The results of the biopsy of the liver showed that the hepatocytes were filled with spherical red bodies of different sizes, and the PAS staining reaction was also negative, so it was not antitrypsin deficiency. However, the examination was not without results, and the doctors at the Presbyterian Hospital found local infiltrates and minor inflammation, which are also very important clues.

"At my farewell bachelorette party, the patient wiped his nose many times because he kept asking the waiter for tissues, so I remember it very well. Liang Baoguang's memory is gradually recovering, although the most critical part is still not remembered, but some other details can already be remembered.

"Runny nose, tachycardia, combined with liver infiltrates, these symptoms should be hepatitis B. Eric Rose, who had been nervous all day, finally breathed a sigh of relief, the word hepatitis B is undoubtedly great news, as long as the patient is given interferon, it can be cured, which is much better than other possibilities, "I will arrange for someone to give the patient interferon, and I will also send someone to notify the family, you go and have a good rest." ”

Before bidding farewell to the single party, Liang Baoguang worked overtime in the hospital to follow up on the case, and although he was on vacation, he patronized and drank with friends without resting, not counting the half hour of trance after the car accident, he had not slept for more than 60 hours in order to diagnose the cause of his uncle Max Pesso.

Even the iron beaten people can't stand such a crime, but Liang Baoguang is still unwilling to rest, as long as the uneasiness in his heart does not dissipate, he does not dare to leave the hospital, "It's okay, it's been dozens of hours, and it won't get in the way if you don't sleep for a few more minutes, I want to go over and take a look when the first course of treatment is carried out, as for my fiancée, I'll be notified by your doctor." ”

Max Pesso's body temperature was lowered after the ice slurry was injected into his lungs, and if it weren't for the real-time recording of his vital signs by the monitor, he would have looked like a dead man, and his skin would have been a pale gray-white. Interferon is not effective immediately, in addition to silently praying, the doctor can only wait for the drug to work, Liang Baoguang came to watch just to find some comfort for himself.

"Wait, is this a rash?" Liang Baoguang was stunned, and when he came back to his senses, he suddenly noticed a little purple mark on the skin exposed by Max Pesso's ribs, at first he thought it was just an ordinary bruise, and it was normal for it to appear on someone who had just been in a car accident, but a few fragments suddenly flashed in his mind, as if he had seen this trace before.

Farewell to the bachelor party, the men always have a good time, Liang Baoguang not only called a bunch of beauties in the fashion industry and entertainment industry to come over to help the fun, but also rented a luxury hotel to hold a pool party. The heated water of the heated pool makes everyone completely forget the cold of early winter in New York, and indulge in the feeling of indulgence, and it is by the pool that he notices the purple rash on the body of his uncle, Max Pesso.

Eric Ross was also confused after a closer look, "What does the rash represent, is it allergic to interferon?"

"I saw this rash two days ago, and it didn't take long for interferon to get started. Liang Baoguang rolled his eyes, he hadn't heard of when interferon became a weapon against the law of causality, because he would be given interferon today, and Max Pesso would have symptoms two days in advance.

"Probably dermatomyositis. A doctor in the diagnostic department of the Presbyterian Hospital interjected and said that many diseases can cause rashes, and if you don't have a clue, you can only guess if you think that a normal doctor.

"Impossible, dermatomyositis can still cause tachycardia?" Liang Baoguang continued to shake his head.

"Maybe it's not a rash at all, it's internal suppuration. Everyone came closer to take a closer look, although it was certainly not an ordinary bruise, it was not necessarily the rash that Liang Baoguang said. For veteran doctors with deep qualifications and strong skills, everyone is still more convinced, but for peers who are about the same age next year but have a better mix than themselves, people will habitually question it, and this is the way it is.

Most of the medical doctors who are similar in age to Liang Baoguang are probably just doctors who have just left the campus to start regular training, and those who left the campus at the undergraduate or master's level are at most mixed with resident doctors, and the road to development is not very bright, so that he is also in his thirties, but he is already the director of the diagnostic department of Mount Sinai Hospital, which ranks among the top three in the United States...... Everyone was waiting for him to make a mistake and then pull him off the altar.

This simplicity, when the facts are in front of you, will be more convincing than speculation. Eric Ross touched a plastic bag from the shelf next to him and opened it, took out the 20-gauge puncture needle inside and gave it directly to Max Pesso's waist, "The fluctuation is not obvious, and the sample is also clear, not pus." ”

"It means that the bottom is vesicle-shaped, could it be Rocky Mountain spotted fever?" Liang Baoguang pinched his chin and thought hard, he couldn't determine the exact cause, he could only try to recall some past events as evidence, "When our two families had dinner together last week, a relative of the Pesso family brought a dog over, and I remember him hugging and playing for an afternoon. ”

Eric Ross nodded, this fact was enough to serve as a basis for trying, "Use doxycycline, and when the time comes, restore the patient's temperature and give him cardioversion." ”

"Slowly, if the diagnosis is misdiagnosed, it will be over for him to be cardioverted, and the blood culture will be done first. Liang Baoguang shook his head, after all, he was his eldest brother, and his mentality was definitely different from that of treating ordinary patients. If there is a different patient, Liang Baoguang will definitely choose to recover his body temperature, because symptomatic treatment is the fastest way, even if there is a business trip, there is time to remedy it, but if it is always just if, this is the reason why doctors cannot treat their loved ones.

Theoretically, Liang Baoguang did not have the right to practice medicine in the Presbyterian Hospital, and he and Max Pesso did not have any kinship before marrying Daisy Pesso, at most they were good friends, but the Presbyterian Hospital still fully respected his opinion and did not directly restore Max Pesso's body temperature.

Liang Baoguang, who left the intensive care unit, did not go back to rest, but found a corner where no one was around, took out his mobile phone, and dialed someone who had not been in touch for a long time. He didn't want to contact the woman again if he didn't have to, but now he needed her help urgently, "Hey, Julia." ”

"You need my help. The woman on the other end of the line chuckled.

This is said by a white-bearded old man named Antonidas who has saved his apprentice from danger many times until his apprentice Ah Zhen falls in love with Ah Keung......