Fugui was overjoyed, pointed to the west room and said: "This is the health center, just an old local doctor, but I went into the mountain early this morning to collect medicine, and the house opposite is empty, so I will let someone prepare a futon for you, and you can live here." ”

Zhang Wenhao nodded, as long as there is a place to live, the rest is not a problem, and he is not unable to endure hardship, not to mention, the biggest purpose of his trip is to provide free medical treatment for the villagers in these poor areas, and at the same time earn points for himself.

The east house is an empty house, there are some grains piled up in it, because the air here is humid, so with a heavy musty smell, Tian Fugui asked people to move all the grain out of it, and cleaned the house again, then ordered a few young laborers to set up a simple wooden bed in the house, and sent someone to his house to find his wife to ask for a new bedding and pillow.

In order to facilitate Zhang Wenhao, he specially got a dilapidated desk in the office to Zhang Wenhao's house, and Zhang Wenhao did not refuse, he always had a place to put things.

After all this, it was noon, Tian Fugui Zhang took Zhang Wenhao to his house for dinner, and said that in the future, Zhang Wenhao's food problem would be solved by the villagers of the entire Tianjia Village, and every meal would be eaten at different people's homes, so that they could better familiarize themselves with the people and environment here.

Zhang Wenhao did not refuse, after all, his car was loaded with medicines and medicinal herbs, as well as two barrels of gasoline, and he did not bring any food.

When he arrived at Tian Fugui's house, his wife had killed the chickens and cooked under the shed, Zhang Wenhao chatted with Tian Fugui in the yard, Tian Fugui had four children, three sons worked outside, and a daughter married into the county, which can be regarded as a certain degree out of the mountains, Tian Fugui used to be the head of Tianjia Village, and later the county in order to facilitate management, the three villages on the mountain were merged into Tianjiazhuang, and then a Wanshan Township, after the establishment of Wanshan Township, the county did two more things than before, The first is to give electricity to Wanshan Township, and the second is to get some bricks and tiles to build such a township government.

Through the conversation with Tian Fugui, Zhang Wenhao also learned about some cultural conditions in Wanshan Township, first of all, there is no industrial pollution here, so there is no endemic disease, the only endemic disease should be considered arthritis, because it is in the mountains, and the humidity is very heavy. Most people who are a little older have arthritis.

There are three old midwives in the village, basically there are children born in the village, and in the case of natural delivery, the midwives can cope with it, but the mortality rate of dystocia is very high, because there are no surgical conditions here, and it takes more than half a day to be temporarily sent to the county, and the road conditions are extremely poor. Pregnant women with dystocia simply can't stand it.

When Zhang Wenhao asked why he didn't go to the county hospital before the due date to give birth, Tian Fugui explained with a very simple and straightforward but very convincing reason: there was no money.

Where did the money come from? To give birth to a child in the hospital, it will cost thousands of yuan, to say the least. The villagers here basically don't spend money on weekdays, most of the annual harvest is rations, and the rest is pulled out and sold, and they buy daily necessities for some money, who can have a thousand yuan deposit is already very remarkable, and the cost of giving birth to a child is too high for ordinary people to afford.

Some young people with big hearts have basically gone out to work. If there are people in the family who go out to work, the family conditions can be slightly better, and the rest are basically all poor.

Zhang Wenhao sighed in his heart, thinking that he must do his meager help and do something for the people here. During the meal, he said to Tian Fugui: "Township Chief, please use the loudspeaker to shout in a while, and let the old and young masters of Tianjia Village go to the township government after eating." I'll give them a check-up. ”

Tian Fugui nodded again and again, and said, "If you want it, I'll go and inform everyone after dinner." ”

After eating. 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 do a physical examination for the villagers here.

Tian Fugui shouted a few words in the local dialect with a loudspeaker, and 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, and the number of young and middle-aged people was small.

