Since 1981 Health School
Chapter 533 Disadvantages of specialist doctors
Wu Agou's stomach problem has not been cured, and he started to cough again, and it was an irritating cough.
Coughing is like an asthma attack, shortness of breath, and it sounds like a duckling is squawking in the trachea, gurgling.
The cough was not good for a long time, so Wu Agou went to the hospital to have a look. An X-ray showed that he had pneumonia.
Since I have pneumonia, I should use antibiotics. After half a month of treatment, there is no effect at all, but the condition is getting worse.
First itchy throat, throat tightness, hoarse voice, frequent throat clearing, like pharyngitis, and then there was a stuffy nose, runny nose, itchy ears and tinnitus.
Then even the mouth was rotten, full of ulcers, and it hurt to eat anything.
It became more serious later on, even if you ate liquid or soft food, every time you swallowed the food, the esophagus would be hot and painful.
What did it end up like? Stomach pain, chest pain, cough, vomiting, mouth ulcers, and difficulty swallowing.
This long-term stomach pain and acid reflux, a lot of complications, and being unable to eat normally for a long time, can torture Wu Agou, and abruptly changed him from a big fat man into a skeleton.
It really made a person look like a person, and a ghost didn't look like a ghost. The whole family was exhausted from tossing.
The Wu family dared to open a kiln factory in the early 1980s before the policy was fully liberalized. Later, they were the first batch to open a textile factory, and they were also the first batch of people in Vietnam to get rich first.
The family is not short of money, and almost all the famous big hospitals all over the country have gone to see a doctor. I don’t know how many times I have traveled to the capital, Shanghai stock market, and provincial capitals.
In the end, there was no conclusion. Some hospitals said it was the problem, while others said it was the reason.
There is no perfect explanation for all.
What disease can perfectly combine gastrointestinal symptoms, respiratory symptoms, ear, nose and throat symptoms, oral symptoms, and even nervous system symptoms? No one can tell what the cause is.
I don't know how much Chinese medicine and Western medicine I have taken, and I have spent countless money. The effect is not good at all, but it is getting heavier and heavier.
In fact, this is the disadvantage of large hospitals, or the "specialization" of top hospitals.
For example, when Wu Agou went to a top hospital for treatment, he faced a registration problem, right?
With so many symptoms, you don’t feel comfortable anywhere. Which department are you going to take?
But there are too many problems, and it seems that no department is suitable, so the patient can only look at each department.
It's not a stomachache at first, so let's go to the "gastroenterology department" to see stomach problems.
The gastroenterologist saw that your stomach was uncomfortable, and I prescribed medicine for you. As for your bad cough, don’t worry about it, you can go to the respiratory department to have a look.
The patient went to the "respiratory medicine department" again. The respiratory doctor saw that he had pneumonia and asthma, so he should treat it with anti-inflammatory and anti-infective treatments.
What's your back and chest hurting? Could it be a bad heart? Go for a walk, go to another department and have a look.
The patient went to the "cardiology department" again to see a doctor. The cardiologist listened and checked, and the problem was not serious. Anyway, I have no problem here.
You said you have a sore throat and a bad nose? Then you go to another department to see?
So the patient had to re-register and go to the "ENT Department" to see a doctor.
Physicians also only care about their own diseases. If you have a stuffy nose, runny nose, sore throat, the doctor will prescribe some medicine for you, and you can go to the stomatology department to see it.
The stomatologist only cares about your rotten mouth, that is, oral ulcers, enamel damage, dental caries and other problems, and other discomforts are ignored by the doctor.
The patient went to the "neurology department" to see his symptoms such as palpitation, chest tightness, and fever all over the body.
As a result, the neurology department couldn't do anything, and couldn't even tell the symptoms.
what to do?
Isn't there still a Chinese medicine department that "cures all diseases if you are confused".
The doctor of Chinese medicine gave me a pulse, and explained the deficiency of the spleen, the deficiency of the kidney, the deficiency of yin and the deficiency of yang, connecting all the problems in your body.
The patients and their families seemed to have caught some life-saving straw, and felt that there was hope. It was simply a miracle doctor alive.
So he spent a lot of money, bought a lot of Chinese herbal medicines and went home, boiled medicines at home every day, and poured a big bowl of dark brown Chinese medicines into his stomach, which was worse than Dalang's medicine.
