Chapter 152 Idiopathic Pulmonary Fibrosis
Four years later.
“Cough cough cough!”
"It's really strange. It seems that there are so many people coughing this year that even I have been infected." Yang Yunxiang touched his uncomfortable throat and frowned.
A colleague nearby immediately chimed in, "Who says it's not? Our child has it too, and he's too scared to go to school."
"It seems like a lot of people have been seeking out Dr. Chen for cough treatment lately, specifically asking for an appointment with the specialist."
"Not only that, even foreigners come to Dr. Chen to treat their coughs."
…
Edward, the foreigner that everyone was talking about, was seeing patients in Chen Yin's office.
Four years was enough time for Huimintang to undergo earth-shaking changes. Even Chen Yin's office was expanded a lot, enough for more than a dozen people to learn and see patients with her.
Chen Yin looked at the patient's face, which was tightly covered by a mask, and turned to glance at the "students" behind her.
"Everyone, please be careful about the spread of the virus and wear your masks."
She was keenly aware of the recent changes in the weather and patients, and realized that the illness must be serious, otherwise Wen Su from Yangcheng People's Hospital would not have specially asked his friend to come to Tongxi for treatment.
In addition, the recent news broadcasts have also included a lot of information about keeping warm in winter.
After confirming that everyone was well protected, Chen Yin turned her attention to the patients.
"Can you take off your mask now?"
Edward didn't understand, but he could understand Chen Yin's gestures. He turned his head to look at the translator and assistant, and slowly took off his mask.
In this way, everyone can see the patient's facial condition clearly.
“Cough cough cough!”
The next second, a violent cough that seemed to pull on the heart and lungs sounded in the clinic. Edward's face turned red and he had difficulty breathing, which showed that he was seriously ill.
The assistant skillfully took out the oxygen cylinder and oxygen mask to assist Edward's breathing.
At the same time, the translator placed on the table the inspection reports Edward had done abroad and in Yangcheng.
"Doctor Chen, this is Mr. Edward's test. He's been diagnosed with idiopathic pulmonary fibrosis combined with cor pulmonale. It's been a year since the diagnosis."
Translated, it means that the patient has not much time left.
From the perspective of modern medicine, there is currently no effective treatment for this disease, and the survival period after diagnosis is about 2-4 years.
If Edward's condition continues to worsen, he is unlikely to survive for more than a year.
In order to survive, Edward went to great lengths and traveled thousands of miles across the ocean to see a Chinese doctor, just to find that glimmer of hope.
Chen Yin nodded, understanding what the other party meant.
Edward and his companions felt a little relieved. Chen Yin's expression was gentle, and it didn't look like she was beyond cure. As long as there was a chance, it was good.
But then, the hearts of the three of them sank to the bottom.
Because Chen Yin did not check the medical records as they expected, but a group of "medical students" standing nearby took the medical records and flipped through them.
And started talking about it.
“It really is idiopathic pulmonary fibrosis!”
"No one, let alone Mayo, can cure this. Even if you have the money for a lung transplant, you might only be able to live a year or two longer."
"This is an international problem. I wonder if Doctor Chen has any solution?"
…
Chen Yin ignored everyone's concerns and started to ask questions directly.
"Please translate and help me with the diagnosis."
The translator looked at Chen Yin in surprise, nodded hurriedly, and lowered his head to say something to Edward.
Because I am a foreigner, today's consultation took an unusually long time.
Yang Guohua and others who were just beginning to learn were still a little confused, but as Chen Yin asked questions one by one in a coherent manner, they had a vague grasp of something in their minds.
When I heard that Edward was buried in an avalanche while mountaineering and skiing, I couldn't help but complain in my heart that he was asking for trouble.
Now there is no need to look for the cause of the disease, because the trigger of the disease has been found - the invasion of cold evil into the body.
Chen Yin wrote it down on paper and continued to ask, "Have you had any complications since then?"
The translator immediately relayed the words, and Edward felt a little embarrassed when he spoke, his face pale.
After a burst of chatter, everyone finally understood.
Ever since he caught a cold in the avalanche, Edward has suffered from cough and asthma, which has not been cured for a long time.
But I didn't care and continued with the extreme activities I loved.
After a while, he began to have difficulty breathing and was admitted to the hospital for examination. Only then did he know that he had idiopathic pulmonary fibrosis and that he would not live long.
