After the t-tube was discharged from the insect body, the directors couldn't help but go into the room and took a look.

“That’s too much…”

"Yes." Cai Ping explained, "The liver is stimulated by them and secretes bile continuously. It is too thick. Maybe the stone that blocks the tube is formed by the bonding of the insect body."

"Eye-opening. I have never seen liver flukes in my practice for so many years." The director of the Department of Malata A and said with a smile.

"The patient is still saved." Xin Cheng patted the director of the transplant department on the shoulder.

"Well, I'll do a preliminary assessment when I go back. After I thoroughly exterminate the insects, as long as I can find a suitable liver source, the next step is liver transplantation."

......

Although their expressions were relaxed on the surface, as if they were just looking for something new, in the heads of these people, the scene in front of them would be packaged with the patient's medical records, sealed into the experience treasure chest, and sank to the bottom of the sea.

When a similar patient comes to stir their minds next time, he might bring this treasure chest

The T-tube discharges the insect body only the first step in treatment. After the insect body around the liver is completely drained and the obstruction is relieved, the T-tube can be removed and the treatment will be started.

If diagnosis is worth their attention and learning, then treatment is truly an exclusive performance of Cai Ping.

Treatment of liver flukesomia is very simple. There are two long-lasting drugs, praquantel and albendazole. One is a targeted drug with high specificity, and the other is a broad-spectrum antiworming drug.

It is easy to choose the drug, but it is difficult to determine the dosage.

Each pharmaceutical factory produces the same active ingredients, but the "packaging" other than the active ingredients is different. Sometimes, if you change the new medicine, the drug instructions and the hospital drug manual will be inconsistent.

Although Cai Ping has few liver flukes, she is a real expert in medication and considers much more details than ordinary doctors.

Qi Jing was even less excited than her when it comes to medication.

"Give up praziquantel and choose albendazole..."

Qi Jing was walking back to the emergency room and recalled the consultation record sheet written by Cai Ping just now.

"This patient should indeed use albendazole more, but what I think of is that albendazole has less side effects on the liver, but Director Cai is thinking of the other side of the deeper."

Although both praziquantel and albendazole can effectively kill liver flukesomiasis, their mechanisms of action are completely different.

The former is more like a heavy cavalry rushing yard that faces the enemy army. It can tear off the protective cortex on the surface of the insect body with bare hands, and use powerful medicinal power to force the muscles of the liver flukes to continue to contract and convulse until death.

The effect is overbearing and direct, just like turning on the Unparalleled Mode.

The latter is a surprise light cavalry team that does not have direct conflicts with the insect body, but instead specifically turns over the food and grass camps behind the enemy to hinder their energy supply.

When the liver flukes cannot take enough sugar, they will starve to death.

Now the patient's body has reached its limit and cannot withstand the battle head-on. In comparison, albendazole's method is gentler and more able to protect this surviving liver.

"Slowly add the dosage from 5mg/kg to 10mg, which lasts one day more than the ordinary seven days. After the medication is over, use liver-protecting medicine to let the liver rest for half a month, and then start a new round from scratch."

“Learned and learned!”

Compared to Hu Dongsheng, Qi Jing doesn’t need to learn much knowledge. This time he can learn the director-level drug control technology, which is indeed a big profit.

Qi Jing was still savoring the gains this time, and suddenly the phone rang.

He looked at the short message and didn't know what Lu Zishan meant.

After a while, the additional information followed

They are all dressed so obviously that you can't guess.

Qi Jing complained and sent another message:

Qi Jing thought about it and replied:

Qi Jing turned off his phone, thought of the magazine he had just arrived yesterday afternoon, and turned to look at Hu Dongsheng who was following him: "Is that book hidden?"

"Well, I hid it in the innermost window as you requested." Hu Dongsheng nodded with certainty, "No one noticed it."

Qi Jing nodded.

The book was ordered a long time ago, and the mailing efficiency was not high in 2003. In addition, the release time of the previous issue had just passed, so I waited for a long time to get it.

Books are not expensive, but the mailing address is the trouble.

Qi Jing’s daily trajectory is basically two points and one line.

One is a home that I don’t stay for a long time. Although there are no outsiders, Xiao Yu is always responsible for picking up the email address or organizing his own room. If this is discovered, he will definitely be scolded for not doing his job properly.

The other side is the emergency department of the hospital. The flow of people is very large, but relatively no one will take care of him. The postman must communicate with the doorman and nurse station to deliver the package. He is familiar with him along the way and says hello.

The most important thing is that he has the younger brother Hu Dongsheng around him.

Unlike Ji Qing, who was used to being influenced by traditional culture, he is a "crazy believer" who puts experience first.

And there are magazine windows here to cover them.

Qi Jing has always been reading the bookcase. Others are busy, and at most they can read some magazines related to textbooks and their departments. Who would have thought that there would be a book underneath the rigorous and professional medical magazines...

Relying on these reasons, Qi Jing boldly filled in the address of the emergency department of the internal medicine department of Danyang Hospital on the postal bureau mailing form.

Because he seemed very calm, the waitress who helped to subscribe to the issue had an illusion, thinking that he had read it wrong.

Qi Jing was very satisfied with Hu Dongsheng's daily work completion: "This time, because he is Director Cai, it is understandable that he answered slowly, but he would not be an example."

Hu Dongsheng breathed a sigh of relief, and when he recalled Qi Jing's wide range of punishment methods, he couldn't help but feel scared.

The two walked into the inner emergency room.

It was quite leisurely today, with no stretcher bed at the door, Ji Qing, Wu Tongshan and intern Zhong Xiaoxi were also there. There were several textbooks on the table, such as internal science, infectious diseases, microbiology and parasitology...

"What's wrong?" Qi Jing asked.

Ji Qing flipped through an infectious disease magazine in his hand and said with a smile: "Director Wang said that the patient in the surgery department is very interesting, let's discuss it together."

"Oh, Xiao Qi is here."

At this time, Wang Ting's voice came from the corner of the clinic.

The two of them looked in the voice, and an old man was squatting beside the window. One of his arms and half of his head had already entered, and seemed to be very interested in the magazines that were most intimate.

Qi Jingdai stood there, staring back at Hu Dongsheng who was also standing alone.

It's over...

"I said that what you like most about infectious diseases is infectious diseases. How can you put the guidelines for infectious disease prevention and control so much? You are not afraid to find it..."

Suddenly the old man's voice stopped at a very inappropriate syllable.

He slowly pulled out his head and arms, straightened his body, turned his head and glanced at the well-dressed doctors in front of him, and threw the magazine in his hand on the desktop.

The magazine easily avoided the purple clay teapot that he had just made tea, and slid very accurately to the pen holder in the distance, and fell down with one blow.
Chapter completed!