Chapter 171 Malignant intestinal infectious diseases
Mayor Lei is also a good person. When he saw that Lin Sanqi wanted to run away, how could he let him go so easily?
A plague suddenly broke out in the Naxiang commune under his jurisdiction, and he was worried about the lack of medical treatment.
In 1959, there were not many doctors even in the capital, not to mention this remote small county far away from the border. There were only about a dozen doctors in the entire county, and they were still mainly traditional Chinese medicine practitioners.
It's more of a small clinic than a county hospital.
In addition to the lack of doctors, the key point is the lack of medicines. Forget about Western medicine, it is completely supported by Chinese herbal medicine.
The great development of primary medical care in China had to wait until 1969. At that time, a sacred book "The Barefoot Doctor's Manual" was released and then promoted nationwide. Only then did a large number of primary medical personnel (including Academician Li Lanjuan) be trained in large numbers
Mayor Lei grabbed Lin Sanqi’s hand, with tears in his eyes, and said affectionately:
"Comrade Lin, look around you. So many people are suffering from diseases. The damn plague is taking away our lives one after another. Many people die before the arrival of life-saving doctors. They can't die."
Well now, the great man may have heard the voice of the people and sent you, a great doctor in the capital, to support us. This is the kindness of the D Central Committee and MZX. So Comrade Lin, the more than 10,000 people in our commune, all rely on you. ”
A big hat was slapped on Lin Sanqi's head, whether he wanted it or not.
A man in a white coat next to him also shouted excitedly:
"Comrade Lin, you are a doctor from a major hospital in the capital. Your medical skills are incomparable to those of us rural doctors? Please stay and help us."
Lin Sanqi opened her mouth, but refrained from refuting, thinking, brother, please read the work ID card clearly. I am in the purchasing department, not the clinical department. Not everyone who works in the hospital is a doctor, or I may be an ideological and political cadre.
People around also begged:
"Comrades from the capital, save us..."
"Too many people are sick. If we don't control it, I'm afraid the whole Qin County will be destroyed..."
"Great, people are coming from the capital, and the central government has sent people to save us!"
When Mayor Lei saw Lin Sanqi's changing expression, he knew that he had to risk everything, even if he used moral kidnapping to keep the young doctor.
"Comrade Lin, I, I kneel down for you, please save our sweet man!"
Mayor Lei slapped him and he really knelt down.
Although the doctor in front of him is very young, and being young means that his medical skills are poor, but the fact that he can drive a big truck shows that the Capital Hospital of Traditional Chinese Medicine behind this person is amazing, and he can save people with just a raise of his hand.
Mayor Lei made a good calculation. Since Qin County could not help, he had no choice but to ask for help from outside. Lin Sanqi was the cat who came to his door.
Now he just doesn't care if you are a white cat or a black cat, as long as you have something to do with medicine, you will catch mice for him.
Chief Lei is a local in Naxiang. If he could have been a chieftain before liberation, he would still have great prestige in the local area.
Now Mayor Lei knelt down, and the other villagers nearby also knelt down one after another, shouting "Help us..."
Lin Sanqi had only seen a large group of people kneeling during the Chinese New Year, but that was kneeling to their ancestors. How could there be any reason to kneel to a young man like him?
"No, no, no, no, everyone, don't kneel, Mayor Lei, get up, ah, you can talk about it after you get up."
"Comrade Lin, if you don't agree, I will kneel to death in front of you today, Lao Lei!"
"I can save you. I can't save you, but you have to tell me what happened?"
Yes, Lin Sanqi still lacks social experience after all. In fact, at this time, he can just walk away. It is definitely not a good idea to wade into troubled waters in other places.
Moral condemnation? Who can condemn him when he returns to the capital?
Okay, now I'm putting myself in a dangerous situation.
Although the university no longer wants him, after five years of studying at the medical university, he has been brainwashed unknowingly and always remembers that saving lives and healing the wounded is his bounden duty.
As soon as Mayor Lei heard that the capital doctor was willing to stay, he immediately stood up without any support and shouted to the white coat next to him:
"Doctor Huang, please introduce the situation to Comrade Lin."
Dr. Huang is in his 50s. His white coat is now mixed with mud and feces. His feet are bare, his hair is messy, and his face is very haggard.
"Comrade Lin, I am Huang Zhibai from Qinxian County Hospital, but I am a Chinese medicine practitioner, and the team I brought this time are all Chinese medicine practitioners."
When Lin Sanqi heard this name, she knew that this little old man was a rare cultural person.
"Currently, we have treated a total of 830 patients in Naxiang Commune. 170 people have died so far, and 660 people are waiting for rescue. These patients all have a common symptom, which is fever, abdominal pain, and diarrhea."
Lin Sanqi asked: "What shape and color does the stool look like?"
Huang Zhibai immediately replied: "There are also pus and bloody stools, and there are also watery stools. They are different, and tenesmus is very obvious."
Lin Sanqi breathed a sigh of relief, because he was already sure of many things.
First of all, this is a collective disease. There are only 10,000 people in Xiang Commune, and more than 800 people are sick. This means that the incidence rate has reached 8%, which meets the requirements for the epidemic of infectious diseases. Secondly, this infectious disease has diarrhea first and then fever, and the diarrhea is very severe, indicating that enterovirus is the main cause.
