A doctor who travels through two eras

Chapter 308: 750 X-ray Machine Debuts
The tuberculosis department of the Traditional Chinese Medicine Hospital has opened.

Even though the Chinese medicine hospital did not use any advertising and did not invite any leaders, many colleagues still came to watch the fun.

Union Hospital, Digital Hospital, Railway General Hospital, Friendship Hospital, Fuxing Hospital, etc., all of them are comprehensive Western medicine hospitals.

However, the directors of these hospitals were all stopped in the conference room by Vice President Ji and asked to drink boiled water, on the grounds that the Chinese medicine hospital still had to prepare for the opening ceremony.

This opening ceremony did not involve setting off firecrackers, hanging colorful balloons, or having a leader cut the ribbon.

At the foot of Baihu Mountain, at the gate of the Tuberculosis Department.

Dean Shen was holding a big rooster, looking around stealthily. When he found that no one was watching, he aimed the kitchen knife at the chicken's neck and pulled it. As the rooster struggled, blood spurted out.

Dean Shen then lit the candles again, placed the chicken in the middle, and placed some cakes and fruits as offerings next to it. He quickly bowed a few times, then blew out the candles and quickly put the rooster's body into the bag.

The whole process didn't take more than 3 minutes.

Lin Sanqi was lying on the wall at this time, looking around vigilantly to prevent anyone from seeing this "opening ceremony".

Sacrifices are absolutely not allowed in this era, especially D-level cadres should take the lead in rejecting feudal superstitions.

But there is no way. The dean, Shen Guoming, is from the south, the department director, Lin Sanqi, is also from the south, and even the TCM consultant of the tuberculosis department, Mr. Shi Jinmo, is also from the south.

Southerners still have great respect for ghosts and gods in their hearts, especially the Ming Tombs, which are filled with gloomy energy, and they will not feel at ease if they don’t worship them.

"Uncle Shen, are you okay?"

"Alright, alright, come here and quickly bury the candle ashes. I bought this rooster with great difficulty. Ask Aunt Li to quickly clean it up. We will have boiled chicken for lunch."

The two of them cleaned up the scene quickly like thieves, destroyed the corpse and disappeared, and then they became happy:
"Okay, Xiao Qi, I'll leave the tuberculosis department to you. Many deans from major hospitals are here today. You have to do your best to make a name for yourself. You have to make our hospital famous and shock the industry and make it known across the country."

Lin Sanqi thought that by then it would probably be known all over the world and would definitely go beyond Asia and face the world.

"Uncle Shen, don't worry, just wait for the moment to steal the fruits of the revolutionary victory."

Using later Western medicines and Western medical diagnosis and treatment plans, and standing on the shoulders of decades of experience of medical researchers, isn't that stealing the fruits of other people's victory?

Dean Shen kicked Lin Sanqi on the butt: "Get lost, do you think I'm Yuan Datou?"

……

……

After the clinic opened, the tuberculosis ward was very, very busy today. In addition to the department director Lin Sanqi and many leaders of the Chinese Medicine Hospital, there were also 7 college student employees and a 24-year-old apprentice, who occupied most of the yard.

In addition, there were leaders from major hospitals in the capital, fellow doctors from the respiratory and infectious disease departments, and some leaders from the health bureau.

The small courtyard of the tuberculosis department was packed with people, so Lin Sanqi had to move his desk to the courtyard to make it easier for everyone to "intern" nearby.

Today's patients are two famous people, Ma Lianliang and Zhao Yanxia.

Ma Lianliang and Zhao Yanxia are both actors. Actors are naturally free in nature and don't care much about being watched by the crowd.

So after some persuasion from Dean Shen and Lin Sanqi, the two celebrities agreed to act as models for today. While they were treating their illness, they also wanted to explore a set of useful experiences for the treatment of tuberculosis.

Although the artists asked for a lot of food, their ideas were still very advanced. Many of them went to northern Shaanxi after the liberation, and many of them became ladies. They were able to get a phone number from General Lei's frontier command post thousands of miles away...

Ma Lianliang was wearing a long gown and sitting quietly on a stool.

Lin Sanqi was wearing a white coat and an N95 mask. He looked back at the people in the hospital. Everyone was also wearing an N95 mask. Then he nodded and said:
"Then I'll start."

