Great doctor starts with adding points

Jiang Yun is a resident physician in the Department of Infection Surgery of Qianjiang Central Hospital. He is not tall and has a crew cut that is common among surgeons.

Under his eyes, there are eye bags and dark circles that medical staff often suffer from. At this moment, with a flickering expression and eyes, he knocked on the door of the director's office and found his superior doctor, Director Zhang Ai, with a hesitant tone.

"director!"

In the director’s office, there was only Zhang Ai, wearing a shirt and suit pants, pointing at Yellow Crane Tower 1916 with the thumb and index finger of his left hand. He stood facing the window and turned around when he heard the sound: “Jiang Yun, what did the doctor from Jinping’s previous hospital say?”

Jiang Yun's eyes were still flickering: "Director, there is a discharge record over there, but it was destroyed by the family members. Over there, before being discharged from the hospital, gentamicin was used."

"Topical plus IV."

Zhang Ai shook his hand when he heard the words, and the intact soot fell down and shattered into fine pieces in the air.

The tone was startled: "Are you really using Qingda?!"

"However, the antibiotics that can be used in the town hospital are limited. Gentamicin, an antibiotic with relatively high toxicity and side effects, has not been used intravenously for a long time in our place."

"What about before using Qingda?"

Jiang Yun replied immediately: "Cefuroxime and moxifloxacin."

"Have you talked about the idea?" Zhang Ai asked casually, never thinking about such a thing.

Jiang Yun nodded, took out his mobile phone, and looked at it. It wasn't the recording one, so he clicked on the recording of the mobile phone from another pocket——

Jiang Yun's actions made Zhang Ai's eyebrows twitch slightly, you old six!

In the recording, there was a young voice who spoke quickly and sounded not very old:

"..."

"Moxifloxacin is a broad-spectrum quinolone antibiotic. Its mechanism of action is to interfere with the DNA gyrase of Gram-positive bacteria and negative bacteria, prevent the replication and transcription of bacterial DNA, and thus inhibit the growth and replication of bacteria. Moxifloxacin is mainly used for Treatment of urinary tract infections, respiratory infections, skin and soft tissue infections, digestive tract infections and other bacterial infections.

"Gentamicin is an aminoglycoside antibiotic whose mechanism of action is to interfere with the synthesis of bacterial proteins, thereby inhibiting the growth and reproduction of bacteria. Gentamicin is mainly used to treat intestinal and genitourinary tract infections, such as diarrhea, enteritis, Vaginitis, etc.

"Moxifloxacin has a wide coverage on Gram-positive and negative bacteria, including many drug-resistant strains, such as Staphylococcus aureus, Klebsiella pneumoniae, Salmonella, etc. Gentamicin is mainly effective on Gram It has good antibacterial effect on Gram-negative bacteria and some Gram-positive bacteria.

"Aminoglycosamine antibiotics commonly include amikacin, kanamycin, neomycin, buganin, streptomycin, gentamicin hydrochloride, etc. Our town hospital only has streptomycin and gentamicin Both types."

"Streptomycin is mainly used to treat Gram-positive and Gram-negative bacterial infections such as Streptococcus pneumoniae, Haemophilus influenzae, influenza bacillus, and Escherichia coli, but it is ineffective against some Gram-negative bacteria and anaerobic bacteria. Gentamus It has a wide antibacterial spectrum and is effective against Gram-positive and Gram-negative bacteria, including Streptococcus pneumoniae, Haemophilus influenzae, Influenza bacillus, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Pseudomonas ginkgo Bacteria, etc..."

"Based on Jinpei's symptoms, if it's presumed to be Rickettsia infection..."

"We can use tetracyclines, quinolones, aminoglycosides."

"cephalosporin, chloramphenicol, etc..."

"Tetracyclines and chloramphenicol exert antibacterial effects by inhibiting bacterial protein synthesis, while azithromycin and cephalosporins kill bacteria by interfering with bacterial cell wall synthesis or cell membrane function.

