Chapter 526: The liver opens up to the eyes, and the patient with constant tears
We quickly arrived at the chief outpatient office of the Department of Ophthalmology, where a middle-aged man in very simple clothes was sitting on a small square stool.
This small square stool is specially used for patients to sit on during diagnosis.
No backrest, smaller size.
The middle-aged man was wearing a suit that had been washed so much that the collar and cuffs had turned white. He was about sixty years old, with a square face, a full forehead, a wide mouth, and a round chin.
This kind of facial features is an extremely rare sign of fortune and wealth.
It is called the square sky and round earth.
The forehead is round and plump, and the chin is round and plump.
Generally speaking, people with this kind of face are not only blessed, but also have a particularly noble status.
The middle-aged man's eyes were a little cloudy, and he sat there like a straight green pine.
Next to him stood a young man in his thirties, also wearing a black suit and white shirt, with a hint of majesty on his face. He stood there casually, but people dared not look down on him.
This young man is definitely not an ordinary person.
However, he appeared extremely respectful as he stood behind the old man.
An attitude of submissive obedience.
Li Quan secretly guessed the identities of these two people.
The one who treated the disease must be the old man.
The specific identity is still unclear.
There are many hidden dragons and crouching tigers in Shanghai, and there are too many powerful and influential people.
"Director, you are here! The difficult case is Mr. Huang. He always feels dry eyes and tried to use eye drops, but the effect was not obvious. His eyesight is getting worse and worse, and recently it has developed to the point where his vision is blurred.
I initially suspected that it was dry eye syndrome, but after examination, the possibility of this disease has been preliminarily ruled out.
It looks a bit like macular degeneration, and there seems to be slight degeneration of the retina, but it's not particularly obvious."
Deputy Director Hong is also not sure what kind of disease this is?
She briefed Li Quan on the situation.
Waiting for Li Quan's consultation.
"Okay, I got it!"
Li Quan nodded.
"Mr. Huang, can I take a look at your eyes and take your pulse?" Li Quan asked the old man with a smile.
"Of course! Thank you!"
The old man's hair was gray, and unlike other middle-aged and elderly people, he did not dye his hair.
Li Quan noticed that the collar of the shirt he was wearing was also white and torn due to washing. He was wearing a pair of black leather shoes, which were shiny, but the edges of the soles were also badly worn.
This shows that this person is consistent inside and out.
Some corrupt officials or people who pretend to be simple dress simply on the outside but actually dress very well on the inside.
In front of outsiders, he would only eat two steamed buns for breakfast, travel by bus or on foot, and live in the most rudimentary old house, seeming to be extremely frugal.
But in reality, they were secretly making a lot of money through illegal means.
Then the cash stored at home amounts to tens of millions or even hundreds of millions of yuan.
Li Quan first observed the old man's eyes.
The old man's eyes were cloudy and yellow, and his gaze was unfocused.
I opened my eyelids and looked, and could see that my eyes were full of bloodshot.
"Mr. Huang, please place your right hand flat on the table."
After looking into the eyes, Li Quan said to the old man.
"Hey, your Huier Hospital is at least one of the top 3A hospitals in the province. When did you become fond of these old routines of traditional Chinese medicine?" The young man standing behind the old man was unhappy.
he asked in a sarcastic tone.
"Xiao Lin, stop talking." The old man scolded indifferently.
The young man immediately shut his mouth obediently.
Li Quan did not bother with this man and just continued to check Mr. Huang's pulse.
"This pulse is like pressing a zither string, straight and long, it is the string pulse."
Perhaps in order to make the old man believe that pulse diagnosis has a certain scientific basis, Li Quan rarely described the specific pulse condition.
"The appearance of a stringy pulse generally indicates that the liver qi is not flowing smoothly. Your pulse is stringy and thin, and a little astringent, which means that not only your liver has problems, but also your gallbladder. This is a typical case of liver and gallbladder not working together. Fortunately, the stringy pulse is not particularly severe, indicating that the liver disease is relatively mild.
If I'm not wrong, your disease is not in your eyes, but in your liver and gallbladder."
Li Quan explained his pulse condition to Mr. Huang in detail.
And inform the location of the lesion.
Just now, after he made a clear diagnosis, his skill points in diagnosis by inspection and pulse diagnosis were increased by 10 points.
This indicates that the diagnosis is correct.
"You, a young doctor, can you diagnose patients? Our leader's illness is clearly due to poor eyesight, but you said it's a liver and gallbladder problem. Isn't that nonsense?"
The young man once again expressed his dissatisfaction with Li Quan.
It turned out that the old man was the leader of the young man.
No wonder the young man was so respectful. But this man wanted to show his loyalty to his leader by criticizing Li Quan, which was a bit clumsy.
