It's not that difficult to open a hospital in another world, right? Chapter 339: Cholera? It’s actually not that difficult... wait! (Ye Meng Bing Ten Thousand Rewards Additional Update 3)
Chapter 339: Cholera? It’s actually not that difficult... wait! (Ye Meng Bing Ten Thousand Rewards Additional Update 3)
It's cholera - or in other words, the epidemic that broke out in this small village is most likely cholera. Although he hasn't done a bacterial microscopy yet, the rice swill-like feces on the ground has given him enough information: there is a high probability that it is cholera.
More than 90% of the time, it’s cholera!
Grete was nervous, but at the same time he was inexplicably relieved. Nervousness is natural. The famous Class A infectious disease, besides plague, is cholera. He has not yet isolated the Yersinia pestis bacillus. It is the most terrifying infectious disease outbreak that he may face currently.
, it’s cholera.
However, he was relieved. If the outbreak was anthrax, he would not only return to the laboratory immediately and gamble that penicillin could be produced from the liver as soon as possible, but he would also have no choice but to summon the priest;
If it is tetanus... Tetanus is not transmitted from person to person, but it is more difficult to get a tetanus vaccine within a few days than to gamble on penicillin;
If it's botulism, that...
Victory or defeat is a common thing in military affairs. Young hero, please try again...
Fortunately, it was cholera.
Cholera is a disease that has an acute onset, severe symptoms, and spreads quickly. From every aspect, it is worthy of the name Category A. However, as long as it is blocked at the source——
Grete looked around and rushed towards the tallest and largest farmhouse. This farmhouse was made of logs from the outer walls to the roof and even to the floor. The bark on the outer walls was not peeled off. It could be said to be extremely rough.
You can imagine the muscles of those who can build such a house.
After Gretel pushed the door open, he was bumped into by a giant man and almost flew out...
"Ayo!"
"who?"
Grete's back hit the door frame, and he let out an ouch. The pain was so painful that he could hardly speak. Oh, he shouldn't have left Bernard with him. He must find a way to carry the barbarian with him in the future...
But the giant man didn't even sway. Big hands like cattail leaves lifted his shoulders, turned him to the side, carried him to the door, and looked at him under the light:
"Little mage? What are you doing here?"
Grete grinned and rubbed his back with his backhand. After rubbing it twice, he finally breathed:
"Where is the chief of your village? There is a plague in the village! Many people are sick! I am a healer and I am here to help you!"
"Patient?"
The giant man was doubtful. He took two steps forward and bent down to take a look. Gretel felt his eyes darken, and a large shadow fell on his head, covering him from head to toe. He instinctively leaned up and took a step back.
Han seemed to be aware of it. He stood up straight and squatted down:
"Little mage?"
Gretel: "..."
Oops, I didn’t bring the oak staff...
But what I need now is the identity of a priest!
He looked left and right, trying to find a witness to prove his case, and suddenly took two steps to the side. He stretched out his right hand and pressed it on a cluster of moss outside the wooden house, praying silently in his heart...
"Grow out! Grow out! Grow out quickly!"
He has never succeeded before... His birth-promoting magic, apart from holding seeds to induce the growth of tubes, is also useful for bacteria. But this time, please be successful! It doesn't matter whether it's moss or fungus,
It doesn’t matter if the grass seeds happen to blow onto the wall, please give me some respect!
One second, two seconds, three seconds. There was something soft and soft under the palm of his hand. Gretel let go of his hand, and a bright yellow mushroom appeared out of nowhere, appearing on the rough bark of the log.
The giant man was moved. He took another step back, and with a much more respectful attitude than before, he stroked his chest and saluted Gretel:
"Lord Priest!"
"Stop saluting! Call someone out for help!" Gretel stamped his feet. The giant man stood up straight and turned around and shouted:
"Burton! Og! Come out quickly! The priest is looking for you!"
Two more men came out of the wooden house. They had the same tall figure, the same messy brown hair, and the same beard. The three of them stood side by side. Gretel simply thought that he had stabbed a bear's den, and couldn't help but take another step back.
.The giant man who came out first squatted down and spoke as softly as possible:
"Master Priest, what do you want us to do?"
"Please call everyone over. A plague has broken out in your village. I - and the three mages - are here to help you. Let me take a look at your situation and then treat you."
The three giant men began to run separately, roaring. The roar shook the village. After a while, everyone who was still in the village was grabbed. Most of them came by themselves, and a small number of them were supported by others.
, or simply carried it:
"What's going on? I just chopped half of the firewood..."
"I'm making a chicken coop!"
"I'm still mending clothes..."
