Doctor: start with the heart
Chapter 119 Sharp turn down
Chapter 119 Sharp turn down
"what?!"
Hearing Zhao Xu's words, the young man was stunned. He had never thought that the situation would be so serious.
"To put it bluntly, you have taken an excessive amount of antibiotics, forming a special environment in your intestinal tract, and in this special environment, drug-resistant bacteria are directly produced. Now we need to look at the drug-resistant bacteria. The degree of drug resistance can determine the next step of treatment."
Zhao Xu patiently explained again.
"Isn't this just raising gu?"
The boy froze for a moment, and said with some scalp numbness.
He usually reads a lot of novels. Many novels describe such a scene, that is, in an airtight container, poisonous insects such as poisonous scorpions, poisonous spiders, and toads are placed. These poisonous insects will soon interact with each other. Devour, and finally get a Gu King who swallowed all the poisonous insects.
When he thinks that in his intestines, all kinds of tiny invisible bacteria are going through a similar process, he feels the creeps.
"You can understand that too."
Zhao Xu nodded.
"Doctor, do I need to be hospitalized?"
The young man asked again worriedly, when he thought of the already shriveled wallet, he didn't know what to do.
"You can stay in the emergency room for observation first, and then decide whether you want to be hospitalized after the results of drug sensitivity culture come out."
When Zhao Xu saw the guy like this, he knew he was worried about medical expenses.
"Well, thank you doctor."
The boy said with a long sigh of relief.
"Although it's an observation, you can't leave the hospital until the results of drug susceptibility come out. If super-resistant bacteria really appear, the disease will progress very quickly, and there is a risk of high fever and shock."
Zhao Xu was worried that the young man would leave the hospital without authorization during the period of observation, so he ordered again.
"Doctor, is it really so serious? I just feel a little fever and stomachache now."
Hearing Zhao Xu's words, the young man asked with some doubts.
He felt that his current situation was not as serious as Zhao Xu said.
"You are now in a state of intestinal flora imbalance, but your body is still in the compensatory period. Once the imbalance breaks through a certain limit, the disease will soon show explosive development."
Seeing the young man's disapproval, Zhao Xu patiently explained again.
"Well, doctor, I see."
The young man nodded, but only he knew how much he valued Zhao Xu's words in his heart.
"alright."
When Zhao Xu saw the boy's appearance, he knew that he didn't fully believe what he said.
But he had explained enough.
You must know that if super drug-resistant bacteria really appear in the boy's body, then there will soon be a serious flora disorder in his intestinal tract, resulting in electrolyte imbalance and endotoxin poisoning, which will cause high fever and shock at any time.
Next, Zhao Xu ordered an inspection sheet and an infusion sheet. It took 24 hours for the results of the drug sensitivity culture, that is to say, it would take a day to know whether there were super drug-resistant bacteria in the guy's intestines.
Seeing the young man leave with the prescribed examination form and infusion form, Fang Wei said: "Dr. Zhao, I think it is impossible for this man to stay in the hospital all day waiting for observation."
Fang Wei has been in the emergency department for a long time, and she has seen many people like this guy.
Of course, it doesn't mean that these people don't care about their bodies. The reason for this is that they are forced by life and there is no way to do it.
"Just talk to him about it."
Zhao Xu said.
Such a situation is actually commonplace. If possible, who would be willing to work around all day regardless of his body.
"Well, I see."
Fang Wei nodded.
Next, Zhao Xu continued to see the outpatient clinic, and the time soon reached [-]:[-].
I have to say that today's outpatient volume is indeed very large. Zhao Xu hardly had a rest this morning, and there were still many patients who asked about stem cell therapy. I answered patiently.
Looking at the time, it was already time to get off work. Zhao Xu tidied up and was about to eat in the cafeteria when Fang Wei walked in from the clinic door.
"Doctor Zhao, the delivery man left after the infusion, and I can't even stop him."
Fang Wei's face was a little unhappy. Anyone who encountered such a patient who did not listen to persuasion would not be happy.
"What did he say?"
Zhao Xu asked calmly.
If it was before, he might have asked Fang Wei to call or something.
But after going through this kind of thing a lot, Zhao Xu also felt a little used to it.
"Just say that he feels much better and doesn't need to observe anymore, so he just left."
