Director Xiao Lin first asked: "Uncle Shen, Dad, what do you see?"
Dean Shen thought for a while and said:
"The patient's lips have a dark color, the sublingual veins have become distended and varicose, the Yintang area on the face has turned black, and even the pulse has become astringent, as weak as scraping bamboo with a knife. This is due to blood stasis. A silent warning in the body
Now, both the patient's symptoms and pulse are in line with my previous guess. The patient is caused by the loss of lung qi and internal obstruction of phlegm..."
Lin Sanqi waved her hand and interrupted:
"Uncle Shen, your other diagnoses are correct, but in the end what you said about internal obstruction of phlegm is wrong. The principle is indeed similar, but the internal obstruction is not phlegm, but blood clots."
All the Chinese medicine practitioners in the room suddenly sat upright.
Dean Shen also frowned:
"Xiao Qi, are you so sure it's 'blood turbidity' and not 'phlegm turbidity'? This cannot be mistaken. The treatment plans for two different internal resistances are completely different."
Another old Chinese medicine practitioner also reminded:
"Yes, Xiao Lin, if it is phlegm, we mainly focus on resolving phlegm and replenishing the lungs. But if it is blood turbidity, the treatment plan must be changed to activating blood circulation and removing blood stasis. Now the patient is in critical condition, and if we make a mistake, we will have no chance to change it again. Back.”
"Chief Xiaolin, you didn't even see the condition in the lungs, how can you tell?"
"You are still too young, Old Lin. Your son has good medical skills but lacks experience."
The old Chinese medicine doctors all expressed their objections, but Lin Sophora flavescens still kept his trademark smile and did not refute or speak.
Lin Sanqi thought to herself that Chinese medicine should continue to improve and learn, otherwise the limitations of thinking would be too strong.
Indeed, the condition inside the internal organs cannot be discerned with the naked eye. For example, with Mr. Ramiz, even the top Chinese medicine doctor can only judge that there is something blocked in the lungs.
(Ordinary Chinese medicine practitioners can’t even identify this)
But what is the blockage? Even Hua Tuo and Sun Simiao could not tell it while they were still alive. They can only guess that it is blocked by phlegm? Blocked by a blood clot? Got a tumor and blocked it? Or is there a foreign object swallowed and blocked?
In fact, despite the fact that Chinese medicine pays attention to the internal organs, in fact, the doctor cannot see the specific conditions inside the internal organs. He can only blindly guess based on experience and then prescribe medicine.
The result is that there is a 25% chance of guessing it correctly and being cured.
But there is also a 75% chance that the guess is wrong and the patient dies, which adds up to half of the mortality rate.
This is the limitation of traditional Chinese medicine, oh, it may also be the limitation of the times, and ordinary X-rays cannot judge it.
Lin Sanqi knew that time waits for no one and treatment must be urgent. He was too lazy to "debate" with these old Chinese doctors, so he interrupted directly:
"Seniors and teachers, you may have forgotten that our traditional Chinese medicine hospital has just acquired the world's most advanced X-ray machine. Why I can conclude that it is a blood clot obstruction, not phlegm obstruction, is based on the film."
After saying that, Lin Sanqi took out an ordinary chest X-ray and pointed at it randomly, just to bully the old Chinese doctors for not understanding:
"Nao, you see, here and here, it is obvious that the bronchi are dilated. Nao, there is bleeding here, and the bleeding is pouring upward. This is the reason why the patient is coughing up blood. But if the blood flows downward, it is blocked. Bronchial tubes.”
The Chinese medicine doctors put on their reading glasses one by one, and then looked blankly at the X-ray films in Lin Sanqi's hands.
I don't understand, I can't understand it at all.
I have never heard of the upper lobe of the right lung, the lower lobe of the left lung, or the aortic arch and pulmonary action segments, let alone understood them.
Because she didn't understand, Lin Sanqi also kept her eyes closed and talked nonsense. Where can I see clearly in ordinary X-rays? Now he says he can see clearly if he can, using his knowledge to monopolize the right to explain.
Lin Sophora's eyes flashed, but she still didn't say anything.
Dean Shen's eyes also flashed, knowing that he must support the young department director at this time, so he made a decision on the spot:
"Okay, since you have produced the evidence, let's treat it according to blood stasis. What do you think? Is it better to use Xuefu Zhuyu Decoction or Taohong Siwu Decoction?"
