A doctor who travels through two eras

Chapter 317: 200 More X-Ray Machines

Director Xiao Lin asked first: "Uncle Shen, Dad, what did you see?"

Dean Shen thought for a moment and said:
"The patient's lips took on a dark color, the veins under the tongue became swollen and tortuous, the Yingtang area on the face turned black, and even the pulse became astringent, as if a knife was scraping bamboo. These were all silent warnings of blood stasis in the body.

Now, both the patient's symptoms and pulse are consistent with my previous guess. The patient is suffering from lung qi failure and phlegm turbidity blocking the body..."

Lin Sanqi waved his hand and interrupted:

"Uncle Shen, your other diagnoses were correct, but your last statement about phlegm blocking the body was wrong. The principle is indeed similar, but the blockage is not phlegm, but blood clots."

All the Chinese medicine practitioners in the room sat up straight at once.

Dean Shen also frowned:
"Xiao Qi, are you so sure it's 'blood turbidity' and not 'phlegm turbidity'? You can't make a mistake. The treatment plans for two different types of internal resistance are completely different."

Another old Chinese doctor also reminded:
"Yes, Xiaolin, if it is phlegm turbidity, we mainly focus on resolving phlegm and activating the lungs, but if it is blood turbidity, then the treatment plan must be changed to promoting blood circulation and removing blood stasis. The patient is in critical condition now, and there will be no chance to change it back if we make a mistake."

"Chief Xiaolin, you haven't even seen the condition of the lungs, how can you tell?"

"He's still too young, Old Lin. Your son's medical skills are OK, but he lacks experience."

The old Chinese doctors all expressed their opposition, but Lin Kucan still had his signature smile on his face, neither refuting nor saying a word.

Lin Sanqi thought that Chinese medicine should continue to improve and learn, otherwise the limitations of thinking would be too strong.

Indeed, the naked eye cannot tell what is happening inside the internal organs. For example, Mr. Ramiz, even if he is the top Chinese medicine doctor, can only determine that there is something blocking the lungs.

(Ordinary Chinese medicine practitioners cannot even distinguish this)
But what is blocking the passage? Even Hua Tuo and Sun Simiao would not be able to tell. We can only guess whether it is phlegm, blood clot, tumor, or foreign body swallowed.
In fact, although Chinese medicine pays attention to the internal organs, doctors cannot see the specific conditions inside the internal organs. They can only guess based on experience and then prescribe medicine.

The result is that there is a 25% chance of guessing correctly and curing the disease.

But there is also a 75% chance that the guess is wrong and the patient dies, which means the mortality rate is mostly half.

This is the limitation of traditional Chinese medicine. Oh, it may also be the limitation of the times. Ordinary X-rays cannot make a judgment.

Lin Sanqi knew that time was running out and that treatment had to be done quickly. He was too lazy to "debate" with these old Chinese doctors, so he interrupted directly:

"Seniors, teachers, you may have forgotten that our Chinese medicine hospital has just acquired the world's most advanced X-ray machine. I can conclude that it is a blood clot blocking the disease, not phlegm, based on the film."

After saying that, Lin Sanqi took out an ordinary chest X-ray and pointed at it randomly, just to bully the old Chinese medicine practitioners who didn't understand:

"Nao, look here, and here, it's obvious that the bronchi are dilated. Nao, there's bleeding here, and the bleeding is gushing up, which is why the patient is coughing up blood. But if the blood flows down, it means the bronchus is blocked."

The Chinese medicine practitioners put on their reading glasses one by one and looked blankly at the X-ray film in Lin Sanqi's hand.

I don’t understand, I can’t understand it at all.

I have never heard of the right upper lobe and left lower lobe, the aortic arch and pulmonary action segments, let alone understood them.

Because he didn't understand, Lin Sanqi also closed his eyes and said something nonsense. How could ordinary X-rays be seen clearly? Now he said that he could see clearly, and he used his knowledge to monopolize the right to explain.

Lin Kucan's eyes flickered, but he still said nothing.

Dean Shen's eyes flickered as well. He knew that he had to support the young department director at this time, so he made the decision on the spot:
"Okay, since you've already produced evidence, let's treat it as blood stasis. What do you think? Should we use Xuefu Zhuyu Decoction or Taohong Siwu Decoction?"

