medical treatment

Chapter 388 Ginger is Old and Spicy (Happy Lantern Festival)
On Thursday morning, as soon as Yu Zhiming came to the central building, he first went to the inpatient area to check on fellow Li Yantian's body.

Cough, shortness of breath, fever of 38.7 degrees, bronchi and lung inflammation, more and more serious.

His complexion and mental state were even worse, and he looked like he was about to fail.

With a calm expression, Yu Zhiming ordered the nurse step by step to continue oxygen therapy and instill glucose and normal saline at the lowest speed.

If the body temperature exceeds 39 degrees, perform physical cooling.

It also specifically emphasized that not a single medicine is allowed.

Afterwards, Yu Zhiming walked out of the ward at a uniform speed with steady steps.

However, as soon as he got out of the ward, he quickened his pace, and walked faster and faster, and finally returned to the big office on the second floor almost at a gallop.

Hearing movement in the director's office next door, Yu Zhiming pushed the door open without hesitation.

"Teacher, I'm in trouble."

Yu Zhiming looked at Qi Yue who was tidying up the desk, and said anxiously: "My fellow patient, his lung inflammation has intensified a lot. As for his weak body that is tortured now, I'm afraid I'll be able to bear it if I resist hard." Can't live."

"If drug treatment is given, I am worried that his liver and kidneys will not be able to bear it, and it will directly deteriorate into acute functional failure."

"Teacher, I don't know what to do now?"

It was the first time for Qi Yue to see Yu Zhiming's gaffe, and it felt a little rare.

However, according to what Yu Zhiming said, this is indeed a dilemma.

"To Ming, as a doctor, you should avoid panic."

Qi Yue first criticized, and then asked, "What kind of bacteria is he?"

Yu Zhiming quickly replied: "Staphylococcus aureus."

He calmed down his emotions, and said with a sigh: "Teacher, this guy's bronchi and lungs are repeatedly infected. I have read his medical records."

"In the past half a year, he has had a round of inflammation caused by Streptococcus pneumoniae, Klebsiella pneumoniae, Staphylococcus aureus, Pseudomonas aeruginosa, fungi, etc."

"It can be used as a textbook for pneumonia treatment."

Qi Yue asked slowly: "In this situation, he has repeated outbreaks of pneumonia caused by different pathogenic bacteria one after another. 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 bronchi and lungs has been severely reduced, making it impossible to resist the invasion of germs."

"but……"

Yu Zhiming hesitated and said: "Yesterday, I did a detailed examination of the patient's trachea, bronchi, and both 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 by means of images."

"Give him a bronchoscopy..."

Because bronchoscopy requires a period of water and food deprivation, Yu Zhiming arranged Li Yantian's bronchoscopy at one o'clock in the noon.

Qi Yue waited for Yu Zhiming to inform the nurse in the inpatient area of ​​the new doctor's order, and asked, "Suppose we find the root of the problem through bronchoscopy, how should we treat it?"

"According to what you said, his viscera are already in jeopardy, on the verge of collapse, and he can't stand any medicine anymore."

this……

Yu Zhiming hesitated for a moment, and said, "It's an exaggeration to say that even a single dose of medicine can't be tolerated. I feel that his situation is at the threshold of quantitative change to qualitative change."

"Perhaps, you can still bear the drug treatment for a few days?"

Yu Zhiming gritted his teeth and said, "There is really no other way but to take a gamble."

"Hope he's lucky enough!"

Qi Yue rolled his eyelids and said, "Let your mind loose, and don't forget that both Chinese and Western medicine have some treatment methods that don't rely on drugs."

Yu Zhiming's eyes lit up, and he said in a lively voice, "It's just that I was at the edge of my head for a while. The acupuncture, moxibustion, scraping and cupping, massage and other methods of traditional Chinese medicine should be suitable for the current situation of my fellow patient."

"As long as he can get through this test and let the drug ingredients accumulated in his body get rid of it, it will be fine."

He asked again: "Teacher, do you know any experienced Chinese medicine practitioners?"

"We ask them for help!"

Qi Yue lightly smiled and said, "Dr. Wang Wu of our Chinese Medicine Department is well recognized by patients for his medical skills, and he is especially good at acupuncture and moxibustion."

"I'll contact him right now..."

Qi Yue immediately took out his mobile phone and got in touch with Dr. Wang Wu.

Qi Yue got straight to the point and introduced, "Doctor Wang, I have a patient with severe pneumonia."

"Due to long-term overdose of various drugs, the accumulation of toxic and side effects of the drugs has caused the internal organs such as the liver and kidney to be on the verge of collapse."

"We dare not give him medicine."

"His current situation is a little dangerous. Dr. Wang, do you have time to come over and treat him?"

The next moment, a slightly hoarse male voice rang from Qi Yue's cell phone.

