Chapter 308 750 X-ray machine unveiled
The tuberculosis department of the Hospital of Traditional Chinese Medicine was opened.
Even though the Traditional Chinese Medicine Hospital did not take any advertisements and did not invite any leaders, many colleagues came over to watch the fun.
Union Hospital, Digital Hospital, Railway General Hospital, Friendship Hospital, Fuxing Hospital, etc. are all comprehensive hospitals with Western medicine.
However, the directors of these hospitals were all stopped in the conference room by Vice President Ji and asked to drink boiled water. The reason was that the traditional Chinese medicine hospital had to prepare for the opening ceremony.
This opening ceremony did not involve setting off firecrackers, hanging colorful balls, and there was no ribbon-cutting by leaders.
At the foot of Baihu Mountain, at the entrance of the tuberculosis department.
Dean Shen was holding a big rooster, and after looking around and realizing that no one was seeing it, he aimed the kitchen knife at the chicken's neck and pulled it. As the rooster struggled for a while, blood spurted out.
Dean Shen then lit another candle, placed the chicken in the middle, and placed some pastries and fruit offerings next to it. He quickly bowed a few times, then quickly blew out the candles and quickly put the rooster carcass into a bag.
The whole process didn't take more than 3 minutes.
Lin Sanqi was lying on the wall at this time, looking around carefully to prevent others from seeing this "opening ceremony".
Sacrifice is absolutely not allowed in this era, especially D party cadres must take the lead in rejecting feudal superstition.
But there is no way. As the dean, Shen Guoming is from the south. As the director of the department, Lin Sanqi is also from the south. Even the traditional Chinese medicine consultant of the tuberculosis department, Mr. Shi Jinmo, is also from the south.
Southerners still respect ghosts and gods very much, especially the Ming Tombs, which have a strong yin energy, and they will not feel at ease if they do not worship them.
"Uncle Shen, are you okay?"
"Okay, okay, come here quickly and bury the candle ashes. I bought this rooster with great difficulty. Let Aunt Li pack it out quickly. Let's eat white chicken for lunch."
The two of them quickly cleaned up the scene like thieves, destroying the corpses and eliminating traces, and then they became happy:
"Okay, Xiao Qi, I'll leave this tuberculosis department to you. Many deans from major hospitals are here today. You have to give me a boost. If you want to be an instant hit, let our hospital of traditional Chinese medicine have a great reputation. Living together, resounding throughout the country.”
Lin Sanqi thought to himself that by then it would probably be resounding all over the world, and it would definitely go out of Asia and face the world.
"Uncle Shen, don't worry, just wait for the moment when you steal the fruits of the victory of the revolution."
Using later generations of Western medicine and Western medicine diagnosis and treatment plans based on the decades of experience of medical researchers is not stealing the fruits of victory.
Dean Shen kicked Lin Sanqi in the butt: "Go away, you think I am Yuan Datou!"
……
……
After the opening of the consultation, the tuberculosis ward was very busy today. In addition to Lin Sanqi, the department director and many leaders of the traditional Chinese medicine hospital, there were also 7 college students and 24-year-old apprentices, who took up most of the yard.
In addition, there are leaders from major hospitals in the capital, fellow doctors from the Department of Respiratory Medicine and Infectious Diseases, as well as leaders from some health bureaus.
The small courtyard of the Tuberculosis Department was so packed that Lin Sanqi had to move his desk to the courtyard to make it easier for everyone to "intern" nearby.
Today's patients are two celebrities, Ma Lianliang and Zhao Yanxia.
Ma Lianliang and Zhao Yanxia are both actors. Actors have a liberating nature, and they don't care so much about being surrounded by people.
Therefore, Dean Shen and Lin Sanqi persuaded the two famous actors to agree to serve as today's models. While treating the disease, they also wanted to find out a set of useful experiences for the treatment of tuberculosis.
Although the artists were like lions when they asked for food, their ideas were still very advanced. Many of them went to northern Shaanxi after liberation. In the end, many of these advanced elements became ladies, capable of bringing people from thousands of miles away. The call goes to Commander Lei’s forward command post...
Ma Lianliang was wearing a long gown and sitting quietly on a stool.
