Chapter 316 The First Inpatient
People these days are too naive and can be easily provoked into conflict, especially between two hostile units. If someone raises a call, someone will actually dare to come up and blow the other side's head off.
Seeing the indignant faces of the Xiehe people, Lin Sanqi didn't care:
"Is the theory I just explained Chinese medicine or Western medicine? Don't you understand? If you don't understand, it's because your level is too low."
There are stepping stones on the road to success. Lin Sanqi had witnessed Guo Jianqiao's perfunctory treatment and did not believe that he was a good doctor. Today he would use him as a sacrifice.
Lin Sanqi looked at the leader in the middle who had the final say:
"So, Leader Cheng, I have the best Chinese medicine doctors and the best respiratory doctors in the country under my command. I have enough confidence to accept this distinguished foreign guest. If you still don't believe me, I can issue a military order."
Dean Tu stroked his head and thought to himself that it was really hard to persuade that damn ghost with kind words. Young people are still too impulsive.
Vice President Ye solemnly reminded again, "Comrade Lin Sanqi, be careful with your words."
Lin Sanqi thought, wealth and honor are achieved through risk. If the disease cannot be cured, the worst that can happen is that he will go back to Jinggang Mountain to fight as a guerrilla. What is there to be afraid of?
After hearing this, Leader Cheng discussed it with some staff members behind him for a while and confirmed that the Chinese medicine hospital did have the best equipment and also had the best medical team of 50 people, so he became tempted.
Leaders coming back from the battlefield are all decisive and ruthless. Leader Cheng had an idea in mind and said seriously:
"Mr. Ramiz's condition is very serious, but he is very important to our country's diplomatic work. You must take 100% responsibility. I have made the decision. You can leave the patient to me.
If you can cure me, I will personally apply for a certificate of merit for you. If you can't, don't forget your military order. I know you are also a member of our army. There is no joking in the army. You know the consequences of this."
Dean Tu saw that things had come to this point and there was no room for recovery, so he said worriedly:
"Comrade Lin Sanqi works at the Changping branch, dozens of kilometers away from here, a two-hour drive. The patient is on oxygen, so I'm afraid it will be difficult to transport him."
"Oh, that's right~~~"
Lin Sanqi thought to himself that this was indeed a realistic problem. Suddenly, an idea flashed in his mind:
"So, transfer the patient to our main hospital. Kuan Street is only 2 kilometers away, and the ambulance will take less than 5 minutes to get there. An oxygen pillow will be enough for the journey."
Dean Tu was still a little worried: "If we go to Kuan Street, what will happen to your so-called advanced equipment?"
Lin Sanqi patted his chest:
"Director Tu, have you forgotten who got the 750 mAh X-ray machine? I already had a spare installed at the Broad Street main hospital. As for those blood test machines, I also have a spare set for emergencies like this."
In fact, Lin Sanqi’s backup machine is a mainstream model from 2013, which is fully automatic and it is unknown how many generations advanced it is.
The doctors at Peking Union Medical College got even angrier when they heard this. What the hell, Peking Union Medical College didn’t have one set, but the Chinese Medicine Hospital actually used one set and had a spare set?
Leader Cheng nodded and said, "Then all parties should begin preparations. I'll give you an hour. In three hours, the Chinese Medicine Hospital will be ready to receive the patient, and Union Hospital will cooperate."
When Guo Jianqiao heard this, he thought to himself, "There is a road to heaven but you don't want to go, there is no door to hell but you insist on breaking in. So I will definitely cooperate with the transfer to another hospital."
Dean Tu and Vice Dean Ye looked at Lin Sanqi and shook their heads, whispering comfortingly, "May you wish yourself the best!"
Bi Xinglong and Ma Zhongli immediately turned to Lin Sanqi and anxiously reminded him:
"Director Lin, this is definitely not lung cancer, but it doesn't look like pneumonia either. We can see that. But the patient's condition is indeed very critical. If we can't find the cause, how can we treat it? Besides, we don't have any particularly good medicine..."
Lin Sanqi made a downward motion, picked up the X-ray film and said:
"This patient's hemoptysis is the main clinical feature, and we must seize this characteristic. Since there is no fever, caseous pneumonia and lobar pneumonia can basically be ruled out. In addition, you have also ruled out the possibility of lung cancer and tuberculosis.
