Siheyuan: Rebirth in a prosperous era, great doctors are sincere

A thousand dollars?

Three hundred kilograms of food coupons?

Wang Fengnian was shocked when he heard his sister say that his parents gave Xu Damao so many things to settle the matter for him. He turned to his mother and asked, "Mom, is what my sister said true? You really gave Xu Damao so many things. How dare he blackmail us for so many things!"

Aunt Mei sighed and said, "Fengnian, let the past be the past and don't mention it again. Just like your sister said, I really don't have the face to talk to Ping An about asking him to help you transfer to another job. As for going to Jingcheng University Hospital, your mother can't help you, not even your brother-in-law!"

Wang Fengnian thought Xu Damao wanted too much, but Aunt Mei didn't think so. After Xu Damao had been tormented, it was basically confirmed that he was infertile.

If this kind of thing happened to her, and someone made her son Wang Fengnian infertile and caused her Wang family to be without descendants, she would not let the other party go easily, and might even retaliate more severely than Xu Damao.

Wang Xia also spoke up, "Brother, please stop making a fuss because our father, mother, and I have lost our food rations for you and will have to suffer for several months or even longer. Can you see? We can't even afford to eat, so how can mom have the time to help you change jobs? You should just work honestly in the district hospital. Otherwise, even if you really get into the Sixth Hospital, it will be difficult for you to make a name for yourself with your ability!"

How could she not know what level her brother was at?

Li Ping'an looked down on his brother and sister-in-law when they were doing internships. How come Wang Fengnian's medical skills have improved now? Not necessarily! If that were the case, how could he let his parents clean up his mess when the operation failed, indirectly implicating himself?

Wang Xia felt very wronged.

Simultaneously.

She also had other ideas.

My sister is married, so it is impossible for her to help her brother appease Xu Damao like her mother did. The most she can do is lend some food coupons to her parents' home.

But I am different.

I'm afraid I'll have to suffer the same hardships as my parents in the next few months.

It would be better for her to find someone to marry as soon as possible, so that she can break away from the Wang family and don’t have to suffer with her mother.

Now that she was married, it was natural for her to take her food ration quota with her.

It was like a movie playing in her mind, going through all the men of similar age around her, and she began to wonder which man she could marry to live a happy and fulfilling life.

"Fengnian, my opinion is the same as your sister's. You should stay in the district hospital for the time being until you have mastered your medical skills!" Aunt Mei also advised.

Wang Fengnian's face turned a little red. He knew that his mother and sister didn't believe him at all. He chatted with his family for a few minutes and left home without even having lunch.

even.

He never even went to the Sixth Hospital or Beijing University Hospital to see if his job could be transferred there.

This guy is completely dependent on his parents, especially his mother. Aunt Mei is unwilling to help him, so he has no other options.

After returning, Wang Fengnian behaved himself and never said anything to Director Wei again.

Even if he tried to curry favor with Director Wei, it would be useless.

With Wang Fengnian's skills, how could Director Wei dare to entrust him with a slightly complicated operation?

There was a severe drought this year and the wheat harvest was poor.

All the grain in the commune was purchased.

Groups of people rushed into the city.

Relevant departments have issued a "Notice on Preventing the Blind Outflow of Rural Labor", requiring the control and repatriation of those who leave rural areas without permission.

There are also many people from rural areas who come to the capital.

Following notification from higher authorities, each sub-district office and neighborhood committee has set up a shelter to persuade and repatriate these people.

Due to hunger, malnutrition, and various infectious diseases, many refugees are sick.

Medical staff from all hospitals in Beijing, including the Sixth Hospital, are busy. They want to repatriate these people to their hometowns and cure their illnesses!

The directors of the sub-district offices and neighborhood committees of several nearby streets have all come to the Sixth Hospital to find Li Pingan, saying that the Sixth Hospital should assume the relevant responsibilities.

I really want to talk about it.

This matter is quite troublesome.

The systems in the countryside and in the city are somewhat different.

Medical treatment is free for workers in the city.

Most rural communes have implemented a medical cooperation system, and the bulk of the medical expenses are actually paid by the commune.

