Chapter 34 The "Patient" Escapes with Wounds
Chapter 34 "The Patient" Escapes with Wounds
Chen Xi said in his heart, I didn't dare to make the decision without the approval of the old man and the lady, and I didn't dare to tell the young master directly, so I mustered up the courage and said: "I mean if I really want to sell the medicine shop, I will go and ask the master and the lady."
Yifang was generous, and immediately replied: "Senior brother, you can rest assured that the pills will be made, and we can sell them in the Jin family pharmacy."
Jin Cheng was a little irritable, and said in his heart that it was no wonder that Chen Xi was in charge, she was now in charge of the pharmacy, and she was also afraid of accidents, she was used to mischief, and now she said that she would put finished medicine there to sell, and it was natural for her to be worried.
Jin Cheng said embarrassedly: "Oh, I'll figure it out myself when the time comes."
He instantly felt that his interest in making this pill had greatly decreased, and seeing Chen Xi's attitude, it was not good to tell her, so he ordered: "Forget it, Chen Xi, you go back to the pharmacy first" Chen Xi obediently pedaled away.
Zhihua and Yifang saw that he said forget it, as if they had lost a million.
Jin Cheng saw that Chen Xi was gone, and continued to instruct Zhihua: "You go and prepare rehmannia and yam...... These six medicines of Danpi, we make them into five-flavor pills."
Zhihua said curiously: "Young master, isn't it called a five-rank pill, how can it be a six-rank medicine?"
Jin Cheng continued to explain: "There are six medicines in this classic formula, and the reason why we buy Wuwei pills is to let everyone not know which pills are composed of, you have to buy these herbs separately, you can't buy them in a pharmacy, and you have to buy some honey, and then I will teach you how to make this pill, if someone asks about the composition of this pill, you will say you don't know."
Yifang immediately said: "Don't worry, I will keep my mouth shut and promise not to reveal half a word."
Zhihua asked, "Then can I buy it at our Jin family pharmacy?"
Jin Cheng was waiting to be arranged, and Yifang preemptively said: "It's better to be like this, our Jin family has four pharmacies, plus the two pharmacies of the Jin family, we go to buy two kinds of medicinal materials each, a total of 12 kinds of medicinal materials, so that everyone can't figure out which flavors of medicine they are, you see how it is."
Zhihua exclaimed, "Ah, wouldn't that be troublesome?"
Yifang said: "Don't bother! Don't bother, if this medicine is really effective, it must be priceless, in this way, someone will definitely snoop at that time, so there is nothing wrong with doing the work carefully, in addition, we can also appropriately choose some of these medicines with the opposite nature, even if people with ulterior motives use these twelve kinds of medicines, it is useless."
Zhihua looked at Yifang, who simply admired Yifang, and said, "Sister Yifang is really thoughtful."
Jin Chengxin said: This guy has an explosive IQ, and this method can also be figured out, as soon as I say the meaning, she can basically fully understand my meaning, and even what I didn't expect, she has already helped me think of it.
He said happily: "Well, just do what Yifang said."
After dinner, Jin Cheng sat in the room and said in his heart: Now that the instruments in hand are also available, and the TCM anesthesiologist Yifang is also in front of him, there is still a key problem that has not been solved, that is, disinfection and sterilization.
Later generations of modern self has been doing surgery on the operating table, as for how these sterile instruments and surgical bags came to the operating room, I don't know, and I haven't paid special attention to it, and now this hurdle has to be passed, fortunately, the disinfection and sterilization chapter during his undergraduate period is a grassroots teacher up, but in order to show this class more vividly, his opening remarks are like this:" Students, today's course is disinfection and sterilization, in order to deepen everyone's impression, I went to the community health center where I used to work to borrow a pressure cooker, this is not a pot for cooking rice, don't look at me ugly, but I am very gentle, a surgeon's must-have, he plays a greater role than cooking, he is a baby at our grassroots level, and the big hospitals are heated and disinfected with electricity, and it is not easy for our grassroots doctors, so we use him to heat to achieve the purpose of sterilization......" For this reason, Jin Cheng also studied Yifang's sterilization pressure cooker between classes, which was very impressive.