This line of thinking is correct, and it demonstrates your extensive observational skills and clinical experience. However, you've missed the point. Think about it again: if you cough up blood during an acute attack, isn't it possible that the amount of blood is large enough to form a blood clot, obstructing the trachea and causing an obstructive lung inflammation mass?
Lin Sanqi left after saying this.
Bi Xinglong and Ma Zhongli were stunned for a moment, then they quickly picked up the X-ray film and continued to study it...
Lin Sanqi was very happy to be able to show off in Union Hospital, but if he wanted the Chinese Medicine Hospital to accept the first patient transferred from Union Hospital for the first time, there was still a lot of preparation to be done.
For example, the Chinese medicine hospital doesn’t even have an inpatient department.
Lin Sanqi first called the Chinese Medicine Hospital, and Dean Shen was stunned when he received the call.
"Damn it, ancestor, how did you bring back such a treasure? If even Union Hospital can't cure the patient, wouldn't it be even harder for us Chinese medicine practitioners? No, no, no, you are a profit-seeking kid. Since you dare to accept it, do you have any confidence?"
Unlike others, Dean Shen knows Lin Sanqi too well and understands his magical qualities even better.
Lin Sanqi took the microphone and lowered his voice:
"Don't worry, Uncle Shen. I have the most advanced equipment and medicine from abroad. I can handle any patient that Union Hospital can't treat. And let me tell you, they misdiagnosed the patient and thought he was dying. In fact, his condition is far less serious."
"Can it be cured?"
"able!"
"Can you slap Concord in the face?"
"They must be slapped hard in the face!"
"Okay then. You escort the patient here in person and I'll arrange a bed right away. Give me two hours and I'll guarantee a ward will be ready."
These days, wards don't need any special equipment. All you need is a bed, a bedside table, an infusion stand, and if the conditions are better, an oxygen cylinder. If it's a VIP room, they'll even give you a sofa.
What? You still want a nurse with black stockings?
An hour earlier than expected, two hours later, the short 2.5-kilometer road from Union Hospital to Traditional Chinese Medicine Hospital was temporarily blocked, and then the ambulance from Union Hospital rushed the patient into the gate of Traditional Chinese Medicine Hospital.
The ambulance was followed by a long line of cars, which drove into the Chinese medicine hospital one after another.
When had the Chinese Medicine Hospital ever seen such a scene? Gossip is a natural part of Chinese people, so many medical staff and patients gathered around to watch the fun.
Lin Sanqi's second sister-in-law Pei Xuehua is a representative figure who is not good at anything and can't eat anything, so of course she is at the forefront of gossip.
"Who's here? So impressive!"
"Hey, you don't know yet? This is the patient your uncle brought in. I heard he's a foreign guest."
"Why did I hear it was a foreign leader?"
"Wrong, I heard it was the head of a country..."
Pei Xuehua was shocked when she heard this: "What? Head of state? My goodness, when did our Xiaoqi have the ability to treat a foreign head of state?"
Speaking of this, Pei Xuehua suddenly narrowed her eyes.
I wondered if my biased father-in-law had given all the secret recipes to his youngest son. Otherwise, there was no way to explain how this brother-in-law's medical skills had improved so rapidly in just one year, even setting up a tuberculosis department.
Thinking of this, Pei Xuehua stepped on her husband's instep and cursed in a low voice:
"You useless good-for-nothing! Dad only cares about the eldest and youngest sons. He can't starve your useless second son to death. Humph!"
Li Jingming was also in the crowd at this time. He touched his fellow countryman and good friend Lin Kucan next to him and said:
"Hey, Old Lin, your youngest son is just going to brag. Hey, when did your Lingnan School become so awesome? Now you can cure colds (flu), tuberculosis, and now you can even cure foreigners. I've never heard of that before."
Lin Kucan still gave his signature smile:
"That's right. Our Lingnan School is extensive and profound. I only learned a little bit, but I was able to practice medicine in both the province and Hong Kong back then. Now my youngest son is even more talented than me, so of course I have to carry forward the Lingnan School."
Li Jingming agreed and sighed:
"I envy you! You have someone to carry on your legacy. We're not allowed to take on apprentices now, and my sons don't have any talent. It seems like our family's Shangfangqiao bone injury specialty will be lost."
Ambassador Ramiz was taken out of the ambulance and sent to a temporary ward.
