At eleven o'clock at night, three hours after taking the medicine, Tao Changhan's body temperature completely stabilized.

This scene also shocked the doctors of the ICU.

A box of medicines that cost a few dollars is actually better than a special-effect antipyretic!

Previously, the intensive care unit was helpless.

At first, they gave moxifloxacin anti-infection treatment, and the body temperature rose and decreased, and it continued to repeat.

The subsequent upgrade to panipenem is effective but still not ideal.

Later, the use of vancomycin, cold ice packs, oral diclofenac, intramuscular ammonia barbital and other measures all had little effect. As soon as the drug was stopped, the temperature immediately rose, and the patient's heart rate increased, making the hypoxia worse.

In desperation, ICU considered to stop the drug experimentally.

Who would have thought that the small naproxen that broke the deadlock was actually a small naproxen?

...

The next day, the patient's mental comparison improved a lot last night.

Third, on the fourth day, he did not get any fever again, and Tao Changhan finally got off the ventilator successfully and saw hope for recovery.

On the fourth night, after evaluation, the tracheal tube was removed and finally he could speak.

Tao Changhan held it in for a long time and scolded her daughter: "Can you say a few less words?"

The second sentence: "I told you Aunt Zhang, Aunt Wang, and Aunt Liu not to come to see me, and I refuse to visit you."

Tao Nu said oh, saying, "I mean Aunt You can do it?"

“…”

Tao Changhan exhaled a few breaths: "You go too."

Afterwards, he stopped talking if his daughter was provoking her.

"If it were before, he would have had arguing with me the next morning, and he would have had mutism. "Mr. Tao commented, that is, she could scold her father today, although it was a bit unfair.

The morning of the next day after the tube was extubated, ICU was confirmed to confirm that the elderly could be transferred from the intensive care unit.

However, Director Jiang hesitated when it was time to send it to.

He called Xu Qiu, chatted for a few simple words and asked, "Respiratory or Brain Surgery?"

Xu Qiu: "Emergency Department."

If this answer is spoken from other doctors, it can be said to be extremely ridiculous.

The emergency department has always been a transit station for patients. They only dare to send people away. When will they accept people?

But the emergency department of Linhai First Hospital is an exception. No department has dared to grab patients from the territory covered by Xu Qiu...

"I received it, but this patient's tumor is difficult to find, so I guess I need to follow up." Director Jiang shook his head and sighed.

The tumor index is not high, even if it is a tumor, it must be in the early stage.

Imaging can see people clearly, but it is still limited to tiny lesions and the detection rate is extremely low.

Even with the most advanced AI automatic recognition system, it is difficult to detect abnormal lesions.

Before, Tao Changhan was still a small firewood product.

It is not too much to say "close follow-up" to wait until the tumor grows to the point where it can be explored by imaging examinations.

Clinically, many people have lung nodules or small chocolate cysts, and the doctor's advice is to follow up.

As for why the problem was not solved in the early stage, the reason is very simple.

The real clinical practice is by no means killing every abnormality, but being like an aunt in the vegetable market, calculating.

To put it bluntly, it is the relationship between cost and benefit.

For Yan Ziqiang, a tumor that is extremely difficult to detect in imaging, no one can tell whether it is better after surgical radiotherapy and chemotherapy, or whether palliative treatment is more beneficial.

Once the expected efficacy is not very different, it is unnecessary to take huge risks to perform craniotomy and perform surgery, and it is not in line with the principle of "maximizing the interests of patients".

What's more, even if the craniotomy is broken, it is still a different matter whether the tumor can be found.

In the complex cranial cavity, find a sesame seed that is adhered to the brain tissue or a certain cavity, and wait for it to grow up and find an egg in the cranial brain. Which is difficult and easy is obvious at a glance.

In addition, there are two reasons.

1. The elderly have very slow metabolism, and this intracranial tumor may not continue to develop or recur.

Second, he was just transferred from the ICU and his physical condition was not suitable for tumor treatment. If he had to focus on this little tumor, the risk was too high.

The industry-recognized leader, Daxia Academy of Medical Sciences Cancer Hospital, is the most powerful tumor-professional hospital in the Union Medical College. When treating patients like Yan Ziqiang, they probably think that they occupy already tight medical resources and do not know how to check, and they even talk about surgery.

...

After Yan Ziqiang was transferred to the emergency department, Xu Qiu specially issued a medical advice and asked the nursing department to take extra care.

It is mainly to guard against related central nervous system diseases, such as headache, vomiting, vision-related problems, as well as diabetes insipidus caused by hypothalamic invasion, monitoring urine volume, etc.

If it were other doctors, they would definitely be dismissed by saying "The examination is meaningless".

But Xu Qiu is different.

He needs to make a decision between early surgery and stocking, and at this time he has to figure out how much impact the tumor has on the patient and what tumor it may be.

Beneficiary tumors such as pituitary tumors, meningiomas, and embryonic residual tumors that have good differentiation and slow growth are not harmful.

However, if it is a primary malignant brain tumor, a different treatment plan may be required.

A few days later, Xu Qiu's case spread throughout the hospital, and the naproxen drug became very popular for a while.

"It's ridiculous. Can naproxen still work like this?"

"I just checked it at CNKI.com. Naproxen is basically papers in the industrial field, such as sewage treatment and degradation, and the synthesis of rare earth-naproxen complexes.

Even if you search specifically for clinical medicine, naproxen is mostly used for anti-inflammatory and analgesic to diseases such as arthritis!”

"If I hadn't specifically searched the two keywords of naproxen and cancer fever, I would never have thought that it could be associated with cancer fever in my life!"

"That's why you don't know. Cancer fever is the strength of the oncology department. They usually identify it and must have the naproxen plan."

...

at this time.

The doctors in the Oncology Department looked at the large group of Linhai First Hospital and silently chose to close the wheat.

In fact, even in the oncology department, they don’t encounter many cancerous fevers.

Those who can be sent to the oncology department have basically been clearly identified with tumors.

Either undergo surgical resection or various radiotherapy and chemotherapy treatments, the tumor is no longer protected, so how much cancer fever remains?

also.

The diagnostic standards for cancerous fever are very strict, with a total of six items. Finally, other causes of fever such as infection are required to be confirmed, which is an exclusion diagnosis.

That is, it is impossible to directly confirm the diagnosis. Cancer fever can only be considered after all causes that may cause fever are excluded.

In most patients with malignant tumors, the culprit of fever is infection, and the tumor itself causes too little fever.
Chapter completed!