Zou Qian's expression looked ugly. Li Dongshan and others were talking. Naturally, they heard the sound of the patient being pushed in at the door, and they all turned their heads.

As soon as he saw the light yellow exudate on the dressing on the patient's leg, Li Dongshan's expression suddenly changed, and he quickly walked up and asked: "How is the patient?"

This patient's surgery was already on the fourth day after surgery. Although the open fracture was relatively serious and the damage was devastating, Li Dongshan was also very surprised that it turned out like this.

The patient's family members were completely unaware. They just pushed the bed behind them and kept saying thank you to Li Dongshan and others with smiles on their faces. The patient's son and daughter kept talking to the patient and comforting him.

He told him not to worry, everything would be fine.

Now that I have been released from the ICU, I am recuperating with peace of mind and seem to be enjoying myself.

Zou Qian stepped aside slightly and let the nurse who came to greet him from the nurse's desk take over the bed and hand it over. The patient's family members also apologized and left, and once again expressed their gratitude to Li Dongshan and Zou Qian.

Zou Qiancai said: "Director Li, I am infected with multi-resistant Klebsiella pneumoniae + multi-resistant Staphylococcus aureus. There is no infection in the lungs yet, and the vital signs are stable. The ICU quickly called me to pick up the patient.

Come out."

When Li Dongshan heard this, his eyebrows jumped.

Damn it, multi-resistant Klebsiella pneumoniae appeared on the wound???

"What about the infectious disease department? Have you had a consultation?" Li Dongshan asked quickly. It is not a problem for such a patient to live in the emergency department. This must be isolated in a separate ward.

There are not many wards in the emergency department, and there are still many patients, so three beds are occupied.

The conditions are really poor.

We have just sent away a patient whose fracture was infected, and here comes another more troublesome one. Double infection, how patient it is!

WCNM, am I going to be infected and dominated today?

"The infectious disease department consulted and recommended that the current antibiotics be changed directly from piperacillin and sulbactam to intravenous amikacin + ciprofloxacin."

"Director Liu from the ICU suggested that we transfer the patient out quickly to avoid cross-infection." Zou Qian replied, looking like his head hurt.

It’s true that my head hurts. Klebsiella pneumoniae is generally found in lung infections. The bacteria that usually cause trauma are mostly Staphylococcus aureus, and at most a common gram-positive species such as Escherichia coli.

or negative bacteria.

Klebsiella, a special bacteria, has also come to the wound to join in the fun, and it is also drug-resistant.

I really live in Bengbu.

"You're such a naughty mother." Li Dongshan didn't even care about his status as a professor and cursed in front of Fang Nixin and others.

If the last multidisciplinary surgery on this patient started with saving his life, then the recovery of his fractured soft tissue even started with a clarion call for battle.

This type of multi-resistant bacteria is so changeable, it may be sensitive to amikacin, but tomorrow it will change its mind and it will no longer be sensitive to this kind of bacteria.

It’s still the multi-resistant Staphylococcus aureus that combines bacteria. If you think about it, the multi-resistant Staphylococcus aureus in Ningshi People’s Hospital is enough for the department there to drink a pot. The patients they encounter now are more difficult to deal with than that one. Li Dongshan is

Extreme headache.

"Continue to take cultures, now, tomorrow and the day after tomorrow, and then every other day. Once the germs mutate, please consult a doctor immediately to change the antibiotics."

"By the way, how is the VAC coverage now? Is the drainage still smooth?" Li Dongshan continued to ask.

After infection, not only are the germs difficult to deal with, but the pus caused by the germs may be too thick and block the VAC or drainage tube.

"It may be just the early stage of infection, so the drainage is still smooth, but you can also see that the infected pus has been sucked out. I guess it will have to be flushed and drained next time." Zou Qian immediately replied, he was always seeing the patient.

So he knows the patient's current condition best.

"Then let's schedule the surgery the day after tomorrow. Don't hesitate. In this case, the sooner you perform irrigation and debridement, the better the situation will be. I hope there will be no pus in the external fixator." Li Dongshan pursed his lips and said.

.

Just after Li Dongshan finished speaking, Zou Qian raised his eyebrows and glanced at Li Dongshan secretly and said: "Director Li, there is already a small amount of exudation at the location of the external fixator, and there should be pus."

The corners of Li Dongshan's mouth trembled even more, and he had a lot of twitches today. If he hadn't followed Li Dongshan from Ningshi back to Shashi, Lu Chengdu would have thought that Li Dongshan had low calcium or low potassium.

"well!"

"You go talk to the patient, and I'll look for some literature." Li Dongshan sighed and said helplessly.

At his current position, when he encounters problems that he cannot solve and causes headaches, he can only draw nutrients from the sci pile, and it is impossible to ask others for help.

You can ask someone for help, but no one will care about you if you ask them what to do.

Fang Nixin also said, "Okay, Master, I will find the relevant documents as soon as I get back and send you a copy."

