Section 229 Diagnosis and treatment
was busy cleaning up, and suddenly Shi Ren's voice came from outside: "You play the piano!" He's dying, can he use a nagging Chinese medicine doctor? When the soup was boiled, Liu Jinshi burped early, "..."
With a hula push, Dean Shi walked in with a majestic side and scolded his subordinates, and was stunned when he saw Liu San packing the box inside. He said loudly again: Six, "Why don't you send an assistant to Dr. Liu?" It's too late for a person to give first aid"",
"Dean Shi" I will also know first aid, I studied in middle school, and I also studied modern medicine."
"Oh, it's okay, Chinese medicine is also a kind of medicine." Dr. Shi pretended to be hearty and said loudly, "Xiao Liu, the Executive Committee attaches great importance to this matter, so I will entrust it to you." ”
"Yes, yes, I will definitely complete the glorious task given to me by the organization, but emergency medicine is not what I am good at, and I still have to send another doctor who is familiar with modern medicine to help."
It's not that he is joking, Liu San has never worked in the emergency department, in fact, he has not even done much in traditional Chinese medicine in the daytime.
"In this case, let Zhang Tumu go with you." Shi Yuanren said.
Zhang Tumu is the only doctor they have done in emergency medicine, and of course he has a brush. In the Battle of Chengmai, he fully exercised his emergency surgical skills. The emergency department of Bairen General Hospital is also a very busy department, and Zhang Tumu has become more and more skilled under continuous practice, especially debridement and suturing wounds, which is simply superb.
"No, the emergency department is very busy, and it's not good if he is gone, if there is an injured person who needs first aid. I think it's okay to let Zhang Ziyi and me go, and the old nurse plays a big role. ”
"Okay, you go first, and then call if you have any questions to see if there is a need for consultation." Shi Yuanren said, "By the way, you can bring a few more interns and nurses, and by the way, give them some experience points." ”
At that moment, Liu San called Fu Weiben, and then called two intern nurses and one intern doctor. Because he heard that he was in critical condition, Liu San decided that he and Zhang Ziyi would ride with the necessities first, and the others would follow on foot.
At the entrance of the county seat, Steward Zhao and several servants were all looking at the entrance of the city, and they were all waiting for the Australian doctor to come. Inviting an Australian doctor is a helpless force for the Liu family, but at the moment this is the only hope, and everyone has also heard of many things that Australians "can't do", which will be hoping for a miracle. What's more, this Dr. Liu was strongly recommended by the shopkeeper Yang, and it is said that he is a master of Xinglin among Australians, and he uses traditional medicine instead of Australian medicine with a knife to cut his stomach, which is somewhat reassuring.
Liu San and Zhang Ziyi were followed by Steward Zhao and others, and hurriedly entered the courtyard all the way. Liu San saw that the corridor was crowded with the three relatives and six subordinates of the Liu family, and there were many people who were about the end of his mentors and friends. One by one, they either sighed or wept. I was stunned in my heart: this is clearly preparing to send off. Is it so critical? Thinking of this, he was a little anxious. This Liu Jinshi is a signboard in the civil affairs work of Lingao, and the chairman of the CPPCC Lei who cannot die. He was about to talk to his family about his condition, but the people in this hospital didn't know which one was considered a patient's family.
Everyone saw that there was not only one doctor Liu, but also an NV doctor, who was bluffed and avoided one after another. There are also curious people, and when they saw an NV doctor, they came up to see it. The scene was hilarious.
Butler Zhao still managed it, so he quickly asked all relatives and friends to rest in the house for a while, and not to talk in the courtyard to disturb the doctor's treatment. Only then did Liu San and Zhang Ziyi go to the backyard.
In the past few days, in order to facilitate the doctor's access, Liu Dashuang was moved to the study. The northeast wall of the courtyard of the study is the inner courtyard, and I heard a few NV voices crying in the inner courtyard, which is about the inner family of the Liu family. Liu Sanyou and Zhang Ziyi were taken by Steward Zhao and entered the side courtyard.
I saw that several servants at the entrance of the study were busy working in and out, some were boiling in the wind stove under the corridor, and some were fetching water, "Seeing Steward Zhao coming in with two Australians, the maids and NV servants turned sideways to avoid it.
"A few of you, and you're not everyone's miss, what are you avoiding?!" Steward Zhao reprimanded, "Give me work!" So saying, he was going to take them into the main room for treatment.
Liu San said: "I'm not busy, please set aside a room in this courtyard, and let us wash our hands and change our clothes before going for treatment." ”
Steward Zhao wanted to hear what his son Hanzi said, Australians love cleanliness, and immediately agreed, and immediately took care of people to clean up a side room in the yard, and according to Liu San's request, he sent a few clean porcelain jars, and quickly boiled water on the stove.
Zhang Ziyi is used to being a nurse, so she doesn't need Liu San's care, she washes by hand, dispenses disinfectant, prepares equipment, and helps Liu San put on a coat and a mask.
Steward Zhao led Liu San and others into the main room of the study, and several NV people had already walked out with a middle-aged woman in their arms.
