African Nationhood

Chapter 136 Internal Affairs-Medical Chapter (Part ) Please subscribe

The two came to the large lecture hall on the first floor. When they opened the door, they saw that the classroom was full of people, more than forty people.

They were all girls whom everyone knew. When they saw Ye Rong arriving, everyone greeted her one after another.

"Sister Ye'er!"

"Hello, Sister Ye'er!"

"Sister Ye'er, here you go!"

……

These girls don't have the kindness and enthusiasm of girls outside. They are cold to everyone, and Ye Rong is used to this.

Most of them are "pig flower" girls who came with Ye Rong. These girls did not become like this from the beginning.

In the first year after they arrived, all of them were naive and ignorant and could only obey Master Shi's orders.

They were told to study medicine, and they obediently reported to Dr. Lawen Schneider's clinic in Walvis Bay.

At that time, Dr. Schneider was not worthy of his name at all, and he did not know much.

In terms of surgery, he could at most apply some iodine to the patient and do a simple bandage, but he couldn't do anything else.

When the prospecting team was attacked by the natives and escaped, he didn't know how to deal with the poisoned and rotten wounds. In the end, two prospecting team members died helplessly.

In internal medicine, he only knows bloodletting (leeches and blood vessel excision - the two major bloodletting techniques).

(Although many medical workers were opposed to bloodletting in the mid-to-late 19th century, more doctors were still superstitious about the efficacy of bloodletting.

They believe that there is only one reason for many diseases, and that is "blood vessel tension".

William Osler, the "father of modern clinical medicine", wrote in "Principles and Practice of Medicine" published in 1892: "Pneumonia is a disease in which timely bleeding can save lives."

At the beginning of the 20th century, many doctors still insisted on bloodletting.

In 1915, American doctor Heinrich Stern made his final cry for bloodletting in his monograph "The Theory and Practice of Bloodletting".

Until ten years later, there were still American doctors who firmly believed that bloodletting had a good effect on pneumonia.

In 1799, Washington, the founding father of the United States, suffered from a cold and throat inflammation. Half of his blood was drained by doctors. He eventually died of excessive blood loss. )
  Mr. Shi personally interviewed Dr. Schneider, and after discovering that he was insincere, he immediately participated in teaching medical courses.

He also guided Dr. Schneider in writing new medical textbooks. Dr. Schneider was not convinced by Master Shi at first.

But after learning that Mr. Shi invented the "Band-Aid", was a medical graduate of Noynola State University, and was the second shareholder of Johnson & Johnson, he lost the courage to refute.

Later, as the medical knowledge taught by Mr. Shi was proven effective in practice, Dr. Schneider immediately became Mr. Shi's apprentice.

He took Master Shi's words as a guideline and never violated them.

The experimental training subjects of this group of people gradually changed from the initial soldiers of the advance battalion to the local indigenous people.

When facing the indigenous people, Dr. Schneider became more bold and aggressive, and the "pig flower" girls under him also became cold-blooded.

When they face the experimental subjects, they don't treat them as human beings at all, they just conduct mechanical and efficient research.

Of course, they are not cruel to the extent of cutting alive bodies, and Europe is in the experimental stage of using anesthetics.

The medical school took the lead in trying experiments. They tried ether, chloroform, and opium. Finally, they tried spinal anesthesia under the guidance of Mr. Shi and determined that this anesthesia method was very effective.

Dr. Schneider's clinic became the initial teaching location, and later their teaching location was changed repeatedly.

From Walvis Bay Port to Anhai Town, and then to the current Anhai Second Reservoir.

Their teaching equipment is becoming more and more sophisticated, and the latest medical equipment from Europe will be shipped to Anhai Town as soon as possible.

Moreover, Mr. Shi will provide guidance on the research direction of the medical school, such as the "Penicillium culture" experiment that Cai Ya mentioned before. The secretion of this mold can effectively kill most pathogenic bacteria.

It is very difficult to culture and extract penicillin on a large scale. People at their medical school have been exploring methods for the past two years.

The medical school has been most successful in its development of surgery.

