A doctor who travels through two eras

Chapter 172 It's Dysentery, Not Cholera

By the Shuangjiang River, Village Chief Lei, Doctor Huang and others sat together. Everyone wanted to hear the opinions of Lin Sanqi, the great doctor in the capital.

Village Chief Lei was the first to ask impatiently:
"Comrade Lin, which plague do you think is more likely this time?"

Lin Sanqi looked at Huang Zhibai: "Doctor Huang, what was your previous diagnosis?"

"After discussing it among us, we concluded that dysentery and cholera are the most likely causes. I wonder what Comrade Lin's diagnosis is?"

Red and white dysentery is a term used in traditional Chinese medicine. The full name in Western medicine is "bacillary dysentery"

Lin Sanqi nodded, obviously agreeing with the diagnosis.

After all, there are only a few major intestinal infectious diseases, and they can be ruled out one by one using identification methods.

For example, in the case of amoebic dysentery, the stool is jam-like, which is very distinctive and is also the biggest distinguishing point.

It is also possible that it is epidemic encephalitis B, a disease transmitted by mosquitoes. There are so many mosquitoes in the primeval forest of Qin County. Why is Lin Sanqi not afraid of the heat and wearing isolation suit?
Fear of infectious diseases is one reason, but fear of mosquito bites is also an important reason, as mosquitoes can spread too many diseases.

However, in addition to high fever, abdominal pain and diarrhea, epidemic encephalitis B generally has very obvious signs of meningeal irritation.

The symptoms are neck stiffness, Koenig's sign and Brugner's sign, which should all be positive. In fact, it means that the whole body is stiff, but Lin Sanqi just checked and none of the patients met the criteria.

Then you can also queue up for epidemic encephalitis B.

The stool of cholera is rice-water-like, while the stool of dysentery is mucus, pus, blood, etc. The two can be clearly distinguished just by looking at the color of the stool.

"I agree with Dr. Huang's diagnosis. Dysentery is the most likely cause."

When Huang Hebai heard this, a smile instantly appeared on his face and his chest straightened unconsciously, obviously feeling proud that his diagnosis was correct.

Village head Lei is an outsider. He doesn’t care about diagnosis. He cares more about how to treat.
"Comrade Lin, since both sides agree, how should we think about treatment? The number of new cases is increasing by about 100 people every day. I guess there are still many villages whose data have not been included. This is very serious."

Lin Sanqi immediately recalled the knowledge in the infectious disease textbook and said seriously:

"The first treatment principle is digestive tract isolation. This means that the water from Shuangjiang Creek must never be drunk again, not even for washing clothes. Your commune should immediately organize people to dig a well in the nearby valley. The water must be boiled before drinking.

Secondly, the feces of all patients must be collected and then disinfected with lime. Never use water to flush feces at will, otherwise the water that flows out will contaminate other places, which will cause the spread of viruses and bacteria. "

Village Chief Lei had already taken out a pen and paper, and was taking notes in his notebook as he listened:

"This can be done. I will send someone to implement it immediately."

"The second treatment principle is dietary adjustment. I see that the patient is still eating bananas, taro, cassava, and buckwheat. These foods are either indigestible or have no nutrition. How can they be given to the patient?

No matter how difficult it is, we have to find some rice to make porridge, and then add some salt. This kind of food can be digested and absorbed by the patient, which will help the recovery of the disease. Eating fruits and hard food will only aggravate the disease. "

"Rice porridge?"

Village Chief Lei smiled bitterly after hearing this:
"Comrade Lin, don't say that patients can't eat rice. I haven't eaten rice for several months. People in the mountains usually eat corn, sweet potatoes, and cassava as staple foods. How can I be so lucky as to drink rice porridge? I really can't do this."

Dr. Huang smiled and took out a slightly rotten corn cob from his backpack:
"No, this is my breakfast and lunch today. This is already a special care. Village Chief Lei himself eats banana paste. You city people must have never eaten rice made from bananas, right? Hahaha."

The people around laughed softly.

Lin Sanqi thought to himself, I have actually seen this before. There was a documentary about an African black uncle whose staple food was bananas or plantains. I just didn't expect that cousin Guangqi also eats this.

Tasty?
Village Chief Lei was a little worried: "How do we solve this nutrition problem? Rice, there is not much rice in the whole Qin County."

Lin Sanqi was about to blurt out, "I'll provide the rice," but suddenly stopped himself.

Because the fact that he rescued the patient in Qin County today would definitely be known to the Capital Hospital of Traditional Chinese Medicine, and he could no longer explain how he acquired his medical skills. If he could also provide rice, he would definitely be suspected by outsiders.

By then, even Dean Shen won’t be able to protect him.

After all, grain is too sensitive. He can trade it secretly with others under a mask and a pseudonym, but he can never take it out openly in front of the government.

It seems that the hurdle of diet and nutrition can only be overcome by the patients themselves. Lin Sanqi does not want to sacrifice his own future for these strangers.

Huang Zhibai is more concerned about clinical drug use:
"Comrade Lin, are you going to use Chinese medicine or Western medicine for treatment?"

