In order to treat Kobayashi, the doctors on the Daishan Island specially organized a multidisciplinary consultation. They also invited doctors from the Glass medical team who had just arrived at the hospital ship to participate in the consultation.

For things like consultation, the higher the level of doctors involved and the more departments there are, the easier it is to get closer to the truth.

The reason why Kobayashi was able to receive such a multidisciplinary consultation the morning of the second day of admission was thanks to the medical history information sent by Sun Lien - the patient had received imipenem injection treatment.

The reason why imipenem is a restricted grade antibiotic is not only because it is expensive, but more importantly, its effect is significant.

There are not many bacteria that are insensitive to imipenem. In addition to intestinal bacteria, there are occasionally reports of several drug-resistant bacteria such as Pseudomonas aeruginosa and Proteus miraculous.

During the consultation, the main focus of the doctors' discussion was "whether it can be considered as anti-drug if it can be determined to be anti-drug by simply using imipenem alone." Generally speaking, clinical judgment of anti-drug mainly depends on drug sensitivity tests and doctors' experience.

Drug sensitivity tests are the gold standard for judging whether a patient is infected with bacteria to resist drugs, but its activation requires doctors to indeed collect the curative pathogens that cause the patient to get sick and conduct them through corresponding examination equipment. For patients like Kobayashi, those who can judge that drug resistance are only experienced by doctors.

However, the doctors present had huge differences on whether the pathogens infected by Kobayashi Kaoru were resistant to carbapenem antibiotics.

"Even if imipenem is used for sensitive bacteria, the patient's condition has not improved in the short term." The director of the infectious disease department of Daishan Island slapped the table at Liu Tangchun, who was sitting opposite him, "If the patient has antibiotics, it is necessary to use sufficient amounts of antibiotics to determine whether he is resistant to the drug!"

"The patient has only been ill for five days and has changed from a healthy person to a patient with a high fever and a little unclear consciousness!" Liu Tangchun was not afraid of people like this. "Fucheng is enough, you are dogmatic! I will ask you, enough, but what should I do if the previous generation died? Can you carry people out of the morgue and get antibiotics for two more days?!"

"Then you can't judge the resistance if you take the medicine once!" The director of internal medicine and Liu Tangchun stared at the beard, "For five days, it was from the onset to the serious progress of the symptoms. What if imipenem is useful, it's just because his body's recovery progress has not yet been shown? Do you change an antibiotic a day to see if the patient dies from liver and kidney failure first, or is he killed by this unknown pathogen first?"

Sun Lien sat in the corner of the conference room and shivered. Usually, he remembered that the consultations at the Fourth Hospital were not like this. At least the doctors in the Fourth Hospital discussed that they would not slap the table in front of them, and would not launch a...personal attack on another doctor.

Could it be that even the doctors are smelling gunpowder because of their relationship in the military hospital?

"Stop talking about great achievements to me! You are empiricism!" Liu Tangchun tried to use Sun Lien's diagnostic talent to talk about things, but unexpectedly, he was directly pushed back by the director of the Internal Medicine University opposite. "We are modern medicine. Do you understand modern medicine? Evidence-based medicine! If you have to say that the patient is resistant to carbapenem, you can come up with evidence! You can come up with the test results!"

Liu Tangchun threw the pen on the table in front of him, "Mom, if it weren't for your backward equipment on the ship, I would have been here to sip you with saliva?"

The two big guys became more and more angry. The other doctors either kept laughing and waited to see the two old men who were 120 years old together in a fight, or they didn't dare to make a sound at all. Only Dr. Qian Yihong coughed and gently knocked on the table and said, "I say, two old comrades. We are discussing the patient's situation, not preparing the ring for you two to let you fight."

Liu Tangchun and the director of internal medicine then changed from a tense situation to a glaring. However, the two of them seemed to be eager to try. After the other party said something wrong, they jumped up and sprayed the other party with nothing.

"What's going on with Director Liu?" Hu Chunbo sat next to Sun Lien and whispered to Sun Lien to ask the inside story, "What's the grudge between him and Director Huang?"

"Where did I know to go..." Sun Lien shook his head. Logically speaking, after Liu Tangchun retired from the army, he went directly to Ningyuan Medical College to study. After graduation, he basically stayed in Ningyuan to practice medicine, and he had no connection with Yuanhai Hospital in Shanghai. It is even more impossible to have any personal grudges with the director of the internal medicine department of Yuanhai Hospital.

"It can't be because the army and the navy don't meet each other, right?" Hu Chunbo was still muttering, "I haven't heard of such conflicts within us..."

"Don't guess it all, old man." Sun Lien sighed, "Maybe he just simply disagrees with the other party's diagnosis?"

The consultation was in a tense atmosphere. In order to prevent the two old men from suddenly jumping out and deciding to fight one-on-one, the other doctors accelerated the discussion and quickly reached a consensus.

Sun Lien looked at the consensus and almost jumped onto the table and cursed.

The consultation opinion is, "Improving the examination will not rule out tuberculosis."

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"Combined with tuberculosis, you must have your nucleus!" Sun Lien complained to Dr. Jiang angrily, "What are you doing? Just because he coughed twice, he has to suspect it was tuberculosis?"

"He also has moderate anemia." Everyone is in internal medicine. Dr. Jiang certainly knows what Sun Lien is angry about - "Tuberculosis cannot be ruled out" can basically be understood as "the person knows what disease he is." However, in front of Sun Lien, Dr. Jiang still wants to maintain the image of his team. "The urine routine suggests that he has proteinuria, but he has been admitted to the hospital for less than 24 hours, and he still can't come out for statistics now."

Sun Lien rolled his eyes and protested Dr. Jiang's sudden change of topics. Then he asked, "What antibiotics are you giving him now?"

"It's temporarily stopped." Dr. Jiang signaled Sun Lien not to be excited for now, "I asked the laboratory department to draw blood to do a tuberculosis antibody test. Let's talk about it when the results come out."

"You... don't really think this is a tuberculosis, do you?" Sun Lien had no strength to be anxious with Dr. Jiang. He even had some doubts whether he was really wrong. Tuberculosis manifests itself in varying forms and is indeed not very sensitive to carbapenem antibiotics.

"I'm not stupid." Dr. Jiang looked at Sun Lien with a fool's expression, "Isn't this just to save face for the directors? When the antibody test report comes out, it turns out that it's negative, so can you continue to consider other directions?"

"Doctor Jiang, what you want is out of the test." A nurse hurriedly walked in from outside and handed the report to Dr. Jiang, "Do you want to isolate the patient now?"

"What are he doing quarantine?" Dr. Jiang shook his head, and the report turned out, "You see, I said it is definitely not tuberculosis. It says it is written here. Tuberculosis antibody is positive... positive?!"

Sun Lien poked his head over, looked at the examination report in Dr. Jiang's hand, and fell into shocked silence with him.

Kobayashi's test results are very clear - tuberculosis antibody (), that is, the antibody is positive.
Chapter completed!