Lin Gao Qiming
Chapter 2229 Dr. Xie discusses medicine
Chapter 2229 Dr. Xie discusses medicine
In all fairness, if there are skilled specialized blood transfusion physicians and matching special staplers, even blood transfusion operations will not be so difficult. The problem is that Song Junxing is not specialized in this.If it is a maxillofacial trauma, he can claim to be the most authoritative expert in this time and space without humility, but he may not be much better than a senior naturalized doctor like Lao Xie in sewing blood vessels.
"Our requirements for blood transfusions are low, and we use the simplest techniques in emergency situations, so even the most inexperienced physicians can perform them on the front line..."
Song Junxing recalled Lin Motian's sworn public guarantee at the beginning, and couldn't help pursing his lips, and quickly took the equipment bag and walked to the emergency operating room.
"I'm afraid of a bird, so I'll sew it first." Song Junxing encouraged himself in his heart.Anyway, in recent years, everyone has been biting the bullet to drive ducks to the shelves.
The preparations for the laparotomy were basically ready, and the wounded had been tightly covered by the large dark green sheet—only one arm was left protruding far away for blood transfusion.
The aseptic conditions of this era cannot be compared with those of the old plane, not to mention the hotline health center in the quasi-public security area. It is already very good to have a large single shop.Song Junxing didn't say anything, and began to sterilize his arms with towels.
After being sent to the operating room, Chen Ruihe's work came to an end - the two second-line doctors were on the operating table, and as a first-line doctor, he had to busy himself in the front consulting room.
However, the situation in the emergency room is much better now: the accommodation of the wounded is basically over. If the wounded cannot return to the county after dark, they will basically not see the sun the next day. The lucky ones who took care of them watched the fire and returned to the county seat. Others just disappeared in the dense forest along the way. The remains of some people will be found after dawn, while the remains of some people will become two words on the certificate: Missing.
Chen Ruihe stretched his waist and glanced into the observation room: Wang Chuyi had been sent to the orthopedics department for amputation.Thinking of the tourniquet that hadn't been loosened, Chen Ruihe sighed and shook his head.
It was early in the morning after Xie Yao finished the laparotomy: the spleen could not be saved, so it was still cut.Lao Xie, with red eyes, told the nurse to call me for something, opened the door and went to the duty room to sleep.
The night shift was quite stable, Xie Yao and Chen Ruihe basically got three or four hours of sleep each: Chen Ruihe was already very satisfied with this.
"Starting to work independently, how does it feel?" Xie Yao asked while eating and drinking as they sat in the canteen of the county office after the shift.
"It's okay..." Chen Ruihe said slowly, "It's just too...a bit messy..."
"Are you scared?"
"It was a little bit at first." Chen Ruihe was a little embarrassed, "I also saw workers who were injured in Guangzhou, but this frontline soldier was covered in blood, his legs and feet were smashed into pulp, and his flesh was full of worms. , it’s much scarier than Guangzhou. If you ask me to say…this may be disrespectful, it’s a bit like the morals of the Ming Dynasty.”
"You're talking about that. The patients in the emergency department are all very miserable: the emergency department is the place that is most like the Ming Dynasty under the administration of the Senate." Xie Yao said with emotion, "every time I go to the emergency department, it's always the same. Reminds me of the previous days: except for crying and shouting, you can’t hear other movements; the smell, the smell of feces and rancidity is everywhere, and the ground is full of people who are almost out of breath And people who are already out of breath. You feel uncomfortable, but you can also watch with your own eyes. Doing something is trivial, and you can’t save their lives. You can only watch them die; if you die, you can die. No human appearance. No matter you are high-ranking and dignified, short brown and wearing knots, you will always look the same when disaster strikes."
"Insignificant...?" Chen Ruihe had a feeling of collapse of three views: "But... the medical skills of the Senate, which are the magic skills of life and death, how can they be said to be insignificant?"
