Chapter 275 Rubbish Recipe from Germany
"So." Feng Zixuan only said three words, leaving the rest blank.
Luo Hao didn't seem to understand what Feng Zixuan meant, and suddenly laughed.
"What?"
"When there was an epidemic of infectious diseases a few years ago, I saw someone on the nga forum saying - direct flight across the country, bring physical examination report + acid test report." Luo Hao said with a smile.
"..." Feng Zixuan was startled.
How come Luo Hao, who lives a simple life, knows everything?
"Director Feng, have you been tested?" Luo Hao suddenly asked.
“Using this to test cadres?” Feng Zixuan said disdainfully.
"Ha!" Luo Hao said with a smile, "Yes, let's use this to test cadres? Director Feng, you have rich experience, I admire you."
"I've seen a lot." Feng Zixuan said lightly.
While chatting, the two came to the pediatric department.
“The pediatric department of 912 ranks around tenth in the country, inferior to the pediatric department of Shendu Children’s Hospital and Capital Medical University.” Luo Hao introduced, “But there are still some insights into the diagnosis and treatment of some diseases.”
In the conference room, the directors, professors, and doctors of the neonatal and pediatric wards were already sitting down.
It seems that Feng Zixuan’s "power" is quite strong. All the directors rushed over. There was also one in plainclothes, who probably asked for leave. However, after receiving a call from Feng Zixuan, he rushed over from home to give Feng Zixuan "compliment". A field".
Contact 912 Pediatrics, video on your mobile phone, and connect to screencast. A deputy director of 912 Pediatrics began to talk about a disease commonly known as "Butterfly Baby".
This disease is considered a common rare disease in pediatrics. 912 has relevant courseware, which is quite satisfactory.
Half an hour later, the deputy director of pediatrics at 912 finished explaining, and Luo Hao put away the video.
"Hello, everyone."
Just before the pediatric doctors at all levels were about to leave, Luo Hao bowed slightly and said loudly.
Feng Zixuan's eyes lit up and he stared at Luo Hao.
This is the real drama!
Feng Zixuan understands Luo Hao and knows that this matter is not that simple. Maybe he was thinking too much, but Feng Zixuan would rather think more.
The main reason is that Luo Hao is such a bitch. Although he has no ill intentions towards him, Feng Zixuan still often criticizes his politeness.
Feng Zixuan would rather Luo Hao quarrel like his buddies.
"I have had many contacts with patients like [Butterfly Baby] when I was at Union Medical College, and I would like to discuss and exchange some relevant experiences with you."
In the audience, everyone in the pediatric department was whispering among themselves.
Luo Hao was not in a hurry. He just waited for them to finish chatting before continuing with a smile.
"I think there is something in Teacher Zou's treatment method that is worthy of discussion."
"Discuss?" the neonatal director looked at Luo Hao and asked.
"Director Li, how many similar patients do you receive every year?" Luo Hao asked.
Neonatal director Li sighed, "This disease cannot be cured. We treat about 10 cases every year. If it is a mild case, we can be discharged from the hospital. If it is a serious case, I suggest you go to a higher-level hospital for treatment."
Director Li said vaguely.
"What do you use for the children?" Luo Hao asked.
“The compound polymyxin b ointment recommended in the guide.”
"Well, just now Teacher Zou also mentioned compound polymyxin B ointment." Luo Hao smiled, "This is where I have a little opinion."
"???"
“???”
Feng Zixuan and all the doctors were stunned.
Compound polymyxin b ointment is often used clinically and is an imported drug. In their view, this is completely impeccable.
As for the effect, I am not a big boss in making guides, so why do I think so much about it?
“[Butterfly Baby] For this disease, you should apply more oil and less water. Apply more oil, especially more Bactoban.
The ingredient of Bactroban is mupirocin which can prevent and treat the barrier Damaged secondary gram-positive cocci infection. In addition, the matrix is a polymer that is soluble in water and has a greasy feel, similar to oil.
This matrix is both greasy and can reduce skin damage, and greasiness reduces menstruation. The epidermal water is lost, but it is also soluble in water and easy to clean."
Luo Hao paused and continued, "Bitabang is very useful in the treatment of this disease."
