Chapter 535 Disadvantages of Specialists(1/2)
Wu Agou’s stomach problem was not cured yet, and he started to cough again, and it was an irritating cough.
Coughing is like an asthma attack, with shortness of breath and wheezing, and it sounds like a little duck squawking in the trachea.
The cough had been bad for a long time, so Wu Agou went to the hospital again, and an X-ray showed that he had pneumonia.
Since we have pneumonia, we should use antibiotics. As a result, after half a month of treatment, there is no effect at all, but the condition is getting worse.
First, the throat was itchy, the throat was tight, the voice was hoarse, and the throat was cleared frequently, just like pharyngitis, and then there was a stuffy nose, runny nose, itchy ears, and tinnitus.
Then even my mouth was rotten and covered with ulcers, and it hurt when I ate anything.
It gets worse later on. Even if you eat liquid or soft food, every time you swallow food, you will feel burning pain in your esophagus.
What happened in the end was stomach pain, chest pain, cough, vomiting, oral ulcers, and difficulty swallowing.
This long-term stomachache, acid reflux, and numerous complications, as well as the long-term inability to eat normally, tortured Wu Agou, turning him from a fat man into a skeleton.
It really makes a person look less like a human being and a ghost like a ghost. The whole family is exhausted from the torment.
The Wu family dared to open a kiln factory in the early 1980s, before the policy was fully liberalized. Later, they were among the first to open a textile factory. They were also the first people in central Vietnam to become rich.
The family is not short of money, and I have been to almost all famous hospitals across the country, including the capital, Shanghai, and provincial capitals, countless times.
In the end, there was no conclusion. Some hospitals said it was this problem, and some hospitals said it was that reason.
There is no perfect explanation for all of this.
What disease can perfectly combine gastrointestinal symptoms, respiratory symptoms, ear, nose and throat symptoms, oral symptoms, and even neurological symptoms? No one can tell which cause it is.
I don’t know how much Chinese medicine and Western medicine I’ve taken, and I’ve spent countless amounts of money, but it’s not effective at all, and it’s getting worse.
In fact, this is the disadvantage of "specialization" in large hospitals or top hospitals.
For example, when Wu Agou goes to a top hospital for treatment, he will face a registration problem, right?
You have so many symptoms and you feel uncomfortable everywhere. Which department are you going to take?
But there are so many problems that no department seems to be suitable, so the patient can only go to each department.
It’s not a stomachache at first, so let’s go to the “Gastroenterology Department” first to see a gastric problem.
The gastroenterologist saw that you had an upset stomach and I gave you some medicine. As for your bad cough, leave it alone and go to the respiratory department.
The patient went to the "Respiratory Medicine Department" again. The respiratory doctor saw that he had pneumonia and asthma, so he gave him symptomatic, anti-inflammatory and anti-infective treatment.
Why do you have pain in your back and chest? Could it be a bad heart? Come on, 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 found that the problem was not serious. Anyway, there is no problem here.
You said you have a sore throat and uncomfortable nose? Then go to another department to check?
So the patient had to re-register and go to the "ENT Department" to see a doctor.
Otologists only care about their own diseases. If you have a stuffy nose and runny nose, or a sore throat, the doctor will prescribe you some medicine, and you can go to the dental department for a check-up.
The dentist only cares about your bad mouth, that is, oral ulcers, enamel damage, dental caries and other problems. The doctor will not care about other discomforts.
The patient went to the "neurology department" again to see his symptoms such as palpitation, chest tightness, and general fever.
As a result, there was nothing the neurology department could do, and they couldn’t even explain the symptoms.
What to do?
Isn’t there a traditional Chinese medicine department that “cures all diseases in a daze”?
The doctor of traditional Chinese medicine took a pulse and explained the spleen deficiency, kidney deficiency, yin deficiency and yang deficiency, and connected all the problems in your body.
The patients and their families felt like they had grasped a life-saving straw and felt that there was hope. It was like a miracle doctor was alive.
So I spent a lot of money and bought a lot of Chinese herbal medicine and took it home. I boiled the medicine at home every day and poured bowls of dark-brown Chinese medicine into my stomach. It was worse than eating medicine.
I drank traditional Chinese medicine for two months. Not only did my pain not subside after drinking it, I drank the medicine until I vomited, and finally I drank it until my stomach bleeds.
After a check, the liver function and kidney function indicators were straight up. Suddenly, the diagnosis of drug-induced hepatitis and nephritis was confirmed.
Well, one wave has not subsided, and another wave has arisen. This old problem has not been solved yet, and I am asked to go to the "Hepatology Department" and "Nephrology Department" for treatment.
Good guys, after running this lap, let’s count them:
I went to gastroenterology, respiratory medicine, neurology, cardiology, ENT, stomatology, traditional Chinese medicine, hepatology, and nephrology.