"Medical practitioners like me can only heal the sick, not the life. Although the elders have great knowledge and power, they are also mortals, not gods. Where is there any fairy art of life and death in this world? Even if the medical skills are superb , there is also an incurable disease!"
"But... But we can't be cured, but the Senate can heal! Chief Lin said that the people are poor and turbid, and the turbidity makes them sick. Isn't this because the Ming Dynasty is not good? Now that the Senate has recovered Guangdong and Guangxi, Everyone is having a better day..."
Xie Yao sneered: "Based on your words, as long as those who have no worries about food and clothing are better than those who are starved by the side of the road, everyone on the road to Huangquan will be reincarnated leisurely?"
Chen Ruihe didn't answer, but judging from his expression, he agreed with this conclusion.
"This underworld is the most stern and selfless place in the world. It is nothing compared to the yang world. When the wounded and sick leave their bodies and the ghosts come to fetch them with a license, it doesn't matter whether you were rich or poor, high or low. It's all gone, what's the difference?" Xie Yao said through gritted teeth.
"I was assigned to the army earlier, and all I received were soldiers from the Fubo Army and refugees from quarantine camps. Most of them were born in hardships. Their life experiences are very similar, and there is nothing comparable. Only when I arrived in Guangzhou did I first see what kind of patients from rich families are like. appearance." Xie Yao recalled slowly: "The first big family I received was an old matriarch from a gentry's family. Tao is rich in clothes and food, but unfortunately he suffers from diabetes..."
"I know this. It's called in traditional medicine. It's just diabetes, right? The chief said it's a metabolic disease, the most difficult to treat."
"Yes, if it was delivered to us a few years ago, it shouldn't be so sick. It is impossible to cure it, and it can always live longer and more comfortably. But this traditional doctor doesn't know this. The pathogenesis of metabolic disease is not to mention targeted medication. Each person has his own medical theory, and each has his own theory. After changing countless doctors, the herbal medicine that he drank for more than ten years can be counted as several jars, which is of no avail.
"By the time it was sent to the Provincial and Hong Kong General Hospital, the old lady's diabetic foot disease was too serious to touch, and her feet were so rotten that the bones were poked out of the flesh. The day she was delivered to me, there was only a thin mouthful left. It's just in my chest."
"At this point, it's hopeless." Chen Ruihe recalled his lessons and said.
"That's true. This foot ulcer is a typical diabetic ketoacidosis. No one wants to stay with this type of patient. The internal medicine corrects the acid and takes half of his life back. He throws it at the bone injury and has to take care of the two rotten feet; I don’t want to keep the injury—it’s difficult to control the infection even if the limb is amputated. I just found an excuse, argued that the infection was not controlled, and it was suspected to be combined with a stroke, and I left it to me to deal with it. Although the two sons are all well-off and are willing to spend a lot of money, they don't want to stay in bed for a long time. When they learned that the medical center of Song Dynasty can keep patients in the hospital, they don't care about decent nonsense. I went through the formalities and called to come in: I thought it was too late to avoid the old lady! Fortunately, I was willing to spend money, so I stayed in the ward for a long time.
"The old lady didn't seem to understand when she moved in, and she didn't blame the bone injury for suspecting that she had a stroke. But such a seriously ill patient, what can you do if you throw it at me? After all, it was only a half-day toss, and the bone injury was sent to amputate. Throw it back to me. The old lady was ignorant. When she woke up from anesthesia and saw that her feet were gone, she burst into tears immediately, and no one could persuade her. When she was tired of crying, she fell asleep and cried again when she woke up—she is a pampered person Yes, and at this moment he is in a state of confusion, who can persuade him!
"That's all right, this old lady should suffer. You have also taken surgery classes, and you should know that if you have been bedridden for a long time, what miscellaneous diseases can't come out? In a few days, a bunch of bedsores appeared. Diabetes , and it is easy to be infected but not easy to heal. It will be infected and pus soon. Poor old Xie has to change her dressing all day long.