In the past year, I have used large doses of hormones and oxygen inhalation has had little effect.
In addition, the symptoms of heart failure and dyspnea became more and more obvious, and I needed to carry an oxygen tank with me almost all the time.
After finding out the cause of the disease, Chen Yin recorded everything else she saw in a book.
Then the physical examination began.
"Next, I will touch the patient's body and check his physical condition." Chen Yin said to the translator.
The translator quickly relayed the message, and Edward looked down at his skinny body, feeling unusually shy.
Chen Yin didn't care about anything else and started teaching with everyone.
"You guys come along too."
A group of people started to touch Edward all over, almost scaring him to death. Fortunately, the translator calmed him down in time.
After the diagnosis was completed, everyone nodded continuously to express their opinions.
"The feet are colder than the knees, and the hands are colder than the elbows. These are typical symptoms."
"The limbs are cold, the cold evil has entered from the outside, and it is difficult to get out."
"The pulse is rapid and rapid."
…
Chen Yin made the same judgment and immediately asked Edward to stick out his tongue. She observed that the tongue was fat and had a greasy gray coating, which was obviously due to cold and dampness blocking the spleen.
The only thing to be thankful for is that the patient's Fuyang, Taichong and Taixi meridians are still responsive①.
In addition, the appetite is still good and the stomach qi is intact.
It looks like the patient is losing yang and collapsing, but there is still a chance of recovery.
After thinking for a while, Chen Yin prescribed a special Jiuxin Decoction to save Yang and consolidate the body, and then added Shenhu Powder to absorb Qi and return it to the kidney, musk to dispel filth, resolve turbid phlegm, and open the upper orifices①.
Time was urgent, so Chen Yin had no time to teach how to prescribe the medicine, and immediately instructed:
"Doctor Sun, please take the prescription and prescribe the medicine so that the patient can boil it and take it as soon as possible."
"Doctor Huang, please help hospitalize the patient and arrange for him to be placed in an isolation ward in the infectious area. Remind everyone to pay attention to protection. Also, arrange for the patient to be put on a ventilator to prevent any accidents."
"Okay." The two answered in unison.
Edward didn't understand Chinese and watched Chen Yin make arrangements in a daze. He was still sitting on the stool when Dr. Huang was about to take the patient to the hospital.
It took Dr. Huang's repeated reminders for the translator to finally come to his senses and remind him, "Come, register for hospitalization here."
The translator and Edward were both immersed in the surprise of being able to be admitted to the hospital for treatment. Their minds were blank and they couldn't believe that there was actually a doctor willing to admit the patient.
For a moment, Edward almost cried out loud.
During this hospitalization, Edward was particularly well-behaved and did whatever Dr. Huang told him to do.
The next day, Chen Yin came to the ward for a second consultation.
After taking the medicine continuously yesterday, Edward is basically out of danger and can sleep peacefully.
What needs to be done next is to assist the Yuan Yang, open the surface and close the body, and lead the hidden evil out of the cold①. A dose of Ma Huang Fu Zi Xixin Decoction is enough.
Then came the third and fourth visits...
Edward stayed in Huimin Hall for three full months. The entire winter passed, his cough and asthma disappeared, and there was no sign of a cold. Every day in the ward he shouted:
“It’s a miracle.”
“Traditional Chinese Medicine! Magical!”
"Mysterious medical skills!"
According to his condition, it would not be a big deal if he was discharged from the hospital and went home, but Edward insisted on staying in the hospital until he recovered.
Based on his latest condition, Chen Yin advised him to take the powder, and in another six months, he would be fine.
"Doctor Chen, is this true?"
A few months was enough time for Edward to learn to call Chen Yin by the wayside.
Seeing Chen Yin's determination to be discharged from the hospital, Edward was still a little bit unbelieving.
Who would have thought that last year, the doctor said he had less than a year to live, but now, he feels that living to his seventies or eighties is no problem.
Edward chuckled triumphantly, finally willing to be discharged from the hospital.
Everyone looked at Edward's back as he left happily, feeling a mixture of emotion.
"I didn't expect there was a cure for idiopathic pulmonary fibrosis. Dr. Chen is truly a miracle worker."
"No, I'll go back and study Doctor Chen's prescription more carefully."
"Hehehe! I'm the fastest, I'll look first."