The patient traveled to almost half of the hospital.
However, every department treats the headaches at the head and the feet at the feet. They only focus on the area under their own department's jurisdiction. As a result, the fundamental problem has not been solved, and the cause has not even been found.
This is one of the biggest drawbacks of "specialization" and also the limitation of specialist doctors.
In the end, Wu Agou's family had no choice. The patient became worse and worse with treatment, until he was left with only skin and bones and was dying, just short of his last breath.
Come on, go back to your hometown and wait to die.
It’s also a life that shouldn’t be cut off.
One time, the daughter-in-law of the Wu family went back to her parents' home to visit relatives. By chance, she heard from a neighbor that a "Gastroenterology Department" had recently opened in the Vietnam-China People's Hospital.
I heard that it is run in cooperation with foreign countries, and uses drugs and a special treatment plan that are not currently available in China.
The desperate Wu family then thought of trying their luck at the People's Hospital, which was basically a dead horse. They felt that even the top experts in the capital city of Shanghai could not treat the disease well, but they could treat it in a small third- and fourth-tier city in Yuezhong.
Optimistic?
Chen Qi frowned when he heard the Wu family describe the illness Wu Agou had experienced in the past few years.
There are too many symptoms, and almost all the organs in the body seem to have problems, so where is the key source?
Thinking of this, Chen Qi looked at his wife. He has been taking over as the department director for a while, so he should know what he is doing, right?
"Director Lan, Boss Wu has been treated here for a while. Do you have a preliminary diagnosis? What was the treatment process?"
Chen Qi now represents 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 examination, checking each part. Finally, we made a preliminary guess whether it was caused by excessive gastric acid secretion and acid reflux? But at present, Boss Wu's body cannot support the endoscope.
Check.
Because we couldn't make a diagnosis, we still gave him symptomatic treatment according to the most likely gastric problem after admission. We mainly used quadruple therapy, and also used proton pump inhibitors, increasing the dose twice a day, but the effect was very poor.
The patient's condition has not improved at all, which makes us wonder whether the diagnosis of esophageal reflux caused by excessive gastric acid secretion is correct? Should diseases of the digestive system be ruled out?
There is another question. 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’s no way to know for sure.”
Wu A'er's eldest son took out a large pile of medical records from the drawer:
"Dean Chen, these are my father's medical records over the years. Please take a look at them."
Chen Qi took the medical records and looked through them carefully.
There was a large group of directors, deputy directors, junior chiefs, junior doctors, interns, etc. surrounding them. Everyone did not dare to say a word, and they all waited patiently to see if Dean Chen could find out the cause of the disease.
The ward was unusually quiet, with the only sound of rustling paper.
Chen Qi read the medical records and various examination reports for more than 20 minutes. Everyone also waited for more than 20 minutes, and the normal ward rounds stopped immediately.
In fact, while Chen Qi was reading the medical records, he was thinking about the textbooks he had studied in his previous life and the knowledge points in some medical journals. He compared them to see if any of them were consistent.
Suddenly he seemed to think of something, so he said to Ma Xiaona next to him:
"Hurry up and get the book "Internal Medicine"."
Ma Xiaona, the second monk, was confused. She wondered why this old classmate had to read a book while seeing a doctor? Is it embarrassing in front of so many people?
Doctors don’t know all the diseases. It’s normal for them to go back to the office to secretly read a book after a ward check. Who wants to read a book in front of the patient like this fool?
However, she was complaining in her heart. Ma Xiaona moved very quickly. She quickly ran to the doctor's office and came there with the book "Internal Medicine".
Chen Qi took the book and turned to the chapter on the digestive system regardless of how surprised and puzzled others looked.
Then he quickly read the article "Gastroesophageal Reflux Disease". After 2 minutes, he got the answer he wanted:
"No wonder, even after going to several well-known hospitals in China, we still can't find the cause and can't treat it. This is where the original problem lies."
"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 believe me, I will take over your condition, and then I will arrange examination and treatment. What do you think?"
Wu Agou was a little excited: "Okay, okay, I heard that Dean Chen is still an international director. I absolutely believe in your ability!"
Wu Agou’s wife and several children also nodded:
"Thank you, thank you so much, Dean Chen. I leave my father's illness to your care. He is still young, only over 50 years old this year. He has never done anything bad in his life. He should not have this ending."
Yes, giving a rose leaves a lingering fragrance in your hands. Chen Qi fully believes that this kind-hearted brickyard owner is not a treacherous person.
Especially if he is still kind to the Chen family, Chen Qi will definitely save them. The key is that he has a certain degree of confidence in his heart.
"Okay, since Boss Wu trusts me, I promise not to disappoint you and your family. So, Director Lan, you prepare the gastroscopy equipment immediately, and I will do the gastroscopy myself in the afternoon."
Lan Lijuan is a little embarrassed:
To be continued...