"Doctor Lin is here." When Lin Yi and Zhang Chengmei arrived at the orthopedic ward, Director Liang and Lu Chenxi were already at the bedside, asking temporary family member Teacher Zhang about various situations. "According to preliminary understanding, the patient should have been taking medicine indiscriminately for a long time, coupled with long-term malnutrition." "It leads to reduced body immunity and antibiotic resistance..." While Lin Yi was disinfecting his hands, Lu Chenxi quickly introduced the situation he had learned to the other party. "I just arrived not long ago, and I have to ask Teacher Zhang Yumei for more details." Lu Chenxi signaled Teacher Zhang to continue to tell Lin Yi. The patient, Principal Wang Shili, is already in a coma. In the entire ward, only Teacher Zhang knows the patient's original living habits in the most detail... "Doctor Lin, you must save Shili..." "So many children and so many teachers are waiting for Shili to return and personally preside over the first flag-raising ceremony of the school after the disaster..."
The sudden situation of her lover has made Teacher Zhang Yumei completely panicked, and she only knows to grab Lin Yi's arm and beg for mercy. As for what she said, she herself was not too clear. Seeing that other doctors were helpless and described Wang Shili's condition as so serious, she could only hope that Lin Yi would continue to create miracles... "Teacher Zhang calm down!" Lin Yi emphasized his tone and asked Zhang Yumei to calm down first. According to the display on Principal Wang's life monitor, although various indicators have been abnormal, they have not yet reached the dangerous level of endangering life. "What is Principal Wang's previous medical history, what medicines have he used, and whether he has drug allergies?" "Tell me everything you know, the more detailed the better." "Teacher Zhang, only calm down now, the more specific the description, the better we can treat the symptoms." While Lin Yi put his fingers on Principal Wang's wrist, he continued to ask Teacher Zhang to describe the patient's medical history and medication history. Simple antibiotic resistance, there is no possibility of misdiagnosis by other doctors. Teacher Zhang's description, on the one hand, helps doctors to have a clearer judgment of the patient's overall condition, and on the other hand, it can also help her calm down gradually... "Shi Li has always been in good health and has never been hospitalized." "Even if he has a cold, fever, stomachache, etc., he takes some drugs such as Analgin, Oxytetracycline, and Amoxicillin, and he will recover in a few days..." "Now Dr. Lu and others say that Shi Li has developed antibiotic resistance, and the skin infection at the broken limb has not been cured." "He is reluctant to give him an infusion, how can he develop drug resistance..." Teacher Zhang tried her best to describe everything she knew to Lin Yi. But she couldn't figure out how Wang Shi Li could develop the so-called drug resistance. The two usually subsidize most of their salary to the students. Medicine is precious to them. Every time they are sick, they are reluctant to give them intravenous drips. They buy the cheapest medicine to deal with it. There is almost no possibility of drug resistance...
"Teacher Zhang's description matches the patient's condition." "The patient is now resistant to penicillin and tetracycline antibiotics, which has caused the infection at the wound healing site to be delayed." "In the short term, if no alternative antibiotics can be found, the situation will continue to deteriorate..." Lu Chenxi supplemented Teacher Zhang's description based on the test and examination results. "We even used third-generation and fourth-generation cephalosporins for alternative treatment, but the effect was very insignificant and the infection still could not be eliminated." "I am afraid that it will affect the effect of the patient's amputated limb recovery, so I asked you to come and discuss countermeasures." If all means had not been used and the infection could not be eliminated, Lu Chenxi would not have asked someone to urgently find Lin Yi to discuss. Lin Yi can even reconnect the patient's amputated legs. As Lin Yi's teacher, she couldn't even solve a minor postoperative infection. She was really ashamed... "Lin Yi, if it doesn't work, I'll contact an ambulance immediately and transfer Principal Wang back to the Central Hospital for better treatment." "We only receive mild patients here, and we don't have any special third-line drugs." Considering the patient's emergency, Director Liang plans to adopt the transfer plan. Even if the health center has third-line drugs suitable for patients, the current simple medical environment and the risks of using them are too risky for doctors to bear... "What is the third-line drug? Will Shi Li get better immediately if he uses this drug..." After grasping the key point of the third-line drug from the doctor's conversation, Teacher Zhang Yumei began to ask anxiously again. "According to the Regulations on the Clinical Application of Antimicrobial Drugs, antimicrobial drugs are divided into unrestricted use, restricted use and special use levels based on factors such as safety, efficacy and price, which are what we doctors call first-, second- and third-line drugs." "Because of the current development of Principal Wang's condition, he has developed resistance to second-line drugs. In order to control the infection as soon as possible, he must use third-line drugs such as carbapenems and fourth-generation quinolone moxifloxacin, which are more expensive and may have greater toxic side effects." "But these drugs are strictly controlled and the conditions for use are particularly harsh." "So only if Principal Wang is transferred to the Central Hospital, it will be safer to use..." Lu Chenxi popularized the knowledge of third-line drugs to Teacher Zhang in order to persuade him to transfer the patient back to the Central Hospital for better treatment. With Principal Wang's current situation, there is no better solution except transferring to another hospital and exhausting all the manpower and material resources of the health center... "Teacher Zhang, don't worry, I'll think of a solution here." Lin Yi withdrew his pulse-taking finger, comforted Teacher Zhang Yumei who was staring at him to make a decision, and fell into deep thought. There is no problem with the diagnosis of drug resistance caused by the patient's long-term abuse of drugs. But Lin Yi was indeed a little hesitant about how to treat it specifically. It just so happened that the enhanced penicillin V potassium tablets synthesized today are an advanced version of penicillin antibiotics, and even reach the level of third-line drugs. And because it is synthesized from ordinary penicillin V potassium tablets, the toxic side effects are not as strong as the third-line drugs in the perception of ordinary doctors. It can be said that it is the most suitable and safest choice to treat Principal Wang's current infection.
But Lin Yi was also very worried about using this medicine directly. It was quite troublesome to explain it, not to mention the taboos in relevant laws and regulations... "It's bad!" "The patient's indicators have dropped significantly, and he must be transferred to another hospital immediately, otherwise it will be too late!" "What should I do, Lin Yi? I will immediately order the ambulance to be ready!" Just when Lin Yi was hesitant, the data on the patient's life monitor began to become greatly disordered. Lu Chenxi hurriedly spoke up to remind Lin Yi, the attending physician of the patient, that he must make a decision immediately...