Chapter 218: Race against time
Ji has the most contact with Western medicine anesthetics, Chinese medicine general anesthesia, in addition to sleeping Shengsan, of course, I also remember some other prescriptions.
However, there are always some rare medicinal materials that cannot be made up, or some special ingredients need to be added, and the conditions for achieving it are not available at the moment.
The only one that is relatively easy to achieve without causing damage to the injured person
Ji picked up the pen, quickly put the recipe on the paper, folded it and put it away, and returned to the earth house again.
Hu Liang squatted at the door and was relieved to see her coming.
Ji handed Fang Zi to him: "Brother Liangzi, I have one more thing to trouble you, can you go to town for me?" Pass this on to Dr. Xin, and bring me a few words by the way. ”
Hu Liang responded without thinking about it.
Now as long as you don't let him go home, don't let him be alone with the homeless, let him do whatever he wants.
After Hu Liang left, Ji entered the house, originally to talk to the homeless man about her preparatory plan, but when he walked to the kang, he noticed that the homeless man's face had been cleaned up.
Without the mask to cover it, the contours of the face are completely revealed.
Ji held his chin and looked at it for a while.
How so? Angular, very masculine kind.
But it's a pity, no matter how stylish the silhouette is, with this scarred vertical and horizontal skin, people don't have the mind to take a second look.
Ji coughed and looked away.
When it was dark, Hu Liang came back from the town, and he was not the only one, but Xin Ziqi also came.
The carriage stopped at the door of Ji's house, and before he could get off, Xin Ziqi leaned out of the carriage and couldn't wait to ask: "Why is the original recipe invalid?" ”
Ji didn't answer immediately, and asked them if they had eaten it first.
There was rice left in the pot, and Hu Liang and Ping'an went to the stove room to eat.
Xin Ziqi was all about the two prescriptions, and when Ji saw this, he motioned for him to enter the house to discuss in detail.
"Although the effect of Sleep Saint San is fast, the side effects are too great, and the homeless man himself does not agree to use ......"
A look of disappointment flashed across Xin Ziqi's face.
After he returned to Yidetang, he was obsessed with preparing medicine and boiling medicine, and he was busy for most of the day, waiting for tomorrow to witness the miracle on the homeless man.
Unexpectedly, the homeless man refused to use it.
"You told him, it's not without examples of complete success......"
"I said, he insisted on not using it."
Xin Ziqi looked slightly confused.
Without spending money and without enduring pain, what is the pickiness of the poor?
It's not that he's biased, it's a common thing.
It is difficult to have it both ways, except that for this homeless man, his mind is more important than his limbs.
However, in any case, the patients did not agree, so they had to give up using Sleep San.
"The one you asked Hu Liang to send, didn't he say it very clearly, and it is also a kind of anesthetic?"
Xin Ziqi took out the recipe, and read it one by one in the dim light.
"Shengchuan Wu, Shengnanxing, Shengbanxia, Nux Nux, Turpentine, Jianghuo, Nepeta, Chuanduan, Safflower, Blood Exhaustion, Rantong, Myrrh, Ground Turtle Worm, Bone Crushing, Wujiapi...... The above drugs are co-researched in equal parts as fine powder, sealed and set aside. ”
The verifying gaze looked at Ji: "Sleeping Shengsan is boiled into medicine for internal use, how is this used?" ”
"This is a bone graft and tendon dispersion, which belongs to the local anesthetic class. During the operation, take an appropriate amount and apply it to the affected area one to one with soju, and wait for about a quarter of an hour, and the local numbness will occur, and the patient will not feel pain even if it is cut by a knife. ”
Ji thought about it for a while, and felt that in fact, two more flavors of medicine could be added to it.
"It's mint, that is, silver dangrass, I wonder if you can find it? It can relieve itching, inflammation and pain at the same time, and can make the local area have a cooling feeling. The other flavor is Tianzhu yellow, which can not only reduce the toxicity of some animal medicinal materials, but also achieve the efficiency of anesthetic function. ”
Xin Ziqi's gloomy eyes suddenly brightened.
"According to what you say, this bone and tendon scatter is clearly more symptomatic than sleeping Shengsan, so why not use this at the beginning, isn't it better to use this?"
"You have seen the injuries of the homeless, and you have a preliminary estimate of how long it will take to complete the operation."
"It will take at least three hours, but you still need to cut the affected area and look closely at the ...... inside"
Xin Ziqi gradually calmed down, and he knew what Ji meant.
"You're saying there's a limit to the time you can use for anaesthesia?"
Ji confirmed his guess with his eyes.
"Sleep Sansan can make the patient sleepy for most of the day, supplemented by external punctures. excited, only then will it wake up. Although it can be effective in a short time, it is convenient and safe, and has few toxic and side effects, but it can take effect for one and a half to two hours at most. ”
The difference in time is almost half, and the gap is too big.
Xin Ziqi's expression became solemn.
"The left hand and right foot of the homeless man, as far as I can judge, have healed, but the naked eye cannot reach the machine after all...... Seeing is believing, you still need to check and confirm it yourself. If it has really healed itself, then these two places only need to be sutured and reinforced, which saves the steps of renewing the tendons and can also save a lot of time. ”
Analyzing the season, pacing back and forth.
"If the operation time is calculated as three hours, which means that we may save half an hour to an hour, which is a relatively optimistic idea. What is not optimistic is that his right hand and left foot are likely to be more serious than we thought, or that he will encounter some more difficult situations to deal with, and thus delay for a longer time......"
In the end, three hours may not be enough.
"Or, how about a higher dose?"
This is the method that Xin Ziqi came up with, but it was denied by Ji.
"Increasing the dose not only does not deepen the anesthesia, but may also cause other side effects."
The biggest disadvantage of this recipe is that the depth of anesthesia is not enough.
Compared with Sleep Shengsan, which infiltrates the blood and travels through the blood vessels throughout the body, thus acting as a deep anesthetic, the Bone Continuation Muscle Powder is only suitable for local anesthesia and stays in the superficial layer of the skin.
"This ......" Xin Zi period is in a dilemma.
"We can anaesthetize in a few steps, first on the hands and then on the feet."
The main thing is that the injuries of the homeless man cannot be delayed any longer, otherwise with the current medical conditions, it is actually not suitable for surgery on all four limbs at the same time.
"Forget it, the homeless man has refused to sleep with Shengsan, and we have no choice, so we can only choose the second option. Although it is not as effective as sleeping Sansan, it is better to be safe, but it will be hard for you and the homeless. ”
The Xin Zi period is hard because he has to speed up the operation process as much as possible on the basis of precision, so as to race against time.
However, no matter how fast the Xinzi period runs, there is still a 90% chance that the homeless person will recover his pain in the middle of the operation.
By then, the effect of the anesthetic had passed, and the overwhelming pain was coming, and the second half of the journey had to be supported by his willpower.
It's more than hard work.
But it's also something that can't be helped.
Xin Ziqi got up: "In this case, I'll go back and prepare first." ”
Ji sent him out of the door, Ping'an was already sitting on the wheel and waiting, they had wind lanterns when they came, so they didn't have to worry about the problem of rushing to the night.
When Xin Ziqi sat in the carriage, Ji reminded worriedly: "Don't stay up too late, you can come later tomorrow, but you must ensure enough rest." ”
There is no room for sloppiness in surgery, and the lack of energy of the surgeon is a taboo.
Xin Ziqi naturally understood this, and lifted the curtain and bowed slightly at her: "Don't worry." ”