Lin Gao Qiming

Chapter 771 Diagnosis and Treatment
He was busy tidying up when Shi Yanren's voice suddenly came from outside the door: "You play the piano indiscriminately! He is almost dead, can calling a naughty Chinese medicine doctor help? Liu Jinshi will belch as soon as the soup is ready. It's..."

The door was pushed faster with a whimper, and the dean Shi walked in while reprimanding his subordinates in a majestic manner. Seeing Liu San packing the medicine box inside, he was startled.He said loudly again: "...Why don't you send an assistant to Dr. Liu? It's too late for one person to give first aid..."

"Dean Shi... I can also do first aid. I have studied Chinese medicine, and I have also studied modern medicine..."

"Oh, it's okay, Chinese medicine is also a kind of medicine." Dr. Shi said loudly pretending to be hearty, "Xiao Liu, the executive committee attaches great importance to this matter, so I entrust it to you."

"Yes, yes, I will definitely complete the glorious mission assigned to me by the organization, but emergency medicine is not my specialty, so I need to send another doctor who is familiar with modern medicine to help."

It wasn't that he was joking. Liu San had never worked in an emergency department. In fact, he hadn't even worked in a traditional Chinese medicine clinic in the old time and space.

"Well, let Zhang Tumu go with you." Shi Youren said.

Zhang Tumu is their only doctor who has specialized in emergency medicine, and of course he has a brush.In the Battle of Chengmai, he fully exercised his emergency surgery skills.The emergency department of Bairen General Hospital is a very busy department. Zhang Tumu has become more and more skilled with continuous practice, especially in debridement and suturing wounds.

"No need, the emergency department is very busy. It's not good if he leaves if there are wounded who need first aid. I think Zhang Ziyi and I can go. The old nurse is very useful."

"Okay, you guys go first, call again if you have any questions, and see if there is a need for a consultation." Shi Yanren said, "By the way, why don't you take some interns and nurses with you, and give them some experience points by the way."

At that moment Liu San called Fu Wuben, and then called two intern nurses and one intern doctor.Because he heard that his condition was critical, Liu San decided to take the necessary supplies with himself and Zhang Ziyi to ride first, and the others followed on foot.

At the gate of the county seat, Butler Zhao and several servants were looking around at the gate of the city - they were all waiting for the Australian doctor to come.The Liu family had no choice but to hire an Australian doctor, but right now it was the only hope. Everyone had heard of many things that Australians "do what others can't do", and they all hoped for a miracle to happen.What's more, this Dr. Liu was strongly recommended by shopkeeper Yang. It is said that he is an expert in Xinglin among Australians. He uses traditional medical techniques instead of the Australian technique of cutting open the abdomen with a knife-this is somewhat reassuring.

Liu San and Zhang Ziyi were picked up by Steward Zhao and others, and hurriedly entered the courtyard.Liu Sanjian's porch was crowded with members of the Liu family, as well as many people who were probably his teachers and friends.One by one or sigh, or weep.Startled in my heart: This clearly shows that I am preparing to die.Has it become so critical?Thinking of this, he was a little anxious.This Liu Jinshi is a signboard in the civil affairs work in Lingao, and he can't die.He was about to talk to his family members about his illness, but the people in this yard didn't know which one was the patient's family members.

Seeing that there was not only Doctor Liu, but also a female doctor, they were frightened and avoided.There are also curious ones who come to see a female doctor instead.The scene was chaotic.

Housekeeper Zhao could handle it well, quickly asked all relatives and friends to rest in the room for a while, and don't disturb the doctor's diagnosis and treatment by talking in the yard.Then Liu San and Zhang Ziyi were invited to the backyard.

In the past few days, for the convenience of the doctor, Liu Dalin was moved to the study.The inner courtyard is separated by a wall to the northeast of the courtyard of the study. I heard several women crying in the inner courtyard, probably the members of the Liu family.Liu Sanyou and Zhang Ziyi were led by Butler Zhao into the courtyard.I saw a few servants coming in and out at the door of the study, some were cooking medicine in the stove, some were fetching water... Seeing Butler Zhao bring two Australians in, the maids and maids turned sideways to ask for help. avoid.

"You guys, you're not Miss Da, what are you avoiding?!" Butler Zhao reprimanded, "Give me work!" As he spoke, he was about to take them into the main room for diagnosis and treatment.

But Liu San said: "Not busy, please allocate a room in this courtyard, let us wash our hands and change clothes before going to the doctor."

Butler Zhao wanted to hear from his son and grandson that Australians love cleanliness, so he agreed immediately, and immediately asked someone to clean up a wing room in the yard, and according to Liu San's request, sent a few clean porcelain jars to put on the stove. Also quickly boiled water.

Zhang Ziyi was used to being a nurse, so she didn't need Liu San to take care of her. She washed her hands, dispensed disinfectant, prepared medicines and equipment, and helped Liu San put on her coat and mask.

Housekeeper Zhao led Liu San and others into the main room of the study, where several women had already come out surrounded by a middle-aged woman. Seeing that she was not luxuriously dressed, but well-groomed, Liu San knew that she was probably Liu Jinshi child.

