Great doctor starts with adding points

"Doctor Wu, do you still need an operation? When we came back, the doctor over there said that we can wait for the wound to heal after we come back and receive an injection?" Du Dan said hesitantly.

But Luo Yusong glanced at Du Dan: "Wife, please don't talk, and Xiaoxie, please don't listen to your sister-in-law. You can continue to talk about it. Let me understand the necessity of the operation. Brother Song, I must believe you." of."

"Did the operation in the hospital below be wrong?"

Luo Yusong and Wu Xie, although he seldom interacted with each other after high school, but among other things, he absolutely believed in Wu Xie's character.

When Wu Xie heard the words, he quickly explained: "Brother Song, don't get me wrong about this."

"The operation was not wrong, the fracture was treated pretty well, and the internal fixation was stable. And the use of copper sulfate antibiotic carrier to treat open fractures is a relatively safe treatment."

"Calcium sulfate is a commonly used antibiotic carrier material. It can stably embed antibiotics in its structure and release drugs locally for a long time, so as to achieve sustained release of antibiotics and local drug effect enhancement. Stable embedding of drugs in it, and in the Local long-term release, thereby increasing the concentration of antibiotics at the infection site and achieving better therapeutic effect."

"And compared with oral antibiotics, the drug release of the calcium sulfate antibiotic carrier is mainly localized, which can reduce the impact of the drug on the whole body, thereby reducing side effects."

"If there's a downside, it's that the relative cost is a bit high, but that's not the point."

"The point is that calcium sulfate antibiotic carriers can cause many adverse reactions after direct contact with the skin, such as pain, itching, swelling, etc. These reactions are usually due to direct contact of calcium sulfate particles or gels with the skin, causing local irritation and inflammation. At the same time, the antibiotics in the calcium sulfate antibiotic carrier may also cause irritation and allergic reactions to the skin."

"Your situation is definitely like this. I encountered it when I was studying!" Wu Xie explained so confidently in order to convince Luo Yusong.

At the beginning, the patients they received were also transferred from prefecture-level city hospitals, and the situation was even worse than this. My master knew it was the case when he saw it.

For open fractures, in the initial period, if orthopedic surgeons do not have rich experience in the use of copper sulfate antibiotic carriers, it is easy to cause this situation.

Once such a situation is encountered, the calcium sulfate carrier must be removed immediately, which is equivalent to a waste of the operation.

If an allergy occurs, getting rid of the allergen is the first principle of diagnosis and treatment, without exception!

"This?" Luo Yusong's face turned bitter, "Am I so unlucky?"

"Brother Song, I will not tell you some official words. Don't be reluctant to pay for the calcium sulfate carrier at this time. Keep it, and you will definitely spend more money. After taking it, the corresponding allergic reaction is relieved. The wound healed naturally," Wu Xie said.

Luo Yusong and Du Dan immediately looked at each other.

But Luo Yusong made his own decision: "Okay, I'll listen to you, little Xie. You must know more than us big bosses."

"I need surgery, how much do I need to pay?" Luo Yusong said while motioning Du Dan to pay the fee.

"Money is not the key. This is just an incision and debridement and flushing and suturing. It doesn't cost much. The key is to clean up the inside. Brother Song, you don't have to rush to pay the fee."

"If you agree to the operation, I will arrange it first, and the operation will be done today." This local debridement, even with anesthesia, is less than 1,000 yuan, which is still available to most people. Take it out.

The most important thing is that he wants to arrange surgery and shake people!

Luo Yusong nodded in affirmation, and before Wu Xie left the ward, he asked one more question: "Xiaoxie, in my situation, can I go to the doctor over there to pay for it?"

"this?"

Wu Xie touched his head hesitantly: "Actually, our hospital is a lower-level hospital. If you made this diagnosis in a higher-level hospital, you can say that the iatrogenic injury was caused by their improper operation. Our hospital cannot characterize the higher-level hospital."

"After all, their choice and treatment are right. If you have their contact information, you can call and ask if they put calcium sulfate directly under the skin."

It is impossible for Wu Xie to encourage Luo Yusong to find trouble with his colleagues, but he can ask him to ask. If the other party is sensible, he probably understands what he means.

If you don’t do it well, then you should find a way to deal with this thing. If it is placed under the skin and I find out, then you are in trouble. There is no need to go to court, look for trouble or something, just get rid of the disease That's fine.

After Wu Xie made such a hint, she walked out, and while printing out the informed consent form for the operation, she called He Ling and asked He Ling to come over and help.

Because this operation involves fractures, it is most suitable for He Ling to come over as an assistant or chief surgeon, so as not to make any mistakes.

But when Wu Xie returned to the ward again, Luo Yusong cursed and said, "I'm second, luckily I met you, Xiaoxie, otherwise I would have been tricked to death by them."

"I just called, and they said, let me have surgery first, and we can talk about the cost later."

