Chapter 388: Ginger is Spicy with Age (Happy Lantern Festival)
On Thursday morning, as soon as Yu Zhiming arrived at the center building, he went to the inpatient area to check on his fellow villager Li Yantian.
Coughing, shortness of breath, fever of 38.7 degrees, and the inflammation of the bronchi and lungs has become more serious.
His complexion and mental state were extremely bad, and he looked like he was about to collapse.
Yu Zhiming maintained a calm expression as he instructed the nurse step by step to continue giving oxygen therapy and dripping glucose and saline at the lowest rate.
If the body temperature exceeds 39 degrees, perform physical cooling.
It was also specifically emphasized that you are not allowed to take any medicine.
Afterwards, Yu Zhiming walked out of the ward at a steady pace.
However, as soon as he left the ward, he quickened his pace, and it became faster and faster, until he almost ran back to the large office on the second floor.
Hearing some movement in the director's office next door, Yu Zhiming pushed the door open without hesitation.
"Teacher, I'm sorry."
Yu Zhiming looked at Qi Yue, who was tidying up his desk, and said anxiously, "My fellow patient has experienced a much worsening of his lung inflammation. With his weakened body, I'm afraid he won't be able to withstand it."
"If I use medication, I'm worried his liver and kidneys won't be able to handle it and could develop acute functional failure."
"Teacher, I don't know what to do now."
It was the first time that Qi Yue saw Yu Zhiming lose his composure, and it felt a bit rare.
However, according to what Yu Zhiming said, this is indeed a dilemma.
"Zhiming, as a doctor, the worst thing you can do is panic."
Qi Yue criticized him first, then asked, "What kind of bacteria is he?"
Yu Zhiming quickly replied, "Staphylococcus aureus."
He calmed down for a moment, then said with a sigh, "Teacher, this guy has recurring bronchi and lung infections. I've read his medical records."
"Over the past six months, he's suffered from inflammation caused by Streptococcus pneumoniae, Klebsiella pneumoniae, Staphylococcus aureus, Pseudomonas aeruginosa, fungi, and more."
"It can be used as a textbook for pneumonia treatment."
Qi Yue slowly asked, "In his case, he has suffered repeated bouts of pneumonia caused by different pathogenic bacteria. What do you think?"
Yu Zhiming sensed the teacher was testing him, and he straightened his tone and said, "Teacher, my theory is that for some reason, the patient's bronchial and lung immune resistance has been severely reduced, making it impossible to resist the invasion of pathogens."
"but……"
Yu Zhiming hesitated and said, "Yesterday, I conducted a detailed examination of the patient's trachea, bronchi, and lungs. Apart from inflammatory pus, I found no abnormalities worthy of attention."
Qi Yue pondered for a moment and said, "Perhaps, this anomaly cannot be detected through imaging."
"Give him a bronchoscopy..."
Because bronchoscopy requires a period of abstention from water and food, Yu Zhiming scheduled Li Yantian's bronchoscopy at 1:00 p.m.
Qi Yue waited for Yu Zhiming to inform the nurse in the inpatient area of the new medical instructions and asked, "Suppose we find the root cause of the problem through bronchoscopy, how should we treat it?"
"According to what you said, his internal organs are in critical condition and on the verge of collapse. He can't tolerate any medication."
this……
Yu Zhiming hesitated for a moment and said, "To say he can't tolerate even a single pill is a bit of an exaggeration. It seems to me that his condition is at the critical juncture of a quantitative change to a qualitative one."
"Perhaps, I can still withstand a few days of medication?"
Yu Zhiming gritted his teeth and said, "There's really no other way. I can only take a gamble."
"I hope he's lucky enough!"
Qi Yue rolled his eyes and said, "Open your mind a little. Don't forget that both Chinese and Western medicine have treatments that don't rely on drugs."
Yu Zhiming's eyes lit up, and he said with a smile, "I was just being too picky. Traditional Chinese Medicine's acupuncture, moxibustion, scraping, cupping, massage, and other methods should be suitable for my fellow patient's current condition."
"As long as he can get through this and get some of the accumulated drug components out of his body, it will be fine."
He then asked, "Teacher, do you know any good Chinese medicine practitioners?"
"We're asking them for help!"
Qi Yue chuckled and said, "Dr. Wang Wu from our Traditional Chinese Medicine Department is highly regarded by patients for his Chinese medicine skills, especially acupuncture."
"I'll contact him right away..."
Qi Yue immediately took out his cell phone and contacted Dr. Wang Wu.
Qi Yue got straight to the point and introduced: "Doctor Wang, I have a patient with severe pneumonia here."
"He had been taking excessive amounts of various drugs for a long time, and the accumulation of toxic side effects from the drugs had put his liver, kidneys and other internal organs on the verge of collapse."
"We don't dare give him medicine."
"His current condition is somewhat dangerous. Doctor Wang, do you have time to come and treat him?"
The next moment, a slightly hoarse male voice came from Qi Yue's phone.
"Director Qi, I'm so sorry, my schedule is full with patients today and I really can't spare the time."