This ward was originally the party construction room. The surrounding environment was good and the room was clean. Dean Shen temporarily put some furniture in it and even contributed the sofa in his office.
Even with all her efforts, Lady Alia still frowned after seeing this and asked through the translator:
"Excuse me, does your hospital have any better wards?"
Dean Shen blushed when he heard this, and Lin Sanqi quickly explained:
"Our best ward is in Changping, which is quite far away. It would be inconvenient for Mr. Ramiz to be transferred, so we've brought all the best medical equipment from Changping here to serve Mr. Ramiz alone. Do you think this arrangement is a good one?"
"Are you going to move all the hospital equipment here just for Mr. Ramiz?"
When Mrs. Alia heard this, she felt happy. For a person from the upper class like her, all she wanted was a special privilege. If the entire hospital served her husband alone, what was there to be dissatisfied with?
"Then I'll trouble you. Thank you."
Dean Shen saw that the family members were appeased and asked anxiously:
"Xiao Qi, I see the patient is already unconscious. I took his pulse when we moved him just now. He has lung qi deficiency, stagnant blood circulation, and stasis in all his meridians. This is caused by the failure of lung qi to flow freely and the obstruction of phlegm... He's going to die..."
Lin Sanqi thought to himself, he is indeed a master of traditional Chinese medicine, much more reliable than Guo Jianqiao from Union Hospital.
"Uncle Shen, your diagnosis is correct. There is something blocking the patient's lungs, but it's not phlegm, but a blood clot. Therefore, we will use a combination of Chinese and Western medicine in the treatment plan.
If we win this battle today, our Chinese Medicine Hospital's reputation as a top contender over Peking Union Medical College Hospital will be solidified, as the patient was transferred from them. It will also be the perfect advertisement for our newly established Tuberculosis Department.
Another important point is that mainstream European and American countries have not yet established diplomatic relations with China. If our medical technology wants to go global, the Nordic snowy country where Ambassador Ramiz is located is the best window, and we cannot miss it. "
Dean Shen knew the seriousness of the matter better than Lin Sanqi. After all, diplomacy is no small matter, so he nodded heavily.
"Okay, this treatment is based on you. I'll do whatever you say."
"By the way, has my new X-ray machine been installed?"
"It's installed, but it hasn't been debugged yet. Should I use it right away?"
Lin Sanqi thought that even though the ordinary 750 mAh machine was the most advanced one at present, it was still not enough in front of the CT scan. He still had to find a way to do the CT scan later.
The temporary ward was now filled with people inside and outside. Some were staff from the Nordic Snow Country, some were staff from the foreign affairs department, and some were leaders from the Union Hospital of Chinese Medicine.
Lin Sanqi suddenly clapped his hands and instructed:
"Okay, now we need to conduct a comprehensive examination on Mr. Ramiz. Our hospital has prepared the examination equipment, but I need to make it clear to everyone that X-ray examinations contain radiation. I will be operating the machine myself, so please do not get close."
It is a well-known fact that X-rays have radiation. Even if Lin Sanqi didn't say it, no one would be willing to get close.
Mrs. Alia was moved when she heard this: "Thank you, you are such a great doctor. I don't know how to express my gratitude."
Lin Sanqi said with great righteousness: "For the friendship between our two countries, I am willing to sacrifice everything I have."
Amidst the applause of the foreign affairs department leaders and the staff of the Nordic Snow Country Embassy, the great doctor Lin Sanqi sent the patient to the X-ray room and closed the door.
The staff and officials who had been standing outside with concerned expressions all quietly retreated, further and further away from the X-ray room...
Ambassador Ramiz was unconscious at this time. Lin Sanqi knew that he didn't have much time left, so he quickly took out a "bedside" CT machine from the space.
Then he turned on the switch and quickly hid in the "channel space" again.
Lin Sanqi is not married yet and has no children, so he doesn't want to absorb radiation and give birth to a deformed child in the future. He can talk about being great and righteous, but his actions are very honest.
Fortunately, the bedside CT has an automatic program that will shut down automatically after the examination and no additional operations are required.
Before Lin Sanqi had time to read the film, he quickly removed the infusion needle and then quickly drew several tubes of blood.
Less than 10 minutes after completing all this, Lin Sanqi finally opened the door of the examination room and shouted to the staff outside:
“The patient has been examined and will be sent to the ward immediately. Also, Dean Shen, please immediately organize the experts in the hospital to provide Mr. Ramiz with Chinese medicine diagnosis and treatment. I will be back soon.”
