Since 1981 Health School

This was the third time that Chi Shanjun had suffered cardiac and respiratory arrest.

Coupled with such severe burns, no accident, the first "sacrifice" will appear.

Chen Qi talked about watching the excitement, but he was still a little anxious.

It's one thing to watch the excitement from the sidelines, but it's another thing if you don't save yourself from death, so he decided to remind Shanghai experts.

As soon as the door of the ward opened, Chen Qi stuck his head in:

"Well, Director Deng, why don't we let the Yuezhong Hospital take over this patient? We are all ready to rescue the machines and personnel."

Deng Changle and his assistants were in a hurry, when they heard Chen Qi's words, they thought this guy was making sarcastic remarks, so they got angry and said coldly:

"Don't bother Dean Chen, we will rescue it ourselves."

Before Chen Qi continued to persuade, Director Qi at the door of the ward was also furious:

"Dean Chen, what are you making trouble for? Didn't you see that the Shanghai experts are busy? You should hurry up and rescue your mother and daughter."

"I messed up? OK, OK."

Chen Qi didn't want to say anything more, but felt extremely overwhelmed. This is really hard to persuade, damn it.

Back in his ward, Chen Qi sighed heavily. People in small cities are superstitious about big cities, and people in big cities are superstitious about foreign countries. This is really a pathetic chain of contempt.

If God comes to score at this time, then on the scoreboard, Yuezhong Hospital uses iodophor + hibernation therapy for disinfection, +2 points.

Shanghai Hospital still adopts traditional debridement, scab removal, and disinfection, which caused the patient to go into shock due to pain, -2 points.

Chi Shanjun was finally rescued again and regained his independent heartbeat and breathing. I have to say that this worker's vitality is really tenacious, and Dongshan Hospital's level as a top hospital is not bragging.

Then there is the third level of rescue.

Bandage therapy is no longer allowed for large area burns, only exposure therapy can be used.

However, it is dangerous for patients to be exposed to the air, even in a sterile ward. In addition, the wound also needs to be treated with drugs.

So you need to apply "burn ointment" at this time.

What Chen Qi used for Ding Xinjuan's mother and daughter was sulfadiazine silver chlorhexidine gentamicin paste, which is the most commonly used burn ointment abroad in later generations, or in this era.

Silver sulfadiazine ointment can not only resist infection, but also protect the wound surface. The curative effect is relatively certain, and it is also one of the mainstream medicines.

As for Dongshan Hospital, they are also discussing what burn ointment to use.

Ji Guoping looked at Deng Changle, the leader of the team: "Old Deng, we brought a lot of ointments, which one to use? Give me an idea."

After finishing speaking, Ji Guoping opened a wooden box, which contained many glass bottles with labels attached to them.

Bottles and jars are filled with various traditional Chinese medicine burn ointments, which are developed by Dongshan Hospital based on various ancient Chinese medicine prescriptions or folk remedies.

These are treasures, and they are the key to Dongshan Hospital's ability to stand out in the national burn department.

Many people are against Chinese medicine, even many medical staff are against Chinese medicine, which is actually unnecessary.

The most famous representative of this is Dr. Ning Fanggang (net name Burn Superman Abao) from Jishuitan Hospital.

He is a good doctor. Those who can enter the capital's top hospitals after graduating with a doctor's degree must be talented, with an IQ higher than most people.

It's just that he got a little crazy later, and he opposed it purely for the sake of opposition. While he scolded Chinese medicine for being unscientific, his own extreme attitude was also unscientific.

As a burn doctor, he actually understands that traditional Chinese medicine burn ointment is effective for burns, because he also uses traditional Chinese medicine ointment in clinical practice, such as Zhenshi burn ointment.

Of course he later denied it, but these days a human flesh search can't find anything, and denying it is useless.

Famous burn ointments include Jingwanhong Ointment, MEBO Moist Burn Ointment, Lianbai Burn Ointment, Zihua Burn Ointment, Sanhuang Pearl Ointment and so on.

It is indeed effective in clinical application.

But one of the biggest problems with traditional Chinese medicine is that you have to explain clearly why these Chinese medicines are effective? What is the principle? What yin and yang, heat and cold, these are not acceptable.

For example, folk remedies, "badger seed oil" for burns and scalds, is there any effect?

have.

But why does it work? Which ingredient worked? How does it work on burn wounds? How much dosage is appropriate? What are the side effects of using too little or too much? Is there any way to target side effects? etc.

You have to study these things thoroughly, and you have to explain them clearly, and you can't be fooled by saying "it has been effective since ancient times".

