On Thursday morning, as soon as Yu Zhiming arrived at the central building, he first went to the inpatient area to check on the body of fellow countryman Li Yantian.
Cough, shortness of breath, fever 38.7 degrees, bronchial and lung inflammation, getting more serious.
His complexion and mental state were even worse, and he looked like he was about to die.
With a calm expression, Yu Zhiming instructed the nurse step by step to continue oxygen therapy and instill glucose and normal saline at the lowest rate.
If the body temperature exceeds 39 degrees, perform physical cooling.
I also specifically emphasized that you are not allowed to take even a single pill.
Afterwards, Yu Zhiming walked out of the ward at a steady pace with steady steps.
However, as soon as he left the ward, he quickened his pace and walked faster and faster, and finally he almost ran back to the big office on the second floor.
Hearing the movement in the director's office next door, Yu Zhiming pushed the door open without hesitation.
"Teacher, I'm sorry."
Yu Zhiming looked at Qi Yue who was clearing his desk, and said anxiously: "My fellow patient, his pulmonary inflammation has intensified a lot. With his weak body that is suffering now, I'm afraid it will be difficult for him to resist."
Can’t live without it.”
"If drug treatment is given, I am worried that his liver and kidneys will not be able to bear it and will directly deteriorate into acute functional failure."
"Teacher, I don't know what to do now?"
This was the first time Qi Yue saw Yu Zhiming losing his composure, and it felt a bit rare.
However, according to what Yu Zhiming said, this is indeed a dilemma.
"Zhi Ming, as a doctor, the most important thing is to avoid panic."
Qi Yue criticized him first, and then asked, "What kind of bacteria is he?"
He calmed down and said with a sigh: "Teacher, this guy's bronchus and lungs are repeatedly infected. I have read his medical records."
"In the past more than half a year, he has experienced inflammation caused by Streptococcus pneumoniae, Klebsiella pneumoniae, Staphylococcus aureus, Pseudomonas aeruginosa, fungi, etc."
"It can be used as a textbook on pneumonia treatment."
Qi Yue asked slowly: "In his case, he has repeated pneumonia caused by different pathogenic bacteria. What do you think?"
Yu Zhiming heard that the teacher was testing himself, and said with a correct attitude: "Teacher, my idea is that for some reason, the immune resistance of the patient's bronchus and lungs has been seriously reduced, making it impossible to resist the invasion of germs." "But..."
Yu Zhiming hesitated and said: "Yesterday, I conducted a detailed examination of the patient's trachea, bronchi and lungs. Except for inflammatory pus, I found no abnormalities worthy of attention."
Qi Yue pondered for a moment and said, "Perhaps, this anomaly cannot be detected using images."
"Give him a bronchoscopy..."
Because bronchoscopy requires a period of fasting and water fasting, Yu Zhiming arranged Li Yantian's bronchoscopy time for 1:00 noon.
Qi Yue waited for Yu Zhiming to inform the nurse in the inpatient area of the new medical order, and then asked: "Suppose we find the source of the problem through bronchoscopy, how should we treat it?"
"According to your statement, his internal organs are in critical condition and are on the verge of collapse. He cannot tolerate any medicine."
This...
Yu Zhiming hesitated for a moment and said: "It would be a bit exaggerated to say that he can't stand it even with one pill. It gives me the feeling that his situation is at the threshold of quantitative change to qualitative change."
"Perhaps, how many more days of medication can I still endure?"
Yu Zhiming gritted his teeth and said: "There is really no choice but to take a gamble."
"I hope he is lucky enough!"
Qi Yue rolled his eyelids and said: "Think more liberally and don't forget that both Chinese and Western medicine have some treatment methods that do not rely on drugs."
Yu Zhiming's eyes lit up, and he said with a lively voice: "I just got into trouble. Traditional Chinese medicine's acupuncture, moxibustion, scraping, cupping, massage and other methods should be suitable for the current situation of a fellow patient like me."
"As long as we can get him through this ordeal and allow some of the accumulated drug components in his body to be released, that will be fine."
He asked again: "Teacher, do you know any experienced Chinese medicine practitioners who are more powerful?"
"We ask them for help!"
Qi Yue chuckled and said: "Dr. Wang Wu from our Department of Traditional Chinese Medicine is well recognized by patients for his traditional Chinese medicine skills, and is especially good at acupuncture."
"I'll contact him right away..."
Qi Yue immediately took out his mobile phone and contacted Dr. Wang Wu.
Qi Yue got straight to the point and introduced: "Doctor Wang, I have a patient with severe pneumonia here."
"Due to long-term overdose of various drugs, the accumulation of toxic and side effects caused the liver, kidneys and other internal organs to be on the verge of collapse."
"We don't dare to give him medicine."
"His current situation is a bit dangerous. Doctor Wang, do you have time to come over and treat him?"
The next moment, a slightly rough man's voice rang from Qi Yue's cell phone.
"Director Qi, I'm really sorry. All my patients are scheduled for today and I really can't spare the time."
