A doctor who travels through two eras

Chapter 316 The First Inpatient

People these days are too naive and can be easily provoked into conflicts, especially between two hostile units. Once someone raises a call, someone will really dare to come up and blow the other side's head off.

Seeing the indignant faces of the people at Xiehe, Lin Sanqi didn't care:

"Is the theory I just explained Chinese medicine or Western medicine? Don't you understand? If you don't understand, it's because your level is too low."

There are stepping stones on the road to success. Lin Sanqi has witnessed with his own eyes how perfunctory Guo Jianqiao was when treating patients and he does not believe that he is a good doctor, so he is using him as a sacrifice today.

Lin Sanqi looked at the leader in the middle who could make the decision:
"So, Leader Cheng, I have the best Chinese medicine doctor and the best respiratory Western medicine doctor in the country. I have enough confidence to accept this distinguished foreign guest. If you still don't believe me, I can issue a military order."

Dean Tu stroked his head and thought to himself that it was really hard to persuade that damn ghost with kind words. Young people are still too impulsive.

Vice President Ye reminded again in a deep voice: "Comrade Lin Sanqi, be careful with your words."

Lin Sanqi thought, wealth and honor are achieved through risk, if the cure doesn't work then the worst that can happen is I can go back to Jinggang Mountain and fight as a guerrilla, there is nothing to be afraid of.

After hearing this, Leader Cheng discussed it with some staff members behind him for a while and confirmed that the Chinese medicine hospital did have the best equipment and had also got the best medical team of 50 people, so he became somewhat tempted.

Leaders coming back from the battlefield are all decisive and ruthless. Leader Cheng had an idea in mind, so he said seriously:
“Mr. Ramiz’s condition is very serious, but he is very important to our country’s diplomatic work. You must take 100% responsibility. I’m in charge. You can leave the patient to you.

If you are cured, I will personally apply for a certificate of merit for you. If you are not cured, don't forget your military order. I know you are also a member of our army. There is no joking in the army. You know the consequences of this yourself."

Dean Tu saw that things had come to this point and there was no room for recovery, so he worriedly said:

"Comrade Lin Sanqi works at the Changping branch, which is dozens of kilometers away from here and takes two hours to drive. The patient is breathing oxygen now, so I'm afraid it will be difficult to transport him."

"Yes~~~"

Lin Sanqi thought, this is indeed a realistic problem, and suddenly an idea flashed in his mind:
"In this way, we can transfer the patient to our main hospital. Kuan Street is only 2 kilometers away from here. It will take less than 5 minutes for an ambulance to get there. An oxygen pillow will be enough for the trip."

Dean Tu was still a little worried: "If we go to Kuanjie, what about your so-called advanced equipment?"

Lin Sanqi patted his chest:
"Dean Tu, have you forgotten who got the 750 mAh X-ray machine? I already installed a spare one at the Broad Street Main Hospital. As for those blood test machines, I also have a spare set for use in emergencies like this."

In fact, Lin Sanqi’s backup machine is a mainstream model from 2013, which is fully automatic and it is unknown how many generations advanced it is.

The doctors at Peking Union Medical College got even angrier when they heard this. Damn it, Peking Union Medical College doesn’t have one set, but the Chinese Medicine Hospital actually uses one set and has a spare set?
Leader Cheng nodded and said, "Then all parties should start preparing. I'll give you one hour. In three hours, the Chinese Medicine Hospital should be ready to receive the patient, and Union Hospital should be ready to cooperate."

When Guo Jianqiao heard this, he thought to himself, there is a road to heaven but you don't want to go, there is no door to hell but you insist on breaking in, so I will definitely cooperate with the transfer to another hospital.

Dean Tu and Vice Dean Ye looked at Lin Sanqi and shook their heads, whispering to comfort him, "May you be blessed!"

Bi Xinglong and Ma Zhongli immediately turned to Lin Sanqi and reminded him anxiously:

"Director Lin, this is definitely not lung cancer, but it doesn't look like pneumonia either. We can see that. But the patient's condition is indeed very critical. If we can't find the cause, how can we treat it? What's more, we don't have any particularly good drugs..."

Lin Sanqi made a downward motion, picked up the X-ray film and said:
"This patient's coughing up blood is the main clinical feature, and we must grasp this feature. Because there is no fever, caseous pneumonia and lobar pneumonia can be basically ruled out, and you have also ruled out the possibility of lung cancer and tuberculosis.

