"Dr. Liu, I want to go to your hospital. Can you let me be the department director?" Xiao Fan shouted loudly from behind.
Liu Muqiao ignored the manager and went straight to the ward.
Antai Hospital does not need such people.
Liu Muqiao entered the ward and looked at the medical records and then at the patient. He fell into silence.
This is Liu Muqiao's first contact with a patient with sepsis. For such patients, the infection must be controlled as soon as possible.
Liu Miqiao opened the doctor's order and took a closer look. All the antibiotics that should be used have been used, including penicillins, cephalosporins, macrolides, and floxacin... He even used Tylenol and vancomycin.<
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Vancomycin is generally a last resort to fight infection.
In order to avoid the development of drug resistance, vancomycin has been listed as a key antibiotic to prevent the development of drug resistance since its emergence. The specific approach is that vancomycin is generally prohibited.
Vancomycin is only allowed to be used for infections in which all antibiotics are ineffective.
This patient has already been treated with vancomycin and another life-saving drug, Tylenon, which shows that this patient’s infection cannot be controlled.
I can’t control it, why?
The reasons why it cannot be controlled are, firstly, drug resistance, and secondly, the infection lesions have not been cleared.
Liu Muqiao thought for a while and nodded, "Well, that's it."
Is this the decision?
Liu Muqiao felt unsure again. That’s not right, I’m not expert in infectious diseases!
Although I am a master in many fields, I am still a novice when it comes to medical diseases. Can I make this decision?
"You look so crazy, have you encountered a problem?" Su Yajuan asked.
"Am I crazy?" Liu Muqiao asked doubtfully. He didn't pay attention to the image just now.
"Yes, you scratched the back of your head."
"Ah, I actually have this habit?"
"Yes, when you encounter something hesitant about, you will scratch the back of your head. Just now, you scratched it three times, and you scratched it so fiercely that I was worried that your brain would be scratched out."
Liu Muqiao made a face, "You are exaggerating!"
Su Yajuan said: "Why can't you make a decision?"
Liu Miqiao said: "I think this patient needs a three-pronged approach. The first is to have surgery quickly to drain the pus; the second is to use a rarely used antibiotic, chloramphenicol; and the third is to use purple snow pill. But, I
I also feel unsure because internal medicine is my weak point and I haven’t even had an internship.”
"But you have seen a lot of seriously ill patients." Su Yajuan reminded, "The more you see, the better your skills will naturally be. Although you have not practiced internal medicine, you may have a high level of internal medicine."
"It's impossible. You don't understand this." Liu Maqiao really didn't have confidence.
It would be nice to have someone like Academician Sun Liang around at this time.
Thinking of Academician Sun Liang, four words appeared in Liu Miqiao's mind: hibernation therapy!
"Exchange your ideas with the experts and see what they say." Su Yajuan said.
This is the only way.
Organize consultation again.
Only then did Liu Muqiao notice that this consultation was of a much lower level than the consultation at West China Hospital. The medical team experts supported by Mianzhou No. 1 Hospital were mainly deputy chief doctors.
This makes it clear why he should come back to make the decision.
The host was Tao Xijie, the business director of Mianzhou No. 1 Hospital. He said: "This is our third consultation. We hope there will be a clearer conclusion this time. Let me introduce that this young doctor is Dr. Liu Miqiao.
He has made great achievements in many disciplines. He has just returned from a consultation at West China Hospital. Now, please fully discuss it."
The discussion was lively.
After discussing for a while, Liu Muqiao had a strong feeling that he seemed to be playing with a group of children.
He was used to discussing cases with university scholars, but suddenly he was discussing cases with a group of deputy chief doctors at a regional hospital in Mianzhou. He obviously felt something was wrong.
Looking at their resumes again, he could only shake his head secretly.
It turns out that most of the hospitals at all levels supporting Mianzhou No. 1 Hospital are regional-level hospitals, with a few doctors from provincial hospitals, and all of them are deputy chief physicians.
This gap is too big.
I can’t play anymore.
He raised his head and said to the vice president of operations: "Has the chief doctor of your hospital discussed this case?"
The vice president said: "There was a discussion. Three chief doctors in our hospital also participated in the discussion about this patient, but today, they are busy and cannot spare time."
Liu Muqiao felt that these words were familiar, but he couldn't remember where he had heard them before. He was a little angry.
"Are they busy? Are you sure they are not for other reasons?" When Liu Miqiao said this, there was a bit of gunpowder.
"There is no other reason." The vice president replied weakly.
"Please come over quickly!" Liu Maqiao said sternly.
"It's not necessary, I'll be fine as long as you are there!" The vice-dean has something to hide, something that is hard to tell, and it can be seen at a glance.
"Stop making trouble, hurry up, don't waste time, I need them." Liu Maqiao's attitude became gentler.
Liu Muqiao clearly felt that there was a problem in the previous case discussion meeting. It was likely that factions had emerged, and the local faction and the foreign faction had a fierce conflict, which led to the current situation.
This is a very serious problem and very inappropriate.
Liu Muqiao's guess is correct.
The previous two consultations ended on bad terms. There was a conflict between the local experts and the experts from outside.
Originally, medicine was divided into schools, and there were differences between different medical schools. These differences often caused academic conflicts. However, in recent years, with the increase in exchanges between them, gradually, all
Start tolerating each other.
For example, on the issue of hyperbaric oxygen, there are Southern and Northern schools.
The southern school believes that hyperbaric oxygen is beneficial to stroke, while the northern medical schools tend to deny it.
However, the two factions are not so obvious now. More and more hospitals in the north are buying hyperbaric oxygen chambers, while the opposite is true for some hospitals in the south.
Among the medical teams supporting this time, some deputy chief doctors thought they were from well-known families and represented not only themselves, but the entire hospital. Therefore, they lost their due humility and caution in case discussions, and
It is a very arrogant speech and does not respect other people's opinions.
Individual doctors at a hospital in Mianzhou also have their own personalities, and they don't want to buy into the experts from outside hospitals. They go back and forth, and both discussions failed.
This is taboo!
This is also not allowed to happen.
Liu Miqiao glanced at the deputy dean and couldn't help but frown, thinking, at your level, if you can't even organize a case discussion well, why should you be a deputy dean?
It is estimated that this guy's level is at the same level as Gao Jian.
Liu Muqiao chuckled in his heart and said secretly, you bastards, look at me!
