I'm really an intern

Chapter 80 Want to Believe in Miracles Again

Is it really this bacteria?

This case is the home field of the Department of Infectious Medicine and the Department of Respiratory Medicine, and all the bosses turned their attention to the directors of these two departments.

The old lady director of the respiratory department put down the teacup she had been holding on for a long time, and frowned at this moment.

"Haven't you used antifungal drugs before?"

Zhang Tianyang nodded, "Yes, I haven't used it."

He turned the ppt to the page of the patient's medication history, and pointed to the data on the screen to explain.

"Teachers, please look here, the patient has used strong antibiotics in the past, here."

Zhang Tianyang pointed at the screen, "But according to what I learned from my family members yesterday, the patient's condition worsened in a short period of time after taking strong antibiotics."

"Here, after using hormones, the condition also worsened in the short term."

"My thinking is that the use of powerful antibiotics did not attack the pathogenic bacteria, but instead disturbed the normal flora of the human body, allowing the pathogenic bacteria to take advantage of it."

"The same is true for hormones, which attack the patient's immune mechanism and make pathogenic bacteria take the opportunity to make trouble."

The red-faced bosses who had just quarreled with each other nodded in approval.

The most embarrassing thing about this intractable disease is that there is no direction, but if someone can propose a direction that can explain all the development of the disease, then the next problem will be solved easily.

The bald professor of infectious internal medicine frowned, and his heart told him that the young doctor might be right.

But even after two quarrels without winning, he also has his own pride.

"It's still the same question, how do you explain the problem that the anti-tuberculosis treatment was initially effective and then failed?"

Zhang Tianyang smiled, and typed the ppt to the one with previous cases at the beginning.

"Of the seven non-HIV-infected Penicillium marneffei patients in the past, two were misdiagnosed as tuberculosis, one of which was effective but relapsed quickly, and the other was ineffective."

"I think this may have just caught up with the plateau of Penicillium marneffei proliferation during the treatment period, and it does not prove that the anti-TB drugs are effective."

"Moreover, the speed of the sharp deterioration of the disease after one month of anti-tuberculosis treatment is also in line with this principle."

He glanced at the big shots below who were listening carefully, and expressed his views again in a strong and affirmative tone.

"I would like to emphasize that among the above 7 cases, 4 of them finally used antifungal drugs, and the outcomes were all improved and cured."

"Three of them, who had never used antifungal drugs, died in the end."

He lowered his head and looked at the brutal chest film on the front table, his clenched fists trembling.

"Crack, snap, snap"

Professor Zhu suddenly started to applaud, and then the director of the Department of Respiratory Medicine also applauded.

Professor Zhou, the director of the Cardiology Department, also applauded, feeling more and more interested in Zhang Tianyang.

"I think I can try it."

The boss of the laboratory department spoke in a deep voice.

"Penicillium marneffei does have special growth conditions, and the growth rate under culture conditions is extremely slow, and its pink color is indeed easily confused with tuberculosis."

"It was really difficult to cultivate it when there was no direction before, but now that I know the possibility, if I raise it specially, I might be able to see it."

Professor Zhu asked the practical question, "Can you do it?"

The director of the laboratory smiled awkwardly, "It was not possible before, but recently we have cooperated with KingMed Laboratory, so we can send it over to do it."

"how long?"

"It is conservatively estimated that the results will be available in a week."

"too slow!"

The old lady director of the respiratory department directly interrupted the director of the laboratory department, "When the results come out, this little girl's organ damage will be aggravated, so let's get treatment first!"

The director of the dermatology department agreed.

"Yes, I also think that treatment should be done first. Our department and orthopedics department first treat the pustules on the bones and skin to prevent further deterioration, and then we will see the effect of the treatment."

The director of orthopedics said concisely, "OK!"

The bald head director of the Department of Infectious Medicine frowned and watched the big bosses in each department agree, and even started to discuss the follow-up treatment plan, and finally gave up at this time.

"Well, the doctor in charge of the bed, your name is... oh, Doctor Zhang."

Prompted by Professor Zhu, the bald professor finally looked at Zhang Tianyang's name squarely and began to ask questions.

"Doctor Zhang, since you think it's a fungal infection, how are you going to specify a treatment plan?"

Zhang Tianyang was already prepared.

"The four cases that have improved and recovered in the past have all been treated with amphotericin B, and the treatment effect is good. I think this patient can also start with amphotericin B, and then adjust the drug according to the subsequent treatment effect."

"Well, I have no doubts."

The bald professor raised his hands and smiled in agreement.

"I have no doubts."

"Seconded!"

"Me too!"

"Me too!"

The intractable disease that has been diagnosed and treated for five years has a new direction. The bosses are in a good mood and even joked about it.

A group of bigwigs joked with each other and walked out, without the slightest tension from the beginning of the hospital-wide consultation.

Chen Shishi hid at the back of the meeting room, watched Zhang Tianyang's performance and the reactions of the bosses the whole time, stood up unknowingly, and opened her mouth wide.

"This is the first time I've seen big bosses listen to subordinate doctors!"

Brother He smiled, patted his buttocks and stood up, "Who isn't?"

He looked at Zhang Tianyang who was packing up his things with a smile in his eyes, and sighed in his heart.

"The back waves of the Yangtze River push the front waves!"

……

Outside the meeting room, Professor Zhou from the Department of Cardiology waited for the bald director of the Department of Infection Medicine.

"The doctor who just reported the case, your new resident doctor?"

"No."

The bald director obviously sighed, "It's under Professor Zhu. I heard that it's a new intern this year."

"Eight years?"

"Five years."

Professor Zhou of the Cardiology Department turned his head and looked at Zhang Tianyang's back from a distance.

"What a seedling..."

……

At noon, Zhang Tianyang was rushed to the outpatient pharmacy by the little nurse, and took back all the prescriptions issued at 11:30.

"Doctor, have you never taken these medicines before?"

The woman is holding the newly issued pills and has some doubts.

They have used all kinds of antibiotics, but the drug in their hands, amphotericin B, does not recognize the name at all.

"Also, the anti-tuberculosis drug was not given today, is it not prescribed?"

"This is an antifungal drug. Don't take tuberculosis medicine today."

Zhang Tianyang looked at the girl on the hospital bed tenderly, "The Department of Dermatology and Orthopedics will perform surgery on her in the next two days to remove some infected foci, and the rest will depend on this medicine."

"You should pay attention to observe it in the past two days. If there are side effects of the drug, such as nausea, vomiting, diarrhea, allergies, etc., please tell us immediately."

After Zhang Tianyang explained the precautions, he walked away step by step.

The woman looked at the never-before-seen medicine in her hand, and her hard heart gradually became soft and enthusiastic.

"Ah, ahh..."

On the hospital bed, the girl was speechless and could only make a little sound.

But the woman read her eyes.

"Daughter, keep going."

She poured water in a hurry and gave medicine to the girl on the hospital bed.

"This time, maybe, okay?"

"Mom, I want to believe in miracles again."

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Surprise, not unexpected?

I changed again!

　Thank you skycs for the rewards ~ I also thank you all for the little cuties who rewarded and voted, the bosses are awesome!

　　Just send the blades, I have a lot (▽)

　　

　

(End of this chapter)