A maid is moral, this is the Australian miracle doctor, "Before the words fell, the other party has been blessed."
Liu San hurriedly took off his mask as a gesture, and the two sides saluted.
Liu Dashuang's widow spoke a local Lingao dialect, and Liu San didn't know much, so he had to say a few kind words. Steward Zhao can speak new words, and translated a few sentences in the center, which means that the doctor is asked to treat as much as possible, as long as the master's life can be saved, the Liu family is willing to pay heavily.
"There is no need to talk about whether it is heavy pay or not." Liu San said, "However, the matter of governance must be completely up to me, otherwise I will ask you to ask for another master." He had to say this first, lest he not be able to do this and not allow that.
Steward Zhao and Da Nǎinǎi muttered for a while and said, "Da Nǎinǎi said: But with Mr. Zhi's treatment, as long as he can save the master's life." ”
"Okay, it's good to have your words." Saying that, he motioned Zhang Ziyi to take out a piece of paper, it turned out that this was the "Family Notice", according to Shi Yuanren's opinion, all kinds of medical procedures must also be completed from now on, and the system must be standardized first.
This will be an ant on a hot pot for the people of the Liu family, as long as it can save the master's life, no matter how big the price is. Although they don't quite understand that Weishenme should have this paper document: the matter of curing diseases was resigned to fate in ancient times, and there was no reason to ask a doctor to eat fists if they couldn't see a bad disease, let alone medical accidents. Although Da nǎinǎi felt inexplicable about the behavior of the Australians, he still signed and drew on this piece of paper according to Liu San's request.
Liu Sanhe and Zhang Ziyi came to the main room, there were servants waiting in the house, Liu San thought that the room was too dark, and the air was turbid, so he opened all the windows, and then approached the bedside to start the diagnosis.
Liu San looked carefully and saw that Master Liu's face was red, his breath was short, and his forehead was still wet. It looks like I have a fever.
Zhang Ziyi didn't wait for his orders, and immediately measured his temperature and blood pressure, and Liu San didn't pretend to diagnose his pulse, but directly took the stethoscope.
"Huween 39.6!" Zhang Ziyi reported the value, and then quickly pulled out Liu Jinshi's arm, and measured his blood pressure Liu Dashuang really had high blood pressure. People with limited mobility and long-term bed rest are prone to a series of complications: bedsores, electrolyte imbalances, lung infections, constipation, etc. Although it is not possible to determine which complication is responsible. Liu San preliminarily judged that it was the onset of infection. This made him breathe a sigh of relief, and the fight against infection was the second biggest killer weapon of the veteran doctor in this time and space after surgery.
After a scramble for the preliminary diagnosis, they returned to the wing room and called the personal servant who was serving Liu Dashuang to inquire about his condition. It was soon confirmed.
His condition was not complicated: the main cause was an attack of pneumonia caused by a cold. And his lung infection was already quite serious before.
"He is sick all over his body, and it is easy to treat pneumonia, but the problem of complications is difficult to deal with. This involves the specialization of multiple departments. Consultation is required. Liu San couldn't help but be cautious, "To tell the truth, it's best to let Liu Jinshi be hospitalized." ”
"Most of them don't want to, so let's go to the family ward. It's just that I have to work, and other doctors have also come to Liu's house. ”
"That's it." Liu San said and considered the treatment plan, in general, Xiu said, the specialty of anti-infection treatment, they have enough antibiotics in their hands to use, and there are enough effects on bacteria that do not have much resistance, followed by lowering blood pressure, the laboratory of the factory has tried to produce Danshen injection, but the efficacy and toxicology of the Lingao version of Danshen injection have not been enough shiyan lack of shiyan animals, and unfortunately high blood pressure is a very rare disease in this time and space. There are very few clinical cases among displaced people. So far, Danshen injection can only barely pass the second phase of the trial.
"Do you want reserpine?" Zhang Ziyi knew that the factory was using the roots of a kind of Luofu wood called "hemp three ends" produced in Guangdong to refine rehaping. Reserpine is a traditional antihypertensive substance, and it is one of several cardiovascular products that can be manufactured by the current manufacturer.
"The reserpine in the laboratory has been made as an animal shiyan, and the clinical trial has not even done a phase I shiyan, and it is afraid that it will kill Liu Jinshi if he rashly uses it. Besides, he has pneumonia, and it is very likely that there will be adverse reactions when using reserpine. Liu San thought twice and decided to use the salvia injection he distilled himself.
At this time, the nurse and Fu Wuben came. At present, Zhang Ziyi assigned the work, first hung water for Liu Jinshi, and injected intravenous antibiotics to reduce inflammation and fever as soon as possible to ensure the next step of treatment.
"Liu Jinshi may also have problems such as bedsores, and I want to take care of him first." Zhang Ziyi said, "Even if you don't, you have to do some cleaning." ”
"Okay, but keep warm." Liu San said and hurriedly rode his bicycle to Bairen General Hospital, and showed Liu Dashuang's medical records to several old doctors who were in the hospital.