I'm just a veterinarian! You've unlocked the Great Physician System!
Chapter 104: Collective Confusion, a Deadly Beauty Trap? Death from Acute Circulatory Failure?!
Chapter 104: Collective Confusion, a Deadly Beauty Trap? Death from Acute Circulatory Failure?!
Zhang Lingchuan said with a helpless expression.
Even if they go to the county hospital now, they will still have to be transferred to a larger hospital for examination later.
It would be better to go directly to Qingzhou Municipal Hospital.
The other party might even think that Qingzhou People's Hospital is not very good.
It's possible to plan to visit the century-old hospital that ranks first in comprehensive rankings in Lingnan.
Of course, the specific choice is up to them.
Anyway, he was just giving advice.
"This……"
"what???"
"My God, I knew something was wrong with Dr. Zhang's sigh!!"
"The county hospital can't treat it, we have to send it to the city hospital! My God!!"
The villagers at the scene were in an uproar.
I thought sending them to the county hospital was already outrageous enough.
The other party's suggestion that it would be more appropriate to send him directly to the city hospital caused an uproar at the scene, turning it into a chaotic marketplace.
Everyone was talking about it.
"I have cerebellar atrophy, guys."
"Damn it, I'm starting to suspect again that Dr. Zhang is joking around, because what he said is really outrageous. (True fan)"
"Dude, you're a true fan who hasn't missed a single live stream. Experience tells us never to doubt Veterinarian Zhang's judgment. There must be a reason why he said that. It's just that this illness is a bit puzzling for me. What could have made him sigh and recommend the city hospital instead of the county hospital? (True fan)"
"I'm not sure. Could it be that excessive weight loss led to rhabdomyolysis and acute kidney failure?"
"Hmm, that seems possible! Acute kidney failure is fatal!"
"No, that doesn't seem like it. Acute kidney failure would cause nausea, vomiting, difficulty breathing, and altered consciousness, severely impacting the patient's quality of life and health. Look at this patient, he seems quite relaxed; he doesn't look like someone with acute kidney failure at all. (Diehard fan)"
"The person upstairs is right, and think about it carefully, does this disease cause skin aches and pains? Basically, no!"
"Didn't she say she bumped into something and felt sore and stinging pain?"
"Don't be impatient, Dr. Zhang will reveal the answer soon, let's just wait and see."
The statement, "If the county hospital can't handle it, I have to send him to the city hospital," not only shocked people offline, but also struck a chord with online viewers.
Some even suspected it was a prank.
But I dare not doubt it.
After all, experience tells us that Dr. Zhang must have had his reasons for making such a judgment.
Almost everyone who questioned it was proven wrong.
So now no one dares to question it anymore.
Even a large number of medical students silently shut down.
of course.
Everyone is very curious.
What exactly is the disease?
That's why everyone has grasped the key word "weight loss".
It is suspected that excessive weight loss caused rhabdomyolysis, leading to acute kidney failure.
However, a netizen who appeared to be a medical student immediately commented that it was unlikely.
Because it's impossible for someone with acute kidney failure to be so calm.
It will definitely be accompanied by many complications.
In particular, the other party also has a skin ache.
Why would acute kidney failure cause skin aches and pains?
This is not normal.
Of course, some people also said that maybe the other person really did bump into something.
In short, there is anything to say.
Meanwhile, spring was in full swing in Northeast China.
"Dad, you really didn't teach me?"
Shen Changming started his live stream as usual.
However, this time it wasn't at school, but at the old man's villa.
"I never taught them! We only met once, how could I have taught them!"
The slender, white-haired old man, who was more refined than the young lady in the short video "6:30," was Shen Changming's father.
He is over eighty years old this year.
One of the few veteran TCM doctors in the country to be awarded the title of National Master of Traditional Chinese Medicine.
In his youth, he served as the dean of two universities: Shanghai University of Chinese Medicine and Capital University of Chinese Medicine.
Later, he returned to Northeast University of Traditional Chinese Medicine and became its vice president.
He was then rehired after retirement.
Although I am still in school, I occasionally attend a couple of classes.
He's over eighty years old, after all.
"He wasn't taught, but his dad is a veterinarian. Where did he learn all this traditional Chinese medicine? Is he really self-taught? That's outrageous!"
Shen Changming was full of questions after hearing his father's words.
It turned out that he wanted to find a time to come to the old man's place before Lingchuan returned to school, so as to find out what was going on.
I wondered if his set of traditional Chinese medicine techniques was taught to him by the old man.
Unexpectedly, we happened to catch the other party doing a live stream today, so we watched it together with the old man.
I was initially a little disappointed, thinking that there would be no doctor present today.
