Chapter 284: Brewing (1)
On the other side of the world, at 19:38 p.m., in a county hospital in Hubei Province, China.
Yuan Zhengming frowned and looked a little impatient, and Ms. Ye opposite him kept blocking him from leaving, unless he agreed to her request.
"Ms. Ye, I'm the doctor, I know what to do."
Yuan Zhengming barely suppressed his impatience and explained to the woman.
"But, Dr. Yuan, my daughter can't do it without infusion, I've been taking this medicine for four or five days, and it has no effect at all."
Ms. Ye was worried, and her face was full of worries about her daughter.
"Infusion is not the key to solving the problem, you just have a little cold, where can you use infusion."
"But I used to go to other hospitals for infusions, and it got better soon."
Ms. Ye looked incredulous.
Yuan Zhengming knew that what Ms. Ye said was good, maybe except for him, a person with a conscience, most hospitals across the country are like that, as soon as there is a cold and fever, let the patient be infusion, which is indeed in line with the economic interests of the hospital, but it is not a good thing for the patient.
What's even more terrifying is that many patients don't understand medical knowledge at all, and just see that the infusion is good and fast, they think that the infusion is a good thing, but they don't see the horror behind it, and they think that the infusion is good because the doctor is skilled.
The abuse of antibiotics is almost out of control across the country, and although the government has successively introduced policies to promote the rational use of antibiotics, it is basically ineffective at the grassroots level, except for some large hospitals that have slightly converged.
Yuan Zhengming knows that on the one hand, the patients themselves lack relevant knowledge, and the second is also the interests of the patients, just like the small hospital in their county, the equipment can't keep up, so they have to use their brains in prescribing drugs. An infusion costs forty or fifty yuan, five or six times to say less 200 yuan, and injections and medicines are much less.
How to choose a doctor naturally understands.
However, Yuan Zhengming's conscience has not been extinguished, and he understands that the misuse of antibiotics is definitely not a good thing for both the individual patient and the rest of the people. It's a pity that often this kind of practice is done. However, it is not understood by the patient, and it may even attract scolding.
This Ms. Ye can still beg kindly, which is already very good.
"Alas, if you insist on it......"
Looking at Ms. Ye's pleading gaze, Yuan Zhengming's heart softened, and then he thought of something again, and said strongly: "If you insist on doing this, you can transfer your daughter to another hospital." ”
“……”
Ignoring Ms. Ye, who was stunned, Yuan Zhengming walked towards the duty room.
"Dr. Yuan. Dr. Yuen ......"
The nurse, panting, hurried down the hallway.
"What's wrong?"
Yuan Zhengming was not in a hurry, and after the nurse took a breath, the little woman with a flushed face said: "Emergency room, the emergency room will let you hurry over." ”
"What's wrong?"
Yuan Zhengming didn't delay any longer when he heard this, and strode towards the elevator.
The little nurse followed closely behind Yuan Zhengming and said, "There is a patient who has just been delivered, who has been fever, nausea, headache, vomiting ....... ”
Get out of the elevator. Yuan Zhengming quickly changed into his hand clothes and pushed open the door of the emergency room, and was taken aback.
Accident and Emergency Room. Several nurses stood to the side, bewildered, and a man lying on the ground was vomiting brown bloody vomit on the ground, the smell was almost unbearable.
"What are you still doing?"
Yuan Zhengming scolded, which startled several nurses. Hurriedly stepped forward to help the man up.
stepped forward and quickly checked the delirious man, Yuan Zhengming's face changed slightly, and asked the nurse to send the patient to the ICU for rehydration first. Further tests are done.
"Is it an intestinal infection?"
In a low voice, Yuan Zhengming turned his head to look at the waiting nurses, "Inform Liu Ye, and the nurses who sent people in just now will all be disinfected after they come out." ”
"Yes."
Hearing the order, the little nurse hurried over.
A few hours later, Yuan Zhengming, who thought it was Escherichia coli poisoning, was shocked to learn that gentamicin did not work, and the patient was still in a state of vomiting, fever, and blood in the stool, which made the ICU foul smell.
"Did you take the rest of the medicine?"
"No, chloramphenicol has no effect, and as for the rest, I don't dare to use it yet."
Liu Ye shook his head.
Indeed, if it is Escherichia coli poisoning, choosing an inappropriate antibiotic may increase the chance of developing hemolytic uremic syndrome, and Liu Ye cannot take this risk.
Yuan Zhengming knew that Liu Ye did not dare to take risks, so he immediately rejected his idea: "Try the rest of the antibiotics, and then carry out vomiting and gastric lavage preparation......"
"This ...... All right. ”
Liu Ye thought about it, understood, nodded and left.
Sitting in the office, Yuan Zhengming pinched his chin and was silent, for some reason, he always felt a little uneasy in his heart, but where did this uneasiness come from, he thought about it carefully, but did not find the source.
"Alas, I seem to be too tired lately."
