Doctor: start with the heart

Chapter 118 Outpatient Routine
The next day.

nine in the morning.

Emergency department special room.

Zhang Jun's treatment had come to an end. Zhao Xu also came back from the research center for emergency treatment and continued to go to the outpatient clinic.

As for Sun Chang, she now spends more time in the research center instead.

Now the reputation of the research center has been greatly shaken, and many people want to come to the research center for medical treatment through various relationships. Although Tian Jinzhong has screened some of them, there are still many left.

And Sun Chang was at the research center at this time, together with the team members and Tian Jinzhong, screening candidate patients.

Regarding this point, Sun Chang also complained to Zhao Xu, saying that he left the research center and medical team to her, but he did it by himself.

But Zhao Xu just smiled. He prefers to contact patients in real time on the front line of the clinic. He feels that as a doctor, he should not leave the front line of the clinic.

Besides, the talent given to him by the cards he drew from the system also needs to be slowly developed in clinical practice.

As for the development of the right hand of God, he has also had some clues in the past few days.

"Doctor Zhao, you're back. You haven't been here for a few days, and you don't even know how I got here."

Fang Wei was now beside Zhao Xu, and said in an exaggerated tone of reunion after a long absence.

She seems to have been dressed up today. Although she is wearing a nurse's uniform, her makeup is very delicate. It is the kind of natural makeup that makes people look better and more temperamental.

I have to say that Fang Wei at this moment still looks pleasing to the eye.

Perhaps it was because she hadn't gone to work with Zhao Xu for several days, and now Fang Wei looked very happy.

"It's only a few days..."

Zhao Xu felt that Fang Wei's statement was a little too exaggerated, and I don't know how you got here because you weren't here. It sounded too misleading.

It's no wonder that Fang Wei's attitude towards Zhao Xu is so warm. In the attached first courtyard, Zhao Xu has become a very popular figure now.

Especially after the dean announced the special policy for the research center, I don't know how many people want to join the research center, or want to get in touch with Zhao Xu.

It can be said that as long as you get in touch with Zhao Xu now, you are on the broad road.

"In your opinion, it is a few days, but in my opinion, it is a long time."

Fang Wei complained.

In the emergency room these past few days, there were many rumors about Zhao Xu. Of course, the one Fang Wei was most concerned about was that someone swore that Zhao Xu would never come back to the emergency room.

In this case, Fang Wei will not have the chance to work with Zhao Xu and me again.

Fang Wei was naturally anxious when she heard such rumors, but she couldn't ask Zhao Xu directly. Now that Zhao Xu came back to the clinic, she was naturally relieved.

"I told you before, I will not leave the front line of the clinic, you have this time to think about these things, why not use this time to improve yourself."

Zhao Xu said to Fang Wei a little bit admonishingly.

In his opinion, although Fang Wei's abilities are good, she can only accompany him to the outpatient clinic here.

For more complicated and important tasks, such as in the operating room or research center, it is still very difficult for Fang Wei to cooperate with him in any operations.

"promote?"

Fang Wei didn't expect Zhao Xu to say this, she thought Zhao Xu would follow her words and say something else.

It is impossible to say that Fang Wei has no thoughts about Zhao Xu, but Zhao Xu has always been indifferent to her explicit hints, so she gave up this idea, just wanted to follow Zhao Xu, thinking that there would be Better treatment and development.

"Well, do you want to be a nurse in the emergency department for the rest of your life?"

Zhao Xu looked at Fang Wei and asked her back.

An elite medical team needs not only doctors, but nurses with excellent professional skills are also very important.

Even if the talents in the whole hospital can be selected by Zhao Xu now, if Fang Wei can meet the requirements and standards, it is naturally better for Zhao Xu to use people he is familiar with.

"This.."

What Zhao Xu said made Fang Wei flustered for a moment.

She never thought about this, she just felt that following Zhao Xu's words, the treatment was good and the status in the hospital was also very high.

The only thing she didn't consider was that with Zhao Xu's current level, identity and status, if she was just an ordinary nurse, she wouldn't be able to keep up with Zhao Xu's footsteps.

"I'll work hard."

