Chapter 229 Diagnosis and Treatment

Style: Historical Author: braggartWords: 2935Update Time: 24/01/11 23:20:12
While he was busy cleaning up, Shi Niao Ren's voice suddenly came from outside the door: "You guys play the piano randomly! He is about to die. Can you call some amazing Chinese medicine doctor to help? When the decoction is ready, Liu Jinshi will burp in the morning." Now, "..."

The door opened quickly with a whoosh, and Dean Shi walked in majestically while scolding his subordinates. He was startled when he saw Liu San packing the medicine box inside. Then he said loudly: Six, "Why don't you send an assistant to Dr. Liu? It's too late to give first aid alone."

"Dean Shi, "I know how to do first aid. I studied traditional Chinese medicine and modern medicine."

"Oh, it's okay, Chinese medicine is also a kind of medicine." Dr. Shi pretended to be cheerful and said loudly, "Xiao Liu, the executive committee attaches great importance to this matter, so I will leave it to you."

"Yes, yes, I will definitely complete the glorious mission assigned to me by the organization, but emergency medicine is not my specialty. I still need to send another doctor who is familiar with modern medicine to help."

This is not a joke on his part. Liu San has never worked in an emergency department. In fact, he has never even worked in a traditional Chinese medicine clinic in Japan.

"In this case, let Zhang Tumu go with you." Shi Niaoren said.

Zhang Tumu is their only doctor who has professional experience in emergency medicine. Of course he has a brush. His emergency surgical skills were fully honed during the Battle of Chengmai. The emergency department of Bairen General Hospital is also a very busy department. With constant practice, Zhang Tumu has become more and more skilled in his skills, especially in debriding and suturing wounds. He has become a master of medicine.

"No need, the emergency department is very busy. It wouldn't be good if there are injured people who need first aid while he's gone. I think just let Zhang Ziyi and I go. The old nurse will be useful."

"Okay, you go first. If you have any questions, call back to see if a consultation is necessary." Shi Niaoren said, "By the way, why don't you bring a few more intern doctors and nurses with you, and give them some experience points by the way."

At that moment, Liu San called Fuguaiben, and then called two intern nurses and an intern doctor. Because he heard that his condition was critical, Liu San decided that he and Zhang Ziyi would ride there first with the necessary supplies, and the others would follow on foot.

At the gate of the county town, Butler Zhao and several servants were waiting for the Australian doctor to arrive. The Liu family has no choice but to hire an Australian doctor, but it is the only hope at the moment. Everyone has heard of many things that Australians "cannot do", and now they are all hoping for a miracle. What's more, Dr. Liu was highly recommended by shopkeeper Yang. He was said to be a master of Xinglin among Australians. He used traditional medical skills instead of the Australian medical skills of using a knife to cut open the stomach. This was somewhat reassuring.

Liu San and Zhang Ziyi were followed by Butler Zhao and others, and they hurriedly entered the yard. Liu San saw that the corridor was crowded with three members of the Liu family, as well as many people who were probably his old teachers and friends. Everyone either sighed or shed tears. I was startled in my heart: This clearly showed that he was preparing to die. Is it already so critical? Thinking of this, he felt a little anxious. This Liu Jinshi is a star in Lingao's civil affairs work, Chairman Lei of the Chinese People's Political Consultative Conference who cannot die. He was about to talk to his family members about his condition, but people in this courtyard didn't know who was the patient's family member.

Everyone saw that there was more than one Doctor Liu, and there was also a female doctor, and they were so frightened that they all avoided it. There were also those who were curious and came over to take a look when a female doctor came. The scene was chaotic.

But Butler Zhao was able to take care of it and quickly asked all relatives and friends to rest in the house for a while and not to disturb the doctor's diagnosis and treatment by talking in the yard. Then Liu San and Zhang Ziyi were invited to go to the backyard.

In order to facilitate the doctor's access these days, Liu Dashang was moved to the study. The inner courtyard is separated by a wall to the northeast of the study courtyard. I heard several women crying in the inner courtyard, probably members of the Liu family. Liu Sanyou and Zhang Ziyi were led by Butler Zhao into the side courtyard.

I saw several servants coming in and out of the study door. Some were boiling medicine in the corridor, and some were fetching water. "Seeing Butler Zhao coming in with two Australians, the maids and maids stood up to ask for help. avoid.

"You guys are not our ladies, so why are you avoiding me?!" Butler Zhao scolded, "Come to work for me!" He then took them into the main room for diagnosis and treatment.

Liu San said, "I'm not busy. Please find a room in this courtyard so that we can wash our hands and change clothes before going to the hospital for diagnosis and treatment."

Butler Zhao wanted to hear what his son Hanzi had said about Australians' love for cleanliness. He immediately agreed and asked people to clear out a wing in the yard. He also sent several clean porcelain jars and a wind stove according to Liu San's request. Shang also quickly boiled the water.

Zhang Ziyi was used to being a nurse, so she washed things, prepared disinfectants, prepared medicines and equipment without Liu San's attention, and helped Liu San put on her coat and mask.

