Break out of the courtyard

June 1970, 6, Saturday, Mangzhong.

"Master! Master!" Li Niu, a 16-year-old cook, carried two baskets of fish and ran barefoot to the back door of the outpatient building. He said excitedly: "Those educated youths are frying fish upstream again. This is what I picked up in the river just now. .”

"I know, you go and remove the fish bones first, and make chrysanthemum fish for lunch." Zhang Heping dealt with it casually, and then continued to talk about the medical case to Bai Yun, Zhao Hongmei, and 14 temporary workers who were studying medicine.

Nanla Town is a small town. In the first month after Zhang Heping arrived, he helped all the townspeople conduct free medical clinics.

Coupled with the Chinese herbal medicines collected later and the various medicines applied for from above, most of the townspeople's diseases have been cured, and only some elderly diseases are still being slowly treated.

In general, there were no practical opportunities to open the eyes of the 16 students attending the class. They could only be taught how to handle herbal medicines and some cases.

As for the boy Li Niu calling him master, it was because he taught Li Niu how to cook a few dishes, and Li Niu got used to it.

Seeing Zhang Heping finish explaining a medical case, leaving a blackboard of handouts, and preparing to go to the toilet, Zhao Hongmei raised her hand and asked: "Dean, when I went to Jingcheng Master Bureau to apply for establishment the day before yesterday, I heard them say that there are people in the city. Many people have malaria, can you cure this disease?"

"Let's talk about this disease in the afternoon!"

Zhang Heping left the bamboo building of the outpatient clinic, went to the public toilet on the east side first, closed the small bamboo door, and solved three emergencies.

Then he walked to the open space on the first floor of the canteen next to him, took a look at it, and said dissatisfiedly: "Old Zhao, you can't even apply for a postal station, how can you have the nerve to bring so many fish to exploit the labor force of our Comrade Mavericks!"

Next to the cook Li Niu were two baskets of fish with bones removed. In front of the wooden basin in front of him, there were five baskets of unprocessed fish, and the number of fish baskets was increasing as people came by the river.

"Come on! I've gone to Director Dao's house and cried three times, and he has already remembered me. Next time I go, I will ask him for specific needs." Director Zhao rubbed his hands in embarrassment, "Director Dao also Asked me about you."

"Yeah!" Zhang Heping responded noncommittally, then pointed to Li Niu twice, and then returned to the outpatient building to answer the students' questions.

Zhang Heping and 16 temporary workers ate lunch together. The temporary workers brought their own food from home; they also brought vegetables every day, and Zhang Heping also went out hunting at night.

Although Nanla Town has been given the name town, it is no different from a village. Most of the people are farmers; in the past, when the farming was busy, the temporary workers had gone back to plant rice seedlings.

The reason why it is designated as a town is because the borders from Nanla Town to the east, west and south are more than 20 kilometers.

Moreover, it is right next to the war preparation highway, making it convenient to receive materials shipped from Jingcheng and then radiate to surrounding villages.

What makes Zhang Heping complain the most is that there is no post office here, there is no post office!

The post office, known as the best escort agency in the world, didn’t even open here, emmm...

In order to let Director Zhao of Nanla Town learn to cry for poverty and sell misery to ask for resources from above, Zhang Heping resisted and did not go directly to Director Dao to arrange the post office.

In the afternoon class, Zhang Heping followed up on the question asked by Zhao Hongmei, an 18-year-old married accountant in the morning, and talked about malaria.

There are four types of malaria: vivax, ovale, malaria malaria, and falciparum. They are mainly transmitted by female Anopheles mosquitoes, followed by blood transmission between humans, and thirdly by mother-to-child transmission.

After being infected with malaria, there is an incubation period of 7 to 30 days.

If symptoms of faltering appear on the 7th day, you’ve hit the jackpot, falciparum malaria!

In these days, suffering from falciparum malaria is basically close to death.

Because at the same time, various crises are still breaking out in the patient's body. Complications such as kidney damage, severe anemia, pulmonary edema, respiratory distress, kidney failure, liver failure, kidney rupture, spleen rupture, etc. are all possible; with current medical treatment Conditions, these complications are very difficult diseases.

If the symptoms of tremors only appear on the 13th day, and only occur once every 48 hours, then you can relax a little. You are suffering from vivax malaria and ovale malaria, which are not likely to be fatal.

Moreover, cinchona trees are planted in the southwest, but Yundu does not have much cinchona cream (quinine) in reserve. The key is that its cure rate is low, it is easy to relapse, and it has serious side effects.

The last type of malaria, malaria malaria, has fewer infected people, has an incubation period of 24 to 30 days, and is easily cured by cinchona cream at one time, with some side effects of anemia at most.

By the way, shivers (chills) are only the first stage of malaria symptoms, followed by high fever and profuse sweating.

