Great doctor starts with adding points
Chapter 164 Expert Skills Are Still Easy to Use (Part 1)
It was eight o'clock that night.
Wu Xie apologized while sending it out of the office: "I'm sorry, Uncle, Auntie, I really can't help you in this situation."
"It's not deliberate evasion, but it's really limited."
"I don't want to delay the illness, so I just came over to take a look as soon as I knew you were hospitalized."
Standing opposite Wu Xie was a skinny man in his forties or fifties, with dark skin and slightly sunken eye sockets. He should have done heavy physical work outdoors when he was working outside.
Hearing this, he felt helpless, and replied: "Doctor Wu, my wife and I know what you mean. We are also trying to figure out a way, but at this time, we have no idea where to go."
"The People's Hospital doesn't accept them either, and we have to find a place to take care of them for the time being. Now we're here in Shazhen, so I'll trouble you." He spoke in a very polite tone.
After entering the hospital and talking with the people in the ward, almost everyone was full of praise for Wu Xie, which is definitely not something that can be advertised.
Now Wu Xie is saying from the bottom of his heart that he is not capable enough, so he can't make things difficult for others.
He and his wife had a checkup in a big hospital outside, and they didn't know what to do for a while, so they thought about finding a way to find a cheaper and more reliable place for treatment when they came back.
Otherwise, according to the cost mentioned outside, it is not realistic for my family to go bankrupt for another possibility.
"Thank you Uncle, you can understand. Since this situation happened, we still have to find a way to deal with it as soon as possible, but our hospital will definitely not be able to deal with it."
"Uncle, you should rest first. Give your aunt a good education." Wu Xie said as he walked towards the ward.
The stone in my heart can be regarded as falling to the ground. No matter what, at least I have explained it to the patient and family members, and I can't solve it by myself. If the illness is delayed, it is your choice to stay here temporarily.
This is a mixed infection of skin tumors, Wu Xie dare not take it in his hands.
In fact, Wu Xie also has an indescribable depression——
Originally, he thought that if he could obtain expert-level skills in one go, he would be able to kill all directions, but the first patient he welcomed was a blow to the head. He suspected that someone was deliberately monitoring him from time to time, so don't get carried away.
After sending the middle-aged man into the ward, I heard Zhang Chunmei talking to his wife: "Dr. Wu is a very good person, and his advice to you must be good. It's just that Dr. Wu is young, and it's normal that some diseases can't be resolved. "
"In the past, several people in our ward were treated in the state hospital, but they were sent home safely by Dr. Wu."
While speaking, she saw Wu Xie coming in, and she smiled at Wu Xie, and then her right hand kept scratching the back of her left hand, not directly, but separated by a band-aid-like adhesive tape.
Next to Zhang Chunmei, the eldest son was reading a book, while the younger son was holding the test paper in the book, frowning. These two cubs, no wonder Zhang Chunmei looked happy when talking about them...
"Then uncle and aunt, you all rest first, I'll go back to the office first." Wu Xie didn't go in at the door, and walked towards the office after saying a word.
This aunt named Xing Huan, he can't solve it, but this Zhang Chunmei, who now has an expert level in surgical infectious disease, has to reorganize her diagnosis and treatment ideas.
Seeing Wu Xie re-enter, Guo Lixiang smiled and said, "Brother Xie, have you seen Zhang Chunmei's two sons?"
"You're obedient, right? Just like you, two college bullies." Guo Lixiang gave a thumbs up.
Wu Xie nodded when she heard the words: "I see, no wonder the people in the ward have always said that she is very lucky. If I have these two sons, I will feel happy even if their grades are not good."
"It's rare for such a big kid to read books in the hospital without going to Internet cafes."
"Well, it's her current situation, which is not clear." Wu Xie sighed, then sat down, and clicked through Zhang Chunmei's medical records.
For the group of patients who came with Zhang Chunmei, those who were discharged early were discharged, and the treatment of those who were not discharged was coming to an end.
For example, Uncle Zhou, the stitches can be removed soon after he is discharged from the hospital.
Including Mei Xiaoqing, who transferred back from Enshi with Zhang Chunmei, who had no medical insurance and might have empathy for her, also left long ago.
It was Zhang Chunmei's case, which seemed to be the slightest, but the effect was extremely unclear.
"Have you made it clear to the new 13-bed Aunt Xing? Did she say when she will leave?" Guo Lixiang asked again.
"It's clear, but it's not yet determined when they will leave. I guess they haven't thought about it, but it's always a good thing to explain in advance." Wu Xie shook his head slightly.
I thought to myself, some patients in the department are queuing up, why Lu Junyin insisted on taking this Xing Huan in first.
"It's good if you make it clear. In fact, it's like this. Brother Xie, this Xing Huan is the old cousin of Director Lu's wife. She also has nowhere to go, so I called and asked. Director Lu is not good either. If you refuse, let me take them in first." Guo Lixiang explained in such a low voice.
"That's right." Wu Xie was also a little helpless, but he also understood Lu Junyin.
You can't watch your wife's cousin or cousin have nowhere to go, just responding at home.
Then Wu Xie put all his attention on Zhang Chunmei who was in bed 14.