The film camera lens was aimed, and college student Zhou Wenliang pressed the button, and the world's first case of tuberculosis treatment using Chinese and Western medicine began.

The camera was purchased by Lin Sanqi from Hong Kong. For smugglers, the entire camera and radio were very common and no one was surprised by them.

Lin: "Mr. Ma, when did you start to feel unwell?"

Ma: "It was about 5 years ago. At that time, I always felt weak. I thought it was because I was too tired from performing. Later, I kept coughing and expectorating. I saw many doctors, but there was no effect. I became thinner and thinner.

On the recommendation of a friend, I went to a Chinese medicine hospital for treatment and was diagnosed with tuberculosis. My family was worried and sent me to Union Hospital, where I was diagnosed with tuberculosis. I then took a lot of Chinese and Western medicine.”

At this time, Lin Sanqi said to everyone in the yard:

"Mr. Ma's case is rather special because he had been diagnosed with tuberculosis in advance, and it was confirmed by both traditional Chinese and Western medicine, so there was little chance of error in the diagnosis.

But if we encounter similar patients in clinical practice, how do we determine whether it is tuberculosis? One is to look at the clinical symptoms. If you encounter a patient in clinical practice who has been coughing and expectorating for more than 2 weeks, accompanied by low-grade fever and night sweats, you should highly suspect tuberculosis! "

Dean Shen was a little anxious after hearing this, and reminded in a low voice:
"It's pulmonary tuberculosis. Don't keep saying tuberculosis. Use the term pulmonary tuberculosis, which is a special term in traditional Chinese medicine."

Lin Sanqi was a little embarrassed. He was used to using Western medical terms when he entered the working state. So he nodded slightly to show that he understood and continued to speak:
"If the doctor highly suspects that the patient has tuberculosis, he or she will generally need to do several tests to confirm whether it is tuberculosis. Chinese medicine doctors have their own unique methods. This is difficult to learn, so we will not talk about it for the time being.

From the perspective of our Western medicine, ahem, our doctors, there are two types of preliminary screening: tuberculin test and tuberculosis antibody test.

But I want to tell you that these two tests are unreliable, with very high rates of false positives and false negatives, which can affect doctors’ judgments.”

At this time, the supporting actor needs to come on stage. College student Geng Fuxing raised his hand and said:

"Director Lin, when we are in the outpatient clinic, how do we determine whether it is lung... tuberculosis?"

Lin Sanqi nodded, thinking that the college students were indeed smart. The eyes of the 24 soldiers were full of clear stupidity, even though he had given them two weeks of sudden training.

"There are two ways to confirm whether it is tuberculosis. One is sputum culture, which is easy to understand. It is to perform quantitative culture on the patient's sputum. As long as tuberculosis bacteria are found, it can be confirmed.

The other is a pathological examination, which is more complicated. It either involves a surgical operation to open the chest cavity and cut off a little bit of lung tissue. Or it involves a puncture, where a long needle is inserted into the lung to take out a small sample for a biopsy.”

Many directors and doctors from other hospitals who attended the lecture were somewhat opposed and felt that Lin Sanqi was wrong.

In 1960, the domestic Western medicine community focused more on clinical practice and less on laboratory testing. One reason was that the conditions did not allow it, and the other was that time did not allow it.

For example, the sputum culture of tuberculosis usually takes 2 to 8 weeks. If a patient comes to see a doctor, do you ask him to come back in 2 months? This is obviously impossible.

Then a doctor from another hospital stood up and asked:
"Director Lin, as far as I know, the accuracy of sputum culture is not 100%. Some patients are unable to cough up sputum on their own, and some sputum specimens are easily contaminated. So at this time, is it not accurate enough to use sputum culture as the gold standard for diagnosis?"

Lin Sanqi was not annoyed when facing doubts. The more he argued, the clearer the truth became. It is normal to have doubts, and people should not be silenced at every turn.

"That's a good question. The accuracy of sputum culture is about 80% to 90%, which is not %. But logically speaking, as long as we find tuberculosis bacteria in the sputum, we can definitely confirm the diagnosis, right?

