Chapter 134 Fellow folks meet fellow folks (please give me monthly votes)
“We have more time. The show Medical Road Offer is very popular now. Not only are we watching it, but our classmates are also watching it and are still thinking about it. "When will I be able to participate in a program like this?"
Jin Jing's words were full of envy, and her eyes when she looked at Wu Xiaofu were filled with stars.
"Brother Fu, you are our idol. After our service period is over, we will also take the postgraduate entrance examination. After graduation, we do not expect to be able to go to a top hospital like the First Affiliated Hospital or stay in Donghai Hospital. A tertiary hospital is very satisfying.”
A tertiary hospital.
There are many tertiary hospitals across the country. Regardless of their scale, without exception, these tertiary hospitals are at the top level in a region.
Patients in a certain area will also gather in this top-level hospital.
The development of Donghai is much better than that of Bei District. In a prefecture-level city in North District, there is basically one tertiary hospital, and the better ones are two or three. Only the capital can develop specialized hospitals and tertiary hospitals. A little more.
In Donghai, basically one district or county can develop one or even multiple top-level hospitals.
They are both called tertiary hospitals, but the difference is huge.
Some tertiary-level hospitals are just better than county-level second-level hospitals, and some are top hospitals like the First Affiliated Hospital.
But without exception, only tertiary-level hospitals can ensure the continuous progress of doctors, because tertiary-level hospitals represent resources and support levels, as well as the number of patients, etc., which are not possible for hospitals below third-level. Comparable.
Before studying medicine, they didn’t think so. After studying medicine, they realized that the gap between second and third could be so big.
For any tertiary hospital, the threshold for recruiting doctors is a master's degree. This is still in North District and Donghai. Except for some remote or small places, the basic threshold is raised to a doctorate. That's why Jin Jing and the others are like this. He said that if a master's student from a non-prestigious school can really get into a top tertiary hospital, he wouldn't be picky.
"We who study medicine are hard work. If you can't get a bachelor's degree, get a master's degree. If you can't get a master's degree, get a doctorate. If you can't get it in one year, get two years. If you can't get it in two years, get three years. If you can't sleep an hour less, then sleep less. For two hours, if you can’t roll to death, you will roll to death. This is how we got here. We can all do it.”
ah!
If you can’t roll to death, roll to death!
Brother Fu, are you serious?
Not only Jin Jing and the others looked at Wu Xiaofu, but Yu Xiaoze and the others also looked over, and they were all swept to death.
No wonder Wu Xiaofu is so good. Maybe Wu Xiaofu got up secretly to study after they fell asleep.
I suddenly started to cry in my heart, thinking about the past few years, how many years have been missed by others in the past few years.
"Yeah! The food is good."
In the cafeteria.
Wu Xiaofu couldn't help but admire, it's not a compliment, but the cooking skills of the eldest sister from the health center are really better than that of the first affiliated hospital, the taste is so authentic.
"Yes, this is the biggest motivation for us to persevere. If one day she leaves, Sister Zhou will definitely be the one we are most reluctant to part with."
Sister Zhou!
Wu Xiaofu looked at the cooking lady. Although there were about ten more people, the cooking lady was still very efficient. No, this was already on the table.
One thing that is good about the health center is that there is little competition and a strong sense of humanity.
Wu Xiaofu carried the rice bowl and came to Sister Zhou's side. Sister Zhou was shocked, "You kid, you scared me so much that you suddenly sat here."
It tastes right.
"Sister, you are from the north, right? This taste is so authentic. It is definitely the most authentic thing I have eaten since I came to Donghai."
This is not a compliment. If you are used to eating food in the north, you will find that the food in the south is When people eat, it seems that there is always a spoonful of seasoning missing and the taste is a bit bland, but today Wu Xiaofu finally found the taste of home.
"Huh? Are you from the north too? From the northeast of my hometown."
"No wonder, my pastoral area is not far away."
Ha!
The eldest sister was also a little excited when a fellow villager met a fellow villager, "You told me earlier, wait."
After a while, the eldest sister came over with two more bottles.
“Try it.”
Authentic Northeastern pickles.
Wu Xiaofu took two bites, and the taste became more correct. Others watched Wu Xiaofu and Sister Zhou mingle, coaxing Sister Zhou to take out all the private goods, and they couldn't help but be a little dumbfounded.
Otherwise, you have to be a social gangster, my rich brother, that’s fine.
“What kind of food is this?”
“Pickles, but they are different from the pickles here.”
Yu Xiaoze, a guy who doesn’t recognize strangers, just came over, Take a bite, not bad, continue. After a while, others also sat down.