Who would have thought that it would really be used today, he invited Yifang to design it well, and then arranged for Xiao Dengzi to send the drawings to the blacksmith shop, and the rhetoric was basically the same as last time: the merchant of the Western Regions sent another awesome precision instrument.
Jin Cheng waited for the sterilization pressure cooker period, nothing to go to Linshan County Zhiweixuan to run, guide and supervise the decoration, due to the experience of Jingkou County Zhiweixuan, the basic layout of the third floor of the two buildings here is the same as Jingkou County Zhiweixuan, and the higher level, another key person is the chef to coordinate the command, he as the manager of Jingkou County Zhiweixuan, the whole process of participation in the decoration and operation, he is now from 800 money per month to 8 taels of silver, as if suddenly upgraded from dick silk to Gao Fu Shuai, so he is particularly attentive and cherish this job, in this way, he and Li Ziqi have saved a lot of heart, and can basically be a hands-off shopkeeper。
During this period, there was a small episode, Li Ziqi's brother found Jin Cheng, and Yi thought used 2,000 taels of cash to invest in Zhiweixuan in Linshan County, accounting for 10% of the shares.
Jin Cheng is not easy to refuse, and can't refuse, although deep down I don't want too many people to get involved, it's profitable, everyone is icing on the cake and swarming to buy shares, when the business is difficult, I guarantee that few people will give you charcoal in the snow, so deep down I refuse, but on the surface I have to agree in principle.
In the midst of hardships and hardships, his brother Li Zimo not only did not send charcoal in the snow, but also sneered at him, which hurt him deeply! So his sister resolutely disagreed in her heart and in principle, and the two sisters also made trouble with their parents for this, and the ruling result: do not interfere with each other's internal affairs, earn your own money, and don't get involved! In the end, her brother can only hope that Weixuan sighs.
This result still made Jin Chengle bad, Li Zimo, you are not authentic, my sister Zhiweixuan was in a financial crisis before, not only did you not help, but you also poured cold water, and now that you are making money, you want to come and get a piece of the pie.
Within a few days, the sterilization pressure cooker was also sent over, and the decoration of Zhiweixuan in Linshan County was also in full swing, and the finished product of the five-flavor pill was also made, although it was a little rough, but it was also the first bottle of Chinese patent medicine in the Tang Dynasty.
Jin Cheng gathered everyone together and ordered: "Zhihua, you give me the cloth I asked you to make at the tailor's shop the day before yesterday."
Zhihua went in and took a large bag of things: there were surgical singles, large orders, hole towels, gauze blocks, etc.
Yifang said curiously: "Senior brother, such a good cloth, why are you cutting it into such small tofu pieces, it's a pity" After speaking, he took these tofu pieces and looked very sad.
Jin Cheng didn't explain, he took out another plate of surgical instruments, showed it to everyone, and said: "I'll sterilize these things and show you first......" As he spoke, he put these instruments into the sterilization steamer and asked Xiao Dengzi to put them on the fire and roast them.
Xiao Deng Zi was made big by the young master's divine operation, he really didn't understand why the young master put these things that were not related to each other and burned them with fire, and he was about to ask.
Jin Cheng interrupted him and said, "Don't ask why, just do it, and burn it with fire for half an hour every time."
Everyone listened and looked at each other.
Jin Cheng talked about the routine operation and aseptic techniques of disinfection and wearing surgical gowns, and demonstrated while talking.
Although everyone listened to it in a fog, they still studied according to his requirements, and Cha Yifang studied very seriously.
The criterion of being a good teacher is that students have good test scores.
Jin Cheng has been busy for a long time, obviously he is not a good teacher, and these guys in front of him have made a lot of jokes in the process of practice.
Yifang, Zhihua, Chen Xi, and Xiao Dengzi, only Yifang's aseptic technique barely passed, and the rest of them were simply unsightly, either losing their gloves to the ground, or wearing the surgical gown backwards, either buttoning the nose with their fingers, or touching their buttocks with their hands.
