This doctor has a system

Chapter 284 273. Distressed Patient’s Family

He was also in the clinic that day and saw several people walking in. Director Chen was snatched away like a little chicken. It took him a long time to react. When he returned to the department, everyone was in a frenzy.

Bu Zhengyang was upright and not afraid of the shadows falling, but other people in the department had no intention of working. The office was lifeless and the young nurses no longer dared to chatter. He was alone and felt very tired these days.

Suddenly, a new person in charge of the hospital was appointed, the well-known Gao Feng, and the general medicine department finally gained some vitality.

"There are currently eight patients in the department, and they are all relatively stable." Bu Zhengyang went to Qianhui to report, "The outpatient clinic is currently closed, so we can only go in and out."

"Let's take a look around the patients." Gao Feng gestured.

Most of the 8 patients were elderly patients with many basic diseases, and they were all in good condition, mostly coronary heart disease. After all, Director Chen was originally a cardiologist.

"The outpatient clinic cannot be stopped." Gao Feng thought for a moment, "Without patients, there is no income. Without income, the department has no cohesion."

Thinking of this, he also called Ma Liang and asked some suitable patients to be sent over.

"I'll tell Dean Guo that the department's performance this month requires the hospital to take appropriate care of it."

After hearing what he said, the doctors may not be very impressed, but the nurses were immediately motivated.

In the afternoon, a patient was sent to the emergency department. Bu Zhengyang, as the doctor on duty that day, stood up and prepared to treat the patient.

"I'll go with you." Gao Feng said. Ma Liang called him just now and said that the patient's condition was a little complicated.

The patient is a 15-year-old male who has had fever and cough for 12 days.

Twelve days ago, I developed fever after catching a cold at night, with the highest body temperature being 12°C. The cough was not obvious at first. As the disease progressed, the number of coughs increased significantly and a small amount of yellow phlegm was coughed up.

The patient has had a chest CT examination in the emergency department. The report shows infectious lesions in the left lung. It is recommended to review the patient after treatment.

Gao Feng took a chest CT scan and found that the inflammation was quite extensive.

"It's not complicated." He was a little puzzled. Ma Liang had just told him to pay more attention to this patient.

Soon, he understood how complicated this patient was.

"The family members are very complicated, and the patient is just a child. How complicated can he be?"

The family member who accompanied him to the hospital was a middle-aged man, and he looked like the kind of person who is difficult to get along with.

"Do we really need hospitalization?" Facing Bu Zhengyang, he was a little aggressive, "The children still have to go to school! How can we spend time in the hospital every day!"

"The area of ​​​​his lung infection is quite large, and he probably won't be able to survive without hospitalization." Bu Zhengyang explained patiently, "And he has repeated fevers. He has been eating poorly these days, and the child is very uncomfortable."

"This is just a minor illness!" The man's family members said reluctantly, "I also work in a hospital. Pneumonia is a self-healing disease and sometimes does not require excessive treatment."

Wrong day!Bu Zhengyang was a little unhappy, "In this case, it is most appropriate for him to be hospitalized. We will also draw blood to check liver and kidney function, electrolytes, and cardiac enzymes later."

"By the way, which hospital are you from?"

"I'm from Dongfeng Road Community Hospital." The middle-aged man said.

It turned out to be a community hospital. Bu Zhengyang tried hard not to show disdain on his face. He had graduated with a doctorate and was still working in the provincial hospital. It was inevitable that he would have some disdain for the small doctors in such a small place.

"What do you mean? You look down on community doctors?" The man had sharp eyes.

"No," Bu Zhengyang chuckled, "Aren't you a doctor? Why did you let the child's condition develop to this point?"

"Have you not taken any medicine these days?"

"Why didn't he take medicine?" The man's voice became louder. "I've made him drink Pudilan and Cephalosporin for several days. I don't know why it's not good!"

"Don't be complacent. The medicines in big hospitals are better, otherwise I wouldn't bring my son to you."

This man was a bit strange, and Gao Feng couldn't help but frown.

"Could it be the stepfather?" Li Youliang whispered.

"Probably not. You can see that the eyebrows and eyes of the two of them are almost the same."

"He probably has mycoplasma pneumonia, and cephalosporin won't work." Gao Feng said.

Mycoplasma pneumonia, as the name suggests, is an acute lung inflammation caused by Mycoplasma pneumoniae. It is mainly characterized by dry cough and fever. It can be spread through droplets and direct contact.

