Chapter 122 Impenetrable
After the experts from the capital took over the treatment positions of the doctors in the Chasu City Hospital, they immediately started rescue and re-customized the rescue plan.
Looking at the doctor's order list of the tea doctors, the experts have no time to explain, no time to criticize.
"Quadruple antibiotics, increase the dose of anti-anaerobic bacteria, prepare to use hormone shock, fast, prepare platelets."
A set of treatment plans came out, and the director of the 30x burn department directly became the chief commander of first aid.
Other experts assisted in beginning rescue plans. Ren Li looked at the treatment plan given by the experts in the capital, her mouth became numb, and her numb tongue began to knot.
"The medicine is too strong, it's already reached its limit!" She said softly to Ouyang.
"We don't have much experience with large-scale burns. To be honest, this kind of usage is really amazing." Even Ouyang felt terrified.
Drugs, to be honest, are a wild horse bound in time, units, and doses. If you don't pay attention, it will definitely overwhelm the user.
Lots and lots of things sit down, or back away, when money stands up to talk.
For example, the water ghosts who love to play, their tulips back then, and the number games in Wanzi Kingdom, it’s not that no one stood up to tell the truth, but because money is too powerful and attractive.
When the United States overthrew Maozi and stood at the pinnacle of the blue planet, they were so proud. They felt that their living standards should be improved by many levels.
Then, a group of people who took advantage of the loopholes began to publicize the efficacy of vitamins. Then, a few years ago, there were a lot of people with liver poisoning in the United States. What happened, they took too much vitamins.
Under the promotion of a large number of pharmaceutical companies, combined with advertising TV and movies, and then fueled by various relevant interest groups.
Back then, Laomei was like a broiler chicken. Those who had money or not had to take some vitamins, otherwise they would be sorry for the title of the world's number one citizen.
Then, after a large amount of liver and kidney damage appeared, everyone suddenly realized that at this time, the person who was hiding in the corner and speaking in a low voice was heard by the public, oh, it turns out that this thing cannot be eaten.
Huaguo is relatively better, but sometimes there are shameless people who don’t feel sore in their waists or legs after eating anything, can jump to the sixth heaven in one go, and you are good to me and he is good. I don’t know what they think they are doing .
The crazy bombardment of advertisements,
You can give whatever you want as a gift, and the common people are harvested like leeks.
effective?
Drugs, this thing is really a double-faced angel, it is not a simple food, it not only makes you accumulate food if you eat too much, it will kill you if you eat too much
Regardless of traditional Chinese medicine, western medicine, or any secret palace recipe, as long as it has special effects on organs, there will be side effects.
What is pure natural, all plant, without any side effects, is a fool, unless it is not a drug, that is, it has no special effect, and eating too much has no effect other than more stools.
Not to mention the early years, just in the past few years, there is a mysterious saying that is popular in the world.
The leader of a certain region has been eating Jiweidihuang pills for decades, and he is in good health.
This kind of argument is quite popular in the field of some small cadres. Many people probably have seen such a scene.
In the early morning, you can see such a scene in a small leader's office. The bald-headed leader with a full stomach doesn't eat or drink. First, he takes out a bottle of medicine, swallows a few pills, and then closes his eyes to luck!
If the relationship is not in place, he will never disclose this prescription, which is also a big brain hole.
I don't know if the treatment of kidney deficiency is effective or not, but if he eats it like this, after a few years, let him have his liver function checked, and there will definitely be something wrong.
Drugs are like the world of adults, there is no absolute right or wrong, only pros and cons.
It is a double-faced angel, the angel of good and evil punishment. A drug, let alone its curative effect, let alone its bright side.
The other side of it alone is quite terrifying. Side effects, toxic reactions, sequelae, drug withdrawal reactions, secondary reactions, allergic reactions, idiosyncratic reactions, dependence.
It's all the horrible flip side of drugs, the dose-response relationship of drugs, which, let's be honest, is hard to control. This thing is not rice, it is not a matter of having another bowl if one bowl is not enough.
For common diseases, doctors are relatively conservative in the use of drugs, and few doctors take risks.
A prescription with a super-high dosage, either the doctor is quite qualified, or it is a terrible second-hand knife, silly and bold.
Such as general diarrhea, cold. The medicine prescribed by the doctor is actually quite small.