"There is a saying in traditional Chinese medicine that the liver opens up to the eyes. Storing blood is one of the liver's functions, and the blood and yin fluid it provides nourish the eyes.
It can be said that the liver is the source of good eyesight. If the liver is not in good condition, it will be suppressed, and the secretion of blood and Yin fluid will decrease, which will naturally make the eyes not nourished, feel dry, and even affect vision.
Mr. Huang's pulse was stringy and weak, indicating that he had been ill for a long time.
There is an iron rule in Chinese pulse diagnosis: when the liver is first diseased, the pulse is stringy and strong, but when the disease lasts for a long time, the pulse is stringy and weak.
Does Mr. Lin understand now? "
Li Quan calmly explained the detailed medical theories and pulse diagnosis to the old man.
"Of course, if you two don't want to believe in Chinese medicine, I can help you apply for a liver and gallbladder function test. Then you can get symptomatic treatment."
Li Quan also knew that traditional Chinese medicine was rejected by many people.
The patient doesn't trust Chinese medicine, and he can't force the patient to believe in it.
This situation can only be changed little by little through continuous efforts. After Li Quan improves the business of Huier Hospital, he will definitely start to vigorously cultivate talents in combining traditional Chinese and Western medicine.
They even specially train a group of talents in traditional Chinese medicine.
However, if you want to realize this ideal, you can only take it step by step.
There's no use in being anxious.
"What the young man said makes a lot of sense. To be honest, I have been to several hospitals for this eye disease. I have used a lot of eye drops, taken some Western medicine, and even received intravenous injections and antibiotics, but the condition has been recurring and has not improved.
Now that you mention it, I feel that you have helped me find the cause of the disease.
Are you sure you can cure my disease?"
Mr. Huang’s eyesight is not very good, so he probably can’t see Li Quan’s specific appearance clearly.
He could only roughly judge from his voice that Li Quan should be very young.
"Not 100% sure, maybe 90%! The hospital beds are quite tight. You just need to go home and take the medicine as prescribed by the doctor and rest. If you are willing to believe me, I can prescribe a Chinese medicine prescription for you to regulate your body, clear your liver and improve your eyesight."
Li Quan answered calmly.
"Okay! Young man, you are very steady in what you say and do, I trust you. Please give me some medicine. If you can really cure my eye disease, I will help you promote it in the future. Traditional Chinese medicine is our national quintessence and should not be covered in dust forever."
Mr. Huang has a strong sense of family and country.
"thank you!"
Li Quan prescribed medicine for Mr. Huang on the spot.
"After paying the fee, you can go to the pharmacy to get the medicine. If you need our hospital pharmacy to boil the medicine for you, remember not to drink it cold, but warm medicine soup. If the prescription I prescribe for you is effective, I estimate that you will see obvious improvement on the second day of taking the medicine. You can continue to take the medicine for three days and then come for a follow-up visit. I will consider whether to increase or decrease the dosage or change the prescription according to the severity of the condition."
After prescribing the medicine, Li Quan gave the old man some instructions.
"Okay, thank you young man! By the way, they call you the dean, may I know your name?"
Mr. Huang asked about Li Quan's name.
Maybe it's also out of caution.
"My name is Li Quan!"
After hearing Li Quan give his name, Mr. Huang nodded slightly.
"That name sounds familiar. I'll come back to see you for a follow-up consultation in three days. I'll take my leave now."
The old man stood up and the young man hurried to support him.
"Have a nice walk, both of you."
Li Quan stood up to see him off.
This Mr. Huang is most likely an official.
After seeing the two off, Deputy Director Hong was still amazed.
"Dean, although I have heard that the liver meridian is connected to the eyes, I never thought that problems with the liver and gallbladder could actually cause eye diseases. Today I have learned a lot."
For her to become an associate chief physician, she must have at least fifteen years of medical experience.
It was actually the first time she encountered eye disease caused by liver and gallbladder. It was not because she was ignorant, but because being a doctor really requires a lot of experience.
It also shows the drawbacks of Western medicine.
Western medicine treats the disease wherever it occurs.
Huier Hospital may have encountered similar cases before, but either the case could not be cured and the patient went to other better hospitals for treatment, or it was handled by Director Zhong Zhifei.
In terms of medical skills, there is definitely some gap between Deputy Director Hong and Director Zhong Zhifei.
…
Li Quan returned to the optic nerve clinic and continued to see patients.
Dr. Xin Le is quite efficient. He has already cleared out a room next to the original optic neurology clinic to serve as a second optic neurology clinic.
The three optic nerve residents have already been placed.
Start to diagnose patients who come for treatment.
The three of them sat in the same outpatient room and saw patients at the same time.
