Chapter 762 - 354: Muddy-Medicine Approach and Shameless Cryptococcus (Part 2)

Chapter 762: Chapter 354: Muddy-Medicine Approach and Shameless Cryptococcus (Part 2)

This results in a Dr. Zhao type, lacking grassroots experience and insufficient awareness during family communication, which easily leads to doctor-patient disputes.

Of course, this is not a big deal.

Getting beaten up a few times naturally makes one smarter and more tactful, and they won’t speak so recklessly.

"Let’s quickly return to discussing the child’s medication issue!" Rong Xuekai steered the topic back on track and eased Dr. Zhao’s embarrassment.

Giving young people the chance to make mistakes is a good tradition in many major hospitals.

Because the chief physicians grew up in this way too.

"There are many antiviral drugs available. If we know the type of virus, we can target the medication. If this child has adenovirus or herpes simplex virus encephalitis, I believe vidarabine would be immediately effective. The problem is that the virus type hasn’t been identified yet. Should we consider preliminary empirical treatment?"

so-called empirical treatment involves using drugs that don’t specifically target a single virus.

For instance, the most commonly used broad-spectrum bacteriostatic drug in clinical practice is amoxicillin.

It has powerful bacteriostatic and bactericidal effects and can be used for various diseases and scenarios.

It is considered to be at the god-tier level.

Viruses are fragments of bacteria, evolving and increasing in new types every year.

There are also artificially crafted and synthesized viruses.

In clinical practice, many viruses don’t have specific drugs.

The most beneficial weapon against viruses isn’t drugs but the human immune system.

Many people only know about the Komodo dragon that loves eating rotten meat and mosquito-eating bats with strong virus immunity, but little do they know, our human immune system is equally strong.

Li Jingsheng’s mind couldn’t help but think of an antiviral drug’s name—ribavirin.

This drug is scientifically named triazole nucleotide.

It is widely used in treating viral encephalitis and has good effects.

"I’m sure Director Rong already has a good medication plan."

"Currently, what I could think of is ribavirin combined with an interferon IV drip of 1 million units to enhance antiviral effects."

Director Rong gave his medication suggestion.

As expected from the critical care medicine giant, his plan is more comprehensive than what Li Jingsheng thought.

Interferons are typically used in tumor treatments, but their antiviral effects are not bad and can be combined with various other medications.

"Looks like my prescribed medications need an upgrade, there are still gaps compared to these experts!"

Li Jingsheng silently pondered.

The Great Success Level drug efficacy and pharmacodynamics are already strong, but there’s still a significant gap between experts.

Even if it’s the same medication, timing and dosage accuracy can greatly enhance its effectiveness. Conversely, if mistimed, it may not achieve the ideal effect.

Used too early, first, one might not dare use it; second, it’s possible to use an overly strong approach, burdening the patient.

Used too late, the drug effect reduces significantly, and the dosage increases immensely.

All medications have toxic aspects.

The patient’s body is already weak and endures further side effects, which adds insult to injury.

The key is that this injury is added by the doctor in the name of saving the patient.

Doctors face four major challenges, diagnosing issues and medication concerns are the top two.

"Earlier, Dr. Li from the Second Hospital raised the possibility that the child might not be viral infected but might be cryptococcus. We must emphasize this point. Otherwise, using antiviral medication to combat fungi might be using a cannon to shoot mosquitoes, a wrong approach."

While saying this, Rong Xuekai inadvertently glanced at Dr. Zhao.

This was a secret reminder to Dr. Zhao to be cautious with his words in the future.

The patient’s condition hadn’t been verified as viral or fungal infection, how do we intervene with medication?

Dr. Zhao lowered his head, slightly embarrassed.

"Cryptococcus is extremely troublesome, but if it can be identified early, it would actually be beneficial for treatment. Shouldn’t a laboratory pathology examination be relatively straightforward? A preliminary result from cryptococcus microscopy should be available soon, right?"

Lian Tao frowned and said.

The lab can take a small sample of the child’s cerebrospinal fluid, place it on a slide, then mix it with some ink, and cover it with a cover slip.

If it is newly emergent cryptococcus, it would appear under the microscope as round or oval double-layer thick-walled spores with a broad capsule and clear, complete edges, showing single budding internally.

If it’s a cryptococcus variant, the spores might appear rod-shaped, needle-shaped, spindle-shaped, ladle-shaped, spherical, and budding phenomenon.

If that can’t be identified, a centrifuge precipitation method can be rechecked.

The People’s Hospital’s laboratory is very capable, and it possesses this ability.

The results usually come out very quickly.

Given the child’s critical condition, with so many directors on site, the lab certainly won’t foolishly follow the queue.

It will definitely prioritize examination.

"Hey, Director Lian really has a golden mouth! The laboratory just called."

Rong Xuekai answered the phone.

After speaking a few words with the other party, he hung up with barely concealed excitement.

"Dr. Li, what can I say about you? Are you specializing in divine predictions? You’ve hit the mark again!"

Rong Xuekai looked at Li Jingsheng with admiration and fondness.

If this kid could be his assistant, how wonderful it would be!

He surely would teach him everything he had learned throughout his life.

"It’s truly cryptococcus?"

Lian Tao and other experts were all excited, also secretly relieved.