Chapter 69: Cephalosporin

Charlotte finished reporting the medical records, looked at the turtle section chief, and smiled faintly: "Please check the instructions for the section chief!"

"Hmm......" Luo Xu nodded coldly, then watched Charlotte untie the patient's clothes, and then began to check.

A few minutes later, Luo Xu raised his head after the examination, and Charlotte quickly pulled down the patient's clothes again. After all, it's only February. Although the indoor air conditioner was on, it was still a little cool. If a person with severe pneumonia catches a cold, it may get worse again at some point.

Just about to help the patient button his coat, the family member next to him quickly stretched out his hand to button the patient's clothes, and said with a smile: "Husband Xia, I'll do it, you will do it!" Charlotte smiled and withdrew her hand, waiting for Luo Xu to give instructions to the patient.

Seeing that his family was so polite to Charlotte, Luo Xu's heart was a little uncomfortable. The family just said a word to themselves, but they were very enthusiastic about Charlotte. Maybe I'm not as good as an ordinary husband as a director?

Speaking of which, Luo Xu is also pitiful. When I was studying for a doctorate abroad, I have been following my supervisor. In the face of the reprimand of his mentor, he was just a nono, and no one took him seriously, which made him feel inferior for two years. After returning to China this time, I used her title of emergency husband and her uncle's help to mix the title of deputy head of the emergency department of the second hospital.

Thinking of his mentor's style in the hospital, this Luo Xu felt itchy in his heart, well, he also turned over, he was thirty years old, and he was mixed with the deputy head of the provincial hospital, which is really rare. Since then, Luo Xu has admitted that there are no tigers in China, and he, Dr. returnee, can also be a bully.

Today, the slave turned over and became the section chief, so Luo wiped his head with gel water before going to work, and finished the myopia laser surgery for the eyes. He also wore a pair of flat designer gold wire glasses and dressed as a director.

This time I became a slave, and my mood changed all of a sudden, I felt that my tail was up to the sky, and my eyes were blank, so as soon as I entered the department, my nostrils were facing the sky, and I worked hard as a director.

He stood in front of the bed, in the style of a foreign tutor, and waited for Charlotte, who was standing opposite, to dress his patient, and waited until she didn't see Charlotte move. When she was in the formation, she felt that the director didn't take it seriously, so she was reprimanded by Charlotte for a while.

It turned out that Charlotte looked much more respectful after a period of training, and she was relieved. But the patient's family was more enthusiastic about his husband than he was as a section chief, which made him uncomfortable.

This Luo Xu didn't want to think about it. People greet him warmly, he just snorts, and they will put a hot face against your cold ass, Charlotte has taken care of this patient a lot these days, and everyone must be very enthusiastic about Charlotte.

It's just that this Luo Xu is not easy to attack at the moment. He had no choice but to give Charlotte a sigh of relief, showing his authority in front of the patient's family, and reprimanding Charlotte: "What's wrong with you, the patient has been in for a few days. There are still so many voices in the lungs. Antibiotics are used at low levels, so how can patients get better? How can they be husbands?"

Hearing this Luo Xu's reprimand, everyone was stunned, and An Ling, who followed behind Yan Zhenzhen, frowned, how could Luo Xu talk like this, even if Xia Luo didn't use the right medicine, but he could only make suggestions or criticize and communicate in private, how could he reprimand his husband in front of the patient for using the medicine so problematicly, if the patient found a hospital because of this, it would be a big trouble! In addition, according to the patient's condition, there is nothing wrong with taking this medicine, and there is also a problem!

But he is not the kind of person with a fiery personality, although with his ability, in the face of the vexatious troubles of his superiors' husbands, he does not need to give in to the other party, but in front of the patient, he still maintains the due restraint, continues to maintain a faint smile on his face, and does not speak.

However, the husbands next to him were also a little angry, this was really too much, although he was the vice captain, but what qualifications did he have to put on such a shelf, with a look of disdain and arrogance, even Captain Wu had never reprimanded his subordinate husbands for such a reason. However, they did not dare to show it, otherwise, there would be no need for the turtle to burn itself.

