Lu Ming
Page 130
As the dean, Dong Qiang is more concerned about the consumption of medicines and equipment for caesarean section.
The current situation is very tense: self-produced sulfonamides and aspirin, disinfectant alcohol, povidone iodine, anesthetics, normal saline, etc., the most commonly used surgical drugs, "domestic" is not yet 100% self-produced.
In addition, consumables including various types of catgut, mousse threads, dressings, and gauze cannot be completely self-produced.
In this case, even though the hospital has simplified all the patient numbers into the "three types of people" mentioned above, every caesarean section is equivalent to a small consumption of import quota... The accumulation over time is terrible.
In fact, in order to be able to produce medicines and medical consumables by himself, Cao Chuan even specially "targetedly invited" two industry insiders to participate in the great cause of crossing.No way, this thing is too unorthodox, even experienced doctors like Bai Shuchao and Dong Qiang, they also don't know how to make mousse thread?
That's not to mention, in addition to manpower, special manufacturing equipment also has to be transported to the new world.All of the above, combined with daily consumption, has resulted in the medical system being the third largest consumer of import quotas after industry and agriculture.
So in fact, Dong Qiang, who is in charge of the medical system, is on guard against every possible sign of quota increase.
As for Master Miaoshu... In addition to treating the cross-travelers in the "small internal hospital" on Dayuan Island, this gentleman will come to the big hospital for a few surgeries during the rest of the time, so you can't count on it.
"Tomorrow, I will list a recipe for pregnant women. I will first inform the newspapers to promote it, and then train the nurses and nurses. All pregnant women who come to the hospital for examination must control their diet reasonably, and do not allow nutrition to overflow!"
After Dong Qiang thought about it, he decided to find a corresponding solution.
Chapter 325
After Dong Qiang came up with a countermeasure, he immediately left Master Bai and two other traveler doctors to look after the house. After lunch, he hurriedly wrote a manuscript, and went to the pharmaceutical factory first after work in the afternoon.
Like all other small laboratories, the pharmaceutical factory is also a group of courtyard-style two-story buildings surrounded by walls.
Here in the hilly area, not far from the chemical plant, the location is in the limelight.The short distance is because the pharmaceutical factory does not have separate power equipment and needs to pull wires from nearby. In addition, some raw materials produced by the chemical factory can be transported to the nearby pharmaceutical factory.
The limelight is due to the fear of an accident in the chemical plant.Due to the lack of management personnel, it is said that there are no accidents in the factories in the kiln area.Like those industrial cities in later generations, the price of development is death and the disabled: Chikan No. [-] Hospital deals with work-related injuries almost every day, and the proportion of disabled people has been slowly increasing.
Moreover, this setting of the limelight has really worked: within half a year since the establishment of the chemical plant, it has exploded several times, large and small, and once even issued a big poisonous cloud technique. dodged.
The director of the pharmaceutical factory is Wei Jiaren.
No one knew what his name was before he crossed over. It seemed that this guy brought his false name directly to the new plane, as if the police were going to catch him across planes.
This person worked in the laboratory of a pharmaceutical factory before crossing over. Later, because his mother-in-law forced the house and car, he took the risk and used the raw materials of the factory to synthesize some fentanyl and send it to the other side of the ocean by courier.
Later, after fentanyl was put under control by the country, this guy became addicted to pharmaceuticals. Like Teacher Bai, he let go of himself, gave up his girlfriend, and went to Mexico to plan to build a drug empire... Then he crossed over.
The time-traveling defender Jiaren discovered that the world was turned upside down.
He can make any chemical anytime and anywhere, and no one will come to catch him.However, he has neither raw materials nor money to earn—he is already the big boss of Imperial Pharmaceuticals, and it is ironic that he can become rich all over the world by producing Viagra in the future.
……
The pharmaceutical factory is the place Dong Qiang visits the most besides the hospital.Because not only medicines are produced here, but also consumables such as bandages.
What I am most afraid of now is these consumables.In fact, durable devices are easy to handle as long as they are small in size: 1 medical needles can be used for less than 2 cubic meters, and they can be directly imported in one step. Usually, nurses take a few soaked in medical alcohol and reuse them. The early hospitals It's all done this way.
So now the production of consumables like medical alcohol has become a major event.