When Wu Xie heard this, the corners of her eyes tightened: "They agreed to refund the fee? Or what?"

This is unscientific, how can the other party's doctor speak so well?

Luo Yusong smiled more evilly: "I said that I am currently hospitalized in Tongji Hospital in Han City, and then I checked several experts in Tongji Hospital. He still knows one of them, so I didn't talk at that time."

"Fortunately, Xiaoxie, you have studied in Tongji Hospital before. There is nothing wrong with me saying that, otherwise, I really can't talk to them!"

Wu Xiexin said, Brother Luo Yusong, your comprehension ability is too strong. If you could understand such hints before, you could also go to college.

Wu Xie just said that lower-level hospitals can't control the diagnosis and treatment errors of higher-level hospitals, but people in higher-level hospitals can. In fact, what Wu Xie meant was to let Luo Yusong try to ask.

Luo Yusong's understanding is very strong, and he directly took Tongji Hospital to pull the banner.

This matter, right? They must know it in their hearts. Even if they didn’t know about it before and had no experience, but now it is pointed out by other colleagues, then you can only admit that you are unlucky, and you don’t want to trouble you. You have to deal with this matter. Solve it properly, at least refund the improper operation fee.

"Who is the expert you are talking about?" Wu Xie asked indifferently.

"It seems to be called Professor Duan Hong, or the director." Luo Yusong felt that he was more mechanical, and raised his chin slightly.

Wu Xie staggered at that time.

Damn it, you just happened to find your own master, right?

Forget it, this matter is not easy to care about carefully.

"Brother Song, let's sign. Let's go to the operating room quickly and come back to talk after we finish. Oh, by the way, did you have your blood drawn before the operation?" Wu Xie asked.

Even for Luo Yusong, Wu Xie had to give him a complete preoperative examination to ensure that there were no absolute contraindications to surgery.

"The nurse just finished drawing and said she was going to the emergency department." Luo Yusong nodded.

...

After Luo Yusong finished signing, Brother He Ling went to the department and heard what Wu Xie said.

He Ling immediately gave Wu Xie a thumbs up: "You are the best little crab. If it were me, I really don't know how to tell that Luo Yusong."

"After all, peers don't reveal their shortcomings."

Wu Xie said with a wry smile: "Brother He Ling, I actually know it too, but Luo Yusong and I have a very good relationship. If you don't mention this kind of thing at all, it will make you feel uncomfortable. Although they are not relatives, they are also very good." Friends and brothers."

"And I didn't express it explicitly, it's all Luo Yusong's own experience."

"Besides, this is the truth. I just checked. The instruction manual for the calcium sulfate carrier is to avoid direct contact with the skin surface. The upper and lower surfaces are surfaces."

"If they don't look carefully, and then just let the medicine substitute take it and use it, then I can't blame me." Wu Xie said rather bluntly.

You are not good at technology and you have provoked my friends, so there is nothing I can do. I still have to hint.

He Ling heard the words and sighed: "I also met you. If I met me, I really didn't know that something as high-end as a calcium sulfate antibiotic carrier would have such side effects."

"I can only be dumbfounded when I see it, and continue to diagnose and treat it as a common infection."

"It's better to read more." He Lingling said with emotion.

Calcium sulfate antibiotic carrier is actually not a novel and high-end thing, but it has not been widely used in general county hospitals. One is because it is a bit expensive, and the other is that it requires more attention to application.

It is widely used in joint infection and open fracture, and it is used for local anti-infection treatment, and the effect is quite good.

"Brother He Ling, don't make fun of me. I think the next operation is almost done. I still need to rely on Brother He Ling to take me to the surgery." Wu Xie and He Ling hugged each other commercially.

Then the two went to the operating room with ease.

Luo Yusong's current wound condition is not difficult. The difficulty lies in the diagnosis and knowledge. The diagnosis is clear and clear. First remove the allergen, rinse thoroughly, and re-suture. It is equivalent to another clean wound, but without the burning of calcium sulfate. skin or allergic reaction.

Subsequent processing is also simple.

Moreover, the allergic reaction to calcium sulfate will not affect the recovery of the fracture, so the fracture end is basically healed, so it is really just incision, washing, and suturing...

The operation was very fast, and when it was over, Luo Yusong himself was completely unprepared.

When he was pushed out of the operating room by Wu Xie and He Ling, he also said, "So fast?"

Wu Xie joked, "I'm sorry, Brother Song, I should set up a pot for you in the operating room. Let's have a drink or two while chatting and operating. It will take a long time."

Talking to Luo Yusong, Wu Xie didn't feel too much psychological pressure.

"Hey, just kidding, Xiaoxie wants to drink and go home, my dad will drink with you. He has been talking about you for a long time. I am not suitable recently." Luo Yusong also replied with a smile.

Everyone walked out all the way, talking and laughing.

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