In any case, Sun Lien still has the psychological quality of losing people and not losing the battle. A person who has successfully graduated from Ningyuan Medical College for five years is not a ruthless character who goes back and forth in the sea of books? Even if he feels that he does not have enough time to review, Sun Lien has to put his high fighting spirit and the strength of a young doctor who is not afraid of heaven and earth to show off.

"Okay, okay, don't pout. Liu Tangchun expressed disdain for Sun Lien's resolute expression, "I called you here, mainly to arrange what happens after you enter the school." It's only December, but it's a bit late to join the group in June. I discussed it with Zhou Jun, and from tomorrow onwards, you will go to the research group to report. ”

"Tomorrow?" Sun Lien was a little flustered, "but ...... on duty"

"This is a special case for you kid. Liu Tangchun said with a serious face, "Anyway, you won't be able to go back to the rescue room for a while." Even if you go out of the emergency clinic every day, it's inconvenient to have no prescription right - Zhou Jun can't just soak in the hospital every day just to sign for you, right?"

It's a matter of prescription power again. Sun Lien sighed, he had no right to prescribe, and if he wanted to give the patient any emergency treatment, he had to find a senior doctor to supervise him first. If you want to prescribe a drug, you have to find someone to sign it first. It's not just a matter of trouble – if there is an emergency and there is no time to find a senior doctor, Sun Lien has to risk practicing medicine without a license to save people. At worst, it's a criminal offense.

"Starting tomorrow, the medical office will adjust your and Zhou Jun's schedules to the same. Liu Tangchun arranged, "You should be his little heel." When he comes to the hospital, you come with him, and when he goes to the academy, you go with him. Usually use his prescription power, and honestly follow him in the academy to familiarize himself with the research group first-don't be lazy!" Liu Tangchun said seriously, "I'll come back when you are in your second year of study, and if I find that your kid has a weak foundation, then you just wait to be cleaned up!"

These old things in the medical school are all feudal paternalistic, and if you go east, you are never allowed to go west. You can't even think about it in your head. Although this can easily cause conflicts between students and tutors, it is also easy to cause the problem of "stifling academic innovation". But if the relationship between the two sides is relatively harmonious from the beginning, such as Liu Tangchun and Sun Lien, the feudal paternalism may not necessarily be a bad thing. One will take care of everything with all his heart, while the other will be grateful to Dade for taking care of the arrangement.

So, sometimes a little change in perspective, a bad thing can turn into a good thing. And sometimes, good things happen at the wrong time and place, which often leads to a bunch of bad things.

For example, Yang Jianqiang, who is in a coma, has his immune system back to normal operation, and the result is that he may lose his life.

"The edema area of the brain is progressing very quickly, and empies are already starting to appear. Zhou Jun held the CT picture that had just been retaken 20 minutes ago, and his face was extremely grim.

The immune system is not a toy car that can be pushed around in a child's hand. It takes a long time to start and stop the system. Even though the dosage of hormones has been increased, Yang Jianqiang's immune system still continues to strengthen. There are still a few hours before the peak of immunity, and after that, the hormone can suppress his immune system back to a lower state.

However, this also means that Yang Jianqiang's immune response will continue to strengthen. According to the current CT images, four of the eight edema areas have developed empyema. Although the amount of pus is not very large now, at this rate, the pus in the skull will put a lot of pressure on his brain before his immune system is suppressed, and midline displacement or brain herniation are very likely. At the extreme, problems such as white matter lacerations may even occur.

And that's not even counting the other infections that lurk in various organs. Zhou Jun glanced at Yang Jianqiang who was lying on the bed, and sighed again.

Although the evidence of PRC has not yet come out, looking at these symptoms, Zhou Jun also agrees with Sun Lien's opinion. This is indeed a rare case of Toxoplasma gondii infection, and it is clear that the infected organ is not just the brain – it is a case of systemic infection.

The prognosis of toxoplasmosis itself is actually quite good, and most patients can be discharged safely as long as sulfadiazine and pyrimethamine can be treated in a timely manner. However, the prerequisite is that there is only one abscess, and that it is largely stabilized at the time of onset, and that no other organs are infected with Toxoplasma gondii.

There are four abscesses in the eight edematous areas, and the infection of other organs is unknown. Together, Yang Jianqiang's chances of survival have dropped from about 70 before, as for how much chance he can have...... Zhou Jun's most optimistic prediction is around 10.

Nine deaths and one life, this is still the most optimistic estimate. It's not that Zhou Jun's personality is conservative so he underestimates this probability, in fact, the data of 10 is a conclusion reached after a joint diagnosis of multiple departments in the hospital.

"It's a hassle. The doctor in the ICU was the first to express his opinion. "Whether his vital signs are stable or not does not depend on our means of support. Even if he is on EO and maintains his cardiopulmonary function and even liver and kidney function, if the brain abscess cannot be solved, the person who withdraws the device will still have to die. It's okay to drag the situation out, we're good at this, but is there a need to drag it out?"

Liu Pingchuan, who also participated in the consultation on behalf of the Department of Neurosurgery, had a positive attitude, "You can use the method of sampling needle to extract the empery and relieve the pressure in the skull." We are sure that we will do surgery, but the trouble is the trouble of intraoperative damage. Moreover, this location ......," he pointed to the area on the projector near the base of the skull with a laser pointer, "There is no way to start here, and the risk is too great during the operation." ”

Doctors in the infectious disease department gave a not-so-good news, "Even if sulfadiazine and pyrimethamine are combined, regardless of the speed at which the drug kills toxoplasma, even if the drug is to cross the brain-blood barrier, it will take at least three hours for the blood concentration to reach its peak." I'm afraid it's too late to administer the drug now. ”

There was silence in the conference room, and everyone fell silent. Even according to the treatment of toxoplasma gondii infection, it is estimated that Yang Jianqiang's condition will not survive at the current rate of deterioration. Even if the gods were to take a huge risk to relieve the pressure in his skull, the damage that could still be caused would be unacceptably great. What's more, the edematous area near the base of the skull is inoperable. Once the edema in this area turns into an abscess and starts to squeeze the brainstem, there is no way to save it.

"Is radiation okay?" Just when everyone was silent, Zhou Jun suddenly remembered Sun Lien's suggestion. That seemingly ridiculous suggestion of radiation therapy has become the only viable treatment option now. "Suppressing the intracranial toxoplasma with radiation therapy will at least give us some time to treat. ”

"The dosage is not easy to determine, but in theory it may work. "Liu Pingchuan, as the director of Shenwai University, usually comes into contact with many brain cancer patients. He was no stranger to cranial radiation, and after a rough estimate, Liu Pingchuan suddenly became energetic. "Ask the oncology doctors to take a look. ”

"Director Zhou!" The door of the conference room was suddenly pushed open, and Yuan Ping'an, who had been checking the information day and night, broke in. He had huge dark circles under his face, and his hair was tousled as if it had been shaved by a cat. But the flaws in his appearance did not affect his excitement, "I found out! The patient should be toxoplasmosis encephalopathy!"