-- Liang Baosong / civil
The Huis uncle that doctor length encounters
Today, it is doctor length, the hospital should hold doctor length to celebrate commend congress, I today is consulting hours, morning routine goes to park of Chinese redbud hill taking a walk, filmed the picture of a few lotus, ahead of schedule quarter comes to outpatient service, had seen the crowd of a dense mass of of hall of wait to see a doctor, immediateness feels to have the feeling of above of a kind of warm blood! I tell myself, press next coming from personal disposition, this patient is more, likelihood order is randommer! If my or else can be static,next hearts come, may appear at any time by accident examine leakage examine.
Be in afternoon, an old person of 75 years old walked into my room, his head wears floret hat of white, this should be an old person of Moslem the Hui nationality. I ask: "A respectful form of address for an old person, is your where uncomfortable? How long? How long??
"From begin before 3 months, the heartburn after my this breastbone, . This a moment ago came over on foot, burned a period of time. Burned a period of time..
"Break out every time how long? Have a bosom to cover tightly? Carry string of move on the back backward painful? Have the upper arm of towards the left to be being strung together painful? With motion, does life concern? Does life concern??
"Break out every time so a few minutes, make Yue Qin more now, and made time is longer and longer, can make occasionally about the same 20 minutes. Not apparently fuggy, the back after doing not have aches, painful without left arm, I feel to be met quickly on foot afflictive. I feel to be met quickly on foot afflictive..
"Turn over acerbity belch? Have deglutition difficulty? This heartburn and have a meal to concern? This heartburn and have a meal to concern??
"Have the belch that return sick at heart now and then, uncomfortable without pharynx thing, and have a meal irrespective. And have a meal irrespective..
Then, I enquired the old person has cough to have deep breathing ache again, have relieve oneself unusual etc.
Asked these the question, I and old person and his family member communicates, of the concerned bellyacke that sums up according to me " 9 ask 9 think of " :
9 ask: 1. Aching reason inducement; 2. Place; 3. Property; 4. Degree; 5. Produce time; 6. Duration; 7. Radiative; 8. Accompany a condition; 9. Alleviate method.
9 think of: 1. The disease of aching and local viscera; 2 draw near the disease of viscera; 3. Of far viscera radiative ache; 4. The skin and whole body are ill; 5. Aorta interlining and scarce disease; 6. Surgery of calorific and first consideration is ill; 7. Acute show effect is first consideration surgery is ill; 8. First implement qualitative sex disease again functional sex disease; 9. First monism is again pluralistic.
Time of this heartburn fit is short, concern with motion, concern with food not quite, I consider is angina pectoris possibility big! Patient and family member heard my analysis, the feeling is a little half believing and half doubting, is this meeting heart disease? They are checked further in the consideration can lose time, can you look afternoon? I tell them, go division of function of 6 buildings heart, make a mobile slab, the affirmation before coming off work afternoon can have a result, if not be coronary heart disease, will do gastroscope tomorrow not late also.
Draw near next, uncle and family member came back together, result of mobile flat test is positive, this is so called heartburn, not be what the gastric esophagus pathological change that everybody often finds at ordinary times causes really, however not typical angina! Cleared up diagnostic direction, they accept my proposal cheerfully also, go heart internal medicine continues to see a doctor! (total advisory Liang Baosong teachs this date, was graduated from undergraduate course of Henan medical university 1984, doctor of chairman of digestive internal medicine of hospital of Henan province people, professor)