Because the dose window between the efficacy and toxicity of drugs is very small, one carelessness can turn a disease into a disease.
Many people have a habit of taking medicine. Even though the doctor said one tablet a day, he felt that the effect was not good, so he took two tablets himself!
If you are lucky, you will eat as soon as you eat it. If you are unlucky, the medicine that was originally used to treat the disease will turn into rat poison by yourself.
Such as deafness caused by gentamicin, lupus erythematosus caused by hydralazine.
These diseases are irreversible, that is to say, once there is an injury, it will be an unforgettable scar for the patient and the patient's family.
The safety window of many drugs is very narrow, a little more, maybe it can show its scary side, really, this thing is not a sugar pill.
Don't say that you increase the dose at will, even in the hospital, if there are not many years and a large number of doctors, it will not dare to increase the dose of drugs.
The risk, really, is dancing on the knife's edge.
Ren Li kept observing the patient's vital signs, Ouyang had already called the laboratory department, and had to report the results of liver and kidney function as soon as possible.
The more you understand, the more you know the power and risks involved, while some young doctors have a cute look on their faces, "Uh, can you still use medicine like this? It has never been written in the textbook."
Li Cunhou put on the protective clothing and immediately entered the sterile ward, "Zhang Yuan, what's the situation now."
"The situation is not optimistic. The dermis is damaged, the respiratory tract and lungs are also burned, and there are a lot of fibrous adhesions on the skin surface. I am worried that the wounded will not be able to resist."
Zhang Fan didn't even turn his head. There was no time, he had to pull the wounded man into surgery when his organs failed.
There is no other way if it will work or not, so I can only fight and fight once.
"Yuan Zhang, this time not only I am here, but almost all the doctors from the capital's burn department are here. They have already presided over the rescue outside."
"Great! Lao Li, how can I thank you, you are so awesome."
This is the good news that Zhang Fan is most willing to hear. Cha Su Hospital has little experience in dealing with large area burns, and cannot control the deterioration of the wounded's condition.
But after these experts came, as long as the wounded's condition could be controlled and organ failure did not occur, Zhang Fan would be able to perform surgery on the wounded and successfully transplant the skin.
Lao Li wanted to laugh, but he didn't. He nodded and started working as Zhang Fan's assistant.
"Are there enough materials?" Zhang Fan asked while debridement.
"Enough, almost all the materials in the laboratory have been sent to Chasu."
Outside the ward, the doctors and nurses were quite busy, trotting.
Seeing that the vital signs of the wounded were slowly under control, and all the statistics were not declining, the director of 30x and the director of the burn department at Shuitanzi exchanged glances.
"They don't have much experience and now the situation with the injured is under control.
You stare here, I go in and clear the wound, Lao Li's hands are too slow, he is not good at this. "
The director of 30X said something to the director of the burn department in Shuitanzi.
"Let me go. Old Li is good at research. And you, I think you are better at emergency medicine."
Praising a surgeon for his good use of internal medicine is blatantly saying that he is not good at surgery.
If it weren't for the wrong occasion, it is estimated that the two could quarrel.
"Hehe, I am both internal and external! And this is a soldier of the armed police. Don't forget, this is a wounded patient belonging to our military hospital."
The two had the same opinion on Lao Li's surgery level, and Zhang Fan was directly ignored by them.
Think about it too, even if the patient's preoperative treatment is not up to standard, can he still count on surgery?
At this time, their first thought was that Lao Li might have to rely on the armed police to help his materials undergo clinical trials.
As for the others, any high-level doctors, or doctors who are superb in materials, are probably just excuses.
"Okay, what time do you have to argue, what time is it now, the boss still looks down on the second brother here.
A few of us went in and asked Lao Li to come out and stare at this side. Anyway, the patient's condition has improved significantly now.
A few of us went in to debride the wound early, and then let the wounded into the operating room earlier. "
The director of the Burn Department of the Capital Children's Hospital is a female doctor, and she is a little older than the others, so she can be regarded as a senior sister.
When she said that, several people nodded in unison.
"Gu Li, according to our hospital's medication method, you should keep an eye on it here. Report to me as soon as possible."
The director of 30x did not tell Ouyang or Ren Li, but said something to Gu Li, who had studied in 30x.
"Okay, teacher." Gu Li nodded awkwardly, but Ren Li and Ouyang were not unhappy.