Butler Zhao led Liu San and others into the main room of the study, where several women had already walked out surrounded by a middle-aged woman. Liu San saw that although she was not luxuriously dressed, she was well-dressed and knew that she was probably Liu Jinshi. of children.

A maid is endowed with morality, and this is the Australian miracle doctor. "" Before he finished speaking, the other party was already blessed.

Liu San quickly took off his mask and bowed, and both parties greeted him.

Liu Dashuang's child spoke the local Lingao dialect, but Liu San didn't know much and could only say a few polite words. Butler Zhao can speak new dialect and translate a few sentences. The meaning of his words is to ask the doctor to treat him as much as possible. As long as he can save the master's life, the Liu family is willing to pay heavily.

"There is no need to talk about paying too much but not paying too much." Liu San said, "However, you must completely listen to me when it comes to treatment, otherwise I will ask your grandma to hire someone else." He had to say this upfront to avoid being criticized. At that time, this is not allowed and that is not allowed.

Housekeeper Zhao and Grandma murmured for a while, and said, "Grandma said: It depends on the husband to treat me, as long as I can save my life."

"Okay, it's good if you say this." She gestured to Zhang Ziyi to take out a piece of paper. It turned out to be the "Family Notification Letter". According to Shi Niaoren's opinion, all medical procedures must be completed from now on. Get up and standardize the system first.

For the Liu family, this is already an ant in the hot pot. As long as it can save the master's life, he is willing to pay no matter how high the price is. Although they don't quite understand why there is such a document: in ancient times, treatment was left to fate. There was no reason to ask a doctor to take a beating if the disease was not treated well, and there was no such thing as a medical accident. Although the eldest lady was baffled by the behavior of the Australians, she still signed and stamped the paper as Liu San asked.

Liu Sanhe and Zhang Ziyi came to the main room. There were servants waiting in the room. Liu San thought the room was too dark, ap~. o. The air was turbid, so Guan Ming opened all the windows and then approached the bedside to start diagnosis.

Liu San looked carefully and saw that Mr. Liu's face was flushed, his breathing was rapid, and there were wet hairs on his forehead. It looked like it was burned.

Zhang Ziyi immediately took her body temperature and blood pressure without waiting for his instructions. Liu San stopped pretending to check the pulse and directly took the stethoscope.

"Hypertemperature 39.6!" Zhang Ziyi reported the value, and then quickly pulled out Liu Jinshi's arm and measured his blood pressure. It turned out that Liu Dashuang had high blood pressure. People with limited mobility and long-term bed rest are prone to a series of complications: bedsores, electrolyte disorders, lung infections, constipation, etc. Although it is not yet certain which complication is responsible. Liu San initially judged that the work was infectious. This gave him a little bit of relief. Anti-infection was the veteran doctor's second biggest weapon in this time and space, besides surgery.

After a flurry of initial diagnosis, they returned to the wing and called the valet who was serving Liu Dashuang to inquire about his condition. The diagnosis was quickly confirmed.

His condition is not complicated: the main cause is pneumonia caused by a cold. And his lung infection had been quite serious before.

"He has a systemic disease. Pneumonia is easy to treat, but complications are difficult to deal with. This involves the expertise of multiple departments. Consultation is required." Liu San couldn't help but become cautious, "To be honest, it's best to have Liu Jinshi hospitalized for treatment. .”

"Most of them are unwilling, so let's just go to the family ward. It's just that other doctors have to work and come to Liu's house."

"That's all we have to do." Liu San said and considered the treatment plan. Generally speaking, anti-infection treatment is the best. They have enough antibiotics to use, which are effective against bacteria that don't have much resistance. The second is to lower blood pressure. The laboratory of the pharmaceutical factory has trial-produced Salvia miltiorrhiza injection, but the efficacy and toxicology of the Lingao version of Salvia miltiorrhiza injection have not been sufficiently tested and there is a lack of experimental animals. Unfortunately, in this time and space, high blood pressure It is a very rare disease, and there are very few clinical cases collected from refugee centers. Salvia injection has so far barely passed the second phase of trials.

"Do you want reserpine?" Zhang Ziyi knew that the pharmaceutical factory was using the roots of a rauwolfia tree called "Masanduan" produced in Guangdong to refine reserpine. Reserpine is a traditional antihypertensive drug and one of several cardiovascular drugs currently manufactured by pharmaceutical companies.

"The reserpine in the laboratory has been tested on animals. It has not even been tested in the first phase of clinical trials. If it is given to Liu Jinshi rashly, it will probably kill him. Besides, he has pneumonia, and the use of reserpine is extremely harmful. There may be adverse reactions." Liu San thought twice and decided to use the salvia injection that he distilled himself.

At this time the nurse and Fu Wuben came. At present, Zhang Ziyi assigned work. First, Liu Jinshi was given fluids, and intravenous antibiotics were administered to reduce inflammation and fever as soon as possible to ensure the next step of treatment.

"Liu Jinshi may still have bedsores and other problems. I want to take care of him first." Zhang Ziyi said, "Even if he doesn't, I still need to do some cleaning work."

"Okay, but please keep warm." Liu San said and hurriedly rode his bicycle to Bairen General Hospital and showed Liu Dashang's medical records to several veteran doctors in the hospital.