"I'm fine, isn't it just diarrhea?"
"Ouch... I have a stomachache... Can you let me finish my bowel movements first and then come again..."
There were a lot of complaints in the village. However, when the third, fifth, and tenth people with diarrhea appeared, the voices quickly became quieter and quieter. Finally, the giant man stood at the door with a straight face:
"Shut up, everyone! The Reverend is here to help us! - Reverend, please speak!"
Grete came out from behind him. After a quick glance, he felt a lot more relaxed:
There is no such thing as vomiting and diarrhea on the spot, unable to walk even after pulling a stool, with wrinkled skin and sunken eye sockets, showing obvious signs of dehydration. If it really reaches the point of severe dehydration, he can either resign himself to his fate, or he can only take a gamble with his treatment skills.
Already...
As soon as her mind relaxed, Grete immediately showed a gentle smile. She stretched out her arms and spread them to both sides:
"Hello everyone, I am a servant of the God of Nature. I am here to help you. - Until now, if you have diarrhea, vomiting, or other discomforts, please come to my left. If you are not feeling well, please come to my left.
right hand side."
Dozens of farmers and village women, you look at me, I look at you, slowly began to move. After being yelled by the giant man several times, the movement finally became a little faster, from the speed of a snail to the speed of a turtle. Grete also
Without urging, after waiting patiently for a minute or two, fifteen or six people were already standing on the left side.
There were more men than women, and more adults than children. Gretl counted the number of people silently, and compared them with the textbooks in his memory, he became more and more confident:
"In one village, one-third of the population fell ill. There is no doubt that this is a plague!"
A series of exclamations sounded. In the queue of patients, an old woman with a sallow face staggered and fell down.
More voices screamed. To the right of the old woman, a haggard-looking young woman struggled to raise her arms, trying to support the old woman's body, but suddenly her face turned pale and she squatted down holding her belly.
Gretel immediately walked towards them. As he walked, he raised his voice:
"Don't worry, I'm here!
But I can't handle this on my own, and one person's healing skills can't cure so many people, so please listen to my guidance!
As long as everyone obeys the arrangements, everyone will be fine, and everything will be fine!"
He directed the patients to gather into the room. He stood at the door and looked at them one by one. After visually checking that there were no critically ill patients, he turned around and grabbed the strong man at the beginning:
"Listen! This plague is caused by eating or drinking unclean things!
I don’t know where it is unclean now, and I don’t have time to find it. You tell them all not to drink raw water!
Everything you eat and drink must be cooked before entering your mouth. Wash your hands before eating or after going to the toilet! Wash your hands with soap!”
Two large pieces of soap were thrown over with a bang. It was very hard and rough. Gretel made it himself in the laboratory when he had nothing to do. His craftsmanship was really average, and his appearance was hard to describe, but the strong man felt like he had found a treasure.
, holding it with both hands, bent down and took it respectfully.
"By the way, is there anyone who hasn't come back yet?"
"Also! Old Barry, Fitch, little Flora——"
"Go find them! Send the healthy ones to go find them! I want to see everyone here before I'm done!"
Grete turned around and entered the house. Hearing the strong man's roar outside, Grete took out a pen and paper and smiled as friendly as possible. He walked along the floor of the house, asking and diagnosing one by one:
"Grandma, how old are you? How many times have you had diarrhea since yesterday? When was the first time? Have you ever vomited? Does your stomach hurt now? Stretch out your hand... I'll take a look at your fingers... Have you ever urinated...
…”
Without asking a word, the old woman bent over and began to vomit in large mouthfuls. Gretel hurriedly helped her, paying attention to the color and shape of the vomit while helping her. He was too busy to pay attention to the dirt on her body.
After struggling for a while, the vomiting finally subsided temporarily. The old lady was exhausted and collapsed on the floor. The young woman knelt beside her and wiped the floor with a rag. After wiping it for a few times, her face turned pale, and she turned around and ran out.
Grete ignored her. While he was consulting and inspecting, he was writing down:
Elderly female patient, 55 years old...forget it, she is considered old in this world.
I had diarrhea 5 times from early this morning to now. First, I passed yellowish brown loose stools, and then I passed rice watery stools... I had projectile vomiting after the last two times of diarrhea...
The skin and mucous membranes are dry, and there are no sunken eye sockets (?) He is still not sure about Wai Guo Ren’s eye sockets... his voice is slightly hoarse... his urine output is normal... his pulse is normal...
This is basically mild dehydration, moderate at most. Gretel quickly made a diagnosis and comforted softly:
"Grandma, you are not seriously ill now. Just have a good rest and drink more water. - Auro! Come and watch them boil water!"
