Great doctor starts with adding points

Under the sunlight, although it failed to take away the cold of winter, Wu Xie's mood suddenly felt unprecedentedly comfortable.

Unload all burdens and welcome the arrival of a new day.

Having had a good rest last night, Wu Xie brushed his teeth and washed while stretching, and then walked to the noodle shop for breakfast.

"Are you up? Is your training for today over?" Wu Xie asked Tang Yuewei in a message on the way.

"It's the end of other people's training, and my torture is coming to an end."

"Actually, it's okay if I don't go today. I don't understand anyway. The two professors who taught me gave up teaching me."

"But I still want to learn more. Do you think I have a tendency to be abused?" When Tang Yuewei replied to the message, she also included a picture of soy milk and fried dough sticks.

The fritters are yellow and bright, so big!

"No matter what, being suppressed by a group of associate professors without self-confidence is something to be proud of."

"After all, the age gap is there."

"I'm still the same, eating noodles." Wu Xie also returned the picture of her own breakfast to Tang Yuewei.

In the morning in Enshi, if you have plenty of time, you are used to eating some noodles or noodles, and you are generally not crazy about soy milk and fried dough sticks. However, the taste of noodles in Kyoto did not meet Tang Yuewei's taste, so he did as the Romans did.

"Yes, be in awe of other people's years, dedication and hard work!" Tang Yuewei suddenly said a very profound sentence.

Associate professors are not born, and professors are not born with the power and pretentious operation, they are all refined by themselves through time and suffering.

They are also the best of their time. If you have to compare the depth of knowledge with them as young people, it is not just a matter of the disabled being stronger.

But they, that is Long Yuan, can completely torture Wu Xie to pieces right now.

"Eat soy milk and deep-fried dough sticks, you can learn the philosophy of life, but if you eat roast duck or hot-boiled lamb, wouldn't you be an expert in philosophy?"

"You should have gone to Hanshi University before." Wu Xie boasted.

There are two well-known universities in Han City, the science department of Huazhong University of Science and Technology, and the philosophy department of Hanshi University, especially the School of Marxism. They are quite awesome and a paradise for liberal arts.

"Do you think I have the talent to learn philosophy? It's too advanced to understand."

"After breakfast, I'm going to be abused. Come on!" Tang Yuewei replied, and didn't continue to reply.

Wu Xie gave her a biceps expression.

When he came to the department again, the person on duty was no longer someone he was familiar with, but residents from other groups in the department. Even on weekend mornings, they were busy running around like a little bee.

Wu Xie watched for a while before realizing that he had received two emergency surgeries, and now the second emergency surgeries had just stepped down. As the doctor on duty, he had to issue medical orders, and then write and record the handover.

Such a day is busier than Shazhen Chinese and Western Hospital, and it is similar to when Wu Xie was in Tongji Hospital before.

Wu Xie ignored it, but once again found the patient who was scheduled to undergo surgery today, and looked at his medical records quietly.

Reading and being familiar with medical records in advance is a kind of respect for learning and reading surgery.

At about eight o'clock, Guan Yun and Cao Zhiyuan entered the department as a team. The two probably met at the door, so they talked and laughed all the way. After entering the office, they saw Wu Xie in plain clothes, and they didn't care No surprises.

Both of them called Wu Xie, and then Guan Yun said, "Brother Xie, the operation planned for today may have to be cancelled."

"Because the two operations performed last weekend were infected, last night, the laboratory department returned the results of bacterial culture and drug susceptibility to the department."

"So after discussing with Associate Professor Zhou Xiaoning, my teacher decided that it is still necessary to carefully discuss the cause of surgical infection." Guan Yun explained to Wu Xie in this way.

Wu Xie felt very surprised: "Are both operations infected?"

Although hand surgery is relatively traumatic, the chance of infection is more likely to be infected than general orthopedic surgery, and the risk is also higher.

However, both operations were infected at the same time, which is too unlucky.

Doctors and patients are a little bit out of luck.

"Hmm!" Guan Yun frowned deeply.

