Big Doctor Live Room
Chapter 1207 Vibrio vulnificus
Chapter 1207 Vibrio vulnificus
When Chen Qun rushed to the outpatient ward, Cheng Fei was already in a coma state. On his arm, the redness that was originally the size of a coin had spread to the size of a palm.
The outpatient director standing in the ward said worriedly.
"Xiao Chen, Xiao Qi, we are really in big trouble this time. His condition is very severe. I suspect that he has already developed sepsis. He has already used vancomycin, but it has little effect. The platelets have now dropped to 20, and he has been tested. There is no coagulation function, and the result of Gram staining is still negative. We have restarted the production, but the result will have to wait for more than [-] hours. At this stage, there is not much we can do.”
"The necrosis is continuing, and sepsis has also appeared. The result of the outpatient diagnosis should be correct, it is necrotizing fasciitis, but the only problem now is that it is impossible to determine which virus caused it. Xiaoqi, you are young People think quickly to see if there is any way to bypass the routine inspection, maybe use the high-power electron radio microscope in your center to find bacteria, and if you do both, you may find the right result."
Of course, Qi Hong knew that the root cause of the helplessness of a group of doctors was Cheng Fei's physical reason. He was allergic to many medicines, which cut most of the medicine treatment in half and made it difficult for him to move forward.
Chen Qun frowned and looked at the patient in front of him. On his diagnosis panel, he had already given an answer that made him feel a little unbelievable, but if he analyzed the correct answer calmly, this was his key question. .
No matter, let's fool around first and then talk about other explanations.
As soon as Chen Qun thought of this, he immediately followed his train of thought, picked up the phone, walked to a corner, and whispered to his fiancee.
"Xiaoxin, help me go to the Charity Hospital in Xiangjiang to get a copy of Cheng Fei's medical records. These celebrities should have special confidential files. It may take time for me to go through regular channels. You use your authority to pull out the report. Help me find out if he has a history of liver disease."
"Tch, the medical records must be kept secret, what a problem!"
Miss Dongfang muttered, but she knew that this was really the hospital's regulation. Many special patients had special files, and even some files were not kept by the hospital, so as not to cause other troubles.
As for a small medical record, with her authority, she can easily find it. In almost two or three seconds, she saw a medical record with dozens of pages appearing on the screen. She searched it directly and found it. The answer Chen Qun wanted to know.
"Yes, he suffered from chronic hepatitis C 15 years ago, and the blood test results showed that the liver index has always been high. I uploaded this report, and you can check your phone yourself. I don't understand it very well!"
Chen Qun heard the eldest lady's modesty, and knew that this girl knew what was the priority, what could be a joke and what could not, and she was also "consoled by the old man", so she directly put the phone in front of her eyes, checked the report from the WeChat group, and finally With a glance, he knew that he had found the evidence.
"There is no need to check, inject minocycline and ciprofloxacin to the patient immediately!"
Chen Qun put down the phone, walked back to the hospital bed, and expressed his opinion to several chief physicians who were still frowning.
Qi Hong immediately objected.
"But minocycline and ciprofloxacin are not effective against hemolytic streptococcus! The disease has deteriorated to such an extent that it does not make much sense to use these two drugs."
Chen Qun knew that Qi Hong was just doing his duty. In a sense, it was two people acting as oboe to persuade other doctors, and directly gave the answer he had just found.
"It is meaningless to say that it is for streptococcus, but Mr. Cheng Fei is not infected with streptococcus, but Vibrio vulnificus, which we thought was the least likely during our earlier discussions."
"But this kind of germ only lives in seawater. Mr. Tian Chengfei has never been in contact with the sea these days, nor has he eaten seafood. How could he be infected!"
"So we denied this answer and thought it was the last one. But don't forget, we are still in Guangdong City facing the sea. It is impossible for Mr. Cheng Fei to stay on the set 24 hours a day, and it is impossible to There are assistants to follow, there must be some entertainment in the city, then there is a possibility of contact with various seafood and sea water, and eventually lead to illness."
Having said this, Chen Qun raised his brows and said categorically.
"Now regarding necrotizing fasciitis infection, we have ruled out a few that we think are the most likely, and the remaining few are less likely, including Vibrio vulnificus. What's more, if we don't do anything now, then The condition of the patient may deteriorate. If we carry out rescue, there is still a probability of over 30.00% to save the patient, why not do it!"
"Wait, where did your 30.00% probability of six come from?"
"It's very simple. We have three bacteria left that have not been detected. I am almost sure it is one of them. Healthy people will not have any major problems when they come into contact with Vibrio vulnificus. But people with chronic C People who have hepatitis, who are taking steroids for treatment, or who are taking iron supplements for iron deficiency anemia, can get exacerbated by exposure to Vibrio vulnificus."
