Can't give it?

These three words made the young doctor stunned. He thought for a while before he said in an uncertain tone: "The guideline recommends this treatment..."

Old Man Lin said a little disgusted: "Doctors cannot just read the guidelines to treat the disease, they must adjust it at any time according to the actual situation. Of course, there are very few infections in the worm. Doctors may not have seen it before, and it is reasonable not to know how to treat it."

After saying that, he gave an explanation and said, "If this is Concorde, then this combination therapy can be used.

"Because after taking albendazole and levamisazole, a large number of insects will die in the body. The disintegration products produced by the death of insects will induce more severe and more serious inflammatory reactions in the central nervous system!

"Universal has advanced medicines and medical methods, but the county hospital does not have this rescue condition."

“…”

After saying this, the young doctor immediately understood the pros and cons.

It’s not that this therapy is wrong, but that my hospital is not able to control it...

He thanked Old Man Lin, hurriedly left, and found the director of the emergency department and others.

The senior management of the county hospital soon learned about this and held an emergency consultation, but found that his hospital was unable to save the patient.

First, the infection is too serious and develops too fast. If you want to control the progress of the disease, you can only kill insects, but their hospitals cannot fight against the more serious inflammatory reaction after the insect body dies.

Second, the patient has too many symptoms, such as headache, vomiting, excessive cranial pressure, etc., and each disease must be controlled, which cannot be treated by a county hospital.

"Contact and transfer to the hospital now!" The director of the infectious disease department of the county hospital immediately made a decision.

In the afternoon, Xiaojie was transferred to Jing'an People's Hospital.

This is the top three hospitals closest to Xinxiang County and the city's top infectious disease hospital.

The Department of Brain Surgery in Jing'an First Hospital is the strongest, while the Department of Oncology and Gastroenterology in the Second Hospital is the strongest, while the People's Hospital mainly focuses on the Department of Infectious Diseases and Dermatology.

The old man in the vest followed the ambulance to Jing'an People's Hospital.

He stood in front of the yard and was a little dazed for a moment.

He has left footprints in many corners of the city and built tall buildings. On the day of completion, these buildings are also places where he can only look up to him.

The magnificent and brand new hospital building in front of you also makes the old man in the vest feel inferior.

The essence of this sense of inferiority is to fear the value under the packaging... He does not have much deposit, only a little more than one hundred pension per month, and has few sources of income. How long can the money he can spend stay in such a place?

However, before he could think too much, a young nurse stood at the door and shouted in a twilight voice: "Where is the family! Where are the children's family members!"

Many parents suddenly became nervous outside the hospital.

The nurse hurriedly added: "What about the family members of the child who just transferred from Xinxiang County Hospital!"

The old man in the vest came to his senses, quickly extinguished the cigarette in his hand, and rushed into the hospital in a hurry.

Six hours later.

The director of the Infectious Disease Department sat in the conversation room with a heavy face, opposite the old man with a somewhat dull look on his face.

"The situation of your child is not optimistic." As soon as he got up, the director of the Department of Infection was straightforward.

He spread out several checklists and said, "Look, the patient's liver function has serious abnormalities. In addition, CT found that there are already a large number of adults and larvae in the intestines, especially the sigmoid colon. The number of worms gathered is very large, and intestinal perforation is likely to occur.

“In this case, surgery is almost impossible.

"In addition, cerebral edema is becoming more and more serious, and the patient's intracranial hypertension is also aggravating, which may cause brain hernia in the future... This is also an area where we dare not perform random operations!"

The old man in the vest widened his eyes, his expression on his face was almost numb and he couldn't say anything.

When she was in the county hospital, Xiaojie had a short period of soberness.

He thought his grandson was about to recover, but his condition worsened again when he was transferred. After coming to the hospital, he improved for a while after various rescue measures, but now he is in a coma again.

Could that short period of awakening be a rebirth?

As soon as this thought came, the old man in the vest could no longer calm down... He had already sent his son to the crematorium with his own hands. Could it be that he would even send his grandson away?

Just when his emotions were about to collapse, the director of the Department of Infection suddenly said: "Maybe... maybe there is another way."

The old man in the vest changed his eyes immediately. He leaned forward and said quickly: "Where, tell me quickly!"

The infectious doctor said solemnly: "Linhai First Hospital, Director Xu Qiu."

...

"Doctor Xu, the patient's series of information has been complete, and his body has been adjusted to the minimum state that meets the surgical requirements."

In the emergency department conference room, oncologists, orthopedics, respiratory surgeons and others were carefully flipping through the information at hand.

This is Jiang Donger's condition changes and various examination reports.

The patient chose osteosarcoma limb preservation surgery, but if he wants to perform this surgery, he must make sufficient preparations and achieve various harsh requirements.

The first thing is to improve x-ray, ct, mri, bone scan and DSA, perform surgical staging on the tumor, and evaluate blood circulation.

To accomplish these, we can evaluate the biological behavior of tumors and whether chemotherapy can be controlled by comparing various examination data before and after neoadjuvant chemotherapy.

Finally, the specific surgical details are confirmed to confirm whether the tumor can be removed safely and whether the conditions for reconstruction and soft tissue repair are met after resection.

"Can chemotherapy achieve tumor necrosis?" the orthopedic doctor said after thinking for a long time.

If neoadjuvant chemotherapy cannot be performed after neoadjuvant chemotherapy, postponing the surgery will reduce the survival rate.

Because the tumor continues to grow and reproduce, once chemotherapy cannot achieve the ideal effect, tiny lesions will gradually develop into difficult to control.

Therefore, although preoperative chemotherapy can increase the success rate of limb rescue, there is a prerequisite that chemotherapy is effective.

The current schemes are ddp, adr, mtx-cf and ctx, etc., namely cisplatin, doxorubicin, methotrexate-tetrahydrofolate and cyclophosphamide. The metastasis-free survival rate of these drugs can reach 89%, and those who have not transferred for more than five years have also reached 70%.

Compared with the previous traditional chemotherapy methods, the survival rate without metastasis has increased by 20% to 30%, and the probability of not transferring for five years has increased by about 40%.

The oncologist stood up and said excitedly: "The chemotherapy plan given by Dr. Xu is very complete. After a period of preoperative chemotherapy treatment, the development of the patient's cancer has been well curbed!"

"That means you can wait a little longer?"

"Since chemotherapy is effective, there is no need to worry about the operation. It is not too late to control the tumor."

Everyone also showed joy.
Chapter completed!