Chapter 78: Ward rounds
Alzheimer's disease is commonly known as "Alzheimer's" because most of the patients are elderly.
The main manifestation is the recent memory loss, but the more distant memories can still be vaguely remembered.
The earliest advertisement about Alzheimer's disease in China was one day, when the son took his father to a restaurant for dinner.
When he was about to go home after eating, his father grabbed the two dumplings left on the plate into his pocket.
When the son was about to get angry and stop him, the father said, "My son loves this the most!" ”
The son was stunned.
There is a sentence in the advertisement, which touched Li Xiyang very much: he can't even recognize his son, but he has never forgotten his love for his son.
Yes, the most fearful thing is that you remember my name but forget what I look like!
Alzheimer's disease is caused by genetic problems and an abnormal buildup of amyloid substances in the brain.
Studies have found that patients with Alzheimer's disease have typical histopathological changes – amyloid plaque deposition and neurofibrillary tangles in the brain.
Although there is no cure for Alzheimer's disease in current medicine, it can rely on drugs to alleviate the process of Alzheimer's disease and improve the ability of the elderly to take care of themselves.
Li Xiyang quickly changed his clothes and followed.
The old lady walked out of the hospital tremblingly, looking back and forth at the entrance of Ningyuan Hutong, as if she was not sure which direction her home was.
Just as Li Xiyang was about to step forward to ask, a fifteen or sixteen-year-old girl hurriedly ran over from the mouth of the alley, "Grandma, why are you running here?" ”
"I'm in a hurry to find you at home, hurry, come home with me!"
However, the old lady looked at the little girl blankly and asked, "Who are you?" ”
"Grandma, why are you confused again, I'm your granddaughter Xiaoxin!"
"Xiao Xin?"
The old lady shook her head, "No, no, no, I only have a son, not a granddaughter!" ”
"Grandma, I'm really your granddaughter!"
The little girl was about to cry.
Fortunately, not long after the two argued, the old lady's tone suddenly changed, "Ah, Xiaoxin, my precious granddaughter, why did you bring grandma here?" ”
The old lady touched the little girl's face and hands, and the little girl's mouth was deflated, and tears fell down her eyes.
"Grandma, do you remember me again?"
"You kid, what did you say, how could grandma not remember you, and then naughty spanking!"
The girl looked helpless, hugged the old lady and said, "Grandma, let's go back quickly, my parents and brother are all dying." ”
"Wait a minute!"
Li Xiyang walked up at this time, "Little sister, where do you live?" ”
The little girl glanced at Li Xiyang, but didn't seem surprised by the latter's question.
Quickly said an address, but showed Li Xiyang the sign hanging on the old lady's wrist.
That's right, it's the same address.
Obviously, the old lady has been lost more than once, and Li Xiyang is not the first stranger to question the true relationship between the two.
"I can bring my grandmother home now, right?"
Li Xiyang smiled and nodded.
But
"Little sister, your grandmother is already moderate Alzheimer's, and it will not be so easy to remember the road if you run around in the future, so the family still needs to be careful."
The little girl looked puzzled, "Ah, what?" ”
"Oh, it's Alzheimer's!"
"Sick?"
"What? Didn't your family prepare medicine for the elderly? ”
The little girl shook her head, "Our family has no medicine, my dad said that when people are old and old, they will be like this." ”
Li Xiyang sighed, the Chinese people's understanding of Alzheimer's disease has not yet been popularized, and they actually think that this is a phenomenon of natural aging.
Li Xiyang advised, "Little sister, your grandmother's disease is called Alzheimer's disease in medicine, although there is no cure yet, but it can be controlled to a certain extent by taking drugs.
In my opinion, your grandmother has just entered a moderate illness, and if she takes her medicine in time, at least she will not forget your name as she did just now. ”
"Really?"
The little girl looked excited.
Li Xiyang smiled, "I'm a doctor, don't lie." ”
"Great!" The little girl clapped her hands happily and said, "I'll go back and tell my parents now, so that they can buy medicine for grandma tomorrow." ”
"Goodbye, brother doctor!"
"Goodbye!"
......
Back to the rental house.
Li Xiyang couldn't sleep, and he always recalled the scene just now in his mind.
According to the latest research data of The Lancet, about 9.83 million people in China suffer from Alzheimer's disease, ranking first in the world.
Clinically, about 67% of Alzheimer's patients in China have deteriorated to moderate to severe disease when they are diagnosed, and the best time for treatment has been missed.
Just like the family just now, Alzheimer's disease is considered to be a normal phenomenon of aging.
After thinking about it, Li Xiyang decided to write a paper on Alzheimer's disease.
Quickly get out of bed, turn on the computer and write a few words.
"Exploration of the pathogenesis of Alzheimer's disease"!
However, writing a paper is not a day's work, and it requires a lot of research and real data to support it.
So he spent the middle of the night searching for domestic and foreign literature, and did not fall asleep until the second half of the night.
......
The next day I arrived at the emergency room.
Su Xintong was sitting behind the triage desk, beating her shoulders tiredly.
"Where's Dr. Chen, haven't you come yet?"
Su Xintong shook his head, but he smiled evilly in his heart, "I guess I'm tired!" ”
"Let's go, follow me to the rounds!"
In general, residents make rounds of the ward every day.
The attending physician should check every two to three days.
The chief physician makes rounds of the ward once a week.
The main thing is to check the patient's recovery and give some suggestions and methods for the recovery.
"A patient in Ward 1 has just undergone stent surgery to prevent stent blockage, and according to the doctor's instructions, he should mainly eat a liquid or semi-liquid residue-free diet, such as rice soup, lotus root flour, gradually eat porridge, rotten noodles, etc., and avoid cold food.!"
"Okay."
"The second bed is recovering very well, and the antibiotics can be stopped!"
"Yes!"
"The uncle in the second bed of ward 2 loves to drink, and often brings in wine with a thermos cup, Nurse Su should pay more attention!"
"Okay, Dr. Lee!"
"A patient in a bed in Ward 3 brought in the PICC tube of the left forearm, paid attention to observe whether there was bleeding at the puncture site, and properly fixed the catheter to prevent it from falling off, folding, and twisting."
"Yes!"
"The second bed of ward 4 strictly implements aseptic operation, follows the doctor's instructions, the time and dosage of administration should be accurate, the oral medicine should be taken regularly and quantitatively, and pay attention to the patient's reaction after medication."
When he came to Ward 5, Li Xiyang found that there was an extra patient in the room, but there was no patient case in his hand.
Li Xiyang looked back at Su Xintong, "What's the situation?" ”
Su Xintong hurriedly said, "It's the patient who was admitted last night, Meng Shutian, female, 60 years old. ”
"Due to sudden slurred speech, weakness of the left limb, lethargy at the time of admission, symmetrical pupils on both sides, sensitive light reflex, and muscle strength of the left upper limb level 0.
Dr. Sheng diagnosed a stroke patient and had to stay in bed for observation for two days! ”
"Stroke?"
Li Xiyang's brows furrowed, and he said in a deep voice, "Hurry up and contact the Department of Cardiothoracic Surgery, this is coronary arteriosclerotic heart disease!" ”