White armor

Chapter 275: Garbage Recipe from Germany

"So." Feng Zixuan only said three words and left the rest blank.

However, Luo Hao didn't seem to understand what Feng Zixuan meant and suddenly burst out laughing.

"how?"

"When the epidemic broke out a few years ago, I saw someone on the nga forum saying - direct flights across the country, bring a physical examination report + nucleic acid test report." Luo Hao said with a smile.

“……” Feng Zixuan was stunned.

Luo Hao's life is usually very simple, how come he knows everything?
"Director Feng, have you ever been tested?" Luo Hao suddenly asked.

"Are you using this to test the cadres?" Feng Zixuan said disdainfully.

"Ha!" Luo Hao laughed, "Yeah, so you use this to test the cadres? Director Feng, you have a lot of experience. I admire you."

"I've seen it a lot." Feng Zixuan said lightly.

The two chatted as they came to the pediatric department.

"The pediatrics department at 912 is ranked around tenth in the country, not as good as the pediatrics departments at the Children's Hospital of Beijing and Capital Medical University," Luo Hao said, "but we do have some experience in diagnosing and treating some diseases."

In the conference room, the directors, professors, and doctors of the neonatal and pediatric wards have already sat down.

It seems that Feng Zixuan's "power" is quite strong. All the directors rushed over, including one in plain clothes. He probably asked for leave to rest, but after receiving Feng Zixuan's call, he rushed over from home to "show his support" for Feng Zixuan.

I contacted 912 Pediatrics, used my mobile phone to video and connected to the screen projection. A deputy director of 912 Pediatrics began to talk about the disease commonly known as "Butterfly Baby".

This disease is considered a common rare disease in pediatrics. 912 has relevant courseware, which is quite standard.

Half an hour later, the deputy director of pediatrics at 912 finished his explanation and Luo Hao put away the video.

"Hello, everyone."

Just before the pediatric doctors at all levels were about to leave, Luo Hao bowed slightly and spoke loudly.

Feng Zixuan's eyes lit up and he stared at Luo Hao.

This is the meat of the show!
Feng Zixuan knew Luo Hao and knew that this matter was not that simple. Maybe he was overthinking, but Feng Zixuan would rather think more.

The main reason was that Luo Hao was too mean. Although he had no ill will towards him, Feng Zixuan still often criticized his politeness.

Feng Zixuan would rather Luo Hao had a quarrel with him like his buddy.

"I have come into contact with many patients like [Butterfly Baby] when I was at Union Hospital. I would like to discuss and exchange some relevant experiences with you."

Below the stage, the pediatricians were talking quietly to each other.

Luo Hao was not in a hurry. He just waited for them to finish talking before continuing with a smile.

"There is one point in Mr. Zou's treatment method that I think is worth discussing."

"Want to discuss?" The director of neonatology looked at Luo Hao and asked.

"Director Li, how many similar patients do you see every year?" Luo Hao asked.

Director Li of the Neonatal Department sighed, "This disease is difficult to cure. We see about 10 cases every year. Those with mild cases can be discharged, but for those with severe cases, I recommend that they go to a higher-level hospital for treatment."

Director Li said vaguely.

"What did you give to the child?" Luo Hao asked.

"The compound polymyxin B ointment recommended in the guidelines."

"Well, Teacher Zou also mentioned the compound polymyxin B ointment just now." Luo Hao smiled, "This is where I have a little opinion."

"???"

"???"

Feng Zixuan and all the doctors were stunned.

Compound polymyxin B ointment is frequently used in clinical practice and is an imported drug. In their opinion, this is completely impeccable.

As for the effect, I am not a big shot who makes guides, so why should I think so much about it.

"【Butterfly Baby】For this disease, you should apply more oil and less water, especially apply more Bactroban.

The ingredient of Bactroban is mupirocin, which can prevent and treat secondary Gram-positive coccal infections caused by damaged barrier. The matrix is ​​a water-soluble, greasy, oil-like polymer.

This matrix is ​​both slippery to reduce skin damage, oily to reduce transepidermal water loss, but also soluble in water for easy washing.”

Luo Hao paused for a moment and continued, "Baidubang is quite useful in treating this disease."