"Sister Zhou is usually reluctant to give us food. Brother Fu, you have more face."
After hearing this, Sister Zhou immediately said, "For you guys to eat, it's fine bran chewed by wild boars."
Sister Zhou has been working in the health center for ten years and is very familiar with it. She looks at Jin Jing and the others as if they were children. , I became familiar with him, and my speech became much more cordial.
What? Wild boar! Fine chaff!
No one dared to say anything. Who said this was Sister Zhou’s thing.
“Sister, do you have high blood pressure?”
While eating, Wu Xiaofu also suddenly asked, and Sister Zhou was also startled, "Are you okay? You haven't measured it all the time."
Everyone also slowed down their eating movements and looked at Wu Xiaofu, what's going on? This begins!
But high blood pressure can be seen at a glance? Just kidding!
Why didn't they see it? From this, Qu Ying and the others looked at Sister Zhou a few more times. Even Xiong Hongye and the others looked over with interest.
"Do you usually have headaches or dizziness? I see that when you look at something, you always move closer unconsciously. It has happened several times. It shouldn't be myopia."
Sister Zhou nodded immediately after hearing this, "Sometimes I have a headache, but it only lasts for a while. I also get dizziness occasionally, and it basically just goes away in a flash. I guess it's from fatigue, but it's the dazzling feeling that I didn't deal with. Others say, if you weren’t a doctor, that would be too accurate. “What? There really is!
Everyone was shocked. The eight people at the other table, Xiong Hongye, also stopped eating. They did not expect that Wu Xiaofu would be the fastest to get into the mood during this free clinic in the countryside. He had not even had a meal. When it came to cooking, Wu Xiaofu actually started by cooking for Sister Zhou.
Zheng Xinxue was also a little surprised at this time. She simply stood up and came directly behind Wu Xiaofu and looked at Sister Zhou.
"Sister, there are a lot of bloodshot eyes in your eyes. I'm afraid it's not a matter of a day or two. It's probably not caused by poor rest. The bloodshot eyes are bumpy. I'm afraid there are blood vessel changes, which is arteriosclerosis. High blood pressure is the most common cause. I just said casually, let’s take a blood pressure check later. ”
Sister Zhou was also interested at this time, "Okay, you can measure my blood pressure after eating."
High blood pressure has become a common disease. At this age, it is really 50% of the cases. They all have high blood pressure, and the other half will probably have high blood lipids. The one who progresses quickly will probably have high blood pressure. There are also many people with high blood pressure around Sister Zhou. She is also afraid of taking medicine every day.
In the internal medicine clinic.
Wu Xiaofu found a sphygmomanometer to measure Sister Zhou’s blood pressure, which was 200/120mmHg. When everyone saw the result, they opened their mouths in shock.
This is already grade three hypertension!
"So high? You must be wrong. Please measure this side again."
Wu Xiaofu did not refuse and measured Sister Zhou's right arm again. It turned out that the right arm was higher than the left arm. , Sister Zhou was even more frightened when she saw it, "It can't be that this blood pressure monitor is broken."
Wu Xiaofu immediately measured one for himself, 120/80mmHg. Because it was mercury, Wu Xiaofu directly rounded it up. .
As soon as the results came out, everyone knew that Sister Zhou was probably suffering from high blood pressure.
“Sister, have you never fallen before?”
Jin Jing couldn't help but ask, after working in the health center for so long, they didn't find out that Sister Zhou had high blood pressure. Forget it if it was in the early stages. It's already more than 200 years old. It's simply terrible. An accident. , people disappeared at any time, and they didn't even notice it. It was really shocking.
“Fortunately, I don’t have any other feelings about what Xiaofu just said. Well, sometimes I feel a little flustered. Now it seems that it may have something to do with this.”< br>
Wu Xiaofu nodded. In fact, it is not uncommon for Sister Zhou to be like this.
Individuals have different physical qualities. Some people feel uncomfortable if their blood pressure is slightly higher, while some people feel fine even if their blood pressure soars to over 200.
Sister Zhou is from the north, her physical fitness seems to be much better, and it is understandable that she can tolerate a higher intensity.
But just because I don’t feel anything personally doesn’t mean there are no changes in my body. No, headaches, dizziness, and palpitation are all manifestations of high blood pressure. But the symptoms are so mild that Sister Zhou doesn’t care. Sister Zhou is also a poor child, and she has been used to it since she was a child. , I basically have to deal with minor illnesses and disasters. I'm afraid I really don't pay attention to the occasional dizziness and headache.
But the change in his eyes is from the inside out.
