This doctor is not short of money

Chapter 991 Du Heng's Envy

With doubts in his heart, Du Heng found Dede and asked her to accompany him to the work area of ​​Dr. Mba. After arriving, Du Heng was surprised to see that Jiang Jinghong was also here.

"Doctor Jiang, why are you here?"

"A boy with suspected pneumonia came in this morning. Dr. Mba may have a psychological shadow because of what happened last time. Just now, someone called me over and said he was going to check on him."

Jiang Jinghong was a little arrogant, but also a little helpless. She looked back at the assistant nurse who was acting as her translator, grinned and continued, "No, we're just waiting for the test results now."

The translator next to Jiang Jinghong was Sun Xin's assistant before, and Sun Xin was the team leader, and he often worked with Li Chengzu, so it was enough for the two of them to share one assistant nurse. It was given to Jiang Jinghong.

This girl is a little darker than Dede, not Dede's matte black, but a translucent black. It is estimated that she and Dede may not be of the same tribe or ethnic group.

In addition to this difference, she and Dede have completely different personalities.

At work, Dede is the kind who sees life in her eyes and will take the initiative to help Du Heng complete the work. This girl is the kind of very indifferent person. If you don't arrange work, she won't move; If you don't ask, she won't take the initiative to translate for you.

As for life, Du Heng met once in Aodong's manor last time, very. . . .Lively.

Now by Jiang Jinghong's side, she still maintains her previous state, neither calling nor transferring.

Because when Du Heng and Jiang Jinghong were just talking, the waiting inspection report was also sent over, and I heard what Dr. Mba and the doctor who sent the report were talking about, but this girl seemed to be fine, and there was no translation at all. The plan to tell Jiang Jinghong.

Fortunately, Dede next to Du Heng took the initiative, and quietly translated the conversation between Dr. Mba and Dr. Mba to Du Heng and them.

And Dede's move made Jiang Jinghong envious of Du Heng, but at the same time, she looked at her assistant's eyes a little differently.

When the chat with Dr. Mba was over, Jiang Jinghong didn't need the assistant nurse to translate, and directly spoke English with Dr. Mba, chattering a lot.

Now it's Du Heng who is very envious of Jiang Jinghong. For him, spoken English is really something that he can't afford now.

Looking at the very smooth communication process between Jiang Jinghong and Dr. Mba, Du Heng could only sigh quietly, and then he was still envious besides envy.

At the end of the exchange, Jiang Jinghong frowned and began to read the examination report that Dr. Mba handed her. The more she looked, the more doubts in Jiang Jinghong's eyes.

Seeing this situation, Du Heng couldn't help asking softly, "What's wrong?"

Jiang Jinghong handed the report sheet in her hand to Du Heng, and also said softly, "Dr. Du, take a look too, I always feel something is wrong."

Du Heng froze for a moment, then took the report and began to look through it.

But after reading it, Du Heng looked at Jiang Jinghong a little puzzled, "It should be pneumonia, what's the problem?"

Jiang Jinghong shook her head, "The data is fine, but the overall judgment is pneumonia.

But the strange thing is that after asking the family members of the child, it is known that the child was fine before, but suddenly had a high fever last night, and shortness of breath appeared again this morning.

Now the result of the examination is pneumonia. Dr. Du, you are also an expert in pediatrics. Don't you think the onset process is a bit too fast? "

Hearing what Jiang Jinghong said, Du Heng immediately understood, "You mean this child didn't have cough, sore throat and other symptoms before?"

Jiang Jinghong shook her head slightly, "I heard from Dr. Mba that the little boy's mother told him that the child was normal before yesterday, and there was no problem at all.

It was after night that he suddenly started talking nonsense with a high fever. "

Du Heng hummed in a low voice, "Then what do you think, Dr. Jiang?"

"I have no idea." Jiang Jinghong let out a long breath, pulled the mask on her chin back and said, "All the current indications point to pneumonia, so I will treat it according to the pneumonia situation first.

As for the rest. . .Let's see it in the process of treatment. "

Du Heng stopped talking, and he didn't express his opinion on how to treat the child.

Because of this patient, Dr. Mba didn't look for him, and his and Jiang Jinghong's treatment methods were not the same, so he stopped talking to be annoying.

Just before leaving, Du Heng asked one more question, "Doctor Jiang, are there any children with this kind of pneumonia at Dr. Mba's side these days?"

