Fever is one of the most common and difficult symptoms to treat.
Most fevers are ignored and will go away automatically in 3 or 5 days, or you may take some antibiotics. There are very few patients with fevers that last for more than 1 week.
However, there are also stubborn fevers that just won’t go away, even if you try all kinds of antibiotics.
"Checking the cause of fever" is a diagnosis.
For many long-term fevers, it may not be possible to make a final diagnosis in large hospitals. Once the cause of the fever is checked, the cause of the fever is still found when discharged.
Even Liu Muqiao has difficulty making a clear diagnosis for all fever patients.
There are many such patients in Antai Hospital, and the discharge diagnosis is "check the cause of fever."
Of course it would be best to find out the cause, but if you can’t find out the cause, it’s okay, as long as the heating problem can be solved.
But the problem is that on the one hand, the cause of the fever cannot be found, and on the other hand, the heating problem cannot be solved.
This is what this patient is like.
The cause of the fever could not be found, and the body temperature could not be lowered.
After being admitted to the hospital for more than half a month, I started to have fever at 3 or 4 o'clock every afternoon, always around 38.5℃.
The most common cause of afternoon hot flashes is tuberculosis, but after various examinations, tuberculosis can basically be ruled out. Viral infection is also unlikely.
Therefore, we are all waiting for Liu Muqiao to come over for consultation.
After a long discussion, the speaker put forward various hypotheses and various methods to reduce fever. Liu Maqiao listened patiently. This was to cultivate everyone's thinking.
"Very good, everyone's minds are slowly opening up. Yes, this is how we think about the problem. No valuable evidence has been found for this patient, so diagnosing any disease is insufficient. For this patient, current medical methods
It’s basically exhausted, and it’s quite difficult to make a clear diagnosis. However, to reduce fever, I recommend trying rifampicin.”
Rifampicin?
Rifampicin is basically a special drug against tuberculosis. It was later discovered that it also has inhibitory effects on other bacteria, so it is also occasionally used to treat other bacterial infections.
However, generally speaking, few doctors regard it as a regular antibiotic.
Now that Liu Muqiao brought it up, everyone found it very novel.
I have learned a lot.
You know, Liu Muqiao's opinions are correct so far. Therefore, he suggested using rifampicin, and no one raised any opinions.
After leaving the pediatric consultation, A-Ling chased her out.
"Liu Muqiao, are you free tonight?"
Liu Muqiao pondered for a moment and said: "Tonight I have a small lecture in the Special Wounds Department about the diagnosis and treatment of diabetic foot. Are you okay?"
"Since you don't have time, forget it." A Ling was a little disappointed.
"You tell me, my lecture won't be very long." Liu Muqiao.
"Forget it, forget it, it's not like I don't know that once you go in, you can get out in no time?" A Ling said.
"Oh, by the way, I remembered, it's your birthday! Okay, I'll start the lecture at 7 o'clock and it will end at 7.30. Where do you want to come from?" Liu Miqiao said.
A Ling's face lit up and she said: "We will open the revolving restaurant at Qingjiang Hotel on time at 8 o'clock."
After A-ling finished speaking, she flew away like a happy bird.
At the third stop, Liu Muqiao came to the orthopedics department. Today there was a complex bone disease surgery. He had an advanced treasure box in his hand and wanted to learn advanced orthopedics skills.
Last time, Liu Muqiao participated in the General Clinic in Sichuan City. He was deeply impressed by the fact that his skills in orthopedics were seriously lacking. Except for painless orthopedics for closed fractures and spinal surgery, he basically had no knowledge or skills about other orthopedic diseases.
.
Last time, when he was undergoing debridement, even the tendons had to be sutured by an orthopedic surgeon, which was very irritating to him.
You must develop all the orthopedic skills, at least the main skills.
There are many skills in orthopedics, such as the treatment of open fractures, treatment of bone diseases, joint disease, tendon and muscle anastomosis, replantation of amputated limbs, etc., etc., they are all big skills.
If you open them one by one, even expert-level skills cannot be released easily.
Orthopedic surgeries are still performed in the old operating room.
Open fractures are often not clean surgeries and require relatively low operating room requirements. Therefore, orthopedics, except spine surgeries, are all performed in old operating rooms.
Arriving at the operating room, the operation has begun.
Today is a gastric cancer bone metastasis surgery. There is a fist-sized bone metastasis in the hip bone. It needs to be removed. The operation is not simple.
Today's surgeon is Dr. Liao, who was brought in through talent recruitment. He is the chief physician of the Xiang Provincial Hospital of Traditional Chinese Medicine and an expert in bone diseases.
Precisely because of the difficulty, Liu Muqiao chose this environment to open the treasure box.
This can increase the probability of developing orthopedic skills.
"Dr. Liu, are you here to guide us in our surgery today?" Professor Liao is very conceited. He has only been here for two months and has already performed more than 30 bone disease surgeries. He has discovered a problem. He is the absolute authority on bone disease.
This is what people want, to be unique in a certain field, and this is his value.
However, he did not find out Liu Muqiao's background. He asked many people whether Liu Muqiao was an expert in bone diseases.
No one can answer this question. Neither Professor He nor Tang Hui can give a clear answer.
"I have never seen him perform similar surgeries. However, it is difficult to say that he has never had cervical spine surgery in the past, but he is unique in the world in terms of cervical spine." Professor He told him.
Later, Zou Qingxiang had a clear answer, "He can! He will definitely do it! He is a general practitioner, there is nothing he can't do!"
It seems that what Zou Qingxiang said is correct. Otherwise, why would he come to the operating room?
Liu Muqiao said: "Let me visit your operation. You are the only osteopathic expert in our Antai Hospital. I will come over to learn."
"Humility, you are humble. I know that you are the absolute authority on bone diseases. Please come and give me guidance. Please bear with me." Professor Liao said.
Liu Muqiao laughed a few times and said: "I am indeed here to learn. I basically know nothing about bone diseases."
Professor Liao had already been mentally prepared. Others had told him that Liu Muqiao would never expose his skills easily.
There are too many such examples.
"Dr. Liu, I've just started. If you have any questions, please criticize and correct me."
Liu Muqiao took out the high-end treasure box while watching.
"Open!"
The treasure box is opened.
"The Essence of Advanced Five-Animal Opera".
Somewhat disappointed.
Very happy again!
The Five Animals are finally here, the wait has been too long!
The pages of the big book are turning rapidly.
For three full minutes, Liu Miqiao hit 5 or 6 Ji Ling in a row.
"What are you..."
The nurses noticed something strange about Liu Miqiao. They were familiar with this situation. They were wondering, why did Liu Miqiao also appear in the operating room?
Their faces turned red.
"It's okay." Liu Muqiao woke up with a start.
A bit embarrassing.
But it passed quickly.
No, there is no bone technology skill available today. Aren’t there still so many intermediate treasure boxes?
"Open! Open! Open!"
A fierce operation!
This chapter has been completed!