This idea is correct, which shows that you have rich observation ability and clinical experience, but you have not grasped the key point. Think about it again, if you cough and spit blood in an acute attack, is it possible that the amount is relatively large, forming blood clots, blocking the trachea, and causing obstructive pulmonary inflammation masses?"

Lin Sanqi left after saying this.

Bi Xinglong and Ma Zhongli were stunned for a moment, then they quickly picked up the X-ray film and continued to study it...

Lin Sanqi was extremely pleased to be able to show off his status in Union Hospital, but he still had a lot of preparations to make in order for the Hospital of Traditional Chinese Medicine to receive the first patient transferred from Union Hospital for the first time.

For example, the Chinese medicine hospital doesn’t even have an inpatient department.

Lin Sanqi first called the Chinese Medicine Hospital, and Dean Shen was stunned when he received the call.

"Damn it, ancestor, how did you bring back such a treasure? If even Union Hospital can't cure the patient, won't it be even more difficult for us Chinese medicine practitioners? No, no, no, you are a person who doesn't want profit. Since you dare to accept it, are you sure?"

Unlike others, Dean Shen knows Lin Sanqi too well and understands his magical qualities even better.

Lin Sanqi held the microphone and lowered his voice:
"Don't worry, Uncle Shen. I have the most advanced machines and drugs from abroad. I can take care of patients that Union Hospital can't. And I tell you, they misdiagnosed the patient and thought he was dying. In fact, the patient's condition is far from that serious."

"Can it be cured?"

"can!"

"Can you slap Concord in the face?"

"They must be slapped hard in the face!"

"Okay, you escort the patient here in person and I'll arrange a bed right away. Give me two hours and I guarantee you'll have a ward ready."

These days, wards don't need any special equipment. All they need is a bed, a bedside table, an infusion stand, and if conditions are better, an oxygen cylinder. If it's a VIP room, we'll even give you a sofa.

What? You still want a nurse with black stockings?
An hour earlier than expected, two hours later, the short 2-kilometer road from Union Hospital to Chinese Medicine Hospital was temporarily blocked, and then the ambulance from Union Hospital rushed the patient into the gate of Chinese Medicine Hospital.

The ambulance was followed by a long line of cars, which drove into the Chinese medicine hospital one after another.

When had the Chinese Medicine Hospital ever seen such a scene? Gossip is in the nature of the Chinese people, so many medical staff and patients gathered around to watch the fun.

Lin Sanqi's second sister-in-law Pei Xuehua, as a representative of people who are not good at anything and cannot eat anything, of course she is at the forefront of gossip.

"Who is this? So impressive!"

"Hey, you don't know yet? This is the patient brought in by your brother-in-law. I heard he's a foreign guest."

“Why did I hear it was a foreign leader?”

"No, I heard it was the head of a country..."

Pei Xuehua was shocked when she heard this: "What? Head of state? My goodness, when did our Xiao Qi have the ability to treat a foreign head of state?"

Speaking of this, Pei Xuehua suddenly narrowed her eyes.

I wondered if the biased father-in-law had given all the secret recipes to his youngest son? Otherwise, there was no way to explain how this brother-in-law's medical skills had improved by leaps and bounds in just one year, and he even opened a tuberculosis department.

Thinking of this, Pei Xuehua stepped on her husband's instep and cursed in a low voice:
"You useless good-for-nothing. Our father only cares about the eldest and youngest sons. He won't let your useless second son starve to death. Humph!"

Li Jingming was also in the crowd at this time. He touched his fellow countryman and good friend Lin Kucan next to him and said:

"Hey, Lao Lin, your youngest son is just bragging. I was wondering when did your Lingnan School become so great? Now you can cure colds (flu), tuberculosis, and even foreigners. I've never heard of that before."

Lin Kucan still gave his signature smile:
"That's right. Our Lingnan School is extensive and profound. I only learned a little bit, but I was able to practice medicine in both the province and Hong Kong. Now my youngest son is even more talented than me, so of course I have to carry forward the Lingnan School."

Li Jingming agreed and sighed:
"I envy you. You have someone to take over. Now we are not allowed to take apprentices, and my sons don't have any talent. It seems that my family's Shangfangqiao bone injury department will be lost."

Ambassador Ramiz was taken out of the ambulance and sent to a temporary ward.

