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Section 94 Medical Planning

 Section 94 Medical Planning

Now Hippo and Shi Niaoren are ligating and cutting off the arterial tube to reduce bleeding during dissection. Shi Niaoren picks up the suction tube from the instrument rack on the dissecting table, steps on the air pressure valve with his feet, and draws out the blood flowing into the abdominal cavity.

blood, and suck out the blood from the chest.

When the hippopotamus began to scalp and prepare to open its skull, someone finally couldn't help but rushed out and vomited.

"Should we take a break?" Aibei asked.

"It's okay, we'll need to use a saw to open the skull later." Shi Niaoren put his hand under the faucet and rinsed away the blood.

After a ten-minute break, the autopsy continued. Ai Beibei asked if anyone wanted to withdraw. In the end, no one wanted to withdraw. It seemed that there was still talent to be made. Only those who could pass this test would have hope of becoming a doctor.

However, when the saw was cutting open the skull, someone still left the scene and came back after a while. The sound of the surgical saw pulling back and grinding between the skulls made people shudder. Only Hippo, a person who has worked in orthopedics, did not think it was so.

What's strange.

Shi Niaoren carefully pried open the head cover, revealing the meninges covering the brain. This stimulation was enough to make a weak first-year medical student faint. He glanced at the nurses again. It seemed that they could hold on. He paid attention

Some people's eyes even showed a sense of euphoric enthusiasm.

"Attention! I cut it."

Shi Niaoren reminded him and used a pair of scissors to cut open a large vein from front to back in the center of the meninges. He suddenly realized that he had forgotten the name of this artery - was he old? The blood immediately gushes out and flows to

On the scissors and fingers. He noticed that the blood was flowing and there was no sign of embolism. The person obviously did not die of cerebral infarction. After carefully observing the meninges, he opened them and exposed the brain. He carefully used a scalpel to remove the meninges.

The brain was separated from the spinal cord, and the brain was gently taken out. At this time, Ai Beibei brought over a glass jar filled with half a tank of formalin, and Shi Niaoren slowly put the brain in. The brain was in very good condition.

, Shi Niaoren decided to keep it as a specimen.

"This is the human brain. If the entire human body is a country, the human brain is the imperial court." He explained in easy-to-understand terms, and then talked about the differences and functions of the cerebrum, cerebellum, and brainstem. Shi Niaoren's scalpel turned to

heart.

Shi Niaoren took out the heart from the corpse and observed it carefully. Now he turned his attention to the female nurses and said:

"The most likely cause of sudden death is coronary heart disease. Let's first check whether it is consistent with this inference."

The female nurses, now numb, began to focus on the organ itself, watching intently as he delicately opened the heart arteries.

"We should find the embolism point here..." He pointed with the tip of the metal probe. "But there is nothing. There are no traces of blood thrombosis on the main branches of the coronary arteries."

"Now let's examine the heart itself." Shi Niaoren put the heart on the dissecting board, cut it from the middle with a scalpel, rotated the two valves of the heart to check, and then waved to the nurses to come over. They hesitated.

The people gathered around.

"He obviously did not die suddenly due to coronary heart disease," Shi Niaoren said. "In this heart, there is no acute thrombosis, nor is there any cardiac infarction complicated by cardiac aneurysm."

"Then how did he die?" Shi Niaoren pointed at the heart with a probe, "There was significant dilation of the left ventricle, and gray-white myocardial scar formation. He had rheumatic heart disease before his death. This is what caused him Cause of sudden death.”

He put down the probe: "Take a closer look."

He did not expect these girls to become real doctors in one or two years, but at least he wanted them to eliminate all fears and superstitions about the human body.

Guo Fu has calmed down a bit now. She thinks she can handle it. Not long after the autopsy started, when she saw the saw cutting into the dead man's skull, she felt the blood in her head rush down and she felt dizzy. At that time, she felt dizzy. She felt like she was about to faint. But she was determined not to fall down.

As if for no reason, she suddenly remembered an incident when she was wandering. Tian Liang once had a calf injury and ulcerated, and when he walked to a small town, he had already developed a high fever. Later, a traveling doctor saw that they were pitiful and gave Tian Liang a hand. Liang treated him. He just used a knife to cut off all the rotten flesh until bright red flesh appeared, and then applied medicine. No one dared to look at it at that time, only she was beside Tian Liang to help the doctor. Later Tian Liang became lame a few times. It took several months for her to fully recover. She had been taking care of Tian Liang, and she was not afraid of the blood and pus from his wounds nor did she care about the terrible wounds. This gave her a lot of strength. She knew that after this test, she would be able to see the autopsy in the future. It won’t be a problem anymore. From now on, I can treat everyone like the chiefs.