Lin Sophora needs to support her son at the critical moment:
"Xuefu Zhuyu Decoction is composed of Bupleurum, Angelicae, Rehmannia, Red Peony, Safflower and other medicines. It has the effect of promoting blood circulation, removing blood stasis, promoting Qi and relieving pain. It is mainly used to treat blood stasis syndrome in the chest. For this foreign guest, I think is appropriate.”
Everyone in the small conference room nodded lightly.
The top technical force of the Traditional Chinese Medicine Hospital is the 12 national treasures. Now these old national treasures are far away in Changping, and because of their special status, it is inconvenient to come forward. Therefore, the strongest technical force is mainly Shen Guoming, Lin Sophora, and Li Jingming, who were famous doctors from various provinces at that time. .
Now that the dean and the head of the "Magical Lingnan Sect" have made their decision, who dares to have an opinion?
Lin Sanqi is also very happy. In fact, Western medicine has no particularly good solution for blood stasis in the lungs. It is either a surgical incision to remove it directly, or a bronchoscope to remove it. However, these two methods are currently not suitable for comatose patients. .
All that remains is postural drainage.
So the so-called postural drainage is also simple. It means placing the patient in a head-down position and then patting the back continuously to promote the discharge of sputum and blood clots.
But the most troublesome thing here is that the patient is comatose, and it is easy for you to pass out the discharge. If the discharge blocks your airway, you will directly suffocate and die.
For the same reason, you can't use expectorants for fear of blocking the airway.
Therefore, it is the best choice to go to traditional Chinese medicine at this time and use traditional Chinese medicine to activate blood circulation and remove blood stasis.
Lin Sanqi's plan was to use traditional Chinese medicine to remove blood stasis, while using Western antibiotics to fight infection, and then use blood transfusions to replenish blood volume. A three-pronged approach to gain precious rescue time.
The treatment plan was decided and all parties began to take action immediately.
As a result, the problem came out again.
Western medicine treatment is not a big problem. It relies solely on dripping the medicine through infusion. However, after the Chinese medicine was boiled and served, everyone found that the patient was in a coma and seemed unable to give medicine.
Looking at this bowl of carefully prepared Chinese medicine soup but unable to feed it, and then looking at the unconscious patient on the hospital bed, Dean Shen was a little anxious.
"Xiao Qi, what should I do? If it doesn't work, let's get a syringe and put it in?"
Lin Sanqi waved her hands after hearing this: "Dean Shen, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, we don't need to take risks, there are always ways."
Comatose patients are in a highly dangerous state and are unable to swallow on their own and protect their respiratory tract. If the decoction is given at this time, it may increase the risk of aspiration, aspiration pneumonia or suffocation, which is not worth the gain.
Chinese medicine is an auxiliary, not the decisive factor. Lin Sanqi doesn't want to take risks.
"Dean, in the past, how did you deal with such comatose patients who were unable to give medicine?"
When encountering this kind of situation in novels, a beautiful woman usually takes a mouthful of Chinese medicinal soup and then feeds it to the patient mouth to mouth. It looks very warm and fragrant, but in fact, doing so also has the risk of suffocation.
"In the past, we would use enema, but this Xuefu Zhuyu Decoction is not suitable, so I am anxious."
Before Lin Sanqi could think of any solution, Bi Xinglong had an idea first:
"We can use nasogastric feeding, pass a tube into the patient's stomach, and then inject the decoction directly into the stomach through a syringe."
Lin Sanqi's eyes lit up: "Yes, yes, this is a good idea. Didn't Union Hospital send the entire set of medical equipment? Dr. Bi, please intubate immediately."
The difficulty of intubating a nasogastric tube is not high. Even an intern can handle it. It is considered a basic operation.
When the decoction was finally injected through the bell tube, the doctors at the Traditional Chinese Medicine Hospital breathed a sigh of relief, but Lin Sanqi and others were still in a state of fear.
Ma Zhongli was a little worried: "Director Lin, what if the patient cannot be revived?"
Lin Sanqi thought to himself that if he couldn't wake up today, he would definitely have to be put on a ventilator. At that time, he would not hesitate to take it out for the sake of the Traditional Chinese Medicine Hospital and his own personal reputation.
As for whether there are any consequences for taking it out...
What are the consequences?
A ventilator is a medical machine, not a bomb, nor a cutting-edge weapon. Why is it so sensitive?
Even if someone asks more, where does this machine come from? At worst, just push it to a mysterious foreign country. Anyway, if you ask, it is caused by foreign countries.
What caused it? Isn't it allowed to smuggle it? Can you care?
