Chapter 26 Telephone consultation (please collect and read)

Author: Jiangdi Youbai

Chapter 26 Telephone consultation (please collect and read)

Qianjiang is a county-level city directly under the jurisdiction of Hubei Province. Wu Xie used to go to Han City, the provincial capital, to study, and passed by, for example.

Although I don’t know where Qianjiang Central Hospital is, it must be a top-level hospital, and its quality may be better than Enshi Prefecture People’s Hospital!

Jinyinshan really took Jinping to a good hospital.

Jiang Yun's tone on the other end of the phone wasn't particularly friendly, so he came up and asked what was going on.

Can I still control what happens to him after he is discharged from the hospital?

When Wu Xie heard this, he had no choice but to respond to the official tone: "Jin Ping's treatment process in our hospital was recorded in the discharge record, right?"

"Before I was discharged from the hospital, the wound had improved slightly. I have photo records of the wound every day."

The wounds of infected patients must be photographed and recorded every day to observe and compare whether they have improved or not. This is something every surgeon must do.

The other party was silent for about half a minute, and then said with a slightly stiff tone: "The family said that the discharge medical records were lost. Can I trouble Dr. Wu, can you repeat it?"

"I have an electronic file here, and he can come back and print it out at any time." Jin Ping chose to be discharged from the hospital at that time, and threw away the discharge medical record at the entrance of the hospital. That was his freedom.

Asking Wu Xie to memorize medical records again is not the scope of business provided by doctors.

If Jin Ping really lost it by accident, Wu Xie might have roughly recounted it.

It seems that Jinyinshan is also on the opposite side. Now his mood is not stable and he is making a fuss: "If I have time to come back and print, why should I bother with this?"

"I said you work in a town hospital, what's so cool about you?"

"I can't tell you that your grandpa is an old man, but you still dragged him away?"

Jiang Yun is also a medical staff. Hearing this, he immediately began to calm Jin Ping's emotions. After another ten seconds, Jiang Yun said: "Doctor Wu, the patient and his family members are out of town now. Could you please take a photo of Dr. Wu and send it to me?"

me?"

"Jin Ping's current wound condition has become slightly worse again."

This is normal communication and request!

However, in principle, the doctor in charge of the hospital does not provide photos of discharge medical records, except for the patient himself and his family members.

But it doesn't matter, Wu Xie didn't change them.

"Please wait a moment, add me on WeChat, and I will send you the discharge medical records directly." Wu Xie took a step back.

Even if Wu Xie refuses this request and insists on Jin Ping coming back to print it himself, this is reasonable in principle, but it is not suitable to lead to such a deadlock.

The matter of grandpa going to find Jin Ping really stimulated Jinyinshan.

It was a landline phone, so Liu Song couldn't hear the content of Jinyinshan's anger. Therefore, after hanging up the phone, Liu Song smiled and said curiously: "The doctor from Qianjiang Central Hospital also came to ask you about Jinping?"

"Tsk, tsk, little crab, you are amazing."

Those that can carry the name Central Hospital are at least tertiary hospitals! And they are medical institutions that only exist at the municipal level.

Wu Xie didn't explain, but smiled back: "Brother Liu, I'm going back to work first."

…

Wu Xie arrived at the department, took a picture of the unfiled discharge record, which was stamped by the department, and sent it to Jiang Yun.

An additional sentence was added: "Dr. Jiang, this is what happened when Jin Ping was hospitalized in our hospital and the medication process."

It took about two or three minutes after Wu Xie sent the discharge record, and Jiang Yun made a voice call directly: "Hello, Dr. Wu, how did you think that gentamicin was used when you were finally discharged?"

"Are there any drug sensitivity results? It's not reflected in the discharge record?"

Jiang Yun found it strange that when Jin Ping brought Jin Yin Shan, the wound healed very well, but there was no medical document. When he entered the hospital, he just said that he would be treated as soon as possible. He believed in the quality of Qianjiang Central Hospital.

Therefore, Jiang Yun and the chief physician who led the team had no doubts. Seeing that the wound was fine, they treated it as an ordinary infection and treated it with cefdinir.

I thought it was just a matter of staying for a few days, but who would have thought that the wound that had healed quickly began to worsen again. Then Jiang Yun and others became anxious and started various examinations.