Fang Wei said a little indignantly.
"It's fine if you can't stop it. After the drug sensitivity results come out, call him and tell him."
For people like this guy, Zhao Xu didn't have much to say. After all, his body was his own, and doctors were not gods, let alone saviors.
"Well, Dr. Zhao, it's time for dinner. Would you like to go out to eat together? I know that there is a new tea restaurant next to the hospital. The food in it is delicious."
Fang Wei invited again.
"You go, I'll have some food in the cafeteria. There are still a lot of things to do in the research center. I won't come to the consulting room in the afternoon. If there is anything, you can call me."
Zhao Xu declined Fang Wei's invitation to have lunch together.
This was not the first time. Zhao Xu was naturally very clear about Fang Wei's overtures and hints.
But Zhao Xu already wanted to belong, so he could only decline.
"Okay~"
Fang Wei was a little disappointed, another day of returning without success.
Maybe I really should give up?
Fang Wei couldn't help thinking.
No matter how she dresses up or how friendly she is with Zhao Xu, Zhao Xu still looks so indifferent, Fang Wei already wants to give up.
And think about it, the person who did this before was Jiao Jia. Although Jiao Jia had left now, Jiao Jia had more contact with Zhao Xu at that time.
If even Jiao Jia had no chance, Fang Wei felt that she might have no hope.
After leaving the consulting room, Zhao Xu ate something in the cafeteria and returned to the research center.
As soon as Zhao Xu sat down, Tian Jinzhong and Sun Chang came in together.
"Student, why don't you stay in the research center, there is actually no need for you to go to the outpatient clinic."
Sun Chang sat on the sofa, poured himself a glass of water, took a sip, and said slowly.
This morning, Sun Chang was busy with the affairs of the research center, so he didn't even have time to drink his saliva.
"Yes, Director, a lot of patient information has been transmitted from the department. There are quite a few high paraplegia patients who have entered the queue and are waiting to see a doctor at the research center. If you are not here, we will not be able to deal with many things. .”
Tian Jinzhong also sat down. Like Sun Chang, he poured a glass of water and took a sip, then said to Zhao Xu slowly.
"With you in the research center, I am very relieved. I will still go to the outpatient clinic in the future."
Zhao Xu stood up, walked to the sofa, sat down and said.
"Okay, I've really become your long-term worker..."
Hearing Zhao Xu's words, Sun Chang couldn't help complaining.
"Director Tian, have you confirmed the next patient?"
Zhao Xu asked Tian Jinzhong again.
Although this research center was established in the First Affiliated Academy, it is actually directly under the Ministry.
Now that the research center has become famous, there must be an endless stream of patients who want to come to the center for medical treatment.
At this stage, the ability of the research center to receive patients is also very limited. It is impossible for Zhao Xu to spend so much time and energy coordinating these things by himself. Naturally, it is all handed over to Tian Jinzhong who was transferred from the ministry.
Professional people do professional things, Zhao Xu has always thought so.
And how to allocate the limited treatment places in the research center is a very stressful and complicated matter.
"There are already a few preliminary candidates. We only need to wait for the evaluation of the expert team in the Ministry before we can accept the next patient."
Tian Jinzhong said very professionally.
Stem cell therapy is currently in the experimental stage, so the Ministry pays close attention to every patient receiving stem cell therapy.
Only when enough patients are cured in the research center and a large amount of clinical data is obtained, can the Ministry carry out the next step of large-scale investment and development. This is a very important matter, and no one person can decide.
"Well, this matter will trouble you a lot."
Zhao Xu said to Tian Jinzhong.
"Um"
Tian Jinzhong nodded. Although he was very busy with his work every day after joining the research center, he felt a sense of satisfaction.
It can be said that after joining the research center, he really displayed his talents.
The next day.
Eleven in the morning.
In the consulting room, Fang Wei walked in with a checklist and said to Zhao Xu, "Dr. Zhao, the drug sensitivity results are out."
"Um"
Zhao Xu took the checklist and looked at it carefully.
Seeing this, Zhao Xu's face became extremely serious.
On the drug sensitivity inspection list of the delivery boy, almost all the inspection items are three +
Generally speaking, the bacteria in the cultivated patient's body are resistant to various antibiotics, the lowest is negative, and the highest is three +
Once there are three +, it means that the flora in the body is completely resistant to this antibiotic.