As for the lung tissue examination, it involves surgery and needles, which most people cannot accept, and most of our doctors are not able to perform it. So what should we do at this time? "

Doctor Feng Xinmin of Union Hospital shouted half-seriously:

"Then we need an X-ray for diagnosis. But the question is, where can you find an X-ray machine in your hospital?"

"That's right. Traditional Chinese medicine hospitals only diagnose pulses and look at tongue coating. Since sputum culture may not be correct, how does traditional Chinese medicine confirm the diagnosis?"

"Come on, Director Lin, let us see your innovative diagnosis and treatment plan."

"Hehehe~~~"

In 1960, the Capital Hospital of Traditional Chinese Medicine was definitely the best in the country in terms of traditional Chinese medicine, and all colleagues knew this.

But everyone also knows that Chinese medicine hospitals follow the traditional medicine route and do not have the testing equipment and instruments of modern hospitals, so several directors of other hospitals took the opportunity to joke.

It's not really a mockery.

It's true that people are angry. The Chinese medicine hospital has plenty of food and even built a new farm. Looking at the cornfield that is already half a person's height, everyone is envious.

As a result, everyone laughed for a long time and found that President Shen, Vice President Ji, Lin Sanqi and other people from the Chinese Medicine Hospital did not have any expressions of shame, frustration or anger. Instead, they were all very calm.

So everyone became restless.

Dean Tu thought that since the Chinese Medicine Hospital dared to be the first in the country to propose to set up a "tuberculosis specialty", and thought about the miraculous effects of Lin Sanqi in the past, he took a deep breath:
"Oh shit, Lao Shen, did you buy the X-ray machine?"

Dean Shen raised his chin and said, "Of course. Our X-ray machine is the most advanced 750 mAh machine, which is clearer and the results will be amazing."

When the colleagues from the outer hospital heard this, they all narrowed their eyes.

Dean Shen glanced at them, laughed, and continued to stimulate:
"If the site wasn't too small, we would have installed seven, eight, or even ten X-ray machines. Now we've only installed two, and we don't know if they're enough."

"Two? You have two 2 mAh X-ray machines here?"

Whether it was Dean Tu, Dean Liu, Dean Dai, or the heads of departments at other major hospitals, they all stood up excitedly, their faces visibly turning red. Of course, their eyes were even redder.

Director Liu Shengli of the Digital Hospital pointed at Director Shen and asked:

"Mr. Shen, how many patients do you have in the tuberculosis department now?"

Dean Shen blinked and said innocently:

"We have admitted two patients so far. Two artists are here. There are also eight patients who are our staff members. They are not considered official patients for the time being."

Liu Shengli waved his hand and said, "Okay, okay, count these eight. You have 8 patients in total, right?"

"Yeah, what's the matter?"

"Damn it, Shen Guoming, you want to die, you dare to use two X-ray machines for 10 patients? You are like a little cow taking a plane, you are so awesome!"

Dean Tu Bin of Union Hospital also cursed:
"Old Shen, Old Shen, you know that our Union Hospital has 1500 beds and hundreds of thousands of outpatient visits every year. How many X-ray machines do we have? One, we only have one 1 mAh X-ray machine. How dare you use two 400 mAh X-ray machines for 10 patients?"

Director Dai Youzhong of Friendship Hospital also shook his head:

"This is too much, too much. The superiors are too partial. Why do they always scoop up good things from Chinese medicine hospitals?"

Director Zhu of the Health Bureau quickly jumped out to clarify:

"It's unfair. I'm wronged. Our health bureau has no idea where the two X-ray machines at the Chinese Medicine Hospital came from and how much they cost. I just found out about it just like you. Old Shen, you are lying!!!"

Liu Shengli became angrier and angrier as he thought about it. His eyes became redder and redder. Suddenly, he saw Lin Sanqi shrinking into a corner, so he ran over and grabbed him by the neck:

"Good boy, where are you running to! Tell me, did you get this X-ray machine? Did you forget that you are also a member of the Digital Hospital? You are also the deputy director of my purchasing department!"

Lin Sanqi felt pain and begged for mercy: "No, no, no, Lao Liu, please give me some face."

