Day 253: Get rid of the old and make new arrangements 16

Style: Historical Author: braggartWords: 2918Update Time: 24/01/11 23:20:12
After hastily issuing several orders, Liu San realized that his knowledge of public health and epidemic prevention was limited to the major courses he took during his years in the House of Representatives, and was limited to "understanding." It would be "unprofessional" to give orders here by yourself.

"Quick! Prepare the sedan! Go to the Provincial and Hong Kong General Hospital." Liu San suddenly thought of something and ordered loudly, then picked up his briefcase and went out.

As the situation in Guangdong gradually becomes clearer, the distance between the small naval hospital in Hong Kong can no longer meet the medical needs of the military and civilians in Guangdong - not even Guangzhou City can meet it. Although the Ministry of Health has established a military health team for the South China Army, the medical center of this health team is stationed in Sanshui, the logistics center of the Fubo Army. Can meet the health needs of Guangzhou citizens and cadres. Only Liu San, sent by the Ministry of Health, was left as a bare-bones commander.

Liu San recruited "medical" medical officers in Guangzhou and received support from Runshitang. He could barely provide minimum medical services to the naturalized cadres and elders. Some critical cases that are difficult to handle are still transferred to the Naval Hospital in Hong Kong. However, with the large number of local civil servants and police joining the workforce, this kind of service has become increasingly unsustainable, let alone providing medical services to Guangzhou citizens.

In such an unsustainable situation, Guangzhou's epidemic prevention work must also be taken into consideration. Liu San had no choice but to send a telegram to the Ministry of Health, asking "no matter what, send people to support quickly."

When this telegram reached Deng Platinum's hands, it became an excellent weapon. He ran to Minister Shi and made a summary. When he came out of the office, the case of "Provincial and Hong Kong General Hospital" that had been "discussed and undecided" at the health center for a long time was officially settled.

Like other hospitals under the jurisdiction of the Senate, the newly established Provincial and Hong Kong General Hospital has a great reputation and a small staff - not because there is no staff, but because there is too little manpower to staff it. But it can be considered a breakthrough from scratch. As Lin Yuanlao, who was appointed director of the General Hospital, said in his memoirs later, it "brought the first ray of light to the dark Guangdong health industry."

Before Doctor Lin traveled through time, he was an unsuccessful young surgeon in Guangzhou. Although he graduated from the School of Medicine of Sun Yat-sen University, he unfortunately only has a master's degree - in this medical circle where there are as many master's degrees as dogs and doctors are everywhere, he is really not a dazzling sign. After finally squeezing into a tertiary hospital in Guangzhou, I had to struggle to qualify.

After the frustrated Dr. Lin traveled through time, he was quickly employed in Bairen General Hospital: among the veterans of the health clinic, there were not many professional doctors, and even fewer professional surgeons. Naturally, he was chosen to be the dean in Guangzhou with the intention of supporting the front line - after all, many war wounds require surgical treatment.

The sedan walked slowly on the streets filled with rubble and mud - Liu Xiang's "city digging" made the already narrow streets increasingly difficult to pass. Not only the official carriages brought from Lingao could not be used, but also the rickshaws None of them are needed. The elders either traveled on foot or in sedan chairs.

The sedan went all the way out of Dadongmen and headed straight for Guangzhou World.

The Provincial and Hong Kong General Hospital is actually just a brand name, and its material foundation is the same as the original health clinic in the big world. There are only twenty beds, but there is a simple operating room - this is considered a very high level of configuration among the medical institutions affiliated with the health clinic. . Deng Platinum was clamoring to build the Provincial and Hong Kong General Hospital to generate revenue because he had his sights set on the equipment of the Great World Health Clinic.

Liu San was carried all the way into the big world by the sedan chair with his heart full of worries. The big world has two parts: inside and outside. Only elders and related naturalized citizens are allowed to enter and leave the "inner world". The health clinic is located on the first floor of this "inner world".

Although the big world is heavily guarded, once you enter the "inner world", the atmosphere becomes much more relaxed. Liu San got off the sedan and went to the room with the sign "Provincial and Hong Kong General Hospital Office". He pushed the door and went in to find Lin Motian looking at a document with a solemn face. While reading, he was scribbling on it with a pencil and sighing. Even he He opened the door and walked in without paying attention.

"Old Lin, what are you looking at?" Liu San discovered that Lin Motian's expression was actually very familiar to him - not because he got along well with Lin Motian, but because Liu Yuanlao had often seen this expression in his own mirror recently. .

"Oh, Doctor Liu..." Lin Motian quickly stood up, "Come on, come on...please sit down."

"Why do you look so bitter and resentful?" Liu San did not sit down, but walked to the desk and picked up the document that made Lin Motian frown. As a result, Liu San's heart sank after just glancing at the title - "Report on the Progress of Epidemic Prevention Work in Guangzhou Special City".

"Can I see it?"

