Chapter 18 Do you regard Qingda as a magic medicine? (Please collect and read)

Author: Jiangdi Youbai

Chapter 18 Do you regard Qingda as a magic medicine? (Please collect and read)

"Wait, Dad!" Wu Xie hurriedly chased after him.

"What did you and Jin Ping talk about? Why did he agree again?" Jin Ping is a man who knows how to speak well.

Wu Xie was afraid that Wu Guonan would have a conflict with the other party because of him. This was unnecessary.

Doctors don’t knock on the door.

"Where is it? Your mother and I just arrived at the hospital. Your grandpa went directly to the ward and scolded Jin Ping. He also called your cousin Jinyinshan in front of Jin Ping and asked if they wanted to join us.

Give Jin Ping some money to treat his illness."

"You also know that Man, Jin Ping and your grandpa are cousins ​​and equals," Wu Guonan said.

"Old people are trying to save face and fight for their breath."

All right!

Wu Xie didn't know what to say. No wonder, when he was at the county hospital, the director and dean both said that if he returned to Sha Town, his work would go smoothly. It turned out to be the truth.

"I'll call Mr. Ga tomorrow. Dad, please go to bed early." Wu Xie smiled.

"If we are able, we should try to get cousin Jin Ping and your cousin Ga Gong better. His family is in trouble and it is not easy to make money."

"The main reason is that my son is not up to par. He can find money, but he likes gambling, and the old man is very economical." Wu Guonan explained this.

"I'll try my best, Dad, infection is still troublesome." Wu Xie did not dare to express his position in private in front of his father.

There is no such thing as 100% in medicine, let alone such a small hospital that cannot perform many examinations.

…

The next day.

When Wu Xie rushed to the department, everyone had not arrived yet.

However, Director Lu Junyin has already arrived and is communicating with the two attendings, Liu Chengshan and He Ling.

He Ling, who had been on duty in the department, asked Lu Junyin: "Director Lu, that Lin Hua wants to be transferred from Dr. Xiong in the town to our hospital. Do you want to accept it or not?"

"I refused yesterday."

Lu Junyin frowned when he heard this: "What's wrong with him coming to our hospital? He has sequelae of cerebral hemorrhage and hemiplegia. Should he go to the internal medicine department?"

Wu Xie happened to arrive in the office at this moment, and He Ling looked at Wu Xie.

"That is, I heard that Xiao Wu from our department came from a big hospital, so I wanted to ask Ha Xiaoxie if there was anything I could do. Qin Dahe's condition has improved a lot now. The news has spread throughout the town."

Hearing this, Liu Chengshan looked at Wu Xie.

In the case of Qin Dahe, to be honest, Wu Xie was really cruel when he dared to attack him. After all, he was a case transferred from a prefectural hospital, and the provincial hospital refused to transfer him.

In the end, he got a turning point in Sha Town, which indeed brought Wu Xie a wave of fame.

But? Pros and cons go hand in hand.

Wu Xie immediately shook his head and said, "Director Lu, this is unacceptable."

The sequelae of hemiplegia after stroke or cerebral hemorrhage are a worldwide problem. No one in the country or even the world dares to take this job, not to mention Wu Xie. It’s better not to even think about it.

Of course Lu Junyin knew: "I won't accept this Lin Hua, absolutely not. If he wants to ask, just ask him to go to the county, state, or province. We won't delay a step here."

There was no formal handover at the town hospital, so Lu Junyin asked Wu Xie again about Jin Ping's treatment plans: "Xiao Wu, you don't care about Lin Hua's matter, but Jin Ping's infection?"

"Although he has relaxed now and agreed to take the medicine, it is still troublesome. Do you have any suggestions?"

Jin Ping was the patient he was in charge of before and Fang Hao was in charge of.

The diagnosis upon admission was plantar trauma. Standard debridement and postoperative antibiotic and anti-infective treatment, including cephalosporin, were ineffective.

For such infected patients, part of the reason is that they do not agree with the medication. After standard diagnosis and treatment, if they are still infected, they will be a big trouble in the town.

There are not too many auxiliary examinations. Even if I agree to take the medicine, it is still difficult to determine what the situation is, what medicine should be changed, and there is no bacterial culture.

