I'm really an intern

Chapter 76 The Way Is Wrong

Is Zhang Tianyang really in a daze in front of a group of big shots?

how can that be possible!

He is thinking.

The discussions among the bosses were intense, but the disease that had afflicted the eight-bed girl for five years was indeed rare, and they had no constructive opinions, let alone reached a consensus.

But their discussion seemed to touch some nerve, and Zhang Tianyang once again felt that he seemed to have missed something.

Flipping through the medical history specially typed out in his hand again, Zhang Tianyang ignored the vibrating mobile phone.

Sometimes the inspiration is in a flash, and it is difficult to get it back after being interrupted.

"I have used antibiotics empirically in the past, first of all, I have taken amoxicillin, a relatively weak antibiotic, by myself, but it has no effect.

Later, I switched to the cephalosporins prescribed by the respiratory doctor at the local hospital, but it still didn't work.

After the disease progressed, I used Meiping Wangu for a period of time.”

"And later used hormones"

Zhang Tianyang stood up suddenly, "That's right!"

A group of big shots were arguing fiercely, but Senior Brother He and Senior Sister Chen, who were hiding in the back row and had been watching Zhang Tianyang "in a daze", saw it at a glance, and hurriedly waved to him to let him sit down.

But Zhang Tianyang stood up and stared blankly for a while, then turned out his little book, took out a blue and black pen from his left breast pocket with a wave of his hand, poked the tip of the pen directly on his chest, and then began to write down What.

"What is he writing?"

Chen Shishi looked confused, "Aren't the bosses still arguing? Didn't the quarrel come to fruition?"

It can't be writing about what to eat when you go out with your girlfriend on the weekend, right?

Senior Sister Chen felt as if she had discovered for the first time that the "perfect" junior had made a mistake, and she couldn't help but marvel in her heart.

But after recovering to look at the big bosses who still haven't discussed the results, Chen Shishi's mood dropped again.

"I hope the cause can be found out soon."

When the patient first came, she didn't go to see it in order to avoid trouble, but just now she ran over to take a look at the patient, and felt that she was heavier than the two patients, and then thought that she was corroded by germs for nearly one-third one's lungs

As an experienced training doctor, she generally doesn't show affection to patients unless she can't help it.

“8 beds is really pathetic!”

"It's pitiful, it's an intractable disease, and it's developing very fast."

Brother He sighed, and continued to calm down and listen to the big guys fighting.

But after five years of repeated treatment for the disease, only one consultation, a group of infection internal medicine bosses did not have a good idea and treatment plan.

"Everyone, think about it when you go back. The whole hospital will have a consultation tomorrow morning to see if the Department of Respiratory Medicine and Imaging have any ideas."

After discussing for a full hour and a half, Professor Zhu made a summary.

A group of bigwigs stood up and left one after another, discussing the case while walking. If it weren't for the family members watching, they would almost have another quarrel outside the meeting room.

Zhang Tianyang didn't care too much, he greeted Professor Zhu and ran to the doctor's office with a small notebook full of handwriting.

Chen Shishi wanted to call him back, but the call was in vain.

On the way, another family member of a patient stopped her to inquire about her condition. When Senior Sister Chen also returned to the office, she only saw the white coat that Zhang Tianyang had taken off and hung behind the door.

"Why did Junior Brother get off work so early today?"

I looked at the time, it was only 10:[-], strictly speaking, there were still [-] minutes before the end of get off work.

"Sigh, there were still small cakes for the lunchtime lecture, but the cake shop delivered them a bit late, and they only delivered them in the afternoon. I wanted to get one for my junior."

Chen Shishi was also curious for a while. He still believed in Zhang Tianyang's ability and character. Although he got off work a little earlier today, he must have taken care of everything that should be dealt with.

Uneasy, she clicked on the medical records of the 8th bed, and Chen Shishi took off her white coat and went to get off work contentedly.

Before leaving, I didn't forget to bring my own little cake, and then turned to take a look outside the 8-bed ward.

The 8-bed mother is "bathing" the girl on the hospital bed with a wet towel. The movements are gentle, but it is inevitable to touch the skin ulcers or pustules.

Chen Shishi vaguely saw a little painful expression on the face of the girl in bed 8 from time to time, but she never cried out, not even humming in pain.

Her heart seemed to be blocked by something, Chen Shishi felt her chest constricted.

I want to give the cake in my hand to the 8-bed girl, but I remember that she also has a lesion in her throat, and I can't even speak, let alone eat this kind of thing?

"Junior Brother, Junior Brother, can you show your might and cure her illness like the protagonist of a medical TV series?"

Chen Shishi has always disliked watching TV dramas about medicine, because she always felt it was unreal, and with so much helplessness in clinical practice, how could it be as smooth as the TV dramas?

But now, she wished she could be a supporting role in a TV series, and hoped that her junior brother could "anti-science" show off his might.

And what is Zhang Tianyang, who has high hopes, doing now?

He had just rushed back to the dormitory, before he had time to eat, he turned on the computer and began to check the literature.

Pulling the curtain next to the desk and refusing the "visitation" of the three old friends, Zhang Tianyang opened NCBI and began to investigate.

He had some vague guesses.

Before leaving get off work, he deliberately ran to Bed 8 to confirm with the woman.

After the first dose of strong antibiotics, the girl's condition did not improve. This is something everyone knows and has written in the past medical records.

But under Zhang Tianyang's careful inquiry, he found a blind spot.

The 8-bed mother told him after careful reflection that after using strong antibiotics, the girl's condition not only did not improve, but seemed to worsen in a short period of time!

It’s just that the doctors at that time couldn’t explain this phenomenon. They only thought it was the development process of the disease, and they didn’t mention it later.

"But if it really gets worse, maybe it's not a bacterial infection?"

Zhang Tianyang flipped through the A4 paper full of medical history brought back from the hospital and his own small notebook, reasoning in a low voice.

"It's not a bacterial infection, it's a fungus or a virus.

So after antibiotics were used, they did not attack the source of the disease, but because they disturbed the normal flora in the human body, the pathogenic bacteria took advantage of it and aggravated the disease? "

He clattered through the documents in his hand, and various key words flashed through his mind.

"So it's the same with hormone therapy?

Empirical hormone therapy did not slow down the condition. After asking the family members, it was found that the progression of the disease accelerated in the short term after taking the hormone.

Hormones have attacked the normal immune mechanism of the human body, and also allowed the pathogen to enter again, aggravating the disease again. "

While talking, Zhang Tianyang suddenly frowned.

"Immune mechanism!"

He suddenly flipped through the information to the results of the "four pre-operative items" that were urgently searched today.

"In the four items before the operation, AIDS was negative"

"Before, it was assumed that her immune mechanism before the onset was normal, which is understandable, but what if the direction was wrong at the beginning?"

Zhang Tianyang slammed his fist on the document.

"What if her immunity is already low!"

(End of this chapter)