But they admired Charlotte's self-cultivation. Although they didn't know the background behind Charlotte, they all saw something in Xu, the deputy director of the prison. At the same time, I also vaguely heard the rumor of Section Chief Wu, Xia Luo will soon be transferred from the emergency department to strive for promotion, a position that seems to never be lower.

With Charlotte's current situation, there is no need to be afraid of the other party, but seeing Charlotte's somewhat unimpressed look, she secretly praised herself. If she showed dissatisfaction with the vice-captain at this time, or even contradicted herself, then the scene would be too embarrassing, and her husband's image and majesty in front of the patients would be completely destroyed. If it gets out, the entire Second Annexary will be ridiculed.

It is said that Charlotte calmly unbuttoned the patient's clothes and asked Comrade Luo Xu, the director of the turtle, to examine the patient. Looking at the turtle, he gently lowered his head and looked at the chest of the old lady on the bed. Then he touched the beating of the tip of the heart at the bottom of the withered and drooping ** with his hands, stretched out his hands, gently clasped the heart at the heart, and then picked up the stethoscope and listened in the position of the five heart valves.

Looking at Director Turtle's neat approach, Charlotte sighed in her heart: Luo Xu still has some skills, and the diagnostic methods of seeing, touching, knocking, and listening to the heart are really up to standard, but I don't know if the clinical experience is enough for people to agree.

After Luo Xu listened to his heartbeat for a few minutes, he looked at the monitor next to the bed, and then looked up and asked Han Ling, "What is the patient's current sodium nitroprusside drops?"

"10 drops per minute!" replied Han Ling cleanly.

"Speeding up the number of nitroprusside drops, the patient's blood pressure is now tolerable. It was enough to control her blood pressure to 90/60mmh!"

Charlotte looked at the patient's blood pressure and now maintained it at around 95/65mmh. Even if you adjust the nitroprusside again, you can increase it up to 11 drops/min, and that's it. The effect of this drop has little effect. If you adjust again, it's purely taking off your pants and farting.

It seems that this, in foreign countries, is to practice some operational things, and I am not very proficient in clinical practice. Yan Han seemed to see the bottom of Director Turtle, but she knew it very well in her heart. She didn't ask the question, but quickly agreed. Anyway, it's good to adjust. He is a director. As long as it doesn't affect the condition, listen to him.

Seeing that Yan Han nodded in agreement. The Tortoise Section Chief nodded, and was about to turn around and leave to see another patient. Suddenly, a strange look flashed into his eyes, and he quickly coughed again: "Hmm... There is also the need for patients to strengthen anti-infective therapy, and cefoperazone sodium is not effective. Replace it with Ke Fulong!"

"Uh......" An Ling was obviously stunned when he heard this, Daoan patients have been using cefoperazone sodium very well in the past three days. The infection is also well controlled. Why do you suddenly want to change the dressing? This gram is also the third generation of cephalosporin. The Second Affiliated Hospital has just come in, although it is imported. May be stronger than cefoperazone sodium, but not much. Is this popular abroad?

But she didn't think much of it. The captain's order, this is still easy to execute, and he quickly nodded in agreement! The chief of the turtle section nodded with satisfaction, and then turned around and walked towards bed 29.

Bed 29 is Charlotte's patient. Seeing Charlotte and a large group of husbands coming, the family smiled from afar: "Husband Xia, I'm here to check, and now I'm going to trouble you!"

Charlotte nodded and smiled, and then motioned to the family, "This is our section chief, and I'm here to check on your father!" Charlotte stepped back. Let Luo Xu take a step forward.

Ward rounds are all the way according to the bed number. First of all, there are 30 critically ill patients with coronary heart disease in the intensive care unit, all of whom are patients from Hanling.

Next to the family is a 60-year-old man. Seeing a lot of husbands coming in, he quickly brushed his clothes twice, stood up awkwardly, and looked at his husband with a smile.

Han Ling smiled and introduced to the old man: "Yan Zhenzhen, this is our section chief, and we have come to see Auntie!"

Yan Zhen is really a countryman. When he heard that the director came to see the old woman, he quickly smiled respectfully at Luo Xu and whispered, "Please ask the director!"