Early use of antibiotics can reduce symptoms and shorten the course of the disease.Macrolides, tetracyclines, and quinolones antibiotics can all be used.

But it should be noted that penicillin and cephalosporin antibiotics are not effective against mycoplasma.

As a widely used antibiotic, cephalosporin's main mechanism is to destroy the cell wall of bacteria, thereby achieving anti-infection effect.

But mycoplasma is a microorganism that is between bacteria and viruses, is facultatively anaerobic, and can live independently.It has no cell wall.

"Who are you?" The middle-aged man was a little dissatisfied when such a young doctor expressed his opinion. "Where is your director? Let him come and take a look!"

"This is our director." Bu Zhengyang introduced.

"Who are you fooling! Such a young kid?" The man naturally refused to believe it. "If he were really the director, your provincial hospital would probably close down soon."

"mess!"

Bu Zhengyang was a little angry. He was annoyed by such family members. When he was about to fight with him, Gao Feng waved his hand at him.

"Can you do a chest CT scan?"

"Of course!" The man felt insulted, "I knew it was pneumonia even without looking at the report."

"Everyone knows it's pneumonia, but your son's case is more typical. We can roughly judge from imaging that he has mycoplasma pneumonia." Gao Feng said, "His inflammatory lesions are distributed along the bronchus, and the bronchial wall is thickened. thick, and also has tree fog signs.”

"This is a relatively typical imaging manifestation of mycoplasma pneumonia."

The man with the bad attitude is called Lai Wenwen. He does work at Dongfeng Road Community Hospital, but he is not a doctor, but a logistics employee.

After his son fell ill a few days ago, he first took him to his unit for treatment. The doctor there suggested checking blood routine and five respiratory tract infections, but Lai Wenwen refused.

"It's just a cold, why bother?" Lai Wenwen was a little unhappy. I'm an employee of this unit, why are you still trying to make money from me?
The doctor who treated me was a little embarrassed, come on, his good intentions were taken for granted.

"Then take some azithromycin. Mycoplasma is popular recently, and add some heat-clearing medicine."

"Azithromycin is so irritating to the gastrointestinal tract. Isn't it appropriate for a child to take this?" Lao Lai was full of doubts about the doctor's words. "Just give us 2 boxes of cephalosporins."

Admissions doctor.

He quickly prescribed the medicine according to Lai Wenwen's instructions and sent Lao Lai and Xiao Lai away. "What the hell!"

Lai Wenwen was also full of doubts about Gao Feng's words, "Just give us cephalosporins, use the imported ones!"

Gao Feng was very helpless when he heard this. It is difficult for family members of such patients to communicate.

"You have to listen to us when you come to the hospital. How can you completely follow your ideas?" Bu Zhengyang directly rejected his unreasonable request.

"If you are willing to cooperate, we should draw blood and administer medicine. If you don't believe us, you can go to other hospitals and try again."

"What is your attitude?!" Comrade Lai was furious, "I want to file a complaint against you!"

"This is your right. If you like to complain, I can't control it." Bu Zhengyang didn't frighten him at all. "But you have to listen to us for the current treatment plan. It's impossible to follow your ideas."

"Besides, if your idea was okay, the child's condition would not have developed to this point."

Bu Zhengyang was very disdainful. Some people are like this. They think being a doctor is easy. Isn't it just about using some antibiotics?Who wouldn’t?
But you may not really know. There are many types of antibiotics, and each type contains many types. When using them, you have to consider a series of things such as antimicrobial spectrum, metabolic pathways, adverse reactions, etc. It is not as simple as imagined.

Take the commonly used cephalosporin antibiotics, which have been updated to the fifth generation of cephalosporins, cefthiamidin, cefuroxime, cefoperazone, cefpirome, cephalosporin...

Bu Zhengyang felt that he, a doctor, had not yet understood antibiotics, but this old man said it quite easily.

"Dad, why don't you just listen to the doctor." The patient Xiao Lai suddenly spoke. He coughed violently while speaking, "I feel that the condition has worsened in the past few days."

The child’s desire to live is quite strong…

"Okay then." Lao Lai felt that the doctor in front of him was quite cool, and he might not be able to take advantage if the trouble continued.

"Then use azithromycin injection 0.5g once a day?"

"Yes, the medicine for relieving cough and reducing phlegm should be strengthened." Gao Feng nodded. Mycoplasma pneumonia is not a serious illness most of the time. As long as the medicine is taken regularly, the patient should get better soon.