"Yesterday, the doctor on duty temporarily changed the sensitive antibiotics. Today, I plan to arrange a case discussion in the department. Professor Zhou will also come to participate."

Cao Zhiyuan patted his head and asked suspiciously: "Brother Xie, don't you have many infected patients in your hospital?"

With Cao Zhiyuan's statement, it seems that he doesn't think there is anything wrong with the two surgeries being infected.

"It's okay, occasionally, mainly in our place, there won't be such a major operation." Wu Xie replied cautiously.

Although it is said that the two surgeries performed by Professor Qi Qiaowen and Professor Zhou Xiaoning last week are also grade 3 surgeries in terms of surgical grades, which are equivalent to open reduction and internal fixation of fractures.

But the workload and operation time of the two are not comparable at all.

As we all know, the longer the operation time, the more accumulated bleeding, the more opportunities to be exposed to the air, and the greater the chance of infection.

However, Wu Xie personally participated in the two operations last week. Apart from the long exposure time, he couldn't find any reason for the possible infection.

Associate Professor Zhou Xiaoning has done the ultimate in micro operations such as disinfection, draping, suturing, and washing.

Of course, Wu Xie didn't think too much about it. Sometimes, infection doesn't happen because you have done everything at the top level. The occurrence of infection is related to comprehensive factors such as personal constitution.

"Today's operation was called off, so the patient has no objection?" Wu Xie asked, changing the subject.

If this was in Tongji Hospital, if the patient's operation was suddenly stopped, the patient and his family would definitely die of noise.

"Fortunately, I saw a patient infected. In fact, the patient who planned to have an operation first was also flustered. After the explanation, he also expressed his understanding."

"It's me and Zhiyuan who are miserable. These two patients are under the care of both of us, one for each."

"At least it's this thick."

"Alas!~" Guan Yun stretched his thumb and index finger, and drew the thickness of the medical record.

Infection medical records, in addition to daily medical records and consultation opinions, the length of hospitalization will also be longer. If it exceeds one month, then a stage summary, case discussion in the department, general consultation opinions, medication changes, etc., all need to be recorded in the hospital. reflected in the medical record.

There are also daily changes in the course of the disease and detailed physical examinations, and the workload will become extraordinarily complicated.

On the contrary, for patients who have already been infected when they were admitted to the hospital, there is no need to write too many things, just copy them. You get infected when you come in.

And the infection rate in the department will also become an indicator of evaluation, which will be a headache from top to bottom.

...

After a while, Zhou Xiaoning, Huang Yaolong, and Director Fu Jinjin also rushed to the department one after another, and as soon as they came in, they got together and began to discuss the possible reasons for the infection of these two patients.

It can be seen that everyone's brains are in pain.

Among them, Zhou Xiaoning and Huang Yaolong were more nervous.

Of the two operations performed last weekend, one was performed by Zhou Xiaoning and the other by Professor Qi Qiaowen. If the infection caused the operation to be reworked, then the trouble would be serious.

Nerve translocation and infection after nerve reconstruction can be disastrous for patients.

This will also make Professor Qi Qiaowen very passive——

The first operation here was infected, the infection rate was 100%, it is not nice to say it, although the infection may have nothing to do with Qi Qiaowen.

But if you are the chief surgeon, all the affairs and pressure will pile up on you.

Without surgery, Wu Xie had nowhere to go, so he stayed in the ward, helping the bed doctors Guan Yun and Cao Zhiyuan of the two patients with some chores.

For example, send a consultation form to the infection department, prepare tea and cups for the discussion of medical records, etc...

Zhang Luheng didn't come to the department today, probably because Associate Professor Zhou Xiaoning felt that Zhang Luheng's constant wandering around in the department would make Fu Jinjin feel an eyesore.

But Li Yongxing, as a member of Fu Jinjin's group, has also arrived.

"Xiao Wu, you can rest for a while, just leave these things to Li Yongxing and the others." Seeing that Wu Xie also helped, Fu Jinjin couldn't bear it.

After all, Wu Xie hasn't been in the department yet. Wu Xie's academic qualifications and skills are quite good, and Fu Jinjin values ​​it quite a lot. Even if Wu Xie is in the department, these chores shouldn't fall on him.