"As the leader of the health department, of course you can read it. But this is just a draft."

Logically speaking, this job is not for Lin Motian, who has a background in clinical surgery - Renn is a serious health and epidemic prevention background, but this Renn has been tied to Kaohsiung for a long time as the head of health and a veteran doctor. . Even after the refugee transfer work has been largely completed, Taiwan's malaria epidemic prevention work is still very arduous.

The epidemic prevention work in Guangzhou fell on the head of Dean Lin, who had recently arrived in Guangzhou. Although Lin Motian has always respected the big bosses of the health department, he has never taken the initiative to get an official position, and seems to maintain his aloofness as a "purely business cadre". But everyone who has worked with him knows that he is definitely not a stoic person with no pursuit of power. On the contrary, Lin Motian, who failed to catch the first train in the wave of promotions and promotions, was quite active in demanding progress. As soon as he arrived in Guangzhou, he made a report and requested the establishment of a provincial and Hong Kong medical school and an anesthesia specialty. proof.

However, this is not offensive. Having ideas shows that he is someone who wants to do things, Liu San thought to himself. In an environment where many elders are content with their small lives on Hainan Island, it is still rare to find people who are dedicated to doing practical things. Since everyone came here and there with no great intentions, and they are almost destined to become founders or leaders in various disciplines in the future, it is natural to have ambitions in this area.

"Speaking of it, it's really dark." Lin Motian watched him flip through the report and smiled bitterly, "There are so many things that should be done, but I can't do any of them!"

Although this report was not drafted by Liu San, it looks very familiar: many of the data and paragraphs in the report come from research reports produced by his organization.

From the perspective of public health administration, the progress of health work in Guangzhou can hardly be called satisfactory: although these developments were earth-shaking for the people of the Ming Dynasty. Due to the New Life Movement advocated by the Senate and the promotion of primary planned immunization work such as cowpox vaccination, common epidemic diseases such as dysentery, smallpox, and intestinal infections have been significantly alleviated compared with previous years. Especially smallpox control. People in the Ming Dynasty were no strangers to the "variolus" vaccination against smallpox, and it was naturally easier to accept the safer cowpox - not to mention that the "vaccine vaccine" had a fee reduction. With the implementation of the "New Life Movement", the habits of "not drinking raw water" and "three pipes and one elimination" were gradually promoted with the bayonets of the Fubo Army, the sticks of the health police, and the propaganda and supervision of various Baojia.

The hunger situation in the city is also gradually being eliminated, so the epidemics of dysentery and various intestinal infectious diseases that were common in spring and summer have also been greatly alleviated. What's more, the Senate also has a weapon to deal with digestive tract infectious diseases: intravenous infusion and antibiotics. The spread of these three diseases in Guangzhou has been much better than in previous years.

On the other hand, from a less noble point of view, for senior cadres or naturalized civilians who have received various vaccinations early, and have special diets and unparalleled sanitary conditions, infectious diseases such as smallpox and cholera are Diseases are preventable and curable, and are not that scary. So they are not particularly worried about the epidemic of this type of infectious disease.

But the health department is still dissatisfied with the overall situation. According to the standards of the old plane, plague and cholera are the highest level of Class A infectious diseases, which need to be reported immediately once discovered. But now they have not even established the most basic community health centers and village health clinics. The grassroots institutions are in a mess. Except for the health police under the national police system, there are almost no front-line epidemic prevention staff. The difficulty of mobilizing the masses in health work is far greater than the situation in Qiongzhou. Therefore, the control of infectious diseases can only be "relatively improved", and "elimination" is really an unreachable task.

"The house is leaking and the rain is leaking!" Liu San breathed heavily, "There is a suspected case of plague!"

Lin Motian was shocked. The word "plague" was so terrifying that even in the old time and space, it was enough to make medical staff change their minds when they heard about it: highly contagious, extremely fast onset, and high fatality rate.

He tried to calm himself and asked: "What is the specific situation?"

Liu Sandang told him everything about the report.

"...Depending on the situation, it should be bubonic plague. It's quite lucky."

"But for us, what is the difference between bubonic plague and pneumonic plague? We have nothing." Lin Motian said that bubonic plague is relatively "better" in the eyes of modern medicine. To them, this is Both are severe infectious diseases that are difficult to prevent and treat.

In the old dimension, there was no definite record of an outbreak of plague in Guangdong, but it was only generally recorded as a "big plague". However, Liu San's investigation of medical officers and the epidemic reports received by the health department are not optimistic. Judging from the incomplete reports sent by the prefectures and counties under Guangzhou, sporadic suspected cases of plague have appeared.

Due to the limited medical and health conditions in Guangdong, there is no ability to preserve samples and send them for examination. There is no biochemical laboratory in Guangzhou and it cannot conduct bacterial culture, so it is impossible to confirm the diagnosis. During the period of caution, similar cases are handled by burning all the bodies and contact items, and isolating the exposed people.