I can see the status bar

Chapter 508 Dizziness (Part [-])
From a practical point of view, it is completely impossible to rely on a medical team of five to six people to treat all possible incurable diseases like Dr. House did.

With so many specialties and so many different diseases, it is absolutely impossible for only five or six doctors to be able to deal with all of them.

Sun Lien was in the teleconsultation office, looking at the many unfamiliar faces on the screen, and Dr. Pascal who spoke so fast that he seemed to be freestyle, there was only one thought in his mind——this thing...is really useful.

It has been more than six years since the teleconsultation office was put into use.However, this facility with a large investment has only been operated less than [-] times in six years.Nearly half of the times are to test whether the equipment can work normally.

Like many doctors who do not have a particularly rich network, Sun Lien has always felt that remote consultation is actually a bit of a "face project".After all, this thing is essentially just a nail—through remote PPT and audio and video communication, experts in other regions can participate in the diagnosis.

But this time, Li'en, the son of a bumpkin, had his eyes wide open.During the teleconsultation, the experts on the other side of the ocean kept proposing various and even unimaginable treatment plans.Based on these compound and complicated plans alone, this consultation is worth the ticket price.

Normally, who would propose to conduct gene sequencing on patients first, and then select IL-2R (interleukin-2 receptor) and early withdrawal of hormone suppression immunization scheme based on the sequencing results?

"This patient's situation is very special." Dr. Pascal gradually came up with his own ideas after vetoing multiple conventional immunization plans within 10 minutes. "We need to develop a specific immunosuppressive regimen for her-for better postoperative recovery and development, I personally prefer to withdraw hormone suppression early."

Steroid immunosuppression is the most common clinical immunosuppressive regimen.But it is also the most widespread.In addition to suppressing the immune system, it can also seriously affect the normal growth and development of the human body and increase the cardiovascular risk of patients.This effect is most pronounced in prepubescent children.

"We also lack experience in dealing with patients with liver cirrhosis in this age group." The hepatologist who consulted remotely expressed his helplessness and dissatisfaction unabashedly, "The viral load in the patient's body is still a bit high. The safest method should be It is to continue to treat hepatitis B, wait until the load is lower than the detection level, and then perform transplantation."

"We've already discussed this topic once." Dr. Pascal spoke, and the pediatrician interrupted unceremoniously, "Based on the patient's current physical condition and condition, after her hepatitis B viral load is suppressed People are already dead."

Another specialist who specializes in organ transplants echoed the pediatrician's opinion, "Don't confuse this patient with other transplant patients. The liver she received is itself a salvaged liver. So don't Too much care about the duration of the organ’s work—as long as the newly transplanted liver can last longer than originally expected, then the plan is considered successful.”

In the transplantation program and the immunotherapy program after transplantation, a very important principle is to protect the transplanted organs as much as possible.Organs donated by others are very valuable resources.Once the transplanted organ can no longer be used for various reasons, a second operation is often required to remove the transplanted organ.

Losing a transplanted organ is acceptable for some patients, but for more patients, it is almost a death sentence.But "acceptable" patients are not without danger-when people undergo surgery again under immunosuppression, the risk of postoperative infection will be magnified many times.

Therefore, in the previous suppression schemes, doctors would try their best to ensure that the organs of patients can function for as long as possible after receiving transplants.Therefore, in addition to ensuring the avoidance of acute rejection accidents, the immunosuppressive regimen used in organ transplantation will be more "ruthless".

To put it bluntly, people with weakened immunity are prone to get sick, but they can still be treated with drugs.But if there is a rejection reaction in the transplanted organ, it is not a problem that can be solved by taking medicine alone.

"At least acute rejection should be avoided." After several experts expressed ridicule, contempt, and support for each other, Dr. Pascale finally made a decision, "IL-2 combined with tacrolimus and prednisone for immune induction, through Lamy Vudine antiviral. The following plan is decided according to the patient’s condition, and entecavir is used for antiviral treatment. If the situation is good, the hormone can be withdrawn in advance.”

"Looking at other people's teleconsultation, have you learned anything?" Zhou Jun met Sun Li'en who was swaying at the door of the office with a dazed expression on his face.In the afternoon, Zhou Jun knew that Sun Lien had to go to the teleconsultation room to watch this high-level transnational consultation. The Fourth Hospital itself also sent a number of doctors from the Department of Rheumatology, Immunology, Infectious Diseases, and Pediatrics to participate in the consultation.Looking at Sun Lien's appearance, he asked curiously, "Why do you look like you haven't woken up?"

Sun Li'en looked at Zhou Jun in a daze, and it took a second or two to realize that the senior brother was talking to himself. He said embarrassedly, "I went to listen to the consultation for several hours, and my mind is a little confused."

"So, what have you learned?" Zhou Jun didn't mean to criticize Sun Lien.After all, he is a doctor from the emergency department, and working on the immunization plan is definitely a super-class task. In his opinion, as long as Sun Lien learns a little knowledge from it, it will not be a loss, "For example, the principle of the arrangement of the immunization plan?"

"I..." Sun Li'en smiled wryly, "I have learned a lot of foul language in English."

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"Come to me to learn that kind of thing." Bruen laughed back and forth in the small conference room, and criticized Sun Lien mercilessly, "Can you and those New Yorkers learn something useful? They All the swear words I've learned combined aren't as useful as Mother Fuker."

After eating two pieces of chocolate in a row, Sun Li'en, who had replenished the sugar, glared at him, "Do you think I'm not miserable enough to be scolded by Director Zhou?"

"Director Zhou is such a gentle person, how cruel can he be at others." Bruen waved his hand wildly, "It's not that I'm arrogant. People with hair can't curse hard enough."

"If you think Director Zhou is amiable when he scolds, it means that you haven't learned enough Chinese." Dr. Pascal walked in with a thick stack of documents, and after habitually scolding Brunn, he Looking at the people in the small conference room, he said, "Dean Song told me that the office of the Comprehensive Diagnostic Center is ready for use. Let's get ready and move things there."

(End of this chapter)