Back in 2002 as a doctor

Is Zhou Congwen crazy? Even the intensive care unit of 912 cannot cure rabies.

A disease with a 100% mortality rate, Zhou Congwen is just dry wool!

Deng Ming has seen many family members of patients who refuse to give up.

Regardless of the actual situation, they ask for treatment as long as the patient is still breathing, and they seem to believe that the patient will survive, and they are full of "confidence" in hospitals and doctors that does not conform to the actual situation.

Not only Deng Ming, but all doctors have seen similar family members of patients.

But the truth is cold.

Some diseases are useless no matter how much money is thrown into them.

The so-called bottomless pit, the so-called stone sinking into the sea, roughly means this.

Zhou Congwen has inexplicably rich clinical experience, and even Deng Ming admires the diagnosis of many rare diseases.

He should know that rabies is a disease that cannot be treated at all, even if the person suffering from rabies is a member of the medical team, he should accept the fact instead of messing around.

Could it be that this is because the matter didn't come to him?Zhou Congwen is crazy, he must be crazy.

The boss... should refuse, Deng Ming thought to himself.

After hearing Zhou Congwen's diagnosis of rabies, Mr. Huang also fell silent, tapping the table with his hunchbacked fingers like chicken feet.

"Dong Dong Dong~"

Deng Ming understood his boss, and he knew that the boss was thinking.

As for what to think about, it will definitely not be the treatment of rabies, but how to persuade Zhou Congwen.

Zhou Congwen had really gone crazy, Deng Ming sighed inwardly.

Although Congwen showed a calmness and sophistication beyond his age in the professional last week, he has always been a young man.

Facing life and death...

Thinking of parting from life and death, Deng Ming thought of the young man standing behind the boss pinching his shoulders.

It is the best age, in the prime of life, with a lot of bright future, and I am still thinking about what happened after Shen Lang came to 912, why did I get rabies!

When Deng Ming thought of the word rabies, he felt very depressed.

As a doctor, it is basic common sense to get rabies vaccine, Shen Lang must be careless, it shouldn't be.

But things happened that shouldn't have happened, and now is not the time to blame each other.Deng Ming's hand holding the thermos cup trembled slightly, and then returned to normal.

Seeing so much life and death, Deng Ming was hard to be influenced.

Shen Lang, it's a pity, originally he should have come to 912 with Zhou Congwen, at least he would be a professor of cardiothoracic surgery in the future, but he contracted rabies instead.

Deng Ming had countless old troughs to vomit.

Time passed by every minute and every second, and the only evidence that reminded Deng Ming that he was not caught in the torrent of time was that the boss was banging on the table.

"Zhou Congwen, the intensive care unit will be there soon, do you have ECMO over there?" Elder Huang suddenly asked.

"Boss, no."

"I'll send someone to deliver it," Huang Lao said.

"!!!" Deng Ming's pity in his heart turned into countless surprises in an instant.

Boss, what are you doing! There is only one ECMO, 912, just like baby, not many people know how to use it now.

Moreover, the cost of turning this thing on and off is simply beyond the reach of ordinary people and ordinary families. Is it just for the sake of letting Shen Lang use ECMO for a "dead man"?

"Your side will take care of it first, to ensure the vital signs, and I will rush there as soon as possible." Huang Lao said lightly.

"Okay, thank you, boss." Zhou Congwen hissed.

At the end, Zhou Congwen's voice was a little choked up, but Deng Ming thought it was his own illusion, because Zhou Congwen hung up the phone immediately.

A blind tone came from the Nokia, but Mr. Huang didn't hang up the call, but stared blankly at the phone, wondering what he was thinking.

"Boss, Zhou Congwen did something wrong." Deng Ming sighed, "Rabies... Do you think Zhou Congwen made a wrong judgment? You should comfort him. It seems too troublesome to transfer a medical team."

Deng Ming suddenly remembered something and asked immediately.