Zhang Wenhao said to Tian Fugui: "Township Chief, please tell everyone, let's start with the children, then the elderly, and finally the middle-aged and young people, let everyone consciously line up, and the young people can go back to work first, and come back later." ”

Tian Fugui nodded, shouted a few words at the top of his voice, some young and middle-aged people left with a smile, and the rest were old people and children, Tian Fugui knew everyone here, let them line up, starting with the children.

Zhang Wenhao opened his laptop and set up an excel spreadsheet, and every time Tian Fugui called a person, Zhang Wenhao would ask for the person's name and then record it.

Although the children are more naughty on weekdays, they are now very obedient, lined up one by one, and walked to Zhang Wenhao in a very orderly manner.

Zhang Wenhao doesn't have too much medical equipment, and things like blood pressure monitors are basically useless for children, so he mainly focuses on pulses.

Even if it is the pulse, it is much stronger than the general Chinese medicine, as long as it is not a disease of the nervous system, the pulse can basically be found, Zhang Wenhao looked at seven or eight children in a row, and found that the bodies of these children are not only a little unbalanced in nutrition, but they are also healthy.

Some children have a slightly weaker system, and after Zhang Wenhao's diagnosis, he found that many children had parasites in their bodies, so they were given two intestinal worm clear per person.

Nearly 100 children were in good physical condition, and no serious illnesses were found, just when Zhang Wenhao breathed a sigh of relief, a woman with a three- or four-year-old child in her arms hurriedly ran over.

"Doctor, you can show my dog's eggs, he has been diarrheal for three days, and the doctor at the health center has prescribed herbal medicine, and he has not improved after drinking it."

Zhang Wenhao basically couldn't understand what she said, so Tian Fugui acted as a translator, and after Zhang Wenhao understood, he looked at the child in the woman's arms, and was surprised to find that the child's condition was very poor, his spirit was extremely weak, he was very thin, and his eye sockets were a little sunken.

Zhang Wenhao hurriedly stepped forward, touched the child's hands and feet, and found that his limbs were cold, and then, Zhang Wenhao gave the child a pulse, and found that the child's heart rate and pulse were much weaker than normal children.

"Has the child peed in the past two days?" Zhang Wenhao asked eagerly.

"Nope." The woman shook her head very affirmatively and said, "It's diarrhea, it's diarrhea." ”

Zhang Wenhao frowned, checked the pulse again, checked the elasticity of the child's skin again, and found that the skin elasticity was very poor, so he said: "The child should have changed enteritis, had diarrhea for three days, and is now severely dehydrated." ”

As soon as Tian Fugui heard that he was severely dehydrated and didn't understand the specific meaning, he knew that the child was dehydrated. Seeing that the child was very depressed, Tian Fugui couldn't help but scold: "You fool! Why don't you give your child water! ”

Zhang Wenhao vaguely understood, the woman's face was innocent, and Zhang Wenhao said: "Township chief, this child's dehydration is a loss of body fluids, not something that can be solved by drinking water." ”

Saying that, Zhang Wenhao said: "The child's current condition is already very critical, if he goes into shock, it will be troublesome." First of all, I will pause the physical examination, and I will give this child a little 3:2:1 and other fluid. ”

After speaking, Zhang Wenhao didn't care about Tian Fugui's question, turned around and went to the car to get glucose water, saline and baking soda. That is, sodium bicarbonate, after being prepared in strict proportions, I took out the syringe, walked up to the child, asked the woman to put the child on the desk, and then found the child's blood vessels and pierced them very accurately.

The child has not yet reached the level of shock, so there is no need to expand the capacity to correct the acid first, but Zhang Wenhao slightly accelerated the speed of the infusion. This is a quick way to relieve emergencies where your child is missing a lot of fluids.

As long as the problem of dehydration is stabilized, and some anti-inflammatory drugs and antidiarrheal drugs are appropriately dispensed, the condition can be stabilized and medication can be adhered to. It takes a few days to heal.

