Chapter 59: Trial and Error Treatment
At nearly five o'clock in the afternoon, Qi Yue summoned Han Shuo, Xie Jianmin, Wang Zhijin and Wang Zejia to discuss the diagnosis of patient Xu Feng's condition in the big office.
First of all, Yu Zhiming made a statement of his conjecture to everyone present.
"It's an absurd conjecture......
Wang Zhijin, the attending physician, was the first to question: "Doctor Yu, there is a data, I guess you must have made a mistake or omission." ”
"The provincial hospital in Lu Province has done viral cultures and tests for patients with unknown pain attacks."
"The concentration of shingles detected was only 0.01 pg/ml higher than the upper limit of the normal value."
"Just 0.01pg/ml higher!"
Wang Zhijin deliberately emphasized a sentence with repetition, and continued: "The concentration level of this herpes virus is not enough to support the onset of herpes virus. ”
Yu Zhiming replied softly: "Doctor Wang, I have no mistakes or omissions in this herpes virus data. ”
"I have clearly remembered every test and analysis data about patient Xu Feng."
"I would like to point out that the normal value of this herpes virus is only a range range, and does not take into account the peculiarities of a person's constitution."
"Is there a possibility, perhaps, that the patient is susceptible to the herpes virus?"
"Or maybe the herpes virus concentration in the patient's body was much lower than normal before he got sick?"
After a pause, Yu Zhiming added: "95% of the population has herpes virus in their bodies. ”
"Before the patient got sick, maybe it was the 5% of people who did not have the herpes virus."
Wang Zejia noticed that Qi Yue who was standing on the side, his expression did not change at all, and he retorted with a chuckle, "Doctor Yu, your practice of assuming the result and extrapolating the cause backwards is a forcible explanation. ”
"Attributed to the peculiarities of the patient's constitution, as well as sensitivity to the herpes virus?"
"There are so many special and coincidental things in the world."
Yu Zhiming smiled lightly and said, "Doctor Wang, each of us will have a cold and fever, probably because of that day, we wore one less piece of clothing......
"I happened to encounter another gust of cold wind, and my body's resistance was weaker, so I was hit."
"Every illness, so to speak, is the result of various conditions, various coincidences, and fate colliding together."
"Minor illnesses are like this, and major illnesses are inseparable from all kinds of conditions, coincidences, and the patient's personal characteristics."
Yu Zhiming said eloquently: "Take the condition of patient Xu Feng as an example, at present, he is in this situation, and there is only one case in the country. He is so special, why can't it be the result of all kinds of specialities, peculiarities, and coincidences colliding together? ”
Han Shuo smiled lightly and said, "I think, what Dr. Yu said is still very reasonable. ”
"Many of the patients who come to us are special. Due to the specificity of the body, the symptoms of the disease have changed compared to ordinary people, and there have been cases before. ”
Xie Jianmin groaned: "Assuming that Dr. Yu's conjecture is correct, it can also explain why the patient has not been diagnosed for a long time." ”
"Because the concentration of the herpes virus is taken for granted to be within the normal range, this directly builds a wall and blocks the doctor's guess in this direction."
Xie Jianmin looked at Yu Zhiming and asked, "However, you have a conjecture, why did the iconic feature of the herpes virus attack, cluster blisters on the body surface, not appear?" ”
Yu Zhiming explained: "I don't have a good explanation for this problem, it can only be attributed to the particularity of the patient's physique, or a certain drug ingredient suppresses it!" ”
Wang Zhijin sighed lightly.
"Doctor Yu, if you attribute the unexplained problems to the special constitution of the patient, this is a hooligan."
"To cure the sick and save people, we must have empirical evidence, but we are not allowed to quibble, it is meaningless."
Yu Zhiming smiled and said, "I also know that my speculation is a quibble to attribute some unreasonable and incomprehensible points to the special physique of the patient." ”
"However, if we assume that the patient is really a special constitution, then my conjecture is very perfect."
"I propose, you might as well verify ......"
