Chapter 185: His face turned green! (Two in one)
A love letter is like dropping a stone into a calm lake, creating ripples.
Wei Yan gave Su Tang some time to think about it and did not bother her during the entire exam.
Su Tang quietly folded the letter paper and stuffed it into her pocket, preparing for today's game.
On the third day, there were indeed many more patients than on the first afternoon. Some rode donkeys and horses, crossing mountains and ridges to see a doctor, and some brought their families, young and old, staring eagerly at the gate of the temporary hospital.
All patients hold number tags when they enter the hospital and follow the instructions of Red Cross volunteers to enter the areas organized by different hospitals. These teams of young doctors include surgeons, anesthesiologists, outpatient doctors, and imaging technicians who are always on hand to provide accurate data for the diagnosis of a disease.
All hospitals are busy with this, especially radiologists and laboratory technicians. Basically, everyone in every hospital is so busy that they wish they had eight hands.
There is no way. In cases where some diseases cannot be directly confirmed, or when the patient's disease is a little doubtful, these modern high-tech instruments are needed to assist.
Of course……
In each hospital, there are also some more experienced doctors who can accurately diagnose patients' symptoms without much technological assistance.
Among them, Su Tang is the most outstanding among these doctors.
After seeing 20 or 30 patients, she only needs to feel their pulse, observe their physical signs and complexion, and listen to their conversations to accurately diagnose their condition. The whole process seems to be extremely fast. When encountering some simple diseases that can be relieved by injection, Su Tang will even give the patient a few injections on the spot, which will get waves of exclamations and amazing shocks.
The only thing that gave Su Tang a headache was that her speed in seeing patients was much slower than when she was in the Sixth Hospital.
Probably the problem is that some of the local residents in Qinggang Town do not speak standard Mandarin, so communication between the two sides takes a little longer than usual. But with the help of local government volunteers, this is not a big problem.
Just when Su Tang was thinking that everything was on the right track and her speed of seeing patients would soon improve again...
An old lady who looked to be around 60 years old, with slightly gray hair and tanned skin, walked into the clinic with a middle-aged man with a gray face and haggard look. Both of them looked extremely serious at the moment, with a sense of sadness as if the world was coming to an end.
Su Tang was stunned and immediately asked the two to take a seat.
"If you two feel uncomfortable, just tell me directly." Su Tang looked at the two of them and went straight to the point.
However, the two looked anxious and serious, but they did not describe the condition to Su Tang immediately. Instead, the old lady looked hesitant and said to Su Tang awkwardly, "Doctor, can we go to another quieter place to see a doctor? It's a bit inconvenient here."
"Inconvenient?" Su Tang was stunned, then nodded and pointed to the independent examination room with a curtain next to it, "Then let's go there to talk."
"Okay!" This time, without waiting for the old man to speak, the middle-aged man glanced at the more private examination room, nodded, and walked ahead.
As soon as Su Tang and the examiner entered the independent examination room, the old lady, who originally looked haggard, suddenly had red eyes. She pointed at the middle-aged man and said, "Doctor, can you help me see if my son's disease can be cured?"
"Don't worry, take your time." Su Tang's heart sank, and she nodded and comforted him softly, "If you have any questions, tell me, and I'll take a look."
"My son is usually in good health, but for some unknown reason, his chest has been swelling like a woman's one year ago... and it hurts all the time. We went to the hospital and the doctors said it was gynecomastia and prescribed a lot of medicine for us. But after taking the medicine, the disease never got better and it even got worse!" The old lady burst into tears. She felt heartbroken when she thought of her son having this disease.
In a small place like Qinggang Town, common diseases are fine, but diseases like abnormal male breast development really make the old lady and her family feel ashamed. In order to avoid being laughed at by others, the middle-aged man has not even left his home to work for more than a year, and even goes up the mountain alone every time.
I've been a man for over 40 years, but the lumps on my chest are suddenly getting bigger and bigger. What's going on?
Especially when his son is almost at the age of going to college, this makes the middle-aged man even more embarrassed. These days, the middle-aged man's temper has become more sensitive and irritable at home. Even if he wraps himself up tightly every time he goes out, as long as people's eyes stay on him for more than three seconds, the middle-aged man feels that these people are laughing at his abnormality, and his face becomes darker and more haggard.
"This time I heard from the villagers that you doctors are all from big cities and good hospitals with good medical skills. So I wanted to ask you to help me see how to treat my son's disease and whether it can be cured? Should I perform surgery directly to cut it off? But our family doesn't have that much money..." The old lady frowned, looking at her son while telling him about his illness and the difficulties in life.
"Don't be anxious, both of you... Stretch out your wrists first and I'll take your pulse. Then take off your shirt and let me take a look." Su Tang had a serious expression on her face. She comforted the mother and son while taking the middle-aged man's pulse.
