Bringing a Hospital Back to the 80s

In her previous life, she was a slacker doctor who returned to 1980. In an unfamiliar environment, the first major problems to solve were food and survival.

Fortunately, she carried a spatial...

Chapter 158: Malaria

Chen Xia was thinking hard. After all, he was a surgeon in his previous life. He was not very professional in internal medicine diseases and needed to carefully identify them.

First of all, the common cold can be ruled out. The illness has lasted for 9 days and any cold can be cured.

In addition, pneumonia can also be ruled out. The patient does not have cough or sputum, and there are no rales on lung auscultation.

From the perspective of chills and fever, sepsis cannot be ruled out. Sepsis can also cause hepatosplenomegaly, but penicillin has been used for many days and has not provided any relief, so this diagnosis can only be pending.

Could it be typhoid fever? Typhoid fever can also cause fever, hepatosplenomegaly, and vomiting, but typhoid fever is usually accompanied by diarrhea and a dark red "roseola" all over the body, and this old man had none of these symptoms after a thorough examination.

Chen Xia thought carefully about the medical history again and felt that he should judge it based on the description of "alternating hot and cold, and able to relieve itself". Just as he was thinking hard, the mosquitoes in the room kept biting him, making him slap them in annoyance.

Suddenly, Chen Xia had an idea and remembered a case of malaria he had seen in the infectious disease ward of Yuezhou Fourth Hospital when he first started working. Wasn't the clinical manifestation exactly like this?

Malaria is a vector-borne infectious disease caused by Plasmodium parasites through the bite of Anopheles mosquitoes or transfusion of blood from an infected person.

The main symptoms of this disease are periodic attacks with chills, fever, and sweating. After long-term and repeated attacks, it can cause anemia and splenomegaly.

If it is done in a hospital, the diagnosis is not difficult. Just look for malaria parasites on the blood smear.

Treatment is not difficult. Chen Xia’s space hospital has special medicines for malaria, including artesunate, mefloquine, chloroquine, primaquine, etc.

Although malaria rarely occurs in China in later generations, there are always some imported cases every year, so most large hospitals have strategic reserves of drugs.

The problem now is that Chen Xia doesn’t know much about malaria and cannot tell whether it is vivax malaria, quartan malaria, falciparum malaria or ovale malaria?

These strange classifications directly affect the use of drugs and the treatment effect, but now there is no way to contact the country to request technical support.

Headache.

The commander's wife Du Enqin and Mala Nian saw Chen Xia's expression, which was sometimes frowning, sometimes looking relaxed, and sometimes very conflicted. Their emotions were unconsciously made tense.

They couldn't help but be nervous, as the situation in the Myanmar store was very bad.

Especially in northern Myanmar, which is basically under the control of various warlords, big and small. The central army of Myanmar has always wanted to recapture these places, so there are several battles every year.

Even among the warlords in northern Myanmar, internal strife continues all year round.

They seize territory, emerald mines, people, and food. They seize everything and fight for everything.

This is a typical jungle law area where the strong prey on the weak. There is no law, no order, and no room for retreat.

The commander of the Kango Army, Ko Danwei, who is lying on the hospital bed, is the absolute core of this armed force and a warlord of a medium-sized force in northern Myanmar. He controls a piece of land and, crucially, a jade mine.

It is for this reason that several major warlords nearby have been eyeing them covetously, wanting to seize the jade mine.

In order to achieve this goal, the warlords have even cooperated with the central army and are preparing to jointly ban them and prevent their jade from being sent to the Yangon public auction for sale. They must first use this method of slow consumption to cause their internal collapse.

Not being able to sell jade means having no source of income. The supplies they get from Ruili alone can only maintain their basic survival, but they cannot buy more weapons or recruit soldiers.

How can we seize territory and guard the jade mines without soldiers?

Just when the entire Kanguo Army was in great trouble, the army commander Ge Danwei suddenly fell ill and fell ill.

If this news were known to other warlords, they would not miss this opportunity and would definitely launch a large-scale attack.

At that time, it will not be a question of whether they can keep the territory, but whether these officers, big and small, can keep their lives.

Soldiers are valuable resources, and the enemy will definitely take them all, but these senior officers, such as the commander's wife, must be purged.

This is also the unspoken rule of the warlords in northern Myanmar. Keeping these people will only cause endless troubles. Cutting the weeds at their roots is the simplest, most effective and permanent way to solve the problem.

Du Enqin and many officers of the Kanguo Army thought of many ways and also tied up many doctors, but they all gave different diagnoses and the treatments had no effect at all.

The furious commander's wife has already shot three doctors.

Could this person be the fourth doctor to be executed? Du Enqin looked at the young doctor indifferently.

Maranian asked anxiously, "Doctor, how is our commander's condition? Can you cure him?"

Chen Xia took a look at the patient in the room and thought that the diagnosis was almost correct and the treatment was simple. But if it was so simple to say that it could be cured, wouldn’t it be too easy for them?

Why? You can arrest and kill me whenever you want? Just because you're black?

"Well, the patient's condition is very critical now. He has a headache and vomiting, which means that the disease has also damaged his brain. If he can't get treatment in time, he will probably be terminally ill within a week.

I have two diagnostic guesses, but there is no diagnostic equipment available right now, so I won't know the specific illness until I take medication. However, these medications are very expensive, so..."

After saying that, Chen Xia twisted his fingers, indicating that he wanted to negotiate terms.

In fact, Chen Xia was trying to scare them. Judging from the patient's condition, he was far from being unconscious or comatose. He did not have symptoms of severe anemia, renal failure, or jaundice, nor did he have acute respiratory distress syndrome, persistent cramps, or hemochromatia.

That is far from reaching the level of severe malaria. The problem is that Chen Xia doesn't trust them at all, just as they don't trust him.

The more greedy he appears now, the more Du Enqin will believe that he has real ability, and the more secure his personal safety will be.

Du Enqin and Maranian were speechless when they saw Chen Xia’s hint, really speechless!

Do they think this young doctor is stupid? Now there are gunpoints all over his head, and he is still greedy for rewards?

Du Enqin said indifferently: "How confident are you that you can cure it?"

"At least 60%."

"That's a lot of hope, isn't it?"

"Yes and no. It depends on how to treat it and how to use the medicine..."

Du Enqin sneered and said impatiently: "Tell me, how much do you want?"

Du Enqin has decided that she will satisfy any request the doctor makes now, but as long as the disease is cured, everything can be discussed.

But later on...

She was very confident that this young doctor would not be able to take a penny out of northern Myanmar. If he behaved well, he would stay and be a military doctor. If he did not behave well, he would be shot.