A doctor who travels through two eras

Chapter 85 Buy Thirty Pills at a Time
The gray-haired old doctor advised:
"Young man, why do you need so many Angong Niuhuang Pills? This medicine is not food. If you don't find a suitable patient to use it, it will be wasted if you keep it in storage."

Lin Sanqi knew that people in this era were suspicious and would think of everything as an enemy spy, so he had to lie:
"My father works at Kuanjie Chinese Medicine Hospital. I don't know what they want to use this medicine for. I'm just an errand boy."

Oh~~~
The staff of Tongrentang suddenly realized what was going on.

This is how the Chinese medicine circle works. Each family has their own secret recipe and special medicine. If one family encounters a suitable patient and cannot treat the disease themselves, they will go to other families to buy the special medicine.

A de facto exchange of what we have.

Of course there are prejudices, but it is impossible for a doctor to insist on prejudice at the cost of his patient's life.

Lin Sanqi's explanation is reasonable. Since there is a doctor at home, it is normal for him to buy some medicine and make some extra money by seeing patients. Buying more medicine is also a clinical need.

Since the customer had money, the use of the medicine was explainable, and the medicine was not a dangerous item and did not require political review, the sale of 30 Angong Niuhuang Pills was successfully completed.

When Lin Sanqi walked out of Tongrentang holding a large paper bag containing 30 small brocade boxes, his mouth was almost crooked with smiles.

What they are holding are not medicine, but Chairman Mao’s banknotes.

"Comrade Pan Ye, my four children, what else do you want to eat? It's my treat today, let's go!"

"Wow, hurray~~~"

The four little kids were excited and clamoring about which old brand they wanted to go to. Pan Ye, on the other hand, had a helpless look on his face and felt that Lin Sanqi was more and more unfathomable.

(Lin Sanqi: Wait, isn’t unfathomable used to describe women?)
At the same time, in 2023, outside the operating room of Huadu First Hospital.

The patient's family member Jiang Meilan was staring nervously at the large screen outside the operating room, which could track which stage of the operation the patient was currently in. Her son Sun Xiaoming's name was on the screen.

The husband, Sun Shu, held his wife's hand and comforted her softly:
"Don't be nervous, it's just a minor appendicitis. The doctor said the surgery won't take as long as the anesthesia, so it's fine."

Jiang Meilan wiped away her tears:

"How can I not be nervous? Our son has never suffered from any hardship since he was a child. Now I feel anxious when I think of him lying on the operating table. As a father, you are really careless and don't feel sorry at all, huh!"

Sun Shu chuckled. How could he not feel sorry for his son? But he was not really worried about him.

Again, it was just a minor appendectomy operation, and the doctor was sent to the hospital in time, so what could go wrong? At most, he would suffer a little pain.

In the operating room
Anesthesiologist Lv Shengwen was looking through the medical records of his patient Sun Xiaoming and yawned when he saw the diagnosis of "appendicitis" on it.

Another minor operation.

When it comes to surgery, many people have a misunderstanding that all they have to do is give the surgeon a red envelope. The higher the level of the specialist, the thicker the red envelope.

In fact, this is a misunderstanding among the common people.

Great experts are certainly important, but during an operation, it is entirely possible that the surgeon-in-chief may be replaced by an ordinary junior doctor. The great expert can at most just take a look from the side, which is considered to be fulfilling his duty.

The great experts are too lazy to perform surgery, unless it is a rare disease or a difficult and complicated disease, then the expert professors will do it themselves.

Besides, it is better to hire a "flying surgeon" than to go to a big hospital for surgery.

Because flying knife experts go to the grassroots to earn extra money and work alone, the surgeon must be the expert himself during the operation, so the quality is more guaranteed. At the same time, the anesthesiologist is also very important during the operation. It is necessary to meet the patient before the operation, carefully inquire about the medical history and personal history, and then formulate a detailed surgical anesthesia plan.

It can be said that the anesthesiologist is the key person who truly controls the life and death of your patient.

Unfortunately, not enough attention is paid to anesthesiologists in China. Even anesthesiologists do not put themselves in the right position and regard themselves as small assistants. Very few anesthesiologists meet with patients.

Anesthesiologist Lu Shengwen is in his 30s and has more than 10 years of clinical experience. He is very confident and when he sees a patient with appendicitis, he is too lazy to ask more questions.

"Body temperature 36.5℃, heart rate 80 beats/min, blood pressure 116/62mmHg, SpO2 97%, vital signs are balanced, everything is OK, Xiao Qi, I'll give you anesthesia first."

The surgeon in charge, Dr. Qi Chaoyu, is even younger, less than 30 years old. He is a resident in the hospital and this type of minor surgery is his specialty.

"Okay, Brother Lu, you go ahead. There are a lot of surgeries today, so we have to hurry up, otherwise we'll be late again."

"Miss Zhao, I'll give you 1.5mg of midazolam, 0.2mg of fentanyl, 70mg of propofol, and 50mg of succinylcholine by intravenous injection."

Miss Zhao was Zhao Ping, a young nurse in the operating room. They were all young people and had already gotten to know each other well, so Lu Shengwen handed over the task of injecting anesthetic drugs to the young nurse and took out the only bench in the operating room and prepared to sit for a while.

After Zhao Ping applied the potion, she rolled her eyes at Lv Shengwen:

"Fatty Lu, if you keep being lazy you'll become as fat as a ball. You don't even know how to move, you just sit there."

Lv Shengwen smiled evilly and asked, "Miss Zhao, how do you want to move? Move up or down, any position, tell me, I promise to cooperate."

"Bah, you? I'm afraid you can only last three seconds at most!"

The two were still joking when Lv Shengwen saw that the patient was already paralyzed, so he took out the tools and prepared to start tracheal intubation.

"Hey, that's not right. The masseter muscles should be relaxed at this time. Why are they so tense now? I can't even open my mouth."

After anesthesia, a normal patient's muscles are relaxed and he has no consciousness. No matter how the doctor manipulates him, he should not resist. This is very abnormal.

Lu Shengwen is also an experienced anesthesiologist, and he immediately became alert when he found something abnormal.

After hearing this, Dr. Qi and Nurse Zhao stopped joking and immediately came over to see what was going on.

At this moment, the monitor suddenly started beeping and everyone looked up, feeling more and more uneasy.

Nurse Zhao looked at the screen and her voice trembled a little:

"Hurry, we must find the cause immediately. The heart rate is rising. 120 beats! 150 beats! It has reached 180 beats per minute!"

A sudden and abnormal acceleration of the heartbeat often means that the heart's oxygen supply is decreasing sharply, myocardial energy metabolism is abnormal, and severe myocardial ischemia is caused. The most serious consequence is "heart failure".

At the moment when everyone was stunned, the PaCO2 index began to rise and reached 85mmHg.

Both Lu Shengwen and Qi Chaoyu were stunned, but after a brief moment of unconsciousness, they immediately realized that there must have been an accident during the previous anesthesia process.

The anesthesiologist was to blame for this, so Qi Chaoyu stepped back a little to avoid getting into trouble.

(End of this chapter)