Rebirth of Medicine Practices the World

"Oh, okay." The student responded and left.

After rebirth, Lin Lin, like her previous life, was also a top performer in various neurology operations.

Watching Lin Lin insert the needle skillfully; watching Lin Lin connect the glass pressure measuring tube and the lumbar puncture needle as fast as lightning; watching the cerebrospinal fluid rush from the lumbar puncture needle to the pressure measuring tube; watching Lin Lin prison

Firmly controlling the outlet of the pressure measuring tube, he quickly pulled out the lumbar puncture needle with one hand; watching Lin Lin carefully divide the cerebrospinal fluid in the pressure measuring tube into three test tubes.

The student finally understood that the patient's intracranial pressure was too high. If these details were not grasped well, the patient might die from cerebral herniation immediately.

"The teacher is so awesome. The whole process was like flowing water." The student couldn't help but praise.

Lin Lin did not respond to the student, but asked the student to immediately send two tubes of cerebrospinal fluid to the laboratory for biochemical and routine examinations of the cerebrospinal fluid, and specifically stated on the application form: Please pay attention to whether there is cryptococcus.

Lin Lin turned around and walked into the simple laboratory in the ward, took the slides and ink, made the ink stain, and immediately observed it under the microscope.

As expected by Lin Lin, under the microscope, against the background of black ink, shiny cryptococcal spores filled the entire field of view.

The diagnosis of "cryptococcal meningitis" was unmistakable. This disease has a relatively high mortality rate even if it has not been treated at Nanjiang Provincial People's Hospital.

The use of hormones makes Cryptococcus grow more rapidly and vigorously. The severity of the condition and the difficulty of treatment can be imagined.

Lin Lin immediately called the outpatient pharmacy and the central pharmacy. Their answers were the same. There was no drug "amphotericin b" to treat this disease.

Lin Lin did not give up and called the chief on duty, who promised to contact the director of the pharmacy department immediately to meet clinical needs as much as possible.

Lin Lin misses the smooth communication between various departments and administrative departments of the hospital in 1987. Everyone has their own responsibilities and has only one goal, which is to get things done.

About an hour later, the general manager on duty called Lin Lin to tell her that after coordination, a box of amphotericin B was borrowed from the sister hospital and had been delivered to the central pharmacy, so medical advice could be issued.

With highly targeted drugs and the use of dehydrating agents, the patient's headache gradually eased.

The next day, New Year's Eve. After finishing her shift, Lin Lin was not in a hurry to go home. Instead, she performed lumbar puncture on the patient again and injected a small dose of diluted amphotericin b into the spinal canal.

The textbook published in 1984 gave a vague and even optimistic description of the mortality rate of this disease, which invisibly caused some doctors to not pay enough attention to the treatment of this disease, or to become blindly optimistic.

It was not until the sixth edition of the Neurology Textbook in 2008 that the higher mortality rate of this disease was mentioned. Of course, only Lin Lin knew about this situation. It was precisely because Lin Lin knew it that she would pay enough attention to it.

In the evening, Lin Lin and Meiyi went back to their father-in-law's house for New Year's Eve dinner. Yang Yu and Lu Run both knew that Meiyi was pregnant, and they also knew that for this reason, Lin Lin and Meiyi did not return to Jishui Town during the first Spring Festival after their marriage.

Meixue did not take Yuan Xuan home for the New Year's Eve dinner. Lin Lin and Meiyi were not easy to ask, and they would not tell their parents about Meixue.

"Arlin, have you been busy with work lately?" Yang Yu was particularly fond of this son-in-law.

"I have been very busy recently. I admitted a very serious patient last night. For the next period of time, I have to go back to the ward every day to adjust the medicine and treatment plan, and also do lumbar puncture and inject medicine for him."

"Oh, so troublesome?"

"Yes, the patient is suffering from a rare fungal infection, which we call cryptococcal meningitis in medicine. There are not many drugs available for this disease, and the drugs that can be used have very serious side effects. The most troublesome thing is

Yes, this fungus is particularly difficult to kill."

"So, the patient is in danger?"

"Yes, it is very dangerous. Because he spent more than three weeks in Shenzhen and Guangcheng and did not receive targeted treatment. Therefore, the patient's condition is not optimistic."

"Yes, I understand. Arlene, you are busy with your business, saving people is more important. How about Meiyi go home and stay?"

"No, it's better for me to live in the hospital dormitory. Now, I have no problem moving around and can cook for Arin." Hearing what Lin Lin said, Meiyi knew that Lin Lin would be very busy next, and she wanted to ensure that Lin Lin returned home.

You can have warm and delicious meals at home.

"Mixue, it's been another year, when do you plan to complete the task?" Lu Run was very worried about Miyuki's lifelong event. "It's almost, it's almost, are you worried that I won't be able to get married?"

"I'm not worried that you won't get married, but I'm worried that you've gone too far."

"What do you mean by overdoing it? I remember my sister said that if the fate comes, we can get married soon. So, parents don't have to worry, this year is my lucky year."

Listening to what Miyuki said, Lin Lin and Meiyi both felt that there was something going on between Miyuki and Yuan Xuan.

Throughout the Spring Festival holiday, Lin Lin had to go back to the ward every day to check on patients and adjust treatment plans, and the first day of the new year was no exception.

In addition, every 3 to 4 days, Lin Lin personally performs a lumbar puncture on the patient and performs intraspinal drug injection treatment.

After the Spring Festival holiday, the patient's condition has improved greatly. He can move around easily and his headache has disappeared.

Ling Xiaoyun knew Lin Lin's dedication, and she was deeply shocked by Lin Lin's professionalism and extremely responsible attitude.

"This guy will definitely become a great person in the future." Ling Xiaoyun began to accept Lin Lin's professional arrogance.

The patients and their families felt Lin Lin's dedication deeply. Both of them were moved by Lin Lin's dedication, focus and sacrifice.

One month later, the patient's five consecutive cerebrospinal fluid cultures showed no cryptococcus, and five consecutive smear tests found no cryptococcus. These indicators have reached or even exceeded the cure standards stipulated for this disease.

"Dr. Lin, can this patient be discharged?" Ling Xiaoyun said to Lin Lin when the shift was handed over one morning.

"Okay, I will stop taking the medicine and observe him for a few days. If nothing happens, I will discharge him."

"How many more days of observation will it take?"

"Yes, standards are standards, and clinical practice is clinical practice. Besides, the current laboratory inspection level cannot guarantee that there are no errors or omissions." After her rebirth, Lin Lin still remembered what happened to this patient.

"Five cultures were negative and cryptococcus was not found in five smears. Isn't that okay? Do you doubt the level of our laboratory department?" Ling Xiaoyun felt that Lin Lin was too cautious.

"I didn't doubt anyone. I also did an ink picture examination on the patient myself, and the results were the same. This is just an in vitro examination and cannot fully reflect the true situation inside the skull. It must be observed."