Chapter Eighty-Four: Carbuncles, Surgery

Just two steps out of the hospital, Shuyun suddenly remembered a very important thing - I didn't bring the medicine box, it seems that I was really in a hurry, how could I forget such an important thing. So he hurriedly stopped and said to Qian Liu, "Sister-in-law Qian, is Ah Fu suffering from a sudden illness?" ”

Qian Liu choked up and nodded and said, "Yes, yes"

Shuyun hurriedly instructed Qingsi, "You go to my room quickly, there is a white medicine box with a red cross on the chest of drawers next to the wardrobe, take it and send it to me" said this, and then turned his head and asked Qian Liu, "Where is Ah Fu now?" ”

"At home."

Shuyun then said to Qingsi, "Send it to Qian Afu's house, quickly." ”

Then took Ruxue and Qian Liu and rushed to Qian Afu's house.

When Shuyun arrived at Qian Afu's house, as soon as she entered the door, she found Qian Afu's legs curled up, lying on her side on the kang. His eyes were closed, his face was like gold paper, and his face was covered with cold sweat. The clenched fists jumped violently, and the teeth were clenched because of the pain, and the whole body was trembling slightly.

Seeing Qian Afu's symptoms, Shuyun was a little relieved, because his reaction did not seem to be a violent illness such as cerebral hemorrhage or heart attack. Moreover, Imperial Physician Wei had already arrived early and was administering an injection to him on the side, and another Imperial Physician Pang sent by Kangxi was also assisting him.

Seeing Shuyun come in, the two of them hurriedly got up to salute Shuyun, and other farmers in the house also came over.

Shuyun first asked Imperial Physician Wei about Qian Afu's condition.

Imperial Physician Wei said with a heavy face: "It's an intestinal carbuncle." Please forgive Weichen for his incompetence, and he can't cure the illness of Qian Guanshi, so he can only use needles to relieve his pain. Imperial Physician Pang also sighed softly on the side. means that he is equally powerless.

Shuyun nodded at them. Then he walked to the side of the kang and stretched out his hand to give Qian Afu a pulse. From the pulse to the slur. It is indeed an intestinal carbuncle, which is equivalent to what later generations called appendicitis.

At this time. Ding Shuigen's family came in with a bowl of medicinal soup. After Imperial Physician Wei took it, he explained to Shuyun, "It's rhubarb soup, I hope it will play a little role." ”

Rhubarb soup has a very good effect on the treatment of intestinal carbuncles, but looking at Qian Afu's reaction, he should have acute appendicitis, I don't know if there is suppuration, gangrene and perforation in the canal, if there is, this rhubarb soup will not have much effect after drinking. Looking at the reactions and tones of Imperial Physician Wei and Imperial Physician Pang, it seems that they are not very optimistic. They came early. I know Qian Afu's symptoms better than Shuyun. Shuyun had just given him a pulse, and she wasn't too sure about some specific situations.

So Shuyun said, "Wait first, don't be busy giving him a drink, I'll check it on him again." ”

Imperial Physician Wei knew that Shuyun was a proud disciple of Old Man Xu, and he had personally felt the effect of the fairy fat dew, and he always thought that it was a miracle medicine configured by Shuyun. So I have always admired Shuyun's medical skills, so I didn't stop it, and Imperial Doctor Pang not only didn't stop it, but also nodded again and again. He didn't say anything.

So Shuyun asked Qian Afu to lie down first. In his right lower abdomen, the appendix area was pressed a few times. Qian Afu immediately screamed in pain. Then Shuyun pressed a few more times around his mid-upper abdomen and navel, and the pain response was not obvious. Then he probed his forehead again and found some fever. Qingsi hasn't delivered the medicine box yet. So Shuyun didn't have a thermometer on hand, so she could only roughly guess how many degrees Qian Afu was burning now.

Shuyun asked Qian Afu again where he was uncomfortable.

Qian Afu's voice was hoarse, and he said intermittently, "The owner." The villain is, that is, dizziness, headache, and general weakness. The heart is still panicking

Before he could finish speaking, he had another reaction of nausea and vomiting. Qian Liu hurriedly stepped forward to serve him.

Sook-woon's inspection is also basically completed. Qian Afu's illness can already be diagnosed.

So he left the kang and gave up his position to Qian Liu. Then he called Imperial Physician Wei and Imperial Physician Pang behind him to the door to discuss the treatment plan.

Outside the door, Shuyun asked Wei and Pang, the two imperial doctors, "What do the two gentlemen think of the illness of Qian Guan Shi (Shuyun doesn't like to call the people around him with official titles, so they and Ke You and others are called Mr.) These people did not object, but were very happy. )”

The two glanced at each other, and then Wei Qiushi said to Shuyun, "The carbuncle is certain, but the symptoms are very serious and urgent, I'm afraid it's already suppurating inside." ”

As soon as her judgment came to her own, Shuyun nodded. What Shuyun is most afraid of now is perforation, which will be more troublesome, and the best way to do it is to perform surgical excision as soon as possible. If it was an operation, the two imperial doctors would definitely not be able to do it, so they could only do it themselves.

