Director Xiao Lin asked first: "Uncle Shen, Dad, what did you see?"
Dean Shen thought for a moment and said:
"The patient's lips took on a dark color, the veins under the tongue became swollen and tortuous, the forehead area on the face turned black, and even the pulse became astringent, as weak as a knife scraping bamboo. These are all silent warnings of blood stasis in the body.
Now, both the patient's symptoms and pulse are consistent with my previous speculation. The patient is suffering from lung qi deficiency and internal obstruction of phlegm..."
Lin Sanqi waved his hand and interrupted:
"Uncle Shen, your other diagnoses were correct, but the last part about phlegm and turbidity blocking the body is wrong. The principle is indeed similar, but the blockage is not phlegm, but blood clots."
All the Chinese medicine practitioners in the room sat up straight at once.
Dean Shen also frowned:
"Xiao Qi, are you so sure it's 'blood turbidity' and not 'phlegm turbidity'? There's no mistake. The treatment plans for the two different types of internal resistance are completely different."
Another old Chinese medicine doctor also reminded:
"Yes, Xiaolin, if it's phlegm turbidity, we'll focus on clearing phlegm and tonifying the lungs. But if it's blood turbidity, then the treatment plan needs to be changed to promoting blood circulation and removing blood stasis. The patient is in critical condition now, and there's no chance to change it back if we make a mistake."
"Chief Xiaolin, you haven't even seen the lungs, how can you tell?"
"He's still too young, Old Lin. Your son's medical skills are okay, but he lacks experience."
The old Chinese doctors expressed their opposition in unison, but Lin Kushen still had his signature smile, neither refuting nor saying anything.
Lin Sanqi thought to himself that Chinese medicine should indeed continue to improve and learn, otherwise the limitations of thinking would be too strong.
Indeed, the naked eye cannot tell what is happening inside the internal organs. For example, Mr. Ramiz, even the top Chinese medicine doctor, can only determine that there is something blocking the lungs.
(Ordinary Chinese medicine practitioners cannot even distinguish this.)
But what exactly is blocking the passage? Even Hua Tuo and Sun Simiao would not be able to identify it. They can only guess whether it is phlegm, blood clot, tumor, or swallowed foreign body.
In fact, although Chinese medicine pays attention to the internal organs, doctors cannot see the specific conditions inside the internal organs. They can only guess based on experience and then prescribe medicine.
The result is that there is a 25% chance of guessing correctly and curing the disease.
But there is also a 75% chance that the guess is wrong and the patient dies, which means the mortality rate is mostly half.
This is the limitation of traditional Chinese medicine. Oh, it may also be the limitation of the times. Ordinary X-rays cannot make a judgment.
Lin Sanqi knew that time was running out and that treatment had to be accelerated. He was too lazy to "debate" with these old Chinese medicine practitioners, so he interrupted directly:
"Seniors, teachers, you may have forgotten that our Chinese medicine hospital just acquired the world's most advanced X-ray machine. The reason I can conclude that it's a blood clot, not phlegm, is based on the X-ray."
After saying this, Lin Sanqi took out an ordinary chest X-ray and pointed at it randomly, just to take advantage of the old Chinese medicine practitioners who didn't understand:
"Nao, look here, and here, it's clearly bronchial dilation. Nao, there's bleeding here, and the blood is flowing upwards. That's why the patient is coughing up blood. But if the blood flows downwards, it means the bronchus is blocked."
The Chinese medicine practitioners put on their reading glasses one by one and looked blankly at the X-ray film in Lin Sanqi's hand.
I don’t understand. I don’t understand it at all.
I have never heard of things like right upper lobe and left lower lobe, or aortic arch and pulmonary action segments, let alone trying to understand them.
Because he didn't understand, Lin Sanqi also spoke nonsense with his eyes closed. How could ordinary X-rays be clearly seen? Now he said that he could see clearly, and he used his knowledge to monopolize the right to explain.
Lin Kucan's eyes flashed, but he still didn't say anything.
Dean Shen's eyes also flashed, knowing that he had to support the young department director at this time, so he made the decision on the spot:
"Okay, since you've produced evidence, let's treat it as blood stasis. What do you think? Should we use Xuefu Zhuyu Decoction or Taohong Siwu Decoction?"