"Director Qi, I'm really sorry, I have all the patients scheduled for today, so I really don't have time."

"So, I'll let my student Lu Hong go there? He has been with me for many years, and his level is not much worse than mine."

Yu Zhiming knows that Chinese medicine is more valuable as it gets older.

Moreover, traditional Chinese medicine pays attention to one person and one side, and targeted treatment. The master and apprentice who seem to have the same level of medical skills may have a final therapeutic effect that is very different from heaven to earth.

He couldn't help but interrupted, and said loudly into the phone: "Hello, Doctor Wang, I'm Yu Zhiming."

"This patient is from my hometown. His condition is not very good. He needs a master like you to save his life."

At the next moment, Wang Wu's voice sounded again.

"Doctor Yu, you are fine too!"

"Since your fellow patient's condition is so serious and critical..."

Wang Wu pondered for a while on the phone, then said slowly: "Doctor Yu, the few patients I made an appointment in the morning are really not easy to shirk."

"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 phone call with Wang Wu ended, Qi Yue's mood inevitably became a little complicated.

He suddenly found that his own face was not as effective as Yu Zhiming.

As soon as Yu Zhiming asked for help, that old guy Wang Wu changed his mind and wanted to come here by himself.

This discriminatory treatment is too obvious.

Qi Yue, who was old with Lian Po, felt like the waves behind the waves beat the waves ahead, suppressed the depression in his heart, and said instead: "To Ming, Dr. Weng asked me to convey his thanks to you."

"He also said that after his daughter's problem is completely resolved, he must offer wine to thank her."

Yu Zhiming said indifferently: "In his daughter's situation, it is obligatory to help, and there is no need to treat guests to dinner."

Qi Yue glanced at his watch, got up and said, "It's about time, let's go to the ward round first..."

This trip was busy, and it was after eleven o'clock that Yu Zhiming had a little free time.

He returned to the big office, and while replenishing water and energy for his body, he stood in front of the film viewer and observed the images of Li Yantian's lungs after suffering from pneumonia in different periods.

However, Yu Zhiming is really not good at interpreting this kind of two-dimensional images.

In addition, relying on his probing skills, he didn't pay much attention to the interpretation and improvement of the image map.

This caused him to watch the images several times in succession, but still got nothing.

Just as he was about to go back to his work station and sit down, a finger suddenly stuck out and pointed to an image on the viewing light.

"When doing bronchoscopy, focus on observing here."

Yu Zhiming saw that the finger was pointing to a section of the left bronchi close to the left lung.

He turned to look at Dr. Wang Chunyuan, a cardiopulmonary expert who came to him unknowingly, and asked with surprise on his face:

"Doctor Wang, my teacher invited you here?"

Wang Chunyuan nodded, and said softly: "I have a rough understanding of the condition of your fellow patient."

"Pneumonia is not a big problem."

"However, with the serious side effects of drugs superimposed, it is quite tricky, and I dare not start treatment."

After a pause, he turned to ask: "Doctor Yu, do you know why you were asked to do a bronchoscopy to focus on that part?"

Yu Zhiming replied honestly: "I don't know, I would like to ask Dr. Wang for your advice."

Wang Chunyuan smiled lightly and said: "By observing these images, combined with my years of experience and intuition..."

"I think that your fellow patient has relapsed pneumonia many times, and this is the focus of the disease."

Yu Zhiming knew that Wang Chunyuan was a well-known cardiopulmonary expert in China, and he was considered an authority in the field of cardiopulmonary medicine.

His judgment is equivalent to the answer.

Yu Zhiming nodded and said, "I will definitely observe the position of the bronchi carefully."

"Thank you, Doctor Wang."

Wang Chunyuan said with a chuckle, "You don't need to thank me. Courtesy is reciprocal. Two days ago, I saw a patient."

"His heart, I don't feel well."

He also said with self-deprecating words: "I don't feel very good about this, it's far worse than your feeling, Dr. Yu."

"If it works once out of ten times, it's not bad. But in order to avoid accidents, I would like to ask you to take a look."

Yu Zhiming responded quickly: "No problem, Doctor Wang, you can just let him come over at any time..."

After noon, after some preparations, Li Yantian's bronchoscopy began.

With Dr. Wang Chunyuan's judgment, Yu Zhiming went straight to the point. 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 the mucus produced by inflammation adhering to the bronchial wall.

He observed bit by bit, not letting go of the slightest abnormality.

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 sighing, it really is ginger that is old and spicy.In many respects, he is still far behind Dr. Wang and Mr. Qi.

Yu Zhiming picked up the silk thread with bronchoscope forceps.

When he clamped it, he was surprised to find that a small piece of intertwined silk net was clamped...

PS.
I wish book friends a happy Lantern Festival!
Happy and healthy family! !
　Ask for monthly tickets, recommendation tickets and other support! ! !
　　
　
(End of this chapter)