At the critical moment, Lin Kucan also supported his son:
"Xuefu Zhuyu Decoction is composed of Bupleurum, Angelica, Rehmannia, Red Peony Root, Safflower and other herbs. It has the effects of promoting blood circulation, removing blood stasis, promoting qi and relieving pain. It is mainly used to treat blood stasis in the chest. I think it is appropriate for this foreign guest."

Everyone in the small conference room nodded slightly.

The hospital's top technical force is composed of 12 national treasures. Now these old national treasures are far away in Changping, and due to their special status it is inconvenient for them to show up. Therefore, the strongest technical force is mainly Shen Guoming, Lin Kucan, Li Jingming and other famous doctors from various provinces at that time.

Now that the dean and the head of the "Magical Lingnan School" have made the decision, who dares to object?

Lin Sanqi was also very happy. In fact, Western medicine has no particularly good way to treat the blood stasis in the lungs. Either it has to be removed directly by surgical incision, or it has to be removed by bronchoscope. However, these two methods are currently not suitable for comatose patients.

All that remains is postural drainage.

So the so-called postural drainage is also simple. It is to put the patient in a position with the head low and the feet high, and then pat the back continuously to promote the discharge of phlegm and blood clots.

But the most troublesome thing is that the patient is in a coma. It is easy for you to expel the feces, but the feces may block his airway and he will suffocate to death.

For the same reason, you cannot use expectorants because you are still afraid of blocking the airway.

Therefore, at this time, the best option is to see a Chinese doctor and use Chinese medicine to promote blood circulation and remove blood stasis.

Lin Sanqi's plan was to use traditional Chinese medicine to remove blood stasis, use Western medicine antibiotics to fight infection, and then give blood transfusions and fluids to replenish blood volume. This three-pronged approach would buy precious time for rescue.

Once the treatment plan was decided, all parties began to take action immediately.

Then the problem arose again.

There was no major problem with Western medicine treatment, as it relied purely on intravenous drips of the medicine. But after the Chinese medicine was boiled and served, everyone discovered that the patient was in a coma, and it seemed impossible to feed him the medicine.

Dean Shen felt anxious as he was unable to feed the patient the bowl of carefully prepared Chinese medicine soup and then looked at the unconscious patient on the hospital bed.

"Xiao Qi, what should we do? If it doesn't work, should we use a needle to inject it?"

Lin Sanqi waved his hands repeatedly after hearing this: "Dean Shen, no, no, no, there is absolutely no need for us to take risks. There is always a way."

Comatose patients are in a highly dangerous state and are unable to swallow independently or protect their airways. If they are given decoctions at this time, it is entirely possible that the risk of aspiration, aspiration pneumonia or suffocation will increase, which would be counterproductive.

Traditional Chinese medicine is auxiliary, not the decisive key, and Lin Sanqi does not want to take any risks.

"Dean, how did you deal with this kind of comatose patient in the past when you couldn't give him medicine?"

When encountering this situation in novels, it is often the case that a beautiful woman first takes a mouthful of the Chinese medicine soup and then feeds it to the patient mouth-to-mouth. It looks very warm and erotic, but in fact, doing so also carries the risk of suffocation.

"In the past, we would use enema, but this Xuefu Zhuyu Decoction is not suitable, so I am anxious."

Before Lin Sanqi could come up with any solution, Bi Xinglong had an idea first:
"We can use nasogastric feeding, put a tube into the patient's stomach, and then inject the medicine directly into the stomach through a syringe."

Lin Sanqi's eyes lit up: "Yes, yes, this is a good idea. Didn't Union Hospital send a complete set of medical equipment? Doctor Bi, please intubate immediately."

Inserting a nasogastric tube is not difficult and even an intern can do it. It is a basic operation.

When the medicine was finally injected through the bell tube, the doctors at the Chinese medicine hospital breathed a sigh of relief, but Lin Sanqi and his colleagues were still worried.

Ma Zhongli was a little worried: "Director Lin, what if the patient can't wake up?"

Lin Sanqi thought that if he couldn't wake up today, he would definitely need a ventilator. At that time, for the sake of the hospital and his own personal reputation, he would take it out without hesitation.

As for whether there are any consequences of taking it out...

What are the consequences?

A ventilator is a medical device, not a bomb or a high-tech weapon. What's so sensitive about it?
Even if someone asks one more question, such as where this machine came from, at most they can just say it was imported from a mysterious foreign country.

