A doctor who travels through two eras

Chapter 171 Malignant Intestinal Infectious Diseases
Village chief Lei is also a shrewd man. When he saw that Lin Sanqi wanted to escape, how could he let him go so easily?
A plague suddenly broke out in Naxiang Commune, which was under his jurisdiction, and he was worried about the lack of medical care and medicine.

In 1959, there were not many doctors even in the capital, let alone this remote county far away from the border. There were only about ten doctors in the entire county, and most of them were traditional Chinese medicine and Zhuang medicine.

It's more like a small clinic than a county hospital.

Apart from the lack of doctors, the key problem is the lack of medicines. Forget about Western medicine, the only way to survive is through Chinese herbal medicine.

The rapid development of primary healthcare in China did not begin until 1969, when a magical book, “Barefoot Doctor’s Manual”, was launched and then promoted nationwide, which led to the training of a large number of primary medical personnel (including Academician Li Lanjuan).

Village Chief Lei grabbed Lin Sanqi's hand, tears in his eyes, and said affectionately:

"Comrade Lin, look around you. So many people are suffering from disease. The damn plague is taking our lives one after another. Many people died before the arrival of the life-saving doctors. They died unwillingly.

Now, the great man may have heard the voice of the people and sent you, a great doctor from the capital, to support us. This is the kindness of the Central Military Commission. So, Comrade Lin, more than 10,000 people in our commune are all relying on you. "

A big hat was put on Lin Sanqi's head, whether he was willing or not.

A white coat nearby also shouted excitedly:

"Comrade Lin, you are a doctor from a large hospital in the capital. Your medical skills are far superior to those of us rural doctors. Please stay and help us."

Lin Sanqi opened his mouth but held back from refuting, thinking, Brother, please look carefully at my work ID. I am from the purchasing department, not the clinical department. People who don’t work in the hospital are all doctors, and they may also be ideological and political cadres.

The people around also pleaded:

"Comrades from the capital, please save us..."

"There are too many people who are sick. If we don't control the situation, I'm afraid the entire Qin County will be doomed..."

"Great! Someone from the capital has come. Central D has sent someone to rescue us!"

When Village Chief Lei saw Lin Sanqi's changing expression, he knew he had to risk it all, even if he had to use moral blackmail to keep this young doctor.

"Comrade Lin, I, I kneel down in front of you, please save our Xiangren!"

Village head Lei knelt down with a thud.

Although the doctor in front of him was very young, which meant his medical skills were not very good, the fact that he could drive a big truck here showed that the Capital Hospital of Traditional Chinese Medicine behind him was extraordinary and he could save people just by raising his hand.

Village head Lei had a good plan. Since Qin County couldn't help, he could only seek external assistance. Lin Sanqi was the cat that came to him on its own initiative.

Now he doesn't care whether the cat is white or black, as long as it is related to medicine, he will catch mice for him.

Village head Lei is a native of Naxiang. Before liberation, he could have become a chieftain and had a lot of prestige in the local area.

Now that Township Chief Lei had knelt down, the other villagers nearby also knelt down, shouting, "Save us..."

Lin Sanqi had only seen a large group of people kneeling during the Chinese New Year, but that was kneeling to their ancestors, not a young man like him.

"No, no, no, no, everyone, don't kneel. Village Chief Lei, please stand up. Oh, please stand up first."

"Comrade Lin, if you don't agree, I, Old Lei, will kneel down and die in front of you today!"

"I'll save you, I can save you, but you have to tell me what happened, too."

Well, Lin Sanqi still lacks social experience. In fact, he could just leave at this time. It is definitely not a good idea to get involved in muddy water in other places.

Moral condemnation? Who can condemn him when he returns to the capital?

Now, I have put myself in a dangerous situation.

Although the university did not want him, he had been brainwashed unconsciously after five years of studying in medical school, and always remembered that saving lives and healing the wounded was his duty.

When Mayor Lei heard that the doctor from the capital was willing to stay, he immediately stood up without anyone's help and shouted to the doctor in the white coat next to him:

"Doctor Huang, please explain the situation to Comrade Lin."

Dr. Huang was in his 50s. His white coat was mixed with mud and feces. He was barefoot, his hair was messy, and he looked very haggard.

"Comrade Lin, I'm Huang Zhibai from Qin County Hospital, but I'm a traditional Chinese medicine practitioner, and the team I brought with me this time are all traditional Chinese medicine practitioners."

When Lin Sanqi heard the name, he knew that this old man was a rare cultured person.

"We have treated a total of 830 patients in Naxiang Commune, 170 of whom have died and 660 are waiting for rescue. These patients all have a common symptom: fever, abdominal pain and diarrhea."

Lin Sanqi asked, "What shape and color is the stool?"

Huang Zhibai immediately replied: "There are bloody stools and watery stools, each is different, and the tenesmus is very obvious."

