Lin Gao Qiming

Chapter 772
"Long-term bed rest, loss of appetite leads to malnutrition; long-term bed rest leads to lung infection, and eventually a cold leads to pneumonia; high blood pressure causes dizziness, dizziness, and lack of energy." Shi Yanren said casually after looking at it, "He must have constipation. Bar?"

"That's right," Liu San nodded and said, "Do you want to organize an inpatient consultation? You can't take x-rays or do blood tests at his home. It's just that his family members don't want to be hospitalized..."

"There is no need to come to the hospital for consultation. Liu Dalin's condition is complicated, but it is not difficult to treat." Doctor Shi said, "It is not beyond our capabilities. Your treatment idea is correct."

"I think we need to pay attention to nutrition. Liu Jinshi looks very old, and malnutrition is not good for his condition." Lan Yangyang from the Department of Gastroenterology said, "His family is not poor."

"The landlord's food is also very poor, but there can be a little more fine grain." Liu San saw the life of the so-called landlord when he went to the countryside to visit various "clinics" jointly organized by the Ministry of Health and Runshitang. Farmers are better off because they have enough to eat, the proportion of rice is slightly higher, and there is a little bit of fish consumption--for ordinary farmers, eating fish sauce and shrimp paste is considered meaty.Protein intake is seriously insufficient.

Everyone conducted some research on Liu Dalin's medical records, and the cause of Liu Jinshi's illness is obvious.Treatment is also uncomplicated.The treatment plan discussed by everyone is: first inject antibiotics to treat the lung infection.Simultaneous injection of Danshen injection to lower blood pressure.Then strengthen the nutrition, open the plug and defecate.The nurses instructed the members of Liu's family to wipe his body, turn his back, clean his mouth, and impart knowledge on preventing bed sores. As the level of nursing care improved, Master Liu's mental state improved a lot.Then arrange some rehabilitation activities.Combined with traditional Chinese medicine conditioning and acupuncture, the overall health level will be greatly improved.

In terms of antibiotics, everyone thinks that oxytetracycline and kasugamycin produced in Lingao are not suitable for bacterial infection of pneumonia, and the direct intravenous infusion may have too many side effects, so it is more appropriate to use the penicillin injection in stock.

"Don't forget to ask Zhang Ziyi to do the skin test!" Shi Yanren specially reminded Liu San.

"This is the usual practice, so don't say it again."

"Our current work is much rougher, and many steps that should have been omitted are now omitted." Shi Yiren said.

Liu San took the prescription from Shi Yanren and received several controlled drugs.Then put it in a special medicine box and take it with you.

When Liu San went out, Zhang Ziyi had already taken the trainee nurse to help Liu Dalin scrub his body and clean his mouth with dental floss—her guess was correct, because Liu Jinshi had already shown signs of bed sores due to long-term mobility inconvenience, she They were all cleaned, disinfected and medicated.During the whole process, she not only started, but also guided the intern nurse from time to time. The whole body care process was swift and gentle, which stunned the intern nurse and the maid who served in the room. This female head is really first-class in serving patients !
Zhang Ziyi's nursing care and the subsequent news that Mr. Liu recovered slightly were quickly reported to the grandma and Liu's close relatives, and everyone talked about it. Although there are different opinions on whether Australians are barbarians, but The other party, a female veteran, scrubbed the body and applied medicine to the unknown patient without any scruples. As far as these actions are concerned, it is no exaggeration to say that they are "the parents of doctors".

When Liu San returned to Liu's house, Zhang Ziyi had already packed everything, even opened the windows.The maids and servants who were running around in the room, who didn't know what they were busy with, were kicked out by her and listened outside the house.

After tidying up, the originally dark, turbid and stuffy room now has sunshine and fresh air, and Zhang Ziyi's nursing care made Liu Jinshi, who had been sluggish and seemed to be on the verge of death, recover a little bit of energy.

Liu San told her the treatment plan, and Zhang Ziyi asked, "Is the penicillin injected intravenously or intramuscularly?"

Liu San said: "The patient has a history of hypertension, so let's use intramuscular injection."

"This bottle of medicine is 40 units. According to the situation of this time and space, it is enough for me to see 4 units once. Distilled water intramuscular injection." Liu San quickly issued the doctor's order, "8 units per day. First use Three days."

"I'll do a skin test first," Zhang Ziyi said, "I'm afraid he might have an allergic reaction."

"If you have an allergic reaction, take erythromycin orally."

When Zhang Ziyi took out the syringe and needles from the disinfection box, there was a commotion among the maids and servants who were peeping out the window—the treatment method of injections has long been spread as an Australian medical technique, and at first people thought it was another kind of acupuncture. It was later discovered that the medicine was injected directly into the human body.This discovery made the natives feel very mysterious—especially that thin needle can be made hollow, which is really incredible.

While doing the skin test, Zhang Ziyi did not forget to explain the essentials to the intern nurses she brought.In the end, the skin results were normal, and there was no allergic reaction, which reassured Liu San, and then the first injection of penicillin was given.