After Dong Qiang came to the pharmaceutical factory, according to the usual practice, he first looked around the equipment production line through the window: the room is sterile, and it is too troublesome to change clothes.
There are several production lines in this group of courtyards, and the workers are responsible for producing consumables such as bandages and sterile cotton balls.
After a hasty turn around, Wei Jiaren, who heard the news, gave Dong Qiang a satellite: Fentanyl citrate, his best fentanyl family, was synthesized in the new plane!
"Really!? Haha, this is great!" Dong Qiang was overjoyed upon hearing the news.
Fentanyl is a very good medical analgesic and anesthesia if it is not for the bad reputation of drug addicts in the United States.The chemical is 80 times more effective at analgesizing pain than morphine, with a quick onset of action and fewer side effects.
There has always been a desire in the medical system for homegrown morphine or fentanyl.However, morphine requires the pre-material "poppy". Considering some disturbing problems, the big office did not approve the plan to grow poppies "indigenously".
In this way, Europeans can only import opium from those countries in South Asia to make morphine.This kind of channel is very unstable, and there are not many of them, so Dong Qiang is very dissatisfied.
So what about the lack of analgesics?endure!It is impossible for hospitals to consume a large number of imported analgesics on countless patients.
Fortunately, it is the 17th century, and people in this era have no concept of narcotics at all.So they endured stitches and fillings, including amputations. Hospitals often just tie up patients.
Yes, it is that rough.Those delicate comrades in later generations will probably faint when they see this scene, but before the invention of the first anesthetic chloroform in the 19th century, human beings endured it for thousands of years...
At this moment, Dong Qiang raised his head and looked at the sky happily.During the recent period, due to the approaching of the conference, the pressure transmitted from various aspects and the question about the weight of the fetus made him not in a good mood.
Well now, Wei Jiaren actually synthesized fentanyl!
Grabbing Wei Jiaren's shoulders, Dong Qiang asked excitedly: "Can it be produced continuously? How much is the output?"
Wei Jiaren nodded: "It depends on whether the chemical plant can continue to supply raw materials. As long as the raw materials keep up, my output is not a problem. At least there is enough supply for major operations such as childbirth and amputation."
Dong Qiang laughed out loud: The pain level of surgery is also graded. For a clinical behavior like childbirth, which produces 10 grades of severe pain, if there are enough analgesics, even if it cannot reach the level of "painless childbirth" in later generations , as long as the pain can be reduced by half, that is a great improvement.
"Okay, it depends on your comrades in the drug industry, there are countless people alive!" Dong Qiang sighed sincerely.
"Get out!" Wei Jiaren cursed with a smile.
Dong Qiang left the pharmaceutical factory happily.
It feels good to see the cause he is fighting for getting stronger: the self-produced analgesics lowered the import quota of the medical system, which gave him more initiative in the big conference a little.
……
After leaving the pharmaceutical factory, Dong Qiang went to Chikan Avenue without stopping.In a building next to the township government, he handed over the manuscript he had written to a handsome man in front of him.
Yang Lei, before crossing, was engaged in publicity work in the neighborhood committee of the community. He was good at photography and various promotional routines.
After time travel, he first wandered in various departments for a period of time. He wanted to be Murdoch's guy. At first he planned to engage in the media, but at that time, it was too late for everyone to hide, and the media was naturally useless.
After that, after the big troops came to Taiwan to gain a firm foothold, Yang Lei, who was helping the pig and cattle farms, was thinking again... Things are still not that simple. If you want to run the media, you must have paper, ink and printing machines, right?
The things he wants are not urgently needed items in their respective systems, and there will always be more important ones in front, so Yang Lei can only continue to dormant with hatred... Until not long ago when the big bosses held a pre-enthronement meeting, considering the need to After getting a publicity mouthpiece, Yang Lei allocated a budget for the newspaper.
Keeping the clouds open to see the moon, Yang finally trembled at this moment.
According to the instructions, the kiln area first built several letterpress hand-operated printing machines, and at the same time imported a batch of equipment and type used for plate making.As for the ink, it is even simpler. With Miao Su's gasoline as a solvent, simple black ink is easy to manufacture.
Finally there is paper.This one can be said to be cheap and endless... Everything is lacking here, except bamboo and wood.
