Two hundred and twenty-ninth day diagnosis and treatment
Chapter 229 Diagnosis and Treatment
While he was busy cleaning up, Shi Niao Ren's voice suddenly came from outside the door: "You guys are playing the piano randomly! He is about to die, can you call some amazing Chinese medicine doctor to help? When the decoction is boiled, Liu Jinshi will burp in the morning.
Already..."
The door opened with a roar, and Dean Shi walked in majestically while reprimanding his subordinates. He was startled when he saw Liu San packing the medicine box inside. He then said loudly: "...Why don't you send an assistant to Dr. Liu?
It’s too late for one person to give first aid…”
"Dean Shi... I know how to do first aid. I studied traditional Chinese medicine. I also studied modern medicine..."
"Oh, it's okay, Chinese medicine is also a kind of medicine." Dr. Shi pretended to be cheerful and said loudly, "Xiao Liu, the executive committee attaches great importance to this matter, so I will leave it to you."
"Yes, yes, I will definitely complete the glorious mission assigned to me by the organization, but emergency medicine is not what I am good at. I still have to send another doctor who is familiar with modern medicine to help."
This is not a joke on his part. Liu San has never worked in an emergency department. In fact, he didn't even work in a traditional Chinese medicine clinic in the old time and space.
"In this case, let Zhang Tumu go with you." Shi Niaoren said.
Zhang Tumu is their only doctor who has professional experience in emergency medicine. Of course he has a good experience. His emergency surgery skills were fully honed during the Battle of Chengmai. The emergency department of Bairen General Hospital is also a very busy department.
With constant practice, Zhang Tumu became more and more skilled in his craftsmanship, especially in debriding and suturing wounds. He was simply superb at it.
"No need, the emergency department is very busy. It won't be good if there are injured people who need first aid if he leaves. I think it's better to let Zhang Ziyi and me go there - the old nurse is very useful."
"Okay, you go first. If you have any questions, call back to see if a consultation is necessary." Shi Niaoren said, "By the way, why don't you bring a few more intern doctors and nurses with you, and give them some experience points by the way."
At that moment, Liu San called Fu Wuben, and then called two intern nurses and an intern doctor. Because he heard that the condition was critical, Liu San decided that he and Zhang Ziyi would ride there first with the necessary supplies, and the others would follow on foot.
At the gate of the county town, Butler Zhao and several servants were waiting at the gate - they were all waiting for the Australian doctor to arrive. The Liu family had no choice but to hire an Australian doctor, but at the moment it was the only hope, and everyone had heard of it
Australians have a lot of things that are "impossible to do", and they are all eager for miracles to happen. What's more, Dr. Liu was highly recommended by Shopkeeper Yang. It is said that he is an apricot forest expert among Australians, and he uses traditional medical skills.
It's not the Australian medical technique of cutting open the stomach with a knife - this is somewhat reassuring.
Liu San and Zhang Ziyi were picked up by Butler Zhao and others, and they hurried into the courtyard. Liu San saw that the corridor was crowded with three members of the Liu family, and many people who were probably his old teachers and friends.
Each one of them sighed or shed tears. He was startled in his heart: It was clear that he was preparing to die. Could it be that he was already in such critical condition? Thinking of this, he felt a little anxious. This Liu Jinshi is a signature in Lingao Civil Affairs work.
, Vice Chairman of the Chinese People's Political Consultative Conference who was unwilling to die. He was about to talk to his family members about his condition, but the people in this courtyard didn't know who was the patient's family member.
Everyone saw more than one Doctor Liu, and there was also a female doctor, and they were so frightened that they all avoided it. There were also curious people who came over to take a look when they saw a female doctor coming. The scene was noisy.
Butler Zhao was still able to handle it, and quickly asked all relatives and friends to rest in the house for a while, and not to disturb the doctor's diagnosis and treatment by talking in the yard. Then he invited Liu San and Zhang Ziyi to go to the backyard.
In order to facilitate the doctor's access these days, Liu Dalin was moved to the study. The study's courtyard is separated by a wall to the northeast of the inner courtyard. I heard several women crying in the inner courtyard, probably members of the Liu family. Liu Sanyou and Zhang Ziyi were left by Zhao.
The housekeeper led him into the side courtyard. I saw several servants at the door of the study going in and out, some were boiling medicine in the corridor, and some were fetching water... I saw housekeeper Zhao and two Australians.
As he came in, the maids and maids turned sideways to avoid him.
"You guys are not our ladies, so why are you avoiding us?!" Butler Zhao reprimanded, "Go and work for me!" He then took them into the main room for diagnosis and treatment.
Liu San said, "I'm not busy. Please find a room in this courtyard so that we can wash our hands and change clothes before going to the hospital for diagnosis and treatment."
Butler Zhao wanted to hear from his son and grandson that Australians loved cleanliness, so he immediately agreed and asked someone to clean up a wing in the yard. According to Liu San's request, he sent several clean porcelain jars and placed them on the stove.
He also quickly boiled the water.
Zhang Ziyi was used to being a nurse, so she washed things, prepared disinfectants, prepared medicines and equipment without Liu San's attention, and helped Liu San put on her coat and mask.
Housekeeper Zhao led Liu San and others into the main room of the study. Several women here had already walked out with a middle-aged woman surrounded. Liu San saw that although she was not luxuriously dressed, she was well-groomed and knew that she was probably Liu Jinshi.
of children.