What haven't you seen? You haven’t seen it before because you have little experience. How many times have you been abroad? How many times have you been to the top hospitals in the United States? You know shit!
Lin Sanqi is getting bolder and thicker now, and is no longer as sneaky as before. After all, he is a "smuggler" who has been registered with the upper class, so what is he afraid of?
Afraid of settling accounts in the future?
This is the best explanation of how humble people are invincible.
That night, more and more cars drove into the Traditional Chinese Medicine Hospital, and leaders from various departments swarmed in. After a super leader got off the bus, he saw that he had arrived at the Traditional Chinese Medicine Hospital and immediately expressed his dissatisfaction:
"Old Cheng, what's going on? Mr. Ramiz is our most distinguished foreign guest. The Nordic Snow Country where he is located is also the first European and American developed country to recognize us, so we cannot pay too much attention to him.
When you get well, can't you treat yourself well in Xiehe? If it doesn't work, you can transfer him to Friendship Hospital, Fuxing Hospital, or Peking Hospital. But why did you transfer him to the Traditional Chinese Medicine Hospital? Look at them, they don't even have a decent inpatient department. ”
Leader Cheng also looked embarrassed after hearing this, and quickly explained:
"There's nothing I can do about it. Union Hospital thinks it's lung cancer and there's no cure for it. It recommends just taking him home and waiting to die without any further torture. Dr. Lin Sanqi from the Hospital of Traditional Chinese Medicine objects to the conclusion of lung cancer.
He felt that there was still a chance of rescue, so he issued a military order for this purpose. Leader, you think, since Mr. Ramiz is ready to die, why not give him a chance again, just in case Chinese medicine can create a miracle? ”
When the super leader heard this, he sighed and nodded slightly:
"You're right. I was impulsive just now. Comrade Lin Sanqi dared to step forward at such a critical moment. He seems to be a good comrade who has the courage to take on responsibilities. I shouldn't blame him too harshly. By the way, after he took over , is there any special treatment? ”
Leaders are also gossipy and curious.
Leader Cheng thought for a while and reported on the treatment plan for the afternoon. He had a good impression of Lin Sanqi and wanted to say a few good words:
"After Mr. Ramiz was transferred to the Hospital of Traditional Chinese Medicine, the Hospital of Traditional Chinese Medicine immediately organized a comprehensive examination. Oh, by the way, the Hospital of Traditional Chinese Medicine now has the most advanced 750 mA X-ray machine in the country, as well as the most advanced blood testing equipment.
After preliminary examination, Comrade Lin Sanqi confirmed that Mr. Ramiz did not have lung cancer, but massive bleeding caused by bronchiectasis that blocked the trachea, causing dyspnea and hemorrhagic shock. ”
The big leader raised his hand after hearing this, his face full of confusion:
"Wait a minute, the Traditional Chinese Medicine Hospital has the most advanced X-ray machine and blood test machine? Is there any mistake? When did the Traditional Chinese Medicine Hospital become Westernized?"
Leader Cheng burst out laughing, and then whispered:
"Let me remind you, we got so many second-hand medical equipment and tens of thousands of bottles of penicillin before, it was this kid who got it. He was smuggled in from abroad, so wouldn't it be easy for him to smuggle in some advanced instruments? ”
The super leader remembered:
"Oh~~~ It's the little smuggler from the traditional Chinese medicine hospital that Lao Jing mentioned. Haha, it turns out that not only is he strong in smuggling, he is also so strong in medical skills? He is really a multi-faceted talent."
Leader Cheng tentatively said: "This is Lin Sanqi's smuggling behavior, you..."
The big leader waved casually:
"Lao Jing mentioned to me at the beginning that I also think that since Comrade Lin Sanqi can continue to bring foreign food, medicine, and machinery into the country, this is a good thing, and we are optimistic about the success. When did he smuggle contraband? It’s not too late to deal with him.”
Again, Lin Sanqi is just one of the contemporary smugglers.
Our country is so big, with a population of 600 million, and we need a lot of supplies. There are actually tens of thousands of smugglers like Huo Daheng, so that we can maintain the operation of a country.
Otherwise, if Old Man Huo drives a small wooden boat to transport supplies, how much blood can he transport?
So for us at the top, we all turn a blind eye to the smugglers who transport good things into the country.
But anyone who dares to bring good things from China to abroad will be arrested and killed. It’s such a double standard.
While the two leaders were still chatting, the secretary hurried over:
"Wake up, Mr. Ramiz is awake."