"Zhou Congwen won't make mistakes in diagnosis, especially rabies." Mr. Huang said simply.

Deng Ming was taken aback.

"That……"

"Do you think that rabies is incurable? It has a 100% mortality rate." Huang Lao asked.

Deng Ming nodded. This is one of the common senses in the medical field. Do you still need to ask?

"It's not like that." Huang Lao said, "There is a treatment called the Milwaukee treatment, which has saved some people."

"..." Deng Ming was stunned.

Milwaukee is a place name in the United States. The medical level there is not very good. What is Milwaukee therapy!

"Let's put it simply." Huang Lao sighed, "One of the hypotheses about the death caused by rabies is the disorder of neurotransmitters.

The core idea of ​​this hypothesis is that the biomolecules in the patient's brain cannot balance each other and lead to death.

Animal experiments have shown that ketamine, an NMDA receptor antagonist, seems to act as a bridge to balance neurotransmitters in rabies patients. "

Deng Ming silently listened to the boss talking about the Milwaukee therapy, and the thermos in his hand was shaking slightly, as if the caterpillar fungus in it was about to crawl out.

"The essence of the Milwaukee treatment is to suspend the function of the brain, so that the brain is not affected by complications, while maintaining the normal functioning of the immune system to attack the virus."

"Is it effective?" Deng Ming asked.

"A few people survived, but most of them died." Huang Lao said, "I've read related literature...Deng Ming, do you think there are bats in the Northeast?"

Huang Lao said he was asking Deng Ming, but it was more like talking to himself.

"Yes, I saw it in Jilin when I was young. It's not as tall as the South, it's very small."

"..." Deng Ming was in a trance when he heard his boss talking to himself.

From the Milwaukee cure to the uncanny hibernation to bats, this series of claims has no clue at all.

But Deng Ming deeply understands his boss, he is sorting out his treatment ideas, so he must not disturb the boss now.

"I have seen at least one family and two species of bats, both in Jilin and HLJ. It is very rare that bats are not suitable for survival in cities now."

"Where did Shen Lang meet the bat? Strange."

Chapter 1234 Hibernation

Huang Lao talked to himself for at least 5 minutes, and his voice became smaller and smaller. Deng Ming couldn't hear what his boss was talking about at the end, and soon became dizzy.

Before that, he always thought that there were no bats in the Northeast.

Bats are mammals with very successful evolution, but they are generally common in the south, and in the north... how can there be bats in the cold weather.

But what the boss said was very certain. Based on Deng Ming's understanding of the boss, this matter must not be groundless.

Does it have anything to do with bats?Deng Ming didn't understand.

Huang Lao just talked to himself for a few minutes, and finally chanted Zhou Congwen's name intermittently.

When he said it for the third time, he resolutely picked up the landline on the table and started to contact the director of critical care.

Transferring a medical team to the Second Hospital of Medical University, this kind of thing has never happened in the history of 912.

The Shuai Mansion is the only place where 912 can adjust the severity of illness, and there is never any need for that area. Xiehe has a strong capability for severity of illness.

The boss has made a big face!Deng Ming knew it in his heart.

Playing around with Zhou Congwen, or is there really a Milwaukee therapy?Deng Ming was gradually in a trance, not knowing which conclusion was correct.

He silently watched the boss chattering away.

Only the boss can face this kind of thing, and if you go to the director of the intensive care unit yourself, you will be scolded.

Soon after Mr. Huang finished the call, the person on the other end of the phone didn't ask what was going on, and answered without hesitation.

"Book tickets." Huang Lao said, "I'll go and see what's going on."

"Okay, boss." After Deng Ming contacted the scalper to book two air tickets to the provincial capital, he felt a little uneasy. He asked, "Boss, is there a cure for rabies? Is it true or not?"

"Didn't I tell you that there is a precedent for saving lives." Huang Lao said.

Deng Ming was horrified, and then a glimmer of life rose.

