"Oh, okay." The students left in response.

After being reborn, Lin Lin, like in her previous life, is also a top-level person in various operations in neurology.

watched Lin Lin skillfully insert the needle; watched Lin Lin connect the glass pressure tube to the waist puncture tube as fast as lightning; watched the cerebrospinal fluid rush through the needle from the waist to the manometer tube at a rapid pace; watched Lin Lin firmly control the exit of the pressure tube, and quickly pulled out the waist thread needle with one hand; Watching Lin Lin carefully divide the cerebrospinal fluid in the manometry tube into three test tubes.

The student finally understood that the patient's intracranial pressure was too high, and if these details were not grasped properly, the patient could die of brain herniation immediately.

"The teacher is so good, the whole process is like flowing water." The student couldn't help but praise it.

Lin Lin did not respond to the student, but asked the student to immediately send two tubes of cerebrospinal fluid to the laboratory department for biochemical and routine examination of cerebrospinal fluid, and specifically noted on the application form: Please pay attention to the presence of cryptococcus.

Lin Lin turned around and walked into the rudimentary laboratory in the ward, took the slides and ink, did a good job of ink staining, and immediately observed them under the microscope.

As Lin Lin expected, under the microscope, against the background of black ink, glittering cryptococcal spores filled the entire field of vision.

The diagnosis of "cryptococcal meningitis" is clear, and the mortality rate of this disease, even if it has not been "tossed" in the Nanjiang Provincial People's Hospital, is relatively high.

The use of hormones makes the growth of cryptococcus more rapid and vigorous. The severity of the condition and the difficulty of treatment can be imagined.

Lin Lin immediately called the outpatient pharmacy and the central pharmacy, and their replies were the same, there was no drug "amphotericin B" to treat this disease.

Lin Lin did not give up, and called the chief on duty, who promised to contact the director of the pharmacy department immediately to meet the clinical needs as much as possible.

Lin Lin is very fond of the smooth communication between the various departments and administrative departments of the hospital in 1987. Everyone has their own responsibilities, and there is only one goal, that is, to get things done.

About an hour later, the chief duty officer called Lin Lin to tell him that after coordination, he had borrowed a box of amphotericin B from the brother hospital and had entered the central pharmacy and could give a doctor's order.

Highly targeted medications, combined with the use of dehydrating agents, gradually relieved the patient's headache.

The next day, Chinese New Year's Eve. After the shift, Lin Lin was not in a hurry to go home, but did a lumbar puncture for the patient again, and injected a small dose of diluted amphotericin B from the spinal canal.

Textbooks published in 1984 described the mortality rate of the disease in vague and even optimistic terms, which invisibly caused some doctors to pay insufficient attention to the treatment of this disease, or to be blindly optimistic.

It was not until the sixth edition of the neurology textbook in 2008 that the higher mortality rate of this disease was mentioned. Of course, this situation is only known to Lin Lin. It is precisely because Lin Lin knows that she will pay enough attention to it.

In the evening, Lin Lin and Meiyi went back to their father-in-law's house for Chinese New Year's Eve dinner. Yang Yu and Lu Run both knew that Meiyi was pregnant, and they also knew that because of this reason, Lin Lin and Meiyi did not return to Jishui Town during the first Spring Festival after marriage.

Meixue did not take Yuan Xuan home for Chinese New Year's Eve dinner, Lin Lin and Meiyi were not good to ask, and they would not tell their parents about Miyuki.

"Arlene, have you been busy with work lately?" Yang Yu is very fond of this son-in-law.

"I've been very busy lately, I took in a very serious patient last night, and for the next period of time, I have to go back to the ward every day, adjust the medication and treatment plan, and do lumbar puncture injections for him."

"Oh, so troublesome?"

"Yes, the patient was suffering from a rare fungal infection, which we medically call 'cryptococcal meningitis'. For this disease, there are not many drugs available, and the side effects of the drugs that can be used are particularly large. The most troublesome thing is that this fungus is particularly difficult to kill. ”

"So, the patient is dangerous?"

"Yes, very dangerous. Because I tossed around in Shencheng and Guangcheng for more than three weeks, I didn't get targeted treatment. Therefore, the patient's condition is not optimistic. ”

"yes, I see. Arlene, you're busy with you, it's important to save people. Why don't Meiyi go home and live? ”

"No, I'd better live in a hospital dormitory. Now, I have no problem with activities and can cook for Arlene. Hearing Lin Lin say this, Meiyi knew that Lin Lin would be very busy next, and she wanted to ensure that Lin Lin could eat warm and delicious meals when she went home.

"Miyuki, it's another year, when do you plan to complete the mission?" Lu Run has a headache about Miyuki's lifelong event.

"It's coming, it's coming, you're worried that I won't be able to get married?"

"It's not that I'm worried that you won't be able to get married, but I'm worried that you've overpicked it."

"What do you mean by overkilling? I remember my sister said that when fate comes, you can get married soon. So, mom and dad don't worry, this year, it's my lucky year. ”

Obedient and listening, Meixue's words, Lin Lin and Meiyi both felt that Meixue and Yuan Xuan had a play.

Throughout the Spring Festival holiday, Lin Lin had to go back to the ward every day to check on patients and adjust treatment plans, and the first day of the new year was no exception.

In addition, every 3 to 4 days, Lin Lin has to personally perform a lumbar puncture for the patient and perform neuraxial drug injection.

By the end of the Lunar New Year holiday, the patient's condition had improved greatly, and he could move around easily and freely, and his headache had disappeared.

Lin Lin's dedication, Ling Xiaoyun knew, and in her heart, she was shocked by Lin Lin's professionalism and this extremely responsible attitude.

"This guy will become a great thing in the future." Ling Xiaoyun began to accept Lin Lin's professional arrogance.

The patients and their families felt the dedication of Lin Lin even more really. Both of them were touched by Lin Lin's dedication, dedication and sacrifice.

One month later, the patient had no cryptococcus in five consecutive cerebrospinal fluid cultures and five consecutive smears that found no cryptococcus. These indicators have met or even exceeded the standard of cure for this disease.

"Dr. Lin, can this patient be discharged?" One morning, when the shift was handed over, Ling Xiaoyun said to Lin Lin.

"Okay, I'll stop taking the medicine for a few days, and if it's okay, I'll let him be discharged from the hospital."

"How many more days to observe?"

"Yes, standards belong to standards, and clinical practice belongs to clinical practice. Besides, the current level of laboratory inspection is difficult to ensure that there are no mistakes and omissions. After being reborn, Lin Lin still remembers the scene that happened to this patient.

"Five cultures were negative, and five smears didn't find cryptococcus, okay? Do you doubt the level of our laboratory department? Ling Xiaoyun felt that Lin Lin was too cautious.

"I didn't suspect anyone, I myself did an ink picture check for the patient and the result was the same. This is only an in vitro examination and does not fully reflect the true condition within the skull and must be observed. ”