Great doctor starts with adding points
Chapter 45 Is Qingda really a magic medicine? (For collection, for follow-up)
"Physician level: intern doctor 13%."
"Basic Anatomy (Proficiency 3/50)"
"Skills: Suture (Proficient 2/50), Dressing Change (Proficient 3/50), Debridement (Beginner 4/10)"
"Surgical Infectious Diseases (Proficiency 4/500)"
"Splenectomy (Proficient 0/50)"
"Manipulative reduction of joint dislocation (proficient 1/50)"
"Empirical Use of Antibiotics: (Introductory 4/5)"
"The rest (apprentice)"
"Supervisor beds: 3! (Knowledge point gain: 3 points/day)"
"Patient in charge: 1. (Knowledge point gain: 3 points/day)"
"Knowledge points: 26. (The gain of knowledge points has been settled.)"
In the early morning, Wu Xie refrained from sleeping, waiting for the settlement of the knowledge point gain, and instantly felt overwhelmed with confidence.
There is a gain of 6 points of knowledge points every day, which is equivalent to two months of study time.
Who else?
When I visited Xiang Lunwu, I used up 15 knowledge points, leaving 11 points. At that time, there was only a gain of 3 points. At 14, it was 5 points yesterday. When I reached 19, I added another 6 points today, plus the gain from reading books. 1 point.
It's back to 26 again.
Looking at the panel again, the doctor's level has increased slightly, and through the inquiry of information, the differences and differences between antibiotics have been clarified, so that Wu Xie's antibiotic use level has also been improved to a certain extent.
Pretty good!
"It would be better if there is no mother's urging marriage." Wu Xie flicked the short video up and down boredly, sighing.
For some reason, since her strength returned to normal, Xiang Mei started her journey to urge her to marry.
From Xu Rong in the department, to a distant relative in the county, to that college student...
Tonight, I simply asked Mei if Wu Xie liked younger ones. There was a 19-year-old girl over there who graduated from high school and was only a freshman now. She looks juicy...
Wu Xie felt that this was a crime.
Forget it, Wu Xie rolled his eyes and went directly to meet Duke Zhou...
Time passed like water, another three days passed.
Several patients came to the department one after another. One was appendicitis emergency, and was performed appendectomy by brother He Ling, and the other two were debridement, which were taken care of by Lu Junyin.
One of the beds was assigned to Zhong Yusheng's bed, and the other two were rest assured at home after undergoing surgery in a higher-level hospital, and then they were registered in the hospital to receive injections.
Dong Mingliang is still the only patient Wu Xie is in charge of and in charge of.
This time it was Wu Xie's turn to be on duty, and after Lu Junyin led someone to check the room in a hurry, he left the department, saying that he had something to do to go to a meeting in the county.
He Ling promised his children to go to the training class.
"Why are you on duty again today?" Wu Xiezheng was going to change his medicine, and when he passed by the nurse's office, he stopped for a while to ask when he saw Xu Rongchu scrolling vibrato inside.
"The shift has changed, and the other sisters have something to do, so I can only bear it." Xu Rong glanced outside the door and returned.
"Oh." Wu Xie nodded. It is common for doctors and nurses to change shifts, so they have to do things after speaking.
But Xu Rong stood up, walked to the door, and lowered her voice: "By the way, is your 15th bed still non-stop low-molecular-weight heparin sodium?"
"I heard Zhong Yusheng say that using it like this is against the rules?"
It is indeed a bit of a violation, but it depends on how to treat, what to treat, different dosages, and different conditions.
Low-molecular-weight heparin sodium 5000IUbid can be used in the treatment of severe thrombosis, but it is an overdose in the prevention of thrombosis.
"What Yusheng said?" Wu Xie felt weird, did Zhong Yusheng not read the diagnosis he gave Dong Mingliang or something?
"Director Lu also said something." Xu Rong felt that what she just said was suspected of being provocative, so she quickly explained and pulled Lu Junyin into the ranks to prevent Wu Xie from mishandling the relationship with his colleagues.
Although this would reveal her secret of caring about Wu Xie, she couldn't care less about it.
"Let's use it like this for another day. I think the current symptoms are improving. Oh, by the way, Xu Rong, you just happen to be here."
"I'll prescribe a self-prepared medicine for Dong Mingliang later. His wife has gone to the county to buy medicine. After buying it, you can just put vancomycin on it."
