Come on, Dr. Wu

On the endless grassland, Wu Xiaofu galloped on his horse.

Childhood memories are always fascinating, except for the ones where my butt was spanked, of course.

At this time, Wu Xiaofu was holding his son Wu Xingguo in his arms and teaching him how to ride a horse.

I still remember that when he was five or six years old, Wu Bin taught him to ride a horse in the same way, as did Sarilang and his grandfather.

What Wu Xiaofu likes most is to snuggle in their arms and enjoy the feeling of riding a horse.

Facing the wind, towards the sun, how free and beautiful it is.

My grandfather has severe high blood pressure, which was caused by his illness when he was young.

The men on the grassland drink heartily, drinking in big gulps, and they basically pay by the pound.

The food we eat is beef, mutton, milk and the like, which are high in protein and fat.

High blood pressure and high blood lipids are all present.

When he was a child, Wu Xiaofu asked his grandfather, "Grandpa, why is your face red again?"

Grandpa said it was hot, and Wu Xiaofu quickly used his little hands to block the sun for grandpa, but Sarlang heard it and hurriedly took out antihypertensive drugs.

"Dad, did you forget to take your blood pressure medicine again?"

Later Wu Xiaofu found out that his grandfather's face was not red because he was hot, but because he forgot to take his blood pressure medicine.

So from then on, Wu Xiaofu no longer used his little hands to block the sun for his grandfather. Instead, he gave his grandfather blood pressure medicine at a fixed time every morning.

Grandpa always forgets to take his medicine and says he is in good health and doesn’t feel sick, so why should he take medicine?

The doctor asked grandpa to measure his blood pressure every day, but Wu Xiaofu almost never saw his grandpa measure his blood pressure.

Grandpa is always so doting on Wu Xiaofu, "Xiaofu has grown up!"

When Sarlang brings medicine to his grandfather, he will be scolded. When Wu Xiaofu brings medicine, even if his grandfather doesn't want to take it, he has to swallow it first, and he will also say a few words of praise.

According to Wu Bin and others, this is called inter-generational affection.

Later, Wu Xiaofu learned how to measure blood pressure, still using a mercury sphygmomanometer, because the doctor in the town said this method was more accurate.

Wu Xiaofu has always felt that he is an encouraging person. The more you encourage him, the more progress he can make.

Due to years of drinking, my grandfather's blood vessels have hardened and the condition of his arteries is not good at all. His blood pressure cannot be controlled even with medication, let alone without medication.

Wu Xiaofu also noticed that measuring grandpa's blood pressure once a day was not enough, because even if grandpa took medicine in the morning, his face would turn red again in the afternoon. When he measured his blood pressure, he found that his blood pressure had risen again.

Only then did Wu Xiaofu realize that the blood pressure-lowering medication his grandfather took in the morning was no longer enough to control his blood pressure for the entire day.

Wu Xiaofu hurriedly took his grandfather to the town to see a doctor to ask what was going on and how to treat it.

The doctor changed grandpa's blood pressure medication. Only then did Wu Xiaofu realize that there are many types of blood pressure medication.

There are calcium ion blockers, which dilate blood vessels and lower blood pressure by blocking the flow of calcium ions within cells.

Commonly used drugs are the nifedipine controlled-release tablets, amlodipine besylate tablets, felodipine sustained-release tablets, etc. that people usually use.

My grandfather used this before, and it has a very good blood pressure-lowering effect. It seems that many people in the town also use this type of medicine, mainly nifedipine tablets. There are also diuretics, which are drugs that lower blood pressure by promoting the kidneys to excrete excess salt and water from the body and reducing fluid retention in the body.

Commonly used drugs include hydrochlorothiazide tablets, compound amiloride hydrochloride tablets, indapamide, etc.

Many people use this type of drug, especially hydrochlorothiazide, furosemide, and spironolactone.

Because people whose blood pressure cannot be controlled for a long time generally have heart problems, leading to water and sodium retention, diuretics can not only lower blood pressure but also protect the heart.

However, you need to monitor blood potassium when using this type of medication. For example, hydrochlorothiazide and furosemide excrete potassium during urination. If they are used for a long time without potassium supplementation, it is easy to develop hypokalemia.

Spironolactone is a potassium-sparing diuretic, which has the opposite effect of furosemide. It also intercepts potassium and can easily lead to high potassium levels if used long-term, so people often use them together.

There are also angiotensin converting enzyme inhibitors, which lower blood pressure by inhibiting angiotensin converting enzyme and reducing the production of angiotensin II.

Commonly used drugs are captopril tablets, enalapril maleate tablets, benazepril hydrochloride, etc.

This time, the doctor in town gave my grandfather Captopril, saying that his heart condition was not very good and the previous medicine was not so effective, so he wanted to try this one.

Well, it turns out that after changing the medicine, the effect is much better, but it still cannot completely control the blood pressure for a day.

Therefore, beta-blockers are used in combination, which lower blood pressure by antagonizing the overactivation of the sympathetic nervous system.

Commonly used drugs include metoprolol sustained-release tablets, bisoprolol fumarate tablets, metoprolol tartrate, etc.

The doctor in town said that this medicine can also lower heart rate. My grandfather gets tired quickly, and it gets worse even faster when he drinks, so it is best to use this medicine in combination with alcohol.

After using these products in combination, grandpa's blood pressure indeed dropped, and his heart rate also dropped below 80. He suddenly no longer felt anxious. It turned out that grandpa would easily feel anxious when walking.

There are also angiotensin II receptor antagonists, which work by inhibiting the binding of angiotensin II to its receptors, thereby relaxing blood vessels and reducing peripheral resistance, thereby lowering blood pressure.

Commonly used drugs include Olmesartan Medoxomil Tablets, Irbesartan Tablets, Valsartan, etc.

This is also used by many people, and it is also the initial drug recommended by doctors because its side effects are smaller than other drugs and it is suitable for mild hypertension.

In addition, there are some other antihypertensive drugs, such as sodium nitroprusside, thiadiazide, alfamethoxazole, etc.

However, these drugs are currently rarely used in clinical practice, or are often combined components of some combination antihypertensive drugs.

Of course, the main problem is quitting drinking. My grandfather doesn't listen to his family at all. He doesn't listen to anyone. He takes medicine and drinks, and all his efforts are in vain.

However, grandpa loves his grandson very much, and Wu Xiaofu doesn't allow him to drink, so he really doesn't drink. After two or three years, grandpa even quit drinking, and his food is not so greasy, and his blood vessel condition has improved a lot.

After helping his grandfather control his blood pressure for two or three years, his grandfather's blood pressure was under control, and Wu Xiaofu also mastered a lot of knowledge about lowering blood pressure.

Because the town was a bit far away, the uncles on the grassland began to ask Wu Xiaofu how to lower blood pressure. As a result, Wu Xiaofu became the barefoot doctor on the grassland.

He gradually prepared medicine for the uncles and grandfathers, and the effect was really good. People became more and more convinced of Wu Xiaofu.

But the most important thing is that Wu Xiaofu helped them control their drinking and meat eating. As for whether the change in lifestyle habits has a greater impact on lowering blood pressure, or the antihypertensive drugs have a greater impact on lowering blood pressure, or whether it is both, it depends on one's own opinion.

Anyway, Wu Xiaofu later got the title of little miracle doctor. It was from this time that Wu Xiaofu began to develop an interest in medicine and later studied more diseases on the grassland.

When I applied for exams later, I took the opportunity to study medicine and was admitted to North District Medical University.

"Xingguo, this is my story. When you recall your childhood in the future, you should also have your own story." (End of this chapter)