While the equipment was in place, Yang Lei also recruited bankrupt people such as bookstore shopkeepers from immigrants, and then "Taijiang Newspaper" was established in this way.
Since it is called "Taijiang News Agency", the newspaper it publishes is "Taijiang Post".This is the empire's first newspaper dedicated to the general public, and the inaugural issue was written by Mr. Xia Zhongtang.
The first issue of "Taijiang Post" has only four pages. Since it is aimed at the public, it will soon spread across the sea, so there are not many political contents in the newspaper.
The main function of this newspaper is naturally to promote the happy life in the new society so as to attract more immigrants from Ming Dynasty to settle here.
The second function of newspapers is to publish commercial information.Using the telegraph system far ahead of the times, the newspaper office can timely summarize the business and shipping information from Jiangnan to Xiamen, and then to the big officials, and then filter the information before releasing it.
The third function is to "change customs and customs".Cultural content, including some selected novels of later generations, will take on the function of "substantially influencing, changing customs, and changing thinking".
Since its publication, "Taijiang Post" has been warmly welcomed by people on both sides of the strait, especially the business class.In this day and age, no one values the speed of information more than businessmen.
So when Dong Qiang came to the newspaper office, President Yang Murdoch Lei, with shiny back hair and red face, was giving advice to his subordinates behind the large board table.
After seeing Dong Qiang enter the door, President Yang still didn't swell into a fool, and quickly waved a group of his subordinates to leave, and he stood up to receive the guests.
"Just this manuscript, you can look at it and polish it. It's best to make it into a series." After a few words of pleasantries, Dong Qiang threw the manuscript he wrote on the table.
Yang Lei picked up the manuscript and laughed after reading it: "Arrange the diet reasonably, and it also comes with recipes... Isn't this the usual healthy soft article we used to?"
"Yes, and no." Dong Qiang said sternly: "Women in this era are going to have several babies. If nutrition during pregnancy cannot be properly arranged, and the first child has a caesarean section, what will happen to the second child, third child and fourth child? Caesarean section was originally just a child. Those used for emergencies should not be normalized, as they will do all kinds of harm but not any benefit.”
"I understand, I understand." Yang Lei's attitude corrected at this time: "When I was on the street, breastfeeding and natural delivery were all advertised."
"Well, how about this, I will change your manuscript into a hard-core popular science form for you, and then make it into a series to promote it well."
"This is the best way, my pen is not good, anyway, you just need to understand the point!"
Dong Qiang stood up at this point, stretched out his hand and shook Murdoch: "When your series of articles is published, remember to give me a bound copy. I will show it to the Chikan government and let them read it." Organize community classes for pregnant women... you know, many families are illiterate and don't usually read newspapers."
"Understood!" Yang Lei sent Dong Qiang out with a smile: "Some things have to be arranged at the grassroots level, otherwise the effect will not be good. Sigh... I am the best at doing this kind of thing. Back then..."
Chapter 326 Meeting ([-])
After completing the two major events, Dong Qiang returned to the hospital and started to complete the last task before the end of the year: summoning several traveler doctors to write a report together.
This is for the convention.
The content of the report is divided into two parts: one is the summary of the medical system's work this year, the plan for next year and the most important application form for imported materials.
The second is a medical summary on the infectivity of microorganisms carried by travelers.
The content of the first part is mandatory, and it is a cliché. In fact, while Dong Qiang and the others were writing the report, the heads of other departments were also writing the same thing... This thing is to be read publicly at the conference .
The content of the second part belongs to "proposition composition".
Because some of the time-traveling people think that they have become "super poisons" after coming to the 17th world, emitting poisonous gas and bacteria at any time; Primordial bacteria, so the big office entrusted several doctors to explain this problem to everyone.
But the doctors are also dumbfounded, aren't they?They haven't been to the 17th century. Who knows what the root of the ancient bacteria is, how contagious it is, and which one is better at harming people than the "traveling bacteria" carried by the people who travel through?
In fact, this problem already belongs to the scope of scientific research. It is necessary to culture and compare the bacteria of both parties in the laboratory; and to collect first-hand information through clinical observations before making a judgment.
So this matter was put on hold for the time being.
Now that a year has passed, Master Bai Shuchao, who is in charge of managing the "cadre clinic" on Dayuan Island, has finally reached a conclusion on this subject through a series of experiments and clinical observations, so this report also includes this part.