Do not write in the instruction manual "invigorating the middle and nourishing Qi, moisturizing the skin and promoting muscle growth, detoxifying and reducing swelling". What is tonifying the middle? What is Yiqi?

Therefore, rather than "anti-Chinese medicine", it is better to say "opposition to unscientific Chinese medicine".

Traditional Chinese medicine also needs to keep pace with the times and develop. It cannot rest on its laurels. Don't hold the old saying that "the family law of the ancestors cannot be changed". The Qing Dynasty is gone, and some persistence is unnecessary.

Regardless of the character of Burned Superman Po, some of the points he put forward later are actually reasonable. He believes:

First, verify traditional Chinese medicine with modern medicine, and if it is proven effective, it will be included in the modern medical system.

Second, it is strictly forbidden to promote curative effects without statistical evidence, and it is strictly forbidden to induce patients to refuse formal treatment plans.

Third, assistance can be provided while patients receive regular treatment, but the treatment must be harmless and free from heavy metals and other toxic substances.

Fourth, for diseases with no effective means of modern medicine, Chinese medicine can be the first choice for treatment, but it must be ensured to be harmless.

In fact, this is also for the benefit of patients. There is a unified standard, harmlessness, and transparency. no.

If traditional Chinese medicine is really standardized, scientifically researched, and formalized, it will actually have a lot to do.

For example, grandma Tu Youyou, she and her team found inspiration in ancient Chinese medicine books, and then used modern medicine to extract artemisinin to treat malaria, and finally won the Nobel Prize in Medicine.

Bull or not?

So there is no need to argue, any refined traditional Chinese medicine is not considered traditional Chinese medicine, and this kind of sectarian opinion is unnecessary.

To paraphrase Master Deng's words: It doesn't matter whether a cat is black or white, as long as it catches mice, it is a good cat.

The same is true in clinical practice, regardless of Chinese medicine or Western medicine, as long as you have an effect, it is a good medicine, and it is worth applying and promoting to benefit patients.

Gangjing will only narrow his path further and further, and everything must be people-oriented.

Inside the ward of Vietnam Hospital.

Hearing Doctor Ji Guoping's inquiry, Deng Changle glanced at the various burn ointments in the box, and suddenly his eyes fixed on the innermost ceramic bottle:

"Don't take out ordinary ointment. Now the patient is too burnt, and the ordinary ointment has no effect. Go directly to Tianshan snow lotus ointment."

Snow lotus burn ointment, the name of Chinese patent medicine, the main ingredients are Tianshan snow lotus and comfrey.

It has the effects of clearing away heat and detoxification, reducing swelling and relieving pain, promoting muscle growth and closing the mouth, and is suitable for burns and scalds caused by various reasons.

This ointment has become a swan song in later generations.

why?

In 1996, my country listed Tianshan Snow Lotus as a second-level protected plant. Tianshan Snow Lotus is the only snow lotus plant listed in the "Chinese Plant Red Book", and it is a third-level endangered species in China.

To put it bluntly, Tianshan snow lotus has become a prison flower. Some people may secretly pick and use it, but it is absolutely impossible to industrialize it.

There is also a "compound snow lotus ointment" on the market in later generations, but the effect is not very good. Of course, this has also become a piece of "evidence" that traditional Chinese medicine has no effect.

"Do you use Tianshan snow lotus ointment?"

Ji Guoping and other assistants felt a little distressed when they heard this. Tianshan snow lotus is only found in the high-altitude areas of the Qinghai-Tibet Plateau. The output is not high, and transportation and storage are not easy.

This is no longer a question of whether it is expensive or not, but that the source is too scarce, even Dongshan Hospital does not have much in stock.

"Old Deng, we don't have much Tianshan snow lotus ointment. The three seriously wounded used it up in the blink of an eye. There is no way to explain it when we go back."

Deng Changle's face was ashen:

"Why don't you confess? Now the patients are all injured like this. Whether they can save their lives is a question mark. Chen Qi from the Yuezhong Hospital is still watching our jokes. If all three patients die, he If the two patients in the hospital are saved, then our face will be disgraced to the whole world. Everyone cheer up and come up with the best medicine and skills, we can't lose this battle!"

Everyone went crazy when they saw Director Deng, and they also knew the seriousness of the matter.

So bottles of precious Tianshan snow lotus ointment were wiped on the patient as if they didn't need money. A bottle of medicine costs 200 yuan, and 10 bottles are used for one use.

When Director Qi heard that the rescue cost was so high, he gritted his teeth:

"Yes, no matter how much money we have, we will pay for the best medicine for me!"

The referee God appeared again at this time.

