Chapter 19: Infection

The doctors looked at the dean not far away, their faces were gloomy, and they couldn't help beating drums in their hearts, and the doctors were like children who had done something wrong, and they didn't dare to look at the dean.

When the woman heard that the director of the hospital was coming, she turned her head to look behind her, put down the middle-aged man in her hand, and walked quickly towards Xiao Zhan.

Seeing the woman's menacing appearance, the surrounding doctors hurriedly stepped forward to stop in front of the dean, for fear that the woman would make drastic moves.

The woman looked at the doctor standing in front of her, and snorted coldly, "Old man, you are the director of this hospital, you come to give me a review, these incompetent doctors in your hospital, such a small operation, my son has been infected, he has been hospitalized for 3 weeks, the high fever does not go away, the leg is suppurated, and he is almost not critically ill." The woman became angrier and angrier, and her voice grew louder and louder, and tears ran down her cheeks, and the voice of grief was unpleasant to hear.

Dean Xiao Zhan looked at the woman's appearance, "I am a doctor and a parent, I can understand your feelings very well." Calm down first, I'll call a few experts from the hospital, let's go and have a look. ”

Gu Fan looked at Dean Xiao next to him, Dean Xiao's words moved Gu Fan very much, as a doctor, he couldn't shirk his responsibility. Sometimes the doctor speaks from the patient's point of view, which is more stable than speaking with a report.

The woman was overjoyed to hear that the dean was going to call the experts. She just wanted to vent her dissatisfaction in the hospital office, so that she could find an authoritative doctor to treat her son, she was not a shrew, she didn't want to be a shrew, but her son's illness forced her to become a shrew.

Gu Yue looked at the woman who was crying silently, took out a tissue from her pocket and carefully handed it to the woman, "Auntie, you wipe your tears." ”

The woman took Gu Yue's tissue, "Thank you, little girl, for making you smile." ”

The woman calmed down and swallowed as if she was about to swallow the tears that were about to flow, "Dean, I am a highly educated person, and I don't want to be a shrew, but the doctors in your hospital forced me to be like this. She pointed to the group of young doctors, "I asked to change the attending doctor, but they were unwilling, saying that this is a trivial matter and there is no need to trouble the chief doctor. If I had known this, I would rather let my son be a wheelchair than be tortured now. ”

Xiao Zhan glared coldly at those young doctors, how he had been young as a doctor and didn't understand their thoughts. These people who have just been engaged in work for a long time are arrogant, and they always think that they will solve and solve problems when they encounter them, and in the end they will only drag the patients more and more seriously, and the more they are treated, the more serious the disease.

Glancing at the nurse beside him, "Call all the experts except for the other chief doctors who have no surgery, who are on duty and on vacation." ”

The nurse looked at the dean with a serious face and shrunk her head, "It's the dean, I'll contact you now." ”

When the woman heard the dean's words, she nodded gratefully, "Thank you, dean." ”

A group of people led by the attending doctor came to the ward.

Walking into the ward, Gu Fan asked a pungent smell of disinfectant water, looking at a teenage boy lying on the hospital bed, his face was pale, his lips were dry, and a young child who should have been vigorous was lying there, hanging saline. He has a tube stuck in his leg and a pump at work pumping concentrated water from the patient's leg into a storage tank. Gu Fanzhi, who was watching, frowned.

Gu Yue looked at the red and white liquid in the jar and felt a little sick to his stomach, and he didn't dare to look at it. Pulled the sleeve of Ragufan's coat, "Why is the wound infected?"

Gu Fan looked at his sister who was shrunk behind him and patted her on the shoulder, "If you're afraid, go out and wait." ”

Gu Yue looked at Gu Fan's gaze and gritted his teeth and shook his head, "No, I'm going to stay here." ”

Looking at his sister's determined gaze, Gu Fan nodded with a smile, "The wound infection is mainly bacterial proliferation. After surgery, if the wound is not disinfected, it is easy to develop wound infection when the surrounding environment is humid and the temperature is suitable. Or failure to pay attention to hygiene after surgery may lead to wound infection. ”

Gu Yue carefully recorded every word Gu Fan said, frowned and asked, "Will the operation cause wound infection?"

Gu Fan looked at his sister and shook his head, "The medical environment used to be poor, but now it won't." ”

"Why?"

Gu Fan pointed to the gloves brought by the nurse, "Now the doctor must be sterilized before entering the operation, wearing sterile gloves on his hands, the surgical gown is disposable, and the head must be hooded to ensure that the operation is carried out in a sterile environment." ”

Gu Yue nodded seriously, "What about the medical equipment?"