……
All in all, the results are reassuring.
Microorganisms are constantly evolving with the environment.In the environment of prosperous medical skills in later generations, the germs that survived the siege of various antibiotics evolved very fast.
Facts have proved that the overall evolution direction of these germs follows the route of "thieves".
What is the "thief" route: strengthen concealment, strengthen incubation period, strengthen drug resistance.That is to say, compared with their ancestors in the 17th century, the bacteria carried by the crossing people are like thieves meeting berserkers. The two sides have already embarked on different evolutionary paths.
There is no such thing as the stronger or the weaker of these two kinds of germs, because they live in different environments and have different enemies to face.
Now comes the question: Now that there is such a strange thing as a traverser, what will happen to the bacteria after changing the environment?
In fact, no one had a good end: after the thieves bacteria entered the Ming people's body, the Ming people's immune system, which was accustomed to dealing with the tyrannical fighter bacteria, would wipe out these weak chickens as soon as the disease broke out.
... Ming people who can live to adulthood are all strong people selected by nature. The thieves bacteria have used all their resources in latent skills, and when they explode, they are naturally not as powerful as their ancestors.
And the effect of warrior bacteria on the time-traversing people is also not good: the ferocious Lengtouqing is very violent when it attacks, but who are the time-traveling people?The more severe the attack, the sooner this group of people will go to the hospital for injections and medicines... In fact, some sulfonamides will do it.
Just like the supernatural performance of sulfonamide and penicillin in history when they first came out, ancient bacteria will soon be wiped out in the traverser's body.
In short, throwing a lion into the sea is the same as throwing a shark into the grassland: the bacteria on the two planes with different evolution directions, after leaving their familiar environments, lose their original power in the body of the "stranger species" .
Now for the last item: put the two bacteria in the same petri dish.
The answer is obvious: the later generations of bacteria that spend their energy on lurking and drug resistance are definitely inferior to their ancestors in terms of devouring and competing for nutrients—thieves cannot confront warriors head-on.
So, everyone's worries are unnecessary.
You must know that more than 200 time travelers have undergone detailed physical examinations before crossing. They are healthy and do not carry infectious diseases unique to future generations (such as Ebola and AIDS).
When these time-traversing people came to Daming, they could actually walk among the Ming people with confidence and boldness, and come into contact with the Ming people-the common cold germs can't do anything to the Ming people.
The above is the conclusion of Master Bai after a year of clinical observation and bacterial culture.
……
After gathering the efforts of all the people to gather the report, Dong Qiang edited it again, and finally several doctors signed it.
The next thing is to wait for the meeting.
In 1849 in the new calendar, on December 1628, 12 in the old calendar, the first great council after the founding of the empire began.
This time is not only the year-end work summary meeting, but also the first noble council, so it is still very grand.Martial law was also enforced on Dayuan Island. All the cross-travelers in Taiwan participated in the meeting, and some people in other places also conveyed their opinions to their colleagues in advance through the radio and USB flash drives.
The venue of the meeting is naturally Jianyuan Hall.
Except here, there is no other high-end place that can accommodate more than 200 people.
Although many people think that a parliament building should be built, which is round and majestic, like the Colosseum, where congressmen can sit in a condescending position and use the echo of the building to boo the speakers.
This idea is very good, but it is too unrealistic to build this thing on a deserted island, so why not go to a metropolis like Guangzhou City?
So everyone finally sat down in the Jianyuan Hall, and put on a traditional meeting pattern of left Wen and right Wu.
The first to appear is naturally the emperor.With a full set of clothes, Cao Chuan walked out slowly from the hidden door behind him, smiled and waved his hand, indicating that all the courtiers who had already stood up could sit down.
This scene is the embryonic form of the "imperial meeting" in the future: on important occasions related to state affairs, the emperor must stand on the platform to be considered legal.
After Xia Xiang, who was sitting on the second step, announced the opening of the meeting, the speaker Luo Lixian, who was also on the second step, first said a few words, and then a minister of justice named Zhou Tongcai, who was in charge of maintaining the order of the meeting, announced the order of the meeting.
Finally, when the recorder and the mixer on the first step stretched out their thumbs to indicate OK, the meeting officially started.
The first item is naturally the government work report made by Xia Xianze on behalf of the cabinet.
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