This ward was originally the party construction room. The surrounding environment was good and the room was clean. Dean Shen temporarily put some furniture in it and even contributed the sofa in his own office.

Even though she tried her best, Lady Alia still frowned and asked through the translator:

"Excuse me, does your hospital have any better wards?" Dean Shen blushed when he heard this. Lin Sanqi quickly helped to explain:
"Our best ward is in Changping, which is far away from here. It is not convenient for Mr. Ramiz to be transferred, so we have transported the best medical equipment from Changping to serve Mr. Ramiz alone. Do you think this arrangement is good?"

"Moving the entire hospital equipment here just for Mr. Ramiz alone?"

When Mrs. Alia heard this, she felt happy. For a person of upper class like her, what she wanted was special privilege. If the whole hospital served her husband alone, what was there to be dissatisfied with?

"Then I'll trouble you. Thank you."

Dean Shen saw that the family members were calmed down, and asked anxiously:

"Xiao Qi, I see the patient is already unconscious. When I took his pulse just now, I found that his lung qi is weak, his blood circulation is stagnant, and all his meridians are congested. This is caused by the failure of lung qi to flow and the obstruction of phlegm and turbidity... He is going to die..."

Lin Sanqi thought to himself, he is indeed a master of traditional Chinese medicine, much more reliable than Guo Jianqiao from Union Hospital.

"Uncle Shen, your diagnosis is correct. There is something blocking the patient's lungs, but it is not phlegm, but blood clots. So we need to combine Chinese and Western medicine in the treatment plan.

If we win this battle today, our hospital will have a reputation of being the best at suppressing Peking Union Medical College Hospital, after all, the patient was transferred from there. In addition, it will be the best advertisement for our newly established tuberculosis department.

Another important point is that mainstream European and American countries have not established diplomatic relations with my country. If our medicine wants to go abroad, the Nordic snow country where Ambassador Ramiz is located is the best window, and we cannot miss it. "

Dean Shen knew the seriousness of the matter better than Lin Sanqi. After all, diplomacy is no small matter, so he nodded heavily:

"Okay, this treatment is based on you, and we'll do whatever you say."

"By the way, has my new X-ray machine been installed?"

"It's installed, but it hasn't been debugged yet. Should I use it right away?"

Lin Sanqi thought that even though the ordinary 750 mAh machine was the most advanced machine at present, it was still not enough in front of the CT scan, and he would have to find a way to do the CT scan later.

At this time, the temporary ward was already filled with people inside and outside. Some were staff from the Nordic Snow Country, some were staff from the foreign affairs department, and some were leaders from the Union Hospital of Chinese Medicine.

At this time, Lin Sanqi suddenly clapped his hands and instructed:
"Okay, now we need to conduct a comprehensive examination on Mr. Ramiz. Our hospital has prepared the examination equipment, but I need to make it clear to everyone that X-ray examinations contain radiation. I will be operating the machine myself, so please don't get close."

It is a well-known fact that X-rays have radiation. Even if Lin Sanqi didn't say it, no one would be willing to get close.

Mrs. Alia was moved when she heard it: "Thank you, you are such a great doctor, I don't know how to express my gratitude."

Lin Sanqi said righteously: "For the friendship between our two countries, I am willing to sacrifice everything I have."

Amid applause from the leaders of the foreign affairs department and the staff of the Nordic Snow Country Embassy, ​​the great doctor Lin Sanqi sent the patient to the X-ray room and closed the door.

The staff and officials who were standing outside the door with concerned faces all quietly retreated, further and further away from the X-ray room...

Ambassador Ramiz was unconscious at this time. Lin Sanqi knew that he didn't have much time left, so he quickly took out a "bedside" CT machine from the space.

Then he turned on the switch and quickly hid in the "channel space" again.

Lin Sanqi has not yet married and has no children, so he does not want to absorb radiation and give birth to a deformed child in the future. He can talk about being great and righteous, but his actions are very honest.

Fortunately, the bedside CT has an automatic program that will shut down by itself after the examination and no additional operations are required.

Before Lin Sanqi had time to read the film, he quickly removed the infusion needle and then quickly drew several tubes of blood.

Less than 10 minutes after finishing all this, Lin Sanqi finally opened the door of the examination room and shouted to the staff outside:
"The patient has been examined and will be sent to the ward immediately. Also, Dean Shen, please organize the experts in the hospital to give Mr. Ramiz a Chinese medicine diagnosis and treatment. I will be back soon."