Yu Zhiming raised his voice and said, "Give the patient a test and inject an appropriate amount of immunosuppressants." ”
"If my guess is correct, then after the patient's autoimmunity is weakened, the herpes virus will attack in a certain part of the body, and there will be unknown severe pain."
"That way, we don't have to wait stupidly for an unknown amount of time for his unknown pain to come back again."
"I disagree!"
Xie Jianmin said with a serious tone: "Doctor Yu, you are risking the patient's life in this experiment. ”
"It's really the herpes zoster virus, if you reduce the patient's own immunity like this, the herpes virus may grow and invade his brain, liver, heart and other organs."
"In that case, no one can save him."
Yu Zhiming argued: "Doctor Xie, what I'm talking about is injecting an appropriate amount of immunosuppressants, which is to appropriately reduce his self-immunity. ”
Xie Jianmin's eyes sharpened, and he asked loudly, "Doctor Yu, how much is the appropriate amount?" ”
"Can you accurately control the extent of the patient's immunity to a very suitable degree?"
This one......
Yu Zhiming said in his heart, how can I have such a ability.
This requires a chemoradiotherapy specialist or an organ transplant specialist to take care of this problem.
When they treat their patients, they often use immunosuppressants on them.
Yu Zhiming asked for help and looked at Qi Yue, but he didn't say a word.
Xie Jianmin's voice sounded again, "I personally believe that the patient's unknown pain is caused by some unknown virus or unknown toxin. ”
"Dr. Yu's test to reduce the patient's own immunity is very likely to cause unknown viruses or toxins to further invade the patient's body, resulting in fatal damage."
Wang Zhijin also expressed his attitude, saying: "Dr. Yu's test proposal is indeed too risky. ”
He added in a whisper, "It's still a little irresponsible." ”
Wang Zejia also said: "I think it is better to wait for the patient to have another attack of pain, and then we will give him a detailed examination, and maybe we can make new discoveries and get answers." ”
At this time, Han Shuo saw Qi Yue looking at him, and slowly said his own thoughts.
"Dr. Yu's experiment is indeed a bit risky."
"But just waiting and doing nothing is not our style here."
Qi Yue saw that everyone had expressed their opinions, and said, "Do you have any new ideas about the condition of patient Xu Feng?" ”
Xie Jianmin shook his head and said, "No." ”
He then added: "Director, I'm doing viral culture and toxic screening, which will take some time. ”
Wang Zhijin and Wang Zejia shook their heads at Qi Yue's gaze.
Qi Yue said in a deep voice: "A considerable number of patients who come to us are incurable diseases. ”
"There is no precedent for their diagnosis and treatment, and many times we need to explore it."
"Therefore, trial and error treatment is inevitable."
After a pause, Qi Yue said: "I think Zhiming's conjecture has a certain degree of reasonableness. ”
"I decided to use Zhiming's suggestion to do a trial on the patient tomorrow to reduce his body's immunity."
"Director ......"
Xie Jianmin shouted and earnestly persuaded: "At present, the patient's physical health is acceptable, and there is really no need to rashly carry out such a dangerous experimental treatment." ”
"Director, we have time to proceed slowly and steadily."
Qi Yue insisted: "Doctor Xie, you know my habits, bad treatment is better than procrastination and not doing anything. ”
"No one can predict whether the patient's next episode will be severe enough to be life-threatening."
Qi Yue waved his hand to stop Xie Jianmin and the others from persuading again, and directly ordered: "Instead of trying to persuade you, you should prepare next, the worst case really happened as you expected during the trial treatment, and how to remedy the plan." ”
After a pause of two seconds, he said slowly: "If you want to convince me, then before ten o'clock tomorrow, come up with a more reasonable diagnosis than Zhiming's conjecture." ”
Yu Zhiming saw that Teacher Qi supported him so much, and directly adopted his own conjecture, and he was both excited and apprehensive.
If it really happens like what Dr. Xie said, then he is the murderer of the patient......