Wu Xie smiled and said, "It's okay, Director Fu, I'm just idle when I'm idle."

"It's just that there is no work clothes, which is more troublesome. When I went to the infection department just now, the security guards there thought I was a drug agent and wouldn't let me in."

"Director Fu, look, is it convenient for Fang to sign and ask me to go to the logistics store to buy two sets of clothes?"

What Minda Hospital does not have is infection surgery, and the Department of Infectious Diseases is a must-have department in every tertiary hospital, mainly dealing with some infectious diseases and infection-related content.

Hospital work clothes are generally only available in logistics and warehouses, and basically cannot be ordered online. Even if it is ordered, the words Minda Hospital will not appear.

"Oh, about the overalls, I'll call the head nurse to get two sets from the warehouse tomorrow."

"You are too thin-skinned and tender, so you have been misunderstood?" Fu Qianjin joked, implying something.

How should I put it, the pharmacokinetics actually have certain regularity.

In a department where yin is flourishing and yang is declining, if you use a younger brother to show up, you may get a lot of love from middle-aged young women. If you are a skinny like Wu Xie, if you go to the internal medicine department to run a drug dealer, if you can let go, maybe It is very delicious.

The department of infectious diseases is also a kind of internal medicine department.

Wu Xie heard director Fu Jinjin's joke, and said with a smile: "The deputy director thinks I'm not mature enough. I'll pay more attention to my image in the future."

Huang Yaolong and Wu Longshan were in charge of adjusting the projector and preparing to contact the hospital's medical department, nosocomial infection office, pharmacy department, nutrition department, and infection department to participate in the hospital's general consultation.

Associate Professor Zhou Xiaoning is a visitor from afar, so naturally it is impossible to do chores, so she also looked Wu Xie up and down and said, "Xiao Wu's appearance is indeed quite good."

"Director Fu, it is estimated that Xiao Wu will come to the department in the future. Let him establish diplomatic relations with the internal medicine department. Then it will be relatively easy to ask for a consultation. It can be said that one will come faster than one."

The consultation system is a system that every tertiary hospital must implement, and it is a basic system in the hospital.

However, consultation is divided into ordinary consultation and emergency consultation.

Some daily affairs of daily patients cannot ask for emergency consultation. Even if it may be because of the need for surgery, others have their own affairs to be busy, so if a patient waiting for surgery encounters a disease related to internal medicine.

An opinion from the internal medicine department is needed before the anesthesiology department dares to accept it.

On weekdays, all the departments of the surgery would invite people from the internal medicine department to come for a pre-operative consultation. That was really begging grandpa to tell grandma that others might not come, at least they would not arrive early.

However, this still depends on personal friendship.

In ordinary consultations, there are young doctors in the department running. There is a high-quality single young boy in the department, which is very beneficial for the establishment of diplomatic relations between the young doctors.

For example, young doctors in surgery, such as Wu Longshan, who is in charge, often happily go to the internal medicine department for consultations, because there are too many beautiful ladies in the internal medicine department.

This is a strategy, the default rule, tried and tested.

Wu Xie didn't reply.

Fu Jinjin laughed, stroked his chin, and lowered his voice: "It's impossible to say that in our trauma surgery department, many matchmakers will come and run, and my phone will be ringing."

"Not to mention other people, just last week, the head nurse in the operating room asked Xiao Wu if he had a girlfriend."

"Then how could I agree so early?" Fu Qianjin smiled a bit meanly.

"Director Fu is planning to launch a beauty trick! Good idea."

"Full utilization of resources." Zhou Xiaoning and Fu Qianjin started chatting and chatting. They didn't take the infection seriously, or maybe they took it to heart, just trying to relax.

And Wu Xie, agitated in his heart, looked at Fu Jinjin's blushing face at this moment, wondering whether this Fu Jinjin was in a better mood because of the unfavorable hand surgery in the department.

But after the consultants from other departments came, Fu Jinjin immediately became serious, and Wu Xie realized that he had thought Fu Jinjin too badly.

