Doctor: start with the heart

Chapter 120 Fecal Mass Transplantation? !
It's four o'clock in the afternoon.

After Zhao Xu finished watching the outpatient clinic, he immediately came to the ward where the delivery guy was.

"Doctor Su, how is the patient's condition?"

Zhao Xu looked at the takeaway boy who closed his eyes and fell into a short sleep, and asked Su Xiao who was next to him.

After speaking, he looked at her again.

Su Xiao's condition can be said to be getting better and better, her work is on track, and everything is developing in the direction she wants.

Of course, it would be even better if he could join the research center.

Today's Su Xiao is wearing a white coat, her hair is tied up casually, coupled with her fair skin, delicate facial features, and an intellectual temperament, she looks like an elite female doctor in TV dramas.

"The patient's condition is very bad now. On the one hand, he has persistent high fever, and on the other hand, he is suffering from severe septic shock. The most serious problem is that super-resistant bacteria have formed in the patient's intestinal tract. I have given him several Antibiotics including vancomycin and aztreonam, but the infection is still getting worse."

Su Xiao shook his head slightly, and said helplessly.

Super drug-resistant bacteria, which can be described as frightening clinically, will not appear under normal circumstances, but once it appears, it means that the patient's life has entered a countdown.

Simply put, the rate at which bacteria develop resistance far exceeds the rate at which antibiotics can be developed for specific bacteria.

"If the situation is still uncontrollable, the bacterial flora and electrolyte imbalance in the patient's intestine will become more serious. In that case, we can only consider giving the patient a life-long ostomy operation."

Su Xiao continued.

"Wait for the patient to wake up and ask for his opinion."

Zhao Xu also sighed, and said with some regret.

The lifelong fistula mentioned by Su Xiao is to open a fistula directly in the patient's abdomen, and the fistula is connected to the excretory bag outside the body to replace the patient's intestinal function.

In other words, after a lifelong fistula operation, the patient's intestinal excretion can only be discharged through the fistula tract into the carry-on bag.

To put it more vividly, patients who have undergone this operation are equivalent to wearing a mobile toilet on their body.

There is no way around this. With the emergence of super-resistant bacteria, the intestinal flora of patients will be completely out of balance. You must know that the digestion of the intestinal tract depends on the fermentation and decomposition of normal flora.

But now that there is no normal flora, the intestinal tract will lose its normal function, and within a short period of time, the intestinal muscles will shrink, not only the digestion function will be lost, but also the normal excretion function will also be lost.

"I see."

Su Xiao nodded and also sighed.

If you think about it, you will know that as a normal person, especially as young as a takeaway boy, how could he want to carry a dung bag on his body at all times for the rest of his life.

At this time, the boy slowly opened his eyes. It turned out that he had woken up a long time ago. He just wanted to hear what the hospital said, so he pretended to be asleep.

"Doctor, is there really no other way?"

The young man looked at Zhao Xu and asked in a weak trembling voice.

Thinking of the rest of his life, he will live with a manure bag on his body, and now the boy feels very broken.

At this moment, he felt very regretful. If he knew that the consequences of overuse of antibiotics were so serious, he would definitely not use so many antibiotics together, but there is no way to do this.

He is very desperate at the moment, he still has a great life, he still has to save money to buy a house, he still has to get married, and there are many things waiting for him to realize.

Seeing the boy's pleading face, Zhao Xu also sighed, and said slowly, "This is only the last resort. Before that, we will do everything possible to control your infection and correct the flora in your intestines." Disorder. But you also have to be mentally prepared, once such super-resistant bacteria appear clinically, it will be very difficult.”

Facing the situation of super drug-resistant bacteria, Zhao Xu didn't think of any good solution for a while.

There are only so many antibiotics available clinically, and according to Su Xiao, almost all of these antibiotics have been used, but the infection on the boy is still not controlled at all.

This shows that the super drug-resistant bacteria in the guy's intestines are really troublesome.

"doctor.."

As soon as the boy said these two words, he couldn't help but choked up, and tears couldn't help sliding down from the corners of his eyes.

Endless remorse and despair filled his heart.

Only then did he understand how important it is to have a healthy body.

Zhao Xu didn't say anything else, he exchanged a glance with Su Xiao, and they walked out of the ward at the same time.

At this time, this guy should be given some time to react, not everyone can accept such a result.

After leaving the ward, Su Xiao also said with some regret: "It's a pity for this patient. He is also a person who works hard for his life, but his hard work and struggle did not bring him a good life."

"If there is any way now, it would be great to not have to have a life-long ostomy."

Su Xiao said slowly again.

