The most enlightened doctor

At nearly five o'clock in the afternoon, Qi Yue summoned Han Shuo, Xie Jianmin, Wang Zhijin, Wang Zejia and others to discuss the diagnosis of patient Xu Feng in the big office.

First, Yu Zhiming stated his conjecture to everyone present.

"It is indeed a ridiculous conjecture..."

The attending physician Wang Zhijin was the first to question: "Dr. Yu, there is a data, I guess you must have made a mistake."

"The provincial hospital in Shandong Province conducted virus culture and testing on patients with unknown pain attacks."

"The concentration of herpes zoster detected was only 0.01pg/ml higher than the upper limit of the normal value."

"Only 0.01pg/ml higher!"

Wang Zhijin deliberately emphasized the sentence by repeating it, and then continued: "This concentration level of herpes virus is not enough to support the outbreak of herpes virus."

Yu Zhiming replied softly: "Dr. Wang, I made no mistakes or omissions in this herpes virus data."

"I have clearly recorded every test and analysis data about patient Xu Feng in my mind."

"I would like to point out that the normal value of the herpes virus is just a range and does not take into account the particularity of a person's constitution."

"Is it possible that the patient is susceptible to the herpes virus?"

"It's also possible that before the patient got sick, the concentration of herpes virus in the body was far lower than the normal value?"

After a pause, Yu Zhiming added: "95% of people contain herpes virus in their bodies."

"Before the patient gets sick, he or she may be among the 5% of people who do not have the herpes virus."

Wang Zejia noticed that Qi Yue was standing aside with no change in his expression. He chuckled and retorted, "Dr. Yu, your method of assuming results and inferring causes is a forced explanation."

"Due to the peculiarities of the patient's constitution and sensitivity to the herpes virus?"

"How can there be so many specialties and coincidences in the world?"

Yu Zhiming smiled lightly and said: "Dr. Wang, each of us will have a cold and fever, probably because we lost one piece of clothing that day..."

"I happened to encounter another gust of cold wind, and my body's resistance was weak, so I got hit."

"Every illness can be said to be the result of various conditions, coincidences, and fates colliding together."

"This is true for minor illnesses, but even for serious illnesses, various conditions, coincidences, and the patient's personal characteristics are indispensable."

Yu Zhiming spoke eloquently: "Take the patient Xu Feng's condition as an example. Currently, there is only one case of his condition in the country. He is so special, why can't it be the result of the collision of various specialities, idiosyncrasies and coincidences? Woolen cloth?"

Han Shuo smiled softly and said, "I think what Dr. Yu said makes sense."

"Many of the patients sent to us have special characteristics. Due to their body's peculiarities, the symptoms of the disease are different from those of ordinary people. There have been cases before."

Xie Jianmin pondered and said: "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 doctors from guessing in this direction."

Xie Jianmin looked at Yu Zhiming and asked: "But there is a question about your guess. Why do the clusters of blisters on the body surface, the hallmark feature of a herpes virus attack, not appear?"

Yu Zhiming explained: "I don't have a good explanation for this problem. I can only attribute it to the particularity of the patient's constitution, or it may be suppressed by some kind of drug ingredient!"

Wang Zhijin chuckled softly.

"Dr. Yu, you blame all the unexplained problems on the patient's special constitution. This is a hooliganism."

"To treat diseases and save people, we need to prove the truth and do not allow sophistry. It is meaningless."

Yu Zhiming chuckled and said, "I also know that my guess, which attributes some unexplainable and unclear things to the patient's special constitution, is a bit of a quibble."

"However, if we determine that the patient has a special constitution, then my guess will be perfect."

"I suggest that you might as well verify it..."

Yu Zhiming raised his voice and said: "Conduct a test on the patient and inject an appropriate amount of immunosuppressant."

"If my guess is correct, then after the patient's own immunity declines, the herpes virus will attack a certain part of the body and cause unknown severe pain."

"This way, we don't have to wait foolishly for how long until his unknown pain symptoms attack again."

"I disagree!"

Xie Jianmin said seriously: "Dr. Yu, you are risking the patient's life with this experiment."

"It is really the herpes zoster virus that causes the disease. If you lower the patient's immunity in this way, the herpes virus may spread to the patient and invade his brain, liver, heart and other organs."

"In that case, no one can save him."

Yu Zhiming argued: "Dr. Xie, what I'm talking about is injecting an appropriate amount of immunosuppressant to appropriately reduce his autoimmune ability."

Xie Jianmin's eyes sharpened and he asked loudly: "Dr. Yu, what is the appropriate amount?"

“Can you accurately control the extent to which a patient’s immunity is reduced to a very suitable level?”

this……

Yu Zhiming thought to himself, how could I have such ability?

This requires oncology, radiotherapy and chemotherapy experts, or organ transplant experts to be responsible for this problem.

When they treat their own patients, they often use immunosuppressants.

Yu Zhiming looked at Qi Yue for help, 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 experiment of reducing the patient's own immunity is very likely to allow 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 experimental proposal is indeed too risky."

He added in a low voice, "It's still a bit irresponsible."

Wang Zejia also said: "I think it is better to wait until the patient has another pain attack. Then we will conduct a detailed examination on him, and we may be able to make new discoveries and get answers."

At this time, Han Shuo saw Qi Yue looking towards him and slowly expressed his thoughts.

"Dr. Yu's experiment is indeed a bit risky."

"But just waiting and doing nothing is not our style here."

Seeing that everyone had expressed their opinions, Qi Yue said, "Do you have any new ideas about patient Xu Feng's condition?"

Xie Jianmin shook his head and said, "No."

He then added: "Director, I am doing virus culture and toxic substance screening, which will take some time."

Wang Zhijin and Wang Zejia both shook their heads in response to Qi Yue's gaze.

Qi Yue said in a deep voice: "A considerable number of patients who come to us have difficult and complicated diseases."

"There is no precedent for their diagnosis and treatment, and we often need to fumble around."

"So, trial and error treatment is inevitable."

After a moment of pause, Qi Yue expressed his position: "I think Zhi Ming's conjecture is reasonable to a certain extent."

"I decided to use Zhi Ming's suggestion and conduct a test on the patient tomorrow to lower his body immunity."

"director……"

Xie Jianmin shouted loudly and sincerely persuaded: "The patient's current health condition is acceptable, and there is really no need to rush into such a dangerous experimental treatment."

"Director, we have time to proceed slowly and steadily."

Qi Yue insisted: "Dr. Xie, you know my habits. Bad treatment is better than delaying and doing nothing."

“No one can predict whether a patient’s next attack will be severe enough to be life-threatening.”

Qi Yue waved his hand to stop Xie Jianmin and others from trying to persuade him again, and directly ordered: "Instead of trying to persuade me, you should prepare a plan for how to remedy the worst case scenario during the experimental treatment, as you expected."

After a two-second pause, he said slowly: "If you want to convince me, then come up with a more reasonable diagnosis than Zhi Ming's conjecture before ten o'clock tomorrow."

Seeing that Teacher Qi supported him so much, Yu Zhiming directly adopted his conjecture, feeling both excited and uneasy.

If the situation really happened as Dr. Xie said, then he would be the murderer of the patient...

Please support with monthly votes, recommendation votes, etc.!