< br>
Director Li of Pediatrics was in a daze. She even suspected that Luo Hao was bringing goods to Baiduobang.
Next, do you want to shout out to your family? Then someone rushed up, Professor Luo, we can't sell it like this, we'll pay the price!
The live broadcast of selling goods is the same as [selling cloth heads] in cross talk. The world has never changed.
"Professor Luo, is compound polymyxin b ointment not easy to use?" Director Li asked.
“Well, it’s very difficult to use.” Luo Hao didn’t shy away from it and gave a direct and affirmative answer, “The compound polymyxin b ointment comes from a German junk prescription.”
< br>
Junk prescriptions from Germany?
Junk prescriptions from Germany!
This text was so niche that everyone including Feng Zixuan was stunned.
No one thought that they would hear such comments one day.
“Most of the resident bacteria on the epidermis are gram-positive cocci. Bactroban and fusidic acid are suitable. Bactroban’s matrix is as above, which is better than fusidic acid, so it is most suitable.
The polymyxin and neomycin in compound polymyxin B are directed against Gram-negative bacilli and are not symptomatic unless the diagnosis is Gram-negative bacilli folliculitis.
In addition, compound polymyxin B is a well-known skin allergen, and even good people can rub it off.
At the same time, neomycin is an aminoglycoside antibiotic and is ototoxic. It is not recommended for children with large-scale epidermal damage.
Furthermore, the efficacy of neomycin against Gram-negative bacilli is far inferior to that of polymyxin. One is that the antibacterial spectrum overlaps, and the other is that the efficacy is poor. "
"In short, past experience shows that the person who invented compound polymyxin B really didn't know what he was talking about. ”
Luo Hao seemed a little hesitant, but finally smiled, "At least in the treatment of [Baby Butterfly], the guideline recommends the use of compound polymyxin B, which is a very stupid behavior."
"!!!"
"!!!"
Him!
He actually said the guide was stupid! !
Not only the doctors at all levels of pediatrics, but even Feng Zixuan was so surprised that his eyes almost fell out.
Is this still the always gentle Professor Luo Haolo? Why did he suddenly show off his talents?
Is it possible that your life is not harmonious recently?
Feng Zixuan thinks of Luo Hao and Wang Jiani, they don’t look alike either.
"Professor Luo, do you have any evidence?" someone asked.
It was obvious that there was dissatisfaction in the man's tone.
Providing treatment according to the guidelines is an idea rooted deep in the hearts of all doctors. It is an iron law and a stamp of thought.
Luo Hao is challenging the ideological stamp.
"Of course."
Luo Hao put away the projection screen, picked up a marker and started writing on the blackboard.
"This is a patient in the Xiehe medical record database." Luo Hao said as he wrote, "The compound polymyxin B ointment was used at the beginning, and then..."
Luo Hao talked eloquently, and his body seemed to be It emits a milky white light.
Feng Zixuan narrowed his eyes and looked at it carefully.
He doesn’t care whether [Butterfly Baby]’s little patient can be cured.
There are many more serious diseases than [Butterfly Baby]. As the director of the medical department, my responsibility is to make the big clinical machine run more smoothly. This is great mercy.
If we get entangled in the details, it will lead to a certain degree of confusion, which is not mercy but evil.
Feng Zixuan handles this kind of thing quite smoothly and thinks clearly.
What he was curious about was what Luo Hao was doing and what his final goal was.
In just four and a half months after coming to the First Hospital of the Medical University, Luo Hao punched and kicked to create a world of his own.
This world is vast, at least Feng Zixuan has never seen such a capable director of clinical departments.
Not only the interventional department, but also people from the gastroenterology, radiotherapy, imaging and other departments have high praise for Luo Hao.
Moreover, Luo Hao has also opened up the situation at the hospital level and even at the provincial level, and he is even called brother-in-law with Director Geng of the General Department.
Why on earth is he trying to show off his presence in front of the director and professor of pediatrics?
Feng Zixuan was not in a hurry and watched quietly.
As we sat and discussed in front of us, it was obvious that the director and professor of pediatrics were not convinced by Luo Hao's "conclusion".