...

In principle, the general hospital consultation requires the invited department to be notified one day in advance, and then a person above the level of deputy chief physician of the invited department will come to the inviting department to participate in the general hospital consultation.

Of course, the principle is the principle. In fact, when to arrange it depends on your network and whether others are willing to come. If the network is good, it can be carried out on the same day.

Or the night before yesterday, you called a few acquaintances, and they came.

Then apply to the medical office. As long as you arrange the personnel and time, the medical department will only confirm the consultation time and then determine the participants.

If your connections are too poor, then there is no way, let the medical department go through the mandatory process.

It can be seen that Director Fu Jinjin is really concerned about the infection caused by Professor Qi Qiaowen's surgery.

Many departments were invited, including the directors of the Department of Pharmacy, Infectious Diseases, Respiratory Medicine, and Nutrition, and the director of the Rehabilitation Department was away, so the deputy directors of the departments were invited to participate in the consultation.

And when I entered the department, before the general meeting officially started, I apologized first: "Director Fu, Director Liu of our department went out for a meeting. I'm really sorry, so I was sent here to learn more from the directors. one time."

Fu Jinjin hurriedly said: "Director Chen, Director Liu explained to me that I caused trouble for all the directors."

"The main reason is that the patient who was infected in the department this time, the operation is very difficult, and it is a new operation in our hospital, and the infection is very strange, so I need to call on the directors for guidance!" Fu Qianjin said very loudly, after finishing speaking Clenches slightly.

He didn't stand up, but it also attracted a lot of people to wave their hands.

It can be seen that Fu Jinjin's reputation and friends in the hospital are quite good. At the same time, Director Xiong, the chief director of the Department of Orthopedics, also came to the scene to personally cooperate and witness this conference.

Although Director Xiong is the director of the Department of Joint Surgery, he is the chief executive director of the Department of Orthopedics, managing all the affairs of the Department of Orthopedics. This time, the Department of Trauma Surgery plans to build a provincial key specialty, so naturally he also contributed.

However, now that the teacher is unfavorable, he naturally has to pay special attention, otherwise if something goes wrong, the flag will be set at that time, and as a result, the normal diagnosis and treatment procedures cannot be carried out, and he will also bear joint and several responsibilities.

...

The conference is actually the showtime of the directors.

The general consultation is not a consultation between two people, but mainly discusses the nerve transposition plus tendon reconstruction surgery performed by Professor Qi Qiaowen, because the scope of the surgery is larger.

With the participation of the medical department, Director Xiong and Director Fu Jinjin were both presiding over it personally, so Wu Xie and others basically had nothing to do. Wu Xie just cared about helping to record the contents of the conference.

Then it turned out that the patient's infection was nothing strange, it was just a routine infection after surgery, and there was no special mutation at present, and it was not a drug-resistant bacteria.

The cause of the infection is unknown, and the next treatment plan is nutritional support, combined with antibiotics, and debridement as appropriate.

According to the results of the drug susceptibility test, adjust the sensitive antibiotics, observe the changes of the wound every day, delay the time and plan of rehabilitation training...

And just after the general consultation, Director Xiong also left with the medical department and other departments.

After all these people left, Fu Jinjin did not announce the adjournment of the meeting, but asked, "Professor Zhou, do you think that the follow-up treatment of this patient needs to be fully followed by this consultation opinion?"

The general consultation of the whole hospital, or the opinion of the consultation, can be referred to, but it is not necessary to strictly follow it, because each director has his own understanding, and can be adjusted as appropriate without violating the general principle.

Therefore, after the general consultation of the hospital and before the execution of the doctor's order, there will be a small discussion within the department. At that time, if you fully follow the opinions of the general consultation of the whole hospital, then you can just copy the records completely.

If there is a revision, it is necessary to explain the reason for the revision and combine the opinions of the general consultation of the whole hospital.

Zhou Xiaoning did not say anything in a high-profile manner during the general consultation of the whole hospital, but kept silent all the time.

