Great doctor starts with adding points

It was five days later.

Lu Junyin saw Wu Xie come and walk around the department, changed his medicine and was ready to go home again!

Lu Junyin took the initiative to stop Wu Xie, and asked with flickering eyes, "Xiao Wu, why didn't you go to the operating room last time?"

Although it is confirmed that Wu Xie is not "ignorant and incompetent", it is not a good thing for Wu Xie to come to the hospital to lie down with an old-age mentality.

Surgeons don't go to the operating room? He didn't even have the chance to seriously observe Wu Xie's hands-on ability.

"Director Lu, I'm looking for some information recently. And there are enough staff in the department, so I didn't come to the operating room last time." Wu Xie replied with a smile, and didn't say that he had already taken action against Qin Dahe's disease.

So as not to be misunderstood as ambitious. What's more, I don't have any theoretical support, and I don't have the support of laboratory tests.

Lu Junyin nodded upon hearing this.

The operation on stage was a simple internal fixation of a Kirschner wire fracture, and it was indeed nothing to see.

Wu Xie had just arrived here, and he didn't have many opportunities to use mobile phones, and the surgery volume was also small, so it was understandable that Wu Xie didn't come.

Lu Junyin then touched his thick hair, and then asked: "I think Qin Dahe's physical condition has gradually improved recently. How is his wound?"

"I heard that he got out of bed yesterday and walked a few steps with a cane?"

Qin Dahe's infection did not have any systemic symptoms when he was admitted to the hospital from the very beginning, but the local symptoms were severe.

He was already in good health, but he was exceptionally thin in the previous month's turnover.

In the past 20 days, the old man's body has become stronger, he can eat and drink, and he heard from the people in the department that he can get out of bed and move around with a cane.

Looking at this posture, it doesn't look like he is going to leave soon!

And watching Qin Dahe get out of bed, Lu Junyin was afraid.

In case of an accident caused by a fall, the hospital and the department will still be responsible...

Lu Junyin originally thought that it would be about a month, and the department would do hospice care or something.

But looking at this, Qin Dahe almost regarded this place as a nursing home, and his mentality was good, and the food and drink were delicious.

This is not right.

"The condition of the local wound is slightly better than before, and the pus has gradually decreased, but it's not completely healed." Wu Xie replied, holding back the excitement in his heart.

This level of proficiency in surgical infectious disease is really awesome!

He just adjusted it empirically, and Qin Dahe's condition was actually on the mend for the better.

Wu Xie only had such a patient, so he kept staring at him, staring at the types of diseases and bacteria he guessed, and searched the literature without any scruples.

Moreover, if Qin Dahe's condition really improves, it will prove that his guess and diagnosis are correct, because empirical medication is effective!

Effective treatment can also be a kind of evidence to support the diagnosis.

"Have you taken blood for a test?" Lu Junyin asked.

"Inflammation indicators are still high, but the interleukin level cannot be checked in the hospital, and there is no way to do bacterial culture. The erythrocyte sedimentation rate and C-reactive protein are lower than before."

The blood tests that the town hospital can do are blood routine, erythrocyte sedimentation rate, C-reactive protein, and even interleukin.

"Director Lu, why don't you take a look at the wound?" Wu Xie suggested.

Wu Xie was too idle, so he checked a lot of literature, and among them, the one most similar to Qin Dahe was Mycobacterium senegal!

However, the distribution of this germ in the country is very small, almost no reports have been seen, and there are only ten cases of infection worldwide, and there is no precedent in China!

Only two cases in South America and Europe were written as case reports (case reports).

The performance is not typical, Wu Xie can only rely on guesswork, although it can also be diagnosed through gene sequencing, but such a high-end test is not available in Enzhou People's Hospital.

He could only go to the province, and Wu Xie didn't dare to make a diagnosis, so he didn't dare to push him too much.

Gentamicin is a relatively broad-spectrum antibiotic. It is not commonly used in clinical practice. It is basically not used as a routine drug in higher-level hospitals, and it is only used as an intravenous drug in remote areas.

And such a drug happens to be a sensitive antibiotic of Mycobacterium senegal, at least it is recorded in the literature.

"Come on, let's go and have a look." Lu Junyin was also curious as to what was going on.

Ten minutes later, Wu Xie covered Qin Dahe's wound with adhesive tape again, and Qin Dahe apologized and said, "Director Lu, Dr. Wu, I have caused you trouble again."

He didn't know his own situation yet, thinking that he would trouble the two of them for a long time.

"Xiao Wu, what's going on?" Lu Junyin was puzzled.

"I don't know either, Director Lu. I just change the dressing and get injections routinely, and I've only seen better in the last few days."

Wu Xie made a 'speculative' suggestion when he left the ward: "Director Lu, do you think it is possible that Qin Dahe actually found a sensitive antibiotic when he was treated in the state hospital, but it just didn't work recently."

"Then it happened to be here again, and I took the medicine for more than 20 days, so I met you, or is this bacterium that is sensitive to gentamicin, so it is now under control?"

"The sensitive spectrum of gentamicin has the killing effect on mycobacteria." Wu Xie still did not say his speculative diagnosis.

Clinical medicine is not based on guesswork, but on evidence.

Evidence that the treatment is effective is sufficient, not necessary.

"How about you, why don't you take some more samples and send them to the county hospital for a consultation? I don't think that's the case if you just procrastinate." Lu Junyin calmed down, touched his head, and said yes Wu Xie said so.

The township hospital has limited conditions, and a bacterial culture has to be sent to the county hospital.

However, Sha Town is only about 20 minutes away from Xuan County, which is quite convenient.

"Okay!" Wu Xie hurried to get the bacteria for culture.

His mood was a bit complicated, and he probably knew the final result from the symptoms.

After taking the smear and finally no pus cells can be seen, Qin Dahe will definitely transfer away again, and his hospital bed will be vacant again...

The exudate should not only be sent for bacterial culture and drug sensitivity, but also an ordinary smear test should be done.

Ordinary smear test, the results can be seen immediately.

Therefore, an hour later, the county hospital called: "On the smear sent by your hospital, the purulence in the single field of vision is almost invisible. What are you looking for?"

The laboratory department of the county hospital didn't know the specific situation of Qin Dahe, so they called to ask the purpose.

As for such a question, when the news reached Lu Junyin, Lu Junyin immediately called Qin Ling to the hospital.

It turned out that it left at eleven o'clock in the morning, and Qin Dahe left at twelve o'clock in the noon...

The discharge procedures at the town hospital were very simple. Wu Xie had already prepared the discharge diagnosis and disease diagnosis certificate, and they were not used for the final settlement. Qin Ling had paid a lot in advance, and he only needed to return the money when he came to the hospital later.

After sending Qin Dahe away, Wu Xie felt empty but very satisfied.

Lu Junyin glanced back and forth at Wu Xie, but Wu Xieyi said, "Second Uncle has better luck, so auspicious people have their own fortune."

Lu Junyin didn't believe Wu Xie's statement, but he didn't believe in another possibility even more, but it wasn't easy to ask.