Lin Gao Qiming

Chapter 313 Medical Planning

Now Hippo and Shi Yuren have ligated and cut off the artery to reduce bleeding during dissection.Shi Yanren picked up the suction tube from the instrument rack above the dissecting table, stepped on the pneumatic valve with his foot, sucked out the blood flowing into the abdominal cavity, and then sucked out the blood in the chest cavity.

When the hippo began to scalp and was about to open its head, someone finally couldn't help but rushed out and vomited.

"Shall we take a break?" Abebe asked.

"Alright, we'll have to use a saw for the craniotomy later." Shi Yanren put his hand under the faucet to rinse off the blood.

After a 10-minute break, the dissection continued.Ai Beibei asked if anyone wanted to leave?As a result, none quit.It still seems to be a workable material.If you can pass this level, you can hope to be a doctor.

However, when the saw was sawing through the skull, someone still left the scene and came back after a long time.The sound of the surgical saw being pulled back and rubbed between the skulls makes people shudder, and only Hippo, who has worked in the orthopedics department, does not feel anything strange.

Shi Yanren carefully pried off the head cover, revealing the meninges covering the brain, this kind of stimulation is enough to make the first-year medical students with weak nerves faint.He glanced at the nurses again.They seemed to be holding out.He noticed that there was even a euphoric frenzy in someone's eyes.

"Attention! I cut it."

Shi Yanren reminded him, and cut a large vein from front to back in the center of the meninges with a pair of quick scissors. He suddenly realized that he had forgotten the name of this artery—could he be old?Blood gushes out immediately, onto the scissors and fingers.He noted that the blood was flowing with no signs of embolism.This person obviously did not die of cerebral infarction.After careful observation of the meninges, it was lifted to reveal the brain.Using a scalpel, he carefully separated the brain from the spinal cord and gently removed the brain.At this time, Ai Beibei brought over a glass jar filled with half a jar of formalin, and Shi Yanren slowly put his mind into it.The condition of the brain was so good that Shi Youren decided to keep it as a specimen.

"This is the human brain. If the whole human body is a country, the human brain is the imperial court." He explained in easy-to-understand words, and then talked about the differences and functions of the cerebrum, cerebellum, and brainstem. Shi Yanren's scalpel turned again heart.

Shi Yanren took out the heart from the corpse and observed it carefully.Now turning his eyes to the nurses, he said:

"The greatest possibility of inducing sudden death is coronary heart disease. Let's check first whether this inference is true."

Numb now, the female nurses began to focus on the organ itself, watching intently as he gently opened the arteries of the heart.

"We should find the embolism here..." He pointed with the tip of the metal probe. "But nothing. There is absolutely no trace of blood clots on the main branches of the coronary arteries."

"Now let's examine the heart itself." Shi Yanren put the heart on the dissecting board, cut it in the middle with a scalpel, turned the two hearts to check, and then waved to the nurses to come over.They hesitantly surrounded him.

"He obviously didn't die suddenly from coronary heart disease," said Shi Youren. "In this heart, no acute thrombus was seen, nor was there any cardiac infarction complicated by cardiac aneurysm."

"Then how did he die?" Shi Yanren pointed to the heart with a probe, "the left ventricle was significantly dilated, and gray-white myocardial scars formed. He had rheumatic heart disease before his death. This is what caused his sudden death." s reason."

He put down the probe: "Take a closer look."

He didn't expect these girls to become real doctors within a year or two, but at least he wanted them to get rid of all fear and superstition about the human body.

Guo Fu has calmed down a little now.She felt she could handle it.Not long after the autopsy began, when she saw the saw sawing into the dead man's skull, she felt the blood in her head rush downwards and she felt dizzy.She felt like she was going to faint.But she made up her mind and insisted not to fall.

As if for no reason, she suddenly remembered an incident when she was wandering.Tian Liang's calf was injured and festered, and he developed a high fever when he walked to a small town. Later, a doctor who walked away saw them pitifully and treated Tian Liang.He used a knife to cut off all the rotten meat until bright red meat appeared, and then applied the medicine.At that time, no one dared to look at it, only she was beside Tian Liang to help the doctor.Later, Tian Liang limped for several months before fully recovering.She has been taking care of Tian Liang, even if she is not afraid of the blood and pus from his wound, nor does she care about the terrible wound.This gave her a lot of strength.She knew that after passing this level, it would not be a problem to see the autopsy later.In the future, I will be able to treat everyone like the chief ministers.