If you need to send bacterial culture to the county hospital and wait for the results, I don't know how long it will take to get back and forth. At least five days.

"Don't be nervous. Although you are in charge of this patient now, we will definitely help you deal with it." Lu Junyin continued.

Jin Ping is different from the previous Qin Dahe. Qin Dahe is a dead horse and a living horse doctor.

Jin Ping was an original case and was transferred from Lu Junyin to Wu Xie. The first diagnosis and treatment was taken over by director Lu Junyin. Now it is Wu Xie who is taking care of it.

Of course, it was Jin Ping who requested it.

"Director Lu, I would like to try gentamicin instead." Wu Xie directly expressed his thoughts.

Wu Xie's words made the expressions of Lu Junyin, He Ling and others suddenly freeze.

"And gentamicin?" Liu Chengshan blurted out.

But he immediately explained: "Little crab, please continue talking."

Qin Dahe was treated effectively by Wu Xie with gentamicin. Now Jin Ping has also changed his name to Qingda. Are you using gentamicin as a miracle drug?

When Wu Xie heard this, he said: "Director Lu, Doctor He, Doctor Liu. I have some ideas here, but I don't know if they are right?"

"Generally speaking, Staphylococcus aureus, Enterobacter, Pseudomonas aeruginosa, Klebsiella, etc. are the main pathogenic bacteria of postoperative infections."

"Of course we don't rule out fungi, Vibrio cholerae."

"We couldn't be sure, and the conditions were limited, so I called the epidemic prevention office and learned about the common postoperative infections in our county. Staphylococcus aureus, Enterococcus, and Escherichia coli."

"These common types of infections, if the initial infection bacteria do not mutate, should be sensitive to cephalosporins. That is to say, most of our debridement surgeries require cephalosporin treatment, which is effective."

"Jin Ping is an exception, so it may be that the bacteria developed resistance after the first infection, resulting in limited effectiveness of antibiotics, or it may be a rare infection."

"Fungi, Vibrio cholerae, anaerobic bacteria or atypical pathogens such as mycoplasma and rickettsiae."

"Based on Jin Ping's current local symptoms and systemic symptoms, I think the probability of rickettsial infection is the highest."

"Among the sensitive antibiotics of rickettsia, there are no cephalosporin antibiotics. Among the sensitive antibiotics of rickettsia, tetracycline antibiotics such as doxycycline are the current first-line treatment antibiotics, but their antibacterial spectrum is relatively narrow."

"Quinolone antibiotics: such as ciprofloxacin, moxifloxacin, etc., have a wider antibacterial spectrum. But compared with aminoglycosamine antibiotics, their price will be relatively expensive."

"The aminoglycosamine antibiotic, gentamicin, is relatively cheap and affordable, and it is also very effective against rickettsiae. If I advocated changing the drug, I would choose intravenous injection of gentamicin plus

Topical irrigation treatment.”

"Director Lu, do you think it's okay to consider it this way?" Wu Xie was quite polite when he spoke.

The difficulty in treating infection lies in diagnosis. When a diagnosis cannot be made, a presumptive diagnosis must be made. There are many methods of presumptive diagnosis, and Wu Xie obviously chose the down-to-earth one.

Moreover, Wu Xie's choice, in addition to targeted treatment of rickettsiae, gentamicin also has other broad-spectrum antibacterial effects, so even if it is not rickettsiae, it is still effective, and the key point is that it is cheap.

Diagnosis and speculation are derived from county epidemiological surveys.

Medication considerations also take into account the individual patient's feelings. The theory is sufficient. Is there anything Lu Junyin would like to add?

Wu Xie's thinking is not the usual diagnosis and treatment thinking in their hospital.

"I think the change with gentamicin is pretty good. What do you think?" Lu Junyin nodded immediately without hesitation.

"Very good." Liu Chengshan and He Ling's heads were still rumbling at this moment, and they had not yet fully woken up from Wu Xie's crazy bombardment.

I thought Wu Xie was using gentamicin as if it was a miracle drug, but Wu Xie was able to lay out such a thorough diagnosis and treatment idea.

That’s nothing to say!

"Okay, that's it. In addition, I will go to the nurse station and explain that no matter who is on duty, this Lin Hua cannot be transferred to the department." Lu Junyin made the final decision and ended the shift handover.
Chapter completed!