Gynecomastia, as the name suggests, refers to the abnormal enlargement of one or both breasts due to hormonal imbalance in the male body.
This may be due to abnormal development caused by drugs, or it may be due to abnormal hormone secretion caused by a certain disease in the patient's body. The most common case is that children develop abnormal development due to eating snacks or fruits sprayed with too much hormones. There are several such news reports in newspapers and magazines almost every year.
But no matter which one it is, or no matter what age the patient is.
For male patients, this is definitely a disease that is not very lethal but extremely insulting.
Especially for a middle-aged patient like this one, who is in his 40s or 50s, it is really hard to accept that he suddenly became like this.
Not to mention a small place like Qinggang Town where people may have a slightly closed-minded mentality, even in big cities there probably wouldn't be many patients who could accept the procedure.
Compared with the physical pain, the patient in front of us may be under greater mental pressure.
After understanding the patient's specific condition and what he wanted, Su Tang carefully felt the patient's pulse and looked at the patient's chest after he took off his clothes. He considered carefully for a moment before retracting his right hand.
She showed her beautiful white teeth to the mother and son in front of her and said, "Don't worry, you two. Generally speaking, abnormal male breast development needs to be observed for at least two or three years. Only when it is confirmed that it cannot be cured will surgery be considered. Mr. Li's illness has not been particularly long, and the bloating and pain are not particularly severe. I will prescribe you a rejuvenating powder, plus external application. After you go back, just drink two doses and sleep for a while. When you wake up tomorrow, you will feel that the bloating and pain in your chest has been significantly reduced!"
Su Tang said this with full confidence, which obviously gave the mother and son some confidence. While the patient and her son breathed a sigh of relief, Su Tang comforted them again: "You still have to be relaxed about your illness. It's winter now, and everyone is wearing down jackets and thick cotton clothes. No one will know that you are sick. Take this medicine twice a day. After you go home today, you can finish these two doses of medicine. If you feel better, you can come back tomorrow and I will prescribe you a week's supply. It will be slightly consolidated in the later stage. When the swelling on your chest subsides and shrinks in summer, others will not be able to see it."
I feel the occasional bloating and pain in my chest, and the insomnia and headaches caused by my irritability these days.
The middle-aged man Jian Sutang was full of confidence and couldn't help but breathe a sigh of relief, feeling that he had finally found a reliable doctor this time. So he nodded immediately and said that he would take the medicine and apply it externally according to the doctor's instructions.
"But...doctor, we, no one in our family knows how to decoct Chinese medicine." The old lady was a little embarrassed, and was a little worried that the herbs would be spoiled in her hands.
"It's okay, you two can go to the pharmacy and ask the volunteers for help. It's very simple to boil Chinese medicine, just boil three bowls of water into one bowl." Su Tang smiled, not at all impatient with this common problem.
After the mother and son left, the examiner pushed his glasses up and nodded secretly.
This is the case with Chinese medicine and internal medicine. Participants cannot get the news of patients' improvement in the first place when they see patients in the outpatient clinic. On the contrary, surgery is relatively rough. Whether the sutured blood vessels are unobstructed, whether the muscle tissue and skin incisions and sutures are perfect, whether the lesions are removed cleanly, whether there are any unexpected errors during the operation, etc., you can tell whether it is good or bad just by looking at it.
However, the contestant who came first in the test and won extra points for their hospital is indeed quite capable.
Not only is the doctor quick to see the doctor and has extensive experience, but the prescription is also very good...
The only thing that the examiner was not sure about was whether the prescription Su Tang mentioned could be as magical as she said, and whether it would be effective after two doses.
You should know that Chinese medicine is often not like Western medicine. After taking two tablets of anti-inflammatory or painkiller, the patient can immediately notice the difference.
"It seems I have to wait until the patient comes tomorrow. I will find time to ask him." The examiner was thinking about this matter in his mind.
At this moment, the mother and son of the Li family went to the temporary pharmacy.
All the medicines in the temporary hospital are sponsored by enterprises and purchased by the government. They are also distributed free of charge to all patients. Among the participating hospitals, there are two traditional Chinese medicine hospitals and five traditional Chinese and Western medicine hospitals. Therefore, the pharmacy is naturally equipped with a lot of traditional Chinese medicines, and volunteers are preparing and packing medicines according to the prescriptions handed in by patients.
The mother and son of the Li family told the purpose of their visit, saying that they were not very good at boiling Chinese medicine. The pharmacy volunteers immediately prepared the medicine and recommended a volunteer to help them watch the fire and boil the medicine...
then.
After an hour, the soup is ready and it is repacked in vacuum packaging.
