Practicing Medical Skills in a Small Clinic novel Chapter 761

Chapter 761: Chapter 354: Muddy Compromise Treatment, Shameless Cryptococcus

"Dr. Li suspects a cryptococcal infection?"

Director Rong’s expression changed slightly. This disease might not evoke much response from laypeople, but seasoned doctors understand that it’s extremely difficult to treat, and the prognosis is often poor.

Moreover, the condition is prone to relapse.

If Li Jingsheng hadn’t shown a series of outstanding performances before, Director Rong would have dismissed his suggestion as nonsense.

Now, no one dares to underestimate Li Jingsheng’s advice because, although he speaks sparingly, he always hits the mark when he does.

"I’m only suspecting, and it’s inconclusive. If it is indeed a cryptococcal infection, it could be the meningoencephalitis type."

Though Li Jingsheng said it’s inconclusive, he already pointed out the specific type.

Clinically, this disease is categorized into four types: meningitis type, meningoencephalitis type, granulomatous type, and cystic type.

None of them are easy to deal with.

Among them, the meningoencephalitis type is the most complicated, comparable to the granulomatous type.

"Immediately have the lab check the pathological slices. Any discovery, conduct a mycological examination at once."

Rong Xuekai instructed his assistant.

Crytococcal meningitis is not easy to detect in its early stages. The glucose and chloride levels in the cerebrospinal fluid often do not show significant changes until the mid-to-late stages.

The special glucose content will significantly decrease, sometimes dropping to zero.

The results of this child’s routine cerebrospinal fluid examination already show a significant decrease in glucose content, combined with other symptoms matching this disease in several aspects, making it very likely to be this illness.

"Dr. Li just mentioned that the child might have a cryptococcal infection, and it could be a very challenging meningoencephalitis type, which reminds us to prepare for the worst. It’s almost confirmed as acute viral encephalitis, and the child’s condition remains uncontrolled, which is extremely dangerous. Symptomatic treatment alone, I think, is far from sufficient. Should we discuss proactive intervention?"

Rong Xuekai’s gaze swept over everyone.

He had started as a barefoot doctor, bearing many similarities to Li Jingsheng, who runs a clinic.

Barefoot doctors used to treat people with limited conditions and outdated medical knowledge. Back then, a slightly difficult fever, accompanied by vomiting and diarrhea, was often classified as an epidemic disease.

What’s the implication?

The same as a plague.

To save lives, barefoot doctors used any effective means, disregarding whether it was traditional Chinese or Western medicine.

Back in those days, Chinese medicine and traditional methods were predominant.

There was no other option, as the imperialist powers blocked all technologies, not allowing us to learn.

The best approach is to intervene before a major disease progresses, preventing it from developing into a severe condition, or even spawning numerous complications.

If it reaches that stage, not even a deity could save them.

"I highly agree with Director Rong’s proposal, taking proactive measures is much better than watching helplessly as the virus continuously damages the child’s body and worsens the condition."

"Cough...Dr. Zhao, you need to be more cautious with your words. Before identifying the source of the disease, even if we want to act, we wouldn’t know where to strike. Symptomatic treatment is, indeed, an active intervention, not as you put it, standing by idly."

"Yes, yes, my statement was inadequate."

Dr. Zhao, in his mid-thirties, being part of this consultation indicates that he is held in high regard by the senior doctors.

However, speaking carelessly in front of family members is a rookie mistake.

This highlights the importance of internship and secondary training programs.

Many master’s and doctoral students practice with their mentors in hospitals, but some mentors are hesitant to let go, leading to insufficient hands-on experience.

When these graduates finally become doctors in hospitals, their high academic qualifications, reputable mentors, and not insignificant skills are overshadowed by their lack of grassroots experience.

Many Ph.D. graduates just have a few days of perfunctory hospital rounds and are directly promoted to attending position.

Hospitals, eager to attract such highly educated talents, often lower the entry requirements.