world famous doctor

Chapter 289 Do You Have a Girlfriend?

Zhou Chen decided to use endotracheal intubation to suck out the white sticky sputum in this elderly patient.

Zhou Chen auscultated him again and said to Dr. Zhang Jian seriously:

"This patient has wet chatter in both lungs, most notably in the two lower lungs, with elevated inflammatory indicators."

At the same time, he handed the checklist to Zhang Jian.

Zhang Jian looked down at the inspection report.

The single report shows:
(CRP30.8mg/L, procalcitonin 0.52ng/mL, WBC9.58109/L, neutrophil percentage 81.8%).

The sputum culture results showed Acinetobacter baumannii, and the drug susceptibility results showed pan-drug resistance.

The two of them briefly discussed the treatment of this elderly patient.

Zhou Chen believes that due to various reasons, staged treatment must be adopted.

They then focused on discussing the specific details of stage treatment in detail.

Zhang Jian highly agrees with Zhou Chen's thorough analysis and meticulous clinical treatment and medication.

In the next few days, the nurses strictly followed Zhou Chen's will to perform SIMV mode ventilator-assisted ventilation for this elderly patient.

And give meropenem (0.5g, q12h) anti-infection.

Torsemide (40mg, bid) diuretic.

Amoxysol hydrochloride (90mg, qd) reduces phlegm.

Gastrointestinal nutrition, laxative and other treatments are carried out at the same time.

The patient's daily fluid intake is 1800mL and the urine output is 1500mL.

The serum creatinine on admission was 207 pmol/L.

Monitor the Xuejixuan range every 3 days to be within 240~250pmol/L.

The urine culture results showed Enterococcus faecalis, and the drug susceptibility results showed resistance to ampicillin, erythromycin, and gentamicin.

Sensitive to linezolid, wanopristin, vancomycin.

Considering that the patient has a history of CKD stage 4 severe renal insufficiency, Zhou Chen’s will was strictly based on the drug sensitivity results.

After a few days of phased treatment, the elderly patient's body gradually recovered and improved.

This proves that Zhou Chen's treatment method is effective.

During the first stage of treatment, Zhou Chen also instructed the nurse to give the patient tigecycline anti-infective treatment.

Specific electronic will description:

Tigecycline (specification: 50 mg) anti-infection treatment was given.

The first dose is 100mg, qd, ivgtt.

On the second day, a maintenance dose of 2mg was given, q50h, ivgtt.

On the fifth day, creatinine was rechecked: 5pmol/L.

The patient's body temperature dropped significantly, procalcitonin (0.360 ng/mL) also dropped compared with before, and the urine output did not decrease.

Tigecycline was discontinued and no treatment was given to improve renal function.

Blood creatinine was checked again on the 7th day: 313pmol/L.

Serum creatinine on day 9: 249pmol/L.

Serum creatinine on day 11: 264umol/L.

The patient's creatinine level has returned to the pre-medication level.

Seeing the patient's gradual improvement, Dr. Zhang Jian couldn't help but give Zhou Chen a thumbs up and praised him:
"Doctor Xiao Zhou, you have done a very good job. It is his luck that this patient can meet you to treat him."

To be honest, in Dr. Zhang Jian's heart, although he has been a clinician for many years, compared with Zhou Chen, he really feels inferior.

Even on the operating table, Zhang Jian, a veteran doctor, is willing to help Zhou Chen.

For example, passing surgical instruments or watching from the sidelines.

Because he has gone through so many treatments, Zhou Chen has never missed a shot.

This is an incredible thing in the medical world.

In the process of treating diseases and saving lives, no matter how skilled the doctor is, there are many uncertain factors that cannot be completely eliminated when facing different patients.

Facing Zhang Jian's praise, Zhou Chen just smiled slightly, and replied modestly:
"Dr. Zhang, you are flattering me. In fact, it was accomplished by our joint efforts. It cannot be regarded as the credit of me alone. Of course, the patient's own optimism is a major factor in adjuvant therapy."

Zhang Jian looked at Zhou Chen with bright eyes and nodded again.

Zhou Chen's broad-mindedness and calm state of mind alone are really rare, not to mention his superb and superb medical skills.

After chatting for a while, they went to the elderly patient's ward together and told him that he could be discharged in the afternoon.

The elderly patient gazed at Zhou Chen gratefully, with approval in his eyes.

He couldn't help but praise him again.

"It's really rare that this doctor is so young and has such good medical skills."

Zhou Chen turned his head and Doctor Zhang Jian looked at each other, and they smiled.

Every time Zhou Chen heals a patient, while bringing treatment experience, there is a sense of joy and accomplishment that other things cannot bring.

All in all a lot to gain.

After a pause, Zhou Chen smiled and said to the elderly patient:
"Your disease has been a chronic disease for many years. It is impossible to get rid of the root cause in a short while. You have to treat it with a combination of traditional Chinese and Western medicine. Later, you come to the Baojitang Traditional Chinese Medicine Center and I will prescribe you a few doses of traditional Chinese medicine. Prescriptions, taken together, will receive better curative effect."

The elderly patient Lao Lin nodded with satisfaction, and at the same time asked doubtfully:

"Doctor Zhou, do you still know Chinese medicine?"

Zhou Chen replied modestly: "You know a thing or two."

At this moment, nurse Bai Ting came over to remove the needle for the elderly patient.

The elderly patient turned to look at Nurse Bai Ting, then at Zhou Chen again, and asked with a smile:
"Doctor Zhou, I wonder if you are married?"

Zhou Chen shook his head: "Not yet."

"Do you have a girlfriend?" the elderly patient asked again.

Zhou Chen shook his head again.

Saying that, the elderly patient gave Bai Ting a meaningful look.

Bai Ting was a little restless at this moment.

On the surface, he was pulling out the needle for this elderly patient, but in fact, he was already thinking wildly in his mind.

Just now, Bai Ting listened very carefully to the conversation between them.

The elderly patient half-jokingly said:
"Actually, I think this nurse surnamed Bai and Dr. Zhou are quite a match for you, or...you two can make do with each other?"

As soon as these words came out, Bai Ting's pretty face immediately turned red.

She turned her head and glanced at Zhou Chen very shyly, intending to see his reaction.

Zhou Chen replied with a smile: "We are all colleagues, this is not good..."

"Is it just colleagues who fall in love with each other for a long time?"

The elderly patient laughed meaningfully.

"Don't mention this, don't mention this..." Zhou Chen changed the subject and asked: "Oh, by the way, why have you only seen your daughter-in-law serving you these few days? Your son is busy with work, right? You have been in the hospital for so long I haven't seen her face for days."

As soon as the son was mentioned, the elderly patient became a little excited.

His face suddenly darkened and he sighed heavily.

"Forget it."

"What? Even if there is a little friction between father and son, small holidays, and small conflicts are normal, you are so sick that even sons don't come to see you?"

A patient in the next bed suddenly complained for him a little angrily.

The elderly patient's surname is Hu, and everyone calls him Mr. Hu.

When Mr. Hu spoke, his tone revealed extreme disappointment with his son.

"Actually, my son is also a doctor, and he is also an attending physician, working in a foreign hospital."

(End of this chapter)