Vol 2 Chapter 1753: I'm in charge

   Chapter 1753 I'm in charge
   When Zhang Fan heard the cantaloupe, the first thing that came to his mind was Listeria, "Hurry up and find it, is it Listeria."
   With the diagnosis, the laboratory staff can quickly find it. The gold standard for bacterial diagnosis is culture, but this thing can be as fast as three days, and it is hard to say if it is slow. There are one week and one month.
   At this time, it shows the awesomeness of a doctor.
  Many antibiotics are prescribed empirically, and patients may not have special signs, but doctors can determine the type of bacterial infection that the patient has through experience, and then use empirical medication.
   When the patient is discharged, sometimes the bacterial culture has not been completed.
  Listeria, what to say about this thing, in the outbreak of food infection, this guy is the third flower.
  In raw milk, and some raw meat, this stuff is contained in it. Especially in the refrigerator, which is this guy's harem.
  Why did Zhang Fan know the germs when he heard the cantaloupe?
  This thing, like people, likes something that has a more tactile feel. Listeria does not like the flesh of the cantaloupe, but the rind of the cantaloupe.
   The pitted melon rind is like the stockings in the eyes of a man. This thing is swaying its energy on it, and a lot of bacteria exist in the melon rind of the cantaloupe.
  Many people are very particular. When eating melons, they will cut off the skin of the melon, which looks very particular, but you must pay attention to not let the kitchen knife that cuts the skin or the surface touch other parts.
   For you, the blade of the knife touches a little bit. For bacteria, this is enough. It is enough to open a seam. It does not need a big seam.
  Bacteria, to be honest, this thing is a little brother in nature, and it just bullies a human being. For example, the virus that treats bacteria as meat, and the fungi that press on it, bacteria are not the opponents of these things.
  When there are no antibiotics, humans and bacteria fight, and it is only five or five points. With the invention of antibiotics, it seems that humans are fighting against bacteria in waves, but now it is getting harder and harder to fight.
   is a bit of a joke on the Internet, from letting go of the teacher and letting the old man come, and then it becomes the taste of letting go of the old man.
  In the early years, there was a feeling that when the barefoot doctor prescribed some pills, the person would be cured, but now, seeing a cold will cost thousands of dollars.
   Of course, after excluding this economic problem, talk about the level of doctors now and those of barefoot doctors, who is higher?
   Excluding individual differences, in general, the current level of doctors is still high.
  Why does it feel that the level is not as good as before? In fact, this thing is a little bit like letting go of the old man. In the previous infection, a shot of penicillin on the buttocks was like a magic drug. Because there was no drug resistance, the penicillin at that time was really killing the gods.
   And now the bacteria, it can be said that they are all super soldiers selected by human beings, and they are almost all descendants of bacteria that were not killed by penicillin, and are updated from generation to generation.
  Penicillin is a big killer, and then all kinds of cephalosporins, and the bacteria that are trained are even more frightening and scary. At present, there are not many super bacteria, and some bacteriophages such as viruses are born to inhibit bacteria, so that humans can still moisturize a little.
   If one day, there will be an outbreak of super bacteria, just like the outbreak of tuberculosis in ancient times.
  Listeria outbreaks are relatively rare in China, but golden retrievers have it every year, which may be related to their dietary structure.
  This thing hangs when heated to 70℃, but it is easy to handle. I don't know if it's because golden retrievers like to eat salad.
   But this thing is definitely known as the killer of pregnant women and children. For example, a pregnant woman and an adult non-pregnant woman eat cantaloupe. Maybe there is nothing wrong with the non-pregnant woman, and the pregnant woman will die. This kind of thing is not impossible.
   Therefore, first of all, if the refrigerator at home is used for a long time, it should be disinfected regularly. The easiest way is to expose it to the sun. The block box inside is regularly exposed to the sun. If you are lazy, you can directly apply the fungicide.
   Always store raw and cooked food separately, and, most importantly, do not store food for a long time.
  If you want to eat cold dishes, don't store them in the refrigerator.
   "Imipenem, enough injection." With a clear diagnosis, all treatment methods are simple. Sometimes what doctors are precious about is not the ability to treat, but the ability to diagnose.
   Many times, for the current disease, as long as you know the name of the disease, you can find a cure, but how to diagnose it, there is no way to save your mother.
  Sometimes, the symptoms of lobar pneumonia can be cured by your mother, and it can cure you of lung cancer.
   When the diagnosis is made, not only the doctors feel a lot more relaxed, but the patients also feel a lot more relaxed during the treatment. With the injection of imipenem, the red-baby-like child became obviously normal and did not refuse milk, and the high fever of pregnant women also decreased significantly.
  The treatment is effective, Zhang Fan is no longer worried, and Lu Shuyan and the others will start to talk and laugh now.
   Zhang Fan glanced at the patient, beckoned to Lu Shuyan, and walked to a place where no one was. Lu Shuyan looked surprised, and even had a hint of blush on her face, and she walked a little awkwardly, as if she saw a watermelon between her legs, and it could even be described as staggering.
   When Zhang Fan beckoned, she suddenly thought that Shao Hua should have passed the dangerous period, and there can still be something between them.