Zhang Chunmei was working in a furniture factory in Enshi, and then her feet leaked. At first, everyone thought about allergies, and after many allergies, she got infected...
The drug susceptibility results of the infected bacteria were done twice in Enshi, and once in Shazhen. The latest results came out on Wednesday. Now, the sensitive antimicrobial spectrum is used, cefixime intravenous infusion, plus piperacillin Bactam anti-infective treatment.
The past two days have passed, and no special effect has been seen.
Guo Lixiang followed and watched quietly, without saying a word.
He was also studying secretly. After reading the medical records with Wu Xie, he said, "This Zhang Chunmei's situation has always been like this. It feels like the stubborn infection that the town said."
Infection is very stubborn, which is actually a folk saying. In medicine, there is no such thing as stubborn infection, but it is difficult to deal with, and the meaning is the same.
"Hmm! I always feel that we have got the wrong idea." Wu Xie nodded, helpless.
Judging from the existing information, combined with the results of Wu Xie's performance processing on the panel, the knowledge point gain brought by Zhang Chunmei is only 2 points, which should not be serious!
It's not a complicated disease, why has it been done for so long, and it still has no effect at all!
Wu Xie also carefully considered Zhang Chunmei's medication, not only based on her drug susceptibility results and laboratory test results in Enshi, but also reanalyzed the antibacterial spectrum by herself, and modified the antibiotics twice!
He also changes the dressing himself almost every day.
Now, according to a new round of drug susceptibility results, the antibiotics have been changed again. Two days later, it seems that there is no effect.
Under such circumstances, Wu Xie could only speculate that either he and the state hospital hadn't found the correct infection bacteria at all, and the medication was wrong, or the idea of treatment was fundamentally wrong, and he didn't find the idea.
The reason why Wu Xie took the initiative to make surgical infectious diseases to the expert level was to a certain extent, because he wanted to improve Zhang Chunmei's condition as soon as possible. After all, Zhang Chunmei's family background is not very good.
Although it is relatively cheap to be hospitalized in the town, it can save a little bit, and it is not easy to fight and earn money.
But if the correct infectious bacteria is not found, it may be a very rare infectious bacteria, which is troublesome.
And if the idea of diagnosis and treatment is completely wrong, it will be even more troublesome.
Think about it more carefully.
"Da da da!" While Wu Xie and Guo Lixiang were talking, there was a knock on the office door.
Both of them turned their heads, and then saw a young boy with a slightly immature face and a strong frame, but a very thin figure standing there, with a book rolled up in his right hand, which was compulsory 2-1 in high school physics. At this moment, he had some He asked timidly, "Brother Crab, can I come in?"
Very polite, a little timid, but brave enough to ask, wearing the school uniform of Xuan County No. 1 Middle School.
"Come in and sit, Hong Sheng." Wu Xie knew him and his younger brother, Liang Hongsheng, and the other was Liang Hongping.
The two brothers are less than one year apart. I heard that when Liang Hongsheng was born, the water rose and he was called Hong Sheng. Did the water rise when Hong Ping came out? It's called Hong Ping.
"Brother Crab, is my mother's situation serious?"
"My dad asked me to ask you in private. I haven't seen you for so long. What is it?"
"It can't be cured."
"Similar to Madam Xing next to me?" Liang Hongping thought about cancer, after all, the 13th bed he just moved in was a skin tumor.
My mother's condition has lasted for so long and hasn't recovered. If it really doesn't work, my father can only temporarily give up earning money to take my mother out to see a doctor.
Of course, this point was suggested by Liang Hongsheng to his father when he called. No matter how difficult it is, he must first see a doctor for his mother.
At worst, he would stop studying and go out to earn money.
This is what he thinks he is mature...
Wu Xie smiled and said: "That should not be the case, but your mother's situation is quite special. The infection has not recovered, and I don't know why, but the possibility of the situation you think is very small, just From the perspective of probability, it cannot be completely ruled out!"
"Absolute possibility is not possible, right?" Wu Xie talked to him with the thinking of a science student. Presumably Liang Hongsheng can understand that a small p-value is a low-probability event.
"By the way, Liang Hongsheng, is there anything special about your mother, such as being allergic to something? I just saw her scratching an itch." Wu Xie captured a little detail through his newly improved skills.
Liang Hongsheng didn't sit down after walking in, his voice was a little low, and he seemed a little choked up: "My mother has never been in good health, but she still went out to work for my brother and I to study. I went to the furniture factory last summer to see , it's all dust."
"It's just that my mother didn't feel any pain, but her physical strength was a little weak, so she didn't go to the hospital to see it."
"If there is something special, it is that my mother's face was so red when she wore a cotton mask when she was working last year, and there was a lot of wood ash in the factory. It's all gray inside..."
"My mother first tied the trouser legs with a rope, and then tied them to prevent blood circulation, and then tied them with cloth strips, but it was also troublesome to tie them up. Later, she stuffed things into the trouser legs..." Liang Hongping said in a low voice. Explaining Zhang Chunmei's suffering to Wu Xie.
But Wu Xie caught a point very quickly, and quickly asked: "Your mother is allergic to masks? When did this happen, did she know?"
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