"Two days later, he was discharged from the hospital." Wu Xie confessed, feeling a little excited at the same time.
Maybe others can't see Dong Mingliang's wound, but he is the doctor in charge and changes the dressing every day.
A few days of antibiotics will definitely not allow the wound to fully recover, but through the blessing of anticoagulant drugs, intravenous medication can reach a fine level, and topical medication can also have antibacterial effects.
Now the wound has not recovered, but the resistance has been controlled a lot, and because of the unobstructed blood supply, the local melanin deposition has been slightly reduced.
This means that Wu Xie's idea is correct. The reason why the previous medication was ineffective is not that the medicine is not good, nor is it that the medicine is not right for the disease, but that the medicine is not in place.
This in place means to arrive at the position.
After the improvement here, it is equivalent to Wu Xie getting through the local blood supply. After the infection is controlled, he will be transferred to the state hospital for a debridement. The chance of recovery is very high!
Drug compatibility is sometimes so magical.
"Oh, good!" Wu Xie had told Zhang Dandan about this matter before, and also explained it to the nurse's station.
But Xu Rong immediately reacted, and asked in confusion, "I'm going to amputate, why buy medicine?"
This was Xu Rong's instinctive reaction.
I've only been here for a few days, and I'm afraid that the treatment is ineffective so I'm going to have an operation. Since I'm going to have an operation, why bother?
"Why do you want to amputate?" Wu Xie asked back, and then pushed the medicine changing cart and walked towards the 15th bed.
Drug sensitivity, in the case of symptomatic drugs, infection control is actually very easy to be effective!
Coupled with Wu Xie's micro-debridement and the use of local drugs, this is equivalent to treating external drugs as a therapeutic substitute for indwelling antibiotics to a certain extent.
The chances of keeping this leg are very high.
It was because the state hospital was too conservative in the application of anticoagulant drugs, which led to local blood vessel blockage and poor blood flow, which led to persistent and changeable infections.
Xu Rong was taken aback, and stayed there for a full half a minute, until Wu Xie entered the ward, she was shocked, and her plump figure trembled slightly.
The mouth opened slightly, opened and closed several times, but couldn't hold back a word.
Obviously everyone in the department felt that Wu Xie was messing around, why...
Could it be that Qingda is really a magic medicine?
If Qingda is a miracle drug, why would Wu Xie change it to vancomycin?
When Wu Xie entered the ward, an old man came up and was about to kneel down to Wu Xie. He was Dong Mingliang's father!
Seeing this, Wu Xie quickly said, "Don't, old man, I can't help it. You want me to shorten my life! Don't, if you want to kneel down, I'll leave."
Wu Xie turned around and pushed the cart outside, the old man was too frightened to move any more.
With short white hair all over his head and thin body, he wiped his cloudy eyes, and his voice trembled slightly: "Doctor Wu, you are our family's savior. In my son's situation, it is impossible to keep this leg."
"You don't know, my son's life is miserable. He used to have good grades, but because of my illness with his mother, he couldn't study..."
"In the first few years, his physical strength was not very good, but he could only use brute force. I was not in good health, and his mother was not in good health. There was also a younger brother who was also brought up by him."
"It's gotten better in recent years. You said it's like this again. If he really loses a leg, what will happen in those days? I'm a burden again..." He really cried, wiping his hands all the time. corner of eye.
Wu Xie listened diligently, and glanced at Dong Mingliang from the corner of the eye: "Old man, everything will get better. Let's change the medicine first, diagnose the disease first, and then say thank you."
"You are an elder, kneeling is also a vulgar custom. According to the past, if you kneel for me, you will either break my luck or kill me, so please don't hurt me." Wu Xie spoke to him in a joking tone. Talk and laugh to comfort.
Wu Xie himself doesn't believe this, but he also knows that such words are more powerful against the old people in his hometown!
"No, no, I wouldn't have such an idea. It's too late for me to thank you, Doctor Wu." The old man stepped aside quickly, at a loss, his steps were slightly faltering and trembling.
I think my body is not good enough.
"Doctor Wu, thank you." Wu Xie went to Dong Mingliang's bed, stuffed Wu Xie with a pack of cigarettes,
Wu Xie declined: "Brother, smoke it yourself, I don't know how to do it. But you can't smoke it recently."
"I don't smoke either." Dong Mingliang put the cigarette into his pocket with a smile, and continued to skillfully fiddle with the gauze...
Somebody watch it?
For example, the author is chirping
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