Bi Xinglong and Ma Zhongli stepped forward and asked, "Director Lin, let's develop the X-ray film."
Lin Sanqi waved his hands and thought to himself, I don't need the film, I can just look at the film directly on a dedicated film reader, and I can zoom in and out at any time, and it can also be dynamic and three-dimensional, which is more convenient.
"Don't worry, I'll take care of the auxiliary examination. Here are two imported antibiotics I got. Inject them into Mr. Ramiz immediately."
The antibiotics Lin Sanqi gave were called "imipenem-cilastatin" and "moxifloxacin", both of which are powerful broad-spectrum antibiotics and can only be used by doctors with the rank of associate senior doctor or above in hospitals.
Lin Sanqi used a powerful weapon right from the start, in order to better control the infection sites in the patient's body.
"Also, this Mr. Ramiz is in obvious hemorrhagic shock, so a blood transfusion is crucial. You should immediately have Dean Shen organize the staff of your unit to donate blood. You two will be personally responsible for this task."
After saying this, Lin Sanqi took out some more tissues:
"Blood transfusion safety is very important, so you two must personally check it. If there is hepatitis, syphilis, AIDS, etc., the swab will show two bars, and the blood cannot be used. This is very critical, remember."
The safety issues of blood products had not been completely resolved even in 2013, let alone in 1960. (A tribute to Professor Gao Yaojie)
Ma Zhongli was puzzled. "We know hepatitis and syphilis, but is AIDS some new disease?"
Lin Sanqi was stunned for a moment, thinking that he had let the cat out of the bag again. AIDS was first discovered in the United States in 1981, and the first case in my country was not discovered until 1985.
"Well, AIDS is a US disease. It's not available in China yet, so don't worry about it for now. Blood transfusions and fluids need to be given quickly. Also, you should have experience in correcting shock. I don't need to explain more, right?"
Bi Xinglong and Ma Zhongli were now full of admiration for Lin Sanqi. They bent over and nodded heavily:
"Don't worry, Director Lin. You can take charge of the overall situation. Leave the rest of the specific operations to the two of us."
Lin Sanqi thought, if he didn't trust anyone, then no one could not trust the senior doctors at Union Hospital.
After everyone left, Lin Sanqi once again slipped into the "channel space" and first placed several tubes of blood into the biochemical analyzer, blood gas analyzer, and five-category blood cell analyzer, letting the machines run automatically.
Then he turned on the film reader and retrieved the bedside CT data for careful analysis.
Sure enough, the patient had obvious bronchodilation, and looking down along the dilated bronchus, there was an obvious pulmonary infarction, manifested as pulmonary hemorrhage, edema, round or uneven density patchy infiltration foci, fibrous cord shadows and discoid atelectasis in the lungs.
This confirmed what Lin Sanqi had guessed before, and it was exactly the same case he had seen during his internship. It was because the bleeding after bronchial dilation blocked the bronchi, and the bleeding continued to flow back into the lungs, causing difficulty breathing.
It is actually easy to understand why the patient fell into a coma. It was because of hemorrhagic shock caused by excessive bleeding.
This kind of shock is temporary and recoverable. It is not the respiratory failure caused by advanced lung cancer that was previously diagnosed by Union Hospital, and it is difficult to wake up.
But Union Hospital is also cunning. If such patients are sent home directly without treatment, it will be difficult for them to wake up again, and shock will become real death.
By then, it will never be possible to know the patient's true cause of death, and Union Hospital will no longer have any responsibility.
After a while, the results of the fully automatic emergency blood analysis came out, which further confirmed that the patient was in hemorrhagic shock and had extremely high inflammatory indicators.
Anyone with a little medical knowledge knows that as long as the shock is corrected, the patient can be resuscitated immediately and the process is not too complicated.
Then they found a way to clear the blocked bronchus, and the patient was saved.
Lin Sanqi held the test results in his hand, and he felt more confident. This time, he was confirmed to be a "miracle doctor".
After returning to the ward, Lin Sanqi saw that the patient had been given an IV drip. Dean Shen and a group of Chinese medicine practitioners, including Dr. Lin, had just come out of the ward after taking the patient's pulse.
Several people came to the next room, and the Chinese and Western doctors began to discuss the medical records together:
(End of this chapter)
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