Back in 2002 as a doctor

I have seen a lot of similar things, and it has long been no surprise.

"Why are you in the obstetrics department?" Zhou Congwen asked.

"Isn't this the daughter-in-law who gave birth to a child? After giving birth, she did a DNA test and found that the child belongs to her son. The generation is a mess. In short, it doesn't matter if you call yourself your own." Deng Ming said.

Chapter 1042 Awesome laboratory doctor

"There are bad people everywhere, but it's just an exception." Huang Lao ate his dumplings and sipped his wine, happily.

"Why did they go to the hospital to fight?" Zhou Congwen asked.

Deng Ming glanced at Zhou Congwen, and Zhou Congwen smiled slightly, needless to say why he went to the hospital.

"These gossips are seldom contacted and passed on by word of mouth. No one remembers what happened in the end. They only perceive the darkness of human nature and feel that the future is not bright at all. But people are divided into three or six grades, and there are three levels of flesh and blood. There are still many good people." Huang Lao began to preach again.

Zhou Congwen and Deng Ming nodded in unison, cute and docile.

But the boss seemed to be enjoying his meal, and he forgot about the lecture when he turned his head. He took a sip of his wine, pondered it for at least 5 seconds, and then said.

"Going to the front line, I met someone from Xiehe and heard him talk about a laboratory doctor in Xiehe."

"Examination?" Zhou Congwen was taken aback.

If the boss said that he met a big cow in epidemiology, he could still understand what the hell the laboratory was.

"Every detail may be outstanding, the most important thing is your own attitude and the spirit of research." Huang Laodao, "He told two gossips. The first one is that a patient who was visiting a doctor in another city was infected with methicillin-resistant golden yellow all over his body. Staphylococcus little boy."

Zhou Congwen frowned, the child must be in trouble.

Although the boss took it out as a gossip, the final outcome should be good, but the disease itself is extremely serious, and even Zhou Congwen finds it difficult.

Since the advent of penicillin in the 40s, infectious diseases caused by Staphylococcus aureus have been largely controlled.

However, with the widespread use of penicillin, some Staphylococcus aureus produce penicillinase, which can hydrolyze the β-lactam ring, showing resistance to penicillin.

Scientists have developed a new semi-synthetic penicillin, methicillin, which is resistant to penicillinase.

After it was applied clinically in 1959, it effectively controlled the infection of the enzyme-producing strain of Staphylococcus aureus, but Jevons in the UK discovered methicillin-resistant Staphylococcus aureus for the first time, which is the kind of bacteria that his boss said the little boy was infected with. .

"I used a lot of antibiotics in the outer hospital, but it didn't work. The patient was getting heavier and heavier. In the end, I couldn't come to Xiehe for medical treatment. I was admitted to the hospital, and I had already left work after completing the procedures. The doctor did a physical examination and found a small pustule on the back. "

If it is a general hospital, or according to the normal diagnosis and treatment process, whether it is blood culture, sputum culture, or the liquid in the pustule to be cultured, it will take at least 5 days to identify the pathogenic bacteria.

A little later, each process is slightly slower, and it is normal to get the results in 7-10 days.

After all, how many specimens are received by the laboratory of Xiehe every day!

The specimens of this little boy from other places were sent over and mixed in, it was just an ordinary inspection.

This matter is very troublesome, Zhou Congwen knows.

"At that time, the professor leading the respiratory department was the one I met this time and immediately called Dr. Wang in the laboratory department. Dr. Wang rushed to the ward immediately, took pus and inoculated it next to the bed, and checked it."

Hearing what their boss said, Zhou Congwen and Deng Ming raised their right hands and gave thumbs up at the same time.

Bedside vaccination is not a clinical routine, and even doctors who dare to do so must have extremely strong confidence in their own technical level.

The Department of Respiratory Internal Medicine asked acquaintances from the Laboratory Department to skip the long-term bacterial culture, find the pathogenic bacteria as quickly as possible, and then prescribe the right medicine to see if the patient can be pulled back from the ghost gate... the bridge of Naihe.

But bedside training is extremely difficult, and there are really not many people who can do it.

"One hour later, Dr. Wang judged that it was a G+ coccus, which was the same as the result given by the final blood culture."

"Awesome!" Zhou Congwen praised, "Xiehe is really awesome!"

"Hehe." Huang Lao smiled faintly, "The matter is not over yet, what are you in a hurry for?"

"There are subtypes under G+ cocci!" Zhou Congwen was stunned after hearing what his boss said.If it is an ordinary G+ coccus, it is almost enough to do this step.

If there are subtypes, it will be more difficult to treat, no wonder the boss will remember.

