Chapter 156: Consultation

Yao Mingming also specially trained the nursing staff on the care of Ebola patients, of course, these were all told to him by Meng Xin before.

Yao Mingming focuses on training nurses in the psychological care of patients, because Ebola is a deadly disease with a high mortality rate, and once diagnosed, patients will immediately fall into despair and will do many unexpected things.

Whether it is a black African or a Chinese in China, everyone is a human being, and they will have psychological problems, and they will have abnormal psychological changes after knowing that they are terminally ill, especially when they are isolated and lack communication with their families and the outside world, they are more likely to have various psychological problems.

The black director had told them that there had been many incidents of self-harm, suicide and even violent homicide of desperate patients in the medical center, most of which were the result of a lack of psychological counseling.

Fat Tiger asked the local nursing staff to communicate more with the patients, to be as tactful as possible when telling the test results, to answer their questions patiently, and to speak softly. We will try to communicate with their families through closed-circuit video and other means to help patients build confidence.

Zuo Li and the three TCM doctors discussed with Captain Xiao and Dr. Tong to use the method of integrated Chinese and Western medicine to carry out treatment. Since there is no specific drug for Ebola, it can only focus on symptomatic treatment, using antiviral, anti-infective, anti-shock and nutritional support rehydration, adjusting the gastrointestinal tract and microecology, as well as controlling blood sugar, antiemetic and antidiarrheal, cooling and other symptomatic treatments.

The focus of the three of them, Zuo Li, Jin Yuji, and Dr. Hua, on this day, of course, was on the close contacts who did not start treatment on the previous day, the suspected case area, and the mild confirmed case area.

Close contacts only need to be observed and transferred to the suspected case area for screening when they develop symptoms. However, traditional Chinese medicine pays attention to the treatment of diseases, so Zuo Li and the three of them discussed and formulated drugs to prevent and enhance physical fitness, and carried out pre-treatment. Of course, this is the same as the severe and critical areas, which is the implementation of the unified treatment of cauldron medicine.

It is suspected that the case area is mainly Yao Mingming and local doctors who are responsible for screening. Due to the large number of people, he mainly uses the collection of whole blood from surviving patients with symptoms, performing a rapid antigen initial test, and confirming it with a nucleic acid test.

Zuo Li and the others focused on the early stage of the confirmed patients. These symptoms are relatively mild and are treated according to the dialectical classification of symptoms.

The dialectic is for the same disease of Wei Qi, and the treatment principle is to clear heat and detoxify, double solution on the surface and inside, and use Yinqiao San to add or subtract. If the dialectic is full of heat, the heat will be cleared and detoxified, and the prescription will be added or subtracted with White Tiger Soup. The syndrome differentiation is that there are two burnts in the qi camp or two burns in the qi and blood, the heat is cleared and the camp is cooled, the blood is cooled and the bleeding is stopped, and the recipe is added or subtracted with the clear plague and the poison drink. If the syndrome is characterized by renal stasis obstruction, the stasis and detoxification will be dissolved, the kidney will be dredged, and the recipe will be added or subtracted with peach kernel Chengqi decoction.

Before the syndrome differentiation, Jin Yuji should carry out the identification, and then delineate the general direction of the treatment according to the results of the identification, and then carry out the syndrome differentiation and treatment. The result is similar to Zuo Li, and the two are sometimes unsure, so they discuss it.

Dr. Hua mainly uses local herbs for treatment. This is something that Zuo Li and Jin Yuji don't dare to use, because neither of them has a good grasp of the medicinal properties and effects of local medicinal materials, and before there is a shortage of Chinese medicinal materials, it is better to treat them with familiar Chinese medicinal materials.

Of course, Kim Yu-hee also brought some unique Korean medicines this time, which were used to treat warm diseases, and were also used in prescriptions, which became a feature different from Zuoli traditional Chinese medicine.

Because the three people were diagnosed and treated separately, the speed was still relatively fast, and by noon, all the mild cases had been seen.

After a brief meal at noon, they began the treatment of the most difficult and dangerous patients in the severe and critical areas.

The mortality rate of Zaire Ebola is very high, and only a very small number of severe and critical patients survive, and the goal of the three of them is to increase this proportion so that more people can survive.

Because the mortality rate of any disease is largely restricted by timely and effective treatment, as long as it can be treated well and effectively, the case fatality rate will be greatly reduced. There have been many outbreaks of the Ebola virus in Africa, and even for the same type of Ebola, the mortality rate varies from outbreak to time, and the reason for this is that effective care for patients plays a key role.

They are trying to treat the sick and reduce the mortality rate as much as possible.

The three of them will consult together when they encounter difficult cases.

On this day, Zuo Li encountered a somewhat tricky patient, and he decided to ask Dr. Hua.

It was a thin, dark-skinned young man lying on the bed with his eyes turned up, and his body temperature reached 40.7 degrees. Zuo Li first washed his wrist with antiseptic solution, and then asked Dr. Hua to check the patient's pulse and tongue.

Zuo Li said: "This patient is hot and red, ecchymosis and vomiting blood, upset and cold limbs, red and yellow tongue, and a sinking pulse. My dialectic is hot poison and stasis, and I would like to hear your opinion. Because I still don't know much about Ebola, and the most important thing is that the patients are African, I'm more worried about not being sure, so I'd like to hear your opinion. ”

Dr. Hua smiled: "You are too modest, and I very much agree with your judgment." However, I basically can't help such a patient. Do you have a solution? ”

The two of them spoke Chinese, and the patient could not understand it, so there was no reaction while lying on the bed.

Zuo Li said: "I am ready to nourish yin and nourish qi, detoxify and dispel stasis." The prescription medicine is prepared to be added or subtracted with Shengmaisan. That is, American ginseng, schisandra, wheat winter, yellow essence, gardenia, citrus aurantium, rhubarb, gypsum, banlan root, salvia, purple pearl grass, red gou, etc. What do you think? ”

"Very good, use it first, I'm not sure anyway. As I told you before, I basically give up on the severe and critical illness of this disease, because there are very few cures, so there is no prescription that can be used. - By the way, I want you to help me check it. I was just seeing a critically ill patient, and I wanted to give up, but he said that he still had an elderly mother and several young children at home, and his wife was sick and dead. The family depends on him to feed him, and if he dies, the old lady and children of the family will also starve to death. Please save him. I sound quite pitiful, but unfortunately I can't help it, can you help me figure it out? ”

There are old and young, the pillars of the house have fallen, the building must have overturned, it is quite pitiful, Zuo Li decided to take a look.

Zuo Li followed Dr. Hua to see the patient.

The patient, a middle-aged man, probably only thirty or forty years old, said to Dr. Hua after a brief examination: "The patient is afraid of chills and cold limbs, slightly tired, tired and not thirsty, pale, with a bluish lips, pale tongue, pale moss, and a thin or deep pulse. The syndrome is that the yang qi is weakened, and it is necessary to warm the meridians and pass the veins, and return to the yang to save the adversity. Add or subtract with ginseng soup. Red ginseng, to be fried separately, cooked aconite, dried ginger, calcined keel, wrought oysters, wheat winter, schisandra, licorice. ”

Zuo Li said as Dr. Hua recorded the prescription and immediately grabbed the medicine.

At this moment, Jin Yuji, who was treating the patient, suddenly shouted: "Doctor Zuo, please come and help me take a look, this patient is in a very bad condition." ”