At the critical moment, Lin Kucan also supported his son:
"Xuefu Zhuyu Decoction is composed of Bupleurum, Angelica, Rehmannia, Red Peony Root, and Carthamus Tinctorius. It has the effects of promoting blood circulation, removing blood stasis, promoting qi, and relieving pain. It is mainly used to treat blood stasis in the chest. I think it is appropriate for this foreign guest."
Everyone in the small conference room nodded slightly.
The top technical force of the Chinese Medicine Hospital is composed of 12 national treasures. Now these old national treasures are far away in Changping, and due to their special status, it is inconvenient for them to show up. Therefore, the strongest technical force is mainly composed of Shen Guoming, Lin Kushen, Li Jingming and other famous doctors from various provinces at that time.
Now that the dean and the head of the "Magical Lingnan School" have made the decision, who dares to object?
Lin Sanqi was also very happy. In fact, Western medicine has no particularly good way to remove the blood stasis in the lungs. Either it needs to be removed directly through surgery, or it needs to be removed through bronchoscope. However, these two methods are currently not suitable for comatose patients.
All that remains is postural drainage.
So the so-called postural drainage is also simple. It is to put the patient in a position with the head low and the feet high, and then pat the back continuously to promote the discharge of phlegm and blood clots.
But the most troublesome thing is that the patient is in a coma. It is easy to expel the feces, but the excretion may block the airway, causing death by suffocation.
For the same reason, you cannot use expectorants because you are still afraid of blocking the airways.
Therefore, at this time, the best option is to see a Chinese doctor and use Chinese medicine to promote blood circulation and remove blood stasis.
Lin Sanqi's plan was to use traditional Chinese medicine to remove blood stasis, use Western medicine antibiotics to fight infection, and then give blood transfusions and fluids to replenish blood volume. This three-pronged approach would buy precious time for rescue.
Once the treatment plan was decided, all parties began to take action immediately.
Then the problem arose again.
Western medicine treatment was not a big problem, as it relied purely on intravenous drips to administer the medicine. However, after the Chinese medicine was boiled and served, everyone discovered that the patient was unconscious and it seemed impossible to feed him the medicine.
Looking at this bowl of carefully prepared Chinese medicine soup that he couldn't feed, and then looking at the unconscious patient on the bed, Dean Shen felt a little anxious.
"Xiao Qi, what should we do? If it doesn't work, should we use a syringe to inject it?"
Lin Sanqi waved his hands repeatedly after hearing this: "Dean Shen, no, no, no, there's absolutely no need for us to take risks. There's always a way."
Comatose patients are in a highly dangerous state and are unable to swallow independently or protect their airways. If decoctions are given at this time, it is entirely possible that the risk of aspiration, aspiration pneumonia or suffocation will increase, which would be counterproductive.
Traditional Chinese medicine is auxiliary, not the decisive key, and Lin Sanqi does not want to take any risks.
"Director, how have you handled this type of comatose patient in the past when you couldn't give them medicine?"
In novels, when encountering this situation, a beautiful woman often takes a mouthful of Chinese medicine soup and then feeds it to the patient mouth-to-mouth. It looks very warm and erotic, but in fact, doing so also carries the risk of suffocation.
"In the past, we would use enema, but this Xuefu Zhuyu Decoction is not suitable, so I'm anxious."
Before Lin Sanqi could come up with any solution, Bi Xinglong had an idea first:
"We can use nasogastric feeding. We can put a tube into the patient's stomach and inject the medicine directly into the stomach through a syringe."
Lin Sanqi's eyes lit up. "Yes, yes, that's a good idea. Union Hospital has already sent a complete set of medical equipment. Doctor Bi, please intubate immediately."
Inserting a nasogastric tube is not difficult and even an intern can do it. It is a basic operation.
When the decoction was finally injected through the bell tube, the doctors at the Chinese medicine hospital breathed a sigh of relief, but Lin Sanqi and his colleagues were still worried.
Ma Zhongli was a little worried: "Director Lin, what if the patient can't wake up?"
Lin Sanqi thought that if he couldn't wake up today, he would definitely need a ventilator. At that time, for the sake of the Chinese hospital and his own personal reputation, he would take it out without hesitation.
As for whether there are any consequences of taking it out...
What are the consequences?
A ventilator is a medical device, not a bomb or a high-tech weapon. What's so sensitive about it?
Even if someone asks where this machine came from, at most they can just say it was imported from a mysterious foreign country.
How can it be imported? Can it be smuggled? Is there any control over it?
