Rebirth of Medicine Practices the World

Decades of clinical experience have made Lin Lin realize that as a doctor, no matter how cautious he is, he can never be too cautious. This is because he is dealing with living lives and cannot be careless.

"Okay, as you said, I'll observe it for a few days after stopping the medication." Ling Xiaoyun felt an inexplicable trust in Lin Lin's professionalism, and also felt a sense of unhappiness and uneasiness when she was challenged.

Everything was the same as in the previous life. Five days after stopping the medication, the patient began to have headaches and fever again. Lin Lin immediately performed a lumbar puncture examination on the patient. The intracranial pressure began to increase again, exceeding 200 mm of water column, and the condition recurred again!

Sure enough, the cerebrospinal fluid smear test results came back and cryptococcus was found again!

Lin Lin used amphotericin B for the patient again, but this time, the effect was not ideal. On the contrary, the toxicity of amphotericin B began to show its cruel side. This cruel side almost killed the patient.

Severe gastrointestinal reactions, nausea and vomiting, loss of appetite!

Chills, high fever, persistent high fever!

Acute renal impairment!

Severe electrolyte imbalance, mainly hypokalemia!

Acidosis!

anemia!

…

One level after another, one level after another. Each level was extremely dangerous. At each level, Lin Lin personally wrote a consultation form and asked the relevant departments for consultation and help solve the corresponding problems.

It solved the problem of side effects, but it could not solve the problem of crazy growth of Cryptococcus in the brain. The culture of cerebrospinal fluid continued to show positive results, and cerebrospinal fluid smear also continuously found spores of Cryptococcus.

Obviously, the cryptococcus in the patient's brain is resistant to amphotericin b, or at least no longer sensitive.

"Dr. Lin, I really told you right. Please tell me what to do next. Judging from the cerebrospinal fluid examination results, there seems to be no solution at present."

Ling Xiaoyun was glad that he listened to Lin Lin and did not discharge the patient. Otherwise, the patient would have left the hospital for a few days and relapsed and been admitted again. If this was true, the impact on the neurology department of the affiliated hospital would still be considerable.

As for whether the patient could be saved, Ling Xiaoyun didn't think much about it. In her heart, the patient was hopeless.

Lin Lin clearly remembered that at this moment in his previous life, he also had a flash of despair. However, he was stubborn and refused to admit defeat. He had already thought of a new method and began to use it on patients.

Lin Lin will never give up until the last moment!

"Director, I have added Dixonine injection for intravenous infusion. However, the concentration of intravenous infusion drugs that can penetrate the blood-brain barrier and enter the brain is not high. Therefore, I want to use Dixonine for intrathecal injection.

."

"Oh, does the instruction manual for Dacnin say that it can be used for intrathecal injection?"

"No, but I was thinking that the irritation and toxicity of amphotericin B are much greater than that of daxonine. If both can be injected intrathecally, why can't daxonine be used?"

"Besides, drugs that can be injected intravenously show that they are very safe. Just like we use intrathecal injection of isoniazid to treat severe tuberculous meningoencephalitis, the principles are the same."

"Can you guarantee the safety of intrathecal injection?"

"I can't guarantee it. I only make judgments based on pharmacological analysis. At present, this patient must either wait for death or give it a try. I will have in-depth communication with the patient's family. If they don't agree, I won't do it.

"

"Well, that's pretty much it. What you said is true. Instead of waiting for death, it's better to give it a try. I'll leave this matter to you." Ling Xiaoyun had witnessed too many miracles in Lin Lin's body.

After listening to Lin Lin's analysis, the patient's wife held Lin Lin's hand tightly and said: "Dr. Lin, we can feel your dedication and your intention. I absolutely believe in you, please do your best, we need you

If you cooperate, please tell me in time."

"Thank you for your understanding! Our wishes are consistent with yours." After rebirth, Lin Lin experienced various "medical troubles" in her previous life and cherished this harmonious doctor-patient relationship.

Thanks to Lin Lin's persistence, Lin Lin's refusal to give up, and Lin Lin's bold attempts, the patient's condition finally improved again.

Just when Lin Lin and the patient's family felt that hope was ahead, an accident happened.

"Dr. Lin, when I went to pick up the medicine today, the people at the pharmacy said that there were no more diclofenac injections." A nurse who went to pick up the medicine told Lin Lin.

"Ah?! No more medicine?" A scene from the previous life reappeared, shocking Lin Lin again. It seemed that many of the trajectories of the previous life had not changed.

In this case, just follow the method you did in your previous life.

Lin Lin called Mai Qiang's wife to the office and told her the current predicament.

"Let's see if you can ask your friends at the Nanjiang Provincial Health Department to help us find this kind of medicine throughout the province." Lin Lin's thinking was very flexible, and she immediately thought of the safest and most effective way.

"How far is enough?"

"At least twenty boxes or more."

"Okay, I'll ask him for help right away." Mai Qiang's wife said goodbye to Lin Lin, turned around and walked out.

Lin Lin felt uneasy. He was worried that once the medicine here was used up, if there was no medicine to connect it, the consequences would be disastrous. Since the events of the past life can change the trajectory and go in a good direction, they may also go in a bad direction.

Seeing that the medicine was about to run out, the patient's friend drove himself to deliver a total of 26 boxes of Dacin injections that he collected from various hospitals to Lin Lin.

"This is Dr. Lin whom I often talk about. He has been treating Mai Qiang's illness." Mai Qiang's wife introduced Lin Lin to her friend.

"Oh, you are Dr. Lin. You are really young and promising. Alas, in the end, it was me who harmed my old friend. If there is anything wrong with my old friend, I will blame myself for the rest of my life. This time, I have to ask Dr. Lin

.”

They were all colleagues, and he knew very well that the treatment at Nanjiang Provincial People's Hospital was completely wrong. And he gave a strong push for this mistake.

"I collected these twenty-six boxes of medicine from the pharmacies of major hospitals across the province. The manufacturer of this medicine no longer supplies domestic supplies."

"What a blessing, what a blessing!" Lin Lin couldn't help but sigh after hearing this.

"Dr. Lin, I am in a hurry and must rush back immediately. Everything here depends on you. My surname is Wan and my name is Yaowen. I work in the Provincial Department of Health. If you need help in the future, please contact me.

." After Wang Yaowen finished speaking, he left his contact information, said goodbye to Lin Lin, and left.

The "timely rain" sent by Wang Yaowen solved Lin Lin's urgent need. He also had precious "bullets" in his hands.

Another month of long and painful treatment. Yes, more than a month is very long for the patient, the patient's family, and Lin Lin.