"Tetracyclines and chloramphenicol have strong antibacterial activity against a variety of Rickettsia strains, while azithromycin and cephalosporins may have certain limitations."

"Tetracycline is indeed a class of broad-spectrum antibiotics, cheap and easy to obtain, but tetracycline resistance is a big problem, coupled with liver and kidney toxicity, gentamicin is the first choice..."

Zhang Ai also frowned under this output.

"Doctor Wu, where did you graduate from?"

"Huazhong University of Science and Technology, master's degree, home address Sha Town, Xuan County, En City, E Province, current workplace is Xuan County Hospital of Integrated Traditional Chinese and Western Medicine, also known as Sha Town Health Center, 27 years old, unmarried! Male." Wu Xie is yin and yang. with.

The mud bodhisattva also has a three-point temper. Jiang Yun's question was too tricky, so Wu Xie was not polite to him. It is also uncertain what Jiang Yun's plan is.

"Who asked you to ask so many questions?" Zhang Ai immediately threw the cigarette butt on the ground, and then stepped on it! Then he touched his Mediterranean Sea with his hand.

As a chief physician, before he was promoted, he went to the countryside to support his counterparts. Zhang Ai knows very well that it is not easy to work in a grassroots unit.

There may be obstacles in education and knowledge, but the basic conditions and facilities are there. There is no MRI, CT, or medicine. What do you want them to do!

"Director, me!"

"It's mainly that Jin Ping, who is too stubborn. He always asks me, and I just think about it. Maybe something went wrong with the previous treatment." Jiang Yun is also very sincere, expressing his desire to shirk responsibility.

"You really don't have a brain, so what if there is a problem with the treatment in the town hospital?"

"It didn't cause any harm to the patient. The conditions are limited, and it can only be used empirically. What do you want their hospital to use to do a drug sensitivity test for you!" Zhang Ai cursed bitterly.

This Jiang Yun really did not have social experience, nor did he have enough knowledge to think of doing such a stupid thing.

Just do it, and now you are being dissed!

And when it comes to basic theory, Zhang Ai also found part of what Wu Xie said just now quite amazing.

The opponent's level is not low.

"Then director, what should Jin Ping do now? We changed Qingda and it didn't work, and the results of bacterial culture and drug susceptibility over there also showed no positive results..."

"It is recommended to transfer to another hospital!" Zhang Ai made a final decision.

"Where is the family?" Jiang Yun hesitated a little.

"The family members directly said that the current situation is very complicated. Our hospital also has limited conditions." Zhang Ai did not hesitate. Qianjiang Central Hospital is a tertiary first-class hospital, but there are also provincial hospitals that can be transferred!

...

After Wu Xie hung up the phone, she smiled helplessly.

But I didn't think much about it, so I just ranted.

Anyway, that's it, I have no responsibility, so what are you afraid of?

Xiang Mei just came to deliver the meal. She was very familiar with the other two nurses on duty in the department. After saying hello, she warmly invited with a smile: "Then come over and eat together?"

This is Wu Xie's ration. Xiang Mei is here, so the two nurses are naturally not easy to grab, so they refuse it with a smile.

"Mom, have you eaten by yourself?" After hearing Xiang Mei's voice, Wu Xie walked out of the doctor's office and asked.

"I must have eaten it. It's all yours. I'll take the lunch box and wash it after you finish eating." Xiang Mei's eyes were full of doting.

"I'll bring it back tomorrow." Wu Xie suggested.

"Wait for you, let me tell you one thing by the way, that is, if you encounter joint dislocation, you should not reset it casually. Tell him to go to a big hospital for surgery."

"Just now, Dr. Xiong in our town insisted on asking Zhu Fagen from Shangjia'ao for conservative treatment. After more than a month of treatment, he still had an operation."

"A whole room of people went there to make trouble, and the cancer patient from last year was also making trouble..." Xiang Mei said, very worried about Wu Xie's situation, and felt that it was not easy to be a doctor.

Dr. Xiong's reputation in the town is so great, and he still has to be troubled by others.