Chapter 21
After hanging a sign on the east side of the second floor of the hospital's outpatient building, Zhang Sheng was officially listed to practice medicine, but after a few days, no one cared about it at all.
Although Zhang Sheng doesn't care about this, as a military doctor, if he can't make a name for himself, he will disappoint many people who care about him, such as his mother, who has high hopes for himself.
What's more, it is the duty of every doctor to cure diseases and save people, and it is irritating to do nothing like this.
Qin Yuxia was relieved on the side, saying that you have just started this subject, you can't be in a hurry, you can only take your time, and when you have a reputation, the patients who come to see the doctor will recognize you here, at the initial stage, I will help you think of a way.
Qin Yuxia did what she said, and in the afternoon of that day, she brought a diabetic patient here, an old man in his fifties, Qin Yuxia and his second uncle seemed to be related.
There was also a young woman who followed the old man, always muttering something to Qin Yuxia, Zhang Sheng's ears were extremely sensitive, and he could hear them, it turned out that the young woman was the daughter of this Uncle Qin, and she was very dissatisfied with her cousin Qin Yuxia's behavior, and she didn't believe that Chinese medicine could cure diabetes at all, and said that my father's diabetes was originally in the early stage, and the symptoms were very mild, and the county hospital said that he should pay attention to his diet, take medicine and raise it, and he can control it slowly, why do you have to drag him over and toss him?
When Zhang Sheng asked Uncle Qin about his illness, Ms. Qin also looked impatient, and when she cut Uncle Qin's pulse, Ms. Qin turned around and walked out irritably.
Tasting Uncle Qin's pulse and weather, and listening to Uncle Qin talk about his illness, Zhang Sheng's face gradually became serious.
"Take the uncle to do a serum test. Zhang Sheng instructed Qin Yuxia.
Qin Yuxia didn't care, thinking that it was just a routine inspection, so she agreed and led Uncle Qin out of the house.
Zhang Shengzheng frowned and thought when Ms. Qin came back, and she entered the room with a middle-aged doctor in a white coat, Lu Jingye, director of the endocrinology department of the hospital, deputy chief physician, one of the thirteen deputy senior positions in the hospital, and naturally an authority in the endocrinology subject of the hospital.
"Where's my dad?" Ms. Qin was angry in her heart, and her tone was not very polite.
Lu Jingye smiled awkwardly at Zhang Sheng, his lover and Ms. Qin were in the same unit, and the two families were very familiar, Ms. Qin dragged him over, and he had to come. However, it is taboo to interfere with other doctors' consultations, although Lu Jingye feels that this young director of the Chinese medicine department is just a little doctor who has come down to gild, but he is not ready to say anything, so as not to offend people in the unit for no reason and make a mortal enemy.
He didn't want to say anything, but Ms. Qin didn't let him go, turned her head and said, "Brother-in-law, tell me what you said to me just now." ”
Lu Jingye couldn't help but be embarrassed, just now Ms. Qin went over, and didn't say what was going on, so he asked about the effect of Chinese medicine in treating diabetes, and he simply talked about it, as a Western physician, he couldn't help but be a little contemptuous of Chinese medicine in his words, but how could these words be said in front of Chinese medicine? Especially this person is still the person in charge of the Chinese medicine department of this hospital.
Fortunately, Zhang Sheng did not answer this question, but said to Ms. Qin: "Eldest sister, I am a little new to Uncle Qin's illness, let's wait for the serum results." ”
Lu Jingye couldn't help but breathe a sigh of relief.
When Ms. Qin heard that her old father was dragged to take a blood test, she thought it was for the fee again, so she couldn't help but get even more angry, and said, "It's diabetes, what can I test?
Lu Jingye couldn't help frowning, this Xiao Qin is a bit unusual, how can he talk to a doctor like this?