If compound polymyxin B ointment is used incorrectly, it will vaguely prove something on the side.
Feng Zixuan knew these directors and professors very well. Seeing Luo Hao questioning the guide, they became angry.
But no matter how tricky the questions they raised, Luo Hao solved them one by one, quoting scriptures, and even explained clearly an article in a certain journal in a certain year.
An hour passed like this, and Luo Hao clearly won the battle with the Confucians.
Fewer and fewer people are asking questions, and more and more doctors are showing expressions of thinking. Some are even eager to try the Baiduobang mentioned by Professor Luo Haolo.
Compound polymyxin b ointment is a compound preparation for external use. It is used to prevent bacterial infections in skin wounds such as cuts, abrasions, burns, and surgical wounds, and to temporarily relieve pain and discomfort. The effect is very significant.
Luo Hao actually said fiercely that this medicine is simply rubbish, which is inconsistent with Feng Zixuan's understanding of Luo Hao.
Suddenly, an idea popped up in Feng Zixuan’s mind.
Feng Zixuan was shocked, Ronaldinho went through so much trouble, could it be that he wanted to let the pediatrician give it a try?
"Okay, if you can try it next time you meet a related patient. Change the compound polymyxin b ointment to Baiduobang, and [Butterfly Baby] will be initially cured in about 10 days. , emerge from the cocoon and become a butterfly.”
Luo Hao smiled, bowed slightly, turned around and stepped off the stage.
Director Li hesitated for a few seconds and took out his mobile phone.
"Hello? I am Director Li of Pediatrics. Have you gone home?"
"Come to the hospital. A child has been discharged and there happens to be a bed."
Feng Zixuan After hearing Director Li's words and seeing Luo Hao's smile, he seemed to understand something - his unreliable guess turned out to be right.
However, Feng Zixuan didn't ask, and left chatting and laughing with Luo Hao. He didn't even ask around curiously, just pretending that the speculation didn't exist.
After they separated, Feng Zixuan did not forget this. Luo Hao behaved a little strangely today.
As for that teaching job, Feng Zixuan highly doubted that Luo Hao was just talking nonsense.
Going through so many things just for a patient you don’t know?
There was no reasonable explanation for Luo Hao's behavior, so Feng Zixuan was concerned.
After get off work, Feng Zixuan went to the neonatal ward.
Director Li is personally giving medicine to the child.
In the sterile room, Feng Zixuan could not enter and could only watch through the glass.
Just after the lecture, there was a "sharp contradiction" about the use of medicine for diseases, and a suitable patient was immediately admitted.
Everything that is abnormal must have a demon. Feng Zixuan waited patiently for Director Li to apply more than a hundred smear on the child and come out.
"Director Feng, why are you here?" Director Li was a little surprised.
“Let’s take a look at the butterfly baby.” Feng Zixuan said lightly, “How to treat it?”
“I did a comparison. The one on the left was Baiduobang, and the one on the right was Fufangduo. Colistin b ointment.”
Feng Zixuan glanced at the child in the sterile room and nodded slightly. "The results will be available when we change the dressing tomorrow." Director Li said firmly.
"Director Li, do you think Ronaldinho's opinion is correct?" Feng Zixuan asked.
“I subconsciously felt something was wrong at the time, but after Professor Luo explained it, I recalled the similar patients I had encountered over the years and felt that his opinion might be right.” Director Li did not shy away and said directly.
“The wounds on Baby Butterfly’s body are extremely difficult to heal, and there are no specific drugs for the disease.”
“It can only treat symptoms. Some young patients with more severe genetics are really incurable. For example, the patient in front of me."
"Oh? What's going on with this patient?" Feng Zixuan was moved but asked calmly.
"Alas, this patient has been admitted to the hospital, but it has been a long time since he got better." Director Li sighed, "Finally, he got better after seeing him, and he will go through the discharge procedures immediately. I told the patient's family that if he gets sick again, it is recommended to go to a higher-level hospital."
This explanation is very reasonable. Feng Zixuan knows that this is the most likely result.
The safest way to do clinical work is to give up when you are ready.
“Yesterday the parents of the child came to me with their child in their arms and said they were sick again. Director Feng, it’s not that I’m hard-hearted, the main reason is that this disease cannot be cured and is very troublesome. They said a lot, I’m not even willing to accept it.”
