I can see the status bar

Chapter 517 Waiting
Does Ornidazole Have Any Side Effects?have.But is Qian Aiwu's coma necessarily caused by ornidazole?uncertain.

As an antibiotic that has been widely used clinically for many years, the safety of ornidazole is quite guaranteed.However, because of safety, there is a lack of research on the mechanism of antibiotics, and medical workers' understanding of the side effects of this antibiotic is still limited to rough observations and statistics.

For a patient with no known cause, any possible object of suspicion should be taken seriously.As far as Qian Aiwu's case is concerned, the main reason for using ornidazole is to better fight Clostridium infection.Under the premise that the patient may have serious adverse reactions, it is a matter of course to replace other antibacterial drugs.

Xu Yourong went to the pharmacy department just for this matter.

After hanging up the phone, Xu Yourong continued the consultation, "So, your suggestion is to switch to vancomycin?"

The clinical pharmacists nodded, this suggestion is a standard response plan.For Clostridium infection, according to the standard treatment plan of the US FDA, doctors have three drugs that can be used.They are nitroimidazole derivative antibiotics represented by metronidazole and ornidazole, vancomycin, and fidaxomicin, which is still in clinical trials in China.

Of course, when ornidazole may have serious side effects, metronidazole is naturally excluded from the use list.Fidaxomycin is not yet on the market in China, and even if you contact the experimental group that is currently undergoing trials, the distant water cannot save the nearby fire.The only reasonable option left is vancomycin.

However, vancomycin, like imipenem and cilastatin sodium that has been applied to Qian Aiwu, is a controlled antibiotic.For the purpose of preventing the emergence of drug-resistant bacteria, the application of the latest and most powerful antibiotics requires the approval of the director of the department first.And if two or more controlled antibiotics are used at the same time, approval from the Department of Pharmacy and Department of Infection is also required.

"There is no problem with our approval." Director Han Wenping looked at the patient's medical record report brought by Xu Yourong, and expressed his position first, "This patient's condition is relatively serious, and there is a high possibility of adverse reactions to ornidazole. Application Vancomycin, our pharmacy department has no objection."

The doctor in the infection department was a little embarrassed, "Dr. Xu, it's not that we delayed the time and deliberately blocked you. It's just that Director Huang went to the city to participate in this year's summer epidemic prevention work meeting, and he hasn't come back yet. And we also shut down the phone when we called. could not be reached."

Director Huang is the chief director of the Department of Infectious Diseases, and his attitude directly determines the attitude of the entire Department of Infectious Diseases.

"It's okay." Before Xu Yourong spoke, Han Wenping spoke first, "According to the time of medication, her next medication should be around six o'clock this afternoon——at six o'clock in the afternoon, Director Huang should be back anyway. Let's take the medicine first. Get ready, just wait for Director Huang to come and sign. If Director Huang can't come, you can also approve the medication through phone and recording, and come back tomorrow to complete the formalities."

After he finished speaking, he looked at the silent conference room and coughed lightly, "I am also a person with a mother and a daughter."

This sentence explains the problem very well.The doctors in the room were all smiling and nodding to each other with a smile, as if they were conveying an idea to their colleagues through their eyes and movements, "I'll just say it!"

·
·
·
The liver transplant operation is finally over.

The three sets started at the same time, and the extremely complicated operation, which lasted for more than five hours, was finally over.As the initial donor, Chen Tianyi's mother was the first to be pushed out of the operating room.The ones being pushed out of the operating room are Chen Tianyi, who received a liver donated by her mother, and Xiao Yanran, who received Chen Tianyi's liver.

These two little girls who were supposed to have nothing to do with each other have now turned into real "flesh and blood" little sisters because of God's cruel joke.Looking at the two little girls lying on the flat bed with their heads tilted at the same angle, and even their hairstyles are surprisingly similar, even Qian Hongjun, who has seen many scenes, feels a little bit of the wonder of fate and fate.

These two children look...but they really look alike.

Dr. Pascal has already returned to the operating room, and when he learned that the operation is about to end, he began to adjust and deploy the immunosuppressive regimen for the two of them.His requirements are very strict. The ICU and the Laboratory Department need to conduct a TDM test on two people every hour, and the frequency of drug adjustment is even more accurate to the standard of two hours.Dr. Pascal has only one goal, to do everything possible to reduce the trauma of immunosuppressants to the two children on the basis of ensuring the survival of the transplanted liver.

Chen Tianyi's mother was also admitted to the ICU.Of course, her bed was deliberately separated far away.This is mainly to ensure that Xiao Yanran's identity will not be revealed.But out of humanitarian considerations, she was able to sleep next door to her daughter.

Chen Tianyi's mother woke up from anesthesia earlier than the anesthesiologist expected, probably because she hoped to see her daughter as soon as possible.But when she recovered from anesthesia and became semi-conscious, Chen Tianyi had been lying beside her for almost an hour.

