The elderly were newly selected for geriatrics
The old man found that he had chest tightness, shortness of breath, and symptoms of palpitation. Which department should you choose for the first visit?
Perhaps you will say that the problem of the heart is of course the choice of cardiology.
In fact, the elderly only rely on subjective judgment to choose a department to see a doctor, it is very likely to take a “detour.”
The reporter met a patient who was in the Department of Geriatrics of Xiyuan Hospital of China Academy of Traditional Chinese Medicine. At first, he went to the cardiovascular department because of head pain. He did an electrocardiogram, echocardiography and plate test.And later transferred to the geriatric department.
Professor Zhou Wenquan, the director of the geriatric department and a doctoral tutor, opened a prescription for him to replenish qi and qi. The symptoms of taking medicine for one month have been greatly improved.
Another elderly patient who had dizziness to the cerebral vascular department had a series of examinations such as CT and MRI. The cerebral blood vessels were no problem. It was suspected to be caused by renal hypertension, and then became a nephrology department, and then became orthopedics.Because cervical spondylosis can also cause dizziness and headache.
I took a big circle and finally came to the geriatric department.
After investigation, he was suffering from the Meniere syndrome caused by the wind and the disturbance, and it was necessary to use the method of phlegm and blood stasis to distinguish and treat.
Professor Zhou pointed out that the yin and yang of the elderly led to the situation of young and middle-aged people, who often had insidious onset and had a long course of illness. When they had a clear feeling, they might have been heavier.
Moreover, many geriatric diseases are not single-shot, and often intersect with other body-related diseases. They are often ill and cause various causes and causes of each other. When treating, it is necessary to grasp the key points, and pay attention to other items.The principle of “heavy, there are first and then”, for example, while treating the heart, the trachea, spleen, stomach, etc. should also be treated, especially for the elderly with poor constitution, the tolerance of the drug must also be considered.
Many elderly patients pay expensive medical treatment fees during the visit. One of the important reasons is that because of some of the resulting tests, the elderly only choose the department to see the doctor according to their own feelings. It is often time-consuming, laborious andSpend money.
In the interview, the reporter found that there are many people who have a wrong area of mind: they like to link the geriatric department with daily health care. In fact, the geriatrics department is specifically designed for the characteristics of the elderly.
Professor Zhou suggested that in addition to old problems, the elderly usually have new discomfort in the body, so it is best to go to the geriatric department first.