Luo Xu nodded lightly to Yan Zhenzhen: "Well......" is really enough for the section chief, and then said to Han Ling: "You are a bed doctor, report the medical records first!"

They soon stood by the bedside and listened intently to Han Ling's report. Fortunately, the husband of the second annex still has two brushes. Although they don't have medical records, their patients are still very familiar.

Han Ling cleared his throat slightly, and then reported: "Patient Li Qinglian, female, 65 years old, was admitted to the hospital with the main complaint of "chest tightness and shortness of breath after 5 months of repeated activities". Physical examination T: 36.4, P: 64 times/min, R: 28 times/min, BP: 140/80mmhg. Conscious, soft neck, slightly dilated jugular veins, no swelling of the thyroid gland. Barrel-shaped thoracic with widening of the intercostal space. The clean sound is retained. Breath sounds are low in both lungs, and moderate wet and dry radish sounds may be heard at the base of the lungs. Heart rate 94 beats per minute, normal, A2P2, no pathological murmur and pleural friction rub. Soft abdomen, no tenderness, rebound pain, unpalpated liver and spleen, Murph disease (-). There is no edema in both lower extremities. ”

"There is a history of coronary heart disease for 10 years, a history of chronic bronchitis for 12 years, and no history of drug allergies!"

Related tests, ECG: sinus rhythm, consider ST-segment changes in myocardial ischemia, chest x-ray: chronic bronchitis, emphysema, color Doppler echocardiography: ventricular enlargement, consider coronary artery disease!

According to the above examinations, he was diagnosed with coronary heart disease, myocardial ischemia, cardiac function grade 3, chronic bronchitis, and emphysema.

Oxygen, nitroprusside dilation of coronary arteries, digoxin cardiotonics, furosemide diuresis, and cefoperazone sodium anti-infection were all treated symptomatically. After three days of treatment, the patient's condition improved, and the chest tightness and shortness of breath were significantly relieved. “

After that, he smiled and said to Luo Xu: "Please ask the section chief to examine the patient and guide the next treatment!"

Han Ling was very satisfied with the treatment effect of this patient, and she thought that Luo Xu should find fault.

Na Luo Xu nodded, walked to the patient's bedside, and did not look back. He stretched out his hand to Han Ling behind him. An Ling was stunned for a moment, and then reacted. He quickly handed over the stethoscope.

Luo Xu took the stethoscope handed over by Han Ling and stood quietly, as if waiting for something. However, after waiting for two seconds, he suddenly raised his head with a frown and stared coldly at Charlotte, who was standing across the bed: "What are you doing here? Why are you so stupid? Don't untie the patient's clothes!"

Charlotte was scolded. After she reacted, she smiled lightly and opened the patient's clothes for Luo Xu to check.

Luo Xu saw a faint smile on Charlotte Mingjun's face. Charlotte doesn't seem to show the respect she deserves. She was very dissatisfied and screamed, "If you want to learn something, you must take the initiative." What else can I learn if I remind you of all these things?"

Hearing Luo Xu's two lessons, Charlotte frowned slightly. Ever since he went to the Second Affiliated Hospital, who had embarrassed him so much in front of so many people, especially since he was getting more and more famous and capable, and who dared to embarrass him now! Even when the dean saw him, he was very kind, let alone others.

For these details. Charlotte still attaches great importance to it. Although he didn't need to avoid Luo Xu, after all, he was now the deputy head of the emergency department and his superior husband, representing the face of the department and the hospital. Even if he reprimands himself in front of others, he will not do private things for these reasons. Make a funny joke against the husband of the superior.

After all, for some personal problems and superior husbands. In particular, the section chief confronts patients on the ground, which is extremely taboo in all hospitals. Because the hierarchy of the hospital is extremely strict, it is useless to fight!

Especially the boss, he must not be lazy, so a group of husbands in the emergency department, although they heard these words extremely harshly, had to respond with a red face, saying that they studied hard and would not lose the face of Annex 2.

Charlotte stood on the last edge. I guess Luo Xu can't see herself, so she doesn't bother to pull her face and listen to the other party's nonsense. She clapped her hands behind her, dealing with the past.