Pan Ye was so scared that tears were about to fall out, and he quickly stepped forward and shouted: "Director Liu, he is going to strangle me to death, he is going to strangle me to death."

Liu Shengli was angry at this time. When he heard Lin Sanqi's plea for mercy, he snorted:
"Save face for you? Guard, bring me my gun. I'm going to kill this guy first and then steal the X-ray machine. All my efforts have gone to waste."

In 1960, the most advanced X-ray machine in China was the 400 mAh X-ray machine, and the 750 mAh model was the main model that European and American countries had just equipped.

It was not until the early 750s that 1250 mAh machines began to be produced in large quantities in China, and it was not until the late s that mAh X-ray machines began to appear in China.

This is also the reason why several hospital directors started to get angry when they heard that the Chinese medicine hospital had a 750 mAh X-ray machine. Who wouldn’t want such an advanced machine?
Seeing that several deans were about to arm themselves to seize the X-ray machine, Lin Sanqi quickly shouted:
"Old Liu, I don't like what you said. I am the deputy director of the purchasing department of your digital hospital. Have you ever paid me a salary? Have you ever allocated me housing? You just gave me a work permit and you want to get something for nothing?"

Liu Shengli thought for a moment and asked curiously, "Did I forget to pay you?"

"Yes, I haven't. You haven't paid me a month's salary. I don't even know which way the door of your purchasing department opens. How dare you say I'm one of your own?"

Dean Shen also sarcastically said:
"When people are needed, they move forward, and when they are not needed, they move backward. Your Digital Hospital is really smart in its calculations."

Liu Shengli knew he was in the wrong, but he refused to admit defeat:

"Then is it too late for me to use it now? Lin Sanqi, I order you to report to the Digital Hospital tomorrow, and I will also set up a tuberculosis department specifically for you."

Lin Sanqi was speechless. Today was a teaching clinic with so many students watching, but the deans started fighting first:

"Stop, stop, stop. What's wrong with you deans? Teacher Ma and Teacher Zhao are here, and there are so many new employees and interns watching, and you're just making a fuss? Where's the Qi-nourishing Kung Fu you promised us? How are you setting an example for the younger generation?"

Ma Lianliang quickly waved his hands to indicate that he saw nothing.

Zhao Yanxia, ​​on the other hand, looked indifferent. She was an extraordinary woman, a Mulan-like character who looked upon everything with a smile.

Dean Liu is a soldier, and all soldiers are straight men. At this time, he waved his hand:

"I don't care. Your Chinese medicine hospital doesn't need two X-ray machines. I'll pack one up and take it away. Just tell me how much it costs and I'll pay it."

Dean Shen was also anxious: "How dare you? This is our Chinese medicine hospital's territory. We have thousands of employees and their families. Try to use our X-ray machine."

"Just try it!"

"You want to die? You're no match for Old Wen. Did you eat ginseng?" Dean Shen was so anxious that he spoke in his hometown dialect, which stunned everyone at the scene.

Lin Sanqi quickly dissuaded him:

"Don't worry, everyone. I still have a 750 mAh X-ray machine on hand. I'll give you a friendly price, the cost price, the bargain price, 15 yuan per machine. You can exchange 15 yuan of ginseng, musk, bezoar and other precious medicinal materials with me."

Dean Liu, Dean Tu and others were delighted when they heard that Lin Sanqi had an X-ray machine. However, they felt a little embarrassed when they heard that he also needed Chinese medicinal materials.

The Digital Hospital is better because they have a Traditional Chinese Medicine Department, and this hospital has connections everywhere, so it is easy to get any medicinal materials.

However, Union Hospital is a purely Western medicine comprehensive hospital. There are no Chinese medicinal materials in the hospital, and there are no corresponding supply channels in the society. This made Director Tu a little worried.

Just when Dean Tu was worried, Vice Dean Ye next to him had an idea:
"Old Butcher, aren't we going to visit North Korea soon? They produce ginseng there. We can just ask them to buy some. It doesn't take much to make an X-ray machine."

When Dean Tu heard this, his eyes lit up and he nodded heavily.

"Comrade Xiaolin, OK, then our Union Hospital needs two X-ray machines. I will try to get you 30 worth of ginseng next month. Before that, you must keep the X-ray machine for me."