Rubbing his temples, Yuan Zhengming sighed, and suddenly remembered his son who was still in college, that stinky boy, although he was very unhappy before, but now he is not bad, and he was admitted to a good university.
Idle and bored, Yuan Zhengming casually turned on the TV in the office, which happened to broadcast CCTV's evening replay news.
“…… According to the reporter's understanding, the advent of this new antibiotic has also been unanimously agreed by the FDA expert committee, and the production of Andres Pharmaceutical Production Base will be put into production as soon as late January next year, so that this new antibiotic can enter our lives. Here CCTV, I'm reporter Zhang Lei, reporting for you in Los Angeles. ”
"THE NEW ANTIBIOTIC ANDEXA?"
Yuan Zhengming's frowning brows relaxed slightly, but he knew a good news.
The launch of new antibiotics is a good thing for people around the world, and with the current grim situation, from 2011 to 2013, the FDA approved only three new antibiotics, and what is even more frightening is that since the late 1980s, there have been no new types of major antibiotics available.
Those pharmaceutical companies are putting their energies all in the way of profitability. And ignoring antibiotics, which are less profitable and difficult to develop, is not a good thing.
But a new type of antibiotic shouldn't be in the news?
Thinking of this, Yuan Zhengming clicked on the computer and went to the Internet to find information about this new antibiotic. Only then did I understand that it was the Obama administration's support that made this new antibiotic gain some attention.
As for the more detailed information about the new antibiotics, there is not much coverage, and it must be further kept secret, and it is not yet known to the public.
I was bored and watched TV for a while, and just as Yuan Zhengming was about to go to the ICU to have a look, a nurse broke in with a pale face, and said with trembling lips: "Yuan, Doctor Yuan." Dead, dead......"
"What's wrong? Let's be clear. ”
Yuan Zhengming's heart tightened.
"The patient who had diarrhea and vomiting before, died......"
"How so?"
I was fine before, how could I suddenly die? What kind of joke is this, it's too late to inform yourself?
Yuan Zhengming's body was shocked, he lined up the nurses with one hand, and regardless of his own image, he hurriedly rushed towards the ICU. Along the way, it attracted many strange glances from patients.
The ICU was upstairs, and Yuan Zhengming didn't even have time to wait for the elevator. I ran to the intensive care unit in one go, changed into an isolation gown and hurriedly walked in.
Liu Ye, who was on duty inside, had an extremely ugly face compared to a few uneasy nurses, and when he saw Yuan Zhengming coming over, his mouth was open. In the end, he still didn't spit out the words from the mask.
Bed 5 was almost a mess, the whole bed was covered with brown vomit, and there was stool mixed with blood flowing next to the bed and on the floor. The patient just lies in bed. Motionless, there was still a sharp expression of pain on his face, as if he was still telling something to the people around him.
"How so?"
Yuan Zhengming turned his head and asked.
"It should be acute renal failure and bleeding from intestinal perforation, and possibly ascites ......"
In fact, there is no need for Liu Ye to explain, Yuan Zhengming also understands that if such a violent acute diarrhea and vomiting can't be stopped, it is very likely that Yan Zhengzhi will die. But it is very rare that the speed of death is so fast, so sudden, that people have no time to rescue.
"Why didn't you inform me of the situation?"
Yuan Zhengming was furious, glaring at Liu Ye with eyes as if he was about to devour him, so startled that Liu Ye couldn't help but take a step back.
"Doctor Yuan, you can't blame me for this."
Liu Ye explained with difficulty: "After switching to a variety of antibiotics, the patient's condition has improved, but he didn't know that he suddenly started vomiting and diarrhea again, and he didn't have time to notify you, so he ......."
"So fast?"
It was impossible for Liu Ye to lie about this kind of thing, after all, there were three or four nurses watching on the side, and Yuan Zhengming was just shocked by this sudden situation.
"How so?"
This is the third time Yuan Zhengming has muttered to himself, his eyes are fixed on the deceased, and he ordered: "Notify the dean and relevant leaders immediately...... By the way, didn't the patient's family ask you to contact him? Not here yet? ”
"The patient's family lives in Yichang, and I am afraid it will be some time before they can come here, and the patient should be a migrant worker with us."
"Don't tell the family about the situation just yet, wait until they come to the hospital."
It can be imagined how much trouble this kind of thing will cause, Yuan Zhengming only feels that his head hurts.
"Also, immediately isolate, culture and identify the patient's blood, vomit, and feces again, and there is likely to be a problem with our previous test."
After instructing Liu Ye to do a series of things, Yuan Zhengming stared at the helpless nurse and frowned, "What are you still doing there, don't you disinfect and clean it quickly." ”
"Yes."
Yuan Zhengming was very dissatisfied with these young nurses who had not been graduating from school for a long time, and felt that the current nurses, whether they were plain or competent, were too far behind the previous nurses.
But what can be done about this, the great era is like this, and individuals are powerless to change.
Thinking of this, Yuan Zhengming glanced at the deceased lying on the hospital bed again, and the faint uneasiness in his heart somehow became stronger. (To be continued......)