After explaining the lungs, the anatomy demonstration class ended. The hippopotamus put the removed internal organs back into the body - there was not enough embalming fluid to make specimens. These could only be wasted.

Shi Niaoren said: "Who is willing to suture the incision?"

Girls, look at me and I look at you. This is a very challenging job.

"I'll do it!" Guo Fu stood up.

"Okay, go and change your clothes, and I'll see how your sewing skills are."

Students at the medical school have all learned how to sew wounds, but they don't have many opportunities to practice it. Fortunately, suturing a corpse does not require too much care, and there is no need to worry about scars. Guo Fu did the suturing very carefully, but her skill was still not good.

"Not bad." Shi Niaoren nodded, and Hippo also nodded. Ai Beibei smiled slightly. Her skills are average and her attitude is good. This girl has a bright future.

The body was washed with water and carried from the table to a car, covered with a white cloth, and then sent to Cuigang for burial. Although the autopsy room was in the basement, the temperature was lower. But with so many people crowded together, the temperature was over 20 The body will decompose very quickly. If it were a regular medical school or hospital, they would not need to do this kind of thing as usual. Someone would handle it. Here, they can only do it themselves.

They changed clothes, came out of the anatomy room, and returned to the ground. The hippopotamus exhaled a breath of foul breath and wiped the sweat from his forehead.

"We need to install an air conditioner."

"I would say it would be best to install a cold storage." Shi Niaoren lit up a new cigarette. "Anyway, the current temperature is really not good, and it will be even worse in the summer. The room must be as hot as a steamer, and the medicine cannot be stored.

"

"Didn't Li Xiaolu make a blueprint for a floor-to-ceiling air conditioner? I think we can apply once. Summer is coming anyway." As Hippo spoke, the girls walked out of the door, and Guo Fu came over.

Hippopotamus felt an indescribable feeling of ambiguity in his heart when this young girl came close to him. The figure outlined by the starched blue clothes, and the slightly fluffy sideburns under the blue hat, if you touch it with your hands, it will be

Very soft. He calmed down and said:

"Well done, Xiao Guo." He praised.

"Thank you, doctor." The girl blushed in embarrassment and lowered her head slightly. There was a faint fragrance exuding from her neck. Is this probably the body fragrance of a virgin? Hippopotamus was a little reverie. Guo Fu was quite beautiful - of course.

According to the standards of the 21st century, after enjoying adequate food and adequate exercise for several months, her figure was also very good. Hippo noticed that her breasts were not small. Although the blue nurse uniform was not a skirt, it was still

It’s self-cultivation enough.

"Xiao Guo, come quickly." Ai Beibei called her.

"If there's nothing else, I'll leave first. Goodbye, doctor." She bowed with a slight smile and turned around. I want this girl, and Hippo suddenly made up her mind.

Guo Fuhe caught up with other girls, and they all asked her what she was thinking when she was sewing up the corpse, and whether she was afraid. She answered casually, thinking that Doctor He's eyes were very different - her face turned red again.

After Ai Beibei sent the girls away, he returned to the director's conference room as usual to prepare for Monday's regular meeting of the whole hospital. The so-called director's conference room is a large room with a relatively comfortable layout. The windows are inlaid with large glass, and there are

There are a few old sofas where you can sit and chat comfortably, read newspapers and books. They like to sit here when they have nothing to do. It is more like the original time and space.

He Ping participated in a voyage around the island, but had not returned from the sea. His wife Zhao Yanmei came here. She was a mold laboratory technician at a pharmaceutical factory. Her participation in the time travel was purely deceived - He Ping lied that a boss wanted to open a pharmaceutical factory.

Now Shi Niaoren is indeed planning to put her in charge of the pharmaceutical factory.

"It's a meeting, it's a meeting. Xiao Zhao, you are responsible for the minutes of the meeting." Dean Shi greeted, "Is Ziyi here? Go and call your husband. Yes, although he is a veterinarian, he is also a doctor."

After a while, Yang Baoguo also came, with his arms still wet and his whole body smelling of disinfectant.