What he meant was that if it was Western medicine, there wouldn't be much of it in the entire Qin County. The legendary sulfa drug had indeed been taken away by someone, but Huang Zhibai didn't take a single one, and he had a clear conscience about that.

Lin Sanqi was a little embarrassed. He had medicines, such as norfloxacin, ofloxacin, ciprofloxacin, lomefloxacin, etc. These quinolone antibiotics were absolutely miracle drugs for dysentery.

But how can he get these medicines?
Now he is facing a public occasion, in front of the government, and anything he produces now may appear on the desk of some special department.

How will he explain it then?

When Lin Sanqi says that he is actually a time traveler, do you think the people in the special department will believe him? Online novels were not popular in the 1950s.

The most likely scenario is that the relevant authorities arrested Lin Sanqi as a spy, and then whipped him with a whip dipped in salt water: "Will you tell me or not? Will you tell me or not!!!"

If we use Chinese medicine, Yin Gong, Lin Sanqi knows nothing about Chinese medicine. Even if he travels back to 2023 to ask his father for a prescription, where will the Chinese medicine come from? People use Codonopsis as MSG, just a little bit, which shows the poverty of the local area.

Just when Lin Sanqi was in a dilemma, a female doctor suddenly ran over in a hurry:
"Comrade Lin, Comrade Lin, the little girl you brought back with you is dying. Do you want to go and see her?"

"what?"

Lin Sanqi stood up suddenly and ran quickly.

By the time everyone ran to the ward where the little girl was, there were already a few people standing around pointing and talking.

Lin Sanqi ran into the room and squatted down. It was called a hospital bed, but in fact it was just a bamboo mat lying directly on the ground. Next to it was a medicine bowl with the soup still inside.

This is a little girl of about five or six years old, and she has already started talking nonsense.

"Mom, I want to eat chicken..."

"Dad, please don't hit me. I won't steal food anymore..."

"Brother, where are we going..."

Lin Sanqi touched the little girl's head and found it was very hot. He took out a thermometer and measured its temperature: 40.5℃.

"She won't take her medicine?"

The female doctor shook her head and said, "She couldn't be fed. She was unconscious at first, and her jaws were clenched. Then she started to talk nonsense, and her temperature kept rising. You can see that her stools were full of thick blood. She couldn't be saved."

Lin Sanqi was a little anxious. This was the person he rescued along the way. How could a time traveler like him let her die?
"No, no, it can be saved, it can be saved. Go get a bowl of clean water, quickly."

Doctor Huang came over at this time: "Clear water, clear water is here, this is well water, not Shuangjiang Creek water."

Lin Sanqi took out a bottle of ibuprofen from his backpack with shaking hands, opened it and poured the red liquid into the water. He then took out a tablet of amoxicillin, opened the capsule and poured the powder into it, then picked up a spoon and prepared to feed it himself:

"Little sister, come here and open your eyes. I will give you some medicine. Your illness will be cured after you take the medicine."

The little girl seemed not to hear and continued to mutter to herself: "Little yellow dog, don't eat the little yellow dog..."

The female doctor carefully lifted the little girl's head and said, "Doctor Lin, she should be in a coma now. Why don't you try to force-feed her the medicine?"

Lin Sanqi nodded and carefully placed the spoon next to the little girl's mouth. He fed the medicine into her mouth when she opened her mouth to speak, but before anyone could relax, she spat out all the medicine.

"Oh……"

Everyone around felt regretful.

Lin Sanqi actually knew clearly that the patient had been in shock before and now suddenly started talking nonsense, which was actually a sign of a last burst of vitality, and the mortality rate was very high.

The only way now is to give medicine as soon as possible and save the person before death comes.

"Little sister, be obedient and take the medicine. Your illness will be cured after taking the medicine. Open your mouth, okay?"

Lin Sanqi tried to continue pouring the medicine into the little girl's mouth, but failed every time. Everyone started to get anxious.

At this moment, the little girl suddenly opened her eyes slowly:

"Brother, I want brother..."

Lin Sanqi put down the bowl, quickly hugged the thin little girl and comforted her: "Don't be afraid, I am your brother, your brother is here!"

"Brother, I can't walk anymore, I need a hug..."

"Okay, hug me, I'll hold you, I'll take you to BeiJ, I'll take you to see Tian'anmen, I'll take you to eat meat!"

"Eat meat, eat meat..."

The little girl's voice became softer and softer, and then there was no sound. Lin Sanqi touched her carotid artery with trembling hands, but there was no pulse after a long time.

The female doctor screamed, "She's dead, she's dead, hurry up and bring her brother here so they can see each other for the last time!"

"I'll go get you!"

The people around started to make a lot of noise, but Lin Sanqi was the only one who was quietly holding the little girl in his arms, like a kitten.

He was blaming himself, blaming himself for being a time traveler, why was he so afraid of everything he did, worrying about this and that, clearly having the ability to save others, but in the end he had to watch them die.

What’s the use of such a time traveler?

If I had given her intravenous drip and antipyretic medicine as soon as I met the little girl and her brother and sister, perhaps she would not have died at all.

Just because of my momentary hesitation, a life was lost...

(End of this chapter)