Is Zhang Tianyang really in a daze in front of a group of bigwigs?

How could it be!

He was thinking.

Although the discussion among the bigwigs is intense, the illness that has tormented the girl in the 8th bed for five years is indeed rare, and they have no constructive opinions, let alone a consensus.

But their discussion, as if touching some nerves, made Zhang Tianyang feel as if he had missed something again.

Flipping the course of the disease specially typed in his hand again, Zhang Tianyang ignored the mobile phone that had been vibrating.

Sometimes inspiration is just a moment, and it's hard to get it back when it's interrupted.

"I have used antibiotics empirically in the past, first of all, I have self-medicated amoxicillin, a relatively weak antibiotic, and there is no effect.

Later, he was replaced with a cephalosporin prescribed by a respiratory doctor at a local hospital, but it still had no effect.

After the disease progressed, I used the Meiping Wangu ...... for a while"

"And ...... who used hormones later"

Zhang Tianyang stood up suddenly, "That's right!"

A group of bigwigs were arguing fiercely, but Senior Brother He and Senior Sister Chen, who had been hiding in the back row and had been paying attention to Zhang Tianyang's "daze", saw it at a glance, and hurriedly waved at him to let him sit down.

But Zhang Tianyang stood up and was stunned for a while, then turned out his small notebook, took out a blue and black pen from the left breast pocket with a wave of his hand, poked it directly on his chest and poked the tip of the pen out, and then began to brush and remember something.

"What is he writing?"

Chen Shishi looked confused, "Aren't the bigwigs still quarreling?

It can't be writing about what to eat when you go out with your girlfriend on the weekend, right?

Senior Sister Chen felt as if she had discovered the mistake of a "perfect" junior disciple for the first time, and she couldn't help but be amazed in her heart.

But when she came back to her senses and looked at the bigwigs who still hadn't discussed the results, Chen Shishi's mood fell again.

"I hope we can find out the cause of the disease soon......"

When the patient first came, she didn't go to see it in order to avoid trouble, but just now she ran over to look at the patient, and felt that her pestle could be heavier than two patients, and then thought that her lungs were corroded by germs for nearly a third......

As an experienced doctor, she generally doesn't show affection for her patients unless she can't help it.

"8 beds are so pathetic!"

"It's pitiful, incurable, and it's developing very fast. ”

Senior Brother He sighed and continued to calm down and listen to the fights between the big guys.

But after five years of repeated treatment, only one consultation, a group of infectious medicine bosses did not have good ideas and treatment plans.

"Let's go back and think about it, and tomorrow morning the whole hospital will have a consultation to see if there are any ideas in the respiratory department and the imaging department. ”

After a full hour and a half of discussion, Professor Zhu made a summary.

A group of bigwigs stood up and left, still discussing the case as they walked, and if it weren't for the onlookers of family members, they would have almost quarreled again outside the conference room.

Zhang Tianyang didn't care much, said hello to Professor Zhu, and ran to the doctor's office with a small notebook full of handwriting.

Chen Shishi wanted to stop him in the back, but he was empty.

Halfway through, she met a patient's family member who stopped her to inquire about her condition, and when Senior Sister Chen also returned to the office, she only saw Zhang Tianyang taking off the white coat hanging behind the door.

"Why did junior brother get off work so early today?"

Looking at the time, it's only 5:20, strictly speaking, there are still ten minutes before the end of work.

"Alas, there was originally a small cake in the small lecture at noon, but the cake shop sent it a little late, and it was sent in the afternoon, and I originally wanted to get one for my junior brother. ”

Chen Shishi was also curious for a while, he still believed in Zhang Tianyang's ability and character, although he got off work a little early today, but the things that should be dealt with must have been dealt with.

Uneasily, she clicked on the medical records of the 8 beds and looked at them, and Chen Shishi took off her white coat and got off work with satisfaction.

Before leaving, I didn't forget to bring my little cake, and then turned around to take a look outside the 8-bed ward.

The mother of bed 8 is "bathing" the girl on the hospital bed with a wet towel, and her movements are gentle, but she will inevitably touch the skin ulcers or pus-filled areas.

Chen Shishi vaguely saw that the girl in bed 8 showed a slightly painful expression on her face from time to time, but she never screamed, not even humming in pain.

As if her heart was blocked by something, Chen Shishi felt that her chest was stuffy.

I wanted to give the cake in my hand to the girl with 8 beds, but I remembered that she seemed to have a lesion in her throat, and she couldn't even speak, let alone eat this kind of thing?

"Senior brother, junior brother, can you be like the protagonist of a medical TV series, and make a big show of power and cure her illness?"

Chen Shishi has never liked to watch TV series about medicine, because she always feels unreal, and there is so much helplessness in clinical practice, how can it be so smooth and smooth as in the TV series?

But now, she wishes that she was a supporting role in the TV series, and hopes that her junior brother can be "anti-science".

And what is Zhang Tianyang, who has high hopes, doing at the moment?

He had just rushed back to the dormitory, and it was too late to eat, so he turned on his computer and began to look up the literature.

As soon as the curtain next to the desk was drawn, refusing the "visit" of the three roommates, Zhang Tianyang opened the NCBI and began to check.

He had a vague guess.

Before getting off work, he deliberately went to bed 8 to confirm with the woman.

After the first dose of strong antibiotics, the girl's condition did not improve, which is something that everyone knows and has written into the medical records.

But under Zhang Tianyang's careful questioning, he found a blind spot.

The mother of bed 8 thought carefully and told him that after taking strong antibiotics, the girl's condition not only did not improve, but seemed to worsen in a short period of time!

However, at that time, the doctor could not explain this phenomenon, and only thought that it was the process of the development of the disease, and did not mention it later.

"But if it really gets worse...... Maybe it's not a bacterial infection?"

Zhang Tianyang flipped through the A4 paper full of illness and his own small notebook brought back from the hospital, reasoning in a low voice.

"It's not a bacterial infection, it's a fungus or a virus.

Therefore, after the antibiotic is used, it does not hit the pathogenic source, but because it disrupts the normal flora in the human body, so that the pathogenic bacteria take advantage of the weakness and aggravate the disease?"

He flipped through the information in his hand, and the keywords flashed quickly in his mind.

"So, it's the same with hormone therapy?

Empirical hormone therapy did not slow down the disease, and after asking family members, it was found that the progression of the disease accelerated in the short term after receiving hormones......

Hormones attack the body's normal immune mechanism, and also allow the pathogen to take advantage of the weakness again and aggravate the condition again. ”

As he spoke, Zhang Tianyang suddenly frowned.

"Immune mechanisms!"

He jerked over the information to the results of today's new "four preoperative items".

"Four items before surgery, AIDS is negative ......"

"I have assumed that her immune mechanism before the onset of the disease is normal, which is understandable, but what if the direction is wrong from the beginning?"

Zhang Tianyang smashed his fist on the data.

"What if, her immunity is low!"