"We have another meeting, I'm breeding cows for the farm."

The last person to come in was Liu San, who has a master's degree in traditional Chinese medicine. He is now the director of the Department of Traditional Chinese Medicine, but he rarely shows up in the hospital. He basically spends his time cultivating medicines at Wu Nanhai Farm.

"Okay, let's first review the progress of last week's work." Shi Niaoren opened his work notes, "First of all, the completion of our operating room and anatomy room..."

After a lot of hard work, Bairen General Hospital has built a decent operating room. The equipment and equipment are easy to bring as they are all ready-made, and there is also a simple operating room in the Fengcheng Lun medical room for backup.

, it can also be used as a source of spare parts when necessary. On the contrary, basic supporting items are difficult to obtain. Things such as ceramic tiles and porcelain sterilizing basins were only recently shipped from porcelain kilns in Fujian. In addition, two nurses were trained

As a surgical assistant, I can barely do the job of suturing large blood vessels and wounds. But there is no professional anesthesiologist, and every simple operation makes the unlucky ones cry like ghosts.

"...Our boiler room has been completed, the boiler workers are being trained by the Ministry of Energy, and the quotas for fuel and soft water have also been applied for. It is estimated that it will be ignited and put into use soon."

Having a boiler room is a great convenience for Bairen General Hospital. First of all, high-temperature steam can be used for disinfection instead of the simple moist heat sterilization method. A large amount of washing and disinfection work can be carried out in the hospital.

You can also take a shower in the hospital. The weather is getting hotter and hotter. This is essential to ensure the hygiene of all inpatients and medical staff.

"...the agar used in the microbiological culture room in the inspection center has reached a joint agreement with the Navy and the biological laboratory of the Ministry of Agriculture. The Navy is responsible for supplying raw materials and is uniformly produced by the pharmaceutical factory. As for the equipment, it was also purchased from glass last week

Everything has arrived from the factory. It’s a little rough, but it’s better than nothing.”

This microbiology culture room is very important for the hospital. Now it can finally detect bacterial infections and infectious agents. In the previous stage, he used water washing precipitation and concentration methods to check for insect eggs and random samples. In the past few days, more than a dozen were found every day.

There are 1 positive specimens. I am wondering whether to conduct a census in a while.

"Judging from the current situation, the infection rate of parasites has increased significantly, which shows that the trend of eating indiscriminately in the wild has increased. In this regard, we must inform the publicity department and strengthen education." Shi Niaoren concluded, "The following is

Please talk to Director Ai about the issue of medical education."

Aibei adjusted her glasses. She had a strange accent when speaking Mandarin because she had been in the United States for many years.

"The health training classes we took over from the military and political school system are currently mainly teaching nursing. It should be said that this is still not enough. At least we need to train doctors with primary diagnosis and treatment level.

"Currently, the largest training in this area is the cooperation with the Army, Navy and the Ministry of Resources. The first phase of the health worker training they sent to the civilians and indigenous people has been completed. The overall response has been good. After the system is formed, it can ensure the best results in the war.

Primary military health needs.

"I think this is the direction of our recent training. This kind of education is a crash education. It only teaches operations and simple theoretical knowledge. It draws lessons from first aid training courses conducted by non-governmental organizations such as the Red Cross, and uses three

One unit is trained every month to train first aid personnel. They are mainly used for first aid and simple treatment. You can also refer to the training system of rural barefoot doctors in the 1960s and 1970s."

Although the barefoot doctor system was eliminated after the reform and opening up, it is undeniable that this system covered the rural basic medical system at a lower level. This is a reference for the Chuanchuan Group facing similar circumstances.

Niao Ren deeply agrees.

"As for nursing training, the first nursing class has graduated and been conferred. However, strictly speaking, their professional standards can only be described as 'unqualified'."

Zhang Ziyi nodded. There is no doubt about this.

"Actually, they can only be regarded as nurses. They have too few internship opportunities, and there are not enough various consumables and medicines." Zhang Ziyi said, "There are no specimens, no equipment, and except for alcohol and absorbent cotton, the nurses can use almost nothing.

There’s not even a red potion.”

Probably in order to enhance the effect, Zhang Ziyi twirled her fingers and said: "Up to now, the only things that nurses can openly use are: medical alcohol and saline for washing. They can't even prepare physiological saline for injection."


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