Because this is a general consultation of the whole hospital, not a consultation within the department. The reason why the Department of Orthopedics invites the general consultation of the whole hospital is mainly to invite other departments to assist in the diagnosis and treatment, not to let them listen to their own opinions.

Therefore, it is necessary for the Department of Orthopedics to analyze the pros and cons of the treatment recommendations given by other departments, and choose the most suitable treatment plan for the patient.

Associate Professor Zhou Xiaoning frowned slightly: "Director Fu, Rickettsia infection is a relatively rare pathogen."

"Although there are different groups of Rickettsial infections, there are certain commonalities, that is, the pathogen mainly breeds in storage hosts such as rodents (rats) and domestic animals (cattle, sheep, dogs) in nature. Lice, fleas , Ticks, mites and other blood-sucking arthropods are the main vectors.”

"Its specific pathological changes are extensive perivascular inflammation and thrombotic vasculitis. This needs special attention, otherwise, the nerve transposition and tendon transposition we just completed will cause local necrosis. The entire operation, It would all be for nothing."

Zhou Xiaoning emphasized the importance of this infection.

If it wasn't because the patient was infected with Rickettsia, but was infected with Staphylococcus aureus like the surgery he had done, then Zhou Xiaoning would not have paid much attention to it.

Because of Staphylococcus aureus infection, the main site of invasion is not the blood vessels, which will not cause vascular inflammation, but only the surface inflammation of local tissues, which will not particularly affect the blood supply.

However, Ricketts infection is extremely harmful to hand surgery.

"At present, the main signs of the patient are still fever, local redness and swelling, and muscle pain. The main reference suggestion for today's consultation is to prevent Rickettsia infection from further invading the lungs and urinary system, and to give sensitive antibiotics such as chloramphenicol combined with piperacillin and sulba Tan anti-infective treatment."

"In terms of medication, it is mainly anti-infection treatment, enhanced nutrition, low-salt and low-fat diet, and the timing of surgical debridement, we need to grasp it by ourselves..." Associate Professor Zhou Xiaoning summarized the main points of the hospital's general consultation. The summary content, while his eyes flickered, also felt quite a headache.

"However, in the process of using chloramphenicol, one more troublesome thing is the need to pay attention to the concentration of the drug to avoid drug poisoning. This will hinder the subsequent treatment to a certain extent."

Monitoring drug concentration is not an easy task, and patients need to collect blood frequently. Although patients can be persuaded, this factor must be considered in advance and avoided as much as possible.

"It's a bit troublesome, but just now Director Qin from the Department of Infectious Diseases said that the side effects of chloramphenicol are the least. Combined with the current surgical procedures in our orthopedics department and the points to be avoided, chloramphenicol is the most suitable." Fu Qianjin nodded and explained.

And when he heard this, Wu Xie suddenly raised his little paw. He looked at Fu Qianjin and Zhou Xiaoning, and didn't give a damn.

In fact, if it was Long Yuan, he would have spoken directly, but now, he must apply formally.

"Xiao Wu, tell me." Fu Jinjin nodded and stretched out his hand to signal.

"Director Fu, Professor Zhou, can I talk about my personal understanding and thinking? It may not be right, but I have been in contact with many infected patients in the town hospital, so I want to express my understanding." Wu Xie said bluntly. Speak up and explain why in advance.

No one is a fan of Wu Xie, and they don't know what he has done, and the patients he has seen have written books to show off his power everywhere, so others don't know his achievements.

Of course, it is impossible for Wu Xie to pretend to be forced by his past achievements, but just to explain such a fact.

Zhou Xiaoning glanced at Wu Xie unexpectedly: "Just say what you want."

"Professor Zhou, Director Fu, generally speaking, there are three types of common sensitive antibiotics for rickettsia infection. Tetracycline antibiotics, quinolone antibiotics, aminoglycoside antibiotics, and penicillin antibiotics also have certain effects on rickettsia. curative effect."

"The sensitive antibiotics of this patient also follow this relatively common principle. At present, they are mainly sensitive to the following antibiotics, tetracycline, chloramphenicol, azithromycin, gentamicin and streptomycin."