I was just thinking, why don't some people go up and offer their medical advice, and demonstrate human medicine?
To everyone's surprise, he actually took the initiative to diagnose the patient.
This made him extremely happy.
After all, what he had just watched were videos; this was the first time the old man had ever seen a live medical consultation.
"I think you still need someone to teach you. You can't learn traditional Chinese medicine without someone to teach you. The probability of becoming a self-taught expert is extremely low."
Old Master Shen wasn't one to make absolute statements.
But he became a self-taught practitioner of traditional Chinese medicine.
He felt it was unlikely.
Anyway, I've never seen it myself.
"Dad, what illness do you think this patient has? Why can't the county hospital treat him and we have to send him to the city hospital?"
Since it had nothing to do with the old man, Shen Changming started talking about the illness.
In fact, he was quite curious.
"do not know."
Shen Xuanqin shook her head.
"Don't know? You old Chinese medicine doctor! What are these titles the government gives you for? Are you even there to look at them?"
Hearing the old man speak so firmly, Shen Changming almost popped his eyes out.
Are you kidding me?!
The illness that Lingchuan could spot at a glance, but his own grandfather couldn't?
"Look at you, you're over fifty years old, and you're saying these things. I haven't felt your pulse, so how would I know?"
Shen Xuanqin glared at her unsteady son with a hint of annoyance.
Fortunately, I didn't study traditional Chinese medicine instead of veterinary medicine.
Otherwise, he would probably be so angry that he would die ten years too soon.
"Doesn't traditional Chinese medicine emphasize observation, listening, questioning, and palpation? Didn't you also say that an excellent traditional Chinese medicine doctor can diagnose a patient's condition without taking their pulse..."
Shen Changming was very confused.
The old man was just teasing him.
The other person said that they could diagnose the illness without taking the pulse.
"Indeed, in our training in traditional Chinese medicine, we can make a basic judgment just by observing, listening, asking or palpating. But I didn't even get to ask any questions. Besides, the person on the live stream had a face as white as if it had been scraped off. How could I possibly read it?"
Shen Xuanqin started complaining.
Don't let his age fool you, he's already over eighty.
But it's in no way out of touch with the times.
It can be used for even various purposes.
In his view, if a person lives in this era without enjoying its conveniences, then it is essentially a wasted life.
However, regarding online medical consultations...
Especially with live streams like this, he could only shake his head silently.
"Uh... Dad, now you know why my skin is stinging, right? And why I wake up at two or three in the morning."
Actually, what Shen Changming wanted to say was...
Lingchuan's live stream is much better.
There's basically no beauty filter or anything like that.
If you go to a female streamer's live stream, you'll see that the beauty filters are so thick they look like a wall that's been plastered with putty.
So it seems I really did make things difficult for the old man just now.
Observation, auscultation, inquiry, and palpation.
Hopefully, there's a slight beauty filter applied.
You can't smell it.
Asking doesn't seem to yield the relevant questions.
Pshaw, you can't really feel someone's pulse from a distance.
Therefore, it's normal for even an excellent traditional Chinese medicine practitioner to be at a loss in this situation.
He was just curious.
Based on the symptoms the other party is describing.
It can roughly deduce what disease it is.
"Normally, the pain is like being pricked or cut by needles, and it often worsens at night. It is mostly a sign of blood stasis. The main diagnostic points are dark complexion, rough and dry skin, dark purple lips and nails or subcutaneous purple spots, or tiny blood vessels in the skin that are thread-like."
Shen Xuanqin spoke slowly.
When blood stasis accumulates, the meridians become blocked, and the flow of qi is obstructed. Where there is no flow, there is pain, hence the intense pain, like being pricked by needles or cut by knives, and the location is fixed and cannot be moved.
However, it's impossible to diagnose a patient remotely; further assessment is needed.
Traditional Chinese medicine uses medications differently than Western medicine.
If used incorrectly.
This would have the opposite effect.
He thinks that the fact that some traditional Chinese medicine practitioners are now offering online consultations is just a waste of time.
Especially some traditional Chinese medicine practitioners nowadays.
I'll give you some traditional Chinese medicine and some antibiotics.
Then ask, what's the use of that little bit of Chinese medicine prescribed?
So say it.
Shen Xuanqin felt that the inheritance of traditional Chinese medicine was already on the verge of collapse.
of course.
He doesn't blame today's young people; after all, society is too restless.
"Oh, what if you can't sleep in the middle of the night and suddenly get up?"
Shen Changming didn't want to study traditional Chinese medicine because he felt it was too complicated since he was a child.
These words are like reading classical Chinese.
Just hearing that makes my head spin.
There are many types of insomnia, and there are several dialectical types.