What haven't you seen? If you haven't seen it, it's because you're inexperienced. How many times have you been abroad? How many times have you been to top hospitals in the United States? You know shit!
Lin Sanqi is now becoming more and more courageous and shameless. He is no longer as sneaky as before. After all, he is a "smuggler" registered among the upper class, so what is there to be afraid of?
Afraid of being punished later?
This is the best annotation of the saying that the lowest people are invincible.
That night, more and more cars drove into the Chinese medicine hospital, and leaders from various departments flocked there.
A high-ranking official got off the bus and saw that he had arrived at the Chinese Medicine Hospital. He immediately expressed his dissatisfaction:
"Old Cheng, what's going on? Mr. Ramiz is our most distinguished foreign guest. His country of Nordic snow is also the first developed European and American country to recognize us, so we cannot attach too much importance to him.
"Why don't you just stay at the Union Hospital for treatment? If that doesn't work, you can transfer to the Friendship Hospital, Fuxing Hospital, or Peking Hospital. Why did you choose to transfer to the Chinese Medicine Hospital? Look at them, they don't even have a decent inpatient department."
Leader Cheng was also embarrassed when he heard this and quickly explained:
"I have no other choice. The Union Hospital believes it is lung cancer and there is no cure. They suggested that I should just go home and wait for death, and not suffer any more. However, Dr. Lin Sanqi from the Traditional Chinese Medicine Hospital disagreed with the lung cancer conclusion.
He felt there was still a chance for rescue and even signed a military order. "Leader, think about this: since Mr. Ramiz is ready to die, why not give him another chance? Just in case Chinese medicine can work a miracle?"
When the special leader heard this, he also sighed and nodded slightly:
"You're right. I was impulsive just now. Comrade Lin Sanqi dared to step forward in such a critical moment. He seems to be a good comrade who is brave and responsible. I shouldn't blame him too much. By the way, after he took over, did he provide any special treatment?"
Leaders are also gossipy and curious.
Leader Cheng thought for a moment and reported the afternoon's treatment plan. He had a good impression of Lin Sanqi and wanted to say a few good words for her:
"After Mr. Ramiz was transferred to the Chinese Medicine Hospital, they immediately organized a comprehensive examination. Oh, and by the way, the Chinese Medicine Hospital now has the most advanced 750 mAh X-ray machine in the country, as well as the most advanced blood testing equipment.
After a preliminary examination, Comrade Lin Sanqi confirmed that Mr. Ramiz did not have lung cancer, but rather bronchiectasis causing massive bleeding that blocked his trachea, resulting in breathing difficulties and hemorrhagic shock.
The big boss raised his hand after hearing this, his face full of confusion:
"Wait, Chinese medicine hospitals have the most advanced X-ray machines and blood test machines? Are you kidding me? When did Chinese medicine hospitals become Westernized?"
Leader Cheng burst out laughing, then whispered:
"Just to remind you, that guy was the one who got us all that secondhand medical equipment and tens of thousands of bottles of penicillin. He smuggled them in from abroad, so wouldn't it be easy for him to smuggle in some advanced equipment?"
The leader remembered:
"Oh~~~ That's the little smuggler from the Traditional Chinese Medicine Hospital that Old Jing mentioned. Haha, it turns out that he's not only good at smuggling, but also has strong medical skills? He's truly a multifaceted talent."
Leader Cheng probed: "This smuggling of Lin Sanqi, you..."
The big leader waved his hand:
"Old Jing mentioned this to me earlier, and I agree that since Comrade Lin Sanqi is constantly bringing in food, medicine, and machinery from abroad, this is a good thing, and we should be optimistic about it. It won't be too late to deal with him later if he smuggles contraband."
Again, Lin Sanqi is just one of the largest smuggling companies in the modern world.
Our country is so big, with a population of 600 million, and the supplies we need are countless. There are actually tens of thousands of smugglers like Mr. Huo, who are needed to maintain the operation of a country.
Otherwise, how much could Old Man Huo transport by himself in a small wooden boat, even if he peed himself to death?
So for us higher-ups, we turn a blind eye to the smugglers who bring good stuff into the country.
But anyone who dares to bring good things from China to foreign countries will be arrested and killed. It's such a double standard.
While the two leaders were still chatting, the secretary hurried over:
"He's awake. Mr. Ramiz has regained consciousness."