"Among these several sensitive antibiotics, Director Qin of the Department of Infectious Diseases chose chloramphenicol because of some advantages of chloramphenicol: such as broad-spectrum antibacterial effect, can be administered orally or intravenously, and has high flexibility . relatively cheap, relatively low price."

"Also, its disadvantages are only toxic and side effects such as anemia, bone marrow suppression, etc., and it is not suitable for long-term use. Then it is to avoid drug poisoning. Compared with other types of antibiotics, there is no allergic reaction, so it is beneficial to the recovery of this operation. " Wu Xie continued to repeat the words of Director Qin of the Department of Infectious Diseases in depth, and the depth was very deep.

"However, I think the combination of chloramphenicol and piperacillin is a bit monotonous and the effect is repeated."

"Although Director Qin considered chloramphenicol as the main treatment, piperacillin was used to prevent other bacterial infections."

"And chloramphenicol belongs to the amide alcohol antibiotics. Piperacillin belongs to the beta-lactam drugs of the penicillin class."

"Of course, Director Qin had an in-depth discussion with the director of the pharmacy department when choosing drugs. He chose a complementary model."

"Because the antibacterial principle of piperacillin works by inhibiting the synthesis of bacterial cell walls. This is the cell wall."

"Chloramphenicol interferes with bacterial cell membrane permeability and stability by inhibiting bacterial protein synthesis, interacting with bacterial cell membranes, and causing bacterial death. This is the cell membrane and protein!"

"The targets are different. Although they are the same, they complement each other, so it is very clever." Wu Xie only made this analysis, and Zhou Xiaoning and Fu Qianjin looked at each other in dismay.

What the hell is this Wu Xie?

You know, they have always known that Wu Xie is a very low-key person, not aggressive.

However, what Wu Xie said now is something they have never understood in depth. They are professional orthopedic doctors, not professional infection doctors.

So they couldn't appreciate the subtlety of Director Qin's medication. Now being listed by Wu Xie in this way, it shows that Director Qin is very capable.

Considering the complementarity of antibacterial mechanisms and the correlation between the side effects of drugs and surgical procedures, what else do you have to say?

Associate Professor Zhou Xiaoning has begun to face up to it, and he feels that he must re-examine Wu Xie.

Wu Xie is able to speak to such a depth, reading other people's medication concepts, this is a very profound technology, it is technology, not just talking nonsense.

"Xiao Wu, you continue with your thoughts."

Wu Xie nodded slightly when she heard the words, and organized her words a little.

The person sitting on the other side was not Long Yuan, so others didn't know his attainments and skills in anti-infection, so at this time, since I chose to speak, I had to say yes and show my strength.

It may not be for extra points, but the Rickettsia infection, which happened to Jinping, was just a common infection, but it was a disaster for the hand surgery patients.

He had to thoroughly understand the principle.

"The harm of Rickettsia to this patient is mainly due to its invasion mechanism. After Rickettsia invades the body, it first proliferates in the local small blood vessel endothelial cells, leading to a local inflammatory response."

"The multiplied bacteria enter the bloodstream again to form the first bacteremia, then enter the rest of the body's vascular endothelium to multiply, and then release into the blood again to form the second bacteremia, leading to typical clinical symptoms."

"So, in hand surgery, which is delicate and needs blood supply to maintain growth, such infection must be done in one step to avoid unpredictable consequences."

Wu Xie then raised her voice: "And!"

"The outermost layer of Rickettsia bacteria is a mucus layer composed of polysaccharides. There is a microcapsule composed of polysaccharides and lipopolysaccharides between the mucus layer and the cell wall, and the cell wall and cell membrane are inward. There are ribosomes inside. No nucleus and kernel."

"This is also the key reason why Rickettsia is not sensitive to antibiotics that have an antibacterial effect on the nucleus!" Wu Xie added a sentence of teaching during the explanation. There was a slight pause.

Wu Xie analyzed again: "As we mentioned just now, the outermost layer of Rickettsia has a mucus layer and micro-jammed buns, so it is difficult for chloramphenicol to infect the inner cell membrane and cell wall during its action!"