…
Chen Yin looked at a group of young and middle-aged doctors running quickly, smiled helplessly and shook her head.
Just at this moment, a phone call suddenly came.
"Hello? Director Wen, are you looking for Edward? He was just discharged from the hospital today."
When Wen Su heard the news that his friend was discharged from the hospital, he was happy but also a little embarrassed, but thinking about the situation in the hospital, he still told his friend his purpose.
"Doctor Chen, I'm not looking for Edward, but I want to ask you for help with something."
"you say."
"Since last winter, the number of patients with colds and coughs in hospitals has increased dramatically. Some patients have even developed symptoms of pulmonary fibrosis after treatment."
Wen Su still felt a little ashamed to say this. After all, inviting Chen Yin to come was nothing short of a risk.
"So...so our hospital would like to ask you to come and help and see if there is any good recovery method."
"no problem."
Chen Yin's decisive answer left Wen Su at a loss. His breathing became heavier unconsciously and he thought he had heard it wrong.
It wasn't until the sound of his heartbeat like a drum rang in his ears that he found his voice.
"Thank you very much! Thank you, Doctor Chen. On behalf of the hospital, I would like to express my sincere gratitude to you."
After hanging up the phone, Chen Yin immediately convened an emergency meeting to convey to everyone the task of supporting Yangcheng People's Hospital.
This trip is time-sensitive, has a heavy workload, and there is a high possibility of serious infection, so the consistent principle of voluntariness is adopted.
Zhou Xuewen, a doctor from Yangcheng People's Hospital, was the first to express his desire to go.
She failed to live up to Director Liang's expectations and did not return to Yangcheng People's Hospital to practice after studying hemostasis as agreed, but instead stayed in Huimin Hall to treat patients and save lives.
Now I have the opportunity to make up for it, and I don’t want to miss it.
Song Zhizi is also a member of Yangcheng. She is actively going there, and maybe she can use the resources of her own clinic.
Finally, after repeated research, Chen Yin decided to send a team of six traditional Chinese medicine practitioners to Guangzhou for support.
Just as they had made arrangements, they heard some bad news on TV.
"Recently, there have been a number of cases of fever and coughing with unknown causes in Guangzhou. Our reporter Xu Fei and the director of the Guangzhou City Respiratory Department will now share the details."
"Hello, Director Ning! Could you please tell me more about this severe wave of 'flu'?"
…
Listening to the sound from TV, Chen Yin and others felt a layer of gloom in their hearts.
The widespread influenza epidemic and unexplained lung damage made the journey difficult.
But by the next morning, everyone's faces were filled with determination and resolve to rush to another battlefield, with great momentum and firm will.
In the morning, steam was already rising from Rongyang Hall opposite the clinic, and Wen Nian's figure appeared in front of everyone as expected.
"Yinyin, I'm from Yangcheng too. I'll go back with you this time."
Chen Yin thought for a moment and nodded in agreement.
She turned around and glanced at her mother who was worried, and her colleagues whose eyes were moist and full of expectation. She turned around resolutely, leaving behind only a resolute back.
From the Asahikawa floods five years ago to the current "flu" outbreak in Guangzhou, Chen Yin doesn't know how many life-threatening moments she'll face in the future. But she knows she will persevere with her medical skills.
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The author has something to say: ① "Li Ke, a veteran Chinese medicine practitioner, has a special collection of his experience in acute, critical, and difficult diseases"
Pre-collection of "I'm Working on Machinery in the 1950s"
Copywriting: In her previous life, Ye Zhenzhen almost lived in the factory for the three thousand yuan in compensation. In the end, she died suddenly without spending all the money.
When she woke up again, she was Ye Zhenzhen, one of the first wave of intellectuals to respond to the call to go to the countryside in the 1950s. She died suddenly of heatstroke because the journey was too arduous.
It can be said that the original owner was asking for trouble. His family had no worries about food and drink, but he took the initiative to ask to go to the countryside.
If it was before going to the countryside, Ye Zhenzhen really wanted to say: Such a good life is not going to last? Let me do it!!!
But people have already gone to the countryside, and it is not easy to go back.
In order to meet basic living needs, Ye Zhenzhen had to roll up her sleeves and work hard.
It is difficult to carry water for irrigation, so a water pump is needed;
It is difficult to grind flour in the village, so a flour mill is here;
…
Low yield per mu...
Wait, I'll find some help.
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