Lin Sanqi was wearing a white coat and an N95 mask. He looked back at everyone in the courtyard and saw that everyone was also wearing an N95 mask. Then he nodded and said:
"Then I'll start."
The film camera lens was aligned, university student Zhou Wenliang pressed the button, and the world's first case of tuberculosis treated with traditional Chinese and Western medicine began.
The camera was bought by Lin Sanqi from Xiangjiang. For smugglers, the entire camera and radio are very common, and everyone is not surprised.
Lin: "Mr. Ma, when did you start feeling uncomfortable?"
Ma: "It was about five years ago. At that time, I always felt weak. I thought it was because I was too tired from performing. Later, I continued to cough and expectorate. I saw many doctors, but it never worked, and I became thinner and thinner.
On the recommendation of a friend, I went to a traditional Chinese medicine hospital to see a doctor and was diagnosed with tuberculosis. My family was worried and sent me to Union Medical College Hospital. The diagnosis at that time was tuberculosis, and I subsequently took a lot of Chinese and Western medicine. ”
Lin Sanqi said to everyone in the yard at this time:
"Mr. Ma's situation is quite special, because he has been diagnosed with tuberculosis in advance, and it was diagnosed by both Chinese and Western medicine, so there will be no errors in the diagnosis.
But if we encounter similar patients in clinical practice, how to judge whether it is tuberculosis? One is to look at the clinical symptoms. If you encounter a patient in the clinic who coughs and produces sputum for more than 2 weeks, accompanied by low-grade fever and night sweats, you should highly suspect tuberculosis! ”
Dean Shen was a little anxious after hearing this and reminded in a low voice:
"It's tuberculosis. Don't keep talking about tuberculosis. Use our traditional Chinese medicine term "pulmonary tuberculosis."
Lin Sanqi was a little embarrassed. She was accustomed to using Western medicine vocabulary when she entered work, so she nodded slightly to show that she understood, and continued to preach:
"If the doctor highly doubts whether the patient has tuberculosis, he usually needs to do several tests to confirm whether he has tuberculosis. Traditional Chinese medicine doctors have their own unique methods. This is difficult to learn, so we will not talk about it for now.
From the perspective of our Western medicine doctors, ahem, our doctors, there are two types of preliminary screening: tuberculin test and tuberculosis antibody.
But what I want to tell you is that these two tests are unreliable. The false positive and false negative ratios are very high, which affects the doctor’s judgment. ”
At this time, it is necessary to praise the actors. College student Geng Fuxing raised his hand and said:
"Director Lin, when we go to the outpatient clinic, how do we judge whether it is... consumption of the lungs?"
Lin Sanqi nodded, thinking that college students were indeed smart, and the eyes of the 24 disciple soldiers were full of clear stupidity, even though he had given them two weeks of sudden training.
"There are two ways to confirm whether it is tuberculosis. One is sputum culture. This is easy to understand. It means quantitative culture of a mouthful of sputum from the patient. As long as tubercle bacilli are found, it can be confirmed.
The other is pathological examination, which is more powerful, or surgery to open the chest and cut out a little bit of lung tissue. Or just do a puncture, insert such a long needle into the lung, and take a sample for biopsy. ”
Many deans and doctors from other hospitals who attended the lecture were somewhat opposed, feeling that Lin Sanqi was wrong.
In the 1960s, the domestic Western medicine community focused on clinical practice and ignored laboratory testing. One reason was that conditions did not allow it, and the second reason was that time did not allow it.
For example, the sputum culture for tuberculosis often takes 2 to 8 weeks. If a patient comes to see a doctor, do you ask him to come back after 2 months? This is obviously impossible.
So a doctor from another hospital stood up and asked:
"Director Lin, as far as I know, the accuracy of sputum culture is not 100%. Some patients are unable to cough up sputum on their own, and some sputum samples are easily contaminated. So at this time, sputum culture is the gold standard for diagnosis. Not accurate enough? ”
Lin Sanqi is not annoyed when faced with doubts. The more he argues, the clearer his reasoning becomes. It is normal to have doubts. Don't be silent.
"This is a good question. The accuracy of sputum culture is about 80% to 90%. It is indeed not 100%. But logically speaking, as long as we find Mycobacterium tuberculosis in the sputum, we can definitely confirm the diagnosis, right? ?