And on this checklist, the 26 antibiotics commonly used in clinical practice are all three +!
This shows that the intestinal flora of the takeaway boy is resistant to almost all existing antibiotics!
In other words, once this little brother is infected, there is no medicine available!
"Have you contacted the patient?"
Zhao Xu asked in a deep voice.
"No, I called just now, but no one answered."
Fang Wei shook her head and said.
"Maybe it's not that no one answered the phone..."
Zhao Xu murmured that he had a very bad feeling in his heart.
Sure enough, the time came to 11:30, just as Zhao Xu was about to leave work, Fang Wei walked in quickly from outside the clinic, and said in a hurry, "Doctor Zhao, that takeaway boy was brought by an ambulance!"
"Um"
Zhao Xu nodded. From the moment he saw the checklist to the time when he couldn't get through the phone and couldn't contact anyone, Zhao Xu had always had a bad premonition, and now, this bad premonition has been confirmed.
Zhao Xu and Fang Wei quickly came out of the consulting room and arrived at the emergency room. The delivery boy was lying on the emergency bed, and the next doctor who took the delivery boy from the ambulance was Su Xiao.
Zhao Xu entered the emergency room and saw the takeaway boy lying on the emergency bed. His eyes were closed, his breathing was weak, and his face was like gold paper. He looked very bad.
"How is the patient?"
Zhao Xu asked Su Xiao who was standing beside him.
"Severe septic shock, electrolyte imbalance, and persistent high fever, the situation is dangerous."
Su Xiao said.
After finishing speaking, she looked at Zhao Xu again. She was in the first attached courtyard, and now she could be said to have gained a firm foothold. This was also due to Zhao Xu.
If it weren't for the quota that Zhao Xu had given her before, she would never have gained a firm foothold so quickly and had her own place in the First Affiliated Academy, where there were so many strong players and elites everywhere.
However, what she wanted most now was to join Zhao Xu's research center.
Since the hospital released a series of preferential treatment policies for the research center, young doctors in the entire hospital are gearing up and eager to join the research center.
"How about the results of the blood gas analysis?"
Zhao Xu asked again.
"All the indicators have reached extreme values. Yes, the patient's homeostasis has been broken, and he is on the verge of collapse at any time."
Su Xiao replied seriously.
"Let's correct the electrolyte imbalance and septic shock first."
Zhao Xu said in a deep voice.
"Um"
Su Xiao nodded, and directed the nurse to start a series of operations and rehydration.
About half an hour later, with the injection of a large amount of electrolyte solution, the severe electrolyte imbalance in the takeaway boy's body was relieved to a certain extent, and he also temporarily woke up from the coma caused by severe infectious shock.
"doctor.."
The takeaway boy opened his eyes, and said very laboriously and weakly.
He saw Zhao Xu standing by the bed at a glance.
He vaguely remembered that after the infusion yesterday morning, he felt much better.
So, he put Zhao Xu's instructions behind him, ignored Fang Wei's obstruction, gave up the detention for observation, and started running orders after he came out of the hospital.
But just now, when he finished delivering an order and was about to ride the electric bike to deliver food again, his vision went dark and he passed out on the ground.
When I woke up again, I was in the hospital.
"Yes... who sent me here?"
The delivery boy asked weakly.
"It was the ambulance called by the girl who ordered the food."
Su Xiao replied that she had already learned about the basic situation from the emergency doctor.
"Thank her for me, for me."
The takeaway boy said weakly again.
Zhao Xu couldn't help shaking his head when he saw this scene.
"Doctor, I... what's wrong with me?"
The takeaway boy looked at Zhao Xu again and asked strenuously.
"The results of the drug susceptibility test have been confirmed. In your intestinal tract, a superbug that is resistant to all current antibiotics has been produced. We have just rescued you from severe septic shock."
Zhao Xu said in a deep voice.
"Super... super bacteria? Doctor, you can save me, yes... right?"
Feeling extremely weak, like a candle in the wind, the takeaway boy was suddenly shrouded in fear of death, and said with all his strength.
"Don't talk, save a little strength, we will try our best to heal you."
