Great doctor starts with adding points
Chapter 11 Specialized skills (for collection, for further reading)
"Girlfriend?" Seeing Wu Xie's immediate reply, Xu Rong's bright eyes widened a little, as if curious.
"It's my senior brother." Wu Xie replied to Xu Rong while editing the information, and then typed and said:
"Senior Brother Long, what do you think about it?"
Brother Long wrote back: "The laboratory test results should have ruled out tuberculosis and Mycobacterium leprae, and it is currently considered to be non-tuberculous Mycobacterium!"
"For non-tuberculous mycobacteria, you can think about bovine and avian mycobacteria, and atypical mycobacteria. Check the literature."
"Enshi Prefecture People's Hospital is a good hospital. If there are no common bacteria in the infection department there, you can look for rare diseases and infections, and then continue to follow up the patient's medical history to see if you can find anything. "
"Pay special attention to see if there were any minor injuries before, and the strains with a longer incubation period..."
"Redness, induration, accompanied by pain, the induration gradually increased, and the mass ruptured spontaneously. There is no systemic reaction yet. Such bacterial infection is quite rare, and it is quite troublesome to diagnose." Senior Brother Long is still quite careful.
Although he didn't give an answer directly, it gave Wu Xie a way of thinking.
Teleconsultation is originally a kind of reference. It is difficult for Senior Brother Long to directly determine the type of bacteria.
It is not an easy task to just search for literature and information.
It's better to have ideas than nothing.
"Thank you, Brother Long, Senior Brother Long, can you lend me your account number and password? My previous account number and password have been disabled." Wu Xie asked proactively.
Checking literature is something that every graduate student has to do. Although Wu Xie was fed and graduated before, he still has practiced some basic skills.
It's just that he doesn't have a reserve of knowledge, so he doesn't even know how to look up documents. Of course, whether he can find them or not, is another matter.
But the webpage also has its own translation, at least you can find out the target document first.
Brother Long is an employee of Tongji Hospital, he can directly log in to the school library to download and read literature for free.
Senior Brother Long gave it quickly, and then said, "I'll look for it for you too, but you may not be able to find it. Such a rare infection is very troublesome."
"Compared to internal medicine's fever, you'd better be prepared for the psychological construction of terminal patients." Senior Brother Long conveyed his meaning cryptically.
Let Wu Xie not be too persistent.
Wu Xie just replied that she wanted to increase her knowledge.
"Xiao Wu, are you okay now?"
...
Wu Xie just went to chat and didn't even think about eating. When he finished talking and started cooking, Xu Rong was already on duty.
Uncle Qinling had already walked back to collect the bowl, and seeing that Wu Xie had hardly moved, he said, "Little Xie, is it because the dishes that uncle cooked are not to your liking?"
"No, uncle, I'm busy with some things, it's delicious." Wu Xie immediately seized the time to cook.
It's a taboo to be taken for a meal and dislike the bad taste of other people's homes, and it's really not a bad thing.
...
Time is like water, and nearly half a month has passed.
Because of Qin Dahe, Wu Xie's hospital beds and patients in charge have not changed much.
Although in the past half a month, Lu Junyin occasionally asked Wu Xie some questions inadvertently, but they were all random questions, not the kind of school exams.
Wu Xie just answered what he could answer, not to mention amazing, but slowly gained everyone's approval.
Things that are recognized by the peers, the rumors about Wu Xie's "ignorance and incompetence" in this town will naturally gradually decrease.
It's just that some people feel that Wu Guonan and Xiang Mei have delayed Wu Xie.
Wu Xie's grandparents and grandparents were all mobilized, and they came to the town from their hometown one after another, preached to Wu Guonan and Xiang Mei, almost got on the soles of their shoes, but was persuaded by Wu Xie...
Wu Xie's current knowledge points have once again accumulated to 51 points.
Most of it came from Qin Dahe's in-patient patient gain, the other three came from the previous empty bed income, and only two were obtained from Wu Xie's reading of literature and books.
Looking at these knowledge points, Wu Xie fell into deep thought first, and then cautiously found the entry of surgical infectious disease in a series of skill lists.
"Surgical Infectious Diseases (Proficiency 0/50)"
Surgical infectious disease, Wu Xie was originally a probationary stage, but because of Qin Dahe, Wu Xie has been adding points until he is proficient.
But still to no avail!
Upgrading to the next level requires fifty experience points.
And fifty experience points!
In fact, Wu Xie can get five proficiency levels of other skills.
Wu Xie himself has seen the benefits of learning a little bit.
Compared with other skills, such as debridement, appendectomy, cholecystectomy, and open reduction and internal fixation of fractures, the benefits of infection surgery are minimal.
There are basically no such patients in the town hospital, and learning it is tantamount to learning for nothing, far worse than...
"Since it came from my uncle, it should be used on him." Wu Xie finally decided to allocate all his knowledge to surgical infectious disease, which is relatively useless in terms of surgery.
The panel suddenly changed.
"Surgical Infectious Diseases (Proficiency 0/500)"
After adding points, Wu Xie didn't feel any special.
However, when Wu Xie focused on Qin Dahe's condition again, there seemed to be many different understandings and changes.
The treatment of infection is not only the application of antibiotics, not the use of sensitive antibiotics, but also the cooperation and assistance of some other drugs.
In addition, strengthening nutrition, training supplements, empirical medication, etc., many knowledge areas and knowledge horizons are completely different, even Wu Xie faintly feels it.
He seems to be able to figure out roughly which category this mycobacterium belongs to. There may be no way to directly diagnose it, but it can be dealt with through empirical medication.
Moreover, based on his own experience, Wu Xie searched for medicines that could be prescribed in the current town hospital, slowly deliberated, and formed a set of trial plans...
"Director Lu, do you think Qin Dahe's antibiotics should be changed a little? He has been taking cephalosporins for half a month." The next day, after Wu Xie appeared in the department, he casually made a suggestion to Lu Junyin.
As we all know, long-term use of a single antibiotic is unscientific and useless. After a period of application, there must be changes in antibiotics.
Lu Junyin didn't want to pay attention to Qin Dahe at all, and nodded: "You can see and change it yourself, just do the skin test well."
"If you use the same antibiotic for a long time, you can't pass the medical insurance review."
With Lu Junyin's authorization, Wu Xie changed the medicine that morning, and the nurse station complained again...
It will be updated regularly in the future, with one chapter in the early morning and one chapter in the morning at 8:00 am. Readers can read two chapters in a row when they get up in the morning.
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