Two Hundred and Seventh, I Will Take Charge

When Zhang Fan heard about cantaloupe, the first thing that came to mind was Listeria, "Quickly look for it, is it Listeria?"

With the diagnosis, the laboratory staff can quickly find it. The gold standard for bacterial diagnosis is culture, but this thing can take three days as fast as it can be, and it’s hard to say if it’s slow, it can take a week or a month.

At this time, it shows the awesomeness of a doctor.

Many antibiotics are prescribed empirically, and patients may not have special signs, but doctors can use experience to determine the type of bacterial infection a patient has, and then use empirical medicine.

When the patient is discharged from the hospital, sometimes the bacterial culture has not been completed yet.

Listeria, how do you say this thing, in the outbreak of food infection, this guy is Tanhua.

This thing is contained in raw milk and some raw meat. Especially in the refrigerator, which is this guy's harem.

Why did Zhang Fan probably identify the germs as soon as he heard the cantaloupe?

Like people, this thing likes something with a touch. What Listeria likes is not the flesh of the cantaloupe, but the rind of the cantaloupe.

The pitted melon rind is like stockings in the eyes of a man. This thing swayes its energy wantonly on it, and a large number of bacteria exist in the melon rind of cantaloupe.

Many people are very particular. When eating melons, they will cut off the skin of the melon. It looks very particular, but you must pay attention to that the kitchen knife that cuts the melon skin or the surface cannot touch other parts.

For you, a little contact with the blade of the knife is enough for the bacteria, and a slit is enough, and it does not need a too big slit.

Bacteria, to be honest, this thing is a younger brother in nature, and it just bullies individual humans. For example, viruses that specialize in eating bacteria as meat, and fungi that suppress them, and bacteria are not opponents of these things.

When there were no antibiotics, the fight between humans and bacteria was only half-fifty. With the invention of antibiotics, it seems that humans are fighting against bacteria wave after wave, but now it is getting harder and harder to fight.

There is a bit of a joke on the Internet, from letting go of the teacher to let the old man come, and then it turns into letting go of the old monk.

Older people in the early years had a feeling that when the barefoot doctor prescribed some pills, the person would be cured, but now, seeing a cold can cost thousands of dollars.

Of course, after excluding this economic problem, let’s talk about the level of doctors now and the barefoot doctors back then. Who is higher?

Excluding individual differences, generally speaking, the current level of doctors is still high.

But why does it feel that the level is not as good as before? In fact, this thing just feels like letting the old monk off. For the previous infection, a penicillin injection on the buttocks was like a magic medicine. Because there was no drug resistance, the penicillin at that time was really a god-killing existence.

Today's bacteria, it can be said, are all super soldiers selected by human beings, and almost all of them are descendants of bacteria that were not killed by penicillin back then, and are updated generation after generation.

Penicillin is a big killer, and the bacteria trained by various cephalosporins are even more terrifying. At present, there are not many super bacteria, and some phages such as viruses are born to inhibit bacteria, which makes human beings more nourished.

If one day, the super bacteria outbreak,

Just like the tuberculosis outbreak in ancient times.

Listeria outbreaks in China are relatively infrequent, but golden retrievers occur every year, which may be related to their diet structure.

This thing will hang up when it is heated to 70°C, which is easy to deal with. I don't know if it's because golden retrievers like to eat salad.

But this thing is definitely known as the killer of pregnant women and children. For example, if a pregnant woman eats cantaloupe with an adult non-pregnant woman, maybe the non-pregnant woman is fine, but the pregnant woman dies. This kind of thing is not uncommon.

Therefore, first of all, if the refrigerator at home is used for a long time, it should be disinfected regularly. The easiest way is to expose it to the sun.

Raw and cooked food must be separated for normal storage, and the most important point is that food should not be stored for a long time.

If you want to eat cold dishes, don't store them in the refrigerator.

"Imipenem, inject enough." The diagnosis is clear, and all the treatment methods are simple. Sometimes the most precious thing for a doctor is not to be able to treat, but to be able to diagnose.

Most of the time, as long as you know the name of the disease, you can find a cure for the current disease, but how to diagnose it is impossible for you.

Sometimes, if you look at the symptoms of lobar pneumonia, it can give you lung cancer.

After a clear diagnosis, not only the doctors feel a lot more relaxed during the treatment, but the patients also feel a lot more relaxed. With the injection of imipenem, the red baby-like child became obviously normal and did not refuse milk, and the high fever of pregnant women also decreased significantly.

The treatment was effective, so Zhang Fan didn't worry anymore, and Lu Shuyan and the others started talking and laughing now.

After Zhang Fan glanced at the patient, he waved to Lu Shuyan, and then walked to a place where no one was there. Lu Shuyan's face was full of surprise, even with a trace of blush on her face, she walked a little awkwardly, as if she only saw a watermelon between her legs, and could even be described as staggering.

When Zhang Fan beckoned, she suddenly thought that Shao Hua should have passed the dangerous period, and there could still be something between them.

"What's wrong with you, your leg was crippled in one operation? Your physical condition is too bad." Zhang Fan was a little annoyed.

