Those years when I hung up and upgraded in the hospital

Chapter 15: Leading the team in ward rounds (please follow up)

The 3rd bed had an infection on the skin surface and should have been assigned to the dermatology department. However, there was no dermatology department in Lizhen Hospital, but there were many patients in the internal medicine department, so they were assigned to the surgical department for anti-inflammatory injections, and the patients were under the supervision of Peng Qingsong.

The symptoms have been relieved a lot now.

In front of bed 3, Fang Yun changed a pair of gloves, took off the tape and gauze, and exposed the skin on the outside of his right calf. Although there was still redness and swelling, there was almost no leakage, and there was only a slight yellowish stain on the gauze.

"Auntie, judging from your skin condition, the recent itchiness should be much better, right?"

"After being discharged from the hospital, if a similar situation occurs again, you can't scratch it any more."

"There are many bacteria and other microorganisms on the surface of the skin. The skin is a layer of defense. After the skin is broken, if these bacteria and fungi enter the body, wouldn't that mean infection?" Fang Yun explained after reading it.

When he moved in a few days ago, the surface of his skin was red, swollen, broken, and covered in bloody scabs. Compared to the ruddy color it has now, it was terrifying.

"I don't dare anymore, Doctor Fang, thank you."

"If it weren't for you, I would still have to run to the county. Doctor Fang is still capable. The doctors in the internal medicine department said that you can handle a situation like mine. I didn't believe it at first..." The patient in bed 3 was a little uncomfortable. Sorry.

In view of her previous knowledge of the town hospital, the internal medicine doctor suggested that she come to the surgery department to see Dr. Fang Yun. She thought he was dealing with it, but she didn't expect that Fang Yun would handle him better day by day.

"This is what we should do. We will draw blood again tomorrow morning. If the inflammation index is not high, we can be discharged from the hospital tomorrow. After being discharged, we should try to avoid the wound when bathing, and do not go to the fields or fields in the near future. Work at home. When you are alive, you should also avoid sweating and getting wet.”

"Peng Qingsong, bring some oral medicine to Auntie, which is cefuroxime. It should be enough for about five days. It should be enough."

"When changing the dressing today, we will take another bacterial culture and drug sensitivity result. If it is negative again this time, we can theoretically rule out the continued existence of the infection." Fang Yun explained to Peng Qingsong, the doctor in charge of the bed.

Peng Qingsong wrote them all down one by one.

But after turning around and leaving, Fang Yun remembered something again and turned around: "Auntie, when you are itchy in the future, you should use less external hormone medicine. The medicine must be symptomatic to be effective."

"Otherwise, it will make the local skin more sensitive. The medicine cannot be used indiscriminately. Do you know..."

This patient had experienced itching before, and picking it himself was the next best thing.A mess of plasters and hormone medicines were piled up.

If it's a fungal infection, then that's it, but it's not. The therapeutic effect of hormone drugs on bacterial infections is extremely limited. On the contrary, it will reduce the immunity of the local skin, making it easier for bacteria to penetrate deeply.

"Okay, okay, Doctor Fang, if there is a similar situation in the future, I will definitely see the doctor." Apparently she had suffered a lot and had a good memory.

"Yeah, you were hospitalized this time and stayed for such a long time. After the medical insurance reimburses you, the expenses you personally pay are still very small. I seem to remember two days ago that you only need to pay more than 300..." Fang Yunxiao Then he turned around and walked out.

"Yes, times are changing, and everything is slowly getting better." The woman replied with a smile.

……

"Brother Yun, did she really get the infection after taking hormone drugs?" Peng Qingsong asked after going out.

"Hormonal drugs are only inducements. They stimulate the local immune barrier of the skin, making it messy and unsystematic. It scratches the skin, causing holes in the barrier, and bacterial invasion is the direct cause."

"Have you read the two concepts of cause and trigger when you go back? I remember asking you to check it before..." Fang Yun explained.

Peng Qingsong nodded: "I checked."

Song Wu and Xiang Youde also nodded at the same time.

"That's just right. The three of you, when you go to bed 6 later, go through the medical history from the beginning and look for the trigger of his infection, the direct cause, and the existing symptoms. If you can find it, he This infection, you may have some ideas." Fang Yun smiled like this and led a few people to the direction of bed 6.

同时瞥向自己的面板。【医学基础理论：内科学3级、外科学3级、妇产科学2级、儿科学2级、医学综合3级。】

[Medical specialty theory: Infectious Diseases Level 2, Infectious Surgery Level 2...]

There is no useless ability, and there is no useless theory, but theory is not as intuitive and explicit as operation. All your skills, if used in the right place, will be useful unless there are no patients.

In fact, if Fang Yun was willing, he would have been able to enter the internal medicine department of this hospital as a physician.

Can?
Everyone has their own points of interest, and Fang Yun is not a person who only needs porridge if he doesn't have meat.

To be a doctor, you may not necessarily want to be a great doctor, but if you can choose a surgeon that you are more interested in, it is also a relative happiness.

Moreover, Fang Yun also knows that a surgeon's theoretical foundation is equally important.

While Fang Yun was walking and thinking, Song Wu's ouch came from behind, and Fang Yun turned around after hearing the sound.

"what happened to you?"

The short Song Wu was touching his buttocks, unable to express his pain.

The big mole on Xiang Youde's face twitched and he conveyed in a vague way: "Song Wu has hemorrhoids and occasionally smells bad. The two of us prescribed some medicine for him."

Peng Qingsong said rudely: "Brother Yun is so kind to us, but you gossiped and spread rumors in the hospital all the way."

"What do you want to do?"

Song Wu continued to cover his buttocks and smiled apologetically.

There seemed to be three words written all over my face that I had made a mistake.

"The past is in the past. Work hard. Director Chen now is different from Director Zhong before. Director Chen is aggressive, capable and has ideas. Let's do our part first."

"After the bed management work is carried out meticulously and down to the ground, Director Chen will not have the opportunity to find clinical problems. When he is too busy and doesn't know what to do, he will naturally teach us something."

"And under such circumstances, when we ask for advice, Director Chen is also willing to answer."

"Otherwise, Director Chen would have to clean up a lot of bad things in the department. Where would he have so much free time?"

"There are not many patients now, so we have to treat every patient thoroughly."

"There are not many opportunities, but we have more time, which is also an advantage for us. This way we can also grow quickly in other aspects." Fang Yun said to the three of them.

Whether they listen or not is their business, but as a superior, I still have to mention things that should be mentioned.

For hard work, you can only rely on yourself, not through feeding or forcing.

"Brother Yun, we will definitely follow you and work hard." Peng Qingsong was the first to express his stance. He is Fang Yun's absolute little fan, and he is also a little brother with a relatively solid friendship.

Fang Yunze added: "Theories are only non-operational treatments, not non-therapeutic rhetoric. If you can experience the happiness these bring and truly bring beneficial help to patients, you will know It’s good.”

"Go to bed six. Today I will show you how to dismantle a case and how to find flaws..."

(End of this chapter)