Chapter 147: Much faster

Every time he treats a patient, he has to use a notebook to record the patient's bed number, name and prescription, and prepare to bring the medicine when he comes the next day.

However, after treating several patients, he found that many of the diseases were very similar, and the prescriptions were similar. He wondered if since the patient's condition was similar, whether he could divide it into several common basic prescriptions and then classify them into batches for treatment, which would be much faster.

Although the cause of the medication is different for each person, the effect of medication may be somewhat different, but the batch administration will speed up. Otherwise, hundreds of patients would have to spend days looking at them one by one.

Moreover, during the diagnosis and treatment, he found a very serious problem, that is, some patients actually did not have any symptoms at all, and after asking the director, he learned that these people were all close contacts of the so-called confirmed patients, and because there was no corresponding means to confirm the diagnosis, the close contacts were also placed in the suspected case area.

These people must be separated from the others.

He immediately went to Dr. Hua and told him his thoughts, and at the same time told him his idea of preparing to treat critically ill patients in batches.

Jin Yuji heard them talking about healing, so she also came over to discuss it.

After listening to Zuo Li's thoughts, Dr. Hua shook his head and said, "I completely agree with what you said about separating close contacts, but although the idea of batch treatment of seriously ill patients is very good, it may not work." In fact, I had the same idea as you before, I also used this method for batch treatment, but I found that the effect was not good, so I gave up. It is better to check one by one and prescribe drugs separately, which is indeed more troublesome, but the effect is better. ”

Zuo Li did not give up his idea because of this, he said: "Your experience is very important, but I have a new idea, because after I diagnosed and treated the previous patients, I found that the patients can be divided into the following conditions, the incubation period, the early stage of the disease, the severe stage and the critical stage. For the incubation period, there are no symptoms, and laboratory tests are required to confirm the diagnosis, which is the most critical moment for treatment, but it is difficult for Chinese medicine to just find out, and Western medicine is required to test blood, and once the infection is confirmed, although there is no disease, Chinese medicine can also play a role. ”

"And in the early stages of the disease, Chinese medicine can play a role. In the early stage, the virus did not spread to the whole body, and the number of invading viruses was very small, which was a critical period to control the case fatality rate. Therefore, the patients in these two periods are the ones that we need to focus on and need to be carefully treated, and the patients in these two periods must be treated one by one, and finally determine a personalized treatment plan to maximize the efficacy. ”

Jin Yuji nodded again and again and said, "I also feel that it is necessary to divide and rule, and it cannot be one-size-fits-all." The first two stages of precision treatment, the latter can be generalized, Dr. Zuo, what do you mean? ”

Zuo Li exclaimed: "You say that the treatment of diseases is very literary, and this is indeed the case." Because in the severe stage, the internal organs have been greatly damaged by the virus, which is equivalent to the terminal stage of cancer, which can only improve the quality of life of patients and make them less painful when they die. It can only be a big wave to see if you can take out the gold, that is, if you can find the 10% survival rate? If we spend too much time on these people, we actually get half the effort. ”

"Therefore, for patients with severe and critical illness, we should still use the batch drugs I mentioned for treatment, because I found that severe and critical patients have many similarities in their symptoms and can be treated in batches.

Jin Yuji said: "I think this is more accurate, what do you say, Hua Lao?" ”

Dr. Hua thought for a moment and said, "I didn't have the idea of such a division and treatment before, but now that I hear you say so, I also think this idea is feasible." Let's just try it as you say. Now, let's isolate the close contacts who have not yet had symptoms from here to prevent those who are not sick from being infected. ”

Both Zuo Li and Jin Yuji said that this was a top priority.

Dr. Hua immediately called the director, and Zuo Li told him this idea, but unfortunately the director didn't understand Chinese medicine at all, and he was still at a loss after hearing it.

So Dr. Hua said a few more words in the local dialect, and the director immediately made an OK gesture and went to arrange it.

Jin Yuji asked curiously again, "Elder Hua, what did you tell the director this time?" ”

Dr. Hua smiled: "I told him to prepare a few more tents, we can use them." He understood. ”

Jin Yuji laughed again: "It's still Hua Lao's power." ”

"The more you talk to them, the more you explain, the more confused they become, just tell them what to do, and they will know, don't say too many reasons," Dr. Hua said. This is my experience. ”

Zuo Li said: "Hua Lao asked the idea of setting up a tent is good, and we have already concretized the idea we just now, and transferred close contacts to tents, and now this ward is used to arrange patients who have symptoms but are relatively mild." And the original confirmed wards, of course, are the batch treatment we just mentioned, the severe and critical areas of the big waves, that is, the patients with obvious bleeding symptoms. Let's focus and focus on the first two areas. ”

Dr. Hua said, "That's right. ”

Zuo Li said: "We have to find a big casserole to boil the medicine, after all, the effect of the medicine powder is not as good as the decoction." Although it is a little troublesome and tastes a little worse, the efficacy is the most critical, and I believe the patient can understand it. ”

Dr. Hua smiled and said, "There is no big casserole here, but there is a big iron pot, and the population of each local family is seven or eight, so the big iron pot is very popular." This kind of pot is like a big umbrella, and there are all over the village, so let the director look for it, and he can find it. ”

Zuo Li said: "Then you can only use a big iron pot, although the iron pot is definitely not as good as the casserole." But there is no way, it can only be simplified because of ugliness. ”

Jin Yuji asked, "There is another question, are there many tents?" ”

Dr. Hua said: "There are tents, and the United Nations poverty alleviation project has donated a large number of tents before, and the tents can be set up quickly, and the tents can be separated one by one to avoid cross-infection. Before that, let's quickly screen the patient. ”

"What about the hospital bed?"

"It's customary here to have the patient's family bring the bed, and the patient brings his own bed, and he prepares his own bed, and when the patient dies, most of the beds will be used directly to burn the body, anyway, here in the DRC, the last thing that is lacking is wood."

At the moment, the three people continued to be treated.

This has been carried out partially, and all prescriptions have been prescribed, and the severity of the disease has been determined. After each tent is set up, those close contacts who have not yet developed symptoms are transferred out to avoid cross-infection as much as possible.

The three of them do it separately, and the main thing is to screen possible uninfected people, so that the speed is much faster.