"How about I ask my student Lu Hong to go over there? He's been with me for many years, and his skills are not much worse than mine."
Yu Zhiming knew that Chinese medicine practitioners became more valuable as they got older.
Moreover, Chinese medicine emphasizes tailor-made treatment for each individual. The final treatment results of a master and an apprentice who seem to have similar medical skills may be worlds apart.
He couldn't help but interrupt and shouted into the phone: "Hello, Dr. Wang, I'm Yu Zhiming."
"This patient is from my hometown. His condition is not good. He needs a master like you to help him survive."
The next moment, Wang Wu's voice sounded again.
"Doctor Yu, you're good too!"
"Since the condition of your fellow patient is so serious and critical..."
Wang Wu pondered for a moment on the phone and said slowly, "Doctor Yu, I have appointments with several patients this morning, and it's really hard to refuse."
"This afternoon's patient..."
"How about this, I should be able to spare some time to go to your center around 2 o'clock this afternoon..."
After ending the call with Wang Wu, Qi Yue's mood was inevitably a little complicated.
He suddenly discovered that his face was not as effective as Yu Zhiming's.
As soon as Yu Zhiming asked for help, the old man Wang Wu changed his mind and wanted to come over by himself.
This differential treatment is too obvious.
Qi Yue, feeling like an old man, with the younger generation pushing the older generation forward, suppressed his depression and said, "Tomorrow, Doctor Weng asked me to tell you how grateful he is."
"He also said that once his daughter's problem is completely resolved, he will definitely hold a banquet to thank her."
Yu Zhiming said nonchalantly, "Given his daughter's situation, it's my duty to help her. There's no need to treat her to a meal."
Qi Yue checked his watch, stood up and said, "It's almost time, let's go check on the ward first..."
After all this busy time, it was past eleven o'clock before Yu Zhiming finally had some free time.
He returned to the large office, replenished his body with water and energy, and stood in front of the viewing light to observe the lung images of Li Yantian after he contracted pneumonia at different stages.
However, Yu Zhiming is not very good at interpreting this kind of two-dimensional image.
In addition, he was too proud of his detection skills and didn't pay much attention to the interpretation and improvement of the image maps.
This led him to look at the image several times in succession, but still gained nothing.
Just as he was about to return to his workstation and sit down, a finger suddenly stretched out and pointed at an image on the viewing light.
"When doing a bronchoscopy, focus on this area."
Yu Zhiming saw that the finger was pointing to a section of the left bronchus close to the left lung.
He turned to look at Dr. Wang Chunyuan, a cardiopulmonary specialist who had unknowingly come to his side, and asked with surprise:
"Doctor Wang, my teacher asked you to come over?"
Wang Chunyuan nodded and said softly, "I have a rough understanding of the condition of your fellow patient."
"It's just pneumonia, not a big problem."
"But when combined with the serious side effects of the medication, it becomes quite difficult to treat. I'm afraid to start treatment."
After a pause, he turned and asked, "Doctor Yu, do you know why we asked you to do a bronchoscopy to focus on that area?"
Yu Zhiming replied honestly, "I don't know. I'd appreciate your guidance, Doctor Wang."
Wang Chunyuan smiled gently and said, "By observing these images, combined with my years of experience and intuition..."
"I think this is the source of the recurrence of pneumonia that your fellow patient has suffered from many times."
Yu Zhiming knew that Wang Chunyuan was a well-known cardiopulmonary expert in the country and an authority in the field of cardiopulmonary medicine.
His judgment is equivalent to the answer.
Yu Zhiming nodded and said, "I will definitely observe this bronchial area carefully when the time comes."
"Thank you, Doctor Wang."
Wang Chunyuan chuckled and said, "No need to thank me. It's a courtesy. I saw a patient a few days ago."
"I don't feel well about his heart."
He added self-deprecatingly, "I don't feel very well. It's far worse than how you, Doctor Yu, feel."
"If it works once out of ten, it's good enough. But just in case, I'd like you to take a look."
Yu Zhiming responded readily: "No problem, Doctor Wang, just ask him to come over anytime..."
A little after noon, after some preparation, Li Yantian's bronchoscopy examination began.
With Dr. Wang Chunyuan's judgment, Yu Zhiming went straight to the point and without much delay, he inserted the bronchoscope into the section of the left bronchus close to the left lung.
What Yu Zhiming saw through the camera was all mucus produced by inflammation adhering to the bronchial walls.
He observed it bit by bit, not missing any abnormality.
After this almost sieve-like back-and-forth inspection, Yu Zhiming finally made a discovery.
He found several thin white threads in a pool of slightly darker mucus.
This made Yu Zhiming sigh, it's true that experience makes the most sense. In many aspects, he was still far behind the level of doctors like Dr. Wang and Teacher Qi.
Yu Zhiming used a bronchoscope to remove the thread with forceps.
When he clamped it, he was surprised to find that he had actually picked up a small piece of silk mesh that was entangled with each other...
PS.
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(End of this chapter)
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