I drank the traditional Chinese medicine for two full months. After drinking it, not only did my pain not relieve, but I drank it until I vomited, and finally I drank it until my stomach bleeds.
After a check, the indicators of liver function and kidney function rose in a straight line. With a click, a diagnosis of drug-induced hepatitis and nephritis was established.
Well, one wave has not settled, another wave has arisen, this old problem has not been resolved, and I was asked to go to the "hepatology department" and "nephrology department" for treatment.
Good guy, run down this lap, everyone count and see:
Gastroenterology, Respiratory Medicine, Neurology, Cardiology, ENT, Stomatology, Traditional Chinese Medicine, Hepatology, and Nephrology all went.
The patient ran almost all over half of the hospital.
But each department treats the head for headaches and treats the feet for foot pains, and only cares about the section under its own department's jurisdiction. As a result, the fundamental problem has not been solved, and the cause has not even been found out.
This is one of the biggest disadvantages of "specialization", and it is also the limitation of specialists.
In the end, Wu Agou's family members had no other choice. The more the patient was treated, the worse he became.
Well, go back to your hometown and wait to die.
It is also not worth dying.
Once, the daughter-in-law of the Wu family went back to her natal home to visit relatives, and occasionally heard from her neighbors that a "digestive department" had recently been established in Yuezhong People's Hospital.
It is said that it was established in cooperation with foreign countries, using 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, which was basically a dead horse as a living doctor. They felt that the top experts in the capital Shanghai stock market could not look down on this disease. Optimistic?
Chen Qi frowned after listening to the Wu family's description of the illness Wu Agou had experienced in the past few years.
There are too many symptoms, and almost all the organs in the whole body seem to be faulty, so where is the key source?
Thinking of this, Chen Qi looked at his wife. As the director of the department, he has taken over for a while, so he should know it well, right?
"Director Lan, Boss Wu has been treating you here for a while. Do you have a preliminary diagnosis? What is the treatment process?"
Chen Qi now represents the identity of the dean, so Lan Lijuan did not dare to be careless, and quickly replied:
"It's like this. After Boss Wu was admitted to the hospital, we went through a comprehensive inspection, one by one, and checked each part. Finally, we initially speculated whether it might be caused by excessive gastric acid secretion and acid reflux? But at present, Boss Wu's body cannot support the gastroscope. examine.
Because the diagnosis could not be confirmed, we still gave symptomatic treatment according to the suspected most likely stomach disease after admission. We mainly used quadruple therapy, and also used proton pump inhibitors. The dose was increased twice a day, but the effect was very poor.
The patient's condition did not improve at all, so we have to wonder whether the diagnosis of esophageal reflux disease caused by excessive gastric acid secretion is correct? Should diseases of the digestive system be ruled out?
Another question is that gastroesophageal reflux may cause stomach pain and esophageal pain, but there is no way to explain these pneumonia, asthma, stomatitis, and various diseases of the five tubes. Do these symptoms exist alone or are they related? There is no way to be sure of this. "
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 dad's medical records over the years, please take a look."
Chen Qi took the medical records and looked through them carefully, very carefully.
Surrounded by a large group of directors, deputy directors, junior attendings and doctors, interns, etc., everyone dared not say a word, and all of them patiently waited for the director Chen to find out the cause of the disease.
The ward was unusually quiet, save for the rustling of papers being flipped.
Chen Qi read the medical records and various inspection reports for more than 20 minutes, and everyone waited for more than 20 minutes, and the normal ward rounds stopped immediately.
In fact, while Chen Qi was looking at the medical records, he kept thinking about the textbooks he had learned in his previous life, as well as the knowledge points in some medical journals, comparing them to see if they matched.
Suddenly he thought of something, so he said to Ma Xiaona next to him:
"Hurry up and get the "Internal Medicine" book."
Monk Zhang Er, Ma Xiaona, couldn't figure it out, thinking how could this old classmate turn over the pages after seeing a doctor? Isn't it embarrassing to be in front of so many people?
Doctors don't know everything about diseases. It's normal to go back to the office after the rounds to flip through the books secretly. Who wants to flip through the books in front of the patient like this idiot?
However, she complained in her heart, and Ma Xiaona moved very quickly. She quickly ran to the doctor's office, took the book "Internal Medicine" and came.
Chen Qi took the book, no matter how surprised and puzzled other people's eyes were, he turned to the chapter on the digestive system.