Zhao Xu said with a slight sigh.
(End of this chapter)
"what?!"
Hearing Zhao Xu's words, the young man was stunned. He had never thought that the situation would be so serious.
"To put it bluntly, you have taken an excessive amount of antibiotics, forming a special environment in your intestinal tract, and in this special environment, drug-resistant bacteria are directly produced. Now we need to look at the drug-resistant bacteria. The degree of drug resistance can determine the next step of treatment."
Zhao Xu patiently explained again.
"Isn't this just raising gu?"
The boy froze for a moment, and said with some scalp numbness.
He usually reads a lot of novels. Many novels describe such a scene, that is, in an airtight container, poisonous insects such as poisonous scorpions, poisonous spiders, and toads are placed. These poisonous insects will soon interact with each other. Devour, and finally get a Gu King who swallowed all the poisonous insects.
When he thinks that in his intestines, all kinds of tiny invisible bacteria are going through a similar process, he feels the creeps.
"You can understand that too."
Zhao Xu nodded.
"Doctor, do I need to be hospitalized?"
The young man asked again worriedly, when he thought of the already shriveled wallet, he didn't know what to do.
"You can stay in the emergency room for observation first, and then decide whether you want to be hospitalized after the results of drug sensitivity culture come out."
When Zhao Xu saw the guy like this, he knew he was worried about medical expenses.
"Well, thank you doctor."
The boy said with a long sigh of relief.
"Although it's an observation, you can't leave the hospital until the results of drug susceptibility come out. If super-resistant bacteria really appear, the disease will progress very quickly, and there is a risk of high fever and shock."
Zhao Xu was worried that the young man would leave the hospital without authorization during the period of observation, so he ordered again.
"Doctor, is it really so serious? I just feel a little fever and stomachache now."
Hearing Zhao Xu's words, the young man asked with some doubts.
He felt that his current situation was not as serious as Zhao Xu said.
"You are now in a state of intestinal flora imbalance, but your body is still in the compensatory period. Once the imbalance breaks through a certain limit, the disease will soon show explosive development."
Seeing the young man's disapproval, Zhao Xu patiently explained again.
"Well, doctor, I see."
The young man nodded, but only he knew how much he valued Zhao Xu's words in his heart.
"alright."
When Zhao Xu saw the boy's appearance, he knew that he didn't fully believe what he said.
But he had explained enough.
You must know that if super drug-resistant bacteria really appear in the boy's body, then there will soon be a serious flora disorder in his intestinal tract, resulting in electrolyte imbalance and endotoxin poisoning, which will cause high fever and shock at any time.
Next, Zhao Xu ordered an inspection sheet and an infusion sheet. It took 24 hours for the results of the drug sensitivity culture, that is to say, it would take a day to know whether there were super drug-resistant bacteria in the guy's intestines.
Seeing the young man leave with the prescribed examination form and infusion form, Fang Wei said: "Dr. Zhao, I think it is impossible for this man to stay in the hospital all day waiting for observation."
Fang Wei has been in the emergency department for a long time, and she has seen many people like this guy.
Of course, it doesn't mean that these people don't care about their bodies. The reason for this is that they are forced by life and there is no way to do it.
"Just talk to him about it."
Zhao Xu said.
Such a situation is actually commonplace. If possible, who would be willing to work around all day regardless of his body.
"Well, I see."
Fang Wei nodded.
Next, Zhao Xu continued to see the outpatient clinic, and the time soon reached [-]:[-].
I have to say that today's outpatient volume is indeed very large. Zhao Xu hardly had a rest this morning, and there were still many patients who asked about stem cell therapy. I answered patiently.
Looking at the time, it was already time to get off work. Zhao Xu tidied up and was about to eat in the cafeteria when Fang Wei walked in from the clinic door.
"Doctor Zhao, the delivery man left after the infusion, and I can't even stop him."
Fang Wei's face was a little unhappy. Anyone who encountered such a patient who did not listen to persuasion would not be happy.
"What did he say?"
Zhao Xu asked calmly.
If it was before, he might have asked Fang Wei to call or something.
But after going through this kind of thing a lot, Zhao Xu also felt a little used to it.
"Just say that he feels much better and doesn't need to observe anymore, so he just left."
Fang Wei said a little indignantly.