Fang Nixin's current study is not limited to books. More often, she will find the cases she encounters in the literature to see if she can piece together rare cases.

One is to study, and the other is to see if it can be combined into a clinical study or a simple case report. Publishing it in SCI will make money. Although the case report is suspected of being a fake article, she has a big article as a foundation and publishes some small articles to decorate her own.

The number of articles is also the icing on the cake.

Li Dongshan said: "Send a copy to Xiao Lu as well. He has just arrived and may not be familiar with literature research. This case may be very interesting and can give us a deeper understanding of infection."

"It will also be beneficial to your growth if you encounter such difficult patients as soon as you come up."

"By the way, Zou Qian, remember to ask for a consultation from the nutrition department to adjust the patient's diet. His current situation is that he is in a period of high consumption. At this time, he is infected again. It is estimated that he will not be able to control it for a while. In the long run,

consumption, his current nutritional supplement is definitely not enough."

"Don't let the orthopedic diseases become less of a problem and be consumed by the time."

…

Lu Cheng and Fang Nixin no longer have to worry about the miscellaneous matters after the patient returns, leaving them all to Zou Qian and Cao Xiaohe.

Especially Cao Xiaohe, he is a very capable person. He has to personally do everything from prescribing medical orders to training.

He didn't dare to ask, asking was his best skill.

No human rights.

Lu Cheng scanned a shared electric scooter and stepped into the dormitory. After taking a short shower, he turned on the computer.

Then start sorting out today’s gains.

Today’s harvest is really quite big.

"Congratulations on teaming up to defeat the monster in one stage: comminuted femur fracture, post-operative internal fixation with plate and screws: infection, nonunion, chronic osteomyelitis, plate rupture! lv67! (Lord level monster, characteristics: scar hyperplasia, bone resorption

, Infection regeneration ability: +200%! Infection mutation rate: 20%. Mixed infection mutation rate: 15%! Multi-resistant infection mutation rate: 10%.)"

"Experience gained: 8952! (Contribution is 55%, kill monsters by leapfrogging, and gain 200% experience reward. Elite assistants have passively increased contribution by 20%.)"

"Get gold coins: 4200!"

"Experience points gained for critical hits: level +1. Current level lv: 25!"

"Acquired book page: Post-fracture infection treatment experience: advanced. (Note: The player currently has the title of attending physician and has passively obtained the intermediate skill level, which can be used directly!)"

"Acquired book page: Post-fracture infection treatment experience: top level. (Advanced skills required!)"

"Acquire special scene skills: Point troops on the battlefield! (The only skill)"

"Note 1: After the player obtains the skills of battlefield troop dispatching scene, the treatment process can be virtualized. The various treatment methods used by the player will be used as their own troops, and the players' treatment targets will be treated as hostile forces!"

"The two forces will duel in the evolving battlefield. If the duel fails, the enemy's force will be partially weakened according to the combat situation, and no substantial harm will be caused to the treated object. If the duel is successful, the level of the enemy force will be directly reduced by 5-10 levels.

Or even perish directly.”

"Note 2: The battlefield battlefield skill is limited to 1 treatment per target per day."

"Note 3: During the skill process of selecting soldiers on the battlefield, it does not consume real time, does not consume the player's physical strength, and consumes part of the mental energy."

"Note 4: The scene of dispatching troops on the battlefield is not a real battlefield, but the inside of the anatomical structure of the player's treatment object!"

"Note 5: In the battle scene, players cannot participate in the battle and only have command rights."

"Note 6: In the battlefield scene, players have absolute control over friendly forces!"

"Note 7: In the battlefield troop dispatching scene, after the battle fails, the player can restart after the battle (a single treatment target is limited to 3 times per day), but the battle results during the review are not valid for the final effect. (Current target

The number of times the treatment target can fight: 1! The number of times it can be replayed and evolved: 3 times.)"

"Note 8: In the review scene, players can order their own troops, which will unlock the use of all drugs!"

"Note 9: In battlefield recruitment, experience points cannot be obtained from evolutionary scenes. Real battle scenes can be converted into experience points."

"Wish players a happy game."

The main reason why Lu Cheng didn't read it in the car when he came back or browsed it when he was in the department was because he saw that there were too many densely packed rules and regulations and too many annotations.

It will definitely not be absorbed in a while.

I have to say that the harvest this time was simply too great, and it would not be an exaggeration to say it was incredible.

First of all, the level was critical, and it went directly to lv26, which is one step closer to lv30.

When it comes to who is more precious, book pages or experience and level, Lu Cheng will never think that book pages are absolutely precious, because only after the doctor level is upgraded, any skills acquired in the future will be passively increased.

The attending physician is mid-level, and the deputy chief physician is definitely senior.

Remember, that's all!

All subjects, all skills!

Which one is lighter and which one is more important can be known at a glance.

The second one is this scene skill.
To be continued...