After giving the child an infusion, Zhang Wenhao said to Tian Fugui: "Let the child lie on my bed, cover it with a dry quilt, and maintain its body temperature." ”

Tian Fugui said: "Westinghouse is a health center, and there are hospital beds there. There are also poles for hanging water, so let's go there. ”

Immediately, Tian Fugui picked up the child. Zhang Wenhao held the infusion bottle and sent the child to the dilapidated hospital bed, and the infusion pole in front of the bed was even made of bamboo.

Zhang Wenhao knew that the child's condition would soon be relieved, and after the relief, he used medicine to cure it, and his heart was also relaxed, but he sighed in his heart, the child had acute enteritis, but the medical level of the township could only prescribe some herbs to him, for acute enteritis, which occurred in a short period of time and quickly reached its peak, Chinese herbal medicine was too slow, it was too late, and the child had serious diarrhea, and the Chinese medicine entered the abdomen, and there was no chance to release the medicinal power, and it would be excreted by the child to treat this disease. Oral drugs have limited effects, and intravenous administration is the best and fastest route.

If there are no antibiotics, there is no condition to prepare hydrating isotonic fluid, I am afraid that the child's life will not be long, the conditions here are too poor, parents are not able to send the child to the county for treatment, but hope that the herbs can have an effect, if the child is in shock before realizing that the problem is serious, even if the child can be sent to the county hospital alive, he can only be sent to the emergency room immediately.

Zhang Wenhao couldn't help but exclaim, there is a shortage of doctors and medicines in poor areas, behind these four words, it is to be carried with life!

After settling the child, Zhang Wenhao came out and continued to do physical examinations for the remaining villagers.

The physical condition of the elderly is very worrying, almost every old man has the problem of malnutrition, and for them, it can only be regarded as a small thing, severe rheumatoid arthritis patients, even walking needs to be supported by others, they can't even stand, bedridden at home for a long time, not paralyzed, but paralyzed, this problem is also very serious and very common.

For malnutrition, Zhang Wenhao has no way to start, this situation is not tight and the elderly need to have a balanced diet and nutritional intake, but also need to have proper exercise and healthy work and rest, Zhang Wenhao can only advise these arthritis patients one by one: try not to give up exercise because of pain, take two steps a day, even if it is crutches, but also move the body appropriately, do not be bedridden all day, that will only aggravate their condition.

There are too many arthritis patients, Zhang Wenhao can't treat them one by one for a while, so he can only write down their names first, and then take the time to prepare a pair of dampness soup, give them to soak the joints, and then administer acupuncture treatment, this dampness soup is a top medical skill package, a prescription of traditional Chinese medicine, this prescription is a later generation after the scientific analysis of the ancient method, with high-tech research, to improve, the effect is very good, if you can match the dampness soup, you will be sure to cure all the rheumatoid arthritis patients here.

In addition, Zhang Wenhao recorded the cardiac insufficiency of an elderly man and made a systematic diagnosis and treatment for the elderly on another day; Four people have high blood pressure, but fortunately, Zhang Wenhao has antihypertensive drugs, and acupuncture can also play an auxiliary role.

An old man's lung function was very weak, even if he sat still, he was out of breath when he spoke, as if he had just climbed six or seven floors, which aroused Zhang Wenhao's vigilance, and he carefully identified the old man's lungs with a stethoscope and asked the old man about some general conditions.

The old man said that she had lung problems for more than three months, and the situation is getting worse and worse, she used to be just wheezing, but now she is not only wheezing very badly, but also has a lot of phlegm, and she is weak, and it is very difficult to walk.

Zhang Wenhao's heart tightened, and through his diagnosis, he found that the old man's lung function was extremely weak, and even his body was greatly affected.

These circumstances made Zhang Wenhao basically sure that the old man was suffering from lung cancer, and I am afraid that it has reached an advanced stage, her current cancer cells may have already begun to spread, and tumors should have grown in the trachea, her life may be in the middle finger at any time, and the most likely fatal factor is respiratory failure, in other words, if one breath does not come up, the person may fall forever.