Feng Zixuan nodded, he probably figured out why.
"Today, Professor Luo happened to talk about the difference between compound polymyxin B ointment and Baiduobang. There are so many documents. I checked it and it is indeed true. Take it in and give it a try."
< br>"If Baiduobang is really easy to use..."
"Director Li, don't we usually use Baiduobang?"
Director Li shook his head.
This is considered a "local" method and it is difficult to publish a paper. The various documents mentioned by Luo Hao are just side effects and have no real impact.
Feng Zixuan knows that the birth rate in Northeast China has been almost lower than that of Bangzi in the past ten years. Without a large number of patients, how can there be clinical experience.
Even the pediatric departments in prefecture-level cities have been abolished one after another. The first hospital of the Medical University has no problems in this regard for the time being, but it is just a maintenance. It can be seen that the future task is to keep the pediatric department.
“I felt it when changing the dressing, and what Professor Luo said should be right.” Director Li admitted.
“Oh?”
“Bitabang has more grease, let’s give it a try. Anyway, the control of the same child will be randomly screened, and we will have a rough result tomorrow.”
Feng Zixuan asked for some more details, including getting some information from Director Li and the family members of the children.
Feng Zixuan felt a little funny when he left.
Luo Hao carries several large-scale scientific research projects on his back, but he still has the energy to "meddle in other people's business."
And his approach is different from the straightforward temperament of young people, and it is also different from Luo Hao's often said to save communication costs.
He took a big detour and chose a weird direction to solve the problem.
Really!
Feng Zixuan was particularly disdainful of Luo Hao's "seeing outside the truth", but he had to admit that some things were best done in circles.
When the results of the comparison of both sides of the child come out, and when the child is about to be discharged from the hospital, he will have a good chat with Luo Hao.
There is absolutely no need to "look out" for this kind of thing, Feng Zixuan thought angrily.
Be sure to make it clear to Luo Hao when the time comes to save communication costs. Everyone is so busy. Pediatrics is an outsider, but I am not! !
Early the next morning, Feng Zixuan changed clothes and went directly to the newborn.
Director Li didn't know what the relationship was between this child from a remote county and Director Feng Zixuan, but he still changed the child's dressing as soon as possible.
Facts speak louder than words.
The wound on the side where Baiduobang was applied has begun to heal, and because Baiduobang has a relatively high oil content, it is also very convenient to clean.
But when using compound polymyxin b ointment, it is extremely troublesome to heal and clean the wound.
In addition, there was a small amount of erythema where the compound polymyxin b ointment was applied.
This means that the child has a mild allergy to compound polymyxin b ointment.
"Director Feng, Professor Xiao Luo is right, Baiduobang is indeed more useful." After Director Li came out after changing the medicine, the first thing he said to Feng Zixuan was to admit Luo Hao's point of view.
"Well, how many days will it take to be discharged from the hospital?"
"5 days!" Director Li was a little excited.
If Baiduobang can treat [Baby Butterfly] and get better, the First Hospital of Medical University will be able to admit similar patients in the future.
In the past, I didn’t collect it or collected it less because I didn’t know how to treat it.
Now Luo Hao has removed all obstacles.
And he just changed to a common medicine and didn't do much else.
After Feng Zixuan and Director Li finished explaining, they waited patiently for another five days.
When the baby is born again, the wounds on the child's body have already formed scabs, and some scabs have even begun to fall off, revealing intact, fresh skin.
“The effect is obvious.” Director Li gave the final conclusion.
Feng Zixuan was not interested in seeing the grateful expressions of gratitude from the patient's family members. After he left, he took out his mobile phone.
But!
Luo Hao’s cell phone has no signal!
Feng Zixuan didn't think it was strange. It was probably Luo Hao who brought the mobile phone into the interventional operating room.
There are lead plates inside, so there is no signal at all.
Call Shen Zizai.
"Director Shen, does Ronaldinho need surgery? Ask him to come down and come to me." Feng Zixuan said straightforwardly.
"Ronaldiner...he has been missing for three days."
