Chapter 230: Miaoshou replied: "Long-term lying on the bed will lead to malnutrition due to lack of appetite; long-term lying on the bed will cause lung infection, and eventually a cold will lead to pneumonia?; hypertension will cause dizziness, dizziness, and lack of energy." Shi Niao Ren After looking at it, he said casually, "He must be constipated, right?"
"That's right," Liu...tou said, "Do you think we are organizing hospitalization consultations? You can't take X-rays or blood tests at his home. [Read full text] It's just that his family refuses to be hospitalized..."
"There is no need to go to the hospital for consultation. Liu Dalin's condition is complicated, but it is not difficult to treat." Doctor Shi said, "It is beyond our capabilities. Your treatment idea is right."
"I think we need to pay attention to nutritional issues. Liu Jinshi looks very old. Malnutrition is not good for his condition." Lan Yangyang, a gastroenterologist, said, "His family is not considered poor."
"The landlords also eat very poorly, even if they can eat a little more refined food." When Liu San went to the countryside to visit various "clinics" jointly run by the Ministry of Health and Runshitang, he saw the life of the so-called landlords, and his food was no better than Farmers are much better, just because they eat enough, the proportion of rice is slightly higher, and they consume a little bit of fish and meat - for ordinary farmers, eating some fish and shrimp paste is considered to be meaty. Protein intake is severely inadequate.
Everyone did some research on Liu Dalin's medical records, and the cause of Liu Jinshi's illness was obvious. Treatment is also uncomplicated. The treatment plan everyone discussed was: first inject antibiotics to treat the lung infection. At the same time, inject salvia miltiorrhiza and inject liquid to lower blood pressure. Then strengthen nutrition and unblock the bowels. The nurse instructs the Liu family members to wipe Mr. Liu's body, turn his back, clean his mouth, and impart knowledge on preventing bedsores. As the level of daily care improves, Mr. Liu's mental state will be much better. Then arrange certain rehabilitation activities. Combined with traditional Chinese medicine conditioning and acupuncture, the overall health level will be greatly improved.
In terms of antibiotics, everyone believes that the use of oxytetracycline and rapycin produced locally in Lingao is not symptomatic for bacterial infections of pneumonia, and direct intravenous infusion may have too many side effects. It is more appropriate to use the penicillin injection in stock.
"Don't forget to ask Zhang Ziyi to do a skin test," Shi Niao Ren specifically reminded Liu San.
"This is customary, no need to say it again."
"Our current work is much rougher, and many steps that should be taken have been omitted." Shi Niaoren said.
Liu San took the drug receipt issued by Shi Niaoren and received several controlled drugs. Then put it in a special medicine box and take it away.
When Liu San came out of the house, Zhang Ziyi had already brought the intern nurse to help Liu Dalin scrub his body and clean his mouth with dental floss. Her guess was correct. Liu Jinshi already had signs of bedsores due to long-term inconvenience. She cleaned, disinfected and applied medicine one by one. During the whole process, she not only performed hands-on work, but also guided the intern nurses from time to time. The whole body care process was so smooth and gentle that the intern nurses and the maids waiting in the room were stunned. This long gown treated the patient like a first-class one. ability
The news of Zhang Ziyi's care and the subsequent slight recovery of Mr. Liu's mental state was quickly reported to the big *nai and the close relatives of the Liu family. Everyone was talking about it, although they had different opinions on whether Australians were barbarians. , but the other party is a veteran woman who cleans the body and applies medicine to patients who are strangers without any scruples. In terms of these actions, it is not an exaggeration to say that they are "doctors with a parental heart".
When Liu San returned to Liu's house, Zhang Ziyi had already packed everything up and even opened the windows. The maids and servants who were running around in the house and doing who knows what they were doing were kicked out by her and listened to her orders outside the house.
The originally dark, turbid and stuffy room now has sunshine and fresh air after this tidying up. Zhang Ziyi's care has made Liu Jinshi, who was originally sluggish and seemed to be hanging by a thread, somewhat recovered.
Liu San told her the treatment plan, and Zhang Ziyi asked: "Is penicillin an intravenous drip or an intramuscular injection?"
Liu San said: "The patient has a history of hypertension, so he still uses intramuscular injection."
"This bottle of yao contains 400,000 units. Judging from the current situation of time and space, I think 40,000 units is enough at one time. Distilled water muscle tissue quickly gave the doctor's order, "80,000 units per day. Use it for three days first. "
"I'll do a skin test first," Zhang Ziyi said, "just because I'm afraid he might have an allergic reaction."
"If you have an allergic reaction, take erythromycin orally."
When Zhang Ziyi took out the syringe and needles from the sterilization box, the maids and servants peeping out of the window started to cheer. The treatment method of injections has long been spread as an Australian medical skill. At first, everyone thought it was another kind of medicine. Acupuncture, I realized later, was actually injecting medicinal fluid directly into a person’s body. This discovery made the indigenous people feel very mysterious - especially that the thin needle could be made hollow, which is really incredible.
