Song Yi

Chapter 55 Scared away

At this time, Yan Miaoshou had already bandaged and treated the police officers who had injured hands and feet.

Qian BuShou bowed his hands to shopkeeper Lin, and said to Du Wenhao: "Master..., cough cough, if there is no other order, I will take my leave!"

Seeing that there are so many people around, the master still didn't say the words "No money will be charged".

Du Wenhao said: "By the way, you haven't said just now why you came to find me."

"It's nothing, I just want to ask Master for advice on how to treat the second grandmother of the Pang family's yellowish disease. I don't know if Master can give up love...?"

"No problem, since you call me Master, I, as a Master, have to teach you something. I'll write it to you."

Du Wenhao walked back to the desk and wrote a prescription, took it back and handed it over without accepting the money, and briefly talked about the precautions for taking the medicine.

If you don't accept a little money, you will reveal it, nodded, put Fangzi into your arms, and said with cupped hands: "Thank you, Master! Farewell!"

Yan Miaoshou and Hantou also bowed respectfully to Du Wenhao, cupped their hands and said, "Master, we are leaving!"

Du Wenhao nodded and watched them go out.

With the help of several arresters, the family member of the cured arrester also carried the arrester away with the door panel, leaving only the unconscious arrester lying on the door panel in the room.

There were also a few policemen who were lifting the door panels squatting there, unable to help at all.

Du Wenhao thought for a while, gritted his teeth, walked over to the old man who kept sighing and said:

"If you are willing to let me heal, I can try to see if I can save him."

The old man raised his head in tears, and glanced at Du Wenhao:

"You..., are you...?"

Xue Fei'er interrupted: "Old man, this is Mr. Du, the newly hired doctor of Wuweitang! It is the doctor Du who cured the concubine's room in Pang County!"

This incident has already spread throughout the county, and the old man has also heard about it, but he also believes that Du Wenhao just cured Pang Xianwei's concubine by chance with some folk remedies. No charge.

The young doctor will definitely not be able to cure people who say they can't be cured even if they don't charge money.

Looking at the old man's eyes, Du Wenhao knew that the other party did not believe that he had this ability.

In fact, he himself has no idea.

Looking at the situation of the police, it is likely that the blunt injury of the abdomen caused damage to the internal organs of the abdominal cavity. It is necessary to open the abdominal cavity for suture repair or to remove the damaged organs.

Although he has learned such major general surgery, it is only the knowledge he learned from textbooks and video teaching, and he has never actually done it, so he is not sure at all.

He studied forensic medicine and is very good at anatomy, but he has never practiced surgery.

Fortunately, during this trip, all the books he has read have been enhanced unprecedentedly, to the point where he can never forget.

That is to say, it is impossible to memorize all the tome textbooks of "Surgery" he has read before, related surgical materials and videos he has watched, as well as the details of the surgeries he has observed during the internship. Everything was pulled out from the depths of his memory, which was greatly enhanced, so that he could not even make mistakes in every word and punctuation.

The surgical ability is actually the memorization of knowledge plus practical practice.

The knowledge of surgical skills is the foundation, and practical operation is the training. If you have both, you can become a surgical knife. ,

Of course, surgical instruments, medicines, equipment, etc. are necessary.

Du Wenhao has a knowledge base of surgical skills, but no practical operation.

Originally, I should find a simple general surgery like appendicitis to practice first, but if I don’t rush there, I can’t just watch this policeman who was injured on duty die like this.

At this moment, Du Wenhao has no time to consider whether it will damage his newly established medical reputation, Du Wenhao said anxiously:
"Although I may not be able to save his life, you can't just watch him die like this, and don't let me try!"

These words worked, and the injured man's father showed hesitation.His wife stopped crying, and looked at her father-in-law with tears in her eyes, waiting for him to make up her mind.

The dragon catcher on the side leaned over and said in a low voice:

"Grandpa, this doctor Du once cured the concubine of the county captain, and that concubine was said by the genius doctor Qian to be incurable! In my opinion, let Doctor Du try. Anyway, a dead horse is treated as a living horse doctor." , maybe it can be saved!"

A few policemen also helped and said, "Yes, old man, let the doctor try it, it's hopeless anyway."

The old man finally nodded: "Then..., then Mr. Lao can save me!"

"Okay!" He had already made up his mind, first resist the shock, wake up the patient, and then determine the location of the disease by means of questioning and pressing, so as to determine where to operate.

Du Wenhao took his medical kit, took out the gold needles, wiped them with cotton pads and sterilized them, then pierced Liu Bukuai's Suliao, Baihui, Shenque and other points, and moved the needles for about a stick of incense before moxibustion.

After a while, the policeman finally woke up slowly, but his stomach pain was unbearable, and he rolled on the door panel with his body bent.

Du Wenhao asked the old man the policeman's surname before, and learned that it was Liu.

Ask him to lie flat, press his abdomen and ask: "Catcher Liu! Hold back the pain, I will identify where you are injured so that you can treat the symptoms! I will press your abdomen, and you can feel where the pain is the most. Tell me where it hurts!—does it hurt?"

"It hurts..., it hurts to death..."

"What about this?"

"It hurts! ... It hurts too much!"

"What about this?"

"pain……!"

"What about this?"

Du Wenhao pressed his upper left abdomen, and Catcher Liu arched his back in pain: "That's right...! This is..., this hurts the most..."

Du Wenhao nodded, and asked again: "How did you get hurt?"