"Nowadays, the operating room has to be sterilized several times before surgery, and most of the materials such as scalpels, needles, and threads in the operation are disposable, and they must be processed centrally after use, so there is no problem that surgical instruments are not sterilized. Gu Fan explained to Gu Yue seriously and quietly.

Xiao Zhan walked to the patient's side and looked at the boy lying on the hospital bed, who had no energy due to fever, and a pair of blank eyes, as if he hadn't woken up yet.

The doctor next to him saw Xiao Zhan walking to the patient's side and hurriedly handed over the medical rubber gloves.

Putting on gloves, Xiao Zhan carefully tore off the adhesive tape that was attached to the patient's leg.

Lift the gauze with medical tweezers and look at a small wound, the wound has suppurated, the skin is ulcerated, and the pus and blood are slowly flowing down the calf. Xiao Zhan used tweezers to pinch up the medical cotton and help the patient wipe off the thick water that flowed down.

The attending doctor wanted to go up and help, but was stopped by the woman next to him, "My son doesn't want you as a quack doctor to help." ”

The attending doctor laughed dryly and stood next to him.

Another doctor tried to step forward, but was stopped by the dean waving his hand. "Gu Fan, come and see. ”

Gu Fan patted the back of Gu Yue's hand, which was still grabbing him.

A group of doctors looked at Gu Fan in civilian clothes in surprise, wondering who this young man was and why the dean would ask him to help see patients.

The woman looked at Dean Xiao uneasily, seeing that he did not raise his head, her eyes kept on the patient's wound, and she had to swallow the words that she was about to speak.

A female nurse handed Gu Fan a pair of gloves, and Gu Fan thanked him.

Standing beside Xiao Zhan, Gu Fan took out two tweezers from the tray, one tweezers was sandwiched with gauze, and the other tweezers were gently pressed on the patient's suppuration.

Looking at the pus and blood flowing from the wound, pus accounted for the majority, and the blood was small and light, Gu Fan frowned. Turning his head to see the patient lying there drowsy, he pressed the wound, and the thick water oozed out more, as if the patient was unaware.

Xiao Zhan saw Gu Fan's ugly face, and turned his head to look at the patient, which made Xiao Zhan's heart rise all of a sudden.

The inspection is not over yet, and it may not be what he thinks, Xiao Zhan comforted himself psychologically.

Gu Fan gently slid the forceps along the patient's wound, and his eyes were firmly fixed on the boy's facial expression.

The woman didn't understand why Gu Fan did this, her eyes kept watching Gu Fan's movements, and when she saw Gu Fan pressing her child's wound with tweezers, she almost didn't control herself, and stepped forward to slap Gu Fan.

The woman didn't understand, and how could the other doctors not understand what Gu Fan was doing. The first compression of the patient's wound is carried out to determine the discharge of pus from the wound, and the second compression of the wound is to confirm whether the patient's nerves are simply numb. Slide the forceps slowly along the wound to test whether the nerves around the patient's leg are normal, and if the patient's leg does not respond to the stinging pain, it proves that the nerves around the patient are numb, or they simply die.

The boy's attending doctor saw Gu Fan's operation, and his heart lifted. I kept praying, hoping that the child would respond, and there must be a reaction.

As if the heavens heard his prayer, when Gu Fan's tweezers slid 1 cm to the wound, the child finally reacted, frowning in pain and snorting from his mouth.

Seeing this scene, all the doctors at the scene let out a long breath, okay, okay, maybe it's just nerve numbness.

Gu Fan looked at Dean Xiao who was standing next to him, "You come, or I come." ”

Dean Xiao staggered his position, and the meaning was already obvious.

Gu Fan took out medical scissors from the tray, cut the sutures at the patient's wound, and opened the wound.

Looking at the concentrated water remaining at the opening mouth, Gu Fan turned back to the nurse and ordered, "Take a little hydrogen peroxide and alcohol, and by the way, a syringe." ”

The nurse nodded, turned around and went to the drug dispensing room to prepare.

The woman rubbed her hands together and asked anxiously, "Dean, how is my son?"

Dean Xiao looked at the woman, "Through the preliminary examination, it is only the wound infection, and the specific needs to be further examined by the doctor to make a more accurate judgment." ”

Hearing Dean Xiao's words, the woman's mysterious heart relaxed a little.

Gu Fan picked up the medication record next to him, and while checking it, he reasoned about the pathogenesis of the patient's condition.

At this time, some chief doctors and experts walked in, greeted the dean, and looked at Gu Fan, who was checking the case.

Asked the doctor next to him what happened, through the description of the doctor next to him, the experts all looked at this young man in his early twenties in surprise, they all had the same question in their hearts, where did this young man come from, and why did he get the intimacy of the dean.

The nurse held the tray and put the things that Gu Fan wanted to use on the cabinet.