At this time, Qingsi came in with a medicine box, followed by Li Dequan and Mama He.

Shuyun didn't bother to greet them, so she took the medicine box and entered the house. Then he drove all the other tenants out of the house. took out the thermometer from the medicine box, shook it, handed it to Qian Liu, and asked her to clip Qian Afu under her armpit.

He also put on a mask and disposable medical gloves, took out a penicillin solution and a small bottle of normal saline, and prepared to give Qian Afu a penicillin skin test.

The people next to him, especially Wei and Pang, were very curious about what Shuyun was doing, but everyone couldn't bear to ask. are all people with eyesight, and at this time, no one will ask for this suspicion.

So the room was quiet, only Qian Liu sobbed twice from time to time. Qian Afu will endure the pain and occasionally comfort his wife. No one bothered, Shuyun quickly gave Qian Afu a skin test.

At the same time, Shuyun felt that Qian Afu was still very responsible, he didn't know that Lu Dao could still be operated, and he didn't even know what the operation was and whether his disease could be cured. But for his own illness is very troublesome, and it is very clear that he will die if he doesn't get it right, but he can still take into account Qian Liu's feelings, very much like a gentleman.

Then Shuyun asked Qian Liu to take out the thermometer, took it and looked at it, 37.7 degrees, fortunately, the burn was not too bad.

Then Shuyun said to Qian Afu and his wife, "Afu, sister-in-law Qian." This disease can be cured, so don't worry. ”

Hearing Shuyun say this, the eyes of the husband and wife immediately lit up.

Qian Liu even knelt and kowtowed to Shuyun, and kept begging, "Dongjia, you must cure Ah Fu"

For Qian Liu's mood. Shuyun could understand, so she hurriedly helped her up. said, "Sister-in-law Qian, don't be so excited. There's one more thing I need to get your consent to. ”

Qian Liu said busily, "You say, you say, we promise everything." ”

"That's right, judging from the current situation, Afu's illness is not very effective just by taking medicine, and it is best to have surgery to cut off the lesion."

When Shuyun said this, all the people in the room had shocked expressions, even the two imperial doctors.

Qian Liu was even more frightened. Only Qian Afu is still calm. And then before Shuyun could say anything. He gritted his teeth and said, "Boss, the little one believes you, you can treat us how you say." ”

Giving patients and their families the right amount of confidence is what you have to do as a doctor. It doesn't matter whether or not they can be cured or not, as most doctors in later generations did, but the responsibility must not be borne.

So Shuyun smiled and comforted them, "Don't be afraid, it's okay." Have you heard that there was a famous doctor named Hua Tuo in the Three Kingdoms, and he treated patients like this. And it was very successful, but after his death, there were not many people who would do this way, and everyone didn't know what to do. I just do, it's not that hard. There will be no danger either, don't worry. ”

Hearing Shuyun say this, although Qian Liu still seemed a little apprehensive. But there was a clear sigh of relief.

Then Shuyun said, "Carry Ah Fu to the laboratory in my yard, it's not convenient to operate here." "Actually, Shuyun is afraid that surgery here will cause infection. The hygienic conditions in the laboratory are much better and safer.

Qian Liu was under the guidance of Shuyun again. I found a few bankers and made a simple stretcher with wooden planks, sticks and sheets. At this time, the time for the skin test has also arrived, and Shuyun took a look, and it was okay if it was not red or swollen.

Kangxi is now in his own courtyard, and it is not good to let the villagers pass, so he should pay attention to these things. So he asked Chen Ce to find a few guards to carry Qian Afu to the laboratory.

Except for Qian Liu's family, Shuyun didn't let them follow.

Wei Qiushi and Imperial Physician Pang, as well as Li Dequan and Mama He, followed closely behind Shuyun, wanting to speak and stopping. Shuyun knew what they meant. The two imperial doctors must have wanted to follow and observe. And Li Dequan and Mama He are not only worried about their own bodies, but they are probably still afraid that Kangxi will blame.

So Shuyun said to them separately, "Mr. Wei, Mr. Pang, please help me during the operation later." But before that, please clean your hands and face, and put on clean clothes and shoes, and I'll wait for you, go and come back quickly. ”

After Shuyun finished speaking, the two of them rushed out happily.

Shuyun turned around again and said to Li Dequan and Mama He, "Don't worry, it'll be fine." I'll go talk to the emperor first. ”

Then Shuyun asked Chen Ce beside him to take care of him here for the time being. She took two hurried steps back to her room.

Lao Kang sat in front of the bookcase, holding a copy of "Zizhi Tongjian" and reading it intently. Hearing the sound, he knew that it was Shuyun, so he put down the book in his hand and said, "You're back?" Well, it's nothing. ”

Shuyun wiped the sweat on her head with a handkerchief and said, "It's very troublesome, and surgery is necessary." Only I can do it. ”

Then Shuyun looked at Lao Kang's face and said seriously, "It won't take an hour to finish, let me go, okay." If I don't make a move, Qian Afu will die. ”

Kangxi frowned and thought for a while, then said, "Is your body okay?" ”

Shuyun nodded affirmatively.