Detective Liu panted quickly and said, "I..., I fought fiercely with that thief, and he stuck the end of a stick on my stomach... the part you pressed just now..., I was so soft at that time, thanks to Lei The head catcher rushed over to save me..., ouch..., it hurts so much! It hurts me to death..."

"What kind of pain method?"

"It hurts...it hurts when you touch it...it hurts all the way to the back of the shoulder..."

Du Wenhao nodded. Judging from the description of the injured object and the course of the injury just now, as well as the location of the pain and the radiating pain, it is likely to be a ruptured spleen.

The patient's face is now pale, his limbs are clammy, his abdomen is slightly distended, and there is likely to be internal bleeding.

Must do laparotomy repair or resection immediately.

However, the immediate priority is to deal with the internal bleeding first.

Because he didn't have blood transfusion equipment, every drop of blood shed would be more dangerous!
What is the treatment for internal bleeding?

The best choice is Yunnan Baiyao!
However, Yunnan Baiyao only appeared in the late Qing Dynasty, not in the Song Dynasty, and this formula is currently an important commercial secret of the state, and Du Wenhao doesn't know it either.

However, he knew that the main ingredient of Yunnan Baiyao was Yunnan's authentic hemostatic medicinal material - Panax notoginseng!
Although Panax notoginseng was not used as a traditional Chinese medicinal material in the Song Dynasty, it could be dug up, and it happened that he just dug it back from the mountain two days ago and had already ground it into powder. Panax notoginseng powder is a good hemostatic medicine!
Du Wenhao immediately ran back to the room, fetched notoginseng powder, mixed water and poured it down quickly for Catcher Liu.

What he said next shocked everyone.

He said: "Help me carry Detective Liu to the room quickly! ——I want to heal his wounds!"

Laparotomy, apart from the legend that Hua Tuo is good at this kind of operation, I have never heard of a doctor who can perform such an operation.

The main reason is that the anesthesia test, infection test and hemostasis test cannot be passed.

Almost [-]% of patients will die of painful shock, infection, massive blood loss and acute renal failure during or after surgery.

Therefore, for visceral damage, almost all ancient surgical medical books will indicate "death".

Especially in the Song Dynasty, surgical operations, especially major operations on acute abdomen, were performed with conservative treatment and decoction.

There is no record of any laparotomy.

There may have been such actual operations, but they were not successful, because the mortality rate was [-]%, so it was not recorded in the books.

All doctors dare not care about the forbidden area, but this young doctor actually said to do it.

Everyone was astonished and couldn't believe it. Even Xue Fei'er who trusted his medical skills looked at him suspiciously and said in a low voice:
"Is it okay? Don't mess around!"

"If you can do it, you have to try it. If you don't try it, you will die. Why don't you try it?"

"You're stupid!" Xue Fei'er tugged at him, lowered her voice and whispered in his ear:
"He's dead now. He died from serious injuries. No one can do anything about it. If he died after you treated him, it's fine for those who know that he has died of serious injuries. Those who don't know will say that you put him to death! Even if the Sufferer doesn't bother you, the damage to your reputation will be great!"

"It's time now, don't care so much! He was injured on duty, we can't just sit idly by!"

Du Wenhao was a little anxious, and his voice raised a little.

Xue Fei'er also got a little angry, she pursed her lips and snorted, then raised her voice:

"Who told you to sit idly by? But do you have the ability? Throughout the ages, except for Hua Tuo, who knows how to treat by caesarean section? You can do it even if the magic doctor doesn't charge you? This is not a boil on your leg. It's that simple, it's a caesarean section!"

This sentence was like a blow to the head, which woke up Du Wenhao's feverish head a lot.

Indeed, laparotomy is not about opening sores and draining pus. It is a major operation, and even in a large modern hospital with well-equipped medical conditions, it needs careful preparation by experienced doctors before it can be performed.

It involves cooperation in various aspects, such as anesthesia, resuscitation, correction of compensatory shock and latent shock, monitoring of vital signs and support of organ function, preventive treatment of acute respiratory distress syndrome and multi-system organ failure, etc. .

Any problem in any link will lead to the failure of the operation and the death of the patient.

I have only studied surgery in books, watched teaching videos, and observed clinical practice. Although the surgical procedures are vivid in my mind after memory enhancement, I have never actually operated them.

In addition, there is no modern emergency equipment and means, so if you want to perform such a major operation, I am afraid that you will be overheated and foolish.

Don't open the abdomen, people will be separated from the fart, what's the point of that, it's better to let the patient die like this, so as not to suffer an extra knife.

Du Wenhao's hesitation had already made the injured wife see that he was not sure. She cried in despair and said to the old man:

"Elder-in-law! Let's go to another doctor to see, maybe there is someone who can cure it?"

The old man also noticed it, and nodded: "Okay! Take it away! Find another doctor to have a look!"

Several policemen lifted the policeman who was writhing in pain with the door panel, and followed the old man and the woman out the door.

Du Wenhao stood there dumbfounded, without making a sound to stop him.

Because of Xuefei'er's reminder, he realized that he was really not sure about such a major surgery.

What's more, the family members of the patients didn't trust me at all. At the beginning, they reluctantly allowed me to diagnose and treat them, but when they heard that they were going to have a laparotomy, they immediately got scared and carried the patient away in a hurry.

It seems that he still has a long way to go if he wants to establish a reputation for medical skills.

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(End of this chapter)