"The medication was modified that day, and after the blood culture and drug sensitivity test came back, the medication was adjusted according to the drug sensitivity test, but the result was still useless. Zhou Congwen, what would you do at this time?"

"Look for Dr. Wang from the Laboratory Department, and continue to search." Zhou Congwen said with certainty, "There are 34 types of Gram-positive bacteria, and I can rule out 12 types now. Next, let's find a needle in a haystack."

"Dr. Wang continued to check for several days, and finally found that it was methicillin-resistant Staphylococcus aureus with Panton-Valentine leukocidin."

"The case fatality rate of this kind of infection is extremely high, and it is estimated to reach more than 90% worldwide. Even in Xiehe, the case fatality rate is at least 50%, depending on the patient's physical condition and how long it has been delayed in other hospitals."

Zhou Congwen nodded.

The boss said it simply, but in Zhou Congwen's eyes, the whole diagnosis and treatment process of this case was extremely exciting, no worse than the small incision one-stop coronary artery bypass surgery.

It's just that this kind of work is behind the scenes. The doctors in the laboratory seldom deal with patients and their families. Except for the front-line clinicians, no one knows her name.

"It's a coincidence. Didn't the people in Xiehe say that Dr. Wang is amazing." Huang Lao Youyou said, "I happened to meet a difficult patient in Tangshan Hospital."

"Did something go wrong after the hormone shock?" Zhou Congwen asked.

"En." Huang Lao responded, "After the hormone shock treatment, the lungs were severely infected, and the imaging was in a mess. The doctors who went to Tangshan Hospital to support were mainly from the Department of Respiratory Medicine, and they were all first-line elites. That's all."

"I tried to ask, but Dr. Wang came to Tangshan to help. After culture, testing, and inspection, it was confirmed that it was Aspergillus combined with Nocardia infection."

Nocardia!

Zhou Congwen felt admiration after being surprised.

Although this kind of bacteria is spread around the world, it is rare in China.To be able to accurately determine that it is Nocardia, this Dr. Wang is really very good.

"Later, with the assistance of Dr. Wang, we continued to adjust the medication, and we conducted seven large consultations alone."

"And then, was he discharged from the hospital?" Zhou Congwen asked.

"What are you thinking, Nocardia infection, how can it be so easy to leave the hospital." Huang Lao said, "But the condition is stable, and in half a year to a year, it is estimated that I can leave the hospital."

"Hahaha, boss, you're envious!" Zhou Congwen laughed after seeing his boss's mouth curled up.

"The strength of our laboratory department is still slightly weaker than that of Xiehe. If there is Dr. Wang in the medical team, it will be like a tiger with wings, like a tiger with wings." Huang Lao said.

"You want to put everything in your bowl, you are thinking of a small farmer." Mr. Huang's lover tapped his wine cup with chopsticks, "Don't try to pretend to be pitiful and drink more wine."

Chapter 1043 Microecology

"Boss, you should know him." Zhou Congwen said a nonsensical remark, very bluntly diverting the words that his wife taught the boss.

"She's too young, I didn't know her before." Huang Lao said, "She's a little older than you, and she's still a little doctor."

As he spoke, Mr. Huang glanced at Zhou Congwen.

Not yet 30? !Can you win the favor of the boss in the laboratory? !

Zhou Congwen knew why the boss wanted to talk about it, and it had something to do with beating himself.

"Boss, there are too many talented people out there, I know that." Zhou Congwen replied honestly, "I just told my wife that I must be holding my tail tight."

"I know, I didn't mean to hit you." Huang Lao said leisurely, "Why do you have persecution paranoia?"

Zhou Congwen saw that his boss denied it categorically, he laughed, knowing that he should have passed the test today.

"Although Dr. Wang is young, people in Xiehe are very optimistic about her future in private, and have given her a nickname - Li Changyu of the Microbiology World."

"How about I go for the test too? I should be as good as Dr. Wang." Zhou Congwen made a joke that was not funny.

"You're not good at that." Huang Lao said, "Learning is vast. If you can understand the study of cardiothoracic surgery, you are considered a Buddha of ten thousand families. Surgery is not performed by one person, nor is one person to fight battles."

"The boss taught me the lesson, I will remember it." Zhou Congwen lowered his head to eat the dumplings.

"I chatted with Dr. Wang for a few words, and she actually did research on Trichomonas sickle, which surprised me."

"Trichomonas sickle? What is that?" Deng Ming was startled.

Even the old clinical director didn't know the existence of Trichomonas falciparum.

Huang Lao didn't explain, but looked at Zhou Congwen and asked, "Zhou Congwen, what do you think about what I just said?"

"Team!" Zhou Congwen said without hesitation.

Mr. Huang was very pleased with Zhou Congwen's answer, and nodded slightly.