In just a moment, Fang Wei made up her mind. Now that the hospital is also implementing reforms and measures to elitize nurses, she must participate in it.

The elitism of nurses is actually specialization, and the elitism of nurses just sounds higher.

In the eyes of the public, the profession of nurse seems to be linked to injections and infusions.

In fact, there are still many nurses can do. Whether it is in the outpatient clinic, inpatient department or operating room, sometimes an experienced nurse with excellent professional ability can be of great help to doctors.

Even some young doctors who have just started working have to be guided by senior nurses.

"Now there are a lot of rumors and rumors about me in the courtyard. If you want to continue working with me, I hope you don't pay too much attention to these rumors and rumors."

Zhao Xu said to Fang Wei in earnest.

Professional people do professional things, which is what Zhao Xu has always advocated and insisted on.

Fang Wei is actually a pretty good person, but she is a bit too gossip, and she is keen on gossip all day long.

This was certainly a woman's nature, but Zhao Xu hoped that the people who worked beside him were not like this.

As the things to do in the future become more and more important, it may not be a trivial matter for people around you to leak a little casually.

Therefore, Zhao Xu had to be vaccinated in advance.

"I'm not that gossip either. I just heard others talk about Dr. Zhao and you, so I couldn't help but listen."

Fang Wei half defended and half complained.

With a woman's intuition, she keenly felt that some changes were taking place in Zhao Xu. The current Zhao Xu was very different from the young resident doctor she knew at the beginning.

Although Zhao Xu didn't put on airs and spoke and acted the same as before, Fang Wei felt that Zhao Xu had higher demands on the people around him.

In other words, a kind of majesty began to appear on his body, which was subtle and not intentional by Zhao Xu.

Maybe this was because after the change of status, Zhao Xu felt that he was still the same as before and hadn't changed, but the people around him already felt that he had a dazzling aura.

"You still don't understand what I mean. The most important thing is self-improvement, and everything else is secondary."

Hearing Fang Wei's words, Zhao Xu couldn't help shaking his head slightly and said.

"Doctor Zhao, are you going to start the outpatient clinic? Today, there are so many people who specially register to see you. I don't know what to do at the outpatient register. Later, the director said that according to the order of registration, let Dr. Zhao see how many patients. Let's see a few."

Fang Wei answered the question and changed the subject.

"It's up to the director's arrangement."

Zhao Xu nodded. The director of the emergency department was still Wang Ming. Besides, he didn't pick patients now. The more types of patients, the better for him to improve himself and develop his talents.

"Hmm, then I'll call the registered patients to come in."

Fang Wei said hurriedly.

As for what Zhao Xu said just now, she had to digest it slowly.

After a while, a young man wearing a yellow and blue mandarin jacket with the words "Hungry Group Takeaway" came in, covering his stomach with one hand and holding his waist with the other.

The guy looked to be in his 20s, his face was sallow, his forehead was still sweating, and he looked in pain.

Fang Wei followed the young man, it seemed that it was because she was brought in by a beautiful nurse with a sweet voice, and the young man's painful face was still a little shy.

"sit down."

Zhao Xu looked at the boy and asked him to sit down.

"Um"

The young man nodded and sat down as promised.

"Doctor, can you prescribe some liquid for me? I'll leave after the transfusion."

Zhao Xu hadn't opened his mouth to ask a doctor, but the young man said anxiously.

He is very anxious, because of his physical problems, he has been tossing for more than a week. He has been tossing and seeing a doctor for a week. Not only can he not take out food and take orders to make money, but he also spends almost all the money he saved last month on seeing a doctor. .

If he still can't take orders and earn money, he doesn't know what to do with next month's rent, living expenses, and his girlfriend's living expenses.

"Don't worry, since you're here, let's find out your situation thoroughly before we talk about your situation."

Zhao Xu comforted the young man gently and said.

Hearing what the young man said, and looking at the yellow and blue jacket he was wearing, Zhao Xu immediately understood that this was another young man who was working hard for his life.

There are not a few young people like this guy who are struggling for life in the current era.

"Doctor, I just have a stomachache, and sometimes I have a fever and diarrhea. You can prescribe some expensive antibiotics for me, and it will be fine after a while."