"Missing?!" Feng Zixuan was startled, "What is missing? Tell me clearly! Why didn't you report it to me!!"
A living person, or an adult male under 30, disappeared after being said to be missing? !
Feng Zixuan cursed in his heart, Shen Zizai, you piece of shit, don’t you want to do this anymore? You didn’t even tell me about such a big thing!
What Feng Zixuan is most dissatisfied with is the "disappearance" mentioned by Shen Zizai.
"Director Feng, I will go to your office right away." Shen Zizai knew the power and said in a low voice.
Feng Zixuan hung up the phone coldly and returned to the office.
Luo Hao is missing?
How is this possible!
After coming to the First Hospital of the Medical University, no matter what he did, he always came to the medical office to say hello.
This move is a sign of respect for himself, and can also be considered as a closer relationship with Luo Hao.
Directly missing?
Thinking of various possibilities, Feng Zixuan felt his heartbeat speed up and his whole body felt bad.
Soon, Shen Zizai knocked on the door and came in.
After entering, Shen Zizai glanced outside, closed the door, and locked it.
"Director Shen, what are you doing?" Feng Zixuan asked unhappily.
"Director Feng, Ronaldinho... That's it. Ronaldinho didn't come to work three days ago. I asked Meng Liangren and he said he didn't know."
"Huh?"
" It was true that he was missing, but I didn’t pay much attention at the time. I thought Ronaldinho and his girlfriend had gone somewhere to play, and they stayed up all night to catch up on their sleep. But there was no one there, and it had been three days.”
< br>"Have you called the police?"
"No, you are such an old man, you can't really disappear from the world." Shen Zizai was also a little nervous, "I thought there was something else, Feng Director, you know.”
"What do I know?"
"..."
"..."
Feng Zixuan and Shen Zizai looked at each other, and they both saw fear and confusion in each other's eyes.
“Have you asked Wang Jiani?”
"I asked, but Wang Jiani didn't know. I also asked Luo Hao's uncle Lin Yuming, and they didn't know either."
"You fucking eater!" Feng Zixuan was furious, pointing at Shen Zizai She raised her nose and cursed, "Did the crackdown on gangs and evil in the past few years improve social security and start to drift away?"
Shen Zizi felt particularly uncomfortable.
"What the hell are you..."
"Director Feng, I called the police, but they said that although missing people can call the police within 24 hours, for adult men... it is generally true It takes 72 hours to find someone.”
"Fuck! Why didn't you fucking tell me!" Feng Zixuan's eyes were a little red.
Shen Zizai was speechless.
It doesn’t make sense for a good person to just say no.
Even when things were messy in the past, similar things rarely happened.
“Have you searched various hospitals?”
"Found it." Shen Zizai said aggrievedly, "Only the Forestry Hospital recently admitted an anonymous person. I drove to take a look and it was not Luo Hao."
Feng Zixuan pondered, picked up the phone and started to contact.
He contacted his contacts, and when he got the answer that he would start checking immediately, he glared at Shen Zizai fiercely, and then went out.
Shen Zizi complained in his heart and followed Feng Zixuan.
"I'm going to report to the dean, why are you following me! How old are you, I don't know the importance."
"Director Feng, I have a guess."
"Huh?" Feng Zixuan was startled and stopped.
"Dean Zhuang may know about this."
"Maybe?"
"Every time I talk about it, I see that Zhuang Yan's expression is wrong. I want to Hiding something, pretending not to know," Shen Zizai said.
Feng Zixuan turned around and looked at Shen Zizai coldly, "Director Shen, now you are responsible for every word you say."
"I'm just making a guess." Shen Zizai lowered his head and said.
"Wait for me here." Feng Zixuan strode onto the elevator.
Arrived at the door of Zhuang Yongqiang's office, there were several people waiting in line to sign. Feng Zixuan stood directly above everyone and stood at the door, looking at the department director who was talking to Dean Zhuang with piercing eyes.
The man knew what was going on and left immediately.
Feng Zixuan didn't care what others thought, closed the door and came to Dean Zhuang.
"Dean, Luo Hao is missing."
When he said this, he stared at Dean Zhuang without blinking.
“Oh, don’t worry about this.”
(End of this chapter)