Chapter 831 Antibiotics that do not kill bacteria

No matter what, Xu Qiu will not suffer.

He is now an academician, and he has the support of Baiyun Province and the Ministry of Health. If Jiade Medical is really unfavorable to Xu Qiu, it is likely that he is too successful in the domestic medical field.

...

After the morning handover, the interesting outpatient life began.

Xu Qiu glanced at the registration system and focused his eyes slightly.

There was a clear mark next to the patient: This patient is a clinical medicine student.

"Teacher, this is my junior from Linhai University Medical School!" Shi Lian was a little excited.

It's time for the assessment again!

"Online appointment No. 27, Li Bo." Shi Lian couldn't wait to call the number.

After a while, a male college student with a height of 176.5cm, slightly curly hair, and wearing flat sneakers walked in dejectedly.

His cheeks were slightly pale, his expression was painful, and his whole body was soft. After seeing Xu Qiu, he forced himself to say: "Teacher Xu!"

Shi Lian couldn't help but smile... the standard student's sincere look when seeing the teacher!

"Well, what's the situation?" Xu Qiu nodded lightly and asked.

"It should be acute pericoronitis of wisdom teeth... I'm not sure..."

Xu Qiu asked: "How long has it been?"

"A few days ago, it only hurt when chewing, but today it hurts so much that I can't sleep!"

"Can you open your mouth?"

"Yes, but only a little bit."

"Have you had a cold recently?"

"..."

After a simple consultation process, Xu Qiu had a rough guess in his mind.

He pointed to the examination bed at the back and asked Li Bo to lie on it.

Then, a routine dental examination was performed.

During the process, it was found that the patient's mandibular third molar was covered with gingival flaps and a blind pocket was formed.

In addition, the soft tissue around the crown of the Asian crown was also red and swollen, and the edge of the gingival flap was slightly eroded, and purulent secretions were seen in the blind pocket.

"I still have a little fever..." Xu Qiu measured the body temperature, 38.1 degrees.

Combining all these manifestations, it is indeed acute pericoronitis of wisdom teeth.

"Good level."

Xu Qiu praised him and prescribed a local treatment, as well as anti-inflammatory, analgesic, and antipyretic drugs.

The local treatment of pericoronitis of wisdom teeth is very easy to handle. Use about 1% hydrogen peroxide solution and saline to rinse the blind bag, and drip 3% iodine glycerol; pay attention to gargle with furazolidone solution on weekdays. For medical students, it is not difficult to operate.

"Okay!" Li Bo's eyebrows flew up. He was praised by Xu Qiu, and his mood was extremely good.

In his pride, he suddenly wanted to challenge his weaknesses, so he said: "Teacher, I have never learned pharmacology well. Can I see what medicine you prescribed?"

"Metronidazole for anti-inflammatory, and ibuprofen for pain relief and fever reduction... Wait until the inflammation subsides, and then go to the oral department to consider removing the wisdom tooth."

"Oh, I know ibuprofen, a long-acting α receptor blocker. In addition to reducing fever, it can also inhibit the peristalsis of the vas deferens and treat premature ejaculation!"

Xu Qiu was silent for a while, and said: "You should be talking about phenoxybenzamine."

"Isn't phenoxybenzamine short-acting?"

"The short-acting one is phentolamine."

"What? I remember phentolamine is an anti-epileptic!"

"That's called phenytoin sodium."

"Isn't phenytoin sodium a sedative and hypnotic?"

"You should be talking about phenobarbital."

"That's impossible. Phenobarbital is obviously bubble gum!"

"That's Bibabu."

Xu Qiu smiled and looked at the patient's name again. After silently writing down Li Bo, he sent it to the dean of Linhai University School of Medicine.

And note: Test him hard.

"Go." Xu Qiu pointed to the door.

He originally thought that the other party was being modest when he said "pharmacology is not good", but now he realized that this guy didn't study pharmacology, but pharmacological creation.

Li Bo shrank his neck and quickly fled the hospital.

...

After a few days of busy daily life, Xu Qiu had another operation.

Gastric cancer resection.

However, the difficulty lies not in the operation itself, but in the patient's psychological problems.

The patient with gastric cancer is Liu Wenqing, 53 years old, female, who was a housewife before retirement and a Buddhist.

Liu Wenqing was hospitalized in the local emergency department with acute abdominal pain and was diagnosed with acute abdomen. She had a history of chronic gastritis for five years. She often had symptoms such as stomach pain, stomach acid, and bloating before that. Before the acute abdomen, she also had black stools and obvious weight loss.

After a gastroscopy at the local hospital, it was found that the gastric mucosal folds in the gastric antrum were rough and disordered, and the local gastric mucosa was congested and edematous, and ulcer formation was visible.

The good news is that there is no risk of gastric perforation.

But this gastroscopy result... points to malignant gastric cancer.

So he turned to clinical medicine.

After Xu Qiu was admitted to the hospital, he wanted to prescribe some antibiotics for the patient first to control the infection first, and wait for the pathological examination results to come out. Once the diagnosis of gastric cancer is confirmed, he can prepare for surgery.

However, the family of the patient Liu Wenqing found the emergency department and asked for a non-bactericidal antibiotic...

"Non-bactericidal?" In the office, Xu Qiu's expression was a little strange.

Shi Lian was also stunned... What the hell is an antibiotic that doesn't kill bacteria?

The function of antibiotics is to inhibit and kill bacteria and other pathogens. How can something that doesn't kill bacteria be called an antibiotic?

"Why?" Xu Qiu couldn't understand it either.

The patient's family member said seriously: "My mother is a Buddhist and never kills animals. She has been a vegetarian for so many years. She said that she can't break the precepts just because she is sick!"

After hearing this explanation, Xu Qiu and Shi Lian fell silent at the same time.

Buddhists... so they use antibiotics that do not kill bacteria?

You Buddha can't even bear to kill bacteria?

However, after hearing this, the two of them had a preliminary answer in their hearts.

No wonder the patient was severely malnourished when he was sent to the hospital. Subsequent examinations found that he lacked important elements such as protein, vitamins, and iron. When he was sent to the hospital, there were some problems with various organs in his body. In addition to the most dangerous stomach cancer, the patient's liver function was also somewhat abnormal and damaged...

Moreover, at the age of only 53, the patient had the precursor of Alzheimer's disease.

"Don't think it's funny, my mother really saw the Bodhisattva, and said that the Bodhisattva appeared to bless our family!" The patient's son said confidently.

Xu Qiu looked normal.

Shi Lian gritted his teeth and thought to himself... You saw the Bodhisattva, could it be that you have a mental problem?

Although it is very impolite, this is indeed the most scientifically logical answer.

For example, when liver function is impaired, once hepatic encephalopathy occurs, the patient may really take fantasy as reality. The so-called seeing the Bodhisattva is probably a combination of mental and disease progression. After seeing the Bodhisattva several times, it is estimated that he will really see the Bodhisattva.

Xu Qiu did not have the interest to worry about whether the Bodhisattva was real or not, and explained: "The essence of antibiotics is to treat various bacterial infections or infections caused by pathogenic microorganisms... You asked not to kill bacteria, that is not an antibiotic, but a starch placebo."

"That's fine, if my mother knew that it killed bacteria, her condition would be more serious!"