The medical black technology system of the top student

Zhu Kang frowned and looked at the two cases in his hands.

He is an attending physician in the Department of Infectious Diseases.

Just in the past two days, the hospital received two inpatients, both of whom are elderly people in their 60s.

At first, the two patients only felt aches and fatigue all over their bodies and had a slight fever.

They originally thought it was just a common cold, and they would be fine after drinking some water, taking some medicine, and resting for a few days, so they ignored it.

But unexpectedly, after a few days, their condition not only did not improve, but began to become more serious.

The body temperature of two patients even reached 39°C, but they still felt cold and had pain in some joints of their bodies.

The two patients are neighbors and visit the hospital every day.

Through the patient's description, Zhu Kang immediately made a preliminary diagnosis, which may be septicemia caused by bacterial infection.

It is not known who was infected first and then passed it on to another person.

So Zhu Kang immediately arranged for the two patients to be hospitalized and prescribed piperacillin antibiotics as medicine for the two elderly people's conditions.

The use of antibiotics is graded. If low-grade antibiotics can be used to solve the problem, try not to use high-grade antibiotics.

At first, Zhu Kang did not pay much attention to this matter, because in his opinion, the two old people were infected by bacteria and had been delayed for too long, which made their condition worse.

If nothing else goes wrong, after infusion and medication, the condition of the two elderly people will soon improve.

But the fact still exceeded Zhu Kang's expectation.

After two days of treatment, the conditions of the two elderly people not only did not improve at all, but also suffered from respiratory failure.

This immediately caught Zhu Kang's attention.

In order to ensure the blood oxygen saturation of the elderly, Zhu Kang could only put the two elderly people on ventilators first, but even so, the two elderly people could not breathe.

As a last resort, Zhu Kang could only transfer the two elderly people to the ICU.

Looking at the cases in front of him, Zhu Kang suddenly felt a headache. Judging from the situation in the cases, the two elderly people should have septicemia caused by bacterial infection.

Treatment with antibiotics is the right choice, so how could it not have any effect?

Just when Zhu Kang was puzzled, the office door was suddenly pushed open, and a nurse came in and reminded Zhu Kang: "Doctor Zhu, the patient's family members are here."

A few hours ago, they notified the families of the two elderly people. After all, the situation was now urgent.

Just as Zhu Kang was about to walk out, the nurse reminded him again: "Doctor Zhu, be careful, the patient's family is making trouble now."

Hearing the nurse's words, Zhu Kang could only nod.

As soon as he walked into the corridor of the hospital, Zhu Kang heard a sharp noise coming from not far ahead.

I saw a woman in her forties who was dressed in jewelry and was arguing with the medical staff regardless of her image.

"What the hell is going on with you? My dad has a cold and you put him in the ICU. What on earth do you do for food?"

"The attending physician is here. Let him come out. I want to see which quack doctor he is. I want to file a complaint against him!"

Zhu Kang was also helpless. It had only been two days since the patient was hospitalized, and his condition deteriorated rapidly. He had to be transferred to the ICU urgently. Even he didn't have much time to react.

Zhu Kang walked up and said, "Excuse me, are you a family member of Wu Zhiqing or Wang Leiming?"

Wu Zhiqing and Wang Leiming were the two elderly people transferred to the ICU.

"I am a family member of Wu Zhiqing." The bejeweled Ms. Wu shouted loudly.

"What about Wang Leiming's family?" Zhu Kang asked.

"It's me." At this time, a relatively plainly dressed Ms. Wang said. She stood at the door of the ward looking worried.

Zhu Kang took a deep breath and said, "That's right, I am the attending physician of Wu Zhiqing and Wang Leiming."

After hearing Zhu Kang's words, Ms. Wu suddenly raised her eyebrows: "Okay, it turns out it was you, a quack doctor, who sent my dad to the ICU in two days."

"I'm telling you today, if you don't give me an explanation, I will not only file a complaint against you, but I will also expose you as a quack to the media!"

Facing Ms. Wu’s scolding and threats, Zhu Kang took a deep breath, but did not refute Ms. Wu because he knew that now was not the time to argue.

He took a deep breath, calmed down his mood a little, and then said.

"That's right. Judging from the current situation, the patient has sepsis caused by bacterial infection, but we are not sure exactly which bacteria it is, so we plan to take samples for culture and determine the specific cause before we can prescribe the right medicine."

This is one of Zhu Kang’s treatment options.

After listening to Zhu Kang's words, Ms. Wu rolled her eyes: "Then what are you waiting for? Hurry up. I tell you, if something happens to my dad, I will definitely not let you go."

Zhu Kang ignored the woman and turned around to arrange the next work.

At this time, the plainly dressed Ms. Wang caught up with her, pleading with her face: "Doctor, please save my dad."

Zhu Kang's expression softened a little, and he said, "We will try our best."

But at this moment, Ms. Wu's strange voice came from behind.

"Why are you thanking him for being a quack doctor? If it weren't for him being a quack doctor, maybe both of them would have recovered. My dad usually only needs better antibiotics like third-generation cephalosporin for colds. How can he use them like he does?"

Zhu Kang originally didn't want to pay attention to Ms. Wu, but after hearing Ms. Wu's words, he couldn't help but pause.

He suddenly turned back to look at Ms. Wu: "What did you just say, third-generation cephalosporin?"

Zhu Kang's sudden reaction shocked Ms. Wu, who felt inexplicably guilty: "What happened to the third-generation cephalosporin?"

"No, where did you get the third-generation cephalosporins?"

You should know that third-generation cephalosporins are prescription drugs. Under normal circumstances, you cannot get this drug without a prescription from a hospital.

"I had several serious illnesses before, and doctors in several hospitals prescribed very expensive antibiotics. I didn't finish them, and the rest was given to my dad when he was sick."

When she said this, Ms. Wu paused and continued: "Old people are prone to getting sick. What's wrong with taking medicine when you are sick and have a cold? There is no law that prohibits people from taking medicine."

After coming back to her senses, Ms. Wu's tone became confident again.

"you you!"

After Zhu Kang heard this, he didn't know whether to be angry or laugh for a moment.

Now he finally understood why the conditions of these two old men did not improve at all even if he continued to use antibiotics.

This third generation cephalosporin has been used for so long, how can it still be useful with other antibiotics.

Zhu Kang couldn't care less about educating this woman about drug resistance now, and even if he did, Ms. Wu would only think that he was making excuses.

Now Zhu Kang can only quickly ask people to take samples and culture bacteria from the two elderly people.

Zhu Kang now only hopes that these two elderly people only have septicemia caused by resistant Staphylococcus aureus infection. After all, if it is caused by resistant Staphylococcus aureus, it can still be treated with vancomycin.

But if it is vancomycin-resistant enterococci, then things become dangerous!