Chapter 59 Trial and Error Treatment
Around 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 large office.
First, Yu Zhiming presented his conjecture to everyone present.
"It's really an absurd guess..."
Attending physician Wang Zhijin was the first to question: "Doctor Yu, there is a piece of data that I think you must have missed."
"The Provincial Hospital in Shandong Province has conducted viral culture and testing on patients experiencing unexplained pain attacks."
"The concentration of herpes zoster detected was only 0.01 pg/ml higher than the upper limit of normal value."
“It’s only 0.01pg/ml higher!”
Wang Zhijin deliberately repeated this sentence to emphasize it, and then continued, "The concentration level of the herpes virus is not enough to support the outbreak of the herpes virus."
Yu Zhiming replied softly, "Doctor Wang, I didn't make any mistakes in the herpes virus data."
"I have every test and analysis data related to patient Xu Feng clearly memorized in my mind."
"I would like to point out that the normal value for herpes virus is just a range and does not take into account the particularities of a person's physique."
"Is it possible that the patient is susceptible to the herpes virus?"
"Or perhaps, before the patient develops an attack, the herpes virus concentration in the body is far lower than normal?"
After a pause, Yu Zhiming added: "95% of the population has the herpes virus in their bodies."
"Before the patient developed the disease, he or she might have been among the 5% of the population that did not have the herpes virus."
Wang Zejia noticed Qi Yue standing nearby, his expression unchanged. He chuckled and retorted, "Doctor Yu, your approach of assuming the result and inferring the cause is a forced explanation."
"Is it due to the patient's peculiar constitution and sensitivity to the herpes virus?"
"There aren't so many special things and coincidences in the world."
Yu Zhiming smiled faintly and said, "Doctor Wang, we all catch colds and fevers. It's probably because I didn't wear one piece of clothing that day..."
"It just so happened that I encountered a gust of cold wind, and my body's resistance was weak, so I got infected."
"Every time I get sick, it can be said that it is the result of various conditions, coincidences, and fate colliding with each other."
"This is true for minor illnesses, but serious illnesses are even more complicated due to a variety of conditions, coincidences, and the patient's personal characteristics."
Yu Zhiming spoke eloquently, "Take patient Xu Feng's condition, for example. His condition is currently unique across the country. He's so special, why can't it be the result of a combination of special, unique, and coincidental circumstances?"
Han Shuo smiled softly and said, "I think what Doctor Yu said makes a lot of sense."
"Many of the patients sent to us have special conditions. Due to their unique physical characteristics, their disease symptoms vary from those of ordinary people. We have seen such cases before."
Xie Jianmin pondered and said, "If Dr. Yu's hypothesis is correct, it would explain why the patient has not been diagnosed yet."
"Because the concentration of herpes virus was taken for granted as being within the normal range, this directly built a wall, blocking doctors from making guesses in this direction."
Xie Jianmin looked at Yu Zhiming and asked, "But there's a problem with your hypothesis. Why didn't the clustered blisters on the body, the hallmark of a herpes virus outbreak, appear?"
Yu Zhiming explained, "I don't have a good explanation for this problem. It can only be attributed to the patient's peculiar constitution, or to some drug ingredient suppressing it!"
Wang Zhijin chuckled lightly.
"Doctor Yu, you're simply being a hooligan by blindly attributing all the inexplicable problems to the patient's unique physical condition."
"To cure illnesses and save lives, we must rely on empirical evidence. No sophistry is allowed; it's meaningless."
Yu Zhiming chuckled and said, "I know that my speculation, which attributes some inexplicable points to the patient's peculiar constitution, is a bit of a sophistry."
"However, if we determine that the patient truly has a special physique, then my hypothesis would be absolutely perfect."
"I suggest that we verify it..."
Yu Zhiming raised his voice and said, "Perform a trial on the patient and inject him with an appropriate dose of immunosuppressant."
"If my guess is correct, then after the patient's immunity is weakened, the herpes virus will attack a certain part of the body, causing unknown severe pain."
"This way, we won't have to wait an indefinite amount of time for his unknown pain symptoms to recur."
"I don't agree!"
Xie Jianmin said seriously, "Doctor Yu, your experiment is risking the patient's life."
"It's really the herpes zoster virus that's causing the problem. If you lower the patient's immunity like this, the herpes virus might be able to penetrate directly into his brain, liver, heart, and other organs."
"No one can save him then."
Yu Zhiming argued, "Doctor Xie, I'm talking about injecting an appropriate amount of immunosuppressant to appropriately reduce his immune system."
Xie Jianmin's eyes sharpened, and he asked loudly, "Doctor Yu, what is the appropriate amount?"
"Can you precisely control the degree of decline in the patient's immunity to a very suitable level?"
this……
Yu Zhiming thought to himself, how could I have such ability.
This requires tumor radiotherapy and chemotherapy experts, or organ transplant experts to be responsible for this issue of degree.
They often use immunosuppressants when treating their own patients.
Yu Zhiming looked at Qi Yue for help, but he didn't say a word.
Xie Jianmin's voice rang out again, "I personally believe that the patient's unknown pain is caused by some unknown virus or unknown toxin."
"Dr. Yu's experiment to reduce the patient's own immunity is very likely to allow unknown viruses or toxins to further invade the patient's body, causing fatal damage."
Wang Zhijin also expressed his stance, saying, "Dr. Yu's experimental proposal is indeed too risky."
He added quietly, "And a little irresponsible."
Wang Zejia also spoke up, "I think we should wait until the patient has another pain attack. Then we can give him a thorough examination. Perhaps we can make some new discoveries and get the answer."
At this time, Han Shuo saw Qi Yue looking at him and slowly expressed his thoughts.
"Doctor Yu's experiment is indeed a bit risky."
"But just waiting and doing nothing is not our way here."
Qi Yue saw that everyone had expressed their opinions and 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'm doing virus culture and toxic substance screening. This will take some time."
Wang Zhijin and Wang Zejia met Qi Yue's gaze and shook their heads.
Qi Yue said in a deep voice: "A considerable number of the patients who come to us have difficult and complicated diseases."
"There is no precedent for their diagnosis and treatment, so we often have to explore our way forward."
"So, trial and error treatment is inevitable."
After a pause, Qi Yue said, "I think Zhiming's conjecture is somewhat reasonable."
"I've decided to follow Zhiming's suggestion and conduct a test on the patient tomorrow to lower his immunity."
"director……"
Xie Jianmin shouted, earnestly persuading, "The patient's current health is acceptable. There's really no need to rush into such a dangerous experimental treatment."
"Director, we have time to proceed slowly and steadily."
Qi Yue insisted: "Doctor Xie, you know my habits. A bad treatment is better than delaying and doing nothing."
“No one can predict whether the patient’s next attack will be severe enough to be life-threatening.”
Qi Yue waved his hand to stop Xie Jianmin and the others from trying to persuade him again, and directly ordered: "Instead of wasting energy persuading me, you should prepare for the next step. If the worst-case scenario during the experimental treatment really happens as you predicted, what are the contingency plans for remediation?"
After a two-second pause, he slowly continued, "If you want to convince me, then you must come up with a more reasonable diagnosis than Zhiming's hypothesis before ten o'clock tomorrow."
Seeing that Teacher Qi supported him so much and directly adopted his own guess, Yu Zhiming felt both excited and nervous.
If what Dr. Xie said really happened, then he would be the murderer of the patient...
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(End of this chapter)
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