To be honest, the situation is critical. If the situation is not critical, people might criticize them by pointing their noses at them.
The medical industry is like this. It is very serious and rigorous, and carelessness and negligence cannot be tolerated.
After watching several experts go in, Ouyang immediately said to Ren Li: "Hurry up, let all the young surgeons come over and take a closer look at their treatment methods. These are all experiences, experiences that cannot be bought."
"We have treated a lot of bad things, let the young people come over, don't anger them. When they go in, I think they are already emotional."
Ren Li felt that her face was burning red, how could she dare to ask for advice at this time, she stood quietly and waited for orders before it was too late.
"Hehe, we can't blame us for this, after all, it's a hospital in a remote area, it's shameful to have no experience, and the shameful thing is that you don't want to learn.
It's okay, you listen to me, don't worry, young people call to come over to study, they will definitely not be angry. "
There was no sign of discomfort on Ouyang's face.
"Ouyuan..." Ren Li wanted to say something, but was interrupted by Ouyang.
"Oh!" Ouyang looked at his successor in internal medicine, feeling helpless in his heart.
"Why don't you have a heart at all, even if you are the leader of the hospital, you still don't have a heart at all.
Even if they look down on our medical treatment level, isn't Zhang Fan still in it?
Whether Zhang Fan's level is high or not, my old lady doesn't know, but Zhang Fan and Lao Li researched this thing, I don't believe it, they are so powerful that they are even more powerful than the original inventor. "
Ouyang looked at Ren Li, although he didn't say what was in his heart, his tone was quite relaxed.
"You are also a good player in natural science! Even if they get angry, let's lower our posture and show the attitude of being an apprentice, they will definitely not stop teaching. Go, go and call someone."
Ideas belong to ideas, but speaking is still in another way.
"Okay!" Seeing Ouyang's insistence, Ren Li could only agree.
It didn't take long for the young surgeons to arrive.
"Could it be that Zhang Yuan can't take down this operation?"
"I don't know, it shouldn't be. The last time we went to Stone City, Zhang Yuan performed several burn operations. At that time, even the leaders of the armed police saluted our Zhang Yuan."
Several young doctors lowered their heads and spoke quietly.
In the end, Ren Li, who was still depressed, heard, "Hey, why am I so stupid, Zhang Fan is inside!"
Thinking of this, Ren Li suddenly became cheerful, and then, our secretary Ren stepped forward, "Director, please call the young doctors from the internal medicine department too. Today's treatment plan is too classic, we can't let everyone miss it."
"Okay, okay. Secretary Ren, I will notify you now." The director of the medical department smiled and went to make a phone call.
"Hehe! Hey, it's still less thoughtful than Zhang Fan's, and it's not transparent." Ouyang saw that Ren Li seemed to have figured it out, and shook his head in his heart.
After several experts entered the sterile ward, they felt that something was wrong.
The doctor was wearing protective clothing, and he couldn't tell his age, but his movements were too fast.
Debridement of scalded skin is particularly troublesome. It is really scorched skin and rotten flesh, and the scorched black skin condenses on the surface, just like a squeezed chocolate cake.
The superficial skin is not only black and scorched, but the connected fibrous material is mixed with red muscle, yellow fat, oily water and interstitial fluid oozing out, it is really like being crushed into pieces by a child chocolate cream cake.
The debridement at this time is not a simple cleaning and disinfection, not only to clean up the inactivated tissue, but also to consider the later operation, not just for debridement.
A few people didn't think that the doctors here would think so much, and they would be thankful if they could clean up the necrotic tissue without causing secondary damage.
"Old Li, sometimes you have to speak clearly. Even if you don't talk about other things today, just for this wounded man, just for this armed police soldier, we will all come, you! You have been abroad for too long!"
The director of 30x first said a few words about Lao Li being neither soft nor hard. After all, he is also a well-known doctor in Huaguo. It is really unreasonable for someone to deceive Cha Sulai.
In other words, today is an armed police soldier, otherwise...
"Uh, Lao Chen, take a look first." The female director who was standing in the front row and had already seen the situation of the wounded quickly interrupted Director 30x.
"Why, have you caused secondary damage? What did I say, what did I say, hey, get out of the way!"
After saying this, he pushed Lao Li away in a bad temper, and when he was about to step forward to snatch the scissors from Zhang Fan's hand, he saw the condition of the wounded.
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