Bi Xinglong and Ma Zhongli stepped forward and asked, "Director Lin, let's develop the X-ray film."

Lin Sanqi waved his hands and thought, I don't need the film, I can just look at the film directly on a special film reader, and I can zoom in and out at any time, and it can be dynamic and three-dimensional, which is more convenient.

"It's okay. I'll take care of the auxiliary examination. Here are two imported antibiotics I got. You should inject them into Mr. Ramiz immediately."

The antibiotics Lin Sanqi gave were called "imipenem-cilastatin" and "moxifloxacin", both of which are powerful broad-spectrum antibiotics and can only be used by doctors with the rank of associate senior doctor or above in the hospital.

Lin Sanqi used a powerful weapon at the beginning, in order to better control the infection focus in the patient's body.

"Also, Mr. Ramiz is in obvious hemorrhagic shock, so blood transfusion is very important. You should immediately ask Dean Shen to organize the staff of the unit to donate blood. You two should be responsible for this work personally."

After saying this, Lin Sanqi took out some tissues:

"Blood transfusion safety is very important, so the two of you must check it yourself. If there is hepatitis, syphilis, AIDS, etc., the swab will show two bars, and the blood cannot be used. This is very important, remember it."

The safety of blood products has not been completely resolved even in 2013, let alone in 1960. (Tribute to Professor Gao Yaojie)

Ma Zhongli was a little puzzled: "We know hepatitis and syphilis, but is AIDS a new disease?"

Lin Sanqi was stunned for a moment, thinking that he had let the cat out of the bag again. AIDS was first discovered in the United States in 1981, and the first case in my country was not discovered until 1985.

"Well, AIDS is a US disease. It's not available in China yet. Don't worry about it for now. Blood transfusion and infusion must be done quickly. Also, you should have experience in how to correct shock. I don't need to explain more, right?"

Bi Xinglong and Ma Zhongli were now full of admiration for Lin Sanqi. They bent over and nodded heavily:

"Director Lin, rest assured, you can take charge of the overall situation, and leave the rest of the specific operations to the two of us."

Lin Sanqi thought, if he didn't trust anyone, then no one could not trust the senior doctors at Union Hospital.

After everyone left, Lin Sanqi flashed into the "channel space" again, first put several tubes of blood into the biochemical analyzer, blood gas analyzer, and five-category blood cell analyzer, and let the machines run automatically.

Then he turned on the film reader and called up the data from the bedside CT scan for careful analysis.

Sure enough, the patient had obvious bronchodilation, and looking down along the dilated bronchus, there was an obvious pulmonary infarction, manifested as pulmonary hemorrhage and edema, round or uneven density flake-like infiltration foci, fibrous cord shadows, and disciform atelectasis in the lungs.

This confirmed what Lin Sanqi had guessed before, and it was exactly the same as the case he had seen during his internship, that is, the bleeding after bronchial dilation blocked the bronchi, and the bleeding continued to flow back into the lungs, causing difficulty in breathing.

It is actually easy to understand why the patient fell into a coma. It was because of hemorrhagic shock caused by excessive bleeding.

This kind of shock is temporary and recoverable. It was not the respiratory failure caused by advanced lung cancer that was previously diagnosed by Union Hospital, and it is difficult to wake up.

But Peking Union Medical College is also cunning. If such patients are sent home directly without treatment, it will be very difficult for them to wake up again, and shock will turn into real death.

By that time, it will never be possible to know the patient's real cause of death, and Union Hospital will no longer have any responsibility.

After a while, the results of the fully automatic emergency blood analysis came out, which further confirmed that the patient was in hemorrhagic shock and had extremely high inflammatory indicators.

Anyone with a little medical knowledge knows that as long as the shock is corrected, the patient can be resuscitated immediately and the process is not too complicated.

Then we found a way to clear the blocked bronchus, and the patient was saved.

Lin Sanqi held the test results in his hand, and he felt more confident. This time he was sure to be a "miracle doctor".

After returning to the ward, Lin Sanqi saw that the patient had already been given an IV. Dean Shen and a group of Chinese medicine practitioners, including Doctor Lin, had just come out of the ward after taking the patient's pulse.

Several people came to the next room, and the Chinese and Western doctors began to discuss the medical records together:

(End of this chapter)