993 Du Heng’s envy(1/2)
With doubts in his heart, Du Heng found Dede and asked her to accompany him slowly to Dr. Mba's work area. After arriving, Du Heng was surprised to see Jiang Jinghong here.
"Dr. Jiang, why are you here?"
"A boy with suspected pneumonia came in this morning. Dr. Mba may have a psychological shadow because of what happened last time. Someone called me over just now and said that I would help him check."
Jiang Jinghong was a little arrogant and a little helpless. She looked back at the assistant nurse beside her who was acting as her translator, grinned and continued, "No, I'm just waiting for the test results now."
The translator next to Jiang Jinghong was Sun Xin's assistant before, and Sun Xin was the team leader. He often worked with Li Chengzu, so it was enough for the two of them to share an assistant nurse, and they arranged their own assistant nurses.
To Jiang Jinghong.
This girl is a little darker than Dede, not the frosted black of Dede, but the translucent black. I guess she and Dede may not be from the same tribe or ethnic group.
In addition to this difference, her and Dede's personalities are also completely different.
At work, Dede is the kind of person who has a clear eye for work and will take the initiative to help Du Heng complete tasks at work, while this girl is the kind of person who is very indifferent. If you don't arrange the work, she will not move; when others talk,
If you don’t ask, she won’t take the initiative to translate for you.
As for life, I saw Du Heng last time in Aodong's manor, and he was very...lively.
Now by Jiang Jinghong's side, she still maintains her previous state, never changing her direction.
Because just when Du Heng and Jiang Jinghong were talking, the waiting test report was also sent over. I heard what Dr. Mba and the doctor who sent the report were saying, but this girl seemed to be fine and there was no translation at all.
Let Jiang Jinghong hear the plan.
Fortunately, Dede, who was beside Du Heng, took the initiative and quietly translated the conversation between Dr. Mba and Dr. Mba to Du Heng and the other two.
And Dede's move made Jiang Jinghong envious of Du Heng, and at the same time, the look in her assistant's eyes was a little different.
After the conversation with Dr. Mba was finished, Jiang Jinghong did not use the assistant nurse to translate, and directly spoke English to Dr. Mba, mumbling a lot.
Now Du Heng is envious of Jiang Jinghong. Speaking English is really something he cannot master now.
Looking at the very smooth communication process between Jiang Jinghong and Dr. Mba, Du Heng could only sigh quietly, and then he was still envious.
After the exchange ended, Jiang Jinghong frowned and began to read the examination report that Dr. Mba handed her. The more she read, the more doubts appeared in Jiang Jinghong's eyes.
When Du Heng saw this situation, he couldn't help but asked softly, "What's wrong?"
Jiang Jinghong handed the report sheet to Du Heng and said softly, "Doctor Du, take a look at it too. I always feel that something is wrong."
Du Heng was stunned for a moment, then took the report and started to look through it.
After reading through it, Du Heng looked at Jiang Jinghong with some confusion, "It must be pneumonia. Is there any problem?"
Jiang Jinghong shook her head, "The data is fine, but the comprehensive judgment is pneumonia.
But the strange thing is that after asking the patient's family, we learned that the child was fine before, but suddenly had a high fever last night and had shortness of breath and other problems this morning.
Now the result of the examination is pneumonia. Doctor Du, you are also an expert in pediatrics. Don’t you think this onset process is a bit too fast?"
When Du Heng heard what Jiang Jinghong said, he immediately understood, "You mean this child didn't have any other symptoms such as coughing or sore throat before?"
Jiang Jinghong shook her head gently, "I heard from Dr. Mba that the little boy's mother told him that the child was normal before yesterday and there was no problem at all.
It was after nightfall that I suddenly started to have a high fever and talk nonsense."
Du Heng hummed in a low voice, "What do you think, Dr. Jiang?"
"I have no idea." Jiang Jinghong took a long breath, pulled the mask on her chin back and said, "All the indications now indicate that it is pneumonia, so I will treat it according to the pneumonia situation first.
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As for the rest... we’ll see about it during the treatment process.”
Du Heng stopped talking, and he did not express any opinions on how the child should be treated.
Because of this patient, Dr. Mba didn't see him, and his treatment methods and Jiang Jinghong's were not the same, so he didn't say anything to offend others.
But before leaving, Du Hengduo asked, "Dr. Jiang, are there any children with this kind of pneumonia in Dr. Mba these days?"
Jiang Jinghong thought for a while and said, "I don't know, I haven't asked about it. But when I received a doctor yesterday, a child with pneumonia came in.
However, the entire onset of this child's illness was normal. It was pneumonia caused by a cough caused by an upper respiratory tract infection and a failure to seek medical attention in time.
Why do you ask?"
Du Heng said helplessly, "Yao Youshi said that there are many children with pneumonia recently, so he asked me to come over and take a look.
Hey, I was fooled by this kid."
Du Heng said the last sentence a little breathlessly. He didn't expect that Yao Youshi would actually make up such a lie in order not to talk to him about that matter.
No, I have to talk to him about it myself.
Du Heng no longer cared about what Jiang Jinghong was doing, and walked towards the backyard pharmacy with a flick of his arm.
But just for a while, Yao Youshi disappeared from the backyard, which made Du Heng even more sure that Yao Youshi was not authentic.
