"Uncle Tan, are the remaining cases all acute?" Zhou Ziwen asked.
"I'm not sure about that. I'm a surgeon and I'm not very familiar with internal medicine diseases." Director Tan shook his head.
In fact, he also had the mentality of trying everything possible.
The conditions of those patients in the hospital are quite serious, and the hospital is now helpless.
He knew that Zhou Ziwen was an excellent doctor and was particularly good at traditional Chinese medicine, so he recommended Zhou Ziwen to the hospital with a give-it-a-give attitude.
"Okay, let's go!"
Seeing that the situation was urgent, Zhou Ziwen did not delay. He greeted Wu Dagang and the team leader, 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, thinking secretly about the symptoms and treatment of Keshan disease.
He knew that the pathogenesis of this disease was complex and was often related to malnutrition and lack of trace elements, especially selenium.
"Uncle Tan, can you tell me the specific symptoms of these patients?" Zhou Ziwen asked, trying to get more information.
"The main symptoms are palpitations, fatigue, chest pain, and some patients also experience edema."
Director Tan replied with a hint of helplessness in his tone, "Our hospital has already taken some symptomatic treatments, but the results are not good."
Zhou Ziwen nodded, having already formed a rough judgment in his mind.
He decided to go to the hospital first to understand the patient's specific condition, and then formulate a treatment plan based on the actual situation.
The car quickly drove into the county hospital. After Zhou Ziwen and Director Tan got out of the car, they went straight to the ward.
Along the way, the medical staff around saw Director Tan and greeted him one after another, but Director Tan did not pay much attention to them.
"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 their beds, looking pale and dazed.
There are no doctors in the ward at the moment. I guess they are still thinking about treatment methods.
Seeing their expressions, Zhou Ziwen's heart couldn't help but tighten.
"This is Mr. Li. He has been in the hospital for two days and his condition has worsened." Director Tan said, pointing to an old man.
Zhou Ziwen walked forward and carefully observed Mr. Li's condition. He found that he was breathing rapidly, his heartbeat was irregular, and fine beads of sweat were oozing from his forehead.
"Uncle Li, how do you feel?" Zhou Ziwen asked softly.
"I... feel anxious and have no strength..." Uncle Li answered weakly in a faint voice.
Zhou Ziwen's heart sank, knowing the situation was not good. He quickly checked Mr. Li's pulse and heartbeat, and made up his mind.
"Uncle Tan, have you prepared some selenium supplements?" Zhou Ziwen asked.
"Our hospital doesn't have any ready-made ones, and we never thought there would be so many Keshan disease patients." Director Tan shook his head helplessly.
"Then let's go see the other patients first." Zhou Ziwen said.
Tan Youwei took Zhou Ziwen to the next ward, where there were two patients. One of them was a middle-aged woman with a sallow complexion and hollow eyes.
Zhou Ziwen stepped forward and asked, "Sister, how do you feel?"
The middle-aged woman replied weakly, "My chest feels tight, my hands and feet are weak, and I'm always anxious."
Zhou Ziwen carefully examined her symptoms and also found shortness of breath and abnormal heartbeat.
He examined another patient, a young man, whose condition was also not optimistic. He also showed symptoms such as palpitations, fatigue, chest pain, and mild edema.
Zhou Ziwen felt increasingly heavy-hearted, as he knew full well the severity of Keshan disease and the urgency of its treatment.
He said to Tan Youwei, "Uncle Tan, we must find selenium supplements as soon as possible. This is crucial for treating Keshan disease."
Tan Youwei's face showed difficulty. He knew the importance of selenium supplements, but he was very anxious because he could not get these supplements in a short period of time.
"Ziwen, if selenium supplements are temporarily unavailable, do we have any other options?"
Zhou Ziwen pondered for a moment. He knew that in this situation, he couldn't just sit and wait for the arrival of selenium supplements.
He decided to use his knowledge of traditional Chinese medicine to try to relieve the patient's symptoms with Chinese medicine.
"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'll do my best. Traditional Chinese medicine also has its unique advantages in treating Keshan disease. We can help patients fight the disease by adjusting their overall physical condition and enhancing their immunity."
At this moment, other doctors from the hospital also came over after hearing the noise. Zhou Ziwen knew a few of them, such as Director Zhou Yongfu, Director Liu Kaiming, and Vice President Hua Qinghua. Besides them, there were a few others he didn't know.
After all, Zhou Ziwen didn't come to the county hospital very often, so it was already very good to know a few people.
"Everyone, this is Dr. Zhou Ziwen. He has profound attainments in Traditional Chinese Medicine. Today we specially invite him to help see these Keshan disease patients." Tan Youwei began to introduce.
Zhou Yongfu, Liu Kaiming, Hua Qinghua and others all looked surprised when they heard this.
They were quite familiar with Zhou Ziwen and knew that he had excellent surgical skills, but they did not expect that he also knew Chinese medicine.
"Doctor Zhou, have you seen the patient? Is there anything you can do?" asked Vice President Hua Qinghua.
Zhou Ziwen nodded, his expression solemn: "Director Hua, I have examined several patients, and the situation is indeed not optimistic."
"The treatment of Keshan disease requires a comprehensive approach. Currently, we lack selenium supplements, so I recommend using traditional Chinese medicine as a transitional treatment."
"I plan to develop a personalized treatment plan for each patient based on the principles of Traditional Chinese Medicine (TCM)."
Zhou Ziwen continued, "Keshan disease doesn't have a direct corresponding disease name in Traditional Chinese Medicine, but based on the patient's symptoms, it can be classified as 'palpitations' or 'consumption'. Treatment should focus on nourishing the heart and spleen, and replenishing qi and blood."
Director Zhou Yongfu listened attentively and nodded from time to time to show his understanding. Although he was also a Western medicine doctor, he had also done some research on Chinese medicine and followed Zhou Ziwen's ideas.
"Let's do it." Hua Qinghua made the final decision.
He looked at Zhou Ziwen and said decisively, "Doctor Zhou, what herbs do you need? Our hospital's Chinese medicine pharmacy should be able to provide most of the herbs you need."
Zhou Ziwen smiled faintly, thanking Deputy Director Hua for his support. "Director Zhou, the herbs I need include Qi-tonifying herbs like Codonopsis pilosula, Astragalus membranaceus, and Atractylodes macrocephala, as well as blood-tonifying herbs like Rehmannia glutinosa and Angelica sinensis. Furthermore, to address the patient's edema, I plan to use diuretics like Poria cocos and Alisma orientalis." (End of chapter)
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