The boy still said urgently, when he mentioned the words "expensive antibiotics", he gritted his teeth and looked pained.

He also checked a certain degree, and it said that he had chronic gastroenteritis, and he had to take antibiotics to be effective.

However, he had already taken a lot of antibiotics before, and the symptoms of stomach pain, fever, and diarrhea still did not ease. Therefore, he thought that the antibiotics he bought were too cheap, so they didn't work.

And he really couldn't afford to wait, so he gritted his teeth, it's better to buy something good and expensive, and eat it, so as to save repeated tossing.

"The application of antibiotics should be symptomatic, and the expensive ones are effective if they don't exist. Only when specific antibiotics are used against the infectious flora can a good effect be achieved."

Zhao Xu corrected the young man's misunderstanding. Many people think that expensive medicine is better than cheap medicine. This is a misunderstanding.

Whether the medicine works or not is determined by whether it is symptomatic, not the price of the medicine.

Take cold medicines on the market for example. In fact, many cold medicines with different trade names have similar main active ingredients, but because of packaging, publicity and other factors, the price can vary several times.

After a pause, Zhao Xu asked again: "So you've taken a lot of antibiotics for a while, tell me, what kind of antibiotics have you taken?"

Speaking of this, Zhao Xu had a bad feeling that the consequences of overuse of antibiotics would be very serious. He hoped that this young man who was already working hard for a living would not be the kind of illness he thought.

"Well, let me think about it... By the way, doctor, I always pay with my mobile phone. It is said that you have to register to buy antibiotics now, and they are all on it. Take a look."

The guy thought for a while, took out his phone, opened the wechat applet for drug real-name registration, called up a long list of records, and handed the phone to Zhao Xu.

"Okay, I'll take a look."

Zhao Xu nodded and took the phone from the young man.

Having just picked up the phone and looked at the long list of antibiotic purchase registration records, Zhao Xu's bad premonition was confirmed.

"Berberine Hydrochloride Tablets, Xialiting, Levofloxacin, Cefaclor, Roxithromycin."

Looking at the drug purchase record, good guy, this guy bought and ate all the antibiotics available in the market.

Seeing that Zhao Xu's face became extremely serious after reading the drug purchase records, the young man thought it was nothing at first and thought he was just suffering from gastroenteritis, but now his heart skipped a beat and he became very nervous.

"Doctor, what's the matter?"

The boy asked very anxiously.

"You can't take so many antibiotics."

Looking at the bewildered young man, Zhao Xu sighed and said slowly.

"Ah? I read on Baidu that if several antibiotics are used together, the effect must be better. Doctor, you don't know, I even went to several pharmacies to buy these antibiotics."

The boy said with a puzzled look.

He just wanted to get better quickly, so he thought that the more types of antibiotics he used, the better the effect.

"The simultaneous use of multiple antibiotics will lead to drug resistance, which is why you have used so many types of antibiotics, but the symptoms have not been relieved."

Zhao Xu explained slowly.

"Doctor, what should I do now? I'm still waiting to get better and go to work."

Hearing Zhao Xu's words, the boy said anxiously.

"Antibiotics can't be used for the time being. First replenish the fluid to replenish the electrolytes lost by your long-term diarrhea, and then do a drug sensitivity test of the intestinal flora to see the specific drug resistance."

Zhao Xu thought for a while and said.

After taking so many types of antibiotics, the intestinal flora must have produced drug-resistant bacteria by itself. Now we have to see how the drug resistance is, and I hope the situation will not be too bad.

"Doctor, what if that drug resistance becomes serious?"

Hearing this, the young man was also a little flustered, and he asked hastily.

"The balance of the intestinal tract is maintained by the normal flora. The diarrhea is also caused by the imbalance of the intestinal flora and the abnormal reproduction of certain bacteria. This is why the use of antibiotics can relieve diarrhea."

After a pause, Zhao Xu continued: "But you can't use too many antibiotics. If you take so many antibiotics in a short period of time, it is equivalent to putting the bacteria in your intestines in constant confrontation with different antibiotics. In order to survive, the microbiota quickly iteratively develop resistance to antibiotics."

(End of this chapter)