medical treatment

Chapter 59 Trial and Error Therapy
Nearly five o'clock in the afternoon, Qi Yue summoned Han Shuo, Xie Jianmin, Wang Zhijin, Wang Zejia and others to discuss the diagnosis of the patient Xu Feng's condition in the big office.

First of all, Yu Zhiming stated his conjecture to everyone present.

"It really is an absurd conjecture..."

The attending physician Wang Zhijin was the first to question: "Doctor Yu, there is a data, I guess you must have missed it by mistake."

"The Provincial Hospital of Lu Province has done virus culture and testing for patients with unknown pain attacks."

"The concentration of herpes zoster detected in it was only 0.01pg/ml higher than the upper limit of the normal value."

"Only 0.01pg/ml higher!"

Wang Zhijin deliberately repeated a sentence, and then continued: "The concentration level of the herpes virus is not enough to support the outbreak of the herpes virus."

Yu Zhiming replied softly: "Doctor Wang, I have not missed any mistakes in this herpes virus data."

"Every test and analysis data about patient Xu Feng is clearly in my mind."

"I would like to point out that the normal value of this herpes virus is just a range, and it does not take into account the particularity of a person's constitution."

"Is there such a possibility, perhaps, that the patient is susceptible to herpes virus?"

"It is also possible that the concentration of herpes virus in the body was much lower than the normal value before the patient became ill?"

After a short pause, Yu Zhiming added: "95% of the population has herpes virus in their bodies."

"Before the patient got sick, maybe they were the 5% of the herpes virus-free population."

Wang Zejia noticed that Qi Yue, who was standing at the side, did not change his expression, and retorted with a chuckle, "Doctor Yu, your way of assuming the result and deducing the cause backwards is a forced explanation."

"Attributable to the particularity of the patient's constitution and sensitivity to the herpes virus?"

"There are so many special and coincidences in the world."

Yu Zhiming smiled lightly and said, "Doctor Wang, each of us will catch a cold and have a fever, probably because we missed one piece of clothing that day..."

"I happened to encounter another gust of cold wind, and my body's resistance was weaker, so I was hit."

"Every illness, it can be said, is the result of various conditions, various coincidences, and the collision of fate."

"This is the case for minor illnesses, but for serious illnesses there are various conditions, coincidences, and the individual characteristics of the patient."

Yu Zhiming talked eloquently: "Take the patient Xu Feng's condition as an example. At present, his condition is the only one in the country. He is so special, why can't it be the result of various special, peculiar and coincidental collisions?" Woolen cloth?"

Han Shuo smiled lightly and said, "I think what Dr. Yu said is very reasonable."

"Many of the patients sent to us are unique. Due to the specificity of the body, the symptoms of the disease are different from those of ordinary people. There have been cases before."

Xie Jianmin pondered and said: "Assuming that Dr. Yu's conjecture is correct, it can also explain why the patient has not been diagnosed for so long."

"Because the concentration of the herpes virus is taken for granted as being within the normal range, this directly builds a wall and prevents doctors from guessing in this direction."

Xie Jianmin looked at Yu Zhiming and asked, "However, with your conjecture, there is a question. Why did the clustered blisters on the body surface, the hallmark of herpes virus outbreaks, not appear?"

Yu Zhiming explained: "I don't have a good explanation for this problem. It can only be attributed to the particularity of the patient's constitution, or it is suppressed by a certain drug ingredient!"

Wang Zhijin snorted lightly.

"Doctor Yu, you just attribute the unexplained problem to the patient's special constitution. This is a hooligan."

"Cure the disease and save the patient, you need to prove it, but you are not allowed to sophistry, that is meaningless."

Yu Zhiming chuckled, and said, "I also know that my guess, which doesn't make sense or can't be explained, is due to the special constitution of the patient. It's a sophistry."

"However, if we determine that the patient really has a special constitution, then my conjecture is perfect."

"I suggest that you might as well verify..."