She turned her head and saw her daughter, her eyes seemed to be looking at a rare treasure in the world.It wasn't until the nurse at the side noticed what she was doing and came over to gently persuade her to sleep a little longer.

"How long will she wake up?" Chen Tianyi's mother asked in a low voice. In order to prevent suffocation caused by vomiting during anesthesia, she was not allowed to drink water before the operation.For the same reason, you should not drink water for six hours after surgery.Her voice was hoarse and dry now, and her throat hurt like a piece of smoking coal had been stuffed into it.

"About an hour or two." The nurse in the ICU is also a mother.She understands Chen Tianyi's mother's current situation and worries very well. "However, it may take several hours for her to fully wake up—it takes time for the anesthetic to metabolize." She thought for a while, then smiled and said, "Go to sleep for a while. I will call you when she wakes up." OK?"

·
·
·
Isabella sat by Todd's bed, her hands trembling.She always wanted to touch Todd's head, but the shocking white bandage and the deformation of the skull that the bandage couldn't cover made her give up this action again and again.

Todd was admitted to the inpatient department of the General Diagnostic Center.The Nursing Department of the Fourth Hospital appointed Nurse Zhong Yu as the head nurse for the comprehensive diagnosis center, and also equipped four nurses including Xiao Guo.Five nurses are now divided into three shifts to take care of Qian Aiwu and Xiao Taode, which is more abundant than ever before.

Since Takeda adopted the design of a single ward for the inpatient department of the comprehensive diagnostic center from the beginning of the design, of course, if necessary, the single ward can also be "upgraded" to a three-person ward.

In the fairly spacious room, Isabella's figure seemed a bit... lonely.

Sun Li'en stood outside the ward, listening to Isabella's suppressed sobbing inside the door, and waited for a while for the voice inside to quiet down before knocking lightly on the door.

"Please come in." Isabella said hoarsely, and when she saw Sun Li'en coming in, she quickly wiped the tears off her face, and then said with a sad smile, "I thought it was a nurse."

"Let me take a look at Todd's situation." Sun Li'en said with a smile, he glanced at the top of Todd's head, the words meningitis had begun to fade, and the state of facial peripheral neuritis and mild pericarditis had completely disappeared.Under the influence of the third-generation cephalosporin, little Todd is recovering rapidly.However, to completely cure Lyme disease, antibiotics need to be used continuously for more than ten days.And Todd is only nine years old, and the drug of choice, tetracycline, cannot be used.It may take some time to be completely cured by the third-generation cephalosporin.

Isabella nodded lightly, and made room for Sun Lien to do a physical examination.Seeing Sun Lien's quick and skillful inspection, she suddenly asked, "Will there be any sequelae?"

Sun Li'en was silent for a while, "If other family members of the patients asked, I would not dare to talk too much." He pointed to the depression on Todd's head that could be barely recognized through the bandage, "Except for this Apart from a skull defect, the biggest problem now is whether the previous meningitis will cause any impact. Apart from these two points, I have not found any other symptoms that may cause sequelae." He thought for a while and tried to explain, "The meningitis It didn’t take long for it to happen, and we discovered it early enough—shouldn’t be a big problem. But this is just my speculation, and the specific situation won’t be known until Todd wakes up.”

Sun Lien's explanation was careful enough, Isabella nodded, then sighed and stopped talking.After being silent for a while, Sun Li'en had nothing to say, "Dr. Pascal didn't come?"

"He...he came over." Isabella smiled, "He said he still has work, so he stayed for a while and left."

Sun Li'en sighed, but after all, he doesn't care too much about other people's family affairs, "The job he was talking about was the little girl who needed a liver transplant—you were the one who contacted her for consultation."

Isabella nodded, "I know." She sat down on the sofa beside her, and said with a wry smile, "I can understand the urgency of his work, Todd has Lyme disease, and he can't help What's your business..." Speaking of this, she suddenly remembered something, and hurriedly stood up, "What time is it?"

"04:30." Sun Lien glanced at his phone, "What's wrong?"

"Petunia is out of school, I have to pick her up quickly..." She wanted to pick up her daughter quickly, but she couldn't bear to leave Todd, and she felt a little embarrassed.

Sun Li'en thought for a while and suggested, "Well, I'll ask Dr. Xu to pick up Penny." Xu Yourong was guarding the infection department office, waiting for Director Huang to come back and sign.With the current situation, it is unrealistic to ask Isabella or Pascal to pick up people, but it is also impossible to leave Penny, who is only seven years old, at home alone.Xu Yourong and Petunia have a pretty good relationship, so it was the most appropriate choice for her to come.

As for Sun Li'en - it was Gui Peisheng's job to hold the materials and wait for the directors to sign.

(End of this chapter)