Doctor: It's reasonable to perform surgery on yourself.

However, the invigilator still found the use of nitazoxanide and allicin incredible.

Theoretically, the former drug is not recommended for people with immune deficiency. Although the patient is artificially immune deficient after taking the drug, is it reasonable?

Improving immune indicators, restoring immune function, and then taking nitazoxanide, this is really playing with the mechanism of action of the drug.

...

Soon, the answers of each group were summarized by the judging panel.

The total score of the assessment is not the sum of all the questions, but each question is implemented in a percentage system, and the average score is calculated at the end.

Those who can reach the last two questions basically scored more than 80 points in each question before, and there is no weak one.

Therefore, although the difficulty is not small, the final score is still very much expected.

At this moment, the participating teams who finished answering the questions also walked out of the examination room.

Everyone gathered in the conference hall, whispering to each other, and their expressions were not very relaxed.

In three minutes, for such a bizarre case, all they can do is guess.

I hope the answer is not too far from the correct one, otherwise it will be too embarrassing...

Zizi--

Suddenly, the sound of electricity came from the speakers again.

The conference hall was silent for a moment, and everyone looked in the direction of the sound, and then their pupils shrank.

The huge screen at the back actually lit up again, and it was the scoring interface of the judges.

...Is this a plan for public execution? !

At this moment, all the participating teams had this thought at the same time.

And the people who had been eliminated long ago, after a brief surprise, showed excited expressions on their faces.

I thought I could only look at the results of each group and roughly guess how outrageous the answers of top hospitals such as Union Hospital and West China were, but I didn't expect that I could actually appreciate it with the judges!

It's fun to watch!

...

Soon, the audio of the first participating team began to play.

This is the team of Fudan Affiliated Hospital.

A steady and powerful male voice came from the speakers, and it was the captain of the Fudan Affiliated Hospital team.

"The problem should be related to repeated infection. We recommend a round of fecal pathogen examination for explosive watery diarrhea, and another round of gastrointestinal endoscopy..."

"In terms of treatment, azithromycin is the main treatment. Repeated infection does not exclude parasites. Garlicin is added to the original plan..."

In the more than 20 seconds of answering time, the answer of Fudan Affiliated Hospital was clear and interconnected.

Although the medication plan emphasizes a wide coverage, there is no problem... In clinical treatment of patients with difficult infections that cannot be diagnosed, large-scale encirclement therapy is often used.

Overuse of antibiotics, hormones, etc. does have significant side effects, but if you lose your life, what damage can you talk about?

Didi---

Suddenly, the first number appeared on the screen.

This is the score given by the first judge, 67 points.

Then, a series of red numbers appeared on the scoring panel.

65, 69, 73...

The scores are all around 70 points.

Final score: 68 points!

Seeing this score, everyone's reactions were different.

But most of them were in admiration... For most doctors, the information about this patient can be described as incomplete.

Being able to get 68 points in a very short time proves that the general direction is correct.

However, no one can say for sure which step to get points and which steps are wrong.

For example, which of the two items, fecal pathogens and gastrointestinal endoscopy, is correct, or are both wrong.

And whether the application of azithromycin and allicin is appropriate...

The participating teams also have different expressions.

Several of them have answers that are not much different from those of Fudan Affiliated Hospital, which means that their scores are also in the range below 70 points.

And the teams whose answers are far from Fudan Affiliated Hospital have bitter faces.

They haven't figured out the general direction, and it's hard to say whether they can pass.

...

Then, the next round of audio began to play.

The second one is the military hospital.

The score is 57 points.

Ruijin Hospital, 73 points.

Tongji, 69 points...

Union Hospital, 82 points!

West China, 81 points!

…

When the last two results came out, the whole audience exclaimed.

Only a handful of people could get 70 points for the last two questions.

But both Union and West China got 82 points, which was a cliff-like lead over the second place's 73 points.

At the same time, Liu Si of Union looked to the side and stared at Shi Feng of West China from a distance, and they both saw the gunpowder in each other's eyes.

In fact, the previous famous sword competitions were the stage for the top hospitals.

Only Xu Qiu appeared in the last session, otherwise, the most dazzling in this competition would be Liu Si and Shi Feng.

The only thing to be thankful for is that there will be no such unreasonable cheating brother this year...

Just as the two looked at each other, the venue was quiet again, and a steady female voice sounded.

"Lin Yi..."

Everyone's heart suddenly became restless.

It was not because of Shi Lian, but the title of "Xu Qiu's student" behind Shi Lian.

Liu Si and Shi Feng, who were originally competing against each other, also stopped and listened attentively at the same time.

"...gastrointestinal endoscopy, modified acid-fast staining..."

"Use cyclosporine as an immunosuppressant to control CD4+ T lymphocytes... The treatment plan is nitazoxanide and allicin..."

Shi Lian's answers were also extremely fluent and clear.

Many people looked sideways and cast complicated glances in the direction of the doctor.

Although the final score is not known yet, judging from the answers alone, it is somewhat similar to Fudan Affiliated Hospital.

For example, both used gastroenteroscopy and allicin.

But azithromycin was omitted.

Most of the participating teams on the field chose azithromycin, including Union Hospital and West China Hospital.

As for nitazoxanide, Union Hospital and West China Hospital actually considered cryptosporidium, but considering the indication of nitazoxanide "forbidden for immunocompromised people", they did not adopt it.

In the end, it was changed to azithromycin + allicin...

They also considered the patient's liver and kidney dysfunction, but compared with the conflict between nitazoxanide and immunodeficiency, azithromycin obviously has less side effects.

Three minutes is not enough for them to think of a good response.

After all, Cryptosporidium infection is very rare. Even at Union Hospital and West China Hospital, they have not heard of a few cases of Cryptosporidium, let alone personally participating in diagnosis and treatment.

Therefore, the approach taken is "better not to do it than to make a mistake."

This is also the most profitable solution for patients with unclear diagnosis.

However, when everyone saw the "partial inhibition of cyclosporine and regulation of CD4+ T lymphocyte count" proposed by the clinical doctor, they were dumbfounded.

Can the patient's immune system be manipulated like this?

Moreover, the patient's infection is so serious that it can be cured by restoring a little immunity?

Many people think this method is too absurd.

The patient's condition is actually extremely bad. At this time, the conventional thinking should not rely on the patient's own immune system, but through medication, to dominate the body's antibacterial and anti-inflammatory ability.

For example, using broad-spectrum azithromycin to bind to the 23SrRNA of the bacterial 50S ribosomal subunit, inhibit bacterial protein synthesis and prevent the formation of the 50S ribosomal subunit...

Instead of using azithromycin, they took the risk of switching to nitazoxanide... Even if it is Cryptosporidium, the former should be the first choice!