On the third day of work, Du Heng was a little worried about the child with pneumonia, so he took a special look.
When they arrived, Jiang Jinghong happened to be here, talking to Dr. Mba. Du Heng did not disturb them, but took a few steps towards the little boy, wanting to observe more.
But it is a pity that Du Heng's examination skills are not up to par. Nothing can be seen from the face of this dark-faced boy. The only thing that can be judged is the look in the child's eyes. He looks very energetic.
There doesn't seem to be anything wrong with it.
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Just when Du Heng was hesitant to take a pulse secretly, Jiang Jinghong said with a smile, "Dr. Du, this child's blood test just took place this morning, and all the values have returned to normal.
We must have been too worried the day before yesterday. The child must have pneumonia. It may be that his family did not pay enough attention to him and did not notice the changes in the child at all, so we have no idea whether the child had any abnormalities before."
Hearing Jiang Jinghong's words, Du Heng quietly stopped trying to feel his pulse, took a step back and said with a smile, "As long as it's cured, I'll leave first and won't disturb you anymore."
Returning to his clinic, Du Heng smiled for no reason, but looking at the patients in his clinic who were either here for deworming or for treatment of weak waists and knees, he felt a little tired.
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Look at Li Chengzu, he can't stop all kinds of minor operations. From time to time, there will be two people who are not afraid of death and dare to ask Li Jianwei and Sun Xin for gallstone surgery.
Li Chengzu and the others are also very brave. As a doctor who specializes in orthopedics, he really dares to use a knife to cut out someone's gallbladder if they ask for it.
What's even more enviable is that so far, he, Sun Xin, and the original orthopedic surgeon of this hospital have actually completed an operation on a collapsed chest deformity. It's really... really... awesome.<
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After talking about Li Chengzu, look at Jiang Jinghong again. She has only been here for more than a week, and now she has begun to guide the doctors in the internal medicine department of this hospital. She also comes into contact with all kinds of patients every day.
Looking back at my place, it is really lively, but what kind of diseases are they looking at?
Although as a doctor, you should not be picky about patients or diseases, but...but...I feel uncomfortable after all.
But so what if you feel uncomfortable, you still have to watch it.
Although the work here did not expose him to any typical or difficult diseases, the diagnosis and treatment of these basic and common diseases gave Du Heng the same feeling as when he went to the village for free clinic at the health center.
And there is another point, that is, this kind of basic disease, common diseases are becoming more and more common, and when more and more people are treated, he finds that his understanding of these common diseases is getting deeper and deeper, and he has more medicines.
understanding.
Take diarrhea as an example. It can be generally divided into two categories here. One is bacterial dysentery caused by unhygienic diet, and the other is diarrhea caused by excess moisture and heat in the body due to the special local climate.
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At the beginning, Du Heng treated this kind of bacterial dysentery. If the symptoms were relatively mild, he would prescribe Chinese patent medicines combined with Western medicines. If the symptoms were too severe, he would prescribe his own medicine and make a decoction.
But now, he basically no longer prescribes Chinese patent medicines and Western medicines. First, because this kind of finished medicines, whether they are Chinese patent medicines or Western medicines, are in short supply here, and because of transportation problems, replenishing them is also a hassle.
Secondly, he has a better way, which is to use Artemisia annua and two to three medicinal materials, which can not only solve dysentery, but also malaria.
The Artemisia annua used by Du Heng here is the complete herb Artemisia annua, not the so-called extract artemisinin.
If it’s artemisinin, haha, I’m sorry, 90% of the people in this place still can’t afford it.
Because here, the price of one piece of artemisinin, converted to domestic prices, is nearly 20 yuan, and malaria cannot be cured with just one or two tablets.
For this reason, if Du Heng uses artemisinin to treat malaria, then the captain of the medical team will definitely take a 40-meter long knife and kill directly from Libreville to Muira to let Du Heng know
That's not how money is spent.
Therefore, despite the various famous names of artemisinin extract, it is also regarded as a life-saving medicine in the local area, but...but...the actual situation is that few local poor people can afford it.
Yes, there are still many adults and children who eventually die due to diarrhea.
But Artemisia annua is different. It is just a very common herb. And right next to Gabon, Congo has introduced Artemisia annua and started planting it on a large scale. Some manor owners in Gabon have also started planting it in small batches.
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Although most of these cultivated artemisia annua will be collected by manufacturers and used for extraction of artemisinin, a small amount can still be found.
And this greatly reduces the cost of medication.
However, there is still a big problem in the use of Artemisia annua, that is, if Artemisia annua is decoctioned according to ordinary decoctions, it will have no efficacy in treating malaria.
The best way to use Artemisia annua with traditional Chinese medicine decoctions is recorded in "Emergency Prescriptions"... Yes, it is the "Yuhan Prescriptions" first written by Ge Hong, and then rewritten and renamed by Tao Hongjing of the Liang Dynasty.
It is a book called "Hundred Prescriptions for Repairing the Troubles", and was finally renamed "Preparing Emergency Prescriptions for the Troubles".
There are many contents in this book that will make people disagree, and they may even think that the things in this book are complete nonsense.
For example, it is recorded in it that if someone feels unbearable pain, you can take some fresh donkey dung, squeeze out the juice from the donkey dung, and drink it while it is hot, and the pain will stop immediately.
To be continued...