The most difficult thing is actually the detection method for malaria!

Because malaria is a blood disease, it is difficult to judge whether a patient has malaria based on the symptoms of chills. There are really too many diseases that can cause chills, and it cannot be just a matter of time that it turns out to be malaria!

Unless, like the previous state-owned Hongqi Farm, hundreds of recruited educated youths were suddenly found, and they were all trembling with chills, high fever, and wet, all at a glance.

"Actually, there is already a method for treating malaria in ancient medical books, which is, 'take a handful of Artemisia annua, soak it with two liters of water, wring it out, and drink it all.' Don't you understand?" Zhang Heping said with a smile to everyone:

"Don't say you don't understand. Ninety-nine percent of Han Chinese cannot understand the true meaning of this sentence."

"The word 'Qinghao' in this sentence actually refers to Artemisia annua. Because the vocabulary in ancient times was not as large as it is now, and transportation was inconvenient, Qinghao and Artemisia annua were confused."

“In addition, after decoction, Artemisia annua has the effects of clearing away heat and detoxification, dispelling wind and dampness, cooling blood and stopping bleeding, and has no effect on alleviating the hot and cold symptoms of malaria. However, after decoction, Artemisia annua has the effects of clearing away heat and relieving summer heat. , cut malaria, and reduce jaundice, it can alleviate the hot and cold symptoms of malaria."

"Therefore, once Qinghao grasped this misunderstanding, it has continued..."

"My God, kill these idiots!"

"The little red guy wants to die, kill him!"

There was a sudden noise on the war-prepared road outside the door.

"Business is here. Prepare the treatment tools and get them outside the door." Zhang Heping said, already walking towards the door. "Xiao Zhao remembers to collect the money. If he doesn't bring the money, he will tell them to get out. They are all full and only know how to fight. It’s great to have this time to fall in love.”

"Dean, you can't earn the money for the abortion of female educated youths!" Zhao Hongmei picked up a wooden box containing change and said with a smile: "I have inquired about it, the Corps does not allow male and female educated youths to fall in love. It is said that the capital newspaper requires late marriage and late childbearing. Young men can only get married at the age of 28 and young women at the age of 25."

"Hongmei, if you don't get married, aren't you forcing them to have an abortion?" Bai Yun, a female gynecologist, said with deep meaning, and then went to the door to watch the excitement.

Seeing the educated youths fighting in groups on the highway, Zhang Heping, who was sitting cross-legged on the terrace on the second floor of the clinic building, shouted to Li Niu, the cook who was watching the excitement at the gate:

"Xiao Niu, throw some firewood to them and let them fight harder. They have been fighting for a long time and there is still no blood. They are a bunch of cowards!"

"Xiao Zhao, go and stop your uncle. Don't let him be the peacemaker. We finally got some business, don't let him mess with it." Zhang Heping didn't think it was a big deal and shouted to Zhao Hongmei again, asking her to go. People coming on the dirt road.

Dr. Bai was amused when he heard this, and at the same time he felt a sense of urgency in his heart. Dean Zhang's medical skills are very good, and he is so young. He will definitely stay here for a long time. These temporary workers must work harder to study.

"Yes! Bite him! Bite him hard!" Zhang Heping cheered loudly, then turned to the temporary worker student next to him and said: "Tetanus vaccine, rabies vaccine, etc. will be used."

"Dean, it seems we don't have these two vaccines."

"What a fool! Mix some penicillin with normal saline, and whatever vaccine we say it is, that's what it is! Don't be polite to these educated youths from the Corps. They have a monthly salary of 28 yuan, and they have nowhere to spend it."

Zhang Heping said nonsense, but did not forget to ask: "Remember to do a skin test. Some people are not allergic to penicillin, but because of the different production processes of penicillin, it may cause differential allergies, so the skin test cannot be omitted."

"Dean, do you charge for skin testing?"

"What do you think? We have worked hard, shouldn't we get paid?" Zhang Heping thought for a while, "After the skin test, remember to change the needles; if the needles are not enough, wait until they are disinfected before using them. If the needles are not disinfected, it will be easy to Passing on blood-borne diseases like malaria and hepatitis to other people, remember?”

"Remember, Dean!"

"Yeah! Remember to include the disinfection fee!"

"Ahem!" Dr. Bai coughed and said to a group of temporary workers who were about to be led astray: "What the director means is that he only charges this amount for these educated youths from the Corps who like to fight, but not for others. You guys think I wonder if the dean did anything messy when he was treating the residents of the town and the fellow villagers and giving them medicines?"

Hua Hua...

A heavy rain suddenly came, drenching two people on the war-prepared road to death, and a group fight was suddenly stopped.

"Damn it! I saw this little red guy was showing off. They have an infectious disease!"

……