Zhang Sheng was unmoved, and said in an extremely calm tone: "That's the case, Uncle Qin, I suspect that I have a very special kind of dryness syndrome, which is what Western medicine calls Sjogren's syndrome." ”
Ms. Qin was stunned: "What Sjogren's syndrome?" looked at Lu Jingye.
Lu Jingye was also slightly stunned, and asked Zhang Sheng: "Has it been diagnosed?" For ordinary people, Sjögren's syndrome is a relatively partial disease, but for doctors, it is not rare in clinical practice, and the incidence rate is quite high, but how to define this disease is that the international standard is very vague, and all aspects of the cause are being explored from the perspective of Western medicine, and there is no cure.
It's just that this disease usually does not pose a life-threatening danger to the patient, and the patient may not even feel it at all, but the words of Yan zhòng will damage the patient's internal organs, the patient's immune system will be damaged, and the invasion of various other diseases will follow, and the birth rate of some cancers such as lymphoma in patients is much higher than that of the normal population.
In short, the disease itself is not fatal, but it is a real killer of health, which will slowly decline and die.
The old man suffered from this disease, but it was troublesome, and when Ms. Qin asked Lu Jingye in a low voice what was going on with this Sjogren's disease, Lu Jingye said a few words simply, as a doctor, he naturally said very strictly.
"Impossible, right? Liu from the county hospital said that my dad was diabetic. Ms. Qin didn't believe it very much, looked at Zhang Sheng, and said in her heart that this little doctor was just trying to cheat money.
Zhang Sheng said: "At the beginning of the dry syndrome, it is a bit similar to diabetes, such as Uncle Qin's dry mouth and red urine, which is also a symptom of diabetes, and I think Uncle Qin must have not done a comprehensive examination in the county hospital, so he took a urine test, right?"
Ms. Qin was stunned, indeed, she didn't want to spend money in vain, and the acquaintance she was looking for Lao Liu listened to the symptoms and briefly checked the conclusion of the examination.
Looking at Lu Jingye, Ms. Qin asked, "It really maybe, what is sjergy?"
Lu Jingye was silent, in the early stage of Sjogren's disease, he was not easy to judge, and he didn't even have a few months of observation, I'm afraid that no doctor in this world can diagnose it, right?
However, these words cannot be said in front of the patient's family, and you cannot question your colleagues in the hospital in front of the patient's family.
While talking, Qin Yuxia came back with Uncle Qin, and also brought the serum test results, which were very fast, and they must have been cut in line.
Lu Jingye came over to take a look, and couldn't help but be stunned, Uncle Qin's serum was positive for anti-ssa antibodies and anti-ssB antibodies.
According to domestic standards, this is the most important indicator of Sjögren, of course, it must meet several other secondary indicators to determine that it is Sjögren.
However, according to European standards, serum resistance is only one of the six indicators, and patients can only be judged as Sjogren's syndrome if they meet four of the six indicators.
Therefore, it is actually very difficult to diagnose this disease, and it is basically impossible to diagnose it until the middle and late stages.
Zhang Sheng rolled Uncle Qin's eyelids, carefully observed for a while, and said: "I'll look at the observation in the hospital, the yang heat is excessive, causing the fluid to be consumed, and the clear body is lost in moisture, and over time, the blood stasis is blocked, the veins are blocked, and the skin, muscles and bones are involved, and the old man is Sjogren." ”
Ms. Qin looked at Lu Jingye again, Lu Jingye was still silent, faintly, and did not believe Zhang Sheng's judgment, after all, Uncle Qin only met two or three criteria in the symptoms of Sjögrenosis, so arbitrarily judged to be Sjögren, and it was done by traditional Chinese medicine, which was completely unscientific, and there was no principle to explain, completely relying on the doctor's experience.
Ms. Qin had the bottom in her heart, pursed her lips, and said to Zhang Sheng: "I think it's better to go home and recuperate, if there is really any problem, I will come to you again." "Listening to Zhang Sheng talk about the symptoms one by one, although it is obscure, it seems that he really has some ability, and his tone is much more polite.