In the afternoon, everyone practiced for a long time, they were all too tired to do it, seeing that the young master was so concerned about this matter, and he didn't dare to disobey, he dared to be angry and didn't dare to speak, of course, Yifang was an exception, she was not a person in your Jin family, so she was not afraid of Jin Cheng's obscenity.
Yifang practiced for a day, but she was too tired to do it, and muttered: "Senior brother, what's the use of this, it's really tiring."
Jin Cheng smiled and said, "Don't worry, these basic works are very useful."
Xiao Dengzi went to bring a rabbit over according to the young master's instructions.
Jin Cheng tied the rabbit to the table and arranged Yifang to say: "Senior sister, please use Ma Boiling Powder to anesthetize the rabbit, so I can do the next experiment."
Yifang was shocked and said: "Senior brother, you can just toss us, why do you still want to attack small animals, it's really cruel."
Jin Cheng looked at everyone and explained with a confused face: "In the early stage, we prepared so many things, just to do experiments today, my experiment is not difficult, that is, to cut a knife on the belly of this rabbit, and then sew it up, if the rabbit can be intact and alive, then we have succeeded, of course, every step I do, Chen Xi has to record it and edit it into a book."
As soon as everyone heard it, the young master of the heart said that this was a recurrence of the old disease, and he began a new way of torturing people, in the past, he was engaged in sabotage, but now he actually attacked small animals, cruel! too cruel.
Zhihua hurriedly said: "Young master, you want to eat rabbit meat, let's buy it again, merge so much to move the people, the stomach mountain is cut and sewn up, this is too cruel" She looked at the rabbit tied up with five flowers and couldn't bear it.
Jin Cheng talked hard for a long time, and saw that everyone still had this attitude, in order to get everyone involved, he continued to follow the temptation: "Although everyone is a rabbit in front of them, if there is a patient lying here who is dying, just imagine that even if it is for Father Jin, or the father of Yifang's sister, these two imperial doctors are helpless, but I can lead everyone to revive the patient, what do you think" Xindao was born as a doctor, with outstanding eloquence and ability, and he took a sip of tea to see everyone's reaction.
Basically, everyone didn't buy it, and they reacted unanimously: This is impossible! Too much healing is not good, we can cure it, impossible!
Xiao Dengzi said excitedly: "Young master, are we really so powerful?"
Chen Xi was also worried: "Young master, the master didn't teach us this, the master can't save it, we definitely can't save it, we can't be joking about curing diseases and saving people" The implication is that other things can be bragged about.
Zhihua didn't believe it, and said directly: "Young master, the master can't be saved, he is basically sentenced to death, take 10,000 steps back, where can the patient believe us" I wanted to say that the patient would not believe you, in order not to make him sad and say that we we.
Seeing everyone's attitude, Jin Cheng didn't want to explain anymore, and said seriously: "These worries are all in the future, and these operations must be passed today, otherwise they won't be fed."
Xiao Deng Zixin said: Good guy, just do it, otherwise there will be no food to eat, and strongly supported: "Okay, we listen to the young master."
Jin Cheng carried out each step of the operation in strict accordance with the aseptic operation, put on a hat and mask, washed hands according to the six-step hand washing method, wore gloves, put on a sterile surgical gown, laid out the surgical hole towel, demonstrated all the procedures, and explained while demonstrating, Chen Xi made detailed notes according to his requirements.
Jin Cheng continued: "The most important thing for us to do surgery is to be sterile, for example, after everyone wears the equipment, our hands can only be placed in front of the chest, during the operation, the contact range of our hands can only be on the operating table, no more than the neck, no more than the waist, and the transfer instruments can only be passed in front of the chest...... "The saliva is almost dry."
Jin Chengcheng is too tired to do it, and his heart is shallow on paper, and he has to do a lot of things! Talk about it a thousand times, it is better to actually operate it once, and tell Xiao Dengzi to strictly follow the norms again.
