Chapter 36 Diagnosis

Like many other parents, Dr. Pascal's family chose to buy the villa in the city, mainly because of the beautiful 520-square-meter yard. The house prices in Ningyuan City are not too cheap, but the prices of villas are really not too expensive. With the talent introduction program subsidy provided by the college and the province, Dr. Pascal added some money of his own to buy the villa they are living in.

The yard is quite large, and in order to enhance the attractiveness, the developer has also planted a lot of greenery in the yard. Osmanthus trees and various fruit trees were planted in a circle, and finally the ground was paved with green lawns. Dr. Pascal, who had lived in this similar environment since childhood, fell in love with the thick, green-carpeted lawn.

Todd and Penny also love their new home, and since they moved in late April, the two children have been running around barefoot on the lawn every day. In order to "follow tradition", Dr. Pascal even bought a bunch of wood and building materials, and built a small cabin on a large oak tree in the yard as a "secret base" for his two children.

In order for them to be able to play in their own yard more securely, and to avoid the family puppy accidentally coming into contact with toxic substances, Dr. Pascal specially asked the property department in the villa to bypass his own yard when spraying sanitizing drugs.

While there is no strong evidence linking Todd's tick bite to his yard, Dr. Pascal has no doubt about it. He didn't even think that Todd might have been bitten at school.

Sun Lien comforted him twice, but seeing that his comfort effect was not very good, he also stopped a little embarrassed.

"Isabella is outside the operating room, you might as well go talk to her. Knowing that Dr. Pascal stayed in the operating room just to keep an eye on Xiao Yanran's operation, Sun Lien thought about it and suggested, "I'll help you keep an eye on it first, and I'll call you after the operation." He said seriously, "Now is not the time to regret, Isabella was scared and cried several times today, you better comfort her first." ”

Dr. Pascal was silent for a moment, then nodded and stood up. Sun Lien looked at his silhouette and added, "The chance of a tick bite happening in Ningyuan is very small, so don't blame yourself too much." This kind of thing is an accident, and it has nothing to do with you directly - Todd's Lyme disease should still be in the first stage, and he will get better. ”

After Dr. Pascal left the operating room, Qian Hongjun turned off his tablet and came over, "What's wrong with Director Pa's child?

Sun Lien nodded and talked about what he saw today, "There should be no problem with the judgment of Lyme disease." Speaking of this, he sighed a little, "If that tick had been detected earlier, maybe Lyme disease could have been diagnosed before the intracranial pressure ...... elevated" His meaning was simple, if the treatment had been started earlier, maybe Todd would not have had to suffer such a knife - cut the scalp, removed a piece of the skull, and then cut open the dura mater - the impact of this very traumatic operation on Todd does not need to be repeated.

"From the time Director Pa received the call to the time you rushed to the hospital with his son, it took a total of two hours. Qian Hongjun saw the self-blame in Sun Lien's words, "Two hours later, Lyme disease was diagnosed. No one can do it better than you. What's more, the intracranial pressure is high, and the bone flap must be removed to relieve the pressure, which is why you found the tick when you shaved your hair. He patted Sun Lien on the shoulder, "If you want to blame, blame the CT imaging technology for not being advanced enough." If Todd had found the tick lying on his head when he had done a CT scan, wouldn't that be so much of a problem?"

It's a joke, of course, but it makes sense. Sun Lien nodded, lowered his head and took out his mobile phone and began to send a message to Xu Yourong, "It's diagnosed, it's Lyme disease." Dr. Pascal went to Isabella and surgery is still going to be done, but the follow-up treatment should not be a problem. ”

Xu Yourong quickly replied with a voice message, the content was simple but exciting, "Got it." Qian Aiwu's lethargy may have been settled, and I am checking with the pharmacy department. ”

Qian Aiwu's lethargy has been going on for several days, and the entire treatment team is trying to find out the cause of her lethargy. Bruen even came up with the hypothesis of "mental causality".

Since Sun Lien and Tao De entered the operating room together, Xu Yourong left the operating room. Brune stayed alone in the diagnostic center to keep an eye on Qian Aiwu's condition, and while she was still asleep and her condition was stable, he took out all the treatment she had received during this time and began to review it as a whole.

His diagnostic ability is not as amazing as Sun Lien's, and when he used to work, he was not as good as other doctors. But Bruen has one trait that stands out more than others – he is willing to work hard.

He knew he didn't have much talent, so he was more willing to work hard than anyone else. As long as he can save the patient's life, he can kneel on the metal bed pole and do chest compressions for ten minutes in a row; as long as he can find the reason for Qian Aiwu's lethargy, he can thoroughly review all the drugs Qian Aiwu has taken since he was admitted to the hospital for radical tumor surgery, like an intern.

Although God is blind most of the time, he always has a time to open his eyes. Just like the lyrics in the song, "God loves stupid children". Brunn's hard work paid off, and he found a clue in the vast list of drug uses.

Qian Aiwu's culture results showed that her retroperitoneal necrotizing fasciitis was caused by a mixed infection caused by Staphylococcus aureus and Clostridium. To combat these two bacteria, clinical pharmacists used imipenem cilastatin sodium and ornidazole for anti-infective therapy.

Imipenem cilastatin sodium is not a big problem, and after Qian Aiwu was diagnosed with retroperitoneal necrotizing fasciitis by the old thing, the doctors quickly gave him this drug for anti-infection treatment. Until she woke up and the laboratory had completed her culture, she was treated with only one drug.

On the day Qian Aiwu woke up, ornidazole was added to the list of anti-infective treatments. And it was from that day that Qian Aiwu fell into this state of long-term sleep.

Brunn rubbed his smooth chin and began to cast a suspicious look at ornidazole.

As a nitroimidazole derivative, the main mechanism of action of ornidazole is through the reduction of the nitro group in its molecule to amino groups in an oxygen-free environment or through the formation of free radicals, which interacts with cellular components, resulting in the death of microorganisms. The mechanism of action is not very clear, and it is mainly speculated.

More importantly, a large part of the adverse reactions of ornidazole are concentrated in the direction of the central nervous system. In past reports, there have been reports of serious central nervous system adverse reactions caused by ornidazole in patients.

This is a very likely direction. Brune made his own judgment, and also discussed it with Xu Yourong, who had just returned to the diagnostic center. In the end, the two decided to ask a clinical pharmacist and a doctor in the gods to come for a consultation, and if there was indeed a suspicion in this regard, then replace ornidazole and try it.