Lin Sanqi breathed a sigh of relief because he was already sure of many things.

First, this is a collective outbreak. There are only 8 people in Naxiang Commune, but more than people have fallen ill, which means the incidence rate has reached %, which meets the requirements of an epidemic. Secondly, this infectious disease first causes diarrhea and then fever, and the diarrhea is very severe, which means that it is mainly caused by enterovirus.

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 still remembered the contents of the textbook clearly.

But before he could make a diagnosis, he had to see the patient in person.

"Doctor Huang, let's go see the patients first. But there are so many people lying in the open air. What if it rains or blows?"

Huang Zhibai smiled bitterly and said helplessly:

"There's nothing we can do. You can see that we are just a small mountain village. We don't even have a health center. Now all the houses, including the original township government and the primary school, are empty and still not enough. There are too many patients and they can only lie on the road."

Village Chief Lei pointed at the black smoke not far away and said:

"Not only can we not treat the sick, but even for the dead, we can only cremate them immediately. It's a pity that they can't even be buried in peace after death..."

Lin Sanqi thought, as expected, he knew that encountering pillars of black smoke in the disaster area would definitely not be a good thing, so he bowed several times towards the black smoke in the distance, which could be considered as a condolence.

"Let's go, go check on the patient, oh wait, I'll go get something from the car."

Lin Sanqi climbed onto the truck, and when he came down he was already wearing a medical cap, N95 mask, disposable isolation suit, gloves, and foot covers, the only thing missing was an eye mask, and he also carried a wooden medicine box on his back.

When the village chief Lei saw this, he exclaimed in amazement: "Wow, the doctors from the capital are really different. We have millet and rifles, while they have tanks and planes, fully armed."

Lin Sanqi was a little embarrassed, as dressing like this made him seem quite unique, but there was nothing he could do, as his life always came first.

Under the guidance of Village Chief Lei and Doctor Huang, Lin Sanqi walked towards the houses on the roadside, which were full of patients.

A young doctor was 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 senior doctor wanted to test him, he quickly replied in a serious manner:

"Oh, this is Zeng Chong's prescription. The medicinal materials are codonopsis, raw oysters, lotus leaves, lotus stems, and lotus leaf stalks. Oysters and lotus leaves are readily available, but codonopsis is used less frequently. Originally, each prescription required 3 coins, but now only 1 coin is used in this whole bucket of medicine."

Although Lin Sanqi did not study Chinese medicine, he knew that the prescription must have sufficient quantity, the number of medicinal materials must be sufficient, and the single medicine dosage must also be sufficient, none of which can be missing.

"Doctor Huang, we only used less than one-tenth of the Codonopsis pilosula, so the effect won't be enough."

"Who says it's not true? But you have seen the conditions here. This little bit of Codonopsis was borrowed by the county from the 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 too remote to buy or use it.

Lin Sanqi squatted down. There was an old man lying on the ground. At this time, his whole body looked like a mummy. His cheeks and eyeballs were obviously sunken. He looked very irritable and rolled over and over on the ground.

Lin Sanqi asked the people around him to hold the old man down, took out a thermometer and measured his temperature, which reached 39 degrees Celsius.
Blood pressure was measured again, 80/50;

"How many times has this old man had diarrhea today?"

A female doctor nearby replied, "He has had diarrhea five times since dawn."

"Have you ever done a stool test?"

"Comrade Lin, we can't even get a microscope, so how can we do an examination?"

The female doctor snorted and said, "Where did all the sulfa drugs in our hospital go? They are life-saving drugs, but they were all taken by a few people."

When Dr. Huang heard this, his face turned red, while Lei Xiangxia looked up at the sky, indicating that it had nothing to do with him.

Lin Sanqi also snorted softly. He really wanted to give a thumbs up to this brave female doctor, but when he thought about it, he decided not to offend those county Brahmins since he was alone in a foreign land.

Then Lin Sanqi began to examine other patients.

In fact, the best way to deal with Lin Sanqi at this time is to take a few samples of the patient's feces and then take them for testing in 2023.

But there is a risk here. The two time and space are different. What if the unknown bacteria and viruses from 1959 are brought to 2023?
If it spreads across the country and the world, then Lin Sanqi will be a sinner and it would be a pity if he were dragged out, filled with cement and sunk into the sea.

After examining about a dozen patients, Lin Sanqi already had some idea. The clinical symptoms of all patients were exactly the same. From an epidemiological perspective, it could be considered that they had the same disease and it was contagious.

Lin Sanqi asked again: "Which one is the drinking water in your Xiang Commune?"

Village Chief Lei pointed to a stream beside the village and said:
"It's the Shuangjiang River. Almost all the villages in our Naxiang Commune are built beside this Shuangjiang River."

The drinking water source is single and concentrated, which once again conforms to the "transmission route" of intestinal infectious diseases. People drink the same river water and get the same disease.

(End of this chapter)