The middle-aged man took out one of the bags without thinking and drank it all. With anticipation in his heart, even if there was only a lot of water in his stomach, the middle-aged man did not feel uncomfortable walking home empty-handed.
But I don’t know why…
After walking for an hour or two, the middle-aged man subconsciously touched his swollen chest. He felt that this place was no longer as swollen and painful as before.
"It seems... better than before?" The middle-aged man was a little skeptical, always suspecting that it was just his own psychological effect.
But when I woke up the next morning.
The middle-aged man no longer hesitated, and even raised his hand in surprise to touch the swollen chest! How could this be an illusion! This is clearly a miracle drug! In just one night, the original bloating and pain had disappeared by more than half! If he hadn't touched it intentionally, he wouldn't even feel the bloating and pain in his chest! He had to quickly find the doctor to prescribe a few more doses of Chinese medicine!
………
On the first day of Su Tang's competition, we received 17 people.
The next day in the operating room, there was not a single patient.
On the third day, we received 118 people...
By the fourth day, before the end, the number of patients received by Su Tang had exceeded 120.
Some of these patients had seen a doctor a few days ago and are now coming for a follow-up check-up.
Some people came from other counties, cities, towns, etc. because they heard that Su Tang and others were providing free medical treatment in Qinggang Town a few days ago.
Among the latter, some are really sick but have no money to go to the hospital, so they seek medical treatment at home.
Another part of people come with the mentality of having a physical examination, to get treatment if they have any illness, and even better if they are healthy.
Su Tang has helped many local residents like this in recent days. Knowing that they are not sick and hearing that everything is fine, these people have smiles on their faces and are very happy.
Only some patients with "thousand-degree" fever made Su Tang and others laugh and cry.
Most of them are patients who are feeling a little unwell but do not have any serious problems. However, they search for related symptoms on the Internet and are frightened by the Internet, becoming unhappy and restless day and night.
But in fact, the other party's illness and Qiandu's illness are not completely related, but they are completely unrelated.
Faced with such patients, Su Tang and others felt a little helpless, but they were not surprised.
In the past, when they were at the outpatient clinic of the Sixth Hospital, they would also see some suspicious patients who clearly had nothing wrong with them, but who insisted that they had problems here and there.
In addition, Su Tang gave almost every patient who came to see her for arthritis a paper copy of the herbal medicine information, with the prescription and the proportion of the medicine marked on it. She also showed the patients the herbs she had picked a few days ago and put in a water bottle to keep them fresh.
So that if these arthritis patients feel uncomfortable in the future, they can always find suitable medicinal materials to apply to their knees.
In addition to these common patients, there are two other patients who left a deeper impression on Su Tang.
One was a female facial paralysis patient with right side facial nerve paralysis. Because her husband died, she could not sleep day and night, was overly worried, and felt dizzy, which led to insufficient yin blood and stagnation of meridians. Looking at her sparse yellow hair and her dull complexion, Su Tang gave the facial paralysis patient a few needles on the spot. Using strong acupuncture stimulation, the facial paralysis that would take about half a month to recover became conscious on the spot. Half an hour later, the silver needles were pulled out, and the patient's right side of the face, which was originally paralyzed, was able to smile and frown.
The patient was not only very satisfied with the treatment, but also thanked Su Tang repeatedly.
The examiner, who was holding a pen and paper, also nodded with satisfaction.
As for the other patient, he was a middle-aged man. He accidentally encountered a hibernating venomous snake when he was going up the mountain. He wanted to catch the snake to exchange for money, but unexpectedly the venomous snake woke up and bit the back of the patient's hand.
If it were an ordinary person, the snake would either be beaten to death or let go because the victim was frightened.
But this uncle was not an ordinary person. He said that the live snake was valuable, so he reluctantly threw the snake into the sack, and then went down the mountain with the snake and half a basket of mountain products.
Therefore, when Su Tang saw the calm uncle whose arms were tied up by the other party, she could only shout in her heart, "What a good guy!"
Could this be the legendary animal world documentary where high-end hunters often appear as prey? !
Su Tang and many medical staff around him sighed at the hardcore and the difficult life of the poisoned uncle.
Fortunately, the man came to the hospital in time, and after receiving an injection of anti-snake venom serum and tetanus, he was carefully treated for the wound, incised and disinfected. Su Tang let the uncle go home not long after.
However, the uncle felt a little embarrassed to receive so much free medical treatment. His dark cheeks flushed: "Big sister, you have helped me so much... and you also gave me oral medicine. How about you take this snake and eat it? I see that you are also a Chinese medicine doctor. It should be very good to soak snakes in wine."
The uncle smiled innocently, and didn't take the snake bite he had previously suffered to heart at all. Instead, he smiled widely, revealing his big white teeth.
