stomachache?
Lin Sanqi's mind immediately flashed back to a patriotic education film he had watched in school, "Jiao Yulu".
The scene that impressed me most was the one in the film where Jiao Yulu ran to the train station.
In the camera, he dragged his sick body, covered his abdomen, and ran breathlessly to the train station to chase the college students.
The reason why this plot is so impressive is that it is so touching and the plot has a twist.
Everyone thought that Jiao Yulu ran to the train station to keep the college student, but in fact he just wanted to see him off.
As the train slowly moved away, Jiao Yulu squatted on the ground. The camera turned and the college students who were supposed to leave by train also chose to stay.
At this time, a close-up shot of Jiao Yulu touched countless audiences, including Lin Sanqi, after all, he was also a college student halberd fighter before.
Although the movie "Jiao Yulu" is a film and television work, it is adapted from a real person.
In reality, Comrade Jiao Yulu really suffered from severe stomach pain.
In order not to affect his work, Jiao Yulu always carried soda tablets in his pocket and put a few soda tablets in his mouth when he had stomachache.
The pain was unbearable, so he used chopsticks to support his stomach and barely managed to work.
Lin Sanqi calculated that Jiao Yulu passed away in May 1964, less than a year ago. Should he intervene?
It is estimated that the root of the disease is already there and it is impossible to cure it, but there is no problem in prolonging the life of this good cadre.
"Minister Lin, Minister Lin?"
Dean Zhang saw Lin Sanqi was lost in thought and reminded him:
"So gastrointestinal medicines are also urgently needed by the people, especially for stomach problems. There are also no drugs available in China at present. The mainstream treatment for stomach problems is baking soda."
Baking soda usually refers to sodium bicarbonate tablets, which is an alkaline substance that has the effect of neutralizing stomach acid.
One is acidic and the other is alkaline.
If you are often hungry, there will be only gastric acid in your stomach. The gastric acid can stimulate the gastric mucosa and cause damage to the gastric mucosa, causing stomach problems. Patients may experience uncomfortable symptoms such as acid reflux and stomach pain.
At this time, taking sodium bicarbonate tablets can play an auxiliary therapeutic role and help improve symptoms.
However, baking soda only relieves symptoms and cannot cure stomach problems.
In the terms of traditional Chinese medicine, it is treating the symptoms but not the root cause.
Moreover, baking soda has huge side effects. After taking it, it will produce carbon dioxide gas, causing symptoms such as bloating and hiccups. In severe cases, it may aggravate gastric ulcers or cause the risk of gastric perforation.
Another thing is that long-term or excessive use will disrupt the acid-base balance in the body and lead to metabolic alkalosis.
Because of its serious side effects and the availability of other alternative medicines, baking soda was eliminated after several decades and is no longer used as a medicine.
A commonly used medicine flashed through Lin Sanqi's mind: omeprazole.
Omeprazole, as the earliest invented proton pump inhibitor, is mainly used to treat gastrointestinal diseases and has powerful inhibitory effects on gastric acid secretion and antibacterial effects.
The key is that this drug has not yet been invented, and without patent fees, the production cost is very low.
In the national essential medicine list, a bottle of 14 tablets of omeprazole costs only 1.5 yuan, and one tablet a day can last for half a month.
In fact, omeprazole + antibiotics can completely kill Helicobacter pylori, which is the real way to cure stomach pain or gastric ulcers.
So Lin Sanqi wrote down the key words in his notebook: stomach medicine, omeprazole.
Dean Zhang suddenly remembered something and said with a smile:
"Also, there's another ailment: toothache. Oh, toothache isn't a disease, but it's excruciating. Not only can I not eat when it hurts, but my head hurts, too, and I can't work at all."
As soon as these words were spoken, everyone present laughed softly.
At this time, Director Sheng pointed at his teeth and said:
"Look everyone, I have a tooth that's missing. My family members pulled it out for me with pliers. I can't afford to put a new one in since we're out of money."
Hahahaha~~~
Everyone chuckled again.
Dentists have actually existed for a long time. For example, there were many dental clinics in China during the Republic of China period.
The technical titles of relevant medical and technical personnel are mainly divided into two types: "dentist" and "dentist", and the status of a dentist is not as high as that of a dentist.
There are also quack doctors who walk through the streets and alleys with boxes of utensils hanging on their shoulders. When they practice medicine, they will shout as they walk: remove the dentist, fill the toothache, and fill the cavities.