Jiang Jinghong thought for a while and said, "I don't know, I haven't inquired about it. But when I saw the doctor yesterday, a child with pneumonia came.

However, the whole course of the child's illness was normal, and it was because of the cough caused by the upper respiratory tract infection, the pneumonia was not induced in time when sent to the hospital.

Why are you asking this? "

Du Heng said helplessly, "Yao Youshi said that there are many children with pneumonia recently, so let me come and have a look.

Hey, I was played by this kid. "

Du Heng's last sentence was a bit breathless, he didn't expect Yao Youshi to make up such a lie in order not to talk about that matter with him.

No, I have to talk to him about it.

Du Heng no longer cared what Jiang Jinghong was doing, and walked over to the pharmacy in the backyard with a flick of his arm.

But in such a short period of time, Yao Youshi had long since disappeared from the backyard, which made Du Heng more certain that Yao Youshi was not a real kid.

On the third day of work, Du Heng was a little worried about the child with pneumonia, so he took a special look at it.

When we arrived, Jiang Jinghong happened to be here, talking to Dr. Mba.Du Heng didn't bother them, but walked a few steps towards the little boy, wanting to observe more.

But it's a pity that the level of Du Heng's inspection is not up to standard. From the face of this dark-faced boy, nothing can be seen at all. The only thing that can be judged is the child's eyes. There seems to be nothing wrong with it.

Just when Du Heng was hesitating whether to take his pulse secretly, Jiang Jinghong said with a smile, "Dr. Du, the child's blood test just done this morning, all the values ​​have returned to normal.

The day before yesterday, we should have worried too much. This child should have pneumonia. Maybe his family didn’t pay enough attention to him, and didn’t notice the changes in the child at all, so we didn’t know whether the child had any abnormalities before. "

Hearing Jiang Jinghong's words, Du Heng quietly put away his plan to feel the pulse, took a step back and said with a smile, "It's fine if it's cured, then I'll leave first, so I won't bother you."

Back in his consulting room, Du Heng also smiled for no reason, but looking at the patients in his consulting room who either came to deworm, or came to treat patients with weak waist and knees and fatigue, he felt a little tired.

Look at Li Chengzu, all kinds of minor operations can't stop, and from time to time there will be two people who are not afraid of death, so they dare to find Li Jianwei and Sun Xin for gallstone surgery.

And Li Chengzu and the others were also very courageous, and he, a doctor specializing in orthopedics, really dared to cut his gallbladder with a knife.

In addition, what is even more enviable is that so far, only he, Sun Xin, and the original orthopedic surgeon of this hospital have completed a surgery for thoracic collapse deformity, really. . .Really. . .Niubi.

After talking about Li Chengzu, let's look at Jiang Jinghong. She has only been here for more than a week, and now she has started to guide the doctors in the hospital's internal medicine department. The patients she comes into contact with every day are also varied.

Looking back at my side, the excitement is really lively, but what diseases are they watching?

Although as a doctor, you should not be picky about your patients, nor should you be picky about your disease. . .but. . .After all, this heart is uncomfortable.

But so what if it's uncomfortable, what should be seen or what should be seen.

Although the work here did not come into contact with any typical and difficult diseases, the diagnosis and treatment of these basic and common diseases made Du Heng feel like when he was in the village for free clinics in the health center.

And there is another point, that is, when there are more and more such basic diseases and common diseases, and when more and more people are treated, he finds that his understanding of these common diseases is getting deeper and deeper, and he has more and more medications. understanding.

Take this diarrhea as an example, it can be generally divided into two categories here, one is bacillary dysentery caused by unhygienic diet, and the other is diarrhea caused by excessive heat and humidity in the body due to the special local climate.

At the beginning, when Du Heng treated this type of bacillary dysentery, if the symptoms were relatively mild, he would prescribe Chinese patent medicines combined with western medicine.

But now, he basically doesn't prescribe Chinese patent medicines and western medicines. One is because such finished medicines, whether they are Chinese patent medicines or western medicines, are in short supply in this area, and because of traffic problems, replenishment is also a big trouble.

The second is that he has a better way, that is to use Artemisia annua and mix it with two or three kinds of medicinal materials, which can not only solve dysentery, but also can get rid of malaria.

The Artemisia annua used by Du Heng here is a complete herb plant Artemisia annua, not the so-called extract artemisinin.

If it's artemisinin, huh, sorry, 90.00% of the people in this place still can't afford it.