Yu Zhiming raised his voice by one degree and said, "Do an experiment on the patient and inject an appropriate amount of immunosuppressant."

"If my guess is correct, then the herpes virus will attack a certain part of the body after the patient's own immunity is weakened, causing unknown severe pain."

"In this way, we don't have to wait foolishly for how long his unknown pain symptoms recur."

"I disagree!"

Xie Jianmin said seriously, "Dr. Yu, your experiment is risking the lives of patients."

"It's really the herpes zoster virus. If you reduce the patient's autoimmunity in this way, the herpes virus may drive straight and invade his brain, liver, heart and other organs."

"In that case, no one can save him."

Yu Zhiming argued: "Doctor Xie, what I'm talking about is injecting an appropriate amount of immunosuppressant, which is to properly reduce his autoimmunity."

Xie Jianmin's eyes sharpened, and he asked loudly, "Doctor Yu, what's the proper amount?"

"Can you precisely control the degree to which the patient's immunity is reduced to a very suitable degree?"

this……

Yu Zhiming thought, how can I have such ability.

This requires tumor radiotherapy and chemotherapy experts, or organ transplantation experts to be responsible for this problem.

When they treat their own patients, they often use immunosuppressants on the patients.

Yu Zhiming looked at Qi Yue for help, but he didn't say a word.

Xie Jianmin's voice sounded again, "I personally think that the patient's unknown pain is caused by some unknown virus or unknown toxin."

"Dr. Yu's experiment to reduce the patient's own immunity is very likely to allow unknown viruses or toxins to further invade the patient's body, resulting in fatal damage."

Wang Zhijin also expressed his attitude, saying: "Dr. Yu's experiment proposal is indeed too risky."

He added in a low voice, "It's a little irresponsible."

Wang Zejia also said: "I think it's better to wait for the patient to have another pain attack, then we will conduct a detailed examination on him, and maybe we can find new discoveries and get answers."

At this time, Han Shuo saw Qi Yue looking towards him, and slowly expressed his own thoughts.

"Doctor Yu's experiment is indeed a bit risky."

"But just waiting and doing nothing is not our style here."

Seeing that everyone had expressed their opinions, Qi Yue said, "Do you have any new ideas about the patient Xu Feng's condition?"

Xie Jianmin shook his head and said, "No."

He then added: "Director, I am doing virus culture and toxic substance screening, which will take some time."

Wang Zhijin and Wang Zejia met Qi Yue's gaze and shook their heads.

Qi Yue said in a deep voice: "A considerable part of the patients who come to us are intractable diseases."

"There is no precedent for their diagnosis and treatment, and we often need to explore."

"Therefore, trial and error treatment is inevitable."

Pausing for a moment, Qi Yue expressed his opinion: "I think Zhi Ming's conjecture is reasonable to a certain extent."

"I decided to adopt Zhiming's suggestion and conduct an experiment on the patient tomorrow to reduce his body's immunity."

"director……"

Xie Jianmin shouted, and sincerely persuaded: "The current patient's physical condition is acceptable, there is really no need to rashly carry out such a dangerous experimental treatment."

"Director, we have time to proceed slowly and steadily."

Qi Yue insisted: "Doctor Xie, you know my habits, bad treatment is better than procrastination, doing nothing."

"No one can predict whether the patient's next attack will be serious enough to be life-threatening."

Qi Yue waved his hand to stop Xie Jianmin and others from persuading again, and directly ordered: "Instead of persuading, you should prepare next. The worst case of the experimental treatment did happen as you expected, and the plan for how to remedy it."

After a pause of two seconds, he said slowly again: "If you want to convince me, you have to come up with a more reasonable diagnosis than Zhiming's conjecture before ten o'clock tomorrow."

Seeing that Teacher Qi supported him so much, Yu Zhiming directly adopted his own guess, feeling both excited and apprehensive.

If the situation that Dr. Xie said really happened, then he would be the murderer who killed the patient...

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(End of this chapter)