As for the lung tissue examination, it is both a knife and a needle. Most people cannot accept it, and most of our doctors cannot do it. So what should we do at this time? ”
Dr. Feng Xinmin from Union Hospital shouted half-truthfully:
"Then X-rays are needed for diagnosis at this time, but the question is, where did your traditional Chinese medicine hospital get the X-ray machine?"
"That's right, a traditional Chinese medicine hospital just checks the pulse and tongue coating. Since sputum culture may not be accurate, how does traditional Chinese medicine make a diagnosis?"
"Come on, Director Lin, let us see your innovative diagnosis and treatment plan."
"Hehehe~~~"
In 1960, the Capital Hospital of Traditional Chinese Medicine was definitely No. 1 in the country in terms of TCM strength, as everyone in the industry knew.
But everyone also knows that traditional Chinese medicine hospitals follow the route of traditional medicine and do not have a set of testing equipment and instruments like modern hospitals, so several deans from other hospitals began to take the opportunity to joke.
Not really a mockery.
The anger was real. Who allowed the Traditional Chinese Medicine Hospital to have more food, and even built a new farm? Looking at the cornfield that was already half a person tall, everyone was so envious that they were beyond recognition.
As a result, everyone laughed for a long time and found that Dean Shen, Vice President Ji, Lin Sanqi and other people at the Traditional Chinese Medicine Hospital did not have any expressions of shame, aggrieved or angry, but were all calm.
So everyone was not calm.
Director Tu thought that the Traditional Chinese Medicine Hospital dared to be the first in the country to offer a "tuberculosis specialist" and then thought about the magic of Lin Sanqi in the past, so he took a breath of air:
"Damn it, Old Shen, did you buy an X-ray machine?"
Dean Shen raised his chin: "Of course, and our X-ray machine is the most advanced 750 mAh machine, which is clearer. The result should not be too good."
When colleagues in the outer courtyard heard this, they all raised their eyes.
Dean Shen glanced at them, smiled, and continued to stimulate:
"If the venue was not too small, we would have planned to install seven, eight, or ten X-ray machines. Now we have only installed two, and we don't know if they will be enough."
"Two? Do you have two 750 mA X-ray machines here?"
Whether it was Dean Tu, Dean Liu, Dean Dai, or the department directors of other major hospitals, they all stood up excitedly, and their faces turned red to the naked eye. Of course the eyes are redder.
Director Liu Shengli of Digital Hospital pointed at Director Shen and asked:
"Old Shen, how many patients are there in your tuberculosis department now?"
Dean Shen blinked and said innocently:
"Currently, we have temporarily admitted two patients. The two artists are here. There are also 8 patients who are employees of our hospital. They are not considered official patients for the time being."
Liu Shengli waved his hand: "Okay, okay, let's count these 8 people. You have 10 patients in total, right?"
"Yeah, what's wrong?"
"Damn it, Shen Guoming, you are going to die. How dare you equip 2 X-ray machines for 10 of your patients? Are you a heifer flying? How awesome are you?"
Dean Tu Bin of Union Hospital also cursed:
"Old Shen, Old Shen, do you know that our Union Hospital has 1,500 beds and hundreds of thousands of outpatient visits every year? How many X-ray machines are there? One, we only have a 400 mA X-ray machine. You fucking 10 How dare one patient use two 750 mAh X-ray machines?”
Dean Dai Youzhong of Friendship Hospital also shook his head:
"It's too much, it's too much. The superiors are too biased. How come all the good things go to the Traditional Chinese Medicine Hospital?"
Director Zhu from the Health Bureau quickly jumped out to clarify:
"It's wrong. I'm wronged now. We at the Health Bureau don't know how the two X-ray machines in the Traditional Chinese Medicine Hospital came from and how much they cost. I know just like you. Old Shen, you are a satellite ! ”
The more Liu Shengli thought about it, the angrier he became, and his eyes became redder and redder. Suddenly he saw Lin Sanqi who was shrinking into a corner, so he ran over and grabbed him by the neck:
"Good boy, where are you running! Tell me, did you get this X-ray machine? Have you forgotten that you are also a part of the digital hospital? You are still my deputy chief of the purchasing department!"
Lin Sanqi was in pain and quickly begged for mercy: "No, no, no, no, Lao Liu, save some face for me."