Director Li of the Pediatric Department was in a daze for a moment. She even suspected that Luo Hao was promoting products for Baidubang.

Next, should I yell to my family members? Then someone rushed up and said, "Professor Luo, we can't sell it like this. We'll lose money!"
The live streaming sales method is exactly the same as the [selling cloth scraps] in crosstalk. The world has never changed.

"Professor Luo, is the compound polymyxin B ointment not effective?" Director Li asked.

"Yeah, it's not very useful." Luo Hao didn't shy away from giving a direct and affirmative answer, "The compound polymyxin B ointment comes from a rubbish prescription from Germany."

A rubbish prescription from Germany?
Rubbish prescription from Germany!
This text was so niche that everyone, including Feng Zixuan, was stunned.

No one thought that they would hear such an evaluation one day.

“Most of the resident bacteria on the epidermis are Gram-positive cocci, for which Bactroban and fusidic acid are suitable. The matrix of Bactroban is as above, which is superior to fusidic acid and is therefore the most suitable.

However, both polymyxin and neomycin in compound polymyxin B are targeted at Gram-negative bacteria and are not suitable for the disease unless the diagnosis is Gram-negative bacillus folliculitis.

In addition, compound polymyxin B is a well-known skin allergen, which can damage even good skin.

At the same time, neomycin is an aminoglycoside antibiotic that is ototoxic and is not recommended for children with large-area epidermal damage.

Furthermore, neomycin is far less effective than polymyxin against Gram-negative bacteria, one reason being that the antibacterial spectrum overlaps, and the other is that the efficacy is poor. "

"In short, past experience shows that whoever invented polymyxin B really has no clue what he is doing."

Luo Hao seemed a little hesitant, but finally smiled, "At least in the treatment of [Butterfly Baby], the guidelines recommend the use of compound polymyxin B, which is a very stupid behavior."

"!!!"

"!!!"

he!
He actually directly called the guide stupid! !

Not only the pediatric doctors at all levels, even Feng Zixuan was so surprised that his eyes almost popped out.

Is this still the always gentle Professor Luo Haoluo? Why did he suddenly show his edge?
Is it possible that your life has been disharmonious recently?

Feng Zixuan thought of Luo Hao and Wang Jiani, and they didn’t look alike.

"Professor Luo, is there any evidence?" someone asked.

It was obvious that there was dissatisfaction in that person's tone.

Treating according to the guidelines is an idea deeply rooted in the hearts of all doctors. It is an iron rule and a stamp of thought.

Luo Hao is challenging the ideological stamp.

"Of course."

Luo Hao put away the projection screen, picked up the marker and started writing on the blackboard.

"This is a patient in the medical record database of the Union Hospital." Luo Hao said as he wrote, "Initially, he was treated with compound polymyxin B ointment, and later..."

Luo Hao talked eloquently, and a milky white light seemed to emanate from his body.

Feng Zixuan narrowed his eyes and looked at it carefully.

He doesn't care whether the little patient of "Butterfly Baby" can be cured.

There are many diseases more serious than "Butterfly Baby". As the director of the Medical Department, my responsibility is to make the clinical machine run more smoothly. This is great compassion.

If you get bogged down in details, it will lead to a certain degree of confusion, which is not mercy but a sin.

Feng Zixuan had a very good understanding of this kind of thing and thought it through clearly.

He was curious about what Luo Hao was doing and what his ultimate goal was.

In just four and a half months after coming to the First Hospital of Medical University, Luo Hao fought hard and created a world of his own.

This world is vast, and at least Feng Zixuan has never seen a clinical department director as capable as this one.

Not only the interventional department, but also people from the gastrointestinal, radiotherapy, and imaging departments all praised Luo Hao.

Moreover, Luo Hao has made great progress at the hospital level and even at the provincial level, and he has become a close friend of Director Geng of Comprehensive Department 1.

What was his purpose? Just to show off his presence in front of the director and professor of pediatrics?

Feng Zixuan was not in a hurry and just watched quietly.

It was a discussion at the moment, and it was obvious that the director and professor of pediatrics were not convinced by Luo Hao's "conclusion".

If compound polymyxin B ointment is used incorrectly, it implicitly proves something indirectly.