Then he quickly read the article "Gastroesophageal Reflux Disease". After 2 minutes, he got the answer he wanted:
"No wonder, I went to several well-known hospitals in the country and still haven't found the cause, and there is no way to treat it. 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 trust me, I will take over your condition, and I will arrange the examination and treatment next, what do you think?"
Wu Agou was a little excited: "Okay, okay, Dean Chen heard that he is still an international board member. I absolutely believe in your ability!"
Wu Agou's wife and several children also nodded repeatedly:
"Thank you, thank you very 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. He shouldn't have this ending."
That's right, giving roses to others has a lingering fragrance in his hands. Chen Qi fully believes that this kind-hearted brickyard owner is not a villainous person.
Especially if he has kindness to the Chen family, Chen Qi will definitely save him. The key is that he has a certain degree of certainty in his heart.
"Okay, since Boss Wu trusts me, I promise not to disappoint you and your family members. In this way, Director Lan, you should prepare the gastroscope equipment immediately, and I will do the gastroscope myself this afternoon."
Lan Lijuan was a little embarrassed:
"President Chen, we have checked Boss Wu's mouth and throat, and there are ulcers and erosive plaques everywhere, and he has difficulty swallowing. I am afraid that the condition of the esophagus is not optimistic. These are contraindications, and gastroscopy may be difficult to perform. "
Chen Qi pouted:
"It's because you are timid. I will definitely succeed if I do it. In the afternoon, I am going to have a gastroscopy under general anesthesia. At that time, the endoscope tube will use a children's gastroscope. There are more ways than difficulties. Comrades, you should not be too dogmatic. Keep the health of the people in mind..."
The dean criticized directly, and the little doctors next to him all shrank their necks.
Only Director Lan's eyes suddenly brightened: "Yes, why didn't I think of the method of painless gastroscopy?"
Chen Qi thought: "There are still painless people coming, hum."
Lan Lijuan suddenly thought of something again, and suddenly gave the dean a look, the meaning in her eyes was very clear: dare to kill me, I want you to look good when I go home!
At noon, Chen Qi went home and took the silly elder sister to the People's Hospital.
When the silly elder sister appeared in the ward with a large bag and saw the dying owner of the brick factory, she felt unspeakably sad.
Chen Qi and Lan Lijuan took off their white coats and formally came to visit Boss Wu Agou Wu as ordinary Chen family members.
This memory of the past made the two families sigh.
Of course, the two families avoided the topic of the Jin family. Everyone in Keqiao knew that the several disputes between the Jin family and the Chen family had ended in ruin.
Before finally leaving, the silly elder sister stuffed a big red envelope and put it under Wu Agou's pillow, and then ran away like a thief, with no possibility of returning it to the Wu family.
When Wu Agou's wife opened the envelope and saw a total of 500 yuan inside, she couldn't close her mouth in surprise.
500 yuan is almost half a year's wages for an ordinary worker, and several years' income for a mountain person. It is definitely a huge sum of money.
"My son's father, this, this red envelope is too much, we have to return it."
Wu Agou looked at the red envelope in front of him, with tears in his eyes:
"At the beginning, I said that the four brothers and sisters of the Chen family were all promising. Look, I have a good vision. If I hadn't taken care of Chen Qin, how could the Chen family come to visit her sick with sincerity today? Take over my incurable disease.
We keep the money, although we are not short of money, but this is the wish of the Chen family siblings. Just take advantage of this opportunity, boss and second, listen, you must walk around with Dean Chen more in the future, our family has such a relationship, and we can be regarded as having a backer in the future.
Don't look at Chen Qi, Dean Chen is young, but think about it, can he be the dean of the People's Hospital in his 20s, can he be a simple role? I'm afraid Dean Chen's future is boundless. Our Wu family has a good relationship. "
"Thanks to Dad's good eyesight!"
"Amitabha, we can be regarded as good people and good rewards."
Here, the Wu family is celebrating their good luck.
At this time, Chen Qi was already obediently sitting opposite Lan Lijuan and being interrogated.
"Second Chen, tell me, why did you take the book "Internal Medicine" just now? What problems did you find? Why did you insist on having a gastroscopy even though you knew there were contraindications?"
Chen Qi laughed flatteringly: "It's easy to say, it's easy to say, my wife wants to know, I definitely know everything."
"Be serious, who is laughing at you?"
"Okay, be serious, be serious."
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