How to import it? Can't we smuggle it? Is it our business?
What have you not seen? If you haven't seen it, it means you have little experience. How many times have you been abroad? How many times have you been to the top hospitals in the United States? You know nothing!

Lin Sanqi is now becoming more and more courageous and shameless. He is no longer as sneaky as before. After all, he is a "smuggler" registered among the upper class, so what is there to be afraid of?
Afraid of being repaid later?
This is the best explanation for the fact that the lowest people are invincible.

That evening, more and more cars drove into the hospital, and leaders from all departments flocked in. After a senior leader got out of the car, he saw that he had arrived at the hospital and immediately expressed his dissatisfaction:
"Old Cheng, what's going on? Mr. Ramiz is our most distinguished foreign guest. His country of snow in Northern Europe is also the first developed European and American country to recognize us, so it is not too much for us to pay attention to him.

You can just stay at the Union Hospital for treatment, can't you? If that doesn't work, you can transfer to the Friendship Hospital, Fuxing Hospital, or Peking Hospital. Why did you transfer to the Chinese Medicine Hospital? Look at them, they don't even have a decent inpatient department."

Leader Cheng was also embarrassed when he heard this, and quickly explained:
"I have no choice. The Union Hospital thinks it is lung cancer and there is no cure. They suggest taking me home to die and not torturing me any more. But Dr. Lin Sanqi from the Chinese Medicine Hospital disagrees with the lung cancer conclusion.

He felt that there was still a chance of rescue, and even signed a military order for this. Leader, think about it, since Mr. Ramiz is ready to wait for death, why not give him another chance, just in case Chinese medicine can create a miracle? "

When the leader heard this, he sighed and nodded slightly:
"You're right. I was impulsive just now. Comrade Lin Sanqi dared to step forward at such a critical moment. He seems to be a good comrade who is brave enough to take responsibility. I shouldn't blame him. By the way, after he took over, did he provide any special treatment?"

Leaders are also gossipy and curious.

Leader Cheng thought for a moment and reported the afternoon's treatment plan. He had a good impression of Lin Sanqi and wanted to say a few good words for him:
“After Mr. Ramiz was transferred to the Chinese Hospital, the hospital immediately organized a comprehensive examination. Oh, by the way, the Chinese Hospital now has the most advanced 750 mA X-ray machine in the country, as well as the most advanced blood testing equipment.

After a preliminary examination, Comrade Lin Sanqi confirmed that Mr. Ramiz did not have lung cancer, but rather that the trachea was blocked by heavy bleeding caused by bronchial dilatation, resulting in dyspnea and hemorrhagic shock.

The big boss raised his hand after hearing this, his face full of confusion:
"Wait, Chinese medicine hospitals have the most advanced X-ray machines and blood test machines? Are you kidding me? When did Chinese medicine hospitals become Westernized?"

Leader Cheng burst out laughing, and then whispered:

"Just to remind you, this guy got us so many second-hand medical equipment and tens of thousands of bottles of penicillin. He smuggled them in from abroad, so it shouldn't be easy for him to smuggle some advanced equipment in."

The leader remembered:

"Oh~~~ That's the little smuggler from the Chinese Medicine Hospital that Lao Jing mentioned. Haha, it turns out that he is not only good at smuggling, but also has strong medical skills? He is really a multi-faceted talent."

Leader Cheng probed: "This smuggling of Lin Sanqi, you..."

The big leader waved his hand:

"Lao Jing mentioned this to me at the beginning. I also think that since Comrade Lin Sanqi can keep bringing in foreign food, medicines, and machinery to China, this is a good thing. We should be optimistic about it. When he smuggles contraband, it won't be too late to deal with him."

Again, Lin Sanqi is just one of the largest smuggling companies in the modern world.

Our country is so big, with a population of 600 million, and the supplies we need are countless. There are actually tens of thousands of smugglers like Mr. Huo, who are needed to maintain the operation of a country.

Otherwise, how much supplies could old man Huo transport by himself in a small wooden boat?
So for us higher-ups, we turn a blind eye to the smugglers who bring good stuff into the country.

But anyone who dares to bring good things from China to foreign countries will be arrested and killed. It's just such a double standard.

While the two leaders were still chatting, the secretary rushed over:

"Awake, Mr. Ramiz has woken up."

