Those years when I hung up and upgraded in the hospital

Chapter 146 Do you think I am you? (Please subscribe)

Gentamicin is a relatively classic drug. Due to its relatively severe side effects, it has withdrawn from the mainstream intravenous drug stage in history.

After all, during the use of gentamicin, symptoms such as hearing loss, tinnitus, or ear fullness may occur; vestibular function may also be affected, causing symptoms such as unsteady walking and dizziness.

However, it has only retired from the stage of history, rather than leaving the stage of history. Today, the commonly used methods of gentamicin in surgery are external application or intra-articular injection.

Fang Yun took it out this time, not to give evidence randomly.

When Fang Yun was at Lizhen Health Center, his theory of infectious surgery was not bad. When he was at Long County People's Hospital, he first took over surgical infection, and he also moved infectious surgery to the on-hook slot.

Later, as he gradually gained the appreciation of Director Long Quan, Fang Yun was assigned fewer and fewer infected patients. Even if there were, there were no difficult infected patients.

The infected patient this time was originally brought in by Director Hu Jun to perform teaching surgery, and was intended to be used as a template for special cases to give lectures. Who would have thought that an infection with a very low probability in sports medicine would occur after the operation.

"I think what Dr. Fang said makes sense. The patient's current age is not the developmental period. Most of the side effects of gentamicin have little impact on adults, but only have a high impact on young children or teenagers in the developmental period."

"But there is one thing. If intravenous medication overlaps with topical medication, will it affect the efficacy?" the director of the pharmacy department suggested cautiously.

Hu Jun hurriedly came forward and said: "Director Lu, if there are obvious changes in the training results in the future, I will naturally ask Director Lu to discuss it in detail."

"That's right, Director He, this patient is still coughing. Is there a possibility of pulmonary infection? Is this pulmonary medication?"

After Fang Yun's performance, Hu Jun did not put all the pressure on Fang Yun, but took it on himself.

Director He of the Department of Respiratory Medicine nodded slightly: "It may be infectious pneumonia, or it may be bronchial pneumonia. My suggestion is not to use anti-infective drugs directly at present, but to use phlegm-reducing and tube-expanding drugs. Mainly to promote the discharge of internal infection foci."

"Since it is necessary to use antibiotics in the surgical department, let them be used first. Currently, the management of antibiotic use in hospitals is quite strict."

……

The consultation lasted about 40 minutes and just ended.

Director Hu Jun very politely accompanied the directors out of the department and took the elevator downstairs.

Guo Jinxi, the doctor in charge of the bed, hurriedly came over and asked: "Brother Yun, look at the drugs I recorded. Are they appropriate? Is this the last opinion?"

Fang Yun looked at Guo Jinxi's record page and said, "You not only want to record the final treatment plan, but also record all the drugs mentioned by the directors, the primary and secondary reasons for recommending the drugs, and why they were abandoned later. The reasons for switching to medication must be written down.”

"Although this is not a general consultation of the whole hospital, it is also a very formal consultation of several department directors."

"As the last phlegm-reducing drug, Director Lu from the Pharmacy Department and Director He from the Respiratory Department returned to the classic drug ambroxol."

After Fang Yun finished speaking, Chai Junye and Wei Zhaoliang greeted him: "Xiao Fang, let's go, you can go have dinner."

"Jin Xi, come back after you have finished treating the patient."

After this kind of informal multidisciplinary consultation, after the discussion, the other party should be invited to have a meal. Hu Jun has arranged the meal, but the director of the internal medicine department is actually very busy, with a lot of consultations and inspections to do. Medical records within the department.

Therefore, only a few people from the undergraduate department could go to the dinner party.Fang Yun's current treatment is standard for attending doctors, and he does not bully Fang Yun at all just because he has the lowest qualifications.

After all, the ability lies here.

After Fang Yun and Chai Junye took off their white coats, Wei Zhaoliang said, "Dr. Fang, I didn't expect you to have such a deep theoretical foundation in infection."

"Before, I just remembered that your basic theory of surgery was good enough."

Fang Yun found a reason for himself to be modest: "When I was in the town before, the number of patients was relatively small, and there were some infected patients who were hospitalized for long-term observation, so I had a little understanding."

"It's not worth mentioning. There's nothing to do anyway."

Chai Junye put his hands on Fang Ziye's shoulders at the same time, pushing Fang Yun out, and said: "Brother Yun, you have nothing to do, and you almost overturned Director He of the Department of Infectious Diseases and Pharmacy. If you do a good job, Didn’t you build their entire department?”

"It's natural to steal food from brothers. It's not a good thing to go to other people's houses to ruin their jobs."

When Fang Yun heard this, he suddenly turned around and asked: "Brother Xiaojun, can it be said that the directors of these departments are still petty?"

Fang Yun knew that when he gave the case report today, he was a little too stunning, but this was not very friendly to the other directors, and they had no sense of presence, as if they were just here to cheat and drink.

Maybe that’s why I didn’t agree to go to dinner.

"That's not the case, that is, in our hospital, if you are good, you can be good at yourself, but it is best not to call others to your department and pretend that you are awesome, or go to other people's departments and pretend that you are a saint. ."

"To put it bluntly, you and I know the level of everyone in the same hospital, so don't be too pretentious."

"Of course, Xiao Fang, this doesn't mean that you are not good. It just means that you can pay attention to it in the future. There are specialties in surgery. If you show too much outside of your specialty, you will lose more friends in the specialty."

Chai Junye gave Fang Yun some pointers on how to get along.

Fang Yun suddenly realized.

That's it, that is to say, unless you can suppress others' entire departments, otherwise, if you are only a little bit better than others, you will make things difficult for others, and you won't be able to make friends like this.

This matter is also easy to understand, that is, if there is a person who performs very good manual reduction in the orthopedics department, and then comes to the orthopedics department and says that he wants to help the orthopedics department perform manual reduction, then the orthopedics department himself will not feel comfortable.

Fang Yun continued to ask: "Brother Xiaojun, if you encounter a similar situation again in the future, how should you deal with it?"

"If you don't say it at all, that's impossible."

When Fang Yun was a student, he could amaze some people by doing this, but now that he is no longer a student in the eyes of others, but a colleague of others, doing this again is indeed a bit annoying.

"I don't know either. You think I'm you." Chai Junye shook his head. It wasn't that he didn't want to teach Fang Yun, but he really didn't know how.

"..."

(End of this chapter)