"Therefore, even if Rickettsia is sensitive to chloramphenicol, I don't think the choice of this antibiotic will have a better effect."

"And if we vertically combine the antibacterial mechanism of piperacillin and chloramphenicol, I think streptomycin is a better choice. Although the antibacterial mechanism of streptomycin also inhibits protein synthesis, its principle is to prevent elongation of the peptide chain."

"Streptomycin is an aminoglycoside drug. Its mechanism of action is to act on ribosomes in bacteria!" Wu Xie specifically emphasized the structure of ribosomes, because this is the main structure of Rickettsia.

Immediately afterwards, Wu Xie analyzed the reason for choosing streptomycin: "Streptomycin can be administered orally, reducing the amount of intravenous medication."

"On this basis, if we choose another penicillin drug, such as piperacillin sulbactam, I think it is more appropriate, or choose cefoperazone sodium sulbactam sodium..."

"Piperacillin and tazobactam are widely distributed in tissues and body fluids, including intestinal mucosa, gallbladder, lungs, female reproductive tissues (uterus, ovaries, and ureters), intercellular fluid, and bile."

"Cefoperazone sulbactam is mainly distributed in bile, gallbladder, skin, appendix, fallopian tube, uterus and other tissues and body fluids, of which about 84% of sulbactam and 25% of cefoperazone are excreted by the kidneys, and the rest of cefoperazone Piperidone is mostly excreted in the bile."

"Clearly what we need is a major distribution within the skin..."

Wu Xie's mouth, like a machine gun, kept popping.

It took more than ten minutes for Wu Xie to finish explaining his reasons for choosing the combination of these two drugs.

After finishing speaking, the entire office became silent. Everyone, including Zhou Xiaoning, looked at Wu Xie like a freak.

If Director Qin considered the complementarity of the antimicrobial spectrum, then Wu Xie considered the mechanism of action, the law of drug distribution, and the basic structure of germs, basically bringing the antibacterial principle to an extreme.

"Director Fu, my friends in your department, you haven't developed it well. If you knew Xiao Wu was like this, why did you invite this general hospital consultation?" In the end, Zhou Xiaoning could only use these words to answer Wu Xie. if.

Fu Jinjin's eyes were full of light, and when he was excited and anxious, he asked in disbelief: "So, Xiao Wu, in your opinion, using cefoperazone sodium sulbactam sodium combined with streptomycin will be more effective than Piperate." Is the combination of cillin-sulbactam sodium and chloramphenicol better?"

"Guan Yun, have you written it down?" Fu Qianjin asked Guan Yun directly.

To change medicines and use better medicines requires reasons and the principles behind them. It may not necessarily be reflected in the medical records, but there must be a process of discussion.

Guan Yun was dumbfounded, what a fart he was!

When Wu Xie was talking just now, everyone was dumbfounded, no one wanted to move.

Guan Yun snorted and shook his head, but quickly expressed his opinion: "Master, I will definitely consult Dr. Wu in detail later."

Although I also feel aggrieved in my heart.

Stand at attention when you are scolded, stand firm when you are beaten!

Fu Jinjin narrowed his eyes slightly when he heard the words, but he didn't pursue Guan Yun's fault. Instead, he turned his head slightly and looked at Zhou Xiaoning: "Professor Zhou, do you have any other opinions? Wu's antibacterial plan, feedback to Director Qin for inquiry, and then make a conclusion?"

Fu Jinjin was also very careful, and he didn't lose his sense of propriety because of his excitement.

Although these words and the treatment plan were all mentioned by Wu Xie, the only person who is suitable to propose a new way is Associate Professor Zhou Xiaoning, the professor who came to provide support from Union Medical College Hospital.

Others may make Director Qin's first reaction disgusted, instead of carefully thinking about the pros and cons of the medication plan.

"Director Fu, I definitely have no objection!"

"Xiao Wu is very good. This kind of basic skills is the best foundation for hand surgery." Zhou Xiaoning hurriedly expressed her opinion.