As soon as this guy came up, he dropped his gloves on the ground as soon as he was nervous, and what was even more annoying was that he picked them up on the ground without hesitation and continued to wear them.
Jin Cheng was so angry that he almost vomited blood, stopped drinking, and explained the precautions bitterly.
The second practical intern is Jin Yifang.
She is indeed a smart person in Bingxue, there is basically nothing wrong with all the processes, Jin Cheng is about to praise her: well done, well done, everyone applauded to learn from her, before the words were spoken, the scalpel in her hand fell to the ground with a "bang", she bent down to pick it up, bent halfway over, thought that it should be polluted, and stopped in mid-air and came back, and continued other operations.
Jin Cheng had to explain again: "Senior Sister Yifang is doing a good job overall, but just now he bent down, although he did not touch the scalpel on the ground, but his hand was already below the operating table, which was also polluted."
The rest of the people looked at each other even more, thinking that this was too strict.
Jin Cheng asked them to practice on their own, but they felt that there was always a little mistake, so they simply withdrew from the room and let them practice on their own.
An hour later, Jin Cheng returned to the room and found that they were still practicing carefully, and everyone had made considerable progress.
After tossing back and forth for two hours, Jin Cheng found that the rabbit under the surgical towel had been forgotten by everyone.
He opened it to see that there was no rabbit, this experimental rabbit who had no quarrel with the world, did his best, and dedicated himself to medicine had already passed away.
Chen Xi said sadly: "We forgot the existence of the rabbit just now, it should be tied too tightly and tied to death."
Zhihua was also sad: "It may also be covered to death."
Jin Cheng knew what was going on at a glance, and looked at Yifang with a smile and said, "Senior sister, what do you think, why did the rabbit leave us."
She said embarrassedly: "Hehe, it should be that the hemp boiling powder is heavy, next time I will use a smaller dose."
Jin Cheng saw that the rabbit was dead, and now it was time to eat again, so he simply fought again tomorrow and disbanded everyone.
On the second day, just after breakfast, everyone was called to the operating room again to continue yesterday's story.
A rabbit dedicated to medicine is tied to the operating table.
After Yifang fed the rabbit anesthetic, she waited for a few minutes, and the rabbit fell asleep.
According to the surgical position, Jin Cheng stood in the main surgical position, Yifang stood in the assistant position, Chen Xi assisted in the second position, and Zhihua was the instrument nurse.
Jin Cheng laid out the surgical napkin according to the aseptic operation, disinfected it repeatedly with alcohol, and then shaved the hair on the rabbit's abdomen with a scalpel.
While doing it, he said: "This first step is called skin preparation, next time you should pay attention, if the patient needs surgery, you will be responsible for the skin preparation."
Xiao Dengzi asked, "Young Master, what if there is no hair."
When Jin Cheng heard this, he said in his heart that you guys are here to entertain me, Lao Tzu is a hairy place, in order not to hit him, he patiently explained: "There is no hair and no skin, but to position it well, this step is also very important."
The relevant personnel in the operating room listened to Jin Cheng's eloquent explanation here, and everyone looked at each other.
After Jin Cheng prepared the skin, he repeatedly scrubbed the surgical field three times with alcohol, and said in his mouth: "This disinfection is very important, if the disinfection is not clean and the wound is contaminated, the wound will not heal, and the patient will still be a dead end."
After Jin Cheng finished speaking, he picked up the scalpel, although there was a rabbit below, this was already a breakthrough in history, just like the moon landing, Jin Cheng had a small knife, and the medical career made a big progress, and his hands trembled a little when he thought about it.
He was a little frightened in his heart, he always felt that something was wrong, in the past, he was the chief surgeon, all the work was ready, and he went to work on stage, but now he has to ask about any big or small.
He settled down, and used a scalpel to scratch the rabbit's stomach, and blood squeaked out, but the "patient" below was obviously uncooperative, and at the same time dissatisfied, he should have felt the pain, kicked his leg and broke free of the rope and ran, and fled without a trace in a blink of an eye, and a lot of rabbit blood was sprinkled on the road.