The director of the subdistrict office told Li Ping'an that the higher authorities had allocated a sum of money to each shelter, which was enough to cover their medical expenses.

soon.

The shelter sent the first batch of patients to the Sixth Hospital for treatment.

Most of these patients suffer from malnutrition due to nutritional deficiencies, and all they need is reasonable supplementation of protein, energy and vitamins.

Aunt Liu, the director of the neighborhood committee where the courtyard is located, brought a patient named Wang Chunfen over and said that she trusted Li Pingan, so she went to the Sixth Hospital to find Li Pingan and asked him to help.

Li Ping'an was almost scared when he saw the girl.

This girl should be young. She has a pale face and thin body. Her limbs are also skinny, but her belly is particularly big.

After all, she is a girl, and Li Ping'an can't always stare at her belly. He only took a glance and then shifted his gaze to Aunt Liu, hoping that she could provide some information about Wang Chunfen's condition.

Aunt Liu said, "Ping An, I asked her, and her belly is not big because of pregnancy, but for other reasons!"

Li Pingan nodded.

He also speculated that Wang Chunfen's big belly was due to pathological reasons rather than physiological reasons.

In fact.

She is so malnourished that she won't be able to keep the baby even if she gets pregnant.

If it happens in the early stages of pregnancy, the fetus may be absorbed and disappear, but in the middle or late stages, it may lead to miscarriage.

Li Ping'an guessed that the woman must have suffered from various diseases due to malnutrition, which indirectly led to her big belly.

The main reasons why malnourished patients have a big belly are hepatosplenomegaly, ascites, intestinal edema, etc.

Malnutrition mainly refers to insufficient protein intake, followed by insufficient intake of minerals and vitamins.

Minerals include macroelements, such as calcium, phosphorus, potassium, etc., and trace elements, such as iodine, iron, copper, etc. Insufficient protein intake leads to reduced albumin synthesis in the liver. The decrease in albumin content in plasma will lead to a decrease in colloid osmotic pressure, causing intestinal edema and ascites. The main external feature of ascites is a big belly.

Lack of protein and iron leads to a lack of hematopoietic raw materials, affects bone marrow hematopoiesis, and thus causes anemia.

Anemia will lead to the activation of the functions of secondary hematopoietic organs such as the liver and spleen. The most direct manifestation is hepatosplenomegaly, which will cause the patient to look like he has a big belly.

Ascites is an abnormal accumulation of fluid in the abdominal cavity. Normally, there is a small amount of fluid in the abdominal cavity to lubricate the organs, but when the amount of fluid exceeds the normal range, it forms ascites. Ascites may be related to a variety of diseases, including liver disease (such as cirrhosis), heart disease, kidney failure, cancer, infection, etc.

Li Ping'an took Wang Chunfen's pulse and found that her illness was systemic, with slow and deep pulses in many parts of her body, which meant that many organs in her body were diseased.

It may be due to the decrease in glomerular filtration rate, increased tubular sodium reabsorption, and retention of sodium ions outside the cells, causing multiple organ edema and sodium and water retention.

Increased secretion of adrenal cortex hormone and antidiuretic hormone may also be another cause of sodium and water retention. Due to sodium and water retention, tissue edema and abnormal weight gain occur.

Simultaneously.

The blood circulation is slow, sluggish and deep, resulting in a slow and deep pulse.

In addition to medication.

In later generations, ascites could also be treated with surgery.

Transjugular intrahepatic portosystemic shunt is a procedure that establishes a shunt channel between the portal vein branches and the hepatic vein branches in the liver, so that part of the portal vein blood flow is diverted to the hepatic vein, which can effectively reduce portal vein pressure. It is suitable for the treatment of refractory ascites caused by portal hypertension.

Abdominal puncture is to directly puncture the peritoneal cavity from the anterior abdominal wall with a puncture needle or catheter to extract and discharge ascites. It is suitable for dyspnea caused by a large amount of ascites, abdominal pain and increased abdominal pressure caused by ascites, infectious and cancerous ascites, and large or refractory ascites in cirrhosis without infection.

Both surgeries can be performed in this era.

