The Love Story of the Doctor
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That morning, the ER atmosphere was very busy.Abigail examined a patient and he diagnosed klebsiella pneumoniae.

Klebsiella is one of the bacteria that most often causes nosocomial infections or infections obtained from hospitals.

Certain ecological aspects such as soil, wastewater, animals, and food products are also affected by Klebsiella pneumonia. The source of transmission in humans is due to close contact with blood, saliva, feces and urine from animals carrying ESBL isolates or consumption of contaminated water or food products.

" The patient is not a Bi medic" Bams said .

" But 6 months ago, she brought her boyfriend a check to the hospital, and what's there exposed her?, "asked Abi.

" It could be."

" Klebsiella oxytoca is a stem-shaped gram-negative bacteria, which, like other Klebsiella bacteria, can be found in various places. This type of Klebsiella can be found as normal flora in the gastrointestinal tract, but still has the potential to cause disease, especially when these bacteria colonize elsewhere outside the gastrointestinal tract. Because it can live and grow anywhere, Klebsiella oxytoca can cause infections in various organs, including lung infections (pneumonia), urinary tract infections, infections of the skin (skin that has wounds), etc, as well as gastrointestinal infections (when these bacteria grow excessively). Klebsiella is one of the bacteria that most commonly causes nosocomial infections or hospital-acquired infections, " Abi said.

" The treatment of Klebsiella pneumoniae infection includes the use of antibiotics such as aminoglycosides and cephalosporins. Many patients show a good response to third-generation drugs such as amikin, tobramycin, clavulanate, aztreonam, gentamicin, and others" Abi said.

" Sister gave antibiotics aminoglycoside and cephalosporin to the patient, the dose I have noted in the patient's medical records, "said Abi.

" Submitted to Sus, the development of info to me," said Abi.

" Nice doc."

" Bi, patient diagnosis after check, suppurative appendicitis ."

" Supurative appendicitis is part of simple appendicitis. Suppurative appendicitis is an inflamed appendix characterized by the presence of pus in the lumen and may be accompanied by ulceration and mucosal necrosis" Abi says.

" Acute appendicitis occurs when a person suddenly experiences severe pain due to inflammation of the appendix. These symptoms cannot be ignored and require immediate medical treatment. While chronic appendicitis occurs when the symptoms of the disease come and go for a long time, " Abi said later.

" If the appendix has ruptured and there is a severe infection in the area of the cavity membrane, surgery must be done immediately" said Bams .

" Right Bi."

" Untreated appendicitis is at risk for rupture and is fatal. This condition is characterized by unbearable abdominal pain, fever, nausea, vomiting, loss of appetite, frequent urination (BAK), and daze and anxiety," said Bams.

" Doctor, how long is the treatment of appendectomy, "ask the patient on Bams.

" Actum surgery procedure with laparoscopy generally lasts approximately 1 hour. The following are steps taken by doctors in laparoscopic appendectomy: Asking the patient to lie on the operating table in a recumbent position" Bams said.

" I've contacted your parents, they're on their way to this hospital" Bams said.

" The results of USG arteriovenose, has come out of the dock," said the nurse to Abigai.

Arteriovenous (AV) Shunt

AV Shunt is an artificial joint made by vascular surgeons, arteries to blood vessels. Arteries carry blood from the heart to the body, while blood vessels carry blood from the body back to the heart. Vascular surgeons specialize in vascular surgery. The surgeon usually places an AV Shunt on the forearm or upper arm. The AV Shunt causes extra pressure and extra blood to flow into the vein, making it grow large and strong. Larger veins provide easy and easy access to blood vessels. Without this kind of access, a regular hemodialysis session would not be possible. Veins that do not go through this treatment cannot withstand repeated needle inserts. They will conical like straws that are sucked strong.

Health care providers recommend AV Shunt for various other types of blood access because:

provides good blood flow for dialysis

it lasts longer than other types of access

less likely to become infected or cause blood clots than other types of access

Before AV surgery, the surgeon may perform a blood vessel mapping test. Vessel mapping uses Doppler ultrasound to evaluate blood vessels that surgeons may use to create an AV Shunt. Ultrasound uses a device called a transducer, which solidifies safe and painless sound waves from the organs of the body to create an image of their structure. Specially trained technicians perform the procedure in a health care provider's office, outpatient center, or hospital. A radiologist - a doctor who specializes in medical imaging - interprets the images. A patient does not need anesthesia. Doppler ultrasound shows how much and how fast blood is flowing through the arteries and veins so the surgeon can choose the best blood vessel to use.

A surgeon performs AV fistula surgery in an outpatient center or hospital. Vascular access procedures may require a hospital stay; however, many patients return home afterwards. Healthcare providers use local anesthesia to numb the area where the surgeon created the AV Shunt.

AV shunts often take 2 to 3 months to develop or mature before a patient can use them for hemodialysis. If the AV Shunt fails to mature after surgery, the surgeon must repeat the procedure.

" Av Shunt function what is Bi?" asked Desy.

" AV Shunt is the gold standard in making vascular access for hemodialysis in patients with chronic kidney disease. It is made to improve the effectiveness of dialysis function and reduce the risks and complications that can occur with other vascular access."

Desy nodded.

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