Chapter 535: Disadvantages of Specialist Doctors
Wu Agou's stomach problem has not been cured, and he began to cough again, and it is an irritating cough.
Coughing up like an asthma attack, shortness of breath and wheezing, it sounds like a duckling in the trachea, cooing.
The cough was not good for a long time, and Wu Agou ran to the hospital again to take a look, and the X-ray said that there was pneumonia.
Since there is pneumonia, then antibiotics should be used, but the treatment has no effect at all for half a month, but the condition is getting worse.
First of all, the throat is itchy, the throat is tight, the voice is hoarse, and the throat is cleared frequently, which is similar to pharyngitis, and then there is nasal congestion and runny nose, itchy ears and tinnitus.
Then even the mouth was rotten, full of ulcers, and it hurt to eat anything.
Later, it is even more serious, even if you eat liquid or soft food, every time you swallow food, the esophagus here is a hot pain.
What has become of it in the end, it is stomach pain, chest pain, cough, vomiting, mouth ulcers, and difficulty swallowing.
This long-term stomach pain and acid reflux, a lot of complications, and long-term inability to eat and drink normally can torture Wu Agou, and forcibly turn him from a big fat man into a skeleton.
It's really that one person is not like a person, and a ghost is not like a ghost, and the whole family is exhausted.
Since the early 80s, when the policy has not been fully opened, the Wu family dared to open a kiln factory, and later it was the first batch to open a textile factory, and it can be regarded as the first batch of people in the central region of Vietnam to get rich first.
The family is not short of money, almost all the famous big hospitals all over the country have been to see the disease, the capital, Shanghai, and the provincial capital do not know how many trips.
In the end, there was no conclusive conclusion, some hospitals said it was the problem, and some hospitals said it was the reason.
There is no one perfect explanation for all of them.
What is the perfect combination of gastrointestinal symptoms, respiratory symptoms, ear, nose and throat symptoms, oral symptoms, and even neurological symptoms? No one can say what caused it.
I don't know how much I have taken Chinese medicine and Western medicine, and the money spent has been countless, and the curative effect is not at all, but it is getting heavier and heavier.
In fact, this is where the disadvantages of "specialization" of large hospitals or top hospitals lie.
For example, when this Wu Agou went to a top hospital for treatment, he faced a registration problem, right?
You have so many symptoms, you are uncomfortable anywhere, which department are you going to hang?
However, there are too many problems, and it seems that no department is suitable, so patients can only look at each department.
It's not stomach pain at first, so let's go to the "Department of Gastroenterology" to see a stomach problem first.
The gastroenterologist took a look, your stomach was upset, I gave you medicine, as for your cough is not good, it doesn't matter, you go to the respiratory department to take a look.
The patient went to the "Department of Respiratory Medicine" again, and the respiratory doctor saw that there was pneumonia and asthma, so he treated the symptoms and anti-inflammatory and anti-infection.
What do you have back and chest pain? Could it be that the heart is bad, let's go and take a look.
The patient rushed to the "cardiology" to see a doctor, and the cardiologist heard about it and checked it, and it was not a big problem, anyway, I have no problem here.
You say you have a sore throat and a bad nose? Then why don't you go to another department?
As a result, the patient had to re-register and go to the "ENT department" to see the patient.
The ENT doctor also only cares about the disease you belong to, you have nasal congestion and runny nose, you have a sore throat and itchy throat, the doctor will prescribe some medicine for you, and then you go to the stomatology department to see.
The dentist only cares about your rotten mouth, that is, mouth ulcers, tooth enamel destruction, tooth decay and other problems, and the other uncomfortable doctors don't care.
The patient went to the "neurology" department to see his symptoms such as palpitation, chest tightness, and heat all over his body.
As a result, the neurology department couldn't do anything, and they couldn't even say the symptoms.
What to do?
Isn't there also a Chinese medicine department that is "confused and cures all diseases".
Mr. Chinese medicine has a pulse, what spleen deficiency, kidney deficiency, yin deficiency and yang deficiency are explained, and all the problems in your body are connected.
The patients and their families felt like they had grasped some life-saving straw and felt that there was hope, and they were simply miraculous doctors in the world.
So I spent a lot of money, bought a lot of Chinese herbs and went home, boiled medicine at home every day, and poured a big bowl of black and brown Chinese medicine into my stomach, which was worse than Da Lang taking medicine.
I drank Chinese medicine for two months, and after drinking it, not only did the pain not be relieved, but I drank the medicine until I vomited, and finally drank it until my stomach bleed.
