"You can just talk about it casually. It doesn't matter from the perspective of being a doctor." Kraft changed to a comfortable position and leaned on the armrest to make the atmosphere more casual. "We can't revoke your degree certificate."
Viren wiped a handful of it on the ridges of the two "Human Structure" books, feeling the obvious thickness of dust, and said grimly, "No, I can really do it."
"Forget it, Lecturer Wei Lun, I let you go back then, others can be considered outstanding alumni, right?" After many years of graduation, he has become far away from unnecessary book knowledge, and now David may not be able to pass the exam even to the fifteenth generation.
.
Kraft stopped Willen back to his chair and stopped him from imagining the current surgical level of students who had graduated a few years ago.
"I see that you have many patients with infectious diseases, and the number of contact cases must be much greater than in the academy. I believe you must have your own understanding."
David cast a grateful look, put his heart back in his throat, huddled back in his seat and began to think about what valuable information he could come up with.
This is undoubtedly a bit difficult. At present, internal medicine is far more conservative than surgery, but it is also very open in some aspects.
The conservative point is that because the pharmacological theory and pharmaceutical methods are basically derived from the extremely long-established theory of body fluids, the limited changes have been solidified into classics through long-term interpretation, and there are no tricks.
I took it out and explained it to two teachers who had just arrived from the medical school. It was purely a trick and there was a risk of having my license revoked.
The openness is that, aside from the four-liquid theory that is often inconsistent with clinical practice, there are actually a huge number of "folk miracle medicines", "ancestral folk remedies" and "missionary secret recipes" that claim to have miraculous effects, and many people even swear by them.
Guaranteed to be effective.
Unlike surgeons, who can really die if the knife goes awry, everyone from rural farmers to doctors can say a few words about the matter of "get something to eat and treat the disease", which truly realizes the participation of all the people.
Medical.
Many of the pharmacopoeias on the bookshelf came from this source. I tried some medicines that I heard were useful, but once I got used to them, I never thought about them.
Compared with being exposed to an unopened anatomy book by his former teacher, the more frightening scene was when Willen suddenly got up and opened a certain prescription, and his vision went dark. This was a real possibility that his degree certificate would be revoked.
Fortunately I was stopped.
These cannot be mentioned. David found that he could not find anything to talk about in terms of diagnosis and treatment. The particularly young professor sat patiently aside, looking very good-tempered, and did not show any signs of waiting.
After a long silence, thinking of what the other party had mentioned, he searched for the impressions of those who came to the clinic to seek drug treatment, and began his own narrative:
"Tuberculosis is a poor man's disease." David affirmed, facing Viren's "You better give me some face" look.
"I know that some people will deliberately contract it because of their pursuit of appearance, so that it is often seen in some women and their husbands, but I still want to say that this is a completely poor man's disease."
He observed Kraft's reaction, and the latter nodded noncommittally, indicating for him to continue.
"I have seen many patients who come to the doctor for coughing or hemoptysis. Most of them will not buy silver coin-priced syrup to relieve their coughs, and even fewer are willing to buy honey."
"There will never be more than three out of a hundred." He curled up his thumb and index finger and stretched out three fingers. "There is no doubt that honey is the most useful medicine for coughs. I will give it to every hemoptysis patient with severe cough symptoms.
Recommended, but very few people will buy it.”
"The residents in Xincheng District are the majority, and I can tell from their clothes. Usually the symptoms of hemoptysis are very obvious and the energy is exhausted, so I come to see a doctor and ask if there is any way to relieve the symptoms as soon as possible."
David spread his hands and said, "There is no way."
"It's very troublesome when it reaches this point. The lesions in the lungs are bleeding. You need to breathe as slowly as possible to minimize damage to the lungs. This is the same as the need to splint the injured hands and feet. It's easy to understand."
"The best way is to rest in a comfortable environment. The second step is to relieve the cough and reduce the impact on the lungs, but more often they choose herbal medicine."
"According to my personal experience, elderflower and elderberry are very effective, and they seem to have some effect on fever. The cough relieving effect is far less direct than syrup. So I use elderberry and flower juice, and add echinacea water.
Decoction.”
"Some of them feel better and go back to continue doing whatever they have to do." David picked up the cloth in front of his mouth and nose. "Most of them will come again, and most of them will bring their families with them. Children are very
common."
"You won't see slender waists in these people. When they cough, a blush will appear on their fair faces. You will only feel that the cough is spreading from one person to another, more and more, getting closer. It is better in the countryside.
The more people there are, the more it becomes like this, like a mourner knocking on the door."
"In the most crowded place in Xincheng District, if a person says he has been coughing for more than ten days, his first consideration is tuberculosis, and I will advise him to isolate himself."
"Have you ever counted their survival time after getting sick?" Kraft wrote down what he said. There are no detailed statistics on these things. They are basically subjective experiences, but the reflections are roughly as expected.
"No, but they don't live long. After reaching a certain level, one day they will have a lot of hemoptysis, choke to death on their own blood, or slowly become out of breath and suffocate to death. Continuing to engage in activities that consume a lot of physical energy will make this day worse.
Move forward."
"That's basically what I know." David took a sip of water to moisten his lips. After finding that there was nothing in front of the remaining people, he hurriedly got up to get the cup.
Kraft raised his hand to stop him from taking the tea set with questionable hygiene. "If I want to carry out surgical treatment here, do you think there is any difficulty? After all, compared with oral medications, my method will cause certain damage to the body.
.”
"No, why do you think so?" the physician asked in surprise, "As long as an effective option can be provided, someone will be willing to try it, even if the probability of death is 50% or higher.
"
"If there is any difficulty, I'm afraid not many people here can afford the price of doing it yourself. Even the toll of the four-wheeled carriage from the academy to here is high enough."
You can still charge money for testing new treatment methods. This kind of thing can only happen in the era of chaos in the medical field. "That's no problem. Next, I will pilot the application of artificial pneumothorax treatment here, and only charge a small fee for the treatment operation."
The fee for occupying the space can be paid according to the market price.”
"Charging such a fee would make me feel uneasy." David could tell that Professor Viren was looking at him without turning his head, and the threat was visible to the naked eye, "When do you plan to start?"
"Let's start screening patients suitable for treatment from now on. If Dr. David is interested, you can also come and learn the techniques." Kraft opened the box that Kupp had brought all the way, and neatly packed it with steamed and sterilized white cloth.
Inside is a complete set of tools made in the Westminborg workshop.