Chapter 1944: : Lung dysfunction

When I got up the next day, Ye Chen found that Yang Jingya and Han Xiaoxiao were more familiar with each other, and the two were still making breakfast, talking and laughing. Because after eating breakfast, Ye Chen will continue to host the free clinic.
So, after eating breakfast, Ye Chenhan smiled and went to the square again. In addition to the members of the association, there are ten patients today.
From these ten patients, Ye Chen could see that one of the middle-aged and elderly women was in a serious condition. If it is more serious, these members of the association will definitely not be able to treat it, and it will also delay the treatment of the patient.
In this case, Ye Chen must first treat the patient himself.
However, he still asked a few Chinese Medical Associations with a good foundation in Chinese medicine to show this middle-aged and old woman first.
When Ye Chen and Han Xiaoxiao were sitting there watching, one of the members of the Chinese Medical Association first went to try it personally, and it was Song Jinglian from the internal medicine group who came up to try it personally.
When the middle-aged and elderly woman was given the pulse, he immediately felt the difference in the pulse condition of the other person, and then looked at the other person's look and tongue. He knew that he could not cure it by himself.
However, he still asked to see the medical records brought by the middle-aged and elderly woman.
After he read the other party's medical records, he looked at Ye Chen and said: "President Ye, this patient's condition is too serious, I can't treat it, or even prescribe a prescription."
Ye Chen nodded, and did not let other members of the association try again, but personally treated the middle-aged and elderly woman.
When Ye Chen was sitting there, when he treated this woman, his look was completely different from Song Jinglian just now.
Song Jinglian has not yet graduated. Although he has a good foundation in Chinese medicine, he is good enough to be admitted to a tertiary hospital for medical treatment, but he is no better than Ye Chen. Ye Chen came to Shanghai with major and minor diseases, serious, not serious. He doesn't know how many he has seen.
Seeing that Ye Chen's expression hadn't changed much, it was enough to give the woman and her family a sense of relief. In this point, it was different from Song Jinglian just now.
Song Jinglian is very honest and has good medical ethics. However, even if he knows that he cannot treat women’s conditions, he should not speak out in front of so many people, especially women and her family members. This will easily damage women’s self-confidence. .
For those patients, self-confidence is very important. If self-confidence is affected and people's emotions are affected, it is equally difficult to cure a person's disease.
Ye Chen has also emphasized this point many times. Therefore, he knows that in the future, he will still have to make it clear with the members of the Chinese Medical Association. In any case, let them learn to encourage the emotions of those patients and let the patients face treatment and the future. Life.
After Ye Chen showed the woman's pulse status, she looked at the woman's previous medical records.
From the medical record, we can see clearly the process of this woman's illness and the process of treatment before that.
The woman's surname is Song, 49 years old this year, a native of Shanghai. The cause of her illness is that she traveled to Zhejiang by car more than June last year.
All the way may be due to motion sickness and other reasons. In the case of taking a bus, I did not rest well, and I was tired, which caused my menstruation to stop suddenly on the third day of the journey.
When I went shopping with the tourist group the next day, I bought cheap clothes in the warehouse inside that mall. However, the air inside was muddy and there were other complex smells. I immediately felt sore and coughing after returning to the residence.
When I returned to Shanghai by car, my cough worsened. Three days later, my fever reached 39 degrees Celsius. I took self-administered anti-fever medicine. The fever and cough did not decrease. I continued to take anti-inflammatory and cold medicine.
Four days later, she had fever again, and then took anti-fever medicine by herself. The fever subsided, but the cough became more serious, and she became flustered and short of breath. When visiting a small clinic nearby, she took Suxiao Jiuxin Pill and Propranolol daily.
A week later, the heart symptoms improved, but the cough was not stopped, and the sputum was not good. Penicillin and Virus were used for treatment. Nine days later, her condition worsened. She had asthma, heartbeat, and dry cough when she went to the third floor. After five days of using flumethasone and cough medicine, her symptoms were all relieved.
On July 16 last year, he did not take flumethasone, his condition worsened, his body was sweating, wheezing, and his heartbeat became worse. On July 20, he was diagnosed with pneumonia after an examination and a chest radiograph at a hospital in Songjiang District. After hospitalization, the effect of using anti-inflammatory drugs was not significant. After a week, the condition worsened, coughing and hemoptysis continued, and the whole body became soft. He started to switch to erythromycin.
Nine days later, the condition became more serious, coughing all night, weak legs, obvious heartbeat, to 120 to 130 beats per minute, was diagnosed as allergic pneumonia by the hospital, infusion of 10 mg of hormone daily, the condition was relieved immediately, and then changed to oral Hormone and Roxithromycin, three times a day, four tablets each time.
Twenty days later, the hormone was reduced according to the doctor's request, and the condition worsened when it was reduced to four tablets a day. Diagnosed as alveolar carcinoma by chest X-ray and CT examination.
In early January this year, he was hospitalized in a large hospital in Shanghai. After examination and filming, he was diagnosed with allergic pneumonia again. He added 6 tablets of hormone and 3 tablets of roxithromycin every day. After taking the medicine, my condition improved, but the hormone was reduced to 3 tablets a day. At that time, the condition worsened, repeated colds, chest pain, chest dullness, and coughing.
This situation was maintained until April 5, and he was transferred to another major hospital in Shanghai for CT examination for non-specific interstitial pneumonia. Because there were no beds, he went to another hospital for examination and diagnosis of tuberculosis.
He took 3 tablets of hormones a day, stopped the drug within a week, and switched to anti-tuberculosis drugs. He experienced aggravation, nausea, profuse sweating, aggravated heartbeat and palpitation, and the chest also became more dull. After three steps upstairs, he could not stop breathing.
It lasted until I was hospitalized in a Shanghai hospital at the beginning of last month. I inhaled oxygen for 24 hours. I was breathing while speaking. I could only lie on my back and on my side, palpitation, chest dullness, coughing, and sputum not easy to cough up.
On the 15th of last month, CT examination of the abdomen showed an enlarged spleen and no other obvious abnormalities. CT examination of the chest on the 16th showed interstitial fibrosis of the lungs and infection of the lower lungs.
On the 29th of last month, the examination of a biopsy specimen of the dorsal segment of the right lower lobe showed that the lesion was consistent with non-specific interstitial pneumonia, with obstructive bronchiolitis and organizing pneumonia.
During this period, taking ten tablets of hormones a day, the condition worsened, and the more painful he was, he could only be discharged from the hospital.
When I heard that Ye Chen was going to hold a free clinic, his family immediately came to sign up and brought the woman over today.
Of course, Ye Chen's popularity is already very high in Shanghai's medical community. Especially now, I feel that when I hear the name Ye Chen, as long as Ye Chen takes the treatment, he can cure the disease.
However, Ye Chen could see from the old man’s medical records and the process of treatment, that they were all seen by doctors of western medicine. In addition to frequent medical device checks, he took the most hormones.