Su Tang: “…………”
Other people around: “…………”
“Ahem.”
Su Tang coughed twice with an expressionless face, silently looked at the five-step snake that was about 1.5 meters long, yellow in color, with dark brown patterns, and quietly rejected the uncle's suggestion: "Mr. He, I'm afraid we can't eat this snake, and you can't sell it either."
The uncle was confused: "......?"
"This is called a five-step snake. It is indeed a highly venomous snake. And it just bit you..." Su Tang explained awkwardly, "But this snake is now a second-class protected animal in the country. I'm afraid we can only ask the police or firefighters to release it."
Uncle: “…” No wonder he said this snake didn’t look familiar.
Su Tang sighed and glanced at the snake unconsciously.
If she remembered correctly, there were only a little over a thousand wild five-step snakes in the country.
It's so unlucky that I actually ran into an uncle!
However, before Su Tang could recall all the patients in the past few days, the patient behind her came to her again with a number tag.
Seeing that several colleagues were still seeing other patients, Su Tang immediately put down the paper and pen in his hand, greeted the newcomers, and started seeing the patients with a smile.
………………
"One, two, three... five..."
At the core of each hospital team, there is an examiner who faithfully records the total number of patients seen by the hospital every day, which is then used for scoring.
Therefore, everyone can see very intuitively the number of patients seen by each hospital team that day.
Not far away, while many hospital teams were busy, many people subconsciously looked up in the direction of the Sixth Hospital to observe Su Tang's consultation speed.
There was no way. The bright red number of patients seen on the total scoreboard would jump up and down from time to time.
The number of patients at Su Tang's clinic was decreasing rapidly at a rate visible to the naked eye.
This speed is many times faster than that of other doctors nearby.
Within the Zhonghai Hospital team.
A chubby young man with black-framed glasses and a slightly round figure had just asked a patient who looked like he had a urinary tract infection and ureteral stones to go to the radiologist for an X-ray. He couldn't help but look up at Su Tang.
The doctor in black-framed glasses looked at the bright red number of patients with a sigh on his face. He subconsciously poked Zhou Li, who had just stopped to rest and drink water after asking his patient to go for an X-ray.
"Mr. Zhou, isn't Dr. Su next door seeing patients too quickly?"
"I just counted... We have only seen two patients here, while the other side has finished seeing all five. And from time to time, we need to send patients to see laboratory technicians and radiologists, which slows down the diagnosis process again. But from my observations over the past two days, the other side's patients hardly need to see laboratory technicians." The doctor in black-framed glasses had a serious expression and a solemn voice.
The doctor in black-framed glasses pushed up his glasses and said, "Mr. Zhou, we have to speed up our consultations... I checked yesterday and their team saw more than 410 patients yesterday. But our hospital only received more than 350 patients yesterday. The speed is too different. Today we only saw 238 patients, while the other side has already seen more than 330. If this continues, we won't even need to wait for 5 days to know that we are doomed!"
Zhou Li: “…”
Zhou Li looked at his colleague in bewilderment, and said in a confused tone: "Didn't you say this yesterday? The other hospital's diagnosis speed is indeed much faster than ours."
What Zhou Li meant was that in terms of the number of patients received, Zhonghai Hospital actually knew as early as yesterday that it would definitely lose.
"Damn it! Wouldn't it be that Dr. Su across the table only cares about speed and not quality?" The doctor in black-framed glasses was so angry that he couldn't suppress his desire to complain.
"...Little friend, you can eat whatever you want, but you can't talk nonsense~"
The examiner holding a notebook could not help but slap the doctor in black-framed glasses on the forehead with his notebook: "Even if there are people in the examination room who only care about speed and not quality, and make misdiagnoses, we examiners are not vegetarians either."
"All the contestants in the entire examination room are monitored by the examiners... If a contestant makes a misdiagnosis, the examiner will immediately point it out." The examiner smiled and said, "For candidates whose mistakes are pointed out, not only will their single visit not be counted in the hospital's total number for the day, but the hospital will also be deducted 0.5 points."
"That is to say, during this period, if each of the 16 participating teams from each hospital made an average of one misdiagnosis per day, the hospital would lose 40 points out of a full score of 100."
"Well...of course this is premised on the hospital getting a total score of 100."
The examiner smiled and shrugged, "So speed is speed. The points deducted for misdiagnosis are far from being due to speed. You can make up for it by seeing two more patients."
Doctor in black-framed glasses: “…………”
The other doctors who were eavesdropping were: “…………”
Damn! Why didn’t you tell me earlier!
How can you lose points for treating patients? ? ! If they make one mistake every day, wouldn't the hospital's ranking be ruined?
In an instant, many candidates who recalled the misjudgments made in the previous few days turned green in the face!