"It's fine if you can't stop it. After the drug sensitivity results come out, call him and tell him."
For people like this guy, Zhao Xu didn't have much to say. After all, his body was his own, and doctors were not gods, let alone saviors.
"Well, Dr. Zhao, it's time for dinner. Would you like to go out to eat together? I know that there is a new tea restaurant next to the hospital. The food in it is delicious."
Fang Wei invited again.
"You go, I'll have some food in the cafeteria. There are still a lot of things to do in the research center. I won't come to the consulting room in the afternoon. If there is anything, you can call me."
Zhao Xu declined Fang Wei's invitation to have lunch together.
This was not the first time. Zhao Xu was naturally very clear about Fang Wei's overtures and hints.
But Zhao Xu already wanted to belong, so he could only decline.
"Okay~"
Fang Wei was a little disappointed, another day of returning without success.
Maybe I really should give up?
Fang Wei couldn't help thinking.
No matter how she dresses up or how friendly she is with Zhao Xu, Zhao Xu still looks so indifferent, Fang Wei already wants to give up.
And think about it, the person who did this before was Jiao Jia. Although Jiao Jia had left now, Jiao Jia had more contact with Zhao Xu at that time.
If even Jiao Jia had no chance, Fang Wei felt that she might have no hope.
After leaving the consulting room, Zhao Xu ate something in the cafeteria and returned to the research center.
As soon as Zhao Xu sat down, Tian Jinzhong and Sun Chang came in together.
"Student, why don't you stay in the research center, there is actually no need for you to go to the outpatient clinic."
Sun Chang sat on the sofa, poured himself a glass of water, took a sip, and said slowly.
This morning, Sun Chang was busy with the affairs of the research center, so he didn't even have time to drink his saliva.
"Yes, Director, a lot of patient information has been transmitted from the department. There are quite a few high paraplegia patients who have entered the queue and are waiting to see a doctor at the research center. If you are not here, we will not be able to deal with many things. .”
Tian Jinzhong also sat down. Like Sun Chang, he poured a glass of water and took a sip, then said to Zhao Xu slowly.
"With you in the research center, I am very relieved. I will still go to the outpatient clinic in the future."
Zhao Xu stood up, walked to the sofa, sat down and said.
"Okay, I've really become your long-term worker..."
Hearing Zhao Xu's words, Sun Chang couldn't help complaining.
"Director Tian, have you confirmed the next patient?"
Zhao Xu asked Tian Jinzhong again.
Although this research center was established in the First Affiliated Academy, it is actually directly under the Ministry.
Now that the research center has become famous, there must be an endless stream of patients who want to come to the center for medical treatment.
At this stage, the ability of the research center to receive patients is also very limited. It is impossible for Zhao Xu to spend so much time and energy coordinating these things by himself. Naturally, it is all handed over to Tian Jinzhong who was transferred from the ministry.
Professional people do professional things, Zhao Xu has always thought so.
And how to allocate the limited treatment places in the research center is a very stressful and complicated matter.
"There are already a few preliminary candidates. We only need to wait for the evaluation of the expert team in the Ministry before we can accept the next patient."
Tian Jinzhong said very professionally.
Stem cell therapy is currently in the experimental stage, so the Ministry pays close attention to every patient receiving stem cell therapy.
Only when enough patients are cured in the research center and a large amount of clinical data is obtained, can the Ministry carry out the next step of large-scale investment and development. This is a very important matter, and no one person can decide.
"Well, this matter will trouble you a lot."
Zhao Xu said to Tian Jinzhong.
"Um"
Tian Jinzhong nodded. Although he was very busy with his work every day after joining the research center, he felt a sense of satisfaction.
It can be said that after joining the research center, he really displayed his talents.
The next day.
Eleven in the morning.
In the consulting room, Fang Wei walked in with a checklist and said to Zhao Xu, "Dr. Zhao, the drug sensitivity results are out."
"Um"
Zhao Xu took the checklist and looked at it carefully.
Seeing this, Zhao Xu's face became extremely serious.
On the drug sensitivity inspection list of the delivery boy, almost all the inspection items are three +
Generally speaking, the bacteria in the cultivated patient's body are resistant to various antibiotics, the lowest is negative, and the highest is three +
Once there are three +, it means that the flora in the body is completely resistant to this antibiotic.