After explaining the lungs, the anatomy demonstration class is over, and the hippopotamus puts the removed internal organs back into the body - there is not enough embalming fluid to make a specimen.These can only be wasted.

Shi Yanren said, "Who would like to sew up the incision?"

Girls, look at me, I look at you, this is a very challenging job.

"I'm coming!" Guo Fu stood up.

"Okay, you go and change your clothes, I'll see how your sewing skills are."

The students in the health school have learned to sew wounds, but they don't have many opportunities to practice.Fortunately, suturing the corpse does not need to be too meticulous, and there is no need to consider the problem of scars.Guo Fu sews very carefully, but the level is still not good.

"It's okay." Shi Yanren nodded, and Hippo also nodded.Ai Beibei smiled slightly.Average skills, good attitude, this girl has a bright future.

The corpse was washed with water, carried from the table to the car, covered with a white cloth, and sent to Cuigang for burial in a short while—although the dissecting room is a basement, the temperature is lower.But with so many people crowded together, the temperature was over 20 degrees.Corpses decompose quickly.If it was a regular medical school or hospital, they would not need to do this kind of thing as usual, someone would handle it, and here they are the only ones to do it themselves.

After they changed their clothes, they came out of the dissecting room and returned to the ground. The hippo exhaled and wiped the sweat from his forehead.

"You need to install an air conditioner."

"If you ask me, it's best to install a cold storage." Shi Yanren lit a new cigarette, "Anyway, the current temperature is really bad, and it will be even worse in summer. The room must be as hot as a steamer, and the medicine can't be preserved. "

"Didn't Li Xiaolu make a blueprint for an air conditioner? I think we can apply for it once. Anyway, summer is coming." Hippo was talking, the girls came out of the door, and Guo Fu came over.

Hippo felt an indescribably ambiguous feeling when the young girl approached him.The figure outlined by the well-washed blue clothes, and the slightly fluffy sideburns under the blue hat, will be very soft if touched by hands.He collected himself and said:

"Good job, Xiao Guo." He praised.

"Thank you doctor." The girl blushed and lowered her head slightly.There was a faint fragrance from the neck.Is this probably the scent of a virgin?Hippo has some reverie.Guo Fu looks pretty—by the standards of the 21st century, of course. After enjoying ample food and enough exercise in Lingao for several months, her figure is also very good.Hippo noticed that her boobs were not small.Although the blue nurse uniform is not a skirt, it is also self-cultivating enough.

"Xiao Guo, come quickly." Ai Beibei was calling her.

"If there's nothing else, I'll go first. Goodbye, doctor." She bowed with a slight smile and turned around.I want this girl, Hippo suddenly made up his mind.

Guo Fuhe caught up with other girls, and they all asked her what she was thinking when she stitched up the corpse, and whether she was afraid.She answered casually, thinking that Dr. He's eyes were very different - her face turned red again.

After sending the girls away, Ai Beibei returned to the director's meeting room as usual to attend the regular meeting of the whole hospital on Monday.The so-called director's meeting room is a large and comfortably furnished room with large glass inlaid on the windows and a few old sofas inside, where you can sit and chat comfortably, read newspapers and books.They like to sit here when they are free, and this place is more like the original time and space.

He Ping participated in the voyage around the island, but before returning from the sea, it was his wife, Zhao Yanmei, who was a technician in the mold laboratory of a certain pharmaceutical factory. Participating in the crossing was purely cheated - He Ping lied that a boss wanted to open a pharmaceutical factory.

Now Shi Yaren is indeed planning to put her in charge of the pharmaceutical factory.

"It's a meeting, it's a meeting. Xiao Zhao, you are in charge of the meeting minutes." Dean Shi greeted, "Is Ziyi here? Go and call your husband. Yes, although he is a veterinarian, he is also a doctor."

After a while, Yang Baogui also came, his arms were still wet.The whole body exudes the smell of disinfectant.

"There's another meeting. I'm mating cows for the farm."