Measuring blood pressure is to measure the brachial artery, which measures the pressure of vasodilation and contraction. A blood pressure of more than 200 is the pressure on the blood vessels. It is conceivable that over time, arteriosclerosis will appear. , the cause of palpitation also arises from this. Insufficient blood pumping will naturally lead to palpitation. There are small blood vessels under the eyes, which are all extended, and other blood vessels will only make it worse.
What is closely connected is the skull. The fundus of the eyes has changed. I don’t know how high the intracranial pressure is.
This is very dangerous. Many patients with high blood pressure say that cerebral hemorrhage means cerebral hemorrhage. It is extremely dangerous. Therefore, high blood pressure cannot be delayed and must be treated early.
Even if the intracranial blood vessels do not burst, the sclerosis of the blood vessels under the eyes will cause changes in the eyes. Blurred vision is only an initial symptom, and it is not impossible to become blind later.
"Xiaofu, your observation skills are indeed good. Most people can't notice the change in Sister Zhou's eyes."
Zheng Xinxue looked at Wu Xiaofu and couldn't help but praise her. Lin Shaoyuan couldn't help but laugh, as if his own child was being praised.
Wu Xiaofu also smiled shyly.
The ability to observe is scary on the one hand, but more importantly, experience. Medicine is empirical medicine. If you don’t see much, it’s useless no matter how good your observation is.
Coming from a pastoral area, he had a lot of high blood pressure. Wu Xiaofu had seen a lot of changes in his eyes, and he could naturally tell them at a glance.
There is an obvious difference between northerners and southerners, that is, northerners obviously have heavier tastes.
An important reason for the occurrence of high blood pressure is that the food we eat is too salty. Among other things, northerners prefer pickles. Just look at Sister Zhou, who has been in Donghai for ten years, and she still eats pickles. .
Pickles are leached from salt. The main component is sodium chloride, which contains a lot of sodium ions. Eating too much will increase the concentration of sodium ions in the blood, causing an increase in plasma osmotic pressure and causing tissue fluid More water is absorbed into blood vessels, resulting in an increase in effective circulating blood volume and an increase in blood pressure.
The occurrence of this situation will also cause the arterial wall to increase its reactivity to norepinephrine, angiotensin and epinephrine in the blood, causing arteriolar spasm and resistance to small arteries throughout the body. Increases blood pressure, which is also an important cause of sclerosis of blood vessels under the eyes.
Therefore, doctors will repeatedly tell patients with high blood pressure to eat a light diet, which is actually a low-sodium diet.
People in pastoral areas eat saltier food. Not only do they eat salty food, but they also drink wine as water and eat more meat. The probability of high blood pressure is even higher.
When Wu Xiaofu goes back every year, many people come to him for research. This is all done through practice. I dare not talk about other internal diseases. He is also an expert in high blood pressure and high blood lipids.
"Xiaofu, please hurry up and prepare some medicine for me. It needs to be delivered as soon as possible."
Sister Zhou hurriedly said to Wu Xiaofu, and Wu Xiaofu also said a few words of comfort, " The medicine must be prescribed, but I We need to check first. Hypertension can be divided into primary and secondary. If it is primary, just take medicine directly. If it is secondary, you have to check the primary disease first. Sister, in your family Does anyone suffer from heart disease? ”
Sister Zhou said before that it was palpitation. If the high blood pressure is secondary, it is mostly renal, but also cardiogenic. There are also some other diseases that can cause it. This is what people often say, even high blood pressure can cause it. The reason why you have to go to a big hospital is because in a small hospital, you might just ignore it and find out that your blood pressure is high and just prescribe medicine to fix the problem.
If it’s primary, it’s fine, but if it’s secondary, it’s terrible.
Not only is high blood pressure unable to be lowered, but the original disease may also be delayed. Therefore, a good check-up is necessary first.
Although the health center has limited conditions, it can check a lot.
It doesn’t require too much, just an electrocardiogram, renal color ultrasound, blood test and urine test.
"No one in the family has heart disease. My mother has high blood pressure. This cannot be inherited from me."
Don't say it, high blood pressure nowadays is really becoming more and more hereditary. , not only high blood pressure, but also rhinitis and myopia are beginning to be inherited, and genes are also advancing with the times.
With so many people serving only Sister Zhou, the results came out very quickly.
"At present, it seems that there are no major lesions in the heart and kidneys, so let's take medicine first."
Wu Xiaofu seemed to have transformed into a cardiovascular medicine doctor at this time. The doctor came, and Yu Xiaoze and Luo Fei were stunned: Brother Fu, you look like this, we are stupid.
(End of this chapter)