The ineffectiveness of antibiotic treatment is, of course, an unfortunate thing for the patient himself. But for doctors, this is an important reminder in some cases.

At least so far, there are no bacteria in the world that are resistant to all antibiotics. Each class of bacteria is bound to be susceptible to at least one antibiotic. And acute purulent lymphadenodenitis is the best hint of the nature - the infection of Kaoru Kobayashi must be some kind of bacteria.

Sun Lien also had this idea. While it's important to identify the pathogen that infected Kaoru Kobayashi as soon as possible, it doesn't have to be known which bacterium it is. As long as you find an antibiotic that works for it, you can complete the treatment. But Lin Lan only knew that Kaoru Kobayashi had received antibiotic treatment, but she had no clue which one it was. And Kaoru Kobayashi himself was so confused that he couldn't tell what medicine he used.

Then I had to ask the boat doctor on the yacht, but fortunately, although the boat doctor was Japanese, his English was not bad - at least Sun Lien could understand what the other party was saying.

"I've used it for Mr. Kobayashi in total...... Two antibiotics. The ship doctor looked a little nervous when he was questioned by Sun Lien, "I gave him levofloxacin and imipenem. ”

After hearing the names of these two drugs, Sun Lien's eyebrows were extremely high. "Why use both?"

Levofloxacin is a quinolone antibiotic that belongs to the first-line commonly used class. There was nothing wrong with the ship doctor giving Kaoru Kobayashi this drug. However, imipenem, as a carbapenem antibiotic, belongs to the "restricted use level" in all hospitals in China. As the highest level of controlled antibiotic, it is obviously inappropriate to use it directly on Kaoru Kobayashi.

"Mr. Kobayashi...... Special status. The ship's doctor explained helplessly, "And the facilities on board are limited, and after using levofloxacin for two days to no avail, I can only choose imipenem injection as the last resort." ”

"Two days?" Sun Lien was keenly aware of the apocalypse here—Lin Lan had only one day of illness recounted to him, and he had a high fever the day before, and he immediately sent people to the hospital ship the next day. How did it become levofloxacin for two days in a row at the ship doctor?

"Mr. Kobayashi specially instructed......" The ship's doctor still looked helpless, "In order to let Mrs. not worry too much, I can't tell Mrs. about the content of the treatment." ”

"This ...... Idiot. Sun Lien stood up suddenly, and he even felt that if Kaoru Kobayashi had said that he was unwell earlier, maybe he could have been on the hospital ship earlier for treatment. But after standing up, Sun Lien sat down violently and began to ask about other content.

Now is not the time to get angry, even if there is any dissatisfaction, it will have to wait until Kaoru Kobayashi wakes up before attacking.

"What was his main performance before?" Sun Lien took out a pen and a small notebook from his pocket and began to record, since he couldn't get the most comprehensive first-hand medical history from Lin Lan, then asking the ship's doctor became the best and only option now.

"Mr. Kobayashi has been feeling a little unwell since he got on the boat. "He complained to me of leg pain, but did not agree to my request for palpation. In addition to leg pain, there is also a rash and fever. ”

"Didn't agree to palpation?" Sun Lien drew a big question mark in his notebook, "What is the reason?"

The ship's doctor shook his head, "I don't know, I haven't been able to figure out what rich people think—Miss was also a little unwell before, and when I asked her if she was in her menstrual period recently, Mr. Kobayashi was angry at me." ”

Sun Lien blinked, you asked Lin Lan if she was in her menstrual period...... Kaoru Kobayashi didn't tear it, you're normal. Lin Lan's chromosomal sex is male, and now her biological and social sex is the same as that of female. However, there is still no normal menstrual reaction, at most there is occasional irregular bleeding.

"Before that, I mean, did Kaoru Kobayashi show anything uncomfortable before he got on board?" Sun continued his inquiry, maintaining his good moral character as a doctor — never revealing a patient's private concerns.

Lin Lan's chromosomal problems had nothing to do with Kaoru Kobayashi's current illness, so he didn't have any reason to reveal this situation to the ship doctor in front of him.

"This ......," the ship's doctor struggled to recall, then shook his head, "and although he looked tired and didn't get much sleep every day, he was generally quite healthy. ”

"About a week or so before he complained of his leg pain and refused your palpation, did you go ashore during this time? Did you have any contact with other people?" Sun Lien turned his suspicions in another direction, "Are there any other crew members on the ship who have the same symptoms as Mr. Kobayashi?"

"Nope. The ship's doctor answered the question categorically, "We docked in Egypt five days before Mr. Kobayashi said he was unwell. Mr. and Mrs. Kobayashi got off the boat together for a tour, and the two have never been separated. The ship's doctor deliberately emphasized the word "always" and said bluntly, "As an employee of a pharmaceutical company, I don't think Mr. Kobayashi will be infected with those special diseases even if he has a history of traveling." The amount of safety supplies in the owner's cabin is very abundant, and there is definitely no 'not enough' situation. ”

Sun Lien coughed lightly and wrote the word "Cairo" in his notebook. Sun Lien, who had just learned that Lin Lan's answer to the course of the illness was inaccurate, decided to carry forward his skepticism to the end, and what was the specific process of her and Kobayashi Kaoru's trip in Cairo still had to wait for Sun Lien to ask in person before it could be counted.

"I also took some sputum and blood samples from Mr. Kobayashi yesterday. "The samples have been sent to hospitals in Japan through Takeda Pharmaceutical's channels. If necessary, even mNGS can be performed. ”

"That's great!" Sun Lien was overjoyed, this can be regarded as following his own wishes, "When will the results come out?"

"Samples will probably be sent to Japan the day after tomorrow, and the results will be available after four days. The ship's doctor looked a little smug, "We'll be able to get the report in four days at the latest." ”

Sun Lien raised his head, looked at the triumphant Japanese doctor in front of him, and asked, "Why do you want to send it back to Japan? If it is sent to Dubai or South Africa, shouldn't the results be faster?"

There are mNGS testing institutions in Dubai and Africa, and this news was told to Sun Lien by Dr. Jiang. And Sun Lien said this to the Japanese doctor, not simply to share information - he really couldn't understand why the Japanese doctor in front of him felt that the results in "four days" were an acceptable situation.

According to the process of the four hospitals, even if the mNGS test is not done in the laboratory department of the hospital, but is outsourced to an external testing company, the results can not be obtained in more than 18 hours.

It took a total of five days for Kaoru Kobayashi to express his discomfort to his high fever. Wait another four days...... The devil knows if Kaoru Kobayashi will be able to catch his breath after four days!

With a shocked look on the ship's face, Sun Lien turned around and went back to the hospital ship. Before coming to the ship, he prescribed a series of hospital admission kit checks, and after calculating the time, the results should almost be available. Rather than expecting to find out what specific pathogens were in Kobayashi's body after four days, Sun Lien decided that it would be safer to rely on himself first.