After a check, the indicators of liver function and kidney function are rising in a straight line, and with a snap, a diagnosis of drug-induced hepatitis and nephritis is down.
Well, a wave has not settled, wave after wave, this old problem has not been solved, and I was asked to go to the "hepatology department" and "nephrology department" for treatment.
Good guys, this lap is down, everyone counts:
Gastroenterology, Respiratory Medicine, Neurology, Cardiology, ENT, Stomatology, Traditional Chinese Medicine, Hepatology, and Nephrology all went there.
The patient ran almost half of the hospital.
However, each department is a headache doctor, a foot pain doctor, only in charge of the section under the jurisdiction of its own department, and as a result, the fundamental problem has not been solved, and the cause has not even been found.
This is one of the biggest drawbacks of "specialization", and it is also the limitation of specialists.
Wu Agou's family had no choice in the end, the more the patient was treated, the worse the treatment became, and only skin and bones were left, and he was dying, and he was about to take his last breath.
Gotta go back to your hometown and wait for death.
It should not be killed.
Once, the daughter-in-law of the Wu family went back to her parents' house to visit relatives, and occasionally heard from a neighbor that a "gastroenterology department" had recently risen in the Vietnamese Central People's Hospital.
I heard that it is still a cooperative venture with a foreign country, and it uses drugs and a special treatment plan that are not currently available in China.
The desperate Wu family thought of trying their luck at the People's Hospital, basically a dead horse as a live horse doctor, and felt that the top experts in the capital Shanghai City could not see the disease, but they could be optimistic about it in the third and fourth-tier small cities of Vietnam?
Chen Qi listened to the Wu family's account of the illness that Wu Agou had experienced in the past few years, and his brows furrowed.
There are too many symptoms, and almost all organs in the body seem to be in trouble, so where is the key source?
Thinking of this, Chen Qi looked at his wife, he had been taking over as the head of the department for a while, so he should have a good idea, right?
"Director Lan, Boss Wu has been treated with you for a while, do you have a preliminary diagnosis? What is the treatment? ”
Chen Qi now represents the identity of the dean, so Lan Lijuan didn't dare to be sloppy, and quickly replied:
"That's right, after Boss Wu was admitted to the hospital, we went through a comprehensive examination, one part by one, and finally the preliminary speculation was that it would be caused by excessive gastric acid secretion and acid reflux? However, at present, Boss Wu's body cannot support gastroscopy.
Because it could not be diagnosed, after admission, we still gave symptomatic treatment according to the suspected most likely gastric disease, mainly using quadruple therapy, using proton pump inhibitors, increasing the dose twice a day, but the effect was very poor.
The patient's condition did not improve in the slightest, which makes us wonder if the diagnosis of esophageal reflux caused by excessive gastric acid secretion is correct? Is it necessary to rule out diseases of the digestive system?
Another question is that gastroesophageal reflux may cause stomach pain and esophageal pain, but there is no way to explain what pneumonia, asthma, stomatitis, and various diseases of the five tubes, are these symptoms isolated or related? There's no way to know for sure. ”
Wu A'er's eldest son took out a large pile of medical records from the drawer at this time:
"Dean Chen, this is my father's medical record book over the years, you can take a look."
Chen Qi took the medical records and looked through them carefully, looking at them very carefully.
There was a large group of directors, deputy directors, small attending officers, small doctors, interns, etc., everyone did not dare to say anything, and they all waited patiently for this Dean Chen to find out the cause of the disease.
The room was eerily quiet, save for the rustle of paper.
Chen Qi looked at the medical records and various examination reports for more than 20 minutes, and everyone waited for more than 20 minutes, and the normal ward rounds were directly stopped.
In fact, while Chen Qi was looking at the medical records, he kept thinking about the textbooks he had studied in his previous life, as well as the knowledge points in some medical journals, and compared them to see if there were any matches.
Suddenly, he seemed to think of something, so he said to Ma Xiaona next to him:
"Hurry up and get the book "Internal Medicine"."
Ma Xiaona, the second monk, was puzzled, thinking to himself how this old classmate was about to turn the book when he looked at it? Still in front of so many people, is it embarrassing?
Doctors don't know everything about diseases, and it's normal to go back to the office and secretly flip through the book after checking the room, who wants to flip through the book in front of the patient like this fool?
However, she complained in her heart, Ma Xiaona's movements were very fast, she quickly ran to the doctor's office, and came with the book "Internal Medicine".
Chen Qi took the book, and no matter how surprised and puzzled the eyes of others were, he turned to the chapter on the digestive system.