Everything went well, except that the Danshen injection made Liu San very nervous. Although he made this thing according to the method in the book, there is a certain degree of danger in making injections from traditional Chinese medicine extracts. Medical research on the pharmacology and toxic and side effects of traditional Chinese medicine is not comprehensive enough, and cases of death of unknown origin caused by the use of traditional Chinese medicine injections have occurred from time to time.You must know that it is still a product of a regular modern pharmaceutical factory!It is a standard soil workshop product.And because there are very few cases that can be encountered, so far only the first phase of clinical trials has been barely completed.

It seemed that the oral Danshen dripping pills and ginkgo biloba preparations had to be developed as soon as possible. He secretly determined the next step of drug development plan.

"Then we'll just wait for the medicine to take effect." Liu San looked at Master Liu who was still in a coma, "Take the little nurses and go back first, I'll keep watch here, in case something goes wrong, immediately deal with."

"Hehe, what can you do? Let me do it." Zhang Ziyi said, "Can you get an injection or use a sputum suction device? You can't even prescribe it in case of an emergency.

Liu San was a little embarrassed: "You stay here, what about Lao Yang?"

"It's okay. I have night shift every week. Does he come to accompany me on night shift every day?" Zhang Ziyi was very hearty.

Seeing that they had stopped, Butler Zhao guessed that the treatment had come to an end, so he hurried over to ask for instructions on whether to take the medicine, and what other doctor's orders were there.

Liu San thought that if he didn't prescribe prescriptions or take medicines, I'm afraid the members of the Liu family would be uneasy. Fortunately, he remembered in his mind that there are many proven prescriptions for promoting blood circulation, removing blood stasis, calming the nerves and opening the orifices in modern Chinese medicine, so he chose a prescription immediately. Son, let Butler Zhao send someone to grab the medicine.

"Yes, little one, I'll send someone to fetch the medicine!" He took the prescription and went out, but he didn't go to fetch the medicine. Instead, he went to the upper room and presented the prescription to the grandma and a few close relatives for inspection. Ten reported the process of diagnosis and treatment.The eldest grandma is a girl, and she has no medical skills, so she can't say anything.The rest of the close relatives felt that the Australian's medical skills were a bit scary, but they couldn't find anything wrong with it.

"Can I take this medicine?" The grandma asked, looking at her relatives.

Because of his son and grandson, Housekeeper Zhao has a deeper understanding of Australians than the average aborigine. He knows that the Australian medicine that was injected into the master's body just now is the key to curing the disease. It doesn't matter whether you take this prescription or not.But it was inconvenient for him to say this in person due to his status.

The one who was flipping through the prescriptions was the grandma's natal cousin, who was also a scholar, with a little knowledge of medicine.In terms of the properties and pharmacology of the medicine used, this prescription is nothing more than "promoting blood circulation and removing blood stasis", and it is not famous.But it is quite different from the way of "opening and closing with Xinwen" by asking a doctor to prescribe a prescription a few days ago.

"This is different from the methods of the previous doctors." He mused, "But since he was invited to treat him, he still has to follow his method."

Immediately, they sent someone to Runshitang to get the medicine, and the grandma told Steward Zhao to take ten taels of silver for Liu San as a consultation fee.Hearing that Liu San and the female veteran who came with him would stay in the courtyard of the study and accompany them all night, everyone couldn't help being moved, and ordered people to go to the courtyard to tidy up two wing rooms for them to sleep in.He also specially assigned servants to serve him.

The power of penicillin in this plane is very strong. After the injection on the first day, Liu Dalin's body temperature began to drop that night, and his blood pressure also showed a normal state.This made Liu San doubly encouraged.Early the next morning, the servants of Liu's family announced the good news to Grandma and the others: the master's fever subsided, and he was fully awake.The disease seems to be cured.The whole Liu family was beaming with joy, and the grandma came to thank her in person.All the people who had doubts about the Australian medical skills in the whole book were also convinced - this kind of immediate effect has never been seen before.Liu San and Zhang Ziyi listened to a carload of flattery, and finally explained that Master Liu's illness is not completely cured and needs a long-term treatment process.

After three consecutive days of antibiotic injections, Liu Dalin's lung infection has basically recovered.In order to ensure the effect, another two days of consolidative injection therapy were performed.

The life-threatening condition has been treated, and the next step is to carry out rehabilitation treatment for Liu Dalin.Liu San also prescribed several traditional Chinese medicine prescriptions for Liu Dalin to take for a long time-although the effect is not as ideal as the special cardiovascular medicine, it can also play a role in controlling the disease.

After that, Zhang Ziyi was in charge of nursing training for several servants of the Liu family, including the knowledge of preventing bed sores. At the same time, Liu San asked Fu Wuben to go to Liu's house every day to use the "Acupuncture for Refreshing the Mind and Enlightenment" taught by him for acupuncture and moxibustion. Cooperate with certain rehabilitation training - to try to help Liu Jinshi recover his body function.Shi Yanren also hoped that Mr. Liu would become a living example of Australian medical skills.

(End of this chapter)