Pan Ye was so frightened that he almost burst into tears. He quickly stepped forward and shouted: "Dean Liu, I'm going to strangle you to death, I'm going to strangle you to death."
Liu Shengli was furious at this time and groaned when he heard Lin Sanqi begging for mercy:
"Save face for you? Guard, bring me my gun. I will kill this kid first today, and then steal the X-ray machine. All my hard work has been fed to the dog."
In 1960, the most advanced X-ray machine in China was the 400 mA X-ray machine, and the 750 mA machine was the main model newly equipped in European and American countries.
It was not until the early 1980s that 750 mAh machines began to appear in large numbers in China, and it was not until the late 1980s that 1250 mAh X-ray machines began to appear in China.
This is why several deans became furious when they heard that the Traditional Chinese Medicine Hospital had a 750 mAh X-ray machine. Who doesn’t want an advanced machine?
Seeing that several deans were already armed to grab the X-ray machine, Lin Sanqi quickly shouted:
"Old Liu, I don't like hearing what you are saying. I became the deputy section chief of the purchasing department of your digital hospital. Have you ever paid me a salary? Have you assigned me housing? Just give me a work permit. Just want to be a white wolf with nothing?”
Upon hearing this, Liu Shengli thought for a moment and asked strangely: "Did I forget to pay you your salary?"
"Yes, not paid. You haven't paid me a month's salary. I don't even know where the door of your purchasing department opens. How dare you say that I am one of your own?"
Dean Shen also sarcastically said:
"If you need to employ people, you should go forward, if you don't need people, you should go to the back. Your digital hospital is really smart about your calculations."
Liu Shengli knew that he was in the wrong, but he refused to admit defeat:
"Then is it too late for me to use it now? Lin Sanqi, I order you to report to the Digital Hospital immediately tomorrow, and I will also set up a special tuberculosis department for you."
Lin Sanqi was quite speechless. Today was a teaching clinic, and so many students were watching. As a result, the deans first got into a fight:
"Stop, stop, stop, what's going on with you deans? There are still Teacher Ma and Teacher Zhao here, and there are so many new employees. The interns are watching, and you just made a fuss like this? Where is the Qi-nurturing Kung Fu you promised? How to set an example for younger generations?”
Ma Lianliang quickly waved his hand, saying that he didn't see anything.
Zhao Yanxia, on the other hand, had an indifferent expression. She was a strange woman, a Mulan-like character, looking at the situation with a smile.
Dean Liu is a soldier, and all soldiers are straight men. At this time, he has already waved his hand:
"I don't care. Your traditional Chinese medicine hospital can't use two X-ray machines. I'll pack up one and take away one later. Just tell me how much it costs and I'll give it to you."
Dean Shen was also anxious: "How dare you, this is the territory of our traditional Chinese medicine hospital. We have thousands of employees and family members. Let's try using our X-ray machine."
"Just try it!"
"I'm going to die again, I'm sorry, Mrs. Wen, I can't compare with you. Are you eating ginseng?" Dean Shen was so anxious that he even started talking in his native dialect, and the people present were stunned for a moment.
Lin Sanqi quickly dissuaded:
"Don't be anxious, don't be anxious. I still have a 750 mAh X-ray machine on hand. In this case, I will give you a friendly price, a cost price, and a jumping price. One unit is 150,000 yuan. You can take 150,000 yuan of ginseng, musk bezoar and other precious medicinal materials to follow. I’ll change it.”
Dean Liu, Dean Tu, and others were delighted when they heard that Lin Sanqi still had an X-ray machine, but they were a little embarrassed when they heard that they wanted Chinese medicinal materials.
The digital hospital is better because they have a Chinese medicine department, and this hospital has great hands and eyes, so it is easier to get any medicinal materials.
Union Hospital is a comprehensive hospital with only Western medicine. There are no Chinese medicinal materials in the hospital, and there are no corresponding purchase channels in the society. Now Director Tu was a little worried.
Just when Dean Tu was worried, Vice Dean Ye next to him had an idea:
"Lao Tu, aren't we going to visit North Korea soon? Ginseng is produced there. At worst, we can ask them to buy some. It doesn't take much to get an X-ray machine."
When the butcher heard this, his eyes lit up and he nodded heavily.