Lu Shuyan said eagerly, "My one is here!" After speaking, she looked at Zhang Fan with big eyes.

Zhang Fan sighed deeply, "After a while, when the department is not busy, go out for further studies. You won't get exercise in your own hospital."

When Zhang Fan said this, Lu Shuyan's face turned blue. It's so strange, there is really a feeling of wanting to talk and being afraid.

"Go to the hospital and choose it yourself. After you choose it, report it to the hospital office and ask Director Wang Hong to contact you."

Lu Shuyan's level is more than enough to be a director in the former Chasu Hospital, and she can even become a star doctor, but she can't do it now. The patients in the hospital are not only from Cha Su, but also a large number of patients from other places. There are more and more intractable diseases. Zhang Fan doesn't want Lu Shuyan to end up in ecstasy after eating all her money.

For a week, almost all of the ICU of the Chasu Hospital were tense. The state of the rabies patients was not very stable. The drugs for deep anesthesia, like sugar and saline, were given maintenance injections.

The opinions of the maintenance group and the treatment group are obviously beginning to diverge, "It's no use killing the rabies virus, people will become vegetative."

Just when everyone was about to lose confidence, the antibodies in the patient's body began to increase geometrically.

"efficient!"

"efficient!"

Laoju was the first to detect it, and then a group of old doctors in the ICU were as excited as if it was about to celebrate the New Year. Zhang Fan also rushed to the ICU immediately.

He has no idea about this kind of treatment. Because this kind of treatment is not a normal treatment, but a gamble that the rabies virus is a weak virus, and that the patient's body antibodies can kill the virus. It's just a biased environment.

A week later, the rabies virus in the patient's body was finally eliminated. The doctors woke her up and gave her oxygen. The female patient slowly came to life, but she was like a vegetative person, with her eyes open without any obvious active signs.

The doctors were overjoyed, and fell from joy to trough. The person was saved, but he became a vegetable. Can this be considered a success?

All of a sudden, various elites gathered on the official website of Cha Su Hospital.

Someone with an idea, "The patient's cranial nerves are obviously damaged now, and he must be given drugs to nourish the cranial nerves. The deproteinized calf serum probably won't work. I think it should be combined with eradafone."

Some mocked, "Obviously the technology is not good, so I have to take this job. The family members of the patients probably have sold the house, and they ended up in a vegetable state. Chasu Hospital has been too drifting in the past few years."

You can say anything, but in the ICU, the patient still doesn't have a little sense of autonomy, and something is going to happen.

Zhang Fan's physical examination, Ren Li's physical examination, Li Cunhou's physical examination, and even Xue Xiaoqiao used his personal relationship as an excuse to travel to the frontier to make a fool of himself for the physical examination, but it still didn't work.

"Change the environment, enter the general ward, and let the family members meet." Zhang Fan finally made a decision.

"Zhang Yuan, you don't have self-awareness, what should you do if you get infected again once you get out of the ward." Ren Li didn't quite agree with Zhang Fan's treatment plan.

In other meetings in the hospital, Ren Li always followed Zhang Fan, but it was different in medical treatment.

"Patients need deep stimulation. If they continue without deep stimulation, they will be brain dead sooner or later. Infection is indeed a risk, but compared to brain death, infection is nothing. There must be a trade-off, listen to me, it's out I am responsible for the problem."

Then, the patient was moved out of the ICU, and Frontier Medical directly blew up the pot.

"This is a disregard for human life!"

"This is going to be dumped."

"Report Zhang Fan, he is a frontier medical doctor who violated medical regulations."

"Is there any king's law, is there any natural law? If the treatment fails, the patient will be abandoned. Let a patient who is struggling to survive in the ICU be transferred to a general ward, and let the patient fend for himself. He also returns the frontier medical books. I want to report him with his real name." A person named Diao Da Ru Yu shouted on the Internet.

Whether Zhang Fan is under pressure, there must be, but there is really nothing he can do about it.

When the patient was transferred to the general ward, the child's mother looked at the child's original round and smooth figure, but now it was like a wooden stick, with various pipes on the body, the more she looked at it, the sadder it was, and the more sad it was, crawling on the patient's body. Stop crying, while crying, while stroking the patient.

"My darling, mom feels bad, my darling, why did you become like this, darling, mom regrets it!" Weeping loudly, tears pouring down like rain.

All the doctors around opened their eyes wide. If she still can't have self-awareness like this, the future of this female patient is unknown. Maybe she will be able to wake up tomorrow, maybe not even next year.

Ladies and gentlemen, let me tell you about rabies. At present, the whole world is replicating the medical treatment plan that was successfully treated at the beginning. Including China.

But none of the cases were successfully replicated

Currently, rabies remains an incurable disease

So, after being bitten by an animal,

don't have any expectations

It's time for an injection

What ten-day observation method and so on, don't take your own life as a trifling matter.

And about listeria in the refrigerator

Pregnant women must not eat refrigerated unprocessed food greedily.

nothing happens

Once something goes wrong

30% mortality rate, you can take a bet.