"Uncle Tan, are the remaining cases all acute?" Zhou Ziwen asked.
"I'm not very clear about this. I'm a surgeon and I don't know much about internal medicine." Director Tan shook his head.
In fact, he also has the mentality of treating a dead horse as a living horse doctor.
The conditions of the patients in the hospital are more serious, and their hospital is now helpless.
He knew that Zhou Ziwen had good medical skills and was also good at traditional Chinese medicine, so he recommended Zhou Ziwen to the hospital with the intention of giving it a try.
"Okay, let's go!"
Seeing that the situation was urgent, Zhou Ziwen did not delay, greeted Wu Dagang and the team leader, and asked them to find someone to talk to Chen Qiaoyi, and then hurriedly Got into Director Tan's car.
Zhou Ziwen sat in the car, secretly thinking about the symptoms and treatment of Keshan disease.
He knows that the pathogenesis of this disease is complex and is mostly related to malnutrition and lack of trace elements, especially selenium deficiency.
"Uncle Tan, can you tell me the specific symptoms of these patients?" Zhou Ziwen asked, trying to get more information.
"Their main symptoms are palpitations, fatigue, chest pain, and some patients also have edema."
Director Tan replied, with a hint of helplessness in his tone, "Our hospital has adopted some symptomatic treatments, but the effect Not good."
Zhou Ziwen nodded, already having a rough judgment in his mind.
He decided to go to the hospital first to understand the patient's specific situation, and then formulate a treatment plan based on the actual situation.
The car quickly drove into the county hospital. Zhou Ziwen and Director Tan got out of the car and went straight to the ward.
Along the way, the surrounding medical staff saw Director Tan and greeted him one after another, but Director Tan didn't pay much attention.
“This is the ward where the patient is.” Director Tan led Zhou Ziwen into a ward.
The atmosphere in the ward was a bit heavy. Several patients were lying on the hospital bed, looking pale and in a daze.
There are no doctors in the ward at this moment. It is estimated that these doctors are still thinking about treatment methods.
Seeing their appearance, Zhou Ziwen's heart couldn't help but tighten.
"This is Uncle Li. He has been hospitalized for two days and his condition has worsened." Director Tan pointed at an old man and said.
Zhou Ziwen stepped forward and carefully observed Uncle Li's condition. He found that he was breathing rapidly, his heartbeat was irregular, and there were fine beads of sweat on his forehead.
"Uncle Li, how do you feel?" Zhou Ziwen asked softly.
"I... feel panicked and have no strength..." Uncle Li replied weakly, his voice weak.
Zhou Ziwen's heart sank, knowing that the situation was not good. He quickly checked Uncle Li's pulse and heartbeat, and already made a judgment in his mind.
"Uncle Tan, have you prepared some selenium supplements?" Zhou Ziwen asked.
“Our hospital doesn’t have one readily available, and we never thought there would be so many patients with Keshan disease.” Director Tan shook his head helplessly.
"Then let's go see other patients first." Zhou Ziwen said.
Tan Youwei took Zhou Ziwen to the next ward, where there were also two patients. One of them is a middle-aged woman with a sallow complexion and empty eyes.
Zhou Ziwen stepped forward and asked: "Sister, how are you feeling?" The middle-aged woman replied feebly: "My chest is tight, my hands and feet have no strength, and I am always flustered."
Zhou Ziwen carefully checked her symptoms and also found shortness of breath and abnormal heartbeat.
He checked on another patient, a young man, whose condition was not optimistic either. He also showed symptoms such as palpitations, fatigue, chest pain, and mild edema.
Zhou Ziwen's heart became heavier and heavier. He knew the seriousness of Keshan disease and the urgency of treatment.
He said to Tan Youwei: "Uncle Tan, we must find selenium supplements as soon as possible, which is crucial for the treatment of Keshan disease."
Tan Youwei had a look of embarrassment on his face. He knew the importance of selenium supplements, but he was unable to obtain these supplements in a short period of time, which made him feel very anxious.
"Ziwen, if selenium supplements are temporarily unavailable, do we have other options?"
Zhou Ziwen pondered for a moment. He knew that in this case, he could not wait for selenium. Arrival of elemental supplements.
He decided to use his knowledge of traditional Chinese medicine to try to use traditional Chinese medicine to relieve the patient's symptoms.
"Uncle Tan, we can first use traditional Chinese medicine to regulate the patient's body. Although the effect may not be as fast as directly supplementing selenium, it can also alleviate their symptoms to a certain extent." Zhou Ziwen said .
"Ziwen, are you sure?" Tan Youwei asked with concern.
Zhou Ziwen nodded slightly. Although he could not guarantee that traditional Chinese medicine treatment could completely replace the effect of selenium supplements, under the current circumstances, this was the best measure they could take.
"Uncle Tan, I will try my best. Traditional Chinese medicine also has its unique advantages in treating Keshan disease. We can help patients resist the disease by adjusting their overall physical condition and enhancing their immunity."< br>
At this moment, other doctors from the hospital also heard the news and came. Zhou Ziwen knew several of them, such as Director Zhou Yongfu, Director Liu Kaiming, and Vice President Hua Qinghua. In addition to them, there were also There are a few I don’t recognize.
After all, Zhou Ziwen doesn’t come to the county hospital very often, so it’s good to know a few of them.
"Everyone, this is Dr. Zhou Ziwenzhou. He has profound knowledge in traditional Chinese medicine. Today I specially asked him to help look after these patients with Keshan disease." Tan Youwei introduced.
Zhou Yongfu, Liu Kaiming, Hua Qinghua and others all looked surprised when they heard this.
They were relatively familiar with Zhou Ziwen and knew that his surgical skills were very good, but they did not expect that he actually knew Chinese medicine.
"Dr. Zhou, have you seen the patient? Is there anything you can do?" Vice President Hua Qinghua asked.
Zhou Ziwen nodded, with a solemn expression: "Dean Hua, I have checked several patients, and the situation is indeed not optimistic."
"The treatment of Keshan disease requires comprehensive measures. At present, we lack selenium supplements, so I suggest taking a traditional Chinese medicine treatment plan as a transition." Develop a personalized treatment plan. "
Zhou Ziwen continued, "Keshan disease has no direct corresponding name in traditional Chinese medicine, but according to the patient's symptoms, it can be classified as 'palpitations' and 'consumption'. In other areas, treatment should focus on nourishing the heart and spleen, replenishing qi and blood."
Director Zhou Yongfu listened carefully and nodded from time to time to express his understanding. Although he is also a Western medicine practitioner, he also has some research on traditional Chinese medicine. Follow Zhou Ziwen's thinking.
“That’s it.” Hua Qinghua made the final decision.
He looked at Zhou Ziwen and said decisively: "Dr. Zhou, what medicinal materials do you think are needed? Our hospital's Chinese medicine pharmacy should be able to provide most of the required medicinal materials."
Zhou Ziwen smiled slightly and said to Deputy Director Hua Expressing gratitude for the support: "Director Zhou, the medicinal materials I need include qi-tonifying medicines such as Codonopsis pilosula, astragalus, and atractylodes, as well as blood-nourishing medicines such as Rehmannia glutinosa and Angelica sinensis. In addition, for the patient's symptoms of edema, I also plan to use Poria cocos, Alisma "Water-reducing medicine" (End of Chapter)