A maid said: "This is the Australian miracle doctor..." Before the words finished, the other party was already blessed.

Liu San hurriedly took off his mask and bowed to each other, and both sides greeted each other.

Liu Dalin's child spoke the local Lingao dialect, Liu San didn't know much about it, so he had to say a few polite words.Housekeeper Zhao could speak Newspeak, so he translated a few words in the middle, which meant asking the doctor to treat as much as possible, as long as he could save the master's life, the Liu family was willing to pay heavily.

"There is no need to talk about remuneration but not heavy remuneration." Liu San said, "However, the matter of administering governance must be completely up to me, otherwise I will ask your grandma to hire someone else." At this time, this is not allowed, and that is not allowed.

Steward Zhao and Grandma murmured for a while, and said, "Grandma said: But according to Mr.'s treatment, as long as it can save Master's life."

"Okay, it's good to have your words." He said and motioned Zhang Ziyi to take out a piece of paper. It turned out that this was the "Family Notification". According to Shi Yanren's opinion, all kinds of medical procedures must be completed from now on. Let's get up and standardize the system first.

For the members of the Liu family, this is already an ant on the hot pot. As long as it can save the master's life, they are willing to pay any price.Although they don't quite understand why there is such a paper document: in ancient times, the treatment of diseases was resigned to fate, and there was no reason to hire a doctor to eat fists for a bad disease, and there was no such thing as a medical accident.Although the grandma felt puzzled by the way the Australians behaved, she still signed the paper according to Liu San's request.

Liu Sanhe and Zhang Ziyi came to the main room, and there were servants in the room. Liu San felt that the room was too dark and the air was turbid, so Guan opened all the windows, and then approached the bed to start the diagnosis.

Liu San checked carefully, and saw that Mr. Liu's face was flushed, his breathing was short, and there was a wet towel on his forehead.It looks like he has a fever.

Zhang Ziyi didn't wait for his orders, and immediately took her body temperature and blood pressure. Liu San didn't pretend to check the pulse, but took the stethoscope directly.

"Body temperature 39.6!" Zhang Ziyi reported the value, and then quickly pulled out Liu Jinshi's arm to measure blood pressure—Liu Dalin really had high blood pressure.People with limited mobility and long-term bed rest can easily cause a series of complications: bedsores, electrolyte imbalance, lung infection, constipation and so on.Although it has not been confirmed which complication caused it.Liu San preliminarily judged that it was an infectious attack.This made him breathe a little bit of relief - anti-infection is the second most powerful killer of the veteran doctor in this time and space besides surgery.

After a flurry of preliminary diagnosis, they returned to the wing room and called the personal servant who was serving Liu Dalin to inquire about his condition.It was diagnosed quickly.His condition was uncomplicated: the main cause was a pneumonia attack caused by a cold.And his lung infection had been quite serious before.

"He is suffering from a general illness. It is easy to treat pneumonia, but it is difficult to deal with complications. This involves multiple departments and specialties. Consultation is required." Liu San couldn't help but become cautious, "To be honest, it is best to let Liu Jinshi be hospitalized for treatment." .”

"Mostly they don't want to, so let's go to the family ward. It's just to work. Other doctors have also come to Liu's house."

"It has to be like this." Liu San said as he considered the treatment plan. Generally speaking, anti-infection treatment is a good thing. They have enough antibiotics to use, which is enough for bacteria with little drug resistance. Secondly, It is to lower blood pressure. Danshen injection has been trial-produced in the laboratory of the pharmaceutical factory, but the curative effect and toxicology of the Lingao version of Danshen injection have not been tested enough - there is a lack of experimental animals, and unfortunately in this time and space high Blood pressure is a very rare disease, and there are very few clinical cases collected from refugee centers.So far, Danshen injection has barely passed the second phase of trial.

"Do you want to use reserpine?" Zhang Ziyi knew that the pharmaceutical factory was extracting reserpine from the root of a kind of Rovenia grove called "Masanduan" produced in Guangdong.Reserpine, a traditional antihypertensive drug, is one of several cardiovascular drugs currently available to pharmaceutical manufacturers.

"The reserpine in the laboratory has been tested on animals, and the clinical trial has not even been done in the first phase. If it is used rashly for Liu Jinshi, it may kill him. Besides, he has pneumonia, and the use of reserpine is extremely effective. There may be adverse reactions." Liu San thought over and over again, and decided to use the Danshen injection he distilled himself.

At this time the nurse and Fu Wuben both came.At present, Zhang Ziyi assigns the work, first hangs water on Liu Jinshi, and injects antibiotics intravenously-the inflammation and fever can be reduced as soon as possible to ensure the next step of treatment.

"Liu Jinshi may still have problems such as bed sores. I want to take care of him first." Zhang Ziyi said, "Even if he doesn't, I have to do some cleaning work."

"Okay, but keep warm." Liu San said and hurriedly rode his bicycle to Bairen General Hospital again, and showed Liu Dalin's medical records to several veteran doctors who were in the hospital.

(End of this chapter)