The system takes me for surgery

But this time I came out with Xu Bowen's team, so the feeling is naturally different.

After sitting in the living room for a while, Xu Bowen and the anesthetist Lao Hong stayed inside talking and drinking tea.

The three young men felt bored, so they said they wanted to walk around.

The dean wanted someone to accompany them, but Liang Yi and the others said no, so they just walked around.

Gan Xiaoyi said: "This is a bit of a secret investigation."

Qin Hanyun corrected: "Leaders are called open and secret visits."

"There is such a saying."

But the scene that followed left a few of them impressed.

A few of them met an 8-year-old boy, who was doing atomization while infusion,

I am already in elementary school, and this visit is just to see a cough.

It was later learned that his condition was not important, but that he coughed five or six times a day, for one to two minutes each time.

This is actually very common in normal times. Occasionally, if you catch a cold after taking a cold bath, you will also cough for two or three days. Under normal circumstances, you can slowly recover on your own.

When Liang Yi asked his mother: "Why does the child still see a doctor when his condition is very mild?"

She said: "My child, if he keeps coughing, he can't sleep at night, and he doesn't have energy in class. In a few days, his father and I will go on a business trip. Only grandma will take care of him, so I don't feel at ease."

This is a very realistic situation. Parents are busy with work and have to travel from time to time. When their children feel a little uncomfortable, as parents, they are afraid, and patients and their families will voluntarily over-medicine.

At this time, Liang Yi walked over to see that the boy's infusion included 1000ml of glucose, 10ml of potassium chloride, 10mg of dexamethasone, 25mg of promethazine, and third-generation cephalosporin.

He compared them one by one with his fingernails, and the prescription was beyond his comprehension.

He handed it to Qin Hanyun and Gan Xiaoyi to see.

The two couldn't help but read it a few more times, thinking that the doctor had made a mistake.

We are all medical staff, so Liang Yi will naturally not speak out about the unreasonable use of medicines in front of his family members, after all, the relationship between doctors and patients is already so difficult.

After they finished watching, they went out,

Analyze the necessity of using the above drugs one by one: the child can eat and drink, and is in a good state of mind. As the saying goes, "a bowl of porridge is worth ten bottles of glucose", there is no need to infuse so much liquid.

Liang Yi said, "Why do you think doctors prescribe potassium chloride to doctors?"

Qin Hanyun shook her head and said, "I don't understand. The child can eat and drink, and has no signs of hypokalemia. Besides, the doctor didn't give her a laboratory test report. Why should he be infused with this medicine?"

Gan Xiaoyi said: "I also don't understand why dexamethasone was used. He just had a cough, and he didn't have any allergic symptoms such as asthma, nor did he go into shock. Obviously, he didn't meet the medication regulations."

Qin Hanyun said: "Anyway, it's all kinds of mysterious drugs. The third-generation cephalosporin's purpose is also confusing. The child has neither a fever nor evidence of high white blood cells. Even to prevent infection, oral antibiotics are enough."

Liang Yi nodded and said, "Ask the child's doctor in charge. This promethazine is used even worse. This kind of prescribing technique is even more outrageous than a barefoot doctor who has no serious study."

I found the doctor in charge, a middle-aged male doctor in his forties, somewhat scruffy, with short but greasy hair.

The middle-aged doctor said, "Who are you guys?"

Liang Yi said, "Are we following Dr. Xu?"

"Oh, old Xu."

The middle-aged doctor thought he was an intern of Dr. Xu, the surgeon of the hospital.

Liang Yi asked: "Teacher, can I ask you some questions about medication?"

The middle-aged doctor was a little impatient and said, "Well, if you have anything to say, I have to keep an eye on the stock market."

"The kid who coughed and received fluids today, why did he have to give hormones, as well as third-generation cephalosporins and promethazine?" Liang Yi asked.

"How can I get better quickly without hormones? The third-generation cephalosporin is a better medicine." He said a few perfunctory words before going in and continuing to watch the market.

Liang Yi asked: "Then how do you use promethazine?"

"Promethazine is mainly used to prevent children from crying! Pediatrics often use it like this, don't you know?" said the middle-aged doctor.

"An 8-year-old child has an immature nervous system, how can he use promethazine at will!" Liang Yi said angrily.

"Eh?" The middle-aged doctor's face became a little ugly, and he said: "You study surgery and you know nothing, internal medicine is slow to take effect, according to the rules, how long will it be cured, and now the patients don't always run away after one bad day. "

What he said is also true. This may be the contradiction in reality. Standardized medication cannot achieve immediate results, and irregular medication will cause uncertain harm to patients.

The dean's secretary, a man in a black suit, has been looking for Liang Yi and the others. He was originally following them, but Liang Yi and the others didn't take the elevator, so he lost him.

Seeing Liang Yi and the three of them standing there with Dr. Fang from the Department of Respiratory Medicine, he hurried over and said with a smile on his face, "Dr. Liang, you are here, I have been looking for you for a long time but I can't find you. "

The sloppy middle-aged doctor saw that the dean's secretary was respectful to them. If they were just ordinary interns, the secretary would definitely not have such an attitude towards them. He asked, "Who are they?"

The secretary said: "These three doctors belong to the provincial people's expert Xu Bowen's team today."

The middle-aged doctor turned pale with shock, and hurriedly said with a smile: "So it's the doctor of the provincial people. I'm rude, I'm rude."

Liang Yi didn't say much, but said briefly: "Let's adjust the prescription."

"I'll go right away, I'll go right away." The middle-aged doctor immediately changed the prescription.

Then, during the discussion before the operation, Xu Bowen asked them to summarize the instruments needed today, and Liang Yi specially added an appendix forceps that were not used in the operation.

Xu Bowen asked: "What are you doing with this appendix forceps?"

Liang Yi smiled and said, "We'll find out when we go to the operating room later."

After making the preoperative plan, they rested for a while before going to the operating room.

The first thing Liang Yi had to do was to check if they had appendix forceps in their instrument kit.

He found that the equipment supply room was just taken out routinely, and no appendix forceps were prepared at all.

He applied to go to the supply room to get the appendix forceps. When he and Qin Hanyun went to the supply room, they saw that the staff in the supply room did not have a strict concept of asepsis, and they were directly playing with their mobile phones in the strict sterile room.

After Liang Yi and Xu Bowen finished speaking, Xu Bowen was furious and urgently suspended the operation.

The most basic thing about a surgical operation is asepsis. If even this is so-so, foreign doctors with flying knives will definitely not dare to perform this operation. If the operation is successful, but the operation is infected and dies after the operation, then this responsibility cannot be said. Cleared up.

Xu Bowen asked the dean to personally supervise the disinfection of the equipment and the operating room, and call them after passing the test, while they rested in the lounge.