This Doctor is Great

After eating, there is no lunch break.

Zhou Mo and others began to get busy.

The mountainous area in northern Guangdong is a bit cold, much colder than in the city, but fortunately it gets warmer when you get busy.

The location of the free clinic is in the room of the community center, where the villagers' meetings are usually held.

The tables are lined up one by one.

At this time, villagers have come to the community one after another.

Since yesterday, the village leaders have arranged for people to tell the whole village that experts and doctors from the provincial capital will come to see the doctor for free through the village radio and motorcycles running around the village with loudspeakers.

For seeing a doctor and watching the fun, they came to the community one after another.

Zhou Mo and others looked around,

Good guy, there are more than 70 villagers!

Zhou Mo glanced at it.

"Most of them are old people."

"It should be that young people have gone out to work, and only the elderly are here."

"I've heard before that patients at the grassroots level are either not sick or very sick... I don't know if that's true."

"It's hard to say..."

soon,

The village leader stood on the podium: "Hi everyone, folks, now we warmly welcome experts from the provincial capital."

clatter~~~

The villagers who joined in the fun gave warm applause.

Experts in provincial capitals are rare!

look,

Experts can move!

so amazing!

An expression of excitement and curiosity like watching a monkey show in Malaysia.

Teacher Huang Li was wearing a white coat and standing on the podium.

Generally speaking, white coats can only be worn in hospitals, and cannot be worn out of canteens and other places.

why?

Because the white coat may carry a lot of germs, if you go to the dining hall and pass it on to others, causing a hospital-wide infection, it's over.

Today, the three of Zhou Mo are all wearing white coats, brand new and never worn.

Teacher Huang Li stood on the podium:

"Dear folks, elders, I am very glad to come to our village today to give you some popular science promotion and free medical consultation..."

"This is my first free clinic in the countryside. I feel a little excited and a little apprehensive. I hope our next free clinic can help everyone..."

"We are in the Department of Cardiology. We are good at cardiovascular, hypertension, heart, coronary heart disease, and others..."

"Do you know that you have high blood pressure?... Raise your hand if you know you have high blood pressure..."

Soon, more than half of the thirty or forty villagers raised their hands.

"Wow, most of them have..."

"Auntie, how old are you? How long have you had high blood pressure?"

"70 years old, high blood pressure for more than 20 years..."

"Wow, it's been a long time... everyone should pay attention, the most effective way to control high blood pressure is life intervention, avoid unhealthy diet, such as high salt, oily, inactive, smoking, drinking, poor sleep... these Both affect high blood pressure..."

"Also, does anyone have a blood pressure monitor? Raise your hand and see..."

Soon, most hands were raised.

"Almost all have blood pressure monitors... Those who don't have one, you can buy one. What should you buy? It's best to use an arm type, and try not to choose finger pressure and the like... because the closer to the heart, the more accurate it will be."

"Do you know how to use a blood pressure monitor?"

"Okay, let's demonstrate to everyone..."

Then he yelled to Zhou Mo: "Little Mo, come here..."

Zhou Mo nodded, took the sphygmomanometer and walked to the podium, in front of the 70-year-old old lady just now.

"Grandma, how about you come and help me demonstrate?"

"Okay~~"

Zhou Mo gave the old woman an upper arm blood pressure monitor while popularizing science: "Elders, when wearing this blood pressure monitor, it is usually located two finger widths above the elbow... When measuring, try to measure with bare arms, it is more accurate, yes Yes, it is more accurate to sit and test..."

"Everyone knows, do you measure the left hand or the right hand?" Zhou Mo interacted.

"I don't know." The old people were quite cute and responded enthusiastically.

Zhou Mo said in a popular way: "Generally, which side has high blood pressure, you can measure that side...Of course, if one side is higher than the other, if it exceeds 20, you should go to the hospital for an examination as soon as possible, don't delay..."

Soon, the old woman's blood pressure came out.

154/89mmhg...

"Auntie, you need to control your blood pressure..."

"When your blood pressure is high, it's like a water pipe. If the pressure is too high, it's easy to burst...By the way, are there any elders with cerebral infarction here?" Zhou Mo asked.

"Yes..." Many villagers pointed to an old man with a dull expression, "He has a cerebral palsy..."

Villager: "After he was sent to the hospital, he was like this. He couldn't even speak."

Zhou Mo nodded: "It should be that the blood pressure is too high, which caused the blood vessels in the brain to burst..."

...

I also popularized other knowledge, such as cardiopulmonary resuscitation, but this is a bit difficult for these elderly people. It is estimated that they are not strong enough to press.

half an hour later,

Start the official clinic.

Zhou Mo came to an aunt: "Auntie, let me listen to your heart..."

Zhou Mo took the stethoscope and began to listen.

one listen,

Atrial fibrillation!

Zhou Mo was sweating like crazy, awesome.

Ventricular fibrillation, he's had it.

But never had atrial fibrillation.

Atrial fibrillation is not ventricular fibrillation, and ventricular fibrillation is almost dead.

Atrial fibrillation, also known as atrial fibrillation, is an irregular blood flow in the atria.

It has a consequence: it is easy to cause local thrombosis, and these thrombi are usually attached to the atrium.

Once the thrombus falls off, it may flow to different organs with the blood flow, causing corresponding embolism, such as 'cerebral infarction'...

It may also cause superior mesenteric artery embolism, limb arterial embolism, renal artery embolism...

Once embolism occurs, what will happen?

Local tissue ischemia, hypoxia, and necrosis!

Once these situations occur, the patient will die in minutes, which is more dangerous!

"Grandma, you have atrial fibrillation, and your heart rate is not consistent. You'd better go to the county hospital for an examination and prescribe some medicine. If the county hospital doesn't work, you can go to the provincial capital, or you can come to our provincial second hospital... Wait I'll leave you a call next time, if you need anything, you can call us..."

Zhou Mo brushed and wrote down the diagnosis, blood pressure results, and department contact numbers.

"By the way, as soon as possible..."

The old lady laughed, but didn't take it seriously, but still put away the paper written by Zhou Mo.

Next,

It's also an old lady. When Zhou Mo heard the heart sound, no, there was valvular regurgitation, and it was quite serious. Blood pressure is also high.

"Oh, you have this problem, go to the hospital for an examination, it's very serious... If you don't treat this disease, it won't be cured in two years..."

The next one is the old lady.

"How long have you had chest pains?"

"One month."

"You have a problem. Is your son at home? Maybe go to the provincial capital for an imaging..."

"ah?"

"Really, don't delay, you may have a heart attack."

Continue to write diagnosis results, blood pressure results, contact numbers...

After watching four in a row, all of them were seriously flawed.

At the fifth time, finally there was only high blood pressure, and no heart disease was heard.

Sixth, he said that he did not have high blood pressure, but Zhou Mo took a test, oh, it was 160, it was definitely high blood pressure, but the patient didn't think he hadn't found it.

really,

What Huang Yiming said is correct. The patients at the grassroots level are either not sick or very sick.

.