The last one to come in was Liu San, a master of traditional Chinese medicine.Now he is the director of the Department of Traditional Chinese Medicine, but he rarely shows up in the hospital, and he basically does medicine cultivation in Wu Nanhai Farm.

"Okay, let's first review the work progress of last week." Shi Yanren opened the work notes, "First of all, our operating room and dissection room are completed..."

After some hard work, Bairen General Hospital built a decent operating room.The equipment and equipment are easy, they are all ready-made, and there is also a simple operating room in the infirmary of Fengcheng Ship for backup, and it can also be used as a source of spare parts when necessary.On the contrary, the basic supporting objects are not easy to do.Things like ceramic tiles and porcelain sterilizing basins have only recently been shipped from porcelain kilns in Fujian.In addition, two surgical assistants were trained among the nurses, and they are now barely capable of suturing large blood vessels and wounds.It's just that there is no professional anesthetist, and those unlucky people who get every simple operation will cry like ghosts and wolves.

"...Our boiler room has been completed, the boiler workers are being trained by the Ministry of Energy, and the quotas for fuel and soft water have also been applied for. It is estimated that it will be ignited and put into use soon."

Having a boiler room is a great convenience for Bairen General Hospital. First of all, high-temperature steam can be used for disinfection instead of the simple damp heat sterilization method. A lot of washing and disinfection work can be carried out in the hospital.You can also take a bath in the hospital. The weather is getting hotter and hotter. In order to ensure the hygiene of all inpatients and medical staff, this is essential.

"...the agar used in the microbiological culture room in the inspection center has reached a joint agreement with the navy and the biological laboratory of the Ministry of Agriculture. The navy is responsible for supplying the raw materials and the pharmaceutical factory produces them uniformly. As for the equipment, they were also purchased from glass last week. The factory has all arrived. A little rough is better than nothing."

This microbial culture room is very important to the hospital, and now it can finally check for bacterial infections and infectious pathogens.In the previous stage, he used the washing precipitation method and the concentration method to check random samples for eggs. In the past few days, more than a dozen positive samples were detected every day.I'm thinking about doing a census sometime.

"As far as the current situation is concerned, the infection rate of parasites has increased significantly, which shows that the momentum of eating indiscriminately in the wild has risen. In this regard, the cultural and publicity department should be notified and education should be strengthened." Shi Yanren concluded, "The following Please, Director Ai, talk about medical education."

Ai Beibei adjusted her glasses. Because she has been in the United States for many years, her Mandarin accent is a bit strange.

"The health training courses we took over from the military and political school system are currently mainly engaged in nursing teaching. It should be said that this is still not enough. At least we must train doctors with primary medical level.

"At present, the largest training in this area is the cooperation with the Army, Navy and Ministry of Resources. The first phase of the health worker training they selected to send the cross-country people and indigenous people over has been completed. The overall response is good. After the formation of the system, it can guarantee the best time in the war. Primary military health needs.

"I think this is the direction of our recent training. This kind of education is an accelerated education. It only teaches operations and simple theoretical knowledge. It is based on the first aid training courses organized by non-governmental organizations such as the Red Cross. One month trains first aiders for one unit. It is mainly used for first aid and simple treatment. You can also refer to the training system of rural barefoot doctors in the 70s and [-]s.”

Although the barefoot doctor system was eliminated after the reform and opening up, it is undeniable that this system has covered the basic medical system in rural areas at a relatively low level.This can be used as a reference for cross-travel groups facing similar circumstances.Shi Niaoren thought so.

"As for nursing training, the first batch of nursing classes has graduated. However, strictly speaking, their professional standards can only be described as 'unqualified'."

Zhang Ziyi nodded.There is no doubt about it.

"In fact, they can only be regarded as nurses. There are too few internship opportunities for them, and there are not enough consumables and medicines." Zhang Ziyi said, "No specimens, no equipment, except for alcohol and absorbent cotton, nurses can use almost nothing. Not even red potion."

Probably in order to enhance the effect, Zhang Ziyi pointed her fingers and said: "Until now, the only things that nurses can openly use are: medical alcohol and saline for washing. Even normal saline for injection cannot be prepared."

(End of this chapter)