Gao Feng originally thought that this matter would just go away, but he didn't expect that something would happen again later.

"The family members of bed 12 are causing trouble again. They are cursing in the ward." The head nurse came over and said, "Is this person mentally ill? I think his son's treatment effect is quite good."

"He is just sick. He has been picking on us these past few days." A doctor replied casually, "Yesterday he said he knew a certain big boss and asked us to arrange a private room for him."

Since the general clinic opened again, the number of patients has increased immediately. In addition, the emergency department has sent a few from time to time. In just four days, the ward has been full.

This is the case in almost all leading tertiary hospitals in every province, and it is very common for beds to be hard to find.

Gao Feng regretted admitting this patient. He usually didn't have direct contact with patients, so he felt fine.But Bu Zhengyang, who was in charge of this patient, would definitely not feel so good.

"It's too difficult to communicate with family members." The head nurse had a strong opinion of Lao Lai, "I feel like this person had a hostile attitude towards us when he came here."

While several people were talking, a nurse ran over in a panic, "Director, head nurse, the family members of bed 12 are fighting with Dr. Bu!"

What?Gao Feng stood up quickly.

"Believe it or not, I will slap you!" Lao Lai pointed at Bu Zhengyang's nose and said.

"I don't believe it." Bu Zhengyang had already taken off his white coat, "Of course you can try it too!"

Lao Lai couldn't stand such a provocation, so he immediately rushed forward angrily, and the two of them fought each other instantly.

Due to all the preparations made in the early stage, there were a lot of people watching at the door of the ward. There were a lot of quarrels in the hospital, but there were very few actual fights. Everyone was in good spirits.

Gao Feng saw the old man in bed 33 standing aside holding a liquid. He was an old man with chronic obstructive pulmonary disease. He was in a state of acute exacerbation these days and became suffocating when he did not take oxygen.But at this moment, the old man was so focused that he didn't even breathe quickly.

"Stop!" the head nurse yelled. She was really anxious. The doctor was fighting with the patient's family in the ward. If word got out, something might happen.

Bu Zhengyang and Lao Lai didn't pay any attention to him. They tried their best to knock each other down.It has to be said that intellectuals do not have an advantage in fighting each other. Although Bu Zhengyang looks a lot bigger than Lao Lai, it is Lao Lai who actually has the upper hand when it comes to fighting.

After a stalemate for a while, he pushed Bu Zhengyang under him with a fierce force.

Gao Feng also rushed to the scene at this time. As soon as he came in, he saw Chang Wei hitting Laifu!
No, I saw Lao Lai riding on Bu Zhengyang.

That's pretty cool!

He pushed away several family members who were watching the fun and rushed in. At this time, Lao Lai wanted to give Bu Zhengyang a few blows, but suddenly he felt a huge force and his whole body was torn away.

I'm very strong, please bear with me. Gao Feng gave him an apologetic look, and then pulled Bu Zhengyang up.

"If there is anything we can communicate with, why not do it?"

"You're really looking for death!" The old man who was beaten to pieces was furious. Okay, you're going to be biased, right? I'll beat you too!

He rushed forward fiercely again.

"You don't want to be like this!" Gao Feng tried to dissuade him, but the opponent obviously didn't listen and kept accelerating with his small fist raised.

You are lighting a lantern in the toilet - you are seeking death!

He quickly grabbed the other person's arm and exerted force.

"Ahhhhhhhhhhhhhhh" the old man screamed immediately, "It hurts, it hurts! Let go!" He was anxious.

"Then you have to stay calm." Gao Feng said.

"You're so damn fast...ahhhhhhh!"

Gao Feng exerted his strength and howled again.

"Can you stay calm?" Gao Feng asked again.

Lao Lai's nose and tears were all flowing out now. He nodded sharply, indicating that he could do it.

"That's great. I don't think you are an unreasonable person." Gao Feng felt very pleased, and the other party finally accepted his persuasion.

"I want to file a complaint against you!" Lao Lai felt that his arm was about to be broken by the other party's grip. After he finished speaking, he subconsciously took a few steps back.

"You still have the nerve to complain!" Someone next to him couldn't stand it anymore. "Is your brain filled with shit? You were the one who scolded the doctor first, right?"

"This grandson asked people to move us into a single room as soon as he came in today. He also said that we could be moved out to let others squeeze in."

"You have such a big face. I don't know what happened just now, otherwise I would really slap you!"

(End of this chapter)