If these two requirements are met, the scope of diagnosis can be narrowed a lot.
Lin Sanqi immediately began to recall the "Infectious Diseases" textbook in his mind. Fortunately, he was still in the internship stage and could still remember the contents of the textbook clearly.
But before he could confirm the diagnosis, he had to see the patient with his own eyes.
"Doctor Huang, let's go see the patient first, but with so many people lying in the open air, what if it's windy or rainy?"
Huang Zhibai smiled bitterly and said helplessly:
"There is no way. As you can see, we are just a small mountain village. We don't even have a health center. Now that all the houses in the township government and primary school are vacant, it is not enough. There are too many patients, so we can only lie in bed. On the road.”
Mayor Lei pointed to the black smoke not far away and said:
"Not only are the patients unable to be treated, but even if they die, we can only cremate them as soon as possible. Unfortunately, they cannot even be buried in peace after death..."
Lin Sanqi thought to herself, sure enough, she knew that encountering pillars of black smoke in the disaster area was definitely not a good thing, so she bowed several times to the black smoke in the distance, which was regarded as condolences.
"Let's go and see the patient. Oh wait, I'll get something from the car."
Lin Sanqi climbed into the truck. When she got off, she was already wearing a medical cap, N95 mask, disposable isolation gown, gloves, and foot gloves. All she needed was an eye mask. She also carried a wooden medicine box behind her.
When Mayor Lei saw it, he was amazed: "Wow, the doctors from the capital are different after all. Ours is equipped with millet and rifles, while others are equipped with tanks and airplanes, fully armed."
Lin Sanqi was also a little embarrassed. Dressing like this made her look quite unique, but there was nothing she could do about it. Her own life always came first.
Under the leadership of Mayor Lei and Dr. Huang, Lin Sanqi walked towards the houses on the roadside, which were full of patients.
There was a young doctor holding a wooden bucket and pouring Chinese medicine into the wooden bowl in front of the patient.
Lin Sanqi asked curiously: "Doctor Huang, what prescription do you use?"
When Huang Zhibai heard that the superior doctor wanted to test him, he quickly replied with a correct attitude:
"Oh, this is Zeng Chong's recipe. The medicinal materials are Codonopsis pilosula, raw oysters, lotus leaves, lotus stems, and lotus leaf pedicles. Oysters and lotus leaves are both readily available ingredients, but this Codonopsis pilosula is used less. Originally, each recipe requires 3 coins, now only 1 coin can be used for this entire bucket of potion.”
Although Lin Sanqi is not a student of traditional Chinese medicine, she also knows that the prescription must be sufficient, the quantity of medicinal materials must be sufficient, and the dosage of a single medicine must be sufficient.
"Dr. Huang, we only use less than one-tenth of Codonopsis pilosula, but the effect cannot keep up."
"Who says it's not, but you have seen the conditions here. For this reason, the county borrows Codonopsis pilosula from surrounding areas."
Lin Sanqi understood that it was not that the local government did not provide medicine, but that Qin County was too poor and remote to afford or use it.
Lin Sanqi squatted down. There was an old man lying on the ground. At this time, the whole person was like a mummy. The cheeks and eyeballs were obviously sunken. The whole person looked very irritable, turning around on the ground.
Lin Sanqi asked the person next to him to hold the old man in place and took out a thermometer to measure it. The temperature reached 39°C;
Measure blood pressure again, 80/50;
"How many times has this old man had diarrhea today?"
A female doctor next to me replied: "I have had urination 5 times since dawn."
"Have you ever done a stool test?"
"Comrade Lin, we can't even get out a microscope, so how can we do an examination?"
The female doctor snorted softly: "Where are all the sulfonamides in our hospital? This is a life-saving drug, but it ended up being taken away by a few people."
Doctor Huang blushed when he heard this, while Lei Xiangxia looked at the sky and said that it had nothing to do with him.
Lin Sanqi also snorted softly. She really wanted to give this brave female doctor a thumbs up, but she thought it was better not to offend those county Brahmins when she was alone in a foreign land.
Lin Sanqi then began to examine other patients.
In fact, the best way for Lin Sanqi to deal with it at this time is to take a few samples of the patient's stool and then take it to 2023 for testing.
But there is a risk. The two time and spaces are different. What if an unknown bacterial virus from 1959 is brought to 2023?
If it spreads to the whole country and the whole world, then Lin Sanqi will be a sinner, and it would be a shame to drag him out and fill him with cement and sink him into the sea.
After examining about a dozen patients, Lin Sanqi already had some idea. The clinical symptoms of all the patients were exactly the same. From the epidemiological point of view, they could be considered to be the same disease and they were contagious.
Lin Sanqi asked again: "Which drinking water does your Xiang Commune use?"
Mayor Lei pointed to a stream next to the village and said:
"It's that Shuangjiang stream. Almost all the villages in our Xiang Commune are built next to this Shuangjiang stream."
The source of drinking water is single and concentrated, which again conforms to the "transmission route" of intestinal infectious diseases. If you drink the same river water, you will get the same disease.
(End of chapter)