Gu Yue tiptoed to see that his brother was going to treat the patient's wounds, so he hurriedly pulled the trash can from the ground next to him and squeezed it in.

The surrounding doctors frowned when they saw the little girl's actions, and they were very dissatisfied in their hearts, but the dean was not easy to say here.

Gu Fan watched his sister bring the trash cans and smiled at her, "Go get a pair of gloves and put them on, and help me hold the patient's leg in a while." ”

Gu Yue nodded again and again, regardless of the other doctors around him, he directly put on gloves, did not dislike the patient's legs, and carefully put the patient's legs on his thighs.

Gu Fan stood up, took out a syringe, pulled out a full needle from the hydrogen peroxide bottle, and cleaned the patient's wound little by little. The hydrogen peroxide comes into contact with the patient's necrotic skin and foams profusely, bringing out the pus and blood from the wound. After three times of washing, the pus on the patient's wound has been cleaned up, and the lesions of the wound tissue can be clearly seen.

The wound has ulcerated and there are many places where necrosis can be preliminarily judged. Gu Fan sighed, did a simple disinfection with alcohol, and bandaged the patient again.

The woman watched Gu Fan finish bandaging her son's wound and asked eagerly, "Doctor, how is my son's leg?"

Gu Fan didn't answer, and turned his gaze to Dean Xiao.

Dean Xiao understood what Gu Fan meant, and Gu Fan was asking if he was telling the truth. Dean Xiao turned his head to look at the attending doctor, and finally nodded to Gu Fan.

Dean Xiao's nod this time is a warning to these workers in the hospital, and it is also a consideration of Gu Fan's medical skills.

Gu Fan helped his sister put the patient's leg back on the bed, stood up and looked at the woman. "The patient's surgical incisions were neat and the surgery was very successful. There is no problem with the premedication above. ”

The attending doctor first breathed a sigh of relief when he heard that the operation was successful, but when he heard Gu Fan say that there was no problem with the premedication, his heart twitched. I constantly blamed myself for being too confident in my heart, and some of them hated Gu Fan, and why they only said Gu Fan in the early stage.

"The later medication is too conservative, and when the patient's wound infection is found, anti-infective drugs are not used in time, and the post-treatment is not done in time to replace better antibiotics, and at the same time suppuration and drainage, so that the patient's infection is more serious!"

Hearing Gu Fan's words, the doctors looked at each other, they didn't expect the young man in front of him to speak so mercilessly.

The woman glared at the attending agent fiercely, "Then, how should my son be treated in the future?"

Gu Fan's gaze turned to Dean Xiao again, and when he saw the other party nodding, he continued, "The fastest way is to perform a second operation to remove the necrotic tissue. Oral amoxicillin plus metronidazole, topical bisulfonate methoprim tablets. ”

Hearing Gu Fan say that he was going to have a second operation, the woman looked worriedly at the child lying on the bed. Gritting his teeth, "Is there any other way?"

Gu Fan nodded, "If you treat conservatively, continue to drain, use anti-inflammatory drugs, and at the same time, you need to do bacterial activity culture." ”

The woman gritted her teeth and ninja tears, "How long will it take to treat either of these methods?"

Gu Fan thought for a while, "The first method costs a lot of money, but it has the fastest effect, and it is expected that you can be discharged from the hospital in about a week." The second type has less cost, the patient has been in pain for a long time, do a good job of anti-inflammatory and drainage treatment, and at the same time, after the bacterial culture results come out, a suitable drug is prescribed, and it is expected that the patient can recover in about 15 days. ”

The woman thought that the child would become infected because of the operation, and she was already afraid, afraid that the child would continue to suffer in such pain. "I chose the second option. ”

Gu Yue frowned, "Brother, the patient has a fever of thirty-nine degrees, why don't you take fever-lowering medicine?"

Gu Fan said with a smile, "This is a bacterial infection, and the effect of taking antipyretic drugs is not as good as anti-inflammatory drugs." ”

Gu Yue lowered his head and tried to write down every word of Gu Fan, and when he saw Gu Fan's knee, he suddenly said, "Can that plaster at home be used by the patient?"

Gu Fan just took off a glove, turned his head and looked at his sister in surprise and nodded, "The plaster at home has the effect of anti-disease and anti-inflammatory, and it is indeed suitable for the patient's condition now, but it is made by himself, and it cannot be easily used by the patient without any quasi-font size." ”

Gu Yue pouted and muttered, "What kind of quasi-size, black cat and white cat, what can cure the patient's illness is a good medicine." ”

Hearing Gu Yue's words, Gu Fan just smiled bitterly, and the doctors next to him were shocked that Gu Fan could actually make Chinese medicine ointment, and they were also amused by the naΓ―ve and ignorant Gu Yue.