Then he read quickly on the article "Gastroesophageal Reflux Disease", and after 2 minutes, he got the answer he wanted:
"No wonder, this has almost been found in several famous hospitals in China, and there is no way to treat it, so the original problem is here."
"What's the problem?"
Lan Lijuan and Ma Xiaona blurted out at the same time.
Chen Qi ignored them, smiled and said to Wu Agou on the hospital bed:
"Boss Wu, if you believe me, I will take over your condition, and then I will arrange the examination and treatment, what do you think?"
Wu Agou was a little excited: "Okay, well, Dean Chen heard that he is still an international director, and I absolutely believe in your skills!" ”
Wu Agou's wife and several children also nodded again and again:
"Thank you, thank you so much Dean Chen, my father's illness is on you, he is still young, he is only in his 50s this year, he has never done anything bad in his life, there should be this ending."
Yes, giving roses to people, there is fragrance in his hands, Chen Qi is fully convinced that this kind brickyard owner is not a big traitor.
Especially for the Chen family, Chen Qi will definitely save him, the key is that he also has a certain degree of certainty in his heart.
"Okay, since Boss Wu can trust me, I promise not to disappoint you and your family, in this way, Director Lan, you immediately prepare the gastroscopy equipment, and I will personally come to do the gastroscopy in the afternoon."
Lan Lijuan was a little embarrassed:
"Dean Chen, we have examined Boss Wu's mouth and throat, there are ulcers and erosions everywhere, and he has difficulty swallowing, I am afraid that the situation of the esophagus is not optimistic, these are all contraindications, and gastroscopy may be difficult to perform."
Chen Qi pouted:
"That's your timidity, I'll definitely succeed in doing it, in the afternoon I'm going to go into gastroscopy under general anesthesia, and then the scope tube will be used for children's gastroscopy, there are more ways than difficulties, comrades, you can't be too dogmatic, you have to put the health of the people in your heart."
The dean criticized directly, and the little doctors next to him all shrunk their necks.
Only Director Lan's eyes suddenly lit up: "Yes, why didn't I think of the method of painless gastroscopy?" ”
Chen Qi thought to himself: "There are still painless abortions, hum." ”
Lan Lijuan suddenly thought of something again, and suddenly glared at the dean, the meaning in her eyes was very clear: Dare to murder me, I want you to look good when I go home!
At noon, Chen Qi went home and took the stupid eldest sister to the People's Hospital.
When the stupid eldest sister appeared in the ward with a large bag and a small bag, and saw the dying brick factory owner, she felt indescribably sad.
Chen Qi and Lan Lijuan took off their white coats, and they also officially came to visit this Boss Wu together as ordinary Chen family members.
This reminiscence of the past made the two families sigh.
Of course, both families avoided the topic of the Jin family, and everyone in Keqiao knew that the Jin family had several disputes with the Chen family back then, and finally ended up with a broken family.
Before leaving, the stupid eldest sister stuffed a big red envelope and put it under Wu Agou's pillow, and then ran away like a thief, not giving the Wu family any possibility of returning it at all.
When Wu Agou's wife opened the envelope and saw the full 500 yuan inside, her mouth couldn't close in surprise.
500 yuan is the salary of an ordinary worker for almost half a year, and the income of a mountain person for several years, which is definitely a huge amount of money.
"Daddy, this is too much red envelope, we have to return it."
Wu Agou looked at the red envelope in front of him, and there were already tears in his eyes:
"At the beginning, I said that the four sisters and brothers of the Chen family are all promising, look, my vision is good, if I didn't take care of Chen Qin, how could I have the sincerity of the Chen family to visit the patient today, and I have to personally take over my incurable disease.
We keep this money, although we are not short of money, but this is a piece of the Chen family's sister and brother's heart. Just take this opportunity, eldest and second, listen, you must walk around more with Dean Chen in the future, our family has such a relationship, and we will have a backer in the future.
Don't look at President Chen Qichen as young, but think about it, being able to become the president of a people's hospital in his 20s can be a simple role? I'm afraid that Dean Chen's future is immeasurable, and our Wu family can be regarded as having a good relationship. ”
"Thanks to Dad's good vision back then!"
"Amitabha, we can be regarded as good people with good rewards."
Here the Wu family is congratulating on their good luck.
Chen Qi was already sitting obediently opposite Lan Lijuan and being interrogated at this time.
"Chen Lao Er, tell me, why did you take the book "Internal Medicine" just now? What problems were found? Why do you insist on getting a gastroscopy even though you know there are contraindications? ”
Chen Qi laughed flatteringly: "It's easy to say, my wife wants to know, I definitely know everything." ”
"Seriously, who's laughing at you?"
"Good, serious, serious."