And the deputy section chief standing in front of Wu heard him say this, and he also felt that this was a bit arrogant, and those who could stand here were basically one of the first aid elites in China, and this baby had been abroad for several years, and he didn't remember his last name anymore.

Although she also dislikes it, as the head of a high-ranking department, she will not refute the face of her deputy at this time. Besides, as soon as this little turtle goes home, he can sneak into the Second Affiliated Hospital as the deputy section chief. I'm afraid that there are some positions, and it's not good to offend him casually. How can he be arrogant? As long as there is no problem with medical care and things are not excessive, he is too lazy to care about him.

Section Chief Wu thought for a while and concluded with a smile: "Section Chief has just returned from abroad and is very responsible. Then everyone cooperated with the section chief to do a good job in the future internal medicine work, and learned more from the director. It's time to go to work, everyone is gone, go back to the office and prepare for the shift!"

With Section Chief Wu's words, the colleagues and nurses in the surgery department quickly dispersed. Everyone is an old colleague who has worked for many years, and I have never seen such a leader. This turtle director is really disgusting. I had a bad stomach and rushed to the bathroom early.

Only a few husbands stayed in the office with bitter faces one by one, unable to escape. They secretly thought that there were such masters in the stall, and I was afraid that we might not be so easy to deal with in the future.

The surgical colleagues who returned to the surgical office were happy one by one. Fortunately, Section Chief Wu placed him in the Department of Internal Medicine. If he is allowed to operate, I don't know how unlucky I am!

After everyone left, the husbands had no choice but to stay in the office. Continue listening to the lecture of the turtle director. This time the section chief was bluffing, telling all the husbands in a serious way that they would give him the critical illness records for examination.

The four husbands in the emergency department have bitter faces one by one. Carefully move his key medical records and ask this Luo Xu to check.

The medical records have been moved. Afraid that there would not be ten copies, Luo Xu gently helped his gold-wire glasses, flipped them over twice at random, then looked up at several husbands, and whispered: "Go to the ward first, I'll look at the medical records first, and I'll tell you about their condition later!" "Oh, okay, take your time with the section chief, then let's go to the ward check first!" Han Ling is the oldest of several husbands. So she smiled and agreed to Luo Xu. Then I hurried out of the office with Charlotte and the four of them. Out of the office door, everyone breathed a sigh of relief. Director Turtle is really hard to like.

The four men stood outside the office, staring at each other. Together, they let out a long sigh and prayed for the tragic days to come. They shook their heads helplessly and hurriedly went to check the room. If the action is slow. And if you mess with the deputy section chief, there will be some minor troubles.

Wait for a few people to check the room. Back in the office, there was no movement in the past, and they all quietly opened the patient's medical orders today, and then only a few critical patient medical records in Luo Xu's hand were not processed.

Luo Xu carefully checked the several medical records in his hand, looked up at her husband who was looking at him, or looked at the medical records in his hand. There was an invisible complacency on his face, and he whispered, "These patients, please check the room with me again, and then I will give you some advice!"

They had just checked the room again, but this Luo Xu had to check again, and they had to say yes quickly. After all, as the deputy section chief, he has the responsibility and right to lead her husband on ward rounds, especially for critically ill patients. If he wants, he will take someone to check three or four times a day, and no one can say anything about him. Even if he said it, he could only say that he was responsible and responsible.

Now that the thing is done, both of them are relaxed. It's time to move on to enjoying the big meal. Charlotte really felt that the meal was very pleasant, not only with the food in front of her, but also with beautiful women, alas...... It's a rare treat.

And the waiter saw that the foie gras of the two was almost used, so he hurriedly sent onion soup, followed by mushroom snails, Marseille fish soup... It's not so good after eating Charlotte.

Lian Chaoqi's meal was not large, but Xia Luo's sweet appearance brought out her amount of food, and both of them were full. Finally, she picked up a cup of coffee and savored it slowly.

Charlotte took a soft sip of her coffee. Through the scorching air, Charlotte looked at the comfortable and relaxed smile on the dignified and beautiful cheeks opposite, and her heart was inexplicably moved. She smiled faintly: "Lian Chaoqi, don't keep a straight face." You're really pleasing to the eye right now, so much cuter than your usual cold look. ”