"For example, the treatment principle for liver fire disturbing the heart is to soothe the liver, clear heat, calm the mind, and soothe the nerves."
"For example, the treatment principle for phlegm-heat disturbing the heart is to clear phlegm-heat, harmonize the middle and calm the mind." "Another example is the treatment principle for deficiency of both heart and spleen, which is to tonify the heart and spleen, nourish blood and calm the mind."
"Similarly, for the syndrome of disharmony between the heart and kidneys, the treatment principle is to nourish yin and reduce fire, and to harmonize the heart and kidneys."
"As for the deficiency of heart and gallbladder qi, the treatment principle should be to replenish qi, calm the mind, and stabilize the will."
……
Grandpa Shen Xuanqin began to speak.
"So there must be a problem inside, right?"
Don't let his current status as a leading figure in veterinary medicine fool you; there's a world of difference between different fields. For example, he's completely baffled by what he's hearing about traditional Chinese medicine.
It's as painful as finding differences in words.
"Simply put, that's one way to put it, but your student's questions are too superficial. There's basically no concrete information, and there are too many related symptoms. I'm actually quite worried that he might be misdiagnosed. After all, there are already nearly 140,000 people in this live stream. If a misdiagnosis occurs, the impact could be quite significant."
Shen Xuanqin spoke slowly.
The other person's personality seems to have always been like this.
Take your time.
At that moment, Shen Changming's gaze also fell upon the live television broadcast.
The old man's eyesight wasn't very good, so he projected the image directly onto the TV.
Hopefully, this kid won't get a misdiagnosis.
Although I've never been misdiagnosed, a misdiagnosis, even just once, can have a significant impact.
In the lens.
It was Zhou Shuangshuang, who had been stunned for a while, who finally came to her senses.
"Ah! Zhang, Zhang the veterinarian, are you kidding me? My mom can't get through the county hospital and needs to be sent to the city hospital?!"
She looked completely bewildered as she asked the question.
"Veterinarian Zhang, I'm Meihong's husband. What's wrong with my wife?"
The bald man in a sling just arrived at the scene.
Then I heard them say that the county hospital probably wouldn't be able to handle it and that I would have to be sent to the city hospital.
He was so frightened that his heart stopped.
His wife is perfectly fine.
And she even successfully lost weight.
He's no longer the fattest person in Sanshuitun.
I feel so much more confident now.
He was genuinely happy for the other person.
"Yes, Dr. Zhang, I don't think I'm sick, am I?"
After hearing what Zhang the veterinarian said, Hu Meihong kept looking at him.
She wanted to know if the other person was joking with her.
As a result, he kept his brow furrowed.
His eyes were always bright and piercing, with a hint of seriousness.
The more Hu Meihong looked at her, the more a sense of inexplicable panic rose within her.
"This……"
"Brother Zhang has gone a bit too far."
"Indeed, this is the first time I've heard him say that he was sent to the city hospital."
Several people from the media convergence center were chatting.
They've been live-streaming all along.
Such a strong tone is really rare.
But the other party didn't seem to be joking.
Is Aunt Mei Hong really in such a critical situation?
Unconsciously, everyone looked at Song Wanqing, after all, she had a relevant background, but she kept filming.
Clearly, capturing the expressions of the live audience is also an important element in increasing viewership for the live stream.
[Zhang the Veterinarian's daily live stream viewership: 147103.]
[No. 11 on the Veterinarian Daily Livestream Competition Popularity Ranking.]
This is not.
The highest number of concurrent viewers in the live stream has reached 147,000.
There are signs that it will soon break through 150,000.
[Veterinarian Daily Live Streaming Competition Popularity Ranking NO.10 "Animal TCM Doctor Xiao Dongmei (421050)"]
But compared to tenth place.
It's still far from good enough.
It ranked tenth on the popularity list, and at this moment, the highest number of viewers for a single session reached 420,000.
In short, 420,000 people clicked and entered the live stream, but to find out exactly how long they watched and how many people were online, you would have to buy professional data or watch the live stream yourself.
Because Douyin does not display the actual number of people watching online at any given time.
"On the surface, you don't seem to be sick, but let's review this carefully, starting with this weight loss. How long have you been trying to lose weight?"
Zhang Lingchuan asked.
The specific scan results are now available.
He even used ultrasound to make a further assessment.
For now.
The system scan showed no major issues.
Since the other party doesn't believe he's sick, he'll find some suspicious points for her.
"I started losing weight in March, and now it's August. I've lost 50 pounds in five months. I also read some weight loss advice from doctors online, and they said it's normal to lose no more than 10 pounds a month. Dr. Zhang, I haven't lost more than 10 pounds, so it shouldn't cause any problems, right?"
Hu Meihong said.
"That's it."