"Look more, learn more." Mr. Huang was about to start the mode of instilling values, but he had something on his mind, so he said after a little silence, "Wisconsin Children's Hospital, Dr. Willoughby once cured the first patient."

"!!!"

"The logic is very simple, but many hospitals have also tried the Milwaukee therapy, but the effect is not satisfactory."

"There are only 7 patients who can be cured. This is explained in the paper. They have names and surnames. I don't think it's a fake. Others who are not cured account for the majority, and the situation is different."

"Boss, is it really cured?" The more Deng Ming heard it, the more surprised he became, his hands were numb, and the thermos cup in his hand almost fell to the ground.

"Well, but the probability is still very small." Huang Lao said, "First of all, the vector of rabies transmission in the cured patients was bats, and none of the cases were transmitted by dogs."

"Considering that the rabies virus is carried in bats, it has been greatly contained. Bats, you know." Huang Lao said, "If I have the opportunity, I really want to study bats. Not to mention anything else, just for the treatment of rabies way, I reckon the key is in the bat."

"..." Deng Ming hugged the thermos cup tightly, and looked at his boss dumbly.

Study bats?

The boss has a really big brain.

"Secondly, the strength of intensive care medicine is uneven. Even in the United States, it is the same." Huang Laodao, "So Zhou Congwen asked for help immediately, I guess he judged that Shen Lang... that brat can still be saved, so the strongest level is needed critical care interventions."

Deng Ming was speechless.

In his opinion, it was his boss and junior brother Zhou Congwen who were fooling around.

The so-called Milwaukee therapy has a high probability of being nothing.

But Deng Ming didn't dissuade him, he thought more.

This was Zhou Congwen's first real request for help, and those patients who had never asked for a single room before didn't count at all.

Seeking help is not counted, the patient is still a member of the medical team, as long as there is a chance of survival, the boss will definitely lend a hand.

Forget it, it was Zhou Congwen's waywardness once, and Deng Ming felt a little slanderous.

It's not that he is cold-blooded, but Deng Ming felt that all struggles were useless when faced with a case with a mortality rate of almost 100% and only a few cases in the world that were successfully treated.

Soon the ticket dealer delivered the ticket to the door, and after arranging the work at home, Deng Ming flew to the provincial capital with his boss.

……

……

Zhou Congwen sat in front of the hospital bed and looked at Shen Lang silently.

Midazolam and ketamine were pumped in through a micropump, and Shen Lang had already entered a "hibernation" state.

Zhou Congwen constantly adjusted the dose of medicine according to Shen Lang's condition, and also performed two lumbar punctures, and sent the cerebrospinal fluid for examination.

The air in the ICU is a little frozen.

After the diagnosis of rabies, everyone looked at Zhou Congwen differently.

This is no longer a matter of trying our best or not. Zhou Congwen must be crazy, and most people think so.

But no one dared to say a word, and no one dared to come up to persuade the already crazy Zhou Congwen.

Xiao Kai got two stitches on his mouth to stop the bleeding, and stood silently behind Zhou Congwen, looking worriedly at Zhou Congwen's back and Shen Lang who was lying on the hospital bed and entering hibernation.

Hibernation is the most commonly used method of sedation in neurosurgery.

But is it useful for rabies?Xiao Kai didn't know.In other words, he knew it, but Xiao Kai didn't want to admit it.

Xiao Kai was a little sad, he looked at Zhou Congwen's lonely back, and felt unspeakably uncomfortable.

Growth, maybe this is growth.

After all, Zhou Congwen is still young and has never experienced parting from life and death. This is a compulsory course in life rather than an elective course.

It's just that Zhou Congwen would face the blow of such a compulsory course when he was enjoying the spring breeze.

"Dean Xiao, you should go back first." Zhou Congwen said suddenly, "Just turn on the phone 24 hours a day, and I will call you if I need anything."

Xiao Kai hesitated for a moment and asked, "Professor Zhou, why don't you eat something."