Chapter 991 The world of medicine has changed
After all, nitazoxanide is not approved.
There are still very few patients in China who can get this drug.
For the average patient, azithromycin combined with allicin is the proper treatment option.
Moreover, doctors from top hospitals such as Liu Si and Shi Feng have also heard about Cryptosporidium.
Although they have not personally treated patients with Cryptosporidium infection, they have covered a wide range of topics, and the use of azithromycin against Cryptosporidium has been proven effective.
Choosing nitazoxanide is completely regardless of reality.
As a theoretical basic question, I can only choose the only correct answer, which must be nitazoxanide.
However, there are too many things that need to be considered clinically. From all perspectives, azithromycin has a higher priority than nitazoxanide, the only specific drug.
Ding!
At this time, the first score appeared on the huge screen in front.
Everyone looked quickly, and when they saw the huge 97 points on it, everyone's pupils shrank suddenly.
Hold the grass!
The venue instantly became noisy... Are you serious about this score?
Soon, the second and third scores appeared one after another.
94!
96!
…
All scores are around ninety-five.
This means that the clinical doctor’s answer is extremely close to the correct answer!
In the end, the clinical doctor received a high score of 95.5 points in this round of assessment.
Unbelievable... Seeing this number, all the participants present were not calm.
Liu Si, Shi Feng and others were even more astonished... Isn't this right? Could it be that they really chose nitazoxanide?
Not to mention other hospitals, even Union Medical College and Huaxi Hospital, cannot produce this kind of drug. It is impossible to choose this kind of drug as the key to treating Cryptosporidium clinically!
Liu Si looked at the judges' table from afar, he wanted an explanation.
But now was obviously not the time. After the clinical results were announced, the competition ignored the commotion in the auditorium and continued to announce the next results.
The results of the next three or four hospitals were neither high nor low, stable at around 60 to 70.
Until the assessment was completely over, the chief judge came to the stage with a form.
He looked around the audience. Although he was very restrained, he couldn't help but stayed in the direction of the doctor for a long time, and finally announced:
"The final results of the second round of assessment are now announced...
First place, clinical doctor, 93.65 points! "
As soon as he finished speaking, the auditorium that had just been silent became noisy again.
Although everyone had already expected it after learning the results of the final round, the total score was still over 90 points, which is also quite incredible.
There were almost no mistakes in the entire clinical process... Many people couldn't help but look in the direction of the clinic, and most of their eyes stayed on Shi Lian... Are all Xu Qiu's students so outrageous?
Liu Si, Shi Feng and others were completely confused.
At this moment, they once again felt dominated by Xu Qiu.
No, this time it was even more humiliating. Xu Qiu had already been banned by the competition committee in every possible way. In the end, he didn't even need to show up, he sent a student to beat them all the same...
Is there any way for this mud horse to survive?
The terrible thing is that this is already the last famous sword competition for Liu Si and Shi Feng.
And Shi Lian is only twenty-four years old this year, so she can participate in at least two more years.
Even Liu Si and others who have now polished their personal abilities to the extreme are not as good as Shi Lian. How can others compare?
Is it possible that Shi Lian was also suspended?
Suddenly, the captains of each compound felt a strong sense of crisis... They finally realized that the Famous Sword Competition might no longer be a arena for Xiehe and Huaxi after Xu Qiu was born.
Instead, the clinical hospital and all other hospitals are a one-on-one abuse market.
The world of medicine has changed...
…
"Second place, Tiandu Union Hospital, 83.25 points!
Third place, West China Hospital of Sichuan Province, 81.50 points!
fourth place……"
After a brief pause, the chief judge continued to announce the next results.
But with the shock that the clinical doctor brought to everyone, not many people care about the subsequent scores.
Everyone just felt their scalps go numb... It was such a terrifying big score lead again.
Xu Qiu has left, but we are still shrouded in his shadow!
…
After announcing the results, the chief judge put down the form in his hand and was about to announce the end of today's assessment.
Suddenly, Liu Si raised his hand and said loudly: "Professor, can you tell us the correct diagnosis and treatment ideas?"
As soon as this statement came out, the venue once again broke into commotion.
"Yes, this question is very difficult. I don't know which steps are correct!"
"I want to see the gap with the top-ranked hospitals!"
"I feel that Union Medical College has already given the correct answer. I didn't expect that the clinical doctor actually got close to full marks. Academician Xu's students turned out to be even better than the geniuses cultivated by Union Medical College..."
Everyone was talking, saying they wanted to understand the difference, but deep down most of them were unconvinced.
For example, Liu Si, Shi Feng and others do not agree with nitazoxanide.
The chief judge seemed to have expected such a situation. He pressed his hands, and after everyone calmed down, he said, "In that case, let's sort it out from beginning to end."
After saying that, the screen behind him lit up, as if it had been prepared for a long time, and the question stem, title, etc. of the first question appeared on it.
The chief judge's tone did not change and he said calmly: "For the first question, the anti-infection program is basic and no team made any mistakes. The key lies in the application of immunosuppressants."
At the same time, an excerpt from the "Daxia Liver Cancer Liver Transplantation Clinical Practice Guidelines" appeared on the screen.
It just happened to mention how patients maintain immune balance after liver transplantation.
Coincidentally, the guidelines do not recommend the withdrawal of immunosuppressants across the board.
The chief judge smiled and said: "If you recite the guidelines dogmatically, you will make the wrong choice. In fact, due to long-term diarrhea, the patient's blood has been extremely concentrated, and the concentration of immunosuppressants in the body is very high.
At this time, the patient is in an over-immunosuppressed state.
Combined with the patient's extensive infection and multiple organ damage, it is more difficult to maintain the patient's blood pressure.
At this time, if immunosuppressants are continued to be used, compared with the chronic death caused by infection, immunosuppressants themselves are more likely to become the last straw that breaks the camel's back...
On this question, only Linyi, Huashan Hospital, and the First Affiliated Hospital of Zhejiang University got full marks."
On the field, many people's faces gradually became ugly.
Most of them chose to insist on using immunosuppressants.
When they heard the end, more people showed surprise.
Huashan Hospital and the First Affiliated Hospital of Zhejiang University were expected. The infectious departments of these two hospitals are among the best in China, better than the most comprehensive Union Hospital.
But Lin Yi actually did it?
…
"Explosive watery diarrhea is caused by the failure to control the infection. The correct approach is to stop enteral nutrition first, then stop diarrhea and protect the liver, and then adjust the antibiotic regimen..."
"Then, find the cause based on repeated infections.
Since the patient is a special population receiving immunosuppressants, the pathogen is not typical and is likely to be a parasitic infection. The simplest way is colonoscopy..."
On the stage, the main judge spoke eloquently, explaining the logic of the entire diagnostic process clearly.
Ryuji and others looked extremely focused.
They only had one question in their minds... Why does nitazoxanide have a higher priority than azithromycin!
