A doctor who travels through two eras

Chapter 121 Tragedy caused by peanuts

When Lin Sanqi heard this, two possibilities immediately flashed through his mind. One was that maybe the peanuts had fallen into the trachea, causing respiratory obstruction?
Another possibility is an allergy to peanuts.

Nut allergy is a common allergic reaction and is not uncommon in clinical practice.

However, there was already a doctor treating the patient at this time, and Lin Sanqi was prepared to wait for other doctors to make a diagnosis before making any further comments.

The middle-aged doctor was shaking his head while taking my pulse.
"It's a problem. This is a case of rheumatism. There is no medicine on the train right now. I'm afraid this girl is in great danger."

The girl's parents were anxious when they heard this: "Doctor, what is rheumatism? Why is my daughter dying???"

Lin Sanqi explained, "Wind syncope is an allergic disease in Western medicine. I think he has already had anaphylactic shock."

"Huh? What's anaphylactic shock again?"

In the era when medicine was not widely available, ordinary people generally lacked basic medical knowledge. They could not understand either rheumatism or allergies, nor did they know the consequences.

Seeing that the Chinese medicine doctor had finished taking the patient's pulse, Lin Sanqi quickly took out a blood pressure monitor from the first aid kit and started measuring the patient's blood pressure.

Traditional Chinese medicine relies on experience in treating diseases, while Western medicine relies on a large number of auxiliary examinations.

Lin Sanqi measured the patient's blood pressure and it was 60/40. He then saw that the patient's face was becoming paler and paler, his whole body was soaked, and his breathing was becoming more and more labored.

The patient seemed a little agitated. She grabbed Lin Sanqi's hand and squeezed it tightly, obviously asking for help from the outside world. It seemed that one could hear her shouting "Save me, save me".

Lin Sanqi knew that this was a feeling of near-death. If it was not treated in time, the little girl's breathing and heartbeat might stop at any time and her life would hang by a thread.

The middle-aged doctor also saw the urgency of the situation. He sighed and explained to the girl's parents and the people around him:
"The so-called wind syncope refers to the sudden onset of wind poison in the human body, which disturbs the qi and blood, disturbs the yin and yang, and blocks the qi mechanism. It manifests as chest tightness, palpitations, difficulty breathing, limb syncope, weak pulse, itchy skin, and abnormal consciousness."

Some people nearby were anxious: "Doctor, we don't understand. Just tell us how to treat this girl now. She is having trouble breathing."

The middle-aged doctor shook his head slightly:

"It's very difficult to treat. The patient's airway will be blocked soon, and he will be unable to breathe, and eventually suffocate to death. There are also brave predecessors who will use scissors to cut the throat to keep breathing, but unfortunately we are on the train now, and there is no rescue equipment or medicine at all."

"Oh, my daughter~~~"

When the girl’s parents heard this, they became anxious and started crying loudly.

The passengers who were watching the scene also kept saying it was a pity, and it was obvious that they couldn't bear to watch the girl die.

Lin Sanqi did not give up at this time.

After measuring her heart rate, breathing and blood pressure, he pulled up the girl's sleeves to observe the changes in her skin, regardless of gender. He then pulled up her skirt to reveal her white thighs and observed the skin condition of her lower limbs.

The girl's father was anxious when he saw it: "Comrade, how could you do this to my daughter?"

To an outsider, it seems that this young man is taking advantage of the girl. Otherwise, he would just treat the patient. Chinese medicine doctors just take the pulse. How can they lift up the girl's skirt?
Lin Sanqi explained:

"Comrade, don't worry. I suspect your daughter is allergic to peanuts. I need to observe her rash all over her body. Don't worry, I'm from the Capital Hospital of Traditional Chinese Medicine. I'm a professional in saving lives. I will do my best to treat your daughter."

After saying that, Lin Sanqi took out his work ID and showed it to everyone without even turning his head.

Because the first aid he will perform later will definitely involve a lot of "indecent actions", he is afraid that the family members and onlookers will misunderstand and push Sangsang, missing the best time for rescue.

(When hospitals are performing emergency treatment, they often ask family members to leave and not let people watch. One of the reasons is to avoid unnecessary misunderstandings and complaints.)
Lin Sanqi's work ID was red, with the words "Capital Hospital of Traditional Chinese Medicine" written on the cover, which scared everyone.

For traditional Chinese medicine, there is Kuanjie Hospital of Traditional Chinese Medicine, and for Western medicine, there is Union Hospital. These are top hospitals well-known throughout the country. Who dares to say anything about them?

Seeing that no one dared to question it, Lin Sanqi no longer cared about whether it was decent or not, and he pulled open the girl's clothes to observe her torso, and then he saw that the patient's body was covered with urticaria.

It is certain that it is anaphylactic shock.

At this moment, the girl lying on the ground had difficulty breathing. She began to sigh, her mouth opened and closed but no air came in or out. At the same time, her consciousness began to become unclear, and the hand that was tightly holding Lin Sanqi slowly relaxed.

The middle-aged doctor also squatted down quickly, and then shouted anxiously:

"Oh no, it's no good, I'm going to die."