Chen Qun explained while pointing at Cheng Fei's swollen arm with surgical forceps.
"Seeing that there is no such thing here, this is the place where Vibrio vulnificus was infected, and there was a vesicular rash in the middle at this time, which is completely in line with the situation of Vibrio vulnificus infection. I can even speculate irresponsibly that the vesicular rash on the arm here The wound should have been pricked by a lobster’s spikes while eating a big lobster, and you can take him directly to the microscope on the operating table to find the traces of the wound.”
When Chen Qun explained this, he gave his order directly.
"Now I'm taking care of the patient, I'm taking all the responsibility, injecting minocycline and ciprofloxacin right away! Results will come in an hour or two, I think!"
Chen Qun directly showed his style, ignoring the several chief physicians who came by, and directly issued orders.
The few experts who were left aside looked at each other, feeling a little embarrassed, but they didn't even feel disgusted. After all, here at the Meiling Medical Research Center, he is the chief researcher, and he has the final say.What's more, if he made a mistake in the treatment this time, then of course there is no need to say much, and he would lose all face. It would be better than saying something at this time.
However, with his legendary experience that has always been regarded as a legend, the probability of his making mistakes is almost zero.
Besides, for a big star like Cheng Fei, if other doctors have problems with the treatment, I'm afraid it will still be troublesome.But for Chen Qun, not only the courtyard will support him, even his personal status is enough to prevent a movie star from causing trouble.
This time Huang Haitao was not around, and these old colleagues didn't even have a chance to put on airs. If they got in a hurry, Chen Qun would throw them out without hesitation.Chen Qun had already lost a doctor with an annual salary of hundreds of millions of dollars in the United States, and he won a big victory. The doctor would be out of luck before he could fight back.
Whether it's God's will or man-made, they can't afford to offend Chen Qun!What's more, Chen Qun's protection of weaknesses is a secret technique passed on by his master, and he said so for the sake of a hospital. If he is not from a hospital, he will be kicked out directly.You don't have to take a gamble, especially when you are very likely to lose your pants, you don't have to die against it.
Of course, Chen Qun didn't know that before his deterrent power was so strong, the other doctors had the idea of daring to be angry and dare not speak out, so they started to treat him directly.
(End of this chapter)
When Chen Qun rushed to the outpatient ward, Cheng Fei was already in a coma state. On his arm, the redness that was originally the size of a coin had spread to the size of a palm.
The outpatient director standing in the ward said worriedly.
"Xiao Chen, Xiao Qi, we are really in big trouble this time. His condition is very severe. I suspect that he has already developed sepsis. He has already used vancomycin, but it has little effect. The platelets have now dropped to 20, and he has been tested. There is no coagulation function, and the result of Gram staining is still negative. We have restarted the production, but the result will have to wait for more than [-] hours. At this stage, there is not much we can do.”
"The necrosis is continuing, and sepsis has also appeared. The result of the outpatient diagnosis should be correct, it is necrotizing fasciitis, but the only problem now is that it is impossible to determine which virus caused it. Xiaoqi, you are young People think quickly to see if there is any way to bypass the routine inspection, maybe use the high-power electron radio microscope in your center to find bacteria, and if you do both, you may find the right result."
Of course, Qi Hong knew that the root cause of the helplessness of a group of doctors was Cheng Fei's physical reason. He was allergic to many medicines, which cut most of the medicine treatment in half and made it difficult for him to move forward.
Chen Qun frowned and looked at the patient in front of him. On his diagnosis panel, he had already given an answer that made him feel a little unbelievable, but if he analyzed the correct answer calmly, this was his key question. .
No matter, let's fool around first and then talk about other explanations.
As soon as Chen Qun thought of this, he immediately followed his train of thought, picked up the phone, walked to a corner, and whispered to his fiancee.
"Xiaoxin, help me go to the Charity Hospital in Xiangjiang to get a copy of Cheng Fei's medical records. These celebrities should have special confidential files. It may take time for me to go through regular channels. You use your authority to pull out the report. Help me find out if he has a history of liver disease."
"Tch, the medical records must be kept secret, what a problem!"
Miss Dongfang muttered, but she knew that this was really the hospital's regulation. Many special patients had special files, and even some files were not kept by the hospital, so as not to cause other troubles.
As for a small medical record, with her authority, she can easily find it. In almost two or three seconds, she saw a medical record with dozens of pages appearing on the screen. She searched it directly and found it. The answer Chen Qun wanted to know.