Feng Zixuan knew these directors and professors very well. Seeing Luo Hao questioning the guidelines, they became angry and embarrassed.

But no matter how tricky the questions they raised were, Luo Hao resolved them one by one, citing classics and even explaining a certain article in a certain journal in a certain year.

An hour passed like this, and Luo Hao clearly won the debate with the group of scholars.

Fewer and fewer people asked questions, while more and more doctors looked thoughtful. Some were even eager to try Baidubang mentioned by Professor Luo Haoluo.

Compound polymyxin B ointment is a compound preparation for external use, which is used to prevent bacterial infection of skin wounds such as skin cuts, abrasions, burns, surgical wounds, and temporarily relieve pain and discomfort, and the effect is very significant.

Luo Hao actually said in harsh words that this medicine was simply rubbish, which did not match Feng Zixuan's perception of Luo Hao.

Suddenly, an idea popped up in Feng Zixuan's mind.

Feng Zixuan was stunned. Could it be that Xiao Luo went through so much trouble just to let the pediatric department give it a try?
"Okay, if you encounter a related patient next time, you can try it. Replace the compound polymyxin B ointment with Bactroban. In about 10 days, [Butterfly Baby] will be able to recover initially and emerge as a butterfly."

Luo Hao smiled, bowed slightly, and turned to leave the stage.

Director Li hesitated for a few seconds and took out his cell phone.

"Hello? I'm Director Li from the Pediatric Department. Have you guys gone home?"

"Come to the hospital. A patient has been discharged and there is a bed available."

When Feng Zixuan heard what Director Li said and saw Luo Hao's smile, he seemed to understand something - his unreliable guess was actually correct.

However, Feng Zixuan did not ask, but left with Luo Hao chatting and laughing. He did not even ask around curiously, just pretending that the guess did not exist.

After they separated, Feng Zixuan did not forget this matter. Luo Hao's behavior today was a little strange.

As for the teaching job, Feng Zixuan highly suspected that Luo Hao just made it up.

Why go through so much trouble just for a patient you don’t know?

There was no reasonable explanation for Luo Hao's behavior, so Feng Zixuan became concerned.

After get off work, Feng Zixuan went to the neonatal ward.

Director Li is personally applying medicine to the child.

In the sterile room, Feng Zixuan couldn't get in and could only watch through the glass.

Just after the lecture, there was a "sharp contradiction" regarding the use of medication for a disease, and immediately a suitable patient was admitted.

Whenever something is abnormal, there must be something wrong. Feng Zixuan waited patiently for Director Li to apply more than a hundred ointments to the child and then come out.

"Director Feng, why are you here?" Director Li was a little surprised.

"Let's see Butterfly Baby." Feng Zixuan said calmly, "How was it treated?"

"I did a comparison. The one on the left was Bactroban, and the one on the right was Polymyxin B ointment."

Feng Zixuan glanced at the child in the sterile room and nodded slightly. "The results will be available when we change the dressing tomorrow," Director Li said firmly.

"Director Li, do you think Xiao Luo's opinion is correct?" Feng Zixuan asked.

"At the time, I subconsciously felt that it was wrong, but after Professor Luo's explanation, I recalled similar patients I had encountered over the years and felt that his opinion might be right." Director Li did not shy away from the question and said directly.

"The wounds on Butterfly Baby's body are extremely difficult to heal, and there is no specific medicine for the disease."

"We can only treat the symptoms. Some young patients with more serious genetic diseases really cannot be cured, such as the patient in front of us."

"Oh? What's wrong with this patient?" Feng Zixuan's heart moved, but he asked calmly.

"Alas, this patient has been hospitalized for a long time, but has not recovered yet." Director Li sighed, "He finally got a little better, so he was discharged immediately. I told the patient's family that if he gets sick again, I would recommend that he go to a higher-level hospital."

This explanation is very reasonable, and Feng Zixuan knows that this is the most likely result.

The safest approach in clinical work is to quit while you are ahead.

"Yesterday, the patient's parents brought their child to see me, saying that the disease had recurred. Director Feng, it's not that I'm hard-hearted, it's mainly because this disease is difficult to cure and is very troublesome. They said a lot, but I refused to admit them."

