Chapter 171 Malignant Intestinal Infectious Diseases
Village Chief Lei is also a shrewd man. When he saw that Lin Sanqi wanted to escape, how could he let him go so easily?
A plague suddenly broke out in Naxiang Commune, which was under his jurisdiction, and he was worried about the lack of medical care and medicine.
In 1959, there were not many doctors even in the capital, let alone this remote county far away from the border. There were only about ten doctors in the entire county, and most of them were Chinese medicine practitioners.
It's more like a small clinic than a county hospital.
In addition to the lack of doctors, the key problem is the lack of medicines. Forget about Western medicine, the only way to survive is through Chinese herbal medicine.
The rapid development of primary healthcare in China did not begin until 1969, when a magical book, the Barefoot Doctor’s Handbook, was published and subsequently promoted nationwide, which led to the training of a large number of primary healthcare workers (including Academician Li Lanjuan).
Village Chief Lei grabbed Lin Sanqi's hand, tears in his eyes, and said affectionately:
"Comrade Lin, look around you. So many people are suffering from disease. This damned plague is taking our lives one after another. Many people died before the doctors could come to save their lives. They died unwillingly.
Now, the great man may have heard the voice of the people and sent you, a great doctor from the capital, to support us. This is the kindness of the Communist Party of China (CPC). So, Comrade Lin, the more than 10,000 people in our commune are all depending on you.
A big hat was put on Lin Sanqi's head, whether he liked it or not.
A man in a white coat beside him also shouted excitedly:
"Comrade Lin, you're a doctor at a major hospital in the capital. Your medical skills are far superior to those of us rural doctors. Please stay and help us."
Lin Sanqi opened his mouth but held back from refuting, thinking to himself, "Brother, please look carefully at my work ID. I'm from the purchasing department, not the clinical department. People who don't work in the hospital are all doctors, and they may also be ideological and political cadres."
The people around also pleaded:
"Comrades from the capital, please save us..."
"Too many people are sick. If we don't control the situation, I'm afraid the entire Qin County will be doomed..."
"Great! Someone from the capital is coming! Central D has sent someone to rescue us!"
When Village Chief Lei saw Lin Sanqi's changing expression, he knew he had to go all out, even if it meant using moral kidnapping to keep the young doctor.
"Comrade Lin, I, I kneel down in front of you, please save our Xiangren!"
Village Chief Lei suddenly knelt down.
Although the doctor in front of him was very young, and being young meant that his medical skills were not very good, the fact that he could drive a large truck showed that the Capital Hospital of Traditional Chinese Medicine behind him was very powerful and that he could save people just by raising his hand.
Village Chief Lei had a good plan. Since Qin County couldn't help locally, he had to seek external assistance. Lin Sanqi was the cat that came to him on its own initiative.
Now he doesn't care whether the cat is white or black, as long as it has something to do with medicine, he will use it to catch mice.
Village Chief Lei is a native of Naxiang. Before liberation, he could have become a chieftain and had a lot of prestige in the local area.
Now that Township Chief Lei had knelt down, the other villagers nearby saw this and also knelt down, shouting, "Save us..."
Lin Sanqi had only seen a large group of people kneeling during the Chinese New Year, but they were kneeling to their ancestors, so how could they kneel to a young man like him?
"No, no, no, everyone, don't kneel. Village Chief Lei, please stand up. Oh, please stand up first."
"Comrade Lin, if you don't agree, I, Old Lei, will kneel down and die in front of you today!"
"I'll save you, I can save you, but you have to tell me what happened?"
Well, Lin Sanqi still lacks social experience. In fact, he could just leave at this time. It is definitely not a good idea to wade into muddy water in other places.
Moral condemnation? Who could condemn him when he returned to the capital?
Now, I have put myself in a dangerous situation.
Although the university did not want him, he had been brainwashed unconsciously after five years of studying in medical school, and always remembered that saving lives was his duty.
When Village Chief Lei heard that the doctor from the capital was willing to stay, he immediately stood up without anyone's help and shouted to the man in the white coat next to him:
"Doctor Huang, please explain the situation to Comrade Lin."
Dr. Huang was in his 50s. His white coat was now mixed with mud and feces. He was barefoot, his hair was messy, and his face looked very haggard.
"Comrade Lin, I'm Huang Zhibai from Qin County Hospital, but I'm a traditional Chinese medicine practitioner, and the team I brought with me this time are all traditional Chinese medicine practitioners."
When Lin Sanqi heard the name, he knew that this old man was a rare cultured man.
"Many of our patients in Naxiang Commune have died, and some are still waiting for rescue. These patients all have a common symptom: fever, abdominal pain, and diarrhea."
Lin Sanqi asked, "What shape and color is the stool?"
Huang Zhibai immediately replied, "There are both bloody and pus stools and watery stools. They are different, and the tenesmus is very obvious."
Lin Sanqi breathed a sigh of relief because he was already certain of many things.
First of all, this is a collective outbreak with an incidence rate of 8%, which meets the requirements of an infectious disease epidemic.