…
…
In the ward, Bi Xinglong was measuring his blood pressure himself, Ma Zhongli was measuring his temperature himself, and Mrs. Alia was holding her husband's hand, crying and laughing excitedly.
Mr. Ramiz looked weakly at the group of young attending doctors in front of him and asked in English:
"Where am I? Am I going to die? Should I prepare my last words?"
Lin Sanqi smiled and comforted him in English:
"Don't worry, Mr. Ramiz, you don't have lung cancer. Our Chinese medicine hospital medical team is confident that you will recover."
"Really? That's great, doctor, your English is amazing!"
Dean Shen and Lin Kucan beside them looked at each other.
Dean Shen's eyes were once again filled with shock and confusion, and he asked in a low voice: "When did this kid Lin Sanqi speak English so fluently?"
Lin Kucan could only smile bitterly again: "He, he has been learning English since he was a child in Huadu, and he has never fallen behind in all these years. Old Shen, is this an explanation?"
Dean Shen glanced at Lin Sanqi and said, "Yes, that's the explanation. It's the same explanation for everyone who asks!"
"Everyone, please make way, please make way~~~"
Suddenly there was a sound outside the door, and then the door of the ward opened and a group of leaders came in.
"Ambassador Ramiz, how are you feeling..."
Lin Sanqi stood aside and saw that he didn't recognize any of these leaders, which meant that they were not one of the four great men on the RMB. This was quite a pity. He had traveled through time for so long and had never seen a real great man.
Half an hour later, the leader finished his visit and was about to leave. At this time, the special leader looked at the youngest doctor on the scene and asked:
"Are you Comrade Lin Sanqi? Well, well, you're young and promising. Your medical skills are much better than those of the Union Hospital."
Lin Sanqi quickly said modestly, "It's mainly because our hospital has advanced testing equipment, so we can diagnose diseases that Union Hospital can't."
The leader nodded thoughtfully after hearing this, then pulled Lin Sanqi aside amidst the surprised looks of the crowd.
"Comrade Xiaolin, I heard you got 20 of the most advanced X-ray machines?"
Lin Sanqi knew business was coming his way when he heard this, so he quickly started to promote his product:
"Yes, sir. The principle of modern medicine is to have evidence. The specific problem in the human body and the appropriate treatment are all based on detailed and accurate auxiliary examinations.
Just like what disease Mr. Ramiz had this time, I initially just guessed based on experience, but doctors are human and humans make mistakes, so I needed the most advanced equipment to confirm whether my guess was correct.
The X-ray machine at the Union Hospital was too old, only 400 mAh, and it was made in Shanghai. The films it produced weren't clear enough. It just so happened that our Chinese Medicine Hospital had a 750 mAh machine imported from abroad, so I transferred Mr. Ramiz here.
The leader nodded as he listened:
"It seems that a good machine is indeed very important for treating diseases. If it weren't for your hospital's X-ray machine, Mr. Ramiz would have been diagnosed with lung cancer and left to die. If the disease spread abroad, it would be a great disgrace to our country. Comrade Lin Sanqi, you have performed a meritorious service this time."
Lin Sanqi chuckled, "This is what I should do, and it's also the path our country's health industry must take in the future."
Only then did the leader reveal his purpose:
"At present, it seems that the 400 mAh X-ray machine technology produced by Shanghai Precision Medical Equipment Factory is not mature enough. The core components are imported. The foreigners are very bad. What they sell to us are defective products, and the price is very high! This further restricts the development of my country's medical and health care industry.
Comrade Lin Sanqi, since you have such an advanced and easy-to-use X-ray machine, could you please help us get some more for the country?"
Lin Sanqi thought, what he was doing was investing in a profiteering business, and this was the profit he was making, so he had to help, he had to help!
"Leader, rest assured, I am a patriotic young man. As long as the country needs me, I will do my utmost and will never back down."
When the special leader heard this, he patted Lin Sanqi's shoulder happily:
"Okay, okay, our country is in trouble and we need patriotic young people like you. So, how many of those state-of-the-art 750 mAh X-ray machines can you get?"
Lin Sanqi said nonchalantly, "Leader, just ask me how many you want. I'll do it even if it costs me my life."
The big boss chuckled and held up two fingers.
"20 units? Sure, leave it to me!"
“No, it’s 200!”
Even though Lin Sanqi was mentally prepared, he was still shocked when he heard this number and blurted out:
"Wow, so many?" (End of this chapter)
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