However, dentists are mainly concentrated in big cities and are rare in small cities, and even rarer in the northwest region.
Almost all dentists practicing in China are doctors who studied abroad. After the liberation, this group of people...
Therefore, there is very little development of dentistry, or oral health, in China now. Except for a small number of dentists in large hospitals in big cities, there are none in the vast rural areas.
When a patient has a toothache, he or she can only find a way to pull out the tooth himself, and even Director Sheng is no exception.
Lin Sanqi smacked his lips and said with some embarrassment:
"Painkillers are simple. Didn't you just say that aspirin not only reduces fever but also relieves pain? However, if the underlying cause of the toothache isn't removed, the pain relief will only be temporary."
There are also dentures, which also require special materials, at least precious metals such as gold and silver, which were not available in the 1960s, or only a very small number of people could enjoy them.
Lin Sanqi didn't dare to agree and simply crossed it out on his notebook.
Dentistry is an independent medical discipline, and its development is far beyond the capabilities of a clinician like Lin Sanqi, so it can only be postponed.
After chatting for a long time, Lin Sanqi always felt that there was a type of medicine missing.
"Lao Zhang, that's not right. You've been talking about this for a long time, but why didn't you mention the medications for high blood pressure, diabetes, high blood lipids, and high uric acid?"
In 2016, the main patients that primary hospitals in China saw were those suffering from chronic diseases, in addition to headaches, morning sickness, and diarrhea.
For example, the incidence of hypertension among adults in China is 27.9%, which means that about one in three adults is a hypertensive patient.
The prevalence of diabetes is 12.4% of the normal population.
As of 2016, the prevalence of chronic diseases in China has reached 35%-45%, and the size of the managed population is approximately 500-600 million.
Among them, the prevalence rate among the elderly population (over 60 years old) exceeds 50%, and there are approximately 130 million patients.
The direct consequence is that deaths caused by chronic diseases account for 88.5% of the total number of deaths. This data is very scary and intuitive.
So if you go to grassroots hospitals, you will see that most of the patients are elderly men and women. They are either dizzy here or uncomfortable there, and when you check, you will find that they have three highs.
Lin Sanqi was a little puzzled. Why didn't Director Zhang, the director of the grassroots hospital, take the initiative to mention this most important disease?
Who knew that Director Zhang and several other health system cadres all laughed when they heard it.
Dean Zhang thought Lin Sanqi was a high-ranking figure, so it was understandable that he didn't understand the situation at the grassroots level, so he explained:
"Minister Lin, the hypertension and diabetes you mentioned do exist, but their incidence among ordinary people is not very high, and there are currently no particularly good treatment options.
For example, the insulin needles needed by diabetics cannot be produced domestically at present, so they have to be imported from the United States or the United States.
The key is that insulin transportation needs to maintain a low-temperature environment, which makes smuggling difficult.
In addition, I heard that there is an oral hypoglycemic drug abroad, sulfonylurea.
The name sounds similar to sulfonamide, but unfortunately there is no chance to introduce it into China. Anyway, I have never seen it in the Northwest.
So, Minister Lin, our grassroots hospitals hardly carry out blood pressure and blood sugar testing. Fortunately, the base number is not high, and it has not become a disease or drug that we urgently need to treat."
Lin Sanqi studied medicine, so he naturally knew about insulin, a miracle drug for lowering blood sugar.
At the same time, he sighed deeply in his heart. There was no medicine and it needed to be imported. It was too difficult.
But then he became a little confused:
"That's not right. The incidence of hypertension and diabetes is very high in the United States, but how come you say there are almost no such patients in my country? This can't be a racial difference."
Lin Sanqi has seen how many yellow-skinned Chinese people have the "four highs", and it is definitely no less than that of white Americans.
Director Sheng also studied medicine, and he laughed after hearing this:
"The reason is actually very simple. It's because the people of our country need to undertake a lot of work, whether they are workers or farmers. The labor intensity has increased, the consumption is high, but they don't get enough food and sugar to supplement.
Just now, Lao Zhang said that the rate of stomach problems in China is very high because people don't eat enough. Look at the current diet, which is almost entirely composed of low-quality carbohydrates mixed with a lot of wild vegetables.
This diet lacks fat and protein, and sugar is rarely consumed throughout the year. Another important factor is that salt is too expensive, making it a difficult choice for ordinary people. A low-salt, low-sodium diet is also beneficial for blood pressure. (End of chapter)
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