The girl's parents no longer cared about anything at this time and simply jumped on top of their daughter and burst into tears. Many female comrades who were watching also began to wipe away their tears.

Lin Sanqi was pushed aside.

"Don't cry, don't cry, the patient is not dead yet, he is still breathing, please get out of the way, please get out of the way, we can still save him."

The girl's parents were stunned when they heard this. They forgot to cry and just stared at the young doctor in front of them.

Lin Sanqi didn't care about anything and pushed the girl's parents aside. He took out a bottle of adrenaline from the first aid kit, pulled up the girl's skirt, and injected the needle subcutaneously on the outer side of her thigh.

After the injection, Lin Sanqi threw the needle away, quickly inserted an intravenous needle into the girl's hand, and then quickly injected the hormone injection. But the people around him exclaimed:
"It's too late, it's too late, the girl is dead."

When Lin Sanqi looked up, he found that the girl was not breathing with her mouth open, her eyes closed and she was unconscious, and her face had turned gray.

The middle-aged doctor felt the patient's pulse and shook his head repeatedly: "The pulse has stopped. He is dead. What a pity..."

Before the girl's parents could even wail, Lin Sanqi stopped them: "Don't cry yet, there is still hope, there is still hope!"

The people around immediately started to discuss: "How can we save them if they are dead?"

"That's right, now that the child is gone, why not stop making such a fuss?"

Lin Sanqi didn't listen to what the people around him said. He knew that when a person's heart and breathing stopped, there were actually 5 golden minutes for rescue, not to mention that he had already used adrenaline and hormones.

There is another way, cardiopulmonary resuscitation!

The train passengers were surprised to find that the young doctor from the Capital Hospital of Traditional Chinese Medicine suddenly crossed his hands and pressed directly on the girl's chest.

Everyone's eyes almost popped out.

This is the most sensitive part of a woman, how can a strange man touch it easily? Not to mention this is in public.

Immediately, a cadre-looking man stood up and criticized: "Young comrade, this is not appropriate for you, is it?"

Lin Sanqi was not angry either. He started pressing and explained:

"Please don't misunderstand me. This is a medical rescue method called chest compression. The purpose is to help the heart beat and maintain blood circulation. Please believe me. I am a professional doctor and will not do anything that harms patients."

The girl's mother was conservative and was about to reach out to stop the young doctor from "violating" her daughter, but was dissuaded by the Chinese medicine doctor next to her:
"Sister, this young comrade is really capable of both giving injections and pressing. Since he said there is still hope, we should fight for it even if there is only a glimmer of hope."

The girl's father nodded heavily: "Yes, we must trust the doctor, he is saving our daughter."

When Lin Sanqi heard this, he felt relieved. As a medical student in 2023, saving people on the train still carried certain risks.

In 2019, there was a case where a patient suddenly fell ill on a train. An obstetrician and gynecologist bravely stepped forward to provide emergency treatment to the patient.

As a result, the patient was rescued, but the obstetrician and gynecologist was charged with "practicing medicine illegally."

Because the doctor's registered medical practitioner information does not include "first aid profession", he is practicing beyond the scope of his profession, which is illegal practice of medicine.

The fact that a man was saved and a doctor was practicing medicine illegally was heartbreaking to countless doctors.

There was another case where a passenger on a train needed first aid and a doctor stepped forward.

As a result, after the passengers were out of danger, they were asked by the railway authorities to provide a "practicing physician certificate".

This requirement is extremely insidious because it has two consequences.

1. If a doctor cannot provide a practicing physician certificate, it is an illegal practice of medicine and the doctor will be held legally responsible.

Second, if a doctor can provide a practicing physician certificate, and something happens to the patient, the doctor will have to bear all the blame.

For example, it is easy to break the patient's ribs during chest compression. The family members will believe that the broken ribs pierced the heart and lungs, which led to the patient's death, and they will ask the doctor to be responsible and bear the legal consequences.

(The above are all real cases)
So later there was a controversy among doctors: if you encounter someone in need of emergency treatment in a public place, will you save him or not?
At least half of the doctors answered that they would not save the patient, as they had studied hard for so many years and did not want to lose their jobs or have their medical licenses revoked because of an accident.

This is exactly the same consequence as the Peng Yu case in Nanjing.

Later, the country introduced new policies, stating that no qualifications are required for first aid, and rescuers do not have to bear legal responsibility, etc.

Back on the train, in 59, the common people in the country had generally not been exposed to various drugs, and they were like a blank sheet of paper.

So after a few injections, the drug took effect quickly, and Lin Sanqi performed cardiopulmonary resuscitation immediately. Just one minute later, the girl suddenly moved.

"Cough cough cough~~~"

The girl suddenly coughed a few times, and then began to breathe violently, as if she wanted to suck all the air into her lungs.

Lin Sanqi was overjoyed when he saw this, and then shouted, "Everyone step back and let the patient get some fresh air!"

When everyone in the carriage heard this, their jaws dropped to the ground in shock, and they all took ten steps back.

The girl's parents also stepped back to make room for her, crying and shouting:

"A miracle doctor~~~"

(End of this chapter)