After even asking Jin Ping what kind of medicine he used, Jin Ping remembered to use Qingda.

When I changed it to Qingda, it still had no effect. I don’t know why.

For Wu Xie, this question is not difficult at all: "Dr. Jiang, you have also seen that when Jin Ping was hospitalized in our hospital, he used cefuroxime for the first half of the month and cefuroxime for the second half of the month.

Levofloxacin."

"We have already used quinolones and cephalosporins, so we thought about trying aminoglucosamines again, and they are really effective!"

"As for the drug susceptibility results, our town hospital has limited conditions and cannot do bacterial culture and drug susceptibility. We can only give empirical treatment."

It was impossible for Wu Xie to tell Jiang Yun about the speculative diagnosis of Rickettsia, because it was an empirical judgment, and in the eyes of outsiders, the current Wu Xie was inexperienced.

If you can't explain it clearly, you can only explain it from other aspects.

When Jiang Yun saw this information, his expression changed. Since your town hospital doesn't have a drug sensitivity test, it was almost done, but then it broke down when you came here, right?

Then he asked again: "There are many aminoglycoamine antibiotics. How did you, Dr. Wu, think of using Qingda's antibiotics?"

Wu Xie continued to explain: "The most commonly used aminoglycoamine antibiotics in our hospital are gentamicin and tetracycline. Gentamicin is more common. Although tetracycline is cheaper, it has higher nephrotoxicity after all. Gentamicin is not much more expensive, so

Can be reimbursed."

"So, when you chose gentamicin, it was just because it was cheap and easy to obtain, and there was no other objective evidence?" Jiang Yun breathed a sigh of relief before asking in return.

This question is a bit more acute.

Wu Xie frowned slightly, smiled but did not smile, and spoke rudely: "What does Dr. Jiang want to hear?"

Jin Ping left here, which was strongly requested by his family. As long as his life safety is not affected, the family's right to freely choose the hospital for diagnosis and treatment is protected by law.

He left our hospital and went to your place. How to treat him is your freedom. Why do you ask me so many questions?

"No, Doctor Wu, you misunderstood me. I just want to know your general diagnosis and treatment ideas." Jiang Yun quickly replied in an apologetic tone -

Wu Xie sped up his tone slightly: "Cefuroxime is a third-generation cephalosporin antibiotic!"

"The antibacterial spectrum mainly includes Gram-positive bacteria: methicillin-resistant Staphylococcus aureus, Staphylococcus vulgaris, hemolytic Streptococcus, Streptococcus pneumoniae, etc. Gram-negative bacteria: Klebsiella pneumoniae, Escherichia coli

Bacteria, Phosphorobacter, Enterococcus faecium, Pseudomonas aeruginosa, Isoclonales, Pseudomonas aeruginosa, carbapenemase-producing bacteria, etc.”

"There are also Legionella pneumophila, Moraxella sp., etc."

"The switch to moxifloxacin, a rather broad-spectrum quinolone antibiotic, is mainly to cover Gram-negative bacteria such as Salmonella (including Salmonella typhi, Salmonella paratyphi, etc.), Escherichia coli, and Proteus.

Paracoli, Vibrio, Phosphorobacter, Spirochaete, etc.”

"Or Mycoplasma..."

"The antibacterial spectrum of aminoglycosamine antibiotics is..."

"Are these the diagnosis and treatment ideas? Dr. Jiang?" Wu Xie spoke for six minutes in one breath, probably close to a thousand words before he stopped, and then asked this question.

It is a taboo to ask people about their treatment plans without scrutinizing other people’s diagnosis and treatment ideas!

Even when a higher-level hospital knows that a lower-level hospital may not be fully considerate in diagnosis and treatment, it will consider the other party's limited qualifications and conditions and will not hold them accountable.

After all, it’s hard for a clever woman to make a meal without rice!

This Jiang Yun is really interesting.

"Enough, enough..." Jiang Yun was directly confused by Wu Xie's output. It was not until Wu Xie asked back that he hesitated to say this.

Jiang Yun was stunned, so he blurted out a question: "Doctor Wu, where did you graduate?"
Chapter completed!