……
……
In the ward, Bi Xinglong was taking his blood pressure, Ma Zhongli was taking his temperature, and Mrs. Alia was holding her husband's hand and crying and laughing with excitement.
Mr. Ramiz looked weakly at the young attending doctors in front of him and asked in English:
"Where am I? Am I going to die? Should I prepare my last words?"
Lin Sanqi smiled and comforted in English:
"Don't worry, Mr. Ramiz, you do not have lung cancer. Our medical team at the Hospital of Traditional Chinese Medicine is confident enough to help you recover."
"Really? Great, doctor, your English is great!"
Dean Shen and Lin Sophora next to them looked at each other.
Dean Shen's eyes were once again full of shock and confusion, and he asked in a low voice: "When did Lin Sanqi speak English so well?"
Lin Kushen could only smile bitterly again: "He, he has been learning English since he was a child in Huadu, and he has not fallen behind for so many years. Old Shen, is this a good explanation?"
Dean Shen glanced at Lin Sanqi: "Yes, that's the explanation. Everyone who asks will explain it this way!"
"Everyone give way, give way~~~"
There was a sudden sound outside the door, and then the ward door opened and a group of leaders came in.
"Ambassador Ramiz, how are you feeling..."
Lin Sanqi stood aside and saw that none of these leaders knew each other, which meant that they were not one of the four great men on the RMB. This was quite a pity. He had traveled through time and space and had not even seen a real great man.
Half an hour later, the leader finished his condolences and was about to go back. At this time, the super leader looked at the youngest doctor on the scene and asked:
"Are you Comrade Lin Sanqi? Good, good, good, young and promising. Your medical skills are much better than those of Union Medical College."
Lin Sanqi quickly modestly said: "The main reason is that our traditional Chinese medicine hospital has advanced examination equipment, so it can diagnose diseases that Xiehe cannot."
After hearing this, the super leader nodded thoughtfully, and then pulled Lin Sanqi aside amid the surprised eyes of everyone:
"Comrade Xiaolin, I heard that you have obtained 20 state-of-the-art X-ray machines?"
Lin Sanqi knew the business was coming as soon as he heard it, so he quickly made a sales pitch:
"Yes, leader, the principle of modern medical treatment is to have evidence. The specific parts of the human body that have problems and how to treat them are all based on detailed and accurate auxiliary examinations.
Just like what kind of disease Mr. Ramiz had this time, I just guessed based on experience at first, but doctors are human and humans always make mistakes. So I need the most advanced instruments to confirm whether my guess is accurate.
Xiehe's X-ray machine is too old, only 400 mAh, made in China by the Shanghai Factory, and the pictures taken are not clear enough. It happened that our traditional Chinese medicine hospital had a 750 mAh machine imported from abroad, so I transferred Mr. Ramiz to the hospital. ”
The leader of the Extraordinary T Group listened and nodded:
"It seems that a good machine is indeed very important for treating diseases. Without the X-ray machine in your traditional Chinese medicine hospital, Mr. Ramiz would have been diagnosed with lung cancer and waited to die. If it spread abroad, our country would be in trouble. It’s such a shame, Comrade Lin Sanqi, you have made a meritorious service this time”
Lin Sanqi chuckled: "This is what I should do, and it is also the path our country's health industry must take in the future."
Only then did the super leader reveal his purpose:
"At present, it seems that the 400 mA X-ray machine technology produced by the Shanghai Precision Medical Equipment Factory is not mature enough. The core components are imported. Foreigners are very bad. What they sell to us are defective products and the price is too expensive! This also further restricts the development of my country's medical and health industry
Then Comrade Lin Sanqi, since you can get such an advanced and easy-to-use X-ray machine, do you think you can continue to help the country get some more? ”
Lin Sanqi thought to himself, what he was doing was investing in a business that was about to be flipped, and the profit he made was this. He had to help, he had to help!
"Leader, please rest assured that I am a patriotic young man. As long as the country needs it, I will do my best and never back down."
When the super leader heard this, he happily patted Lin Sanqi on the shoulder:
"Okay, okay, when the country is in trouble, we just need good patriotic young people like you. So, how many of the most advanced 750 mAh X-ray machines can you get?"
Lin Sanqi said nonchalantly: "Leader, please tell me how many machines you want. I will risk my life to do it."
The big leader smiled and held out two fingers.
"Twenty units, okay, I'll cover it!"
"No, it's 200 units!"
Even if Lin Sanqi was mentally prepared, he was startled when he heard this number and blurted out:
"Wow, so many?" (End of Chapter)