Because here, the price of one piece of artemisinin, converted into the domestic price, is nearly 20 yuan, and to treat malaria, one or two tablets cannot be cured.

For this reason, if Du Heng uses artemisinin to treat comprehension and malaria, it will not be a surprise. The captain of the medical team will definitely take a 40-meter long knife and kill Muira from Libreville directly to let Du Heng know the money. Not so flowery.

Therefore, regardless of the fact that artemisinin extract has various resounding names, it is also regarded as a local life-saving medicine, but. . .but. . .The actual situation is that very few local poor people can afford it, and there are still many adults and children who eventually lost their lives due to diarrhea.

But Artemisia annua is different, it is just a very common herb.And just next to Gabon, Congo has introduced Artemisia annua and started large-scale planting, and some manor owners in Gabon have started planting in small batches.

Although most of these planted Artemisia annua will be taken away by the manufacturers for the extraction of artemisinin, but a small part can still be found.

And this greatly reduces the cost of medication.

However, there is still a big problem in the use of Artemisia annua, that is, if Artemisia annua is boiled according to the general decoction, then it has no effect on treating malaria at all.

The best way to use TCM decoctions on Artemisia annua is recorded in "Elbow Reserve Emergency Prescription". . . .Yes, it is the book "Yuhan Prescription" first written by Ge Hong, then rewritten by Tao Hongjing in the Liang Dynasty and renamed "Buque Elbow Hou Baifang", and finally "Elbow Reserve Emergency Prescription".

In the records of this book, there are a lot of contents that make people think that they don't take it seriously, and even think that the things in it are completely nonsense.

For example, it is recorded that if someone feels distressed, you can take some fresh donkey dung, squeeze out the juice from the donkey dung, and pour it into the patient while it is hot, and the distress will stop immediately.

For another example, if someone dies suddenly, you can also use fresh dung from a horse and donkey, squeeze out the juice and feed it, and you can be revived immediately.

And so on, all the things that modern people think are heresies of outsiders are all recorded in his book, so this book is regarded by many people as the dross of Chinese medicine.

However, in this book, it is the first to record the immunological method of using rabies brain tissue to treat rabies.

Similarly, it is also recorded in this book: take a handful of Artemisia annua, soak it in two liters of water, wring it to get the juice, and take it all.

What is a grip?
Just twist and squeeze Artemisia annua in your hands until it oozes juice, and then take it with water.

And Du Heng used this method, and only then discovered that Artemisia annua does not need to extract artemisinin, and it can really directly treat malaria.

However, fresh Artemisia annua that can squeeze juice depends on the season. Sometimes it is not easy to find this kind of Artemisia annua that can squeeze juice, so what should I do?
In this short period of time, Du Heng really took the previous prescription as the basis, and figured out a new prescription, that is, soaking Artemisia annua in water for three days, and then adding the soaked water to Changshan, Anemarrhena, licorice, ephedra and other medicines. The decoction is actually effective in treating malaria.

It's just that this effect is relatively weaker than the combined effect of fresh Artemisia annua juice and other medicines.

This also made Du Heng a little confused for a while, whether the most important effect of this prescription in treating malaria comes from the water of Artemisia annua, or the combination of Changshan, Anemarrhena, licorice, ephedra and other medicines.

But this is not important. Anyway, there will be plenty of time in the future, so we can slowly experiment.

So now, although Du Heng is a little envious of Li Chengzu and Jiang Jinghong, he also enjoys his current state, seeing the big from the small, the more solid the foundation, the more thorough his understanding of other serious illnesses.

It's just that looking at the tall but very thin guy in front of him now, Du Heng is a little blunt.

"Dede, ask again, did he really take the insecticide I gave?" Du Heng was very puzzled.

But Dede said with certainty, "I confirmed, he said he ate them all."

"Suck~~~~ Didn't a single bug come down?"

"No." Dede's answer was still very affirmative, but after she finished speaking, she asked with a trace of hesitation, "Dr. Du, why don't you check this again, did you make a mistake?"

wrong?

Du Heng glanced at the black guy in front of him again, he was sure that his diagnosis was correct, this guy was a bug.

He trusts his own judgment.

So why don't insect repellents work?
There are two reasons, either there are too many worms, so many that they block the excretory passage; or the roundworms may appear in places such as the liver and bile ducts.

Regardless of the cause, surgery may be necessary to resolve the problem.

(End of this chapter)