Font
Large
Medium
Small
Night
Prev Index    Favorite Next

Chapter 159: Inquiry about the medical history (August 12, 1/2)

Antibiotic treatment 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 in the world that are resistant to all antibiotics. Bacteria under each classification will inevitably be sensitive to at least one antibiotic. Acute suppurative lymphoarthritis is the best nature prompt - the infection of Kobayashi must be some kind of bacteria.

Sun Lien also had this idea. It is important to clarify the pathogen infected with Kobayashi Hung as soon as possible, but it is not necessary to figure out which bacteria it is. As long as it finds an antibiotic that is effective for it, the treatment can be completed. However, Lin Lan only knew that Kobayashi Hung had received antibiotic treatment, but she had no idea which one it was. Kobayashi Hung was confused and couldn't tell what medicine she had used.

Then I can only ask the boat doctor on the yacht. Fortunately, although the boat doctor is Japanese, his English level is pretty good - at least Sun Lien can understand what the other party is saying.

"I have used … two antibiotics for Mr. Kobayashi." The ship doctor looked a little nervous when he was asked by Sun Lien. "I used levofloxacin and imipenem for him."

After hearing the names of these two drugs, Sun Lien raised his eyebrows very high. "Why do you need to use these two?"

levofloxacin is a quinolone antibiotic and belongs to the common first-line category. There is no problem with ship doctors using this drug for Kobayashi. However, imipenem, as a carbapenem antibiotic, belongs to the "restricted use level" in all hospitals in China. As the highest-level controlled antibiotic, it is obviously inappropriate to use directly on Kobayashi.

"Mr. Kobayashi... has a special identity." The ship doctor explained helplessly, "and the facilities on the ship are limited. After using levofloxacin for two days, I can only choose imipenem injection as the last method."

"Two days?" Sun Lien keenly realized something was wrong here - Lin Lan told him that the course of the disease was only one day, and the fever the day before was high, and he immediately sent the person to the hospital ship the next day. Why did the boat doctor use levofloxacin for two consecutive days?

"Mr. Kobayashi specifically instructed..." The ship doctor still looked helpless, "In order to prevent the wife from worrying too much, we cannot tell the wife about the treatment."

"This... idiot." Sun Lien suddenly stood up. He even felt that if Kobayashi had said that he was unwell earlier, he might have been able to get on the hospital ship for treatment earlier. However, after standing up, Sun Lien suddenly sat down and began to ask about other contents.

Now is not the time to get angry. Even if you have any dissatisfaction, you have to wait until Kobayashi wakes up before you get angry.

"What was his main manifestation before?" Sun Lien took out a pen and a small notebook from his pocket to start the record. Since he could not obtain the most comprehensive first-hand medical history from Lin Lan, then asking the ship doctor became the best and the only choice now.

"Mr. Kobayashi has been feeling a little uncomfortable since he got on board." The ship doctor replied, "He complained to me about the pain in his legs, but did not agree to my request for palpation. While the legs hurt, there were rashes and fever."

"Didn't agree to the palpation?" Sun Lien drew a big question mark on his laptop, "What is the reason?"

The ship doctor shook his head, "I don't know this. I have never figured out the rich people's thoughts. The lady was also feeling a little uncomfortable before. When I asked her if she was in menstrual period recently, Mr. Kobayashi got angry at me."

Sun Lien blinked and asked Lin Lan if she was in her menstrual period... It would be normal for Kobayashi Xun to tear her back. Lin Lan's chromosomal gender is male, and now her physiological and social gender are the same as that of women. But there will still be no normal menstrual reactions, at most, there will be some irregular bleeding occasionally.

"Before that, I mean, did Kobayashi Kaoru showed any discomfort before he got on the boat?" Sun Lien continued his inquiry and maintained his good moral character as a doctor - never revealing the patient's privacy issues.

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

"This..." The ship doctor tried hard to recall, then shook his head, "Although he looked very tired and did not sleep too long every day, he was generally quite healthy."

"Before he complained about his leg pain and refused your palpation, about a week. Have you ever been ashore during this period? Have you ever had contact with others?" Sun Lien turned his suspicion in another direction. "Does anyone among the other crew members on the boat have the same symptoms as Mr. Kobayashi?"

"No." The ship doctor answered the question this time with a firm answer. "We stopped in Egypt five days before Mr. Kobayashi said he was unwell. Mr. Kobayashi got off the boat and visited, but the two had never separated." The ship doctor specifically emphasized the word "always" and said bluntly, "As an employee of a pharmaceutical company, I think that even if Mr. Kobayashi has a history of traveling, he will not be infected with those special diseases. The number of safety supplies in the master cabin is very rich, and there will definitely be no 'insufficient' situation."

Sun Lien coughed lightly and wrote the word "Cairo" in her notebook. Sun Lien, who just learned that Lin Lan's answer was inaccurate, decided to carry forward skepticism to the end. The specific process of her and Kobayashi Huon's itinerary in Cairo must be waited until Sun Lien personally asked about it.

"I also collected some sputum and blood samples from Mr. Kobayashi yesterday." The ship doctor continued, "These samples have been sent to Japanese hospitals through Takeda Pharmaceuticals. If necessary, MNGS examinations can even be performed."

"That's great!" Sun Lien was overjoyed. This was just as he wanted. "When will the result come out?"

"The sample can be sent to Japan the day after tomorrow, and the results can be returned in four days." The ship doctor's expression looked a little proud, "We will be able to get the report after four days at the latest."

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

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

According to the process of the Fourth Hospital, even if MNGS testing is not done in the laboratory department of the hospital, it is outsourced to an outside inspection company to process, the results will not be obtained in a maximum of 18 hours.

It took five days for Kobayashi Kaoru to express discomfort to the high fever. Wait for another four days... Do you know if Kobayashi Kaoru can still breathe in four days!

The ship doctor with a shocked look on the boat was dazed, and Sun Lien turned around and returned to the medical ship. Before coming to the boat, he drove a series of admission sets to check the time and almost came out. Instead of hoping to find out what pathogens are in Kobayashi Xun's body four days later, Sun Lien decided to rely on himself first.
Chapter completed!
Prev Index    Favorite Next