In any case, Sun Lien still has the mental quality to lose even if he loses. Who among those who successfully graduated from Ningyuan Medical College after five years of study is not a ruthless person who goes back and forth in books and papers? Even if he feels that he does not have enough time to review,
Sun Lien also had to show off his high fighting spirit and the young doctor's fearlessness.
"Okay, okay, stop pouting." Liu Tangchun expressed disdain for Sun Lien's determined expression, "I called you here, mainly to arrange things after you enroll. Although it is only December, we have to wait.
It's a bit late to join the team in June. Zhou Jun and I discussed it, and starting from tomorrow, you will report to the research team."
"Going tomorrow?" Sun Lien was a little stunned, "But I'm on duty..."
"This is a special case for your kid." Liu Tangchun said with a serious face, "Anyway, you won't be able to go back to the emergency room for a while. Even if you go to the emergency clinic every day, it's inconvenient without the right to prescribe. Zhou Jun can't just sign for you.
Are you going to stay in the hospital every day?"
It was about prescription rights again. Sun Lien sighed. Without prescription rights, any emergency treatment for the patient would have to be supervised by a superior doctor. If you wanted to prescribe medicine, you would have to find someone to sign for it. This is not only troublesome.
If there was an emergency and it was too late to find a superior doctor, Sun Lien would have to risk practicing medicine without a license to save people. In a serious sense, this would be considered a criminal offence.
"Starting tomorrow, the medical office will adjust your and Zhou Jun's schedules to be the same." Liu Tangchun arranged, "Just be his little follower. When he comes to the hospital, you will follow him. When he goes to the college,
You should also go with me. You usually use his prescription power, and you will follow him faithfully in the college to familiarize yourself with the research team first and don’t be lazy!" Liu Tangchun said seriously, "I will be back when you are in your second year of graduate school. If I find out then,
If you don’t have a strong foundation, then you just wait to be punished!”
These old guys in the medical school all have a feudal patriarchal style. If you are asked to go east, you will never be allowed to go west. You can't even think about it in your mind. Although this can easily cause conflicts between students and tutors, at the same time
It is also easy to cause the problem of "stifling academic innovation". But if the relationship between the two parties is relatively harmonious from the beginning, such as Liu Tangchun and Sun Lien, feudal paternalism may not necessarily be a bad thing. One will do his best and take care of everything, while the other is grateful.
Accept all arrangements according to the order.
So, sometimes if the perspective changes slightly, a bad thing may turn into a good thing. Sometimes, a good thing happens at an inappropriate time and place, which often leads to a lot of bad things.
For example, Yang Jianqiang, who is in a coma, may lose his life when his immune system returns to normal operation.
"The edema area in the brain is progressing very quickly, and pus has begun to accumulate." Zhou Jun looked at the CT image that was retaken twenty minutes ago with a very serious look on his face.
The immune system is not a toy car that can be pushed around in children's hands. It takes a long time to start and stop this system. Even though the dosage of hormones has been increased, Yang Jianqiang's immune system continues to strengthen.
There are still a few hours left before the peak immune period, and after that, hormones can suppress his immune system back to a relatively low state.
However, this also means that Yang Jianqiang's immune response will continue to increase. Judging from the current CT images, four of the eight edema areas have already produced pus. Although the amount of pus is not very large now
Big, but at this rate, before his immune system is suppressed, the intracranial pus will put great pressure on his brain, and midline shift or cerebral herniation are very possible. At the extreme end,
, and problems such as white matter lacerations may even occur.
And this is not counting other infections hidden in various organs. Zhou Jun glanced at Yang Jianqiang lying on the bed and sighed again.
Although the evidence of PRC has not yet come out, looking at these symptoms, Zhou Jun agreed with Sun Lien. This is indeed a rare case of Toxoplasma infection, and it is obvious that the infected organs are not just the brain. This is a systemic infection.
of cases.
The prognosis of toxoplasmic encephalopathy itself is actually pretty good. As long as sulfadiazine and pyrimethamine can be used for targeted treatment in time, most patients can be discharged safely. But the prerequisite is that there is only one abscess and it has been basically stable at the time of onset.
, and no other organs were infected with Toxoplasma gondii.
There are four abscesses in the eight edema areas, and the infection status of other organs is not yet clear. Adding these two together, Yang Jianqiang's survival probability has dropped from about 70% before. As for what chance he has...
Zhou Jun’s most optimistic estimate is about 10%.
A narrow escape from death is still the most optimistic estimate. It is not that Zhou Jun has a conservative personality and underestimates this probability. In fact, the 10% figure is a conclusion reached after a joint consultation with multiple departments in the hospital.
"It's very troublesome." The ICU doctor first expressed his opinion. "Whether his vital signs are stable does not depend on our support methods. Even if he is put on ecmo, his heart, lungs and even liver and kidney functions are maintained, but
If the brain abscess cannot be solved, the person will still die if the device is removed. It is okay to delay the situation, we are good at this, but is it necessary to delay it?"
Liu Pingchuan, who represented the Department of Neurosurgery, also participated in the consultation. He had a more positive attitude, "We can use a sampling needle to extract the pus and relieve the intracranial pressure. We have the confidence to perform the operation, but the trouble is the damage during the operation."
Moreover, this position..." He pointed at the area on the projector near the base of the skull with a laser pointer, "There is no way to operate here, the risk during the operation is too great."
Doctors from the Department of Infectious Diseases gave some not-so-good news, “Even if sulfadiazine and pyrimethamine are combined, regardless of the speed at which the drugs kill Toxoplasma gondii, even if the drugs are allowed to cross the brain-blood barrier, the blood concentration will reach its peak.
It will take at least three hours. If we give the medicine now, it may not be enough."
There was a moment of silence in the conference room, and everyone fell silent. Even if the Toxoplasma infection was treated according to the current deterioration rate of the condition, Yang Jianqiang still would not survive. Even if Shenwai relieved his intracranial pressure at great risk, he might
The damage caused was still unacceptably large. More importantly, the edema area near the skull base was inoperable. Once the edema at this location turned into an abscess and began to squeeze the brainstem, it would be absolutely fatal.
Can't be saved.
"Is radiation possible?" Just when everyone was silent, Zhou Jun suddenly remembered Sun Lien's suggestion. The seemingly absurd suggestion of radiation therapy has become the only feasible treatment plan now. "Use radiation therapy to suppress intracranial toxoplasmosis.
At least it can buy us some treatment time."
"The dose is not easy to determine, but it may be feasible in theory." As the director of the Department of Science and Technology, Liu Pingchuan usually comes into contact with many brain cancer patients. He is not unfamiliar with cranial radiation. After a rough estimate, Liu Pingchuan
Immediately I became excited. "Let the doctors from the oncology department come and take a look."
"Director Zhou!" The door to the conference room was suddenly pushed open, and Yuan Pingan, who had been checking information day and night, barged in. He had huge dark circles under his eyes, and his hair was as messy as if it had been scratched by a cat.
But the appearance defects did not affect his excitement, "I found it! The patient should have toxoplasmic encephalopathy!"
PS: (The PS book promotion advertisement induced by the coercion of Carrot turned out to be a female channel for some reason...)
"My Boyfriend in Hanfu" There are many girlfriends wearing Hanfu,
Do you know what it’s like for your boyfriend to wear Hanfu?
A handsome man wearing elegant Hanfu came over.
Su Min stepped forward, circled around him, and shook his head: "Young Master is still missing something important today."
"What is it?"
"Of course it's mine..."
Before Su Min could finish speaking, she was hugged into her arms.