"Boss, you really have to rest assured." Zhou Congwen said, "I won the number one in the world, which is actually an honor, not even an honor, and I won't be dragged down by it.

Hospitals and doctors are a system in themselves.

I know that you are worried about leaving me in the Second Hospital of Medical University, because the various conditions there are much worse than our 912, and the results are later. "

Deng Ming had a serious expression, and Huang Lao picked up the wine glass and drank half of it.

"The core content of the Academician Workstation is to promote thoracoscopic surgery, and the basic operation is wedge resection of small pulmonary nodules. As for your recommendation of me to participate in the World Cardiothoracic Surgery Competition, you did not expect me to win the ranking the first time. He is familiar with the judges and the top doctors in the world, and we will talk about it when we return to 912."

"Hey, I didn't expect that." Zhou Congwen looked at his boss with some complacency.

"Well, I didn't expect that your ability is stronger than I imagined." Elder Huang replied frankly.

"But I need a team." Zhou Congwen said, "Now the surgical team is basically formed, and all kinds of people are still available. As for the Dr. Wang in the laboratory department you mentioned, I dare not think about it."

"I understand that whether you are in the Second Hospital of Medical University or return to our 912, or go to other hospitals in the future, you will judge the situation."

What Zhou Congwen said was the truth.

Can the surgeon do the surgery?

joke.

Three points of medical treatment, seven points of nursing care, this sentence has been rotten in clinical practice, but it is the truth.

In the future, there will be a top private hospital in Imperial City - United Family Hospital.

In order to build this top-notch private hospital, the management spared no expense to recruit a lot of talented people.

For example, Li Shujun, director of surgery at United Family, was the director of the Department of Transplantation at Southwestern Medical Center before being introduced to United Family, specializing in liver transplantation.

But after going to United Family, there is no support from other departments, no patients, and few liver-related surgeries.

Stronger than the director of the Transplantation Department of the Southwestern Medical Center in the United States, without the support of other departments, he also has a dragon-slaying stunt but has nowhere to display it.

In the end, United Family still focused on obstetrics and gynecology, focusing on midwifery, and turned it into a high-end delivery room.

"I've always emphasized microecology." Mr. Huang didn't know that Zhou Congwen was thinking about the director of the transplant department of Southwestern Medical Center in the United States a few years later. He said lightly, "A department and a medical group are all microecology. The upper limit that can be achieved , not only depends on your level, but also on other people's level."

Zhou Congwen nagged in his heart, that's not the reason why your old man always instills values.

But this cannot be said, Zhou Congwen can only slander in private.

"This is just one of them, and the other is the recognition of the network in the medical circle and the patients."

When Mr. Huang mentioned this, the chatterbox opened up, and he pointed out Jiangshan, talking with great interest.

Just two hours passed.

The boss can talk too much, the key is that he stood in 2003, but he seems to be looking back from 2033.Many things are like looking back, with extremely strong forward-looking.

Although as long as the proposition is to tell Zhou Congwen the importance of the team, the topic has gone off track, and it is more about the prospect of the future of medical care.

Zhou Congwen knew that his boss was on the front line, but he still did some sorting out of cardiothoracic surgery.

This kind of ability is very strong, Zhou Congwen knows that he does not have it.

Because the system only strengthens and strengthens itself for specific diseases, and there are no quantitative indicators for construction, management, coordination and other capabilities.

The boss is still the boss, not only in surgery, not only in diagnosis, but also in these invisible and intangible places.

"Boss, it's getting late. Zhou Congwen and I will leave first." Seeing that it was already [-]:[-] p.m., Deng Ming wanted to leave.

"Go, I'll wash up and meditate, and I'm going to sleep." Elder Huang didn't hold back, and waved his hand.

"Boss, mistress, go to bed early." Zhou Congwen showed extreme gentleness, courtesy and thrift in the boss's house, looking like a good boy.

After leaving the boss's house, Zhou Congwen took a deep breath and then relaxed.

"Zhou Congwen, you are really slippery."

After going out, Deng Ming said with a smile.

"Director Deng, look at what you said."

"The truth." Deng Ming said, "Do you know why the boss asked you to talk about things?"

"It's not number one in the world yet."

"No." Deng Ming said, "It's mainly about you sending your old director into the bureau."

Zhou Congwen was taken aback, the grievances between him and Wang Chengfa were justified from his point of view, and Zhou Congwen never thought that the little things in Jianghai City would be able to fall into the eyes of the boss.Besides, my wife just said that this should be done.

"It's not too much, and the boss admits this. Don't think about it, the boss won't worry about your retaliation. If you really have the ability to bite back, the boss may be very happy." Deng Ming said, "The boss is worried that you are too arrogant , make many enemies."