"Diabetes has been dragging on for so long, and the kidney function has long been hopeless. If it lasts for a few days, it will be useless. When the time comes to move the bed, it will be comatose, but it will not feel the pain: it saves money. I suffered a little. I went to tidy up the remains, and saw that she was already out of human form: dull face, filthy smell, skin flakes all over her body, pus and pus all over her body, it was just a pile of rotten meat! When the ghost judge wanted to arrest her, she would frown and cover her nose , not even as good as a ghost, how can he still look like a person? When he was dying, there was no family member nearby, and he died in front of strangers like me. Feelings--thief his mother! On the way, there is a father, mother and son who cry twice!
"In the death discussion that day, I told Chief Lin privately that if I had fallen to such a level, I would definitely kill myself and walk cleanly and look like a human being; but Chief Lin laughed: When you really get to that place Sometimes, you can’t even open your mouth and eyes, and you still want to kill yourself? Why are you so capable?
"The so-called 'insignificant' is exactly here: you think you are snatching someone from the book of life and death. You don't want me to dance for a long time and use all my magic powers, but I just grabbed the judge's sleeve! At the end of the day, what will be the difference between this rich family and Lu?"
The conversation left Chen Ruihe speechless.Death and life are also very important. For a half-child like him who has been with his parents since he was a child, and has only been in the clinic for a few days, this is still a topic that he has not touched deeply, and he does not want to continue discussing it. up.
But he was hesitant to ask about another matter that had always been in his heart.
"Mr. Xie, tell me... the health worker didn't say a word, which caused the county magistrate to lose a leg. Shouldn't he be punished?" Finally, Chen Ruihe broke the silence and asked as if he had made up his mind.
"If this is the case, all of us here are guilty." Xie Yao pushed the empty bowl to the side nonchalantly, "I voted for the Senate earlier, and along with the heads of Zhang, Ning, and He in the second anti-encirclement campaign, Serving in Operation Engine—but still working as an assistant to Chief He.
-
Next update: Volume 433 - Guangzhou Governance Chapter [-]
(End of this chapter)
In all fairness, if there are skilled specialized blood transfusion physicians and matching special staplers, even blood transfusion operations will not be so difficult. The problem is that Song Junxing is not specialized in this.If it is a maxillofacial trauma, he can claim to be the most authoritative expert in this time and space without humility, but he may not be much better than a senior naturalized doctor like Lao Xie in sewing blood vessels.
"Our requirements for blood transfusions are low, and we use the simplest techniques in emergency situations, so even the most inexperienced physicians can perform them on the front line..."
Song Junxing recalled Lin Motian's sworn public guarantee at the beginning, and couldn't help pursing his lips, and quickly took the equipment bag and walked to the emergency operating room.
"I'm afraid of a bird, so I'll sew it first." Song Junxing encouraged himself in his heart.Anyway, in recent years, everyone has been biting the bullet to drive ducks to the shelves.
The preparations for the laparotomy were basically ready, and the wounded had been tightly covered by the large dark green sheet—only one arm was left protruding far away for blood transfusion.
The aseptic conditions of this era cannot be compared with those of the old plane, not to mention the hotline health center in the quasi-public security area. It is already very good to have a large single shop.Song Junxing didn't say anything, and began to sterilize his arms with towels.
After being sent to the operating room, Chen Ruihe's work came to an end - the two second-line doctors were on the operating table, and as a first-line doctor, he had to busy himself in the front consulting room.
However, the situation in the emergency room is much better now: the accommodation of the wounded is basically over. If the wounded cannot return to the county after dark, they will basically not see the sun the next day. The lucky ones who took care of them watched the fire and returned to the county seat. Others just disappeared in the dense forest along the way. The remains of some people will be found after dawn, while the remains of some people will become two words on the certificate: Missing.
Chen Ruihe stretched his waist and glanced into the observation room: Wang Chuyi had been sent to the orthopedics department for amputation.Thinking of the tourniquet that hadn't been loosened, Chen Ruihe sighed and shook his head.