When Li Ping'an was considering whether to perform surgery on Wang Chunfen, he heard her say, "Doctor, I'm just hungry. Give me some food, even coarse grains or even rice bran. I'll be cured after a few full meals!"

Wang Chunfen heard about it.

People who go to the hospital for treatment can usually have several full meals, and she is very envious.

Li Pingan shook his head and said, "That won't work. Your illness is very serious. If you don't get treatment, it might be life-threatening!"

The compensatory function of organs is limited.

If the disease is too serious, it is likely to cause multi-organ symptoms and even be life-threatening.

After carefully inquiring about Wang Chunfen's feelings and the condition of her illness, Li Ping'an decided to give her Wuling San and Pingwei San.

Wuling San is an anti-dampness agent which has the effects of promoting diuresis and eliminating dampness, warming yang and transforming qi.

It is commonly used clinically to treat acute and chronic nephritis, edema, ascites due to liver cirrhosis, cardiogenic edema, acute enteritis, urinary retention, hydrocephalus and other conditions caused by internal water retention.

The prescription uses 9 zhu (15g) of Poria cocos (peeled), 9g of 9 liang of Alisma orientalis, 6 zhu (g) of Atractylodes macrocephala, zhu (g) of Poria cocos, and g of cinnamon twig (peeled).

Pingwei San is a dehumidifying agent that has the effects of drying dampness, regulating the spleen, promoting qi and harmonizing the stomach. It is mainly used to treat dampness stagnation in the spleen and stomach.

The recipe uses 120g of Atractylodes lancea (remove the black skin, pound into coarse powder, and fry until yellow), 90g of Magnolia officinalis (remove the coarse skin, apply ginger juice, and roast until fragrant and cooked), 60g of old tangerine peel (wash and dry), and 30g of licorice (roasted until yellow).

The two prescriptions combined are Wei Ling San, which is a traditional Chinese medicine prescription mainly used to relieve bloating and promote diuresis.

Because Wang Chunfen did not have any particularly urgent symptoms, Li Pingan temporarily gave up on giving her surgery and instead prescribed a few medicines to see the effects.

As for Western medicine.

Li Ping'an prescribed penicillin and streptomycin for her to prevent infection.

After getting the prescription, Aunt Liu did not immediately take Wang Chunfen to the pharmacy to get the medicine. Instead, she said, "Ping An, Wang Chunfen's condition should be very serious. Should she be hospitalized or find a separate place for her? There are too many people in the shelter. It would be bad if it affects her recovery!"

in fact.

There is another very important reason why Aunt Liu made this suggestion.

Where there are people, there are rivers and lakes.

This is true even at the shelters.

Wang Chunfen’s illness looked scary, and many people in the shelter were unwilling to stay with her.

The shelter is right next to the neighborhood committee.

The neighborhood committee staff had the same idea and didn't want to be too close to her.

Li Pingan shook his head and said, "No need, just tell her to take the medicine on time and come for the injection when it's time!"

Aunt Liu added, "She's a little scary like this, so let's find her a place to live alone. How about this, isn't your house in the courtyard empty? Why don't you let her live there first? It's quiet there, no one will disturb her, and she should recover quickly!"

Li Pingan said: "Okay, go talk to my mom and ask her to help Wang. move in!"

When the words came to Li Ping'an's lips, he suddenly forgot the patient's name and could only hesitate for a moment before changing the subject!

When Wang Chunfen heard that Aunt Liu was going to find a house for her to live in alone, she thanked her repeatedly.

Aunt Liu took Wang Chunfen to the pharmacy to get medicine.

Wang Chunfen's medical expenses were paid by Aunt Liu. After getting the medicine, the two of them left the Sixth Hospital and went directly to discuss the matter with Mrs. Xu.

Xu agreed and decided to give the kitchen in the courtyard to Wang Chunfen.

Anyway.

Xu believed that Wang Chunfen might be deported back to her hometown soon, so what was wrong with letting her stay for a few days?

When Mrs. Xu, Aunt Liu, and Wang Chunfen returned to the courtyard, many neighbors gathered around them to ask what had happened.

