I can see the status bar

Chapter 428 Remote Misleading
The so-called buying horse bones with thousands of dollars, although Sun Hongbin said, "The big deal is to completely overthrow and start over", but experienced medical staff are not so easy to find.Few people were willing to come to the second-class hospital. Now that the carton factory hospital has been acquired as a whole, it will become a private hospital from a public hospital, and even fewer doctors are willing to work.To run a hospital, it is not only important to have expert doctors with high wages, but also the main attending doctor and the higher-level deputy chief physician.

You can't come to see a cold patient and have to be received by the chief physician, right?Even if people have the energy to receive patients, ordinary patients may not necessarily have the financial ability and willingness to sign up for a 100-yuan expert account.

Before the continuous recruitment and training of new people through recruitment to complete the iteration of doctors, if the paper mill hospital wants to maintain the normal functions of a hospital, it has to rely on the existing medical staff.

But this requirement is not easy to achieve.Although Huang Chunhua made countless money by himself, and the consequences of violating the regulations were serious, and even affected the order of normal medical treatment.However, it is a fact that the paper mill hospital has maintained profitability for several years. The medical staff working in the paper mill hospital can still get wages, and even the income is not low.Huang Chunhua's sudden arrest will definitely cause some opinions and even panic among ordinary doctors.To allow them to continue working with peace of mind, Sun Hongbin also needs an iconic figure to stabilize these medical staff and convey a strong message to them-as long as you perform your duties seriously, you will be able to get better results. Previously better career prospects.

Thanks to Director Mei Ying's willingness to agree, otherwise Sun Hongbin would really have a headache about choosing this role model.

Sun Lien was drinking tea silently with his head down, trying to be transparent, but the phone on his body rang relentlessly. Under the watchful eyes of his parents, alumni and senior sisters, Sun Lien answered the phone in a panic.

"Doctor Sun, are you busy?" Yuan Ping'an's voice came from the phone with some embarrassment, "I'm sorry to disturb your rest."

Sun Li'en wanted to laugh inexplicably. He gave Mei Ying an embarrassed look, and then walked out of the room with the phone in his hand, "It's okay, I'm drinking tea at home. What's the matter with Dr. Yuan?"

Yuan Pingan was scratching his hair in the emergency room of the Fourth Hospital. In all fairness, he really didn't want to call Sun Lien.But the reality forced him to call Sun Lien for help.

The second day after Sun Lien started his vacation, an unconscious patient was sent to Ningyuan Fourth Central Hospital.It was only when the emergency room received the doctor that the patient was accompanied by two policemen, and his hands were handcuffed and locked beside the bed, and anklets were also hung on his feet.

Yuan Ping'an recognized the yellow hair at the first sight of the patient. This was Huang Bingxian, the principal culprit of the abominable gang rape case, who brought the Rainbow Seven Brothers to the emergency room of the Fourth Hospital.

Huang Bingxian's consciousness on the hospital bed was very poor, and he could occasionally open his eyes under external stimuli, but that was more like a reflex response to stimuli rather than clear consciousness.

After Huang Bingxian was sent to the Fourth Hospital, Yuan Pingan first organized rescue and hospital consultation.Although the other doctors were a little grudged about coming to consult a criminal who had just scratched a colleague with a knife, but fortunately Sun Lien was not seriously injured, and Dean Song really tolerantly arranged for everyone to "will come for consultation." Just come, and those who don’t want to don’t force it.” Therefore, the consultation and rescue were still smooth.

When Huang Bingxian was admitted to the hospital, he had severe hypoxemia symptoms, and his body temperature was as high as [-] degrees Celsius. X-rays and chest auscultation supported the diagnosis of pneumonia.Because Huang Bingxian was detained in the detention center, and he did not show any serious respiratory symptoms when he rushed to the emergency room of the Fourth Hospital.The diagnostic opinion given by the Department of Respiratory Medicine is to consider Legionella pneumonia - because he has a history of drug abuse, and the HIV quick test was positive, so he considers HIV combined with Legionella pneumonia.

Yuan Pingan treated Huang Bingxian with ciprofloxacin and azithromycin.But the treatment had little effect.Huang Bingxian seemed to be condemned by God, his body temperature was almost stuck above 39.5 degrees Celsius.Even with the support of a ventilator, the blood oxygen saturation is still frighteningly low.Blood tests showed that the white blood cell index in Huang Bingxian's body had reached 18*10 to the [-]th power per liter. Considering Huang Bingxian's dyspnea, this is already a clinically obvious sepsis.

The problem of sepsis is the most intractable and obvious one right now.At the same time, doctors from the Department of Critical Care Medicine recommended dialysis treatment for Huang Bingxian to reduce the level of inflammatory substances and toxic substances in his blood.

For patients with sepsis, controlling the development of infection is the top priority of treatment.But it is obviously not enough to rely on broad-spectrum antibacterial drugs alone-there are at least 19 types of Legionella that can infect humans, and each type of bacteria itself has many strains.They respond differently to antibiotics, and to find out the sensitive antibiotics, a culture test must be carried out.

But the time for the cultivation experiment... is really too long.It grew to the point where Huang Bingxian couldn't afford it at all.On the second day of admission and the third day of Sun Lien's holiday, Yuan Pingan finally couldn't bear it anymore.He made a call to Sun Lien's cell phone and began to seek help from outside the hospital.

"You mean, the patient's reaction to azithromycin and ciprofloxacin is not good?" Sun Lien actually guessed that there must be such a problem, after all, the status bar that appeared on Huang Bingxian's head at that time had already indicated that he was infected with dog bites Capnocytophaga over eighty hours.And the reports of this kind of bacterial infection are really pitiful, even Yuan Ping'an couldn't think of this kind of disease in the first place. "Ciprofloxacin is against gram-negative bacteria. That is, does this suggest that our patients may be infected with gram-positive bacteria?"

"It must be a bacterial infection, otherwise there is no way to explain the high white blood cell index in his body." Yuan Pingan has no objection to Sun Lien's opinion, "But the problem is, if it is not Gram-negative bacteria, then azithromycin should also be effective." yes."

"It's not ineffective, maybe it's just not effective enough. After all, macrolide drugs are mainly used for the treatment of sensitive bacteria." Sun Lien tried his best to divert Yuan Ping'an's attention to the treatment—be sensitive under the current conditions Diagnosis of Capnocellulophilus canis bites, that can only be done with mNGS.Instead of wasting time and energy, it is better to treat it first and then say, "Stop ciprofloxacin and azithromycin, and try cefoperazone and sulbactam sodium instead."

　It's the new year, I wish you all good health, smooth work, peace and prosperity in 2020!
　　
　
(End of this chapter)