"Yes, he suffered from chronic hepatitis C 15 years ago, and the blood test results showed that the liver index has always been high. I uploaded this report, and you can check your phone yourself. I don't understand it very well!"
Chen Qun heard the eldest lady's modesty, and knew that this girl knew what was the priority, what could be a joke and what could not, and she was also "consoled by the old man", so she directly put the phone in front of her eyes, checked the report from the WeChat group, and finally With a glance, he knew that he had found the evidence.
"There is no need to check, inject minocycline and ciprofloxacin to the patient immediately!"
Chen Qun put down the phone, walked back to the hospital bed, and expressed his opinion to several chief physicians who were still frowning.
Qi Hong immediately objected.
"But minocycline and ciprofloxacin are not effective against hemolytic streptococcus! The disease has deteriorated to such an extent that it does not make much sense to use these two drugs."
Chen Qun knew that Qi Hong was just doing his duty. In a sense, it was two people acting as oboe to persuade other doctors, and directly gave the answer he had just found.
"It is meaningless to say that it is for streptococcus, but Mr. Cheng Fei is not infected with streptococcus, but Vibrio vulnificus, which we thought was the least likely during our earlier discussions."
"But this kind of germ only lives in seawater. Mr. Tian Chengfei has never been in contact with the sea these days, nor has he eaten seafood. How could he be infected!"
"So we denied this answer and thought it was the last one. But don't forget, we are still in Guangdong City facing the sea. It is impossible for Mr. Cheng Fei to stay on the set 24 hours a day, and it is impossible to There are assistants to follow, there must be some entertainment in the city, then there is a possibility of contact with various seafood and sea water, and eventually lead to illness."
Having said this, Chen Qun raised his brows and said categorically.
"Now regarding necrotizing fasciitis infection, we have ruled out a few that we think are the most likely, and the remaining few are less likely, including Vibrio vulnificus. What's more, if we don't do anything now, then The condition of the patient may deteriorate. If we carry out rescue, there is still a probability of over 30.00% to save the patient, why not do it!"
"Wait, where did your 30.00% probability of six come from?"
"It's very simple. We have three bacteria left that have not been detected. I am almost sure it is one of them. Healthy people will not have any major problems when they come into contact with Vibrio vulnificus. But people with chronic C People who have hepatitis, who are taking steroids for treatment, or who are taking iron supplements for iron deficiency anemia, can get exacerbated by exposure to Vibrio vulnificus."
Chen Qun explained while pointing at Cheng Fei's swollen arm with surgical forceps.
"Seeing that there is no such thing here, this is the place where Vibrio vulnificus was infected, and there was a vesicular rash in the middle at this time, which is completely in line with the situation of Vibrio vulnificus infection. I can even speculate irresponsibly that the vesicular rash on the arm here The wound should have been pricked by a lobster’s spikes while eating a big lobster, and you can take him directly to the microscope on the operating table to find the traces of the wound.”
When Chen Qun explained this, he gave his order directly.
"Now I'm taking care of the patient, I'm taking all the responsibility, injecting minocycline and ciprofloxacin right away! Results will come in an hour or two, I think!"
Chen Qun directly showed his style, ignoring the several chief physicians who came by, and directly issued orders.
The few experts who were left aside looked at each other, feeling a little embarrassed, but they didn't even feel disgusted. After all, here at the Meiling Medical Research Center, he is the chief researcher, and he has the final say.What's more, if he made a mistake in the treatment this time, then of course there is no need to say much, and he would lose all face. It would be better than saying something at this time.
However, with his legendary experience that has always been regarded as a legend, the probability of his making mistakes is almost zero.
Besides, for a big star like Cheng Fei, if other doctors have problems with the treatment, I'm afraid it will still be troublesome.But for Chen Qun, not only the courtyard will support him, even his personal status is enough to prevent a movie star from causing trouble.
This time Huang Haitao was not around, and these old colleagues didn't even have a chance to put on airs. If they got in a hurry, Chen Qun would throw them out without hesitation.Chen Qun had already lost a doctor with an annual salary of hundreds of millions of dollars in the United States, and he won a big victory. The doctor would be out of luck before he could fight back.
Whether it's God's will or man-made, they can't afford to offend Chen Qun!What's more, Chen Qun's protection of weaknesses is a secret technique passed on by his master, and he said so for the sake of a hospital. If he is not from a hospital, he will be kicked out directly.You don't have to take a gamble, especially when you are very likely to lose your pants, you don't have to die against it.
Of course, Chen Qun didn't know that before his deterrent power was so strong, the other doctors had the idea of daring to be angry and dare not speak out, so they started to treat him directly.
(End of this chapter)
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