Dean Liu counted on his fingers:

"Boy, I represent more than just our Digital Hospital. You also know that we have many brother units in the military medical system. So, I need 10 X-ray machines. You can go and prepare the machines. Each one costs 15 yuan. It shouldn't be a problem for several hospitals to pool their money together."

Subsequently, several other hospitals also came forward to request the purchase of X-ray machines, and the remaining dozen or so X-ray machines were sold out in a short time.

The name of Lin Sanqi, the timely rain of Traditional Chinese Medicine Hospital, has now spread throughout the health system. Everyone knows that there is such a capable person in Traditional Chinese Medicine Hospital who can get things that others cannot, from food to advanced instruments.

Therefore, no one had any doubt that Lin Sanqi could provide the X-ray machine. Since their superiors had tacitly agreed, they naturally would not be hesitant.

When advanced foreign equipment is brought into China, there is no way China will suffer any loss and there is no reason to stop it.

It's just like a little boy and a little girl falling in love. If something unexpected happens, the boy will never suffer any loss, so what is there to be afraid of?

It can only be said that these hospitals are not losing money, but Lin Sanqi is making huge money. The cost of one unit is 2024 yuan in 10, which is equivalent to 1960 yuan of medicinal materials in 15. Taking inflation into account, Lin Sanqi is making a lot of money.

After the farce ended, Lin Sanqi continued to treat Ma Lianliang and Zhao Yanxia.

Lin Sanqi personally operated the X-ray machine and took a frontal and lateral film of each of the two Peking Opera actors, and then immediately arranged for students to develop them.

Compared with the previous X-rays from Union Hospital, the ones from the Chinese Medicine Hospital are obviously clearer.

But it was this one look that revealed the problem. On Ma Lianliang's X-ray, many white spots of varying sizes, not very evenly distributed, could be seen in both lungs.

Lin Sanqi frowned. The directors of other hospitals knew the problem after taking a look, but most people at the scene were confused.

Even Ma Lianliang himself was a little nervous, and he sat there with his fists clenched tightly.

A college student couldn't help but ask, "Director Lin, how do you interpret Teacher Ma's film? This seems similar to the miliary tuberculosis you talked about before."

Lin Sanqi looked back and saw that it was his new recruit Fan Zili, so he nodded with satisfaction:

"Student Fan listened to the class very carefully and deserves praise. Did you all understand? This film is a typical example of chronic miliary tuberculosis.

Let me explain again. Acute miliary tuberculosis is caused by a large number of Mycobacterium tuberculosis invading the body at one time and entering the lungs through the blood circulation. It manifests as many miliary-like dense shadows of uniform size in the lungs.

The most typical acute miliary tuberculosis presents three uniform signs, namely: uniform size of miliary shadows, uniform distribution in the lung fields, and uniform shadow density. Some people call it the three uniform syndrome.

But the uneven white spot phenomenon on Mr. Ma’s X-ray generally indicates that tuberculosis has turned into chronic miliary type, which we generally describe as “three unevennesses”.

Why do the three unevenness appear? That’s because over time, some tuberculosis nodules heal themselves, and some nodules fuse together and grow larger, so white spots of different sizes appear. "

Fan Zili continued to ask: "Then Director Lin, if we see three uneven films in clinical practice, what does it indicate?"

Lin Sanqi glanced at Ma Lianliang and knew that this kind of teaching clinic could not be sloppy, so he said bluntly:
"It indicates that the condition is serious. Teacher Ma said before that he had low-grade fever and cough in the early stage of the disease. Five years later, he should have frequent symptoms of systemic poisoning such as high fever and difficulty breathing. Is this also the reason why Teacher Ma cannot go on stage now?"

Ma Lianliang sighed when he heard this:
"Yes, yes, yes. We opera singers must breathe steadily and for long periods of time, but now I have trouble even speaking. I am sweating all over after walking around. If I were to perform on stage, I would probably die on the stage. By the way, Doctor Lin, is there any cure for my disease?"

From the perspective of traditional Chinese medicine, Ma Lianliang was already terminally ill and even the gods could not save him.

But in Lin Sanqi's eyes, a small piece of tuberculosis is easy to control!

(End of this chapter)