And on this checklist, the 26 antibiotics commonly used in clinical practice are all three +!
This shows that the intestinal flora of the takeaway boy is resistant to almost all existing antibiotics!
In other words, once this little brother is infected, there is no medicine available!
"Have you contacted the patient?"
Zhao Xu asked in a deep voice.
"No, I called just now, but no one answered."
Fang Wei shook her head and said.
"Maybe it's not that no one answered the phone..."
Zhao Xu murmured that he had a very bad feeling in his heart.
Sure enough, the time came to 11:30, just as Zhao Xu was about to leave work, Fang Wei walked in quickly from outside the clinic, and said in a hurry, "Doctor Zhao, that takeaway boy was brought by an ambulance!"
"Um"
Zhao Xu nodded. From the moment he saw the checklist to the time when he couldn't get through the phone and couldn't contact anyone, Zhao Xu had always had a bad premonition, and now, this bad premonition has been confirmed.
Zhao Xu and Fang Wei quickly came out of the consulting room and arrived at the emergency room. The delivery boy was lying on the emergency bed, and the next doctor who took the delivery boy from the ambulance was Su Xiao.
Zhao Xu entered the emergency room and saw the takeaway boy lying on the emergency bed. His eyes were closed, his breathing was weak, and his face was like gold paper. He looked very bad.
"How is the patient?"
Zhao Xu asked Su Xiao who was standing beside him.
"Severe septic shock, electrolyte imbalance, and persistent high fever, the situation is dangerous."
Su Xiao said.
After finishing speaking, she looked at Zhao Xu again. She was in the first attached courtyard, and now she could be said to have gained a firm foothold. This was also due to Zhao Xu.
If it weren't for the quota that Zhao Xu had given her before, she would never have gained a firm foothold so quickly and had her own place in the First Affiliated Academy, where there were so many strong players and elites everywhere.
However, what she wanted most now was to join Zhao Xu's research center.
Since the hospital released a series of preferential treatment policies for the research center, young doctors in the entire hospital are gearing up and eager to join the research center.
"How about the results of the blood gas analysis?"
Zhao Xu asked again.
"All the indicators have reached extreme values. Yes, the patient's homeostasis has been broken, and he is on the verge of collapse at any time."
Su Xiao replied seriously.
"Let's correct the electrolyte imbalance and septic shock first."
Zhao Xu said in a deep voice.
"Um"
Su Xiao nodded, and directed the nurse to start a series of operations and rehydration.
About half an hour later, with the injection of a large amount of electrolyte solution, the severe electrolyte imbalance in the takeaway boy's body was relieved to a certain extent, and he also temporarily woke up from the coma caused by severe infectious shock.
"doctor.."
The takeaway boy opened his eyes, and said very laboriously and weakly.
He saw Zhao Xu standing by the bed at a glance.
He vaguely remembered that after the infusion yesterday morning, he felt much better.
So, he put Zhao Xu's instructions behind him, ignored Fang Wei's obstruction, gave up the detention for observation, and started running orders after he came out of the hospital.
But just now, when he finished delivering an order and was about to ride the electric bike to deliver food again, his vision went dark and he passed out on the ground.
When I woke up again, I was in the hospital.
"Yes... who sent me here?"
The delivery boy asked weakly.
"It was the ambulance called by the girl who ordered the food."
Su Xiao replied that she had already learned about the basic situation from the emergency doctor.
"Thank her for me, for me."
The takeaway boy said weakly again.
Zhao Xu couldn't help shaking his head when he saw this scene.
"Doctor, I... what's wrong with me?"
The takeaway boy looked at Zhao Xu again and asked strenuously.
"The results of the drug susceptibility test have been confirmed. In your intestinal tract, a superbug that is resistant to all current antibiotics has been produced. We have just rescued you from severe septic shock."
Zhao Xu said in a deep voice.
"Super... super bacteria? Doctor, you can save me, yes... right?"
Feeling extremely weak, like a candle in the wind, the takeaway boy was suddenly shrouded in fear of death, and said with all his strength.
"Don't talk, save a little strength, we will try our best to heal you."
Zhao Xu said with a slight sigh.
(End of this chapter)
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