……

……

In the ward, Bi Xinglong was measuring his blood pressure himself, Ma Zhongli was measuring his temperature himself, and Mrs. Alia was holding her husband's hand, crying and laughing with great excitement.

Mr. Ramiz looked weakly at the group of young attending doctors in front of him and asked in English:

"Where am I? Am I going to die? Should I prepare my last words?"

Lin Sanqi smiled and comforted him in English:

"Don't worry, Mr. Ramiz, you don't have lung cancer. Our Chinese medicine hospital medical team is confident that you can recover."

"Really? That's great, doctor, your English is really great!"

Dean Shen and Lin Kucan next to them looked at each other.

Dean Shen's eyes were once again filled with shock and confusion, and he asked in a low voice: "When did Lin Sanqi speak English so fluently?"

Lin Kucan could only smile bitterly again: "He, he has been learning English since he was a child in Huadu, and he has never fallen behind in all these years. Old Shen, is this explanation good?"

Dean Shen glanced at Lin Sanqi and said, "Yes, that's the explanation. It's the same explanation for anyone who asks!"

"Everyone, please make way, please make way~~~"

Suddenly there was a sound outside the door, and then the door of the ward opened and a group of leaders came in.

"Ambassador Ramiz, how are you feeling..."

Lin Sanqi stood aside and saw that he didn't recognize any of these leaders, which meant they were not one of the four great men on the RMB. This was quite a pity. He had traveled through time for so long, but he had never even seen a real great man.

Half an hour later, the leader finished his visit and was about to go back. At this time, the special leader looked at the youngest doctor on the scene and asked:
"You are Comrade Lin Sanqi? Great, you are young and promising. Your medical skills are much better than those of the Union Hospital."

Lin Sanqi quickly said modestly: "It's mainly because our hospital's examination equipment is advanced, so we can diagnose diseases that Union Hospital can't diagnose."

The leader nodded thoughtfully after hearing this, and then pulled Lin Sanqi aside amid everyone's surprised looks:
"Comrade Xiaolin, I heard that you got 20 of the most advanced X-ray machines?"

Lin Sanqi knew that business was coming when he heard it, so he quickly promoted it:
"Yes, leader, the principle of modern medicine is to have evidence. The specific part of the human body that has a problem and how to treat it are all based on detailed and accurate auxiliary examinations.

Just like what disease Mr. Ramiz had this time, I just guessed based on experience at first, but doctors are human and they always make mistakes, so I need the most advanced instruments to confirm whether my guess is correct.

The X-ray machine at the Union Hospital was too old, only 400 mAh, and it was made in Shanghai, so the pictures it took were not clear enough. It just so happened that our Chinese Medicine Hospital had a 750 mAh machine imported from abroad, so I transferred Mr. Ramiz here.

The leader nodded as he listened:
"It seems that a good machine is indeed very important for treating diseases. If it weren't for the X-ray machine in your hospital, Mr. Ramiz would be considered to have lung cancer and wait to die. If the disease spreads abroad, it would be a great disgrace to our country. Comrade Lin Sanqi, you have done a great job this time."

Lin Sanqi laughed: "This is what I should do, and it is also the path that our country's health industry must take in the future."

Only then did the leader reveal his purpose:

"At present, it seems that the 400 mAh X-ray machine technology produced by Shanghai Precision Medical Equipment Factory is not mature enough, and the core components are imported. Foreigners are very bad, and the ones they sell to us are all defective, and the price is very high! This has further restricted the development of my country's medical and health care industry.

Comrade Lin Sanqi, since you can get such an advanced and easy-to-use X-ray machine, can you continue to help China get some more?"

Lin Sanqi thought, what he was doing was a profiteering business, and this was the profit he was making, so he had to help, he had to help!
"Leader, rest assured, I am a patriotic young man. As long as the country needs me, I will do my best and will never back down."

When the leader heard this, he patted Lin Sanqi's shoulder happily:

"Okay, okay, our country is in trouble and we need patriotic young people like you. So, how many of the most advanced 750 mAh X-ray machines can you get?"

Lin Sanqi said nonchalantly, "Leader, just let me know how many you want. I will do it even if it costs me my life."

The big boss chuckled and held up two fingers.

"20 units? OK, leave it to me!"

“No, it’s 200!”

Even though Lin Sanqi was mentally prepared, he was still shocked when he heard this number and blurted out:

"Wow, so many?" (End of this chapter)

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