Aunt Liu told everyone the situation and explained that Wang Chunfen was just hungry, and she had no other illnesses or infectious diseases. She asked everyone not to worry, as Li Ping'an had already diagnosed her and she would get better after taking medicine.

The more she said so.

The more people feel that there is something fishy going on.

If it is really like what Aunt Liu said, why not let Wang Chunfen live in the shelter? Why should she be treated specially?

The neighbors scattered.

When they arrived at Li's house, Xu opened the door and said to Wang Chunfen, "There is still some rice and flour in the kitchen, and there is also a coal stove. I will help you light the fire. You can stay at my house for the next few days!"

Mrs. Xu and Aunt Liu helped Wang Chunfen light the coal stove. Mrs. Xu gave them some more instructions before leaving.

Aunt Liu walked in front and soon left the courtyard.

As soon as she arrived at the middle courtyard, Xu was stopped by Jia Zhang and asked what happened to Wang Chunfen. Aunt Liu even found a separate place for her. Did she have any special disease?

"Don't talk nonsense, and don't think nonsense!" Xu shook her head and said, "If she really had a serious illness, would Ping An agree to let Aunt Liu let her live in my house? She must be starving!"

"Ping An agreed?" Jia Zhang said, "Then this person may be fine, otherwise Ping An should not ask for trouble!"

When passing by the front yard, the third aunt stopped Xu and asked the same question. Xu still told the third aunt that her son was safe and let her move in, so what could be the problem?

The three aunts also believed it.

One by one, two people asked this question.

Xu also felt guilty.

When Li Ping'an returned home for dinner, Xu told her about this matter.

Li Pingan said: "She should have multiple organ edema and ascites caused by malnutrition. It should not be an infectious disease. Don't worry, maybe she will get better after a while!"

Mrs. Xu nodded and said, "I left her some rice and flour that we left in the courtyard. It was only a few kilograms. It might be too little, so I forgot to take it back!"

Wang Chunfen almost starved to death in her hometown. She finally escaped to the capital. People provided her with medical treatment and food, and even helped her find a separate place to live. She was very touched.

When she had nothing to do, she helped everyone with the work. She not only swept the floor of the entire courtyard, but also swept a lot of the streets outside the courtyard.

even.

When she goes to the sink to wash dishes every day, she will help others if she meets them.

Jia family.

Liu family.

He family.

Even when Guyu came to wash dishes, she would help.

This opens up the situation.

In addition to Aunt Liu who would come to bring her some food, the neighbors in the courtyard would also send her some steamed buns, whole-grain porridge, etc.

Wang Chunfen recovered quickly.

The ascites was basically eliminated after more than a week.

After more than half a month, the swelling on my body disappeared.

previously.

Wang Chunfen was pale and thin, her face was a little swollen, and her eye sockets were sunken. She didn't look like a human at all, let alone a woman.

Now her appearance has recovered, and she looks really presentable, a bit like a woman.

Yuan Cheng had seen her several times when he passed by the sink after get off work.

This guy is starting to get distracted again.

In his opinion, Wang Chunfen had a good facial contour. If she was really not sick, after two months of recuperation, she might still be a good-looking woman.

Yuan Cheng started to have ideas.

at this time.

If I proposed to marry Wang Chunfen, how could she, a refugee from famine, refuse to marry me and even ask for a dowry?

If the Yuan family provided her with food and drink, this girl would probably happily marry him.

Yuan Cheng hurriedly went to discuss the matter with his mother and Yi Zhonghai.

Zhao Fang firmly disagreed with her son marrying Wang Chunfen.

Foresight.

Xu Damao, Jia Dongxu and He Yuzhu all married country women. Except for He Yuzhu, the chef, how could the other two families have a good life?

My son Yuan Cheng actually wants to marry a country woman?

Wang Chunfen does not have a Beijing hukou and does not have a food ration quota. Marrying her will only cause endless trouble. What benefits can there be?

"I think my son is crazy about finding a wife. It's OK that he wanted to marry He Yushui before, after all, she has a Beijing hukou. Now he has set his eyes on Wang Chunfen, a woman from the countryside. What's so good about her?" Zhao Fang thought to herself: "Anyway, I will never agree to let him marry Wang Chunfen, a country girl!"