It was early in the morning after Xie Yao finished the laparotomy: the spleen could not be saved, so it was still cut.Lao Xie, with red eyes, told the nurse to call me for something, opened the door and went to the duty room to sleep.
The night shift was quite stable, Xie Yao and Chen Ruihe basically got three or four hours of sleep each: Chen Ruihe was already very satisfied with this.
"Starting to work independently, how does it feel?" Xie Yao asked while eating and drinking as they sat in the canteen of the county office after the shift.
"It's okay..." Chen Ruihe said slowly, "It's just too...a bit messy..."
"Are you scared?"
"It was a little bit at first." Chen Ruihe was a little embarrassed, "I also saw workers who were injured in Guangzhou, but this frontline soldier was covered in blood, his legs and feet were smashed into pulp, and his flesh was full of worms. , it’s much scarier than Guangzhou. If you ask me to say…this may be disrespectful, it’s a bit like the morals of the Ming Dynasty.”
"You're talking about that. The patients in the emergency department are all very miserable: the emergency department is the place that is most like the Ming Dynasty under the administration of the Senate." Xie Yao said with emotion, "every time I go to the emergency department, it's always the same. Reminds me of the previous days: except for crying and shouting, you can’t hear other movements; the smell, the smell of feces and rancidity is everywhere, and the ground is full of people who are almost out of breath And people who are already out of breath. You feel uncomfortable, but you can also watch with your own eyes. Doing something is trivial, and you can’t save their lives. You can only watch them die; if you die, you can die. No human appearance. No matter you are high-ranking and dignified, short brown and wearing knots, you will always look the same when disaster strikes."
"Insignificant...?" Chen Ruihe had a feeling of collapse of three views: "But... the medical skills of the Senate, which are the magic skills of life and death, how can they be said to be insignificant?"
"Medical practitioners like me can only heal the sick, not the life. Although the elders have great knowledge and power, they are also mortals, not gods. Where is there any fairy art of life and death in this world? Even if the medical skills are superb , there is also an incurable disease!"
"But... But we can't be cured, but the Senate can heal! Chief Lin said that the people are poor and turbid, and the turbidity makes them sick. Isn't this because the Ming Dynasty is not good? Now that the Senate has recovered Guangdong and Guangxi, Everyone is having a better day..."
Xie Yao sneered: "Based on your words, as long as those who have no worries about food and clothing are better than those who are starved by the side of the road, everyone on the road to Huangquan will be reincarnated leisurely?"
Chen Ruihe didn't answer, but judging from his expression, he agreed with this conclusion.
"This underworld is the most stern and selfless place in the world. It is nothing compared to the yang world. When the wounded and sick leave their bodies and the ghosts come to fetch them with a license, it doesn't matter whether you were rich or poor, high or low. It's all gone, what's the difference?" Xie Yao said through gritted teeth.
"I was assigned to the army earlier, and all I received were soldiers from the Fubo Army and refugees from quarantine camps. Most of them were born in hardships. Their life experiences are very similar, and there is nothing comparable. Only when I arrived in Guangzhou did I first see what kind of patients from rich families are like. appearance." Xie Yao recalled slowly: "The first big family I received was an old matriarch from a gentry's family. Tao is rich in clothes and food, but unfortunately he suffers from diabetes..."
"I know this. It's called in traditional medicine. It's just diabetes, right? The chief said it's a metabolic disease, the most difficult to treat."
"Yes, if it was delivered to us a few years ago, it shouldn't be so sick. It is impossible to cure it, and it can always live longer and more comfortably. But this traditional doctor doesn't know this. The pathogenesis of metabolic disease is not to mention targeted medication. Each person has his own medical theory, and each has his own theory. After changing countless doctors, the herbal medicine that he drank for more than ten years can be counted as several jars, which is of no avail.