Feng Zixuan nodded. He probably understood why.

"Today, Professor Luo just happened to talk about the difference between Compound Polymyxin B Ointment and Bactroban, and there are so many literatures. I checked it out and it is indeed true. Take it and give it a try."

"If Bactobac is really useful..."

"Director Li, don't we usually use Baiduobang?"

Director Li shook his head.

This is a "rustic" method and it is difficult to publish a paper. The various documents mentioned by Luo Hao are just related and there is no solid evidence.

Feng Zixuan knew that the birth rate in Northeast China was almost lower than that in South Korea in the past ten years. Without a large number of patients, how could he have clinical experience?

Even in prefecture-level cities, we have heard of the closure of pediatric departments one after another. The First Hospital of Medical University does not have this problem for the time being, but it is only maintaining its position. It is obvious that the future task is to preserve the pediatric department.

"I felt it when changing the dressing, and I think what Professor Luo said is right," Director Li admitted.

"Oh?"

"Bactroban has a lot of fat, so let's give it a try. Anyway, we can use the same child as a control and randomly select them. We will have a rough result tomorrow."

Feng Zixuan asked some more details, including some information obtained from Director Li and the patient's family.

Feng Zixuan felt a little funny when he left.

Luo Hao is responsible for several large-scale scientific research projects, but he still has the energy to "mind other people's business".

Moreover, his approach is different from the straightforward temperament of young people, and also different from what Luo Hao often said about saving communication costs.

He took a big detour and chose a strange direction to solve the problem.

Really!

Feng Zixuan was particularly disdainful of Luo Hao's "awkwardness", but he had to admit that it was best to go around in circles for some things.

When the comparison results of the child's two sides come out and the child is about to be discharged from the hospital, I will have a good talk with Luo Hao.

There's absolutely no need to be so "strange" about this kind of thing, Feng Zixuan thought angrily.

I must make it clear to Luo Hao when the time comes to do so, to save on communication costs, as everyone is so busy. Pediatrics is an outsider, but I am not!!
The next morning, Feng Zixuan changed his clothes and went directly to the newborn room.

Director Li was not sure what the relationship was between this child from a remote county and Director Feng Zixuan, but he still changed the child's dressing as soon as possible.

Facts speak louder than words.

The wound on the side where Bactroban was applied has begun to heal, and because Bactroban has a relatively high oil content, it is also easy to clean.

However, the wound healing and cleaning on the side where compound polymyxin B ointment was applied was extremely troublesome.

In addition, a small amount of erythema appeared at the site where the compound polymyxin B ointment was applied.

This means that the child has a mild allergy to polymyxin B ointment.

"Director Feng, Professor Xiao Luo is right. Bactroban is indeed better for use." The first thing Director Li said to Feng Zixuan after he came out after changing the medicine was that he acknowledged Luo Hao's point of view.

"Well, how many days will it take for you to be discharged from the hospital?"

"5 days!" Director Li was a little excited.

If Bactroban can treat and make Butterfly Baby get better, the First Hospital of Medical University's neonatal department will be able to accept similar patients in the future.

We didn’t charge or charged less before because we didn’t know how to treat it.

Now Luo Hao has removed all obstacles.

He just changed to a common medicine and didn't do anything else.

After Feng Zixuan explained everything to Director Li, he waited patiently for another five days.

When the newborn came back, the wounds on the child's body had already scabbed over, and some of the scabs had even begun to fall off, revealing intact, fresh skin.

"The effect is obvious." Director Li gave the final conclusion.

Feng Zixuan was not interested in seeing the patient's family express their gratitude. He took out his mobile phone after leaving.

but!

Luo Hao’s cell phone has no signal!

Feng Zixuan didn't find it strange. He thought it must be Luo Hao who brought the cell phone into the interventional operating room.

There's only lead plates in there, so there's no signal at all.

Call Shen Zizai.

"Director Shen, is Xiao Luo undergoing surgery? Let him come down and see me." Feng Zixuan said bluntly.

"Xiao Luo...he has been missing for 3 days."

"Missing?!" Feng Zixuan was stunned. "What do you mean missing? Explain clearly! Why didn't you report it to me?!"