   "What's wrong with you, one operation will ruin your leg? Your physical condition is too bad." Zhang Fan was a little annoyed.
   Lu Shuyan said in awe, "I'm here!" After speaking, Zhang Fan's eyes flashed.
  Zhang Fan sighed deeply, "After your department is not busy for a while, go out to study, you won't get exercise in your own hospital."
   Hearing Zhang Fan say this, Lu Shuyan's face turned blue. It's so strange, I really feel like I want to say it, but I'm afraid.
   "Go to that hospital and choose it yourself. Once you have chosen it, report it to the hospital office, and let Director Wang Hong contact you."
  Lv Shuyan's level is more than enough to be a director in the former Chasu Hospital, and she can even become a star doctor, but now she can't. The patients in the hospital are not only local tea, but also a large number of patients from other places. There are more and more incurable diseases. Zhang Fan does not want Lu Shuyan to eat up her old money and finally feel ecstasy.
   For a week, almost all the nerves in the ICU of Chasu Hospital were tense, and the state of rabies patients was not very stable. Drugs for deep anesthesia, just like sugar and saline, were given as maintenance injections.
The   maintenance group and the treatment group have clearly begun to disagree, "Even if killing the rabies virus is of no use, everyone will become a vegetative state."
   Just when everyone seemed to have no confidence, the antibody in the patient began to increase exponentially.
"efficient!"
"efficient!"
   Laoju was the first to monitor it, and then a group of old doctors in the entire ICU were excited as if it was going to be New Year's Eve. Zhang Fan also ran to the ICU for the first time.
   For this kind of treatment, he has no idea in his heart. Because this kind of treatment is not a normal treatment, but a bet that the rabies virus is a weak virus, and that the antibodies in the patient's body can kill the virus. As for the treatment in the hospital, in fact, it is all about creating a tension that allows the virus and the human body to fight. Just a biased environment.
   A week later, the rabies virus was finally killed in the patient's body. The doctors woke up and gave oxygen. The female patient slowly woke up, but just like a vegetative person, she had no obvious active signs with her eyes open.
  The doctors were overjoyed. They fell from happiness to trough. People were rescued, but they became vegetative. Can this be considered a success?
   For a time, on the official website of Chasu Hospital, various elites gathered.
   has an idea, "Now the patient is obviously damaged to the cranial nerve, and he must be given drugs to nourish the cranial nerve. It is estimated that deproteinization of calf serum will not work. I think it should be combined with eradavone."
  Someone sarcastically said, "It's obvious that the technology is not good. If you have to take this job, the patient's family must have sold the house. As a result, they have become a vegetative person. The Chasu Hospital has been too floating in recent years."
   Everything is said, but in the ICU, the patient still has no self-consciousness. This is going to happen.
   Zhang Fan's physical examination, Ren Li's physical examination, Li Cunhou's physical examination, and even Xue Xiaoqiao used his personal relationship to use the excuse of frontier tourism to fool the physical examination, and it still worked.
   "Change the environment, enter the general ward, and let the family meet." Zhang Fan finally made the decision.
   "Zhangyuan, there is no self-consciousness, what should I do if I get infected again after leaving the ward." Ren Li did not agree with Zhang Fan's treatment plan.
   In other meetings in the hospital, Ren Li has always followed Zhang Fan, but in medical care it is different.
"Patients need deep stimulation. If deep stimulation is not maintained like this, sooner or later, brain death will occur. Infection is indeed a risk, but compared to brain death, infection is nothing. There must be a choice, listen to me, out I am responsible for the problem."
   Then, the patient was removed from the ICU, and Frontier Medical directly blew the pot.
   "This is a life-threatening death!"
   "This is going to throw the pot."
   "Report Zhang Fan, he is a frontier medical doctor and violates medical regulations."
"Is there still a king's law, and whether there is a law of heaven, if the treatment fails, the patient is abandoned, and a patient who is struggling to survive in the ICU is transferred to the general ward, and the patient is left to fend for himself. He also gave medical books on the frontier, I'm going to report him with my real name." A person on the Internet shouted.
  Whether Zhang Fan is under pressure, there must be, but there is really no way.
When the patient was transferred to the general ward, the child's mother looked at the child's original round and jade-like figure, but now it was like a wooden stick, with various pipes on her body, the more she looked at it, the more sad it became Stop crying, while crying, while stroking the patient.
   "My baby, my mother is sad, my baby, why did you become like this, baby, mom regrets it!" I cried loudly, tears like rain.
   All the doctors around her have their eyes wide open. If she still can't have self-consciousness, the future of this female patient is unknown. Maybe she will be awake tomorrow, maybe not next year.
   Ladies and gentlemen, let me tell you about rabies. At present, the whole world is replicating the medical plan that was successfully treated at the beginning. Including China.
   But none of them were successfully copied
   At present, rabies is still an incurable disease
   So, after being bitten by an animal,
   Don't have any expectations
   It's time for an injection
   Do not take your own life as a joke, such as the ten-day observation method.
   And let’s talk about Listeria in the refrigerator
   Pregnant women should never eat cold unprocessed food.
  
   In the event of an accident
   30% death rate, you can bet on it.
  
  
   (end of this chapter)