"How about I ask my student Lu Hong to come over? He has been following me for many years, and his level is not much worse than mine."
Yu Zhiming knows that Chinese medicine becomes more valuable the older it gets.
In addition, Chinese medicine emphasizes one person's treatment and targeted treatment. It seems that the master and apprentice's medical skills are not much different, and their final treatment effect is likely to be different between heaven and earth.
He couldn't help but interrupt and shouted into the phone: "Hello, Dr. Wang, I am Yu Zhiming."
"This patient is a fellow countryman of mine. His condition is not good and he needs a master like you to help him survive."
At the next moment, Wang Wu's voice sounded again.
"Doctor Yu, how about you too!"
"Since the condition of your fellow patient is so serious and critical..."
I heard Wang Wu ponder for a moment on the phone, and then said slowly: "Doctor Yu, it's really hard to avoid the patients I made appointments for this morning."
"Patients in the afternoon..."
"Well, I should be able to spare some time to go to your center around two o'clock in the afternoon..."
After the call with Wang Wu ended, Qi Yue's mood was a little complicated.
He suddenly discovered that his face was not as useful as this guy Yu Zhiming.
As soon as Yu Zhiming asked for help, the old guy Wang Wu changed his mind and wanted to come over by himself.
This differential treatment is too obvious.
Qi Yue, who was old and honest and had a sense of being outdone by others, suppressed the depression in his heart and said: "Zhi Ming, Dr. Weng asked me to convey his gratitude to you."
"He also said that after his daughter's problem is completely resolved, he will definitely offer a drink to thank her."
Yu Zhiming said nonchalantly: "His daughter is in a situation where it is her duty to help. There is no need to treat guests to dinner."
Qi Yue looked at his watch, stood up and said, "It's almost time, let's go check the ward first..."
After this busy time, it was after eleven o'clock, and Yu Zhiming had some free time.
He returned to the big office, while replenishing his body with water and energy, he stood in front of the movie viewing lamp and observed the lung images of Li Yantian after he had pneumonia at different times.
However, Yu Zhiming is really not good at interpreting this kind of flat image.
In addition, he relies on his exploration skills and does not pay much attention to the interpretation and improvement of images.
This led him to watch the images several times in succession, but still gained nothing.
Just as he was about to return to his workstation and sit down, a finger suddenly reached out and pointed at an image on the film lamp.
"When doing bronchoscopy, focus on observing here."
Yu Zhiming saw that the part pointed by his finger was a section of the left bronchus close to the left lung.
He turned to look at Dr. Wang Chunyuan, a cardiopulmonary expert who had come to him unknowingly, and asked with surprise:
"Doctor Wang, did my teacher invite you here?"
Wang Chunyuan nodded and said softly: "I have a rough understanding of the condition of your fellow patient."
"Simple pneumonia is not a big problem."
"But when the serious side effects of drugs are superimposed, it becomes quite difficult. I dare not start treatment."
After a pause, he turned to ask: "Dr. Yu, do you know why you were asked to do bronchoscopy to focus on that area?"
Yu Zhiming replied honestly: "I don't know, please give me some advice, Dr. Wang."
Wang Chunyuan smiled softly and said: "By observing these images, combined with my many years of experience and intuition..."
"I think this is the focus of your fellow patient's multiple recurrences of pneumonia."
Yu Zhiming knew that Wang Chunyuan was a well-known cardiopulmonary expert in China and was considered an authority in the field of cardiopulmonary medicine.
His judgment is equivalent to an answer.
Yu Zhiming nodded and said: "I will definitely observe the position of the bronchus carefully when I arrive."
"Dr. Wang, thank you."
Wang Chunyuan chuckled and said: "There is no need to thank you. Courtesy is reciprocal. I treated a patient two days ago."
"I feel a little bad about his heart."
He also said with a self-deprecating tone: "I don't feel very good. It's not as good as you, Dr. Yu, but it's still far behind."
"It's good if it works once out of ten times. But just to avoid any eventuality, I would like to ask you to take a look."
Yu Zhiming responded readily: "No problem, Doctor Wang, you can just ask him to come over at any time..."
At one o'clock at noon, after some preparations, Li Yantian's bronchoscopy began.
With Dr. Wang Chunyuan's judgment, Yu Zhiming went straight to the topic, and without much delay, he probed the bronchoscope to the section of the left bronchus close to the left lung.
What Yu Zhiming saw in the camera was all mucus produced by inflammation adhering to the bronchial wall.
He observed bit by bit, not missing any abnormalities.
Under this almost sieve-like back and forth inspection, Yu Zhiming finally made a discovery.
He found a few thin white threads in a pool of slightly darker mucus.
This made Yu Zhiming couldn't help but sigh, as expected, it is Jiang who is the boss. In many aspects, compared to Dr. Wang and Teacher Qi, he is still far behind.
Yu Zhiming used bronchoscope forceps to pick up the silk thread.
When he pinched it, he was surprised to find that it actually picked up a small piece of wire mesh that was intertwined with each other...
