I can see the status bar

Chapter 516 Diagnosis
Like many other parents, Dr. Pascale's family chose to buy the villa in the urban area, mainly for the beautiful 520-square-meter yard.The house price in Ningyuan City is not too cheap, but the price of the villa is really not too expensive.With the talent introduction plan subsidies provided by the college and the province, Dr. Pascale added some money himself and bought the villa where they live now.

The yard is quite large, and in order to enhance its attractiveness, the developer has planted a lot of green plants in the yard.Osmanthus trees and various fruit trees were planted in a circle, and finally the ground was covered with green lawns.Dr. Pascal, who has lived in such a similar environment since he was a child, saw this thick lawn like a green carpet at a glance.

Todd and Petunia also like their new home very much. Since the two children moved at the end of April, they have been using the lawn as their main activity place, running around barefoot here every day.In order to "follow the tradition", Dr. Pascal even bought a bunch of wooden squares and building materials, and built a log cabin on the big oak tree in the yard as the "secret base" for the two children.

In order for them to play in their own yard more at ease, and to prevent the puppies at home from accidentally coming into contact with toxic substances, Dr. Pascal specifically asked the property management department in the villa to bypass him when spraying disinfection drugs. yard of home.

While there's no strong evidence directly linking little Todd's tick bite to the family's yard, Dr. Pascale has no doubts about it.He didn't even think Todd might have been bitten at school.

Sun Li'en gave a few words of comfort, but seeing that the effect of his comfort was not very good, he also stopped in embarrassment.

"Isabella is outside the operating room, you should go and talk to her." Knowing that Dr. Pascal was staying in the operating room to watch Xiao Yanran's operation, Sun Lien thought for a while and suggested, "I'll help here first. You stare, I will call you after the operation." He said seriously, "Now is not the time to regret, Isabella was scared and cried several times today, you should go and comfort her first."

Dr. Pascal was silent for a while, then nodded and stood up.Sun Li'en looked at his profile and added, "The chance of tick bites happening in Ningyuan is very small, so don't blame yourself too much. This kind of thing is an accident, and it has nothing to do with you directly—Tao De's Lyme should still be stage one and he'll be fine."

After Dr. Pascale left the operating room, Qian Hongjun closed his tablet and came over, "What happened to Director Pa's child? Lyme disease?"

Sun Lien nodded, and talked about what he saw today, "There should be no problem with the diagnosis of Lyme disease." Having said that, he sighed a little, "If I found that tick earlier, maybe I could catch it in time." Lyme disease was diagnosed before the intracranial pressure was raised..." His point was simply that if the treatment had started earlier, maybe Todd would not have had to suffer such a knife-cutting the scalp, removing a piece of the skull, and then cutting Opening the dura mater—the impact of this traumatic operation on Todd need not be repeated.

"From Director Pa's call to the time you brought his son to the hospital, it took a total of two hours." Qian Hongjun saw the self-blame in Sun Lien's words, "Two hours, Diagnosed with Lyme disease. No one can do it better than you. Not to mention increased intracranial pressure, bone flaps had to be removed to relieve pressure, so you found that tick while shaving your hair." He shot He patted Sun Lien on the shoulder, "If you want to blame it, blame the CT imaging technology for not being advanced enough. If you found the tick lying on Todd's head during the CT scan, wouldn't it be a big deal? gone?"

It was a joke, of course, but it made sense.Sun Li'en nodded, lowered his head, took out his mobile phone and began to send a message to Xu Yourong, "It's been diagnosed, it's Lyme disease. Dr. Pascal has gone to see Isabella, and the operation still needs to be done, but there shouldn't be any problems with the follow-up treatment. "

Xu Yourong quickly replied with a voice message, the content was simple but exciting, "Understood. There may be something about Qian Aiwu's coma. I'm checking with the pharmacy department."

Qian Aiwu's drowsiness has lasted for several days, and the entire treatment team is working hard to find out the reason for her drowsiness.Brunn even puts forward the hypothesis of "psychogenicity".

Ever since Sun Li'en and Todd entered the operating room together, Xu Yourong had left the operating room.Bruen stayed alone in the diagnostic center and watched Qian Aiwu's condition, and while she was still in a coma and her condition was stable, he took out all the treatments she had received during this period and began to conduct an overall review .

His diagnostic ability is not as miraculous as Sun Li'en, and he did not show extraordinary qualities like other doctors when he was working before.But Bruen has a more prominent feature than others-he is willing to work hard.

He knew that he had no talent, so he was more willing to work than others.As long as he can save the patient's life, he can kneel on the metal bedpost and perform chest compressions for 10 minutes; He was admitted to the hospital and received all medications starting from radical tumor resection.

Although God is mostly blind, he always has his eyes open.Just like the lyrics in the song "God loves stupid kids".Bruhn's hard work paid off, and in the vast list of drug use, he found a clue.

Qian Aiwu's culture results showed that what caused her retroperitoneal necrotizing fasciitis was a mixed infection caused by Staphylococcus aureus and Clostridium.In order to fight against these two bacteria, clinical pharmacists used imipenem cilastatin sodium and ornidazole for anti-infection treatment.

The problem with imipenem and cilastatin sodium is not serious. After Qian Aiwu was diagnosed with retroperitoneal necrotizing fasciitis, the doctors quickly gave him this drug for anti-infection treatment.She received only this one drug until she woke up and the laboratory completed the culture.

On the day Qian Aiwu woke up, ornidazole was added to the list of anti-infection treatments.And it was from that day that Qian Aiwu fell into this long-term lethargic state.

Rubbing his smooth chin, Bruen began to look suspiciously at Ornidazole.

As a nitroimidazole derivative, the main mechanism of action of ornidazole is to interact with cell components through the reduction of the nitro group in its molecule to amino groups in an oxygen-free environment or through the formation of free radicals, thereby causing microbial death.The mechanism of action is not very clear, and it is mainly speculated.

More importantly, a large part of the adverse reactions of ornidazole are concentrated in the direction of the central nervous system.In previous reports, there were indeed reports of severe central nervous system adverse reactions caused by ornidazole.

This is a very likely direction.Bruen made his own judgment, and had a special discussion with Xu Yourong who had just returned to the diagnosis center.In the end, the two decided to invite a clinical pharmacist and a doctor from Shennei to come for a consultation. If there is indeed a suspicion in this regard, then try to replace ornidazole.

(End of this chapter)