While Paul examined Aina's blood and cerebrospinal fluid, John and Professor Wolfgang watched carefully, including Dr. Berg, who looked curious.

Compared with Professor Wolfgang, who was invited to the Department of Surgery to see the local anesthesia technique and observe the whole process of appendectomy, the other doctors in the Department of Internal Medicine do not have such good conditions, they have heard of John's neuraxial puncture since last year, but they have never seen what it actually looks like, and it is naturally impossible to let go of this good opportunity now.

"The pressure is elevated, and the cerebrospinal fluid is cloudy."

After checking and settling the patient, Paul, wearing a mask, reported to John in a somewhat muffled voice. Although there is no equipment to measure pressure, Paul can still tell it lightly based on the speed of cerebrospinal fluid outflow.

"Well, you can go back first."

After thinking about it, John carefully instructed: "Blood analysis, cerebrospinal fluid microscopy, and bacterial culture should be done as much as possible, and go back and show me all the reports." ”

"Okay."

After nodding his head, he said hello to Professor Wolfgang and hurried away.

"Goo-dong!"

Seeing Paul leave the ward, the confused Berg hesitated for a moment, and then asked cautiously, "Mr. Huntelaar, what did the doctor say after the examination just now...... What is the meaning? ”

At the same time, Professor Wolfgang's gaze drifted over.

Before examining the patient, Dr. Paul skillfully donned a hat and mask, then washed and wore gloves, including a sterile bag, disinfected the patient's puncture site, and finally inserted the slender metal needle into the spine......

Not to mention the patient's mother, even Berg was terrified to see it!

But at the same time as he was worried that Paul would damage the patient's nerves. At the same time, a very strange feeling arose in Berg's mind, and he didn't know whether it was surprise, curiosity, or something else. In short, after seeing Paul's "future" operation, including the other patients and family members around him, they all showed a look of surprise on their faces when they looked at Paul who was fully armed.

Even Professor Wolfgang shook his head and sighed softly, "If the time is twenty years in advance." I'm afraid you're going to make an uproar among the doctors, but for now...... I must congratulate you, Mr. Huntelaar, and it is expected that you will leave your name in the history of surgery! ”

Forty years ago, a poor obstetrician and gynecologist was attacked and abused by almost all his peers because he claimed that puerperal fever occurred because of the dirty hands of obstetricians and gynecologists, and attributed the extremely high maternal mortality rate to the failure to wash his hands. Twenty years ago, when Liszt began to promote his own surgical disinfection concept and technology. He was still ridiculed and ostracized by his peers, and God's servants, the nuns, even besieged him, and even now there are still physicians who oppose him.

But in 1886, more and more people were embracing the germ theory and the surgical sterilization theory, and John was just in time!

Upon hearing the professor's words, Dr. Berg was taken aback.

John's expression was much more flat, and he just smiled and said, "Thank you, Professor Wolfgang, but for now I want to focus on this poor girl, Aina!" ”

"Oh?"

Raised eyebrows. Professor Wolfgang said, "So do you think we need to wait for the results of their real room to come out before determining whether we need to use sulfonamides?" ”

After a deep groan. John shook his head and said, "No, the current evidence alone is enough for us to try, and the results of the real room are just to confirm this." ”

Purulent meningitis, John can almost already be identified.

I have to say that this time he is still very lucky, although he has hardly been in contact with such patients in his previous life, but Aina's symptoms are too typical. It was almost exactly the same as the textbook description in his head, so now John was seventy or eighty percent sure!

Not to mention......

Even if it's not purulent meningitis, what else can be done besides sulfonamides?

John really couldn't think of any other way for the level of medicine in 1886, so regardless of the diagnosis in the real room. It is inevitable that Aina will be given sulfonamide, otherwise this poor little girl will have to lie in the hospital bed and wait for death like other patients, or hope that her own immune system will be extremely lucky to work, but it will produce sequelae such as intellectual disability and epilepsy......

"Are you sure?"

With a stir in his heart, Professor Wolfgang stared at John with burning eyes.

"I'm sure."

After taking a deep breath, John nodded vigorously and said, "Professor Wolfgang, you also know that this disease can progress very quickly, and we don't have much time to waste. And there is still some time before Paul comes to their conclusions, in the meantime allow me to introduce you to the precautions for the use of sulfonamides......"

……

“…… So in short, there are many things that must be paid attention to when using sulfonamides! ”

In Professor Wolfgang's office, John spoke to two physicians: "It is odorless, tasteless, almost insoluble in water, and probably has many adverse effects...... Ladies and gentlemen, this is what we have summarized through dozens of animal cases, please listen carefully! ”

Under John's disgruntled gaze, Dr. Berg's face suddenly turned red, and he quickly sat up straight.

The young physician, whose mind was still on what Professor Wolfgang had just said in the ward, was not particularly concerned about John's explanation at this time. In this era, doctors are very casual about the use of drugs, and pharmaceutical companies often encourage more use, so many people like John emphasize the precautions.

"Listen carefully!"

With a frown, Professor Wolfgang exclaimed.

Although John is now quite famous in Charlotte, this kid is still too young after all, and coupled with his status as a surgeon, he does not have much deterrent effect on Wolfgang's subordinates, so the professor of internal medicine had to jump out at this time.

Sighing secretly in his heart, John then said loudly: "Gentlemen, according to our real life, there may be many adverse reactions when using sulfadiazine, ranging from nausea and vomiting in mild cases to fever and rash in severe cases......"

For various reasons, John did not mention many things.

Sulfonamides have not yet started formal clinical trials, and the theory of anaphylaxis has not yet been proposed, and there are some things that John certainly cannot say in advance. He just said some of the simplest things for a while, and finally said in a deep voice: "In addition, everyone should pay attention to the fact that patients must drink more water after taking this medicine, and take the same dose of sodium bicarbonate at the same time when necessary......"

……

After a busy day, I happily looked at the stocks, and found that the stock market copied 530 today, and suddenly the one-year manuscript fee was lost.

Alas! (To be continued......)