Zhang Sheng smiled: "You can not believe my words, but when you go home, you must pay attention to the physical health indicators of the elderly, I estimate that in a few days, the elderly will have dry eyes, and they may not even be able to eat dry food, and they must rely on water to send it down." ”
Ms. Qin was stunned, in the past two days, her father really couldn't swallow the dry rice, and the baked cakes were about to be broken and flushed with water to drink.
Uncle Qin didn't talk much, but at this time he was surprised: "Xiaoying, I think I'll just listen to this doctor, it won't take a few days, my eyes have been dry in the past two days, I originally wanted to tell you to come to the hospital and buy some eye drops by the way." ”
Lu Jingye was even more surprised, in this case, it would be completely in line with the symptoms of Sjogren's disease.
"It's Sjögren. Lu Jingye finally made a judgment and nodded to Ms. Qin.
Ms. Qin looked at Zhang Sheng for a while, her skills were not working, and Bibi knew that Lu Jingye was said to be a doctor in the Chinese medicine hospital, but compared with Dr. Zhang in front of him, it was too much worse.
As for Lao Liu from the county hospital or something, there is no need to mention it, something, my dad has something wrong with his body, and he has to sue you for medical responsibility.
"Doctor Zhang, then, can my father's illness be cured?" Ms. Qin finally softened her attitude completely, and asked with a little humility, now, it is really a matter of asking for someone, doctor, but it is about the life and death of her relatives.
Lu Jingye sighed and said, "It is difficult to cure it, this disease will be very troublesome in the later stage." ”
Ms. Qin's heart sank, thinking of her father's kindness to her, and remembering her alienation from her father because of her busy work over the years, she suddenly felt very uncomfortable. People only know how to cherish something when they lose something.
Zhang Sheng pondered and said: "If it is in the middle and late stages, it is indeed difficult to cure it, but we are early, I have a few Chinese medicines, which will be very helpful to the condition of the elderly, and if you take it for a long time, you are about seventy or eighty percent sure that it can be cured." ”
Ms. Qin, who was almost desperate, was overjoyed when she heard Zhang Sheng's words, and said repeatedly: "Thank you, doctor, thank you, you, I really don't know what to say, I started to have that attitude towards you, you, I'm sorry, I'm sorry for you!"
Pan Yuxia said beside her: "Our Director Zhang is benevolent, how can we deal with you?" Seeing that this mean and tricky cousin was convinced by the director, she naturally felt that she had a lot of face, and she thought even more in her heart, it seems that the director doesn't know how many skills he hasn't used.
Hearing Zhang Sheng say that he was seventy or eighty percent sure that he could cure Uncle Qin's sjogren's disease, Lu Jingye was also stunned, regardless of traditional Chinese medicine or Western medicine, he had to leave a little leeway in speaking, Zhang Sheng said that if he was seventy or eighty percent sure, it showed that he was very confident in curing Uncle Qin, and even had full confidence.
It's really alive to learn all the time, Lu Jingye sighed in his heart, he has lived for a long time, and he can see any strange people and strange things, there are rumors in the hospital that his master is the holy hand of the national doctor, and he has also cured the disease of the army commander, it is said that it is from the Health Bureau, it seems that it is not necessarily groundless.
"Director Zhang, look, Uncle Qin's case, can I observe and observe, I want to learn more things, and I can get some enlightenment. Lu Jingye said this, which made Qin Yuxia a little dumbfounded, he was also the director of the department, and he was the deputy chief physician who was much older than Director Zhang, and he put on such a low posture to observe the doctors next to him treating patients, this is the job of a hospital intern, right?
Zhang Sheng smiled and nodded, he had a good impression of this Dr. Lu, he was not the kind of person who was jealous of the virtuous and capable, and he pursued academics, which was rare.
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