Kangxi sighed and said, "Then you go." ”

Shuyun didn't expect Lao Kang to agree so easily, and she thought it would take a lot of money. So I took a look.

Seeing this, Kangxi smiled and said, "What, is it unexpected?" ”

Shuyun walked over with a sweet smile, hugged Lao Kang's head, and kissed him twice on the lips. Then he shook his head twice with his forehead against Lao Kang's forehead, and said, "Thank you, Xuan Ye." ”

Lao Kang smiled and reached out and pinched Shuyun's fat cheek.

Shuyun went to the bathroom to clean up, and took the opportunity to take out three sets of surgical gowns from the space, and some necessary medicines and utensils, wrapped them together, prepared them, and put them back in the storage space. Then when I went back to my room, I pretended to rummage through the cabinet, but I actually took the opportunity to take the prepared package out of the storage space. After changing into a surgical gown, Shuyun walked out of the room under Lao Kang's gaze.

This surgical gown is from a previous life, at that time, Shuyun's figure was much taller than now, and the surgical gown was already fatter than ordinary clothes. So Wei Qiushi and Imperial Doctor Pang could barely put it on.

The lab is surrounded by windows, and it's the middle of the day, so the room is very bright, so you don't have to worry about the light.

Qian Afu had already laid down on a vacant long table, with a white sheet under him.

Some blood tests, urine tests and other routine laboratory tests are not possible. So Shuyun gave Qian Afu an infusion first, and then did gastrointestinal decompression and pain relief treatment.

Then, with the help of the two imperial doctors, Qian Afu's body was disinfected. Shuyun was afraid that Qian Afu would be afraid, so she did not give him a local anesthesia, but did a general anesthesia.

After that, he put a cut sheet on Qian Afu's body and exposed the part where the lesion was located. Take out the surgical tools and place them one by one.

The operation officially began.

Shuyun obliquely cut a small incision two finger widths at the junction of the outer 1/3 and the middle 1/3 of the junction line between the right anterior superior iliac spine and the umbilicus in Qian Afu's right lower abdomen.

Shuyun first found the cecum, and then quickly found the base of the appendix along the colonic belt, at this time Qian Afu's suppurated appendix base had been completely exposed to Shuyun's eyes, Shuyun used a long toothless forceps to clip out the appendix and cut it all. Then the necrotic cecum wall was also removed, and then Shuyun carefully examined it again to make sure that the appendix had been completely removed and there was no residue.

In order to stop the bleeding and prevent peritoneal adhesion of the wound, Shuyun smeared the stump of the appendix with alcohol and saline, sutured and ligated it and buried it in the cecum. The inversion is sutured after the most incision.

Shuyun was operating on the one hand, and at the same time, she explained every step in detail to Wei Qiushi and Imperial Doctor Pang in detail. Due to the rare opportunity, Shuyun gave examples of some other symptoms that may appear of this disease and explained them clearly one by one.

For Shuyun's unconcealed behavior, the two imperial doctors were very grateful. But then the behavior of the two of them gave Shuyun a headache. Because they are really interested in surgery, they have been studying all day long, and whenever they encounter something they don't understand, they will come to Shuyun upside down. Sadly, in this regard, there is nothing they understand. Of course, there are also advantages, that is, gradually, with the cultivation of Shuyun and their own efforts, the Qing Dynasty really gave birth to two talents who combine traditional Chinese and Western medicine. In the process of answering their questions, Shuyun also reviewed the relevant knowledge and compiled it into written words to spread. That's all for later.

Now the operation is done, and it has taken less than half an hour. It's still the case that Shuyun is explaining while doing it, otherwise, a quarter of an hour is enough.

Shuyun asked Qian Afu to be carried to Chen Ce's courtyard to recuperate temporarily. The sanitary conditions there are better, and the distance is also improved.

He also gave Qian Afu a hanging bottle, and explained the matters to be paid attention to, such as drinking water after exhausting, eating, and how to pull out the needle, to the two imperial doctors and Qian Liu.

Then he dragged his tired body back to his room.

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Dear friends, Xiaoyu is very sad today. Dialysis in the morning, after arriving home after dinner, it was already half past one, I felt very uncomfortable, I really couldn't stand it, so I fell asleep, and when I got up, I found that it was almost four o'clock. I hurriedly started to code words, but fortunately, I had already written more than a thousand words yesterday. I have some confidence in my heart. But at half past six, I found that the whole chapter only added up to more than 2,000 words.

So I had no choice but to write a notice of postponement to my relatives first. But when I finished writing, I found that there were more than 4,000 words. It turned out that Xiao Yu had read it wrong before, and he had read a thousand words less. But the little fish was so anxious that he sweated. Alas, I had to admit that I was a Madahar, crying to death.

For the sake of Xiaoyu's cup, those who have a ticket in their hands, vote for Xiaoyu, comfort it! (To be continued, if you want to know what will happen next, please log in, more chapters, support the author, support genuine reading!) )