A living person, an adult male under 30, disappeared just like that?!
Feng Zixuan cursed in his heart, Shen Zizai, you bastard, don't you want to do this anymore! You didn't even tell me about such a big thing!

What Feng Zixuan was most dissatisfied with was Shen Zizai's mention of "disappearance".

"Director Feng, I'll go to your office right away." Shen Zizai knew what was going on, so he lowered his voice and spoke.

Feng Zixuan hung up the phone indifferently and returned to the office.

Luo Hao is missing?
how can that be!

Ever since he came to the First Hospital of Medical University, no matter what he did, he would come to the Medical Office to say hello to me as if to try to get close to me.

This action shows respect for himself, and it can also be seen as Luo Hao trying to get closer to him.

Disappeared directly?

Thinking of various possibilities, Feng Zixuan felt his heart beating faster and he began to feel unwell.

Soon, Shen Zizai knocked on the door and came in.

After coming in, Shen Zizai leaned outside to take a look, then closed the door and locked it.

"Director Shen, what are you doing?" Feng Zixuan asked unhappily.

"Director Feng, Xiao Luo... It's like this. Xiao Luo didn't come to work three days ago. I asked Meng Liangren, but he said he didn't know."

"Ok?"

"He really was missing, but I didn't take it seriously at the time. I thought Ronaldinho and his girlfriend had gone out to play. I stayed up all night and went to sleep early in the morning. But he has been missing for three days."

"Did you call the police?"

"No, I'm already this old, I can't just disappear from the face of the earth." Shen Zizai was also a little nervous, "I thought there was something else, Director Feng, you know."

"What do I know?"

"..."

"..."

Feng Zixuan and Shen Zizai looked at each other and saw fear and confusion in each other's eyes.

"Have you asked Wang Jiani?"

"I asked, but Wang Jiani didn't know either. I also asked Luo Hao's uncle Lin Yuming, but they didn't know either."

"You fucking bastard!" Feng Zixuan was furious, pointing at Shen Zizai's nose and cursing, "Is it because of the crackdown on gangs and evil forces in recent years and the improvement of social security that you have become arrogant?"

Shen Zizai felt particularly uncomfortable.

"What the fuck are you doing..."

"Director Feng, I called the police, but they said that although you can call the police within 24 hours of a missing person's disappearance, if it's an adult male... generally, it takes 72 hours to really find someone."

"Fuck! Why the hell didn't you tell me!" Feng Zixuan's eyes were a little red.

Shen Zizi was speechless.

It doesn't make sense that a healthy person would just disappear like that.

Even in the chaotic past, similar things rarely happened.

"Have you searched all the hospitals?"

"I looked for it." Shen Zizai said aggrievedly, "Only the Forestry Hospital recently admitted an unknown patient. I drove to take a look, and it was not Luo Hao."

Feng Zixuan pondered, picked up his phone and started to contact.

He used his connections and got the response that they would start investigating immediately. He then glared at Shen Zizai fiercely and walked out.

Shen Zizai groaned in his heart and followed Feng Zixuan.

"I'm going to report to the dean. Why are you following me? You're too old to know the importance of this matter."

"Director Feng, I have a guess."

"Huh?" Feng Zixuan was stunned and stopped.

"Dean Zhuang may know about this."

"possible?"

"Every time I talk about it, I see that Zhuang Yan's expression is not right. She wants to hide something and pretend that she doesn't know." Shen Zizai said.

Feng Zixuan turned around and looked at Shen Zizai coldly, "Director Shen, you are responsible for every word you say now."

"I'm just guessing." Shen Zizai said embarrassedly with his head down.

"Wait for me here." Feng Zixuan strode into the elevator.

When he arrived at the door of Zhuang Yongqiang's office, there were several people queuing up to sign. Feng Zixuan walked past everyone and stood at the door, looking at the department director who was talking to Dean Zhuang with a stern look.

The man understood the situation and left immediately.

Feng Zixuan didn't care what others thought, he closed the door and came in front of Dean Zhuang.

"Dean, Luo Hao is missing."

As he said this, he stared at Dean Zhuang without blinking.

"Oh, don't worry about it."

(End of this chapter)