In this era, surgeries that many European doctors dare not try or have low success rates are easy for them. For example, the "cesarean section" surgery, which is relatively common in Southwest Africa today, was first tried and tested in medical schools. After the technology and process were fully mature, it was promoted in Anhai Town Maternal and Child General Hospital.

Now Anhai Maternal and Child General Hospital has gone to various major districts to carry out "assistance to the countryside" to train new students.

As the total number of immigrants from Southwest Africa continues to rise, a baby boom is coming.

Southwest Africa has responded effectively and made arrangements in advance.

When Mr. Shi established Anhai Town, he proposed to build Anhai Maternal and Child Health General Hospital first, and then the First Hospital of Anhai Town.

After the Maternal and Child Health General Hospital was established, no ward in the hospital was ever empty.

Therefore, Mr. Shi once again directed the construction of maternal and child health hospitals in various major regions, and the assigned medical students and nurses also tended to focus on maternal and child care.

Although the response to the newborn boom has been effective, Southwest Africa still has a thorny problem with newborns, that is, the infant mortality rate is too high.

There were more than 5 newborns in Southwest Africa last year, but at most 1% survived past the age of 85, and more than % of the children died in infancy.

Although so many children die in infancy, research and comparison by medical schools found that this death rate is relatively low in the world.

Because the data for the same period in European and American countries are even more exaggerated.

In 1880, the national average neonatal mortality rate in the United States was 246 per thousand, and the same period in the United Kingdom was similar.

(In 1890, the infant mortality rate in New York City was 288 per thousand, and in London the infant mortality rate was 152 per thousand.

From 1898 to 1900, more than 1.6 infants died in New York, accounting for % of the city's mortality rate.

In 1920, Yang Chongrui, a female medical doctor in the Republic of China, calculated that in Beijing and surrounding rural areas, the infant mortality rate was 200‰ and the maternal mortality rate was 15%;

During the same period, the infant mortality rate in Europe and the United States has dropped to 80‰-90‰, and the maternal mortality rate in Europe and the United States is 3%-5%. )
  After Mr. Shi read the report about the high neonatal mortality rate, he immediately ordered the medical school to form an investigation team.

After careful study, the investigation team found that the main causes of such a terrible mortality rate can be roughly divided into four categories: diarrhea, contact infectious diseases, respiratory diseases and congenital diseases.

Among them, diarrhea is the main cause of death of infants under one year old, and medical schools are currently failing to pay attention to the other three aspects.

Mr. Shi agreed very much with the research report of the investigation team and quickly provided specific countermeasures.

He asked Anhai Town General Hospital and Anhai Maternal and Child Health General Hospital to deploy key doctors, and then recruit all the students from Anhai Town Medical College.

A large-scale, long-term publicity campaign on the safe upbringing of newborns has been launched in various regions in Southwest Africa.

The primary targets of publicity are mothers who have given birth to children and those who have lost their children, and education and publicity to them is a top priority.

In addition, all prospective newlyweds must attend government-run marriage and childbearing courses before receiving a certificate. Only after passing the course can a marriage certificate be issued.

In addition, local governments must regularly organize parenting lectures for other women of childbearing age in their jurisdictions by mothers with successful child-rearing experience.

At the same time, rewards will be given to families with good child care. These rewards are mainly spiritual rewards, such as issuing certificates and banners. Financial rewards can also be given. Specific measures are left to the local government for consideration and adoption.

These points must be included in the performance evaluation of local officials. Local officials whose fertility rate does not meet the standards or whose infant mortality rate is too high must be punished.

Regardless of whether he is removed from office, regional notification and nationwide notification will be carried out first.

This kind of humiliation is quite fatal for officials, so local officials cannot help but take it seriously.

……

After Ye Rong and Cai Ya greeted everyone, they sat in the front row.

Soon Dr. Lawen Schneider arrived with a shiny forehead and a hairless head.

After he glanced around the classroom, he turned around and started writing on the blackboard.

Soon he wrote three big words on the blackboard: antibiotics.

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  (End of this chapter)