I can see the status bar

Chapter 640 Inquiring about medical history

Antibiotic treatment is ineffective, which is of course an unfortunate thing for the patient himself.But for doctors, this is an important reminder in some cases.

At least so far, there are no bacteria resistant to all antibiotics in the world.Bacteria under each classification are bound to be sensitive to at least one antibiotic.And acute suppurative lymphadenitis is the best hint of its nature—it must be some kind of bacteria that infected Kaoru Kobayashi.

Sun Li'en had the same idea.It is important to find out the pathogen that infected Kaoru Kobayashi as soon as possible, but it is not necessary to find out what kind of bacteria it is.As long as you find an effective antibiotic for it, you can also complete the treatment.But Lin Lan only knew that Xiaolin Xun had received antibiotic treatment, but she had no idea which one it was.And Kobayashi Xun himself was so confused that he couldn't tell what medicine he had used.

Then I can only ask the ship doctor on the yacht. Fortunately, although the ship doctor is Japanese, his English level is not bad-at least Sun Lien can understand what the other party is saying.

"I have given Mr. Xiao Lin...two kinds of antibiotics." The ship's doctor looked a little nervous when he was asked by Sun Lien. "I gave him levofloxacin and imipenem."

After Sun Li'en heard the names of these two drugs, his eyebrows were raised extremely high. "Why use these two?"

Levofloxacin is a quinolone antibiotic that is commonly used in the first-line category.There is nothing wrong with the ship doctor giving Kobayashi Kaoru this medicine.However, imipenem, as a carbapenem antibiotic, belongs to the "restricted use level" in all domestic hospitals.As an antibiotic controlled at the highest level, it is obviously inappropriate to use it directly on Kobayashi Kaoru.

"Mr. Xiaolin... has a special status." The ship's doctor explained helplessly, "and the facilities on board are limited. After two days of using levofloxacin and it didn't work, I can only choose imipenem injection as the last resort."

"Two days?" Sun Li'en keenly sensed something was wrong here - the course of illness that Lin Lan described to him was only one day, and he had a high fever the day before, and he was immediately sent to the hospital ship the next day.How come the ship doctor has used levofloxacin for two consecutive days?

"Mr. Xiao Lin specifically asked..." The ship doctor still looked helpless, "In order to let Madam not worry too much, so the content of the treatment cannot be told to Madam."

"This...idiot." Sun Li'en stood up abruptly. He even thought that if Xiao Linxun had told him that he was unwell earlier, he might have been able to get on the hospital ship for treatment earlier.But after standing up, Sun Li'en sat down abruptly, and began to ask other questions.

Now is not the time to be angry, even if there is any dissatisfaction, it will have to wait until Kobayashi wakes up before attacking.

"What was his main performance before?" Sun Lien took out a pen and a small notebook from his pocket and began to record. Since he couldn't get the most comprehensive first-hand medical history from Lin Lan, then asking the ship's doctor became the best now, and also The only choice.

"Mr. Kobayashi has been feeling unwell since he got on the ship." The ship's doctor replied, "He complained to me about leg pain, but he did not agree to my request for palpation. Along with the leg pain, there were rashes and fever. Condition."

"Did you agree to palpation?" Sun Lien drew a big question mark on his notebook, "What's the reason?"

The ship doctor shook his head, "I don't know about that, I have never been able to understand the thoughts of rich people - Madam was also a little unwell before, when I asked her if she was in her menstrual period recently, Mr. Fired at me."

Sun Li'en blinked, and you asked Lin Lan if she was on her menstrual period... It's normal if Xiao Lin Xun didn't tear you up.Lin Lan's chromosomal sex is male, but her current biological and social gender are the same as female.But there will still be no normal menstrual period response, at most there will be some irregular bleeding occasionally.

"Before this, I mean, did Kaoru Kobayashi show any discomfort before he boarded the ship?" Sun Li'en continued to make his own inquiry, and maintained his good moral character as a doctor—absolutely Patient privacy issues are not disclosed.

Lin Lan's chromosome problem has nothing to do with Kobayashi Xun's current illness, so he has no reason to disclose this situation to the ship doctor in front of him.

"This..." The ship doctor tried his best to recall, then shook his head, "Although he looks tired and doesn't sleep too long every day, he is generally quite healthy."

"It was about a week or so before he complained about his leg pain and refused your palpation. Have you ever been ashore during this time? Have you had contact with other people?" Sun Lien turned the suspect to another direction. "Among the other crew members on board, do you have the same symptoms as Mr. Kobayashi?"

"No." The ship doctor answered the question this time firmly, "We docked in Egypt five days before Mr. Xiao Lin expressed his discomfort. Mr. Xiao Lin and his wife disembarked for a tour together, and the two have never been separated." The ship doctor specially emphasized the word "always" and said bluntly, "As an employee of a pharmaceutical company, I don't think Mr. Xiao Lin will be infected with those special diseases even if he has a history of travel. The number of safety supplies in the master cabin is very rich. There will be 'not enough'."

Sun Lien coughed lightly, and wrote the word "Cairo" in his notebook.Sun Lien, who had just learned that Lin Lan's answer to the course of the disease was inaccurate, decided to carry forward his skepticism to the end. The details of her and Xiao Linxun's itinerary in Cairo would not be determined until Sun Lien asked him personally.

"I also collected some sputum and blood samples from Mr. Kobayashi yesterday." The ship's doctor continued, "These samples have been sent to Japanese hospitals through the channel of Takeda Pharmaceutical. If necessary, mNGS examinations can even be performed."

"That's great!" Sun Li'en was overjoyed, it was just as he wanted, "When will the result come out?"

"The samples will probably be delivered to Japan the day after tomorrow, and the results will be reported in four days." The ship's doctor looked very proud, "We will be able to get the report in four days at the latest."

Sun Lien raised his head, looked at the proud Japanese doctor in front of him and asked, "Why did you send it back to Japan? If you send it to Dubai or South Africa, shouldn't the results be faster?"

There are mNGS testing institutions in Dubai and Africa, and Dr. Jiang told Sun Lien the news.And Sun Lien said this to the Japanese doctor, not simply because he wanted to share information - he really couldn't understand why the Japanese doctor in front of him felt that the result in "four days" was an acceptable situation.

According to the procedures of the Fourth Hospital, even if the mNGS test is not done in the laboratory department of the hospital, but outsourced to an external testing company, the result will not exceed 18 hours at the longest.

It took five days for Kobayashi Kaoru to express his discomfort until he had a persistent high fever.Wait another four days... the ghost knows if Kobayashi Kaoru will be able to breathe after four days!

With the shocked ship doctor in a daze on board, Sun Lien turned back to the hospital ship.Before coming to the ship, he ordered a series of admission suit checks. After calculating the time, the results should be ready.Rather than expecting to know exactly what pathogens were in Kobayashi Kaoru's body after four days, Sun Lien decided that it would be safer to rely on himself first.

(End of this chapter)