While doing the skin test, Zhang Ziyi did not forget to explain the essentials to the nurse trainee she brought. In the end, the skin results were normal and there was no allergic reaction. This reassured Liu San, and he was injected with the first shot of penicillin.
Everything went well, except that the Salvia miltiorrhiza injection made Liu San very nervous. Although he made this thing according to the instructions in the book, the Chinese medicine extract used as an injection is inherently dangerous. ——Modern medicine has not yet comprehensively studied the pharmacology, toxic and side effects of traditional Chinese medicine. Cases of deaths caused by unknown causes of injection of traditional Chinese medicine have occurred in ancient times. You must know that the products are still regular modern medicine factory products and they are standard earthen workshop products. And because there are very few cases to be encountered, so far only the first phase of clinical trials has been completed; it seems that oral salvia dripping pills and ginkgo leaf preparations must be prescribed quickly, so he secretly determined the next step of drug development. plan.
"Now we're just waiting for the medicine to take effect." Liu San looked at Mr. Liu who was still sleeping, "You can take the nurses back first. I'll be here to guard you. If anything happens, I'll be the first to do it." Time processing.”
"Haha, what can you handle? Let me do it." Zhang Ziyi said, "Can you give injections? Can you use a sputum suction device? You don't know how to do it. If there is an emergency, it will be too late to prescribe medicine immediately. .”
Liu San was a little embarrassed: "If you stay here, what will Lao Yang do?"
"It's okay. I have night shifts every week. Does it mean that he comes to accompany me on night shifts every day?" Zhang Ziyi said cheerfully.
Seeing that they had stopped, Butler Zhao guessed that the treatment had come to an end, so he hurried over to ask for instructions on whether to arrest Yao and what other medical advice there was.
Liu San wanted to avoid prescribing or taking medicine, which would make the Liu family uneasy. Fortunately, he remembered in his mind the prescriptions of promoting blood circulation and removing blood stasis, soothing the mind and opening up the orifices in modern Chinese medicine. He immediately chose one and prescribed it. Fang Zi, ask Butler Zhao to send someone to catch Yao.
"Yes, I'll send someone to catch the yao now." He took the prescription and went out, but he didn't go to catch the yao. Instead, he went to the upper room and presented the prescription to the elder and several close relatives for inspection. The diagnosis and treatment process was reported in detail. Da*nai is a prostitute and has no medical skills, so she can't say anything. Although the other close relatives think the Australian's medical skills are a bit scary, they can't fault him.
"Can you eat this yao?" Da*nai asked, looking at several close relatives.
Because of his son and grandson, Butler Zhao has a deeper understanding of Australians than the average aboriginals. He knows that the Australian medicine that was injected into the master's body just now is the key to curing the disease. It doesn't really matter whether he takes this prescription or not. However, due to his status, he was unable to say this in person.
The person who was looking through the medicine prescription was Da*nai's maternal cousin, who was also a scholar and had some knowledge of medicine. From the principle of yao oxìng yao used in this prescription, it is nothing more than "activating blood circulation and removing blood stasis", and it has no real meaning. However, it is very different from the previous days when doctors were asked to prescribe prescriptions to "open and close with pungent warmth".
"This is different from the methods of the previous doctors." He said calmly, "But since we asked him to treat it, we still have to follow his method."
Immediately, they sent people to Runshitang to arrest Yao. The doctor asked Butler Zhao to get ten taels of silver to Liu San as a consultation fee. When they heard that Liu San and the female elders who came with him would stay in the study yard and stay with them all night, everyone was greatly moved and ordered people to go to the yard and clear out two more rooms for them to sleep. He also assigned servants to serve him.
Penicillin is very powerful in this plane. After the first day of injection, Liu Dalin's body temperature began to drop that night, and his blood pressure also showed a normal state. This made Liu triple encouraged. Early the next morning, the servants of the Liu family reported the good news to Da*nai and others: the master's fever had subsided and his mind was completely awake. The disease seems to have recovered. The whole Liu family was overjoyed, and the eldest daughter came to express her gratitude in person. Everyone who had doubts about Australian medical skills was convinced - this kind of immediate effect had never been seen before. Liu San and Zhang Ziyi listened to a carload of flattering words, and finally explained that Mr. Liu's illness was not completely cured and required a long-term treatment process.
After three consecutive days of antibiotic injection, Liu Dalin's lung infection had basically recovered. In order to ensure the effect, two more days of consolidation xìng injection treatment were carried out.
The life-threatening condition has been treated, and the next step is to carry out rehabilitation treatment for Liu Dalin. Liu San prescribed several more traditional Chinese medicine prescriptions for Liu Dalin to take for a long time. Although the effect was not as good as that of specialized cardiovascular medicine, it could still control the disease.
Zhang Ziyi then took charge and provided nursing training to several servants of the Liu family, including the knowledge of preventing bedsores. At the same time, Liu San asked Fu Wuben to go to Liu's house every day to use the "Xingnao Kaiqiao Acupuncture Method" taught by him for acupuncture treatment, and then Coupled with certain rehabilitation training - to help Liu Jinshi recover his physical functions as much as possible. Shi Niaoren also hoped that Mr. Liu could become a living publicity example of Australian medical skills.