A maid reported: "This is the Australian miracle doctor..." Before she could finish her words, the other party was already blessed.
Liu San quickly took off his mask and bowed, and both parties greeted him.
Liu Dalin's child spoke the local Lingao dialect, and Liu San didn't know much about it, so he could only say a few polite words. Butler Zhao could speak the new dialect and translated a few sentences, and the meaning behind his words was to ask the doctor to do his best.
Treatment, as long as the master's life can be saved, the Liu family is willing to pay heavily.
"There's no need to talk about paying too much but not paying too much." Liu San said, "However, you must completely listen to me when it comes to treatment, otherwise I will ask your grandma to hire someone else." He had to say this up front to avoid being criticized.
At that time, this is not allowed and that is not allowed.
Housekeeper Zhao and Grandma murmured for a while, and said, "Grandma said: It depends on the husband to treat me, as long as I can save my life."
"Okay, it's good if you say this." She gestured to Zhang Ziyi to take out a piece of paper. It turned out to be the "Family Notification Letter". According to Shi Niaoren's opinion, all medical procedures must be completed from now on.
Get up and standardize the system first.
For the Liu family, this is already an ant on the hot pot. As long as it can save the master's life, they are willing to pay no matter how high the price is. Although they don't quite understand why there is this document: treatment.
In ancient times, people were resigned to fate, and there was no such thing as asking a doctor to take a beating when the disease was not cured, and there was no such thing as a medical accident. Although the eldest grandma was baffled by the behavior of the Australians, she still followed Liu San's request and wrote on this paper
Sign and stamp the document.
Liu Sanhe and Zhang Ziyi came to the main room. There were servants waiting in the room. Liu San thought the room was too dark and the air was turbid, so he opened all the windows and then approached the bedside to start diagnosis.
Liu San checked carefully and saw that Mr. Liu's face was flushed, his breathing was rapid, and there was a wet towel on his forehead. It looked like he had a fever.
Zhang Ziyi immediately took her temperature and blood pressure without waiting for his instructions. Liu San stopped pretending to check the pulse and directly took the stethoscope.
"Body temperature 39.6!" Zhang Ziyi reported the value, and then quickly pulled out Liu Jinshi's arm to measure the blood pressure - Liu Dalin indeed suffered from high blood pressure. People with limited mobility and long-term bedridden people can easily cause a series of complications: bedsores,
Electrolyte imbalance, lung infection, constipation, etc. Although it is not yet confirmed which complication caused it, Liu San initially judged that it was an infectious attack. This made him feel a little relieved - anti-infection is the key to the veteran doctor in this country.
After surgery, time and space are the second greatest killer.
After a flurry of initial diagnosis, they returned to the wing and called the valet who was serving Liu Dalin to inquire about his condition. The diagnosis was quickly confirmed. His condition was not complicated: the main cause was pneumonia caused by a cold.
His lung infection had been quite serious before.
"He has a systemic disease. Pneumonia is easy to treat, but complications are difficult to deal with. This involves the expertise of multiple departments and requires consultation." Liu San couldn't help but become cautious, "To be honest, it's best to have Liu Jinshi hospitalized for treatment.
."
"Most of them are unwilling, so let's just go to the family ward. It's just that other doctors have to work and come to Liu's house."
"That's all we have to do." Liu San said and considered the treatment plan. Generally speaking, anti-infective treatment is the best. They have enough antibiotics to use, which are effective against bacteria that do not have much resistance. Secondly, they are good at anti-infection treatment.
To lower blood pressure, the pharmaceutical factory's laboratory has trial-produced Salvia miltiorrhiza injection, but the efficacy and toxicology of the Lingao version of Salvia miltiorrhiza injection have not been sufficiently tested - there is a lack of experimental animals, and unfortunately, in this time and space, Gao's Salvia miltiorrhiza injection
Blood pressure is a very rare disease, and there are very few clinical cases collected among refugees. So far, Salvia Injection has only barely passed the second phase of trials.
"Do you want reserpine?" Zhang Ziyi knew that the pharmaceutical factory was using the roots of a rauwolfia tree called "Ma San Duan" produced in Guangdong to extract reserpine. Reserpine is a traditional antihypertensive drug and is currently the only drug that pharmaceutical factories can
One of several cardiovascular drugs manufactured.
"The reserpine in the laboratory has been tested on animals. It has not even been tested in the first phase of clinical trials. If it is given to Liu Jinshi rashly, it will probably kill him. Besides, he has pneumonia, and the use of reserpine is extremely harmful.
There may be adverse reactions." Liu San thought twice and decided to use the salvia injection that he distilled himself.
At this time, both the nurse and Fu Wuben arrived. Zhang Ziyi was assigned to work. First, Liu Jinshi was given fluids and intravenous antibiotics were administered to reduce inflammation and fever as quickly as possible to ensure the next step of treatment.
"Liu Jinshi may still have bedsores and other problems. I want to take care of him first." Zhang Ziyi said, "Even if he doesn't, I still need to do some cleaning work."
"Okay, but please keep warm." Liu San said and hurriedly rode his bicycle to Bairen General Hospital and showed Liu Dalin's medical records to several veteran doctors in the hospital.