This level should be a tie between the two sides, because Chen Qi took out the most classic burn ointment of later generations, while Dongshan Hospital took out the most precious burn ointment of this era.

It's really hard to say which of the two has better curative effect, so it can only be regarded as a tie.

Vietnam People's Hospital still leads with 2 points.

After applying the ointment, the rehydration continues. The principle of rehydration for burns is "crystal first, glue later".

Crystalloid solutions include isotonic saline, lactated Ringer's solution, hypertonic saline, and other sodium-containing solutions.

The colloid solution includes plasma, albumin, appropriate amount of whole blood or red blood cells, and plasma substitutes such as dextran, gelatin succinate, and hydroxyethyl starch.

Now the two sides have reached the second round of rehydration, using colloidal solution.

Zeng Chu came to ask for instructions again: "Mr. Deng, what should we make up with the colloid first?"

Deng Changle thought about it for a while: "First apply hydroxyethyl starch, and then immediately negotiate with Yuezhong Hospital. We need a large amount of albumin and plasma."

"Plasma?" Facing the doctor at Dongshan Hospital, Chen Qi's eyes started to roll when he heard it:

"Comrade Zeng, our Yuezhong Hospital doesn't have much plasma. You see, our own patients are also waiting for plasma products."

Zeng Chu was young after all, and he became anxious when he heard it:

"What can we do? Patients without plasma can't survive at all. Or, Dean Chen, think of a way. If it doesn't work, mobilize all hospital staff to donate blood."

When there is not enough blood, the first thing to do is to let the medical staff donate blood. The doctors and nurses really suffered a lot, and this kind of blood donation is free of charge.

Only when the medical personnel are drained will the local army or local college students be considered.

What is being saved now are the workers of the Yue Steel Plant. There are more than 30,000 workers in the Yue Steel Plant. How can such a large group need others to donate blood? Who do you look down on?

Chen Qi is also bad, of course he doesn't want his employees to suffer, so he quietly suggested:

"Comrade Zeng, there are more than 30,000 employees in the Yue Steel Factory. Just a hundred or eighty people is enough for you to use up your blood. The factory manager Qi said that the wounded should be rescued at all costs. Go and tell him. Let him bring all the workers and masters from the Yue Steel Plant to donate blood."

Once Zeng Chu heard that it made sense, people from his own unit always had to contribute, so he ran to the door of the ward again.

"Director Qi, Director Qi, now patients need a large amount of plasma products, and the inventory of Yuezhong Hospital is running out. Someone needs to donate blood. Why don't you go back and organize workers and masters, and it is best to have some workers donate blood."

When Director Qi heard it, it was a trivial matter, isn't it just donating blood?

"Okay, no problem, how many workers do I need to bring?"

Few workers these days know their blood type, so just in case, Zeng Chu decided to make a "lion's mouth":

"Why don't you ask 100 people to donate blood first, after all, not everyone's blood is qualified."

Blood types that do not match cannot be used, blood with infectious diseases cannot be used, and blood with chronic diseases cannot be used.

Factory Manager Qi waved his hand when he heard this: "100 people is not enough, let's bring 300 people here first, you can draw blood, and you must save my workers."

Chen Qi lay behind the door and listened happily, now Ding Xinjuan's mother and daughter's blood was also taken away.

Because the blood drawing work must be drawn by the nurses of the Yuezhong Hospital, and the blood drawn must be tested in the laboratory of the Yuezhong Hospital, sorted and processed in the blood room.

One turn or two turns, how much blood was drawn and how much blood was used is a mess.

Chen Qi took the opportunity to "corrupt" some workers' blood donations without anyone noticing. By the way, he could save a lot of money for Ding Xinjuan's mother and daughter.

In the 1980s, blood could be bought and sold. The protagonist Xu Sanguan in "Xu Sanguan Sells Blood" overcomes all difficulties in life by selling blood.

There is also Wenlou County, ahem, I can't say more, Professor Gao Yaojie was forced to live overseas because of this.

In short, selling blood to make money is also one of the means for some poor people to make money. Ordinary people can make money selling blood, but your hospital also needs to increase the price several times, which is unaffordable for ordinary people.

(I'm talking about the 1980s, not now, ahem, save your life with a dog's head.)

Chen Qi was planning to catch a sheep and pluck its wool like Ge You.

The workers of the Yue Steel Plant are still very united. When they heard that their workers were in danger and needed to donate blood, more than 500 people came in a hula circle, and many of them came voluntarily.

Yuezhong Hospital immediately arranged for more than 10 nurses to come on stage to draw blood.

Then bags of blood products were continuously sent to the laboratory and hematology department... (End of this chapter)