In the morning, Li Quan limited the number of people because of the lack of manpower, but the parking lot was reopened in the afternoon.
This model of allowing multiple residents to see patients in one room at the same time is a bold attempt by Li Quan.
After all, residents lack experience and have limited diagnostic and treatment skills. By working together and learning from each other's strengths and overcoming their weaknesses, I believe they will grow faster.
If this model works well, Li Quan plans to promote it in all outpatient departments of the hospital.
It can not only save outpatient rooms, but also help residents grow quickly, which is the best of both worlds.
He had just finished treating one patient in the optic neurology clinic and was about to start working on the second patient when his cell phone rang again.
"Hello, who are you?"
Li Quan found that this was an unfamiliar mobile phone number.
"Dean, it's me, Gong Liangpao, the director of the Department of Ophthalmology." The man's voice was a little hoarse, which was natural.
"Oh, it's Director Gong Liang. Is there anything I can help you with?" Li Quan asked.
Deputy Director Gong Liang and Deputy Director Hong are the only two deputy directors who chose to return to their old employer from Golden Eagle Eye Hospital to continue working.
Li Quan did not treat them unfairly.
Both of them are now the heads of their respective departments.
That's progress.
"Director, I just received a patient here. His eyes were red and swollen, he was afraid of light, and he kept crying. The patient was deaf and dumb, illiterate, and unable to express himself. After I examined him, I initially ruled out inflammation. According to his family, he was washing clothes alone outside at the time, and it was suspected that the laundry detergent might have splashed into his eyes.
I'm not sure and I don't dare to use medicine recklessly, so I would like to ask you to come for a consultation.
Do you think it's convenient now?"
Deputy Chief Physician Gong Liangpao explained the patient's general condition.
"Okay, I'll come over and take a look."
Li Quan knew that a large proportion of the patients received by the ophthalmic surgery department were emergency patients.
Most of the internal medicine patients are chronic diseases.
Most of the patients in the surgery department are acute diseases and eye injuries.
Gong Liangpao was able to take the initiative to ask Li Quan for help, most likely because he got the news from Deputy Director Hong. Knowing that Li Quan was capable, he helped her solve two difficult-to-treat ophthalmology patients.
"Mr. Tang, there is an emergency patient in the ophthalmology department who wants me to come over for a consultation. I am really sorry. If you are willing to wait, please sit down and wait for me for a while. If you have something else and don't want to wait, I will arrange for Director Xin to treat you next."
Li Quan said apologetically to the patient who had just come in to see him for treatment.
There is no way. The hospital has the principle of giving priority to rescuing critically ill patients.
If the patient treated by Deputy Director Gong Liang had laundry detergent splashed into his eyes, it must be treated immediately.
Don't let those laundry detergents corrode your eyes.
Otherwise, irreversible harm may occur to the patient.
"I understand you. Anyway, my eye disease has been going on for a long time. There is no need to rush. Dean Li, go ahead. I will wait for you here."
The patient is a fan of Li Quan and is very easy to talk to.
"Thank you for your understanding!"
Li Quan stood up and hurried out of the outpatient clinic and headed for the Department of Ophthalmology.
The surgery department is always the busiest patient in the hospital.
No matter which surgery.
Because people are constantly moving, working, playing, walking outside, riding a bike, driving, etc., unexpected accidents may happen at any time.
For example, if you get injured in a traffic accident.
Or maybe an accidental injury at work, or even washing clothes can cause eye damage, who would have thought?
The Ophthalmology Department of Weil Hospital has the largest number of medical staff.
Li Quan quickly came to the outpatient clinic where Deputy Director Gong Liang was sitting. As soon as he entered the door, he saw a male patient in his thirties, who was covering his eyes tightly and crying non-stop.
An old man next to him was very anxious.
They should be father and son.
It is very difficult for normal people to survive, let alone deaf-mute people.
"This is our dean. He has excellent medical skills and is proficient in both Chinese and Western medicine. We specially invited him to come and diagnose your son." Deputy Director Gong Liang introduced Li Quan's identity to the patient and his family.
"Oh, you are such a young dean. Thank you for your trouble."
The patient's father bowed to Li Quan repeatedly.
"You're welcome. I'll take a look at your son first."
Li Quan patted the patient's shoulder gently, and then signaled the patient to remove the hands that were covering his eyes.
I saw that the patient's eyes were red and swollen like peaches.
The grown man in his forties had tears all over his face.
The eyelids are constantly contracting, which is a sign of eye pain.
"Could it be that the laundry detergent got directly into his eyes? But it's impossible for it to get into both eyes at the same time!" Li Quan felt that the possibility of laundry detergent splashing into his eyes was unlikely.
