The consultation began with Huang Yiming's introduction of his condition: "Mr. Chen developed hoarseness and difficulty swallowing a month ago, and was diagnosed with thyroid tumor in the hospital, the nature of which is undetermined, and then he had difficulty eating and obvious weight loss, and started nasogastric feeding nutrient solution in the hospital, and was transferred to this hospital for surgery a week ago. On the third day after surgery, I began to have fever, and I thought it was absorbed heat, but my body temperature soon reached above 39 degrees, and I had symptoms such as chills and chills, and the white blood cells in the blood picture were significantly elevated, and the lymphocytes were normal, so I immediately started anti-infection treatment, but the effect was not good. ”

"Director Huang, what antibiotic are you using now?" Dean Su asked with a frown.

"Dean, I use ceftazidime, and I haven't dared to use other antibiotics for the time being, for fear of drug resistance." In front of the leader, Huang Yiming, who is tall and tall, is like a different person, as well-behaved as a kitten.

"Director Huang, has the blood culture been done?" An old director in his sixties asked.

"Blood cultures, urine cultures, and sputum cultures were all done, but no etiological basis was obtained." Huang Yiming returned to the road.

"In other words, the site of the infection has not been found yet?" The old director continued to ask.

"Yes." Huang Yiming said softly.

Hearing this, all the experts frowned, the location of the infection was not clear, this was really a headache. Medicine pays attention to "curing the root cause of the disease", and now that the root has not been found, the treatment method will undoubtedly be greatly discounted.

The old director picked up the stethoscope, walked to the bedside, and helped Mr. Chen check his body, while the others began to talk quietly.

"Since ceftazidime can't work, you might as well try Tyne." A deputy director suggested.

"I don't recommend using Tyneon. Taineng is not a last resort. Absolutely not to use. Dean Su objected. To know. Tyneng is currently the most effective antibiotic with the most extensive antibacterial spectrum, and if Tyneng is not good, then there is basically no other antibiotic that can be used.

Just when everyone was talking, the old director had already completed the patient's physical examination, he straightened up, and said in a deep voice: "Mr. Chen's bilateral lung lobe breath sounds are clear, there are no dry and wet rales, and there is no heart murmur. Murphy's sign is negative, and there are no signs of urinary tract infection. ”

Speaking of this, the old director paused, looked at everyone's reactions, and continued: "I personally suggest that before the site of infection is not known, you may wish to expand the antibacterial spectrum appropriately, considering that ceftazidime has a better effect on gram-negative bacteria, you might as well add vancomycin, which has a better effect on gram-positive bacteria." ”

The old director's surname is Dong. He has been the director of the Department of Internal Medicine in the Second People's Hospital of Changtai City for more than 20 years, and has extremely rich clinical experience. It is a banner of the medical community in Changtai City, and even Dean Su was brought out by him, and this year because of his age, he has just taken a back seat. When he said this, the others felt that this was all they could do for now, and they nodded their heads in agreement.

At this moment, a calm voice suddenly came out from the corner, "Director Dong, could that PICC catheter on Mr. Chen's left arm be a foci of infection?" ”

For Director Dong, this voice was very unfamiliar, he couldn't help but be stunned, turned his head to look at the place where the voice came from, and saw a young man standing behind the crowd, although the white coat on his body was very old, but it was very clean, and he wore it on his body, with an indescribable youth and confidence.

"Who are you? Are you a doctor in our hospital? How come I've never seen you before? What department are you from? Director Dong asked with a little confusion.

In the face of Director Dong's question, before the young man could answer, Huang Yiming's angry voice had already sounded: "Lu Tianyu, what opinion are you expressing blindly?" Here are all chief experts, which level is not higher than you, and which round will you speak? Stand aside, shut my mouth, and learn better, this is not your time to be in the limelight! ”

The young man who stood up to speak was Lu Tianyu, in front of so many experts, he didn't want to speak, but on a whim, he activated a certain function of the "Pea Camera", observed Mr. Chen, and found some abnormalities. At this time, seeing that everyone was having a headache about the infection foci, he suddenly felt that it was necessary to tell the abnormal situation he had found and tell these expert directors, maybe he could identify the location of the infected foci.

To be honest, when Lu Tianyu stood up to express his views, he didn't have any idea of being in the limelight, he only had one thought: if he could help these experts and directors and help them identify Mr. Chen's infection as soon as possible, then Mr. Chen would be able to get rid of the toss of the disease one day earlier, recover one day earlier, and return to a normal life one day earlier.

At this moment, in the face of Huang Yiming's blame, Lu Tianyu did not succumb to the authority of the other party as usual, because he firmly believed that he had a clear conscience and considered the patient for the sake of the patient.

"Director Huang, I think what you said is biased. It is true that all of you are experts, all of you are directors or deputy chief physicians, and I am just a small intern, and there is a huge gap between me and my predecessors in terms of theoretical knowledge and clinical experience. But I've always believed that in science, everyone is equal and everyone has the right to express their opinions......"

Lu Tianyu's voice was not loud, but it was full of strength and perseverance, just like his straight back, "Medicine is one of the most complex disciplines in the world, and compared with the vast unknown field, the field we have explored is only a drop in the ocean. Although I am humble, I also hope to contribute my own strength and stir up a small wave in the unknown ocean of medicine! ”

This last sentence is not Lu Tianyu's original, but from a training he attended.

In April, when Lu Tianyu participated in the international medical student exchange camp in Luogang, on the afternoon of the first day, all the campers participated in a lecture on the history of medical development, taught by Professor Zhu, an internationally renowned expert in medical history.

There was silence in the ward, and everyone didn't expect that a young intern doctor could say such philosophical words, and everyone had a feeling for a while - the back waves of the Yangtze River push the front waves, and each generation is stronger than the next.

However, Huang Yiming didn't think so, seeing that a little intern doctor dared to talk back to him, he suddenly felt embarrassed, and couldn't help but be angry: "Lu Tianyu, you get out of here, get out now!" From now on, you are not allowed to appear in the third ward, otherwise, you will blame me for turning my face and not recognizing people. At this time, Huang Yiming didn't expect that as the director of the ward, he would be so serious with an intern doctor, and he would not be ashamed.

As soon as Huang Yiming's words came out, the atmosphere in the ward suddenly became tense. (To be continued......)