Yu Wan was very anxious. He was just a barefoot doctor who had participated in some training in the county. He had no diploma and no medical certificate. How good could he be?
If measured by the most basic "practicing physician standards" of later generations, it can be said that there would not be many people in Ruili who could achieve it.
Moreover, Jiegao Health Center has a serious problem: a shortage of medicines, especially Western medicines.
Some of them are also Dai medicines, which are simply part of Chinese herbal medicine. There are also antipyretic drugs such as Analgin, but the little baby can no longer swallow them.
The patient was anxious, the doctor was anxious too, and then they shouted together in the clinic. Chen Xia's head hurt from hearing it, and he couldn't help but shout:
"Stop arguing, I'm a doctor, let me treat the child, quickly carry the child to the bed."
Yu Wan and several parents of the children were stunned.
Dean Cui remained calm. "Hurry up, this is Doctor Chen from Zhijiang Province. The medical care there is very advanced. It's absolutely right to have him take a look."
So several Dai people turned to Chen Xia for help again, but this time they didn't dare to speak loudly. They just clasped their hands together and kept begging Chen Xia as if they were praying to a Buddha.
Almost all ethnic minorities here believe in Buddhism and regard all those who save people from suffering as Bodhisattvas.
Chen Xia took out a stethoscope from the big bag he was carrying and listened to his heartbeat. He found that the heartbeat was very fast and the rhythm was still regular, but there were some wet rales in the lungs.
He took out a tongue depressor and looked at the tonsils. The tonsils were not only red and swollen, but also covered with white pus spots on the surface.
Chen Xia breathed a sigh of relief, thinking that it was probably "purulent tonsillitis". Identifying the cause would be of great help in treatment.
What he fears most is infectious diseases caused by the tropics, which would be troublesome.
There is no testing equipment in this place, so it is impossible to determine the cause of the disease, and there is no way to provide appropriate treatment.
Pediatrics is also called the "dumb subject" because children cannot describe or describe where they are uncomfortable. Everything depends on the pediatrician to ask parents about their medical history, conduct physical examinations, and perform auxiliary examinations to determine the cause of the disease. This is quite difficult.
It is even more difficult when the doctor makes a wrong guess, which will definitely result in the parents beating, kicking, or verbally abusing the child.
Being a pediatrician is so difficult.
Chen Xia had a clue in mind, so he asked the parents, "When did the child start having a fever? What was the condition at the time? Did he have any coughing, runny nose, vomiting, diarrhea, or anything like that?"
The father quickly explained, "The child started having a fever about five days ago. At that time, he said his mouth hurt and he refused to eat. We went to see the village shrine, Apu, and he took some elixirs, but they didn't work. He has a high fever every day and won't eat or drink. Today, he fell into a coma. Doctors from Zhijiang, please save my child."
Of course you have to save him. If you don't save him at this time, you will be struck by lightning.
Chen Xia didn't say much. He took out a box of ibuprofen antipyretic suppositories from his backpack and quickly inserted them into the child's anus.
Then he took out a few bags of liquid, one bag of liquid contained a bottle of ceftriaxone, one bag of liquid contained vitamins, and one bag of liquid contained a sodium bicarbonate injection.
Pediatrics has a very complex conversion formula for dehydration rehydration, which depends on the degree of dehydration, the child's weight, etc., and then the treatment is carried out based on the principles of fast first then slow, thick first then thin, salt first then sugar.
Chen Xia is not a professional pediatrician and does not have emergency biochemistry and blood routine reports, so he can only prescribe medicine based on experience, which he estimates should be pretty accurate.
Dean Cui and the family looked at Chen Xia in surprise as he took out bags of medicine from his backpack as if by magic, mixed the medicine skillfully, gave the baby an injection skillfully, and finally adjusted the drip rate.
After Chen Xia finished all this, he looked at the handsome face of the little patient and couldn't help but smile and said to himself:
"Little guy, you are lucky to meet me today."
What he actually meant was that it was indeed his blessing and luck to meet a reborn person like himself, who had his own hospital space, and to use medicines from later generations to treat a child from the 1980s.
Otherwise, given the level of care and medicine at the health center, my life would definitely not be saved.
The Dai people are very superstitious. When they heard Chen Xia's words, they all covered their mouths in surprise.
"Bodhisattva, he is the incarnation of Bodhisattva."
Then several people knelt down and kowtowed to Chen Xia, which scared Chen Xia so much that he ran to the corner like a fly.
Dean Cui and Doctor Yuwan were both knowledgeable in medicine. They knew that Chen Xia had used antipyretics and given the child an injection, but they were confused about what the injection was for, because Chen Xia quickly put the empty medicine bottle back into his backpack.
Ruili Hospital also provides intravenous drips, but those are treatments only for critically ill patients. Ordinary people just take some medicine when they come to see a doctor. Ordinary farmers, when they are sick, find some herbs themselves, or see a witch doctor, and then endure it with all their righteousness.
In the 1970s and 1980s, the average life expectancy in frontier ethnic minority counties like Ruili was estimated to be no more than 40 years old.
No matter how developed the outside world is, it cannot affect this frontier. They seem to be lonely and forgotten by God in this era.
Therefore, reform and opening up is a great cause, because it has made people all over the country rich, and has enabled people in remote areas and ethnic minorities to see a doctor, live longer, and have a better quality of life.
Dean Cui was a little itchy, so he asked, "Chief Chen, what was the principle behind your treatment just now?"
Then Chen Xia explained the cause of the child's illness and the treatment plan.
"This child's fever is caused by tonsillitis, which is caused by bacteria such as hemolytic streptococci, pneumococci, and staphylococci. In addition, the child is dehydrated due to not eating due to the high fever. Therefore, my current treatment plan mainly focuses on reducing fever, rehydration, and anti-infection."
"What medicines were used?" Dean Cui asked again.
"The main thing to reduce fever is ibuprofen suppositories. Rehydration is simple, just some saline and sugar water. The most important thing is a set of antibiotics, ceftriaxone injections, which are imported. This injection alone costs 20 yuan. So I say this little kid is lucky. I happened to have it with me."
Dean Cui and Yu Wan were both shocked. Just one tube of imported cefuroxime cost 20 yuan?!
This is simply an outrageous price among outrageous prices, especially for Dean Cui, who instantly gave up the idea of purchasing some goods.
It’s so expensive, who can afford it in Ruili?
When several Dai people heard that a bottle of medicine cost 20 yuan, they were so scared that their hands and feet went numb. Oh my god, this is going to empty their family savings.
However, although ethnic minorities are poor, they are very honest. Others have helped them save their lives, so how can you still refuse to pay?
If this gets out, I won't be able to hold my head up high in the local area anymore.
If this continues for a few decades, their response will probably be: "I worked so hard to get out of debt, why should I pay it back?"
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