Aurora, the Multipurpose Tool Man, the Disinfectant Sprinkler, and Master Wharton rushed over. Gretel issued a series of instructions:
"Ask someone to boil water! Boil water! It must be boiled! After boiling, you immediately cool it down enough to drink, then add sugar and salt -"
A pack of white sugar, a pack of refined table salt, and a pack of baking soda were thrown at Aurora's feet with a few bangs. Gretel tore off a page of paper, recorded it while doing mental calculations, made a few strokes, and stuffed it into the hand after writing the configuration ratio.
he:
"After finishing the preparation, pour water for each patient, put it in a bowl or cup and put it next to them. Each person has 750 ml! You have to drink one round every hour! Quick, go to the fever immediately. When I finish diagnosing the last patient
, to see the first patient drink water!”
Yes, although cholera is a serious disease, when you are mildly dehydrated or even moderately dehydrated, the only way to treat it is to rehydrate. If you can take oral rehydration, take it by mouth. If you can't take it orally, just give it intravenously. Replenish fluids, replenish ions, replenish
Energy, help the patient get through it!
With early detection, early intervention, and timely rehydration, the vast majority of patients can survive!
Add salt to distilled water, add glucose (if there is no glucose, use white sugar to top it), add sodium bicarbonate, add potassium chloride - the last one is not available, so we can only hope that there will be some impurities in the salt... remember to make chlorine later.
Potassium! Must remember!
"no problem!"
Aurora turned around and ran away. Gretel turned around. The old woman was dying and struggled to pull his sleeves:
"Master Priest, I'm sorry for staining your robe... Let Flora wash it for you later. Although this child is small, his hands and feet are very diligent... Flora! Flora!"
"Grandma, Flora went to herd the sheep..." the young woman whispered. She didn't mind the dirt on the old man's body, and with tears in her eyes, she held the old man's sleeve with one hand and pulled Grete with the other:
"Master Pastor, will grandma die?"
"The God of Nature will bless her." Gretel tried to comfort her. Don't touch me! Stay away from me! I just brought this piece of clothing. It would be better to reduce cross-infection!
Yet he still has to keep smiling:
"Madam, are you feeling uncomfortable too? Let me show you..."
Grete's consultation speed was very fast. It took less than three minutes to inquire, bring medical records, and see a patient. After a round of inspection, five or six more patients were admitted to the big wooden house, and the first
The old woman had already picked up the earthenware bowl and began to drink the sugary salt water that Aurora poured for her.
"Boss! I'm done! What else is there to do?"
"...You go find a big wooden barrel..." Grete calculated in his mind and found that he still had to intervene in matters such as washing hands. He could not let the villagers do what they wanted. Whether it was a water tank or a ladle, it was all.
Cross infection in minutes.
He worked hard to see the doctor, and on the other side, a large bucket was quickly delivered. Gretel directed people to deliver the bucket to the toilet door, took out the bell, and recited in a low voice:
“Time is money my friend!”
The little monster responded. Gretel gave him a gold coin and, racing against time, began to give orders:
"Gold coins, you drill a hole in the wall of the barrel near the bottom, and then connect the faucet... The valve that opens the faucet should be like this..."
In a few words, together with the drawing, he sketched out the appearance he wanted. A spare piece of iron was thrown out, and the little devil stretched his hands forward. The iron piece silently melted, deformed, and solidified in the light. When the light disappeared, Grete wanted the foot-operated faucet.
, has been firmly attached to the barrel wall.
It should be fine... Let people fill it with water, throw in bleaching powder, disinfect it and then use it to wash hands. Later, we will go to see the patients, disinfect them, etc., and let Aurora go...
Gretel was thinking to himself. Before he could even take a breath, there was a sudden chaos at the wooden house, with more than a dozen voices shouting at the same time:
"Master Priest! Master Priest!"
"I am coming!"
Grete flew away.
In the center of the wooden house, a giant man - I don't know whether he is called Burton or Ogg - is sitting on his knees with his arms stretched out, holding a limp little girl. The girl's bright red hair hangs down as if withered, her lips are dry, and her eye sockets are sunken.
The plump cheeks were already a little shriveled. When he raised his palms, his fingerprints were obviously wrinkled.
MD!
It is at least moderately dehydrated, and has even begun to develop into severe dehydration! To this extent, just rehydration is not enough, and there are a lot of dangers!
The old woman who was the first to treat Grete and the young woman next to her were anxiously beside the little girl. When they saw Grete come in, they both raised their heads and almost rushed over to hug his lap:
"Master Priest! Save little Flora! Save her! Stannie is dead, and she is the only child left in our family!"