"By the time it was sent to the Provincial and Hong Kong General Hospital, the old lady's diabetic foot disease was too serious to touch, and her feet were so rotten that the bones were poked out of the flesh. The day she was delivered to me, there was only a thin mouthful left. It's just in my chest."
"At this point, it's hopeless." Chen Ruihe recalled his lessons and said.
"That's true. This foot ulcer is a typical diabetic ketoacidosis. No one wants to stay with this type of patient. The internal medicine corrects the acid and takes half of his life back. He throws it at the bone injury and has to take care of the two rotten feet; I don’t want to keep the injury—it’s difficult to control the infection even if the limb is amputated. I just found an excuse, argued that the infection was not controlled, and it was suspected to be combined with a stroke, and I left it to me to deal with it. Although the two sons are all well-off and are willing to spend a lot of money, they don't want to stay in bed for a long time. When they learned that the medical center of Song Dynasty can keep patients in the hospital, they don't care about decent nonsense. I went through the formalities and called to come in: I thought it was too late to avoid the old lady! Fortunately, I was willing to spend money, so I stayed in the ward for a long time.
"The old lady didn't seem to understand when she moved in, and she didn't blame the bone injury for suspecting that she had a stroke. But such a seriously ill patient, what can you do if you throw it at me? After all, it was only a half-day toss, and the bone injury was sent to amputate. Throw it back to me. The old lady was ignorant. When she woke up from anesthesia and saw that her feet were gone, she burst into tears immediately, and no one could persuade her. When she was tired of crying, she fell asleep and cried again when she woke up—she is a pampered person Yes, and at this moment he is in a state of confusion, who can persuade him!
"That's all right, this old lady should suffer. You have also taken surgery classes, and you should know that if you have been bedridden for a long time, what miscellaneous diseases can't come out? In a few days, a bunch of bedsores appeared. Diabetes , and it is easy to be infected but not easy to heal. It will be infected and pus soon. Poor old Xie has to change her dressing all day long.
"Diabetes has been dragging on for so long, and the kidney function has long been hopeless. If it lasts for a few days, it will be useless. When the time comes to move the bed, it will be comatose, but it will not feel the pain: it saves money. I suffered a little. I went to tidy up the remains, and saw that she was already out of human form: dull face, filthy smell, skin flakes all over her body, pus and pus all over her body, it was just a pile of rotten meat! When the ghost judge wanted to arrest her, she would frown and cover her nose , not even as good as a ghost, how can he still look like a person? When he was dying, there was no family member nearby, and he died in front of strangers like me. Feelings--thief his mother! On the way, there is a father, mother and son who cry twice!
"In the death discussion that day, I told Chief Lin privately that if I had fallen to such a level, I would definitely kill myself and walk cleanly and look like a human being; but Chief Lin laughed: When you really get to that place Sometimes, you can’t even open your mouth and eyes, and you still want to kill yourself? Why are you so capable?
"The so-called 'insignificant' is exactly here: you think you are snatching someone from the book of life and death. You don't want me to dance for a long time and use all my magic powers, but I just grabbed the judge's sleeve! At the end of the day, what will be the difference between this rich family and Lu?"
The conversation left Chen Ruihe speechless.Death and life are also very important. For a half-child like him who has been with his parents since he was a child, and has only been in the clinic for a few days, this is still a topic that he has not touched deeply, and he does not want to continue discussing it. up.
But he was hesitant to ask about another matter that had always been in his heart.
"Mr. Xie, tell me... the health worker didn't say a word, which caused the county magistrate to lose a leg. Shouldn't he be punished?" Finally, Chen Ruihe broke the silence and asked as if he had made up his mind.
"If this is the case, all of us here are guilty." Xie Yao pushed the empty bowl to the side nonchalantly, "I voted for the Senate earlier, and along with the heads of Zhang, Ning, and He in the second anti-encirclement campaign, Serving in Operation Engine—but still working as an assistant to Chief He.
-
Next update: Volume 433 - Guangzhou Governance Chapter [-]
(End of this chapter)
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