"Comrade Xiaolin, okay, then our Xiehe needs two X-ray machines. I will find a way to get 300,000 ginseng for you next month. Before that, you must keep this X-ray machine for me."
Dean Liu counted on his fingers:
"Boy, I am not representing our digital hospital. You also know that there are many brother units in our military medical system. So, I want 10 X-ray machines. You can go and prepare the machines, 150,000 for each of us. It shouldn’t be a big problem for the hospital to get together.”
Subsequently, several other hospitals also stepped forward to request the purchase of X-ray machines, and the remaining dozen or so X-ray machines were sold in an instant.
The name of Timely Rain Forest Panax notoginseng of the Traditional Chinese Medicine Hospital has now spread throughout the health system. Everyone knows that the Traditional Chinese Medicine Hospital has such a talented person who can get things that others cannot, from food to advanced instruments.
Therefore, no one has any doubt that Lin Sanqi can provide X-ray machines. Since their superiors have tacitly approved it, they will naturally not be timid.
When advanced foreign instruments come to China, the country will not suffer any loss, and there is no reason to stop them.
This is just like a little boy or girl falling in love. If something unexpected happens, the man will never suffer, so what are you afraid of?
It can only be said that these hospitals are not losing money, but Lin Sanqi is making a lot of money. The cost of one unit in 2024 is 150,000 yuan for medicinal materials in 1960. Taking inflation into account, Lin Sanqi is simply making crazy money. .
The farce ended, and Lin Sanqi continued to treat Ma Lianliang and Zhao Yanxia.
Lin Sanqi personally operated the X-ray machine and took a front and side view of each of the two Peking Opera actors, and then immediately arranged for students to develop them.
Comparing the previous X-rays from Union Medical College Hospital, the X-rays from the Traditional Chinese Medicine Hospital are obviously better in clarity.
But it was at this glance that something went wrong. On Ma Lianliang's X-ray, many white spots, large and small, were not evenly distributed in both lungs.
Lin Sanqi frowned. The presidents and directors of other hospitals knew what the problem was, but most people at the scene were confused.
Even Ma Lianliang himself was a little nervous, sitting there with his fists clenched tightly.
A college student couldn't help but ask: "Director Lin, how do you interpret Mr. Ma's film? It seems to be similar to the miliary tuberculosis you talked about before."
Lin Sanqi looked back and found that it was Fan Zili who was his new recruit, so he nodded happily:
"Student Fan listened carefully to the class. I want to praise you. Did you all understand? This video is a typical chronic miliary tuberculosis.
Let me explain again, acute miliary tuberculosis is formed when a large number of Mycobacterium tuberculosis invades the body at one time and enters the lungs along the blood circulation. The lungs appear as many dense miliary shadows of uniform size.
The most typical acute miliary pulmonary tuberculosis shows three uniform signs, namely: uniform miliary shadow size, uniform distribution in the lung field, and uniform shadow density. Some people call it triple uniform syndrome.
However, uneven white spots like this on Mr. Ma's X-ray film generally indicate that tuberculosis has transformed into a chronic miliary form, which we generally describe as "three uneven conditions."
Why do three unevenness occur? That's because after some time, some tuberculosis nodules heal on their own, and some nodules fuse together and become larger, so they appear as white spots of different sizes. ”
Fan Zili continued to ask: "Director Lin, what does it mean if we see three uneven films clinically?"
Lin Sanqi glanced at Ma Lianliang and knew that this kind of teaching clinic should not be treated carelessly, so he said bluntly:
"Indicating that the condition is serious, Teacher Ma said before that in the early stage of the disease, he had symptoms such as low-grade fever and cough. After 5 years, he should often have symptoms of systemic poisoning such as high fever and difficulty breathing. This is also the reason why Teacher Ma cannot go on stage now. Right? ”
Ma Lianliang sighed after hearing this:
"Yes, yes, we opera singers must have steady and long breaths, but now I can't even speak. I'm covered in sweat after walking around. If I were to perform on stage, I'd probably die on stage. By the way, Doctor Lin, Can my disease still be cured? ”
From the perspective of traditional Chinese medicine, Ma Lianliang was already terminally ill and could not be saved by gods.
But in Lin Sanqi's eyes, little tuberculosis is a matter of control!
(End of chapter)