Fu Jinjin didn't have time to pay attention to what Zhou Xiaoning said. He quickly took the opportunity to make phone calls to Director Qin of the Department of Infectious Diseases and Director Lu of the Department of Pharmacy.

Director Qin replied: "Hey, Director Qin, Professor Zhou in your department is an expert in anti-infection treatment. I am too inconsiderate and biased."

"Since I'm afraid of side effects and allergic reactions, I don't need to use it intravenously, and the drug distribution of cefoperazone is indeed richer in the skin than piperacillin."

"Very strong!~"

"Thank you, Director Qin. Then we will use it like this. Professor Zhou in our department also means to consult you. After all, you are an expert in this field." Fu Qianjin was polite and thoughtful.

"Professor Zhou is so polite. He saved me face just now. Director Fu, please tell Professor Zhou thank you. This time's guidance is very useful to me. Next time I must thank him in person. I will invite him to drink and inquire. .” Director Qin quickly expressed his opinion.

Director Lu's reaction from the pharmacy department was relatively aggressive.

"Director Fu, you have such a person by your side, why are you still working so hard to ask for a consultation?"

"It's time for Professor Zhou to come to our pharmacy department." Director Lu's words were quite straightforward.

"Director Lu, in fact, what Professor Zhou meant was the same. After referring to the treatment and medication ideas of you and Director Qin, I recombined them. Then I will write it like this."

"Thank you Director Lu and Director Qin for your words of wisdom today. This patient was able to be placed in a proper place and saved me a lot of trouble." Fu Qianjin is simply a genius.

When it comes to the elimination of crimes, it may be this kind of art.

"You're welcome, Director Fu. I'm telling the truth. If I have time, I really want to pay a visit. Pharmacology is extensive and profound, and it's also to further consolidate the business in our department."

"I have other consultations, so let's do this first, Director Fu." Then Director Lu took the initiative to hang up the phone.

And when Fu Jinjin returned to the department after making the phone call, Wu Xie was grabbed by Huang Yaolong and Zhou Xiaoning and asked about something.

But when the two saw Fu Jin coming in, Zhou Xiaoning said generously, "Director Fu, this little Wu is a person who treats difficult cases in the infection surgery department of the State People's Hospital."

After finishing speaking, she flipped through it casually, which can be called a real bitch, and didn't even mention that it was his junior brother's business.

Even if Wu Xie didn't know what Associate Professor Zhou Xiaoning had talked with him just now, he would really mistakenly think that Zhou Xiaoning wouldn't recognize anyone if she put on pants.

It looks white and clean, gentle and gentle, just like a thousand-year-old fox.

Fu Jinjin said with a cheerful smile: "Professor Zhou, we are currently following this plan to try drug treatment first, and then judge the treatment method based on the effect of the treatment."

"Xiao Wu was taught by Professor Zhou at Huazhong University of Science and Technology. He is naturally very good. I have missed it."

"When I heard that Xiao Wu came from Huazhong University of Science and Technology and wanted to work here, I agreed without hesitation, and then Professor Zhou came to our department."

"I knew that my decision would definitely not be wrong."

In Fu Jinjin's words, it can be said that Fu Jinjin, Wu Xie and others have all been praised, and it is not boring, and it does not sound awkward at all.

On the contrary, Wu Xie himself felt embarrassed, and stood up slightly: "Director Fu, I'm even embarrassed about what you said, and I'm just analyzing this patient's condition from my perspective, it can only be regarded as a theory on paper."

Compared with these old foxes, Wu Xie's words were extremely naive, even a little at a loss, but Wu Xie didn't have as much experience as them, so he could only forcefully endure the two pretending to be each other, and he tried his best to mediate in the middle.

"During the non-war period, talking on paper is the most correct way to improve. This is called the improvement of soft power."

"It's just right, Xiao Wu, you are here. Let's go through another infected patient. The infected bacteria of this patient is Staphylococcus aureus. Although it is not as dangerous as Rickettsia, it is also troublesome..." Fu Jinjin immediately It added a burden to Wu Xie.

But no one was surprised.

As if it should.