Zhou Shuangshuang nodded as well.
If anyone else says that her mother can't be sent to the county hospital and should be sent directly to the city hospital, she will start cursing.
Your mother was just taken to the city hospital.
But now it's Veterinarian Zhang who's saying this.
She really didn't dare.
All I could think was that since he wasn't joking, maybe he had made a mistake.
In terms of weight loss...
Losing ten pounds in a month is basically normal.
It will not endanger your life.
"Aunt Hu, you must have been on a diet before, right?"
Zhang Lingchuan asked the question in a calm and unhurried manner.
It seems that they had anticipated her rebuttal.
"Yes, I've been trying to lose weight for many years, but I always gained it all back after a short time. This time, however, I've been very successful at losing weight."
Hu Meihong nodded.
As a conscious fat person.
I've been struggling with weight loss for a long time.
"Then I have to ask you a question: what's the difference between your weight loss this time and your previous ones? Why were you able to lose 50 pounds this time?"
Zhang Lingchuan countered with a question.
"Yup!"
"That's why they say Veterinarian Zhang is amazing! Ninth Sister-in-law, tell me quickly, what's different about this weight loss compared to before!"
"Could it be that he took the wrong medication?!"
As soon as these words came out.
The villagers present suddenly realized what was going on.
Why couldn't I lose weight before?
And this time she actually lost 50 pounds!!
"This is a direction I never thought of! I thought it was rhabdomyolysis and acute kidney failure due to losing weight too quickly."
"Veterinarian Zhang's analysis is correct. It seems highly likely that he took diet pills. To be honest, most diet pills on the market are toxic! They can even be fatal!!"
"Let me tell you a true story our teacher told us in class. A girl bought some weight-loss candy online and lost weight after taking it for a few days. Her roommate saw this and bought some too. However, half an hour after taking it for the first time, the roommate suddenly felt chest tightness and upper abdominal discomfort. She rushed to the toilet and vomited repeatedly. After resting for a while, her symptoms did not improve. Her chest tightness worsened, she had difficulty breathing, her face turned cyanotic, and she coughed up pink phlegm. She quickly lost consciousness and fell into a coma and was rushed to the hospital. Despite two and a half hours of resuscitation efforts, they were unable to save her life..."
"This is terrifying! Diet pills are really killing people! I want to know exactly how she died!"
The viewers in the live stream were in an uproar.
Many people criticized the weight loss drug.
Some people even gave examples.
Of course, many people are more curious about how the other person died.
"Zhen Mada: I never expected to see someone mention our hospital's case. Well, let me chime in. I remember I participated in the rescue. This girl was quite young. The cause of death was acute circulatory failure caused by the synergistic effect of sibutramine and pheochromocytoma."
Just then, a user whose profile page featured a middle-aged male doctor made a comment.
His official certification is that he is the deputy director of the emergency department at the First Affiliated Hospital of Sun Yat-sen University in Lingnan.
Although Lingnan Zhongshan First Affiliated Hospital cannot rank among the top five in the country.
But in Lingnan, it's definitely the top overall ranking.
"Scared! Some diet pills now contain sibutramine. Although it can help you lose weight, it can cause very serious damage to your internal organs."
Sibutramine was originally known for its ability to suppress appetite and boost metabolism, and was once hailed as a "miracle drug" for weight loss.
The reason it fell from grace was due to its persistent adverse reactions and irreversible damage to organs such as the liver and kidneys.
The other party may encounter a patient with an adrenal pheochromocytoma.
This could lead to acute circulatory failure and death.
"Although medication can help me lose weight, I feel that losing weight naturally is the healthiest way!"
"Exactly, this lady is confused!!"
"A beautiful death trap indeed!"
Following the professional presentation.
The netizens watching the drama also flooded the screen with comments.
"This... Mom, you didn't take your medicine, did you?!"
Zhou Shuangshuang also began to have some doubts about life.
Veterinarian Zhang is right.
My mom has tried to lose weight many times before.
But almost all of them ended in failure.
This time, she lost 50 pounds, stunning her entire family and even the whole village.
Zhou Shuangshuang is an elementary school teacher in the city. She is currently on holiday and is staying home.
So she wasn't really sure whether her mother was taking medication.
Anyway, I haven't seen her take her medicine during the time I've been home.
But who knows if he secretly takes medicine at other times?
If someone hides to take their medicine.
Normally, it would be difficult to detect even if you were sharing a bed.
"Meihong, you didn't really take the medicine, did you...?"
Sure enough, the other woman's husband also widened his eyes.
He wanted to hear his wife's answer.
……
5200 words delivered. It's another 520 day. The next update will be posted before 23:59 PM. Please give me some votes, everyone!
(End of this chapter)
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