Secondly, this infectious disease first causes diarrhea and then fever, and the diarrhea is very severe, indicating that it is mainly caused by enterovirus.
If these two requirements are met, the scope of diagnosis can be narrowed down a lot.
Lin Sanqi immediately began to recall the "Infectious Diseases" textbook. Fortunately, he was still in the internship stage and still remembered the contents of the textbook clearly.
But before he could make a diagnosis, he had to see the patient in person.
"Doctor Huang, let's go see the patients first. But with so many people lying out in the open, what if it rains?"
Huang Zhibai smiled bitterly and said helplessly:
"There's nothing we can do. As you can see, we're just a small mountain village. We don't even have a health center. Now all the buildings, including the original township government and primary school, are empty, but it's still not enough. There are too many patients, and they have to lie on the road."
Village Chief Lei pointed at the black smoke not far away and said:
"Not only are we unable to treat the sick, but even for the dead, we can only cremate them immediately. It's a pity that they can't even be buried..."
Lin Sanqi thought, as expected, I knew that encountering columns of black smoke in the disaster area was definitely not a good thing, so he bowed several times towards the black smoke in the distance, which was considered as a condolence.
"Let's go, go see the patient. Oh wait, I'm going to get something from the car."
Lin Sanqi climbed onto the truck, and when he came down he was already wearing a medical cap, N95 mask, disposable isolation suit, gloves, and foot covers, the only thing missing was an eye mask, and he also carried a wooden medicine box on his back.
Village Chief Lei exclaimed in amazement after seeing this: "Wow, doctors from the capital are really different. We have millet and rifles, while they have tanks and planes, fully armed."
Lin Sanqi was a little embarrassed, as dressing like this made him look quite unique, but there was nothing he could do, as his life always came first.
Under the guidance of Village Chief Lei and Doctor Huang, Lin Sanqi walked towards the houses on the roadside, which were full of patients.
A young doctor was holding a wooden bucket and pouring Chinese medicine into the wooden bowl in front of the patient.
Lin Sanqi asked curiously, "Doctor Huang, what prescription do you use?"
When Huang Zhibai heard that the senior doctor wanted to test him, he quickly replied in a serious manner:
"Oh, this is Zeng Chong's prescription. The ingredients are Codonopsis pilosula, raw oysters, lotus leaves, lotus stems, and lotus leaf stalks. Oysters and lotus leaves are readily available, but Codonopsis pilosula is used less frequently. Originally, each prescription required 3 qian, but now only 1 qian is used in this entire bucket of medicine."
Although Lin Sanqi is not a student of traditional Chinese medicine, he knows that the prescription must have sufficient quantity, the number of medicinal materials must be sufficient, and the dosage of each medicine must also be sufficient. None of them can be missing.
"Doctor Huang, we only used less than one-tenth of the Codonopsis pilosula. The effect won't be enough."
"Who says it's not? But you've seen the conditions here. This little bit of Codonopsis was borrowed from the surrounding area by the county."
Lin Sanqi understood that it was not that the local government did not provide medicine, but that Qin County was too poor and too remote to buy or use it.
Lin Sanqi squatted down. There was an old man lying on the ground. At this time, the whole person looked like a dried corpse. His cheeks and eyeballs were obviously sunken. He looked very irritable and rolled over and over on the ground.
Lin Sanqi asked the person next to him to hold the old man down, took out a thermometer and measured his temperature, which reached 39 degrees Celsius.
Blood pressure was measured again, 80/50;
"How many times has this old man had diarrhea today?"
A female doctor nearby replied, "He has had diarrhea five times since dawn."
"Have you ever done a stool test?"
"Comrade Lin, we can't even get a microscope, how can we perform an examination?"
The female doctor snorted softly, "Where did all the sulfa drugs in our hospital go? They're life-saving drugs, and they've all been taken by a few people."
When Dr. Huang heard this, his face turned red, and Lei Xiangxia looked up at the sky, indicating that it had nothing to do with him.
Lin Sanqi also snorted softly. He really wanted to give a thumbs up to this brave female doctor, but then he thought that since he was alone in a foreign country, he should not offend those county Brahmins.
Then Lin Sanqi began to examine other patients.
In fact, the best way to deal with Lin Sanqi at this time is to take a few samples of the patient's feces and then take them to 2013 for testing.
But there is a risk here. The two time and space are different. What if unknown bacteria and viruses from 1959 are brought to 2013?
If it spreads to the whole country and the whole world, then Lin Sanqi will be a sinner and it would be a pity if he were dragged out, filled with cement and sunk into the sea.
After examining about a dozen patients, Lin Sanqi had a rough idea. All the patients had identical clinical symptoms, and from an epidemiological perspective, it could be assumed that they had the same disease, and it was contagious.
Lin Sanqi asked again: "Which one is the drinking water for your Xiang Commune?"
Village Chief Lei pointed to a stream beside the village and said:
"It's the Shuangjiang River. Almost all the villages in our Naxiang Commune are built beside it."
The drinking water source is single and concentrated, which once again conforms to the "transmission route" of intestinal infectious diseases. People drink the same river water and get the same disease.
(End of this chapter)
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