However, she really couldn't think of any way to control the super-resistant bacteria in the boy's body. After all, in clinical practice, it is very rare for such super-resistant bacteria to appear.

"The abuse of antibiotics is a very serious problem now. Many people blindly use antibiotics without going to see a doctor because of some problems in their bodies. This has caused that once people have an infection, it is not ordinary antibiotics. Controlled, and there will be more and more cases of such super-resistant bacteria in the future.”

Zhao Xu said slowly.

Although the Ministry of Health has now introduced various policies to limit the abuse of antibiotics, this includes the real-name registration of antibiotics, and the purchase of antibiotics must issue a doctor's prescription.

However, due to the long-standing public drug habits, the abuse of antibiotics is still very serious.

Simply put, the speed at which humans research the latest antibiotics cannot keep up with the speed with which bacteria develop resistance.

If it develops to a certain extent, there will be a large-scale infection and no medicine is available. At that time, it will be too late to limit the abuse of antibiotics.

"Yes, in the emergency department, this situation is even more prominent. Many people just have a mild cold and fever, and they can take symptomatic drugs, and they don't need antibiotics at all. But many patients, if you don't give them antibiotics, He will think that your medical skills are not good."

Su Xiao also said with emotion, this is the status quo, even in a big city like Beishi, there are many people who do not have a correct understanding of the use of antibiotics.

"Actually, there may be a way."

Zhao Xu suddenly thought of a way.

The symptomatic treatment that Su Xiao said reminded him that since there is a symptomatic treatment, there is also a radical cure.

Of course, generally speaking, if even the symptomatic treatment cannot be achieved, then it is not a radical cure at all.

But for this guy's situation, Zhao Xu thought, maybe he could do the opposite.

"any solution?"

Hearing that Zhao Xu said there was a way, Su Xiao hurriedly asked.

Today, because of this guy's situation, she also thought about it, but there was no good way.

So, at this time, she was even more curious about what solution Zhao Xu could think of.

"I'm thinking, now super-resistant bacteria have emerged in the patient's intestines, the flora has been completely out of balance, and all antibiotics are ineffective. But this is all symptomatic treatment, we may think about it in a different way .”

Zhao Xu said slowly.

"Change your mind?"

Hearing this, Su Xiao was even more puzzled.

"Yes, since there is no normal flora in the patient's intestines, we may be able to recreate a normal flora for him. In this way, all problems can be solved perfectly."

Zhao Xu said slowly.

"Rebuild?"

Su Xiao was still very puzzled.

"Well, feces containing normal flora can be used to cultivate them, and then transplanted into his intestine. In this way, the normal flora will play an effect, and his condition will be relieved quickly, and there is no need to make artificial Fistula surgery."

Zhao Xu said what he thought of.

"Uh...you're talking about fecal mass transplantation..."

Su Xiao never expected that Zhao Xu would have such a wild idea.

Su Xiao has also heard of "fecal bacteria transplantation". Its definition is to transplant the functional flora in the feces of healthy people into the gastrointestinal tract of patients, rebuild new intestinal flora, and realize the cure of intestinal and extraintestinal diseases. treat.

Fecal bacteria transplantation is mainly to extract the normal flora in the feces of healthy people, and then transplant them into the intestinal tract of patients to enhance the survival of beneficial bacteria in the intestinal tract, improve intestinal immunity, and achieve the effect of curing diseases.

"Yes. Now all antibiotics have no effect on the super-resistant bacteria in patients, so we can completely remove all the bacteria in the patient's intestines, and then re-transplant feces containing normal bacteria."

Zhao Xu nodded and said.

"It's totally doable!"

Su Xiao thought for a while, and said with bright eyes.

Looking at Zhao Xu, his eyes were also full of admiration.

Among other things, Zhao Xu's thinking mode, which is different from ordinary people, is completely different from other people.

For other people, it is impossible to come up with such constructive ideas and treatment methods in such a short period of time.

This may be the root cause of Zhao Xu's great achievements at such a young age.

Su Xiao couldn't help thinking in his heart.

"Then leave it to you, Doctor Su."

Zhao Xu said.

"Um"

Su Xiao nodded. At this moment, she was in a good mood, and doctors are not gods. In fact, in many cases, doctors have nothing to do.

Therefore, in the face of such a very difficult situation, I finally came up with a solution. This sense of accomplishment and joy is also incoherent. Maybe this is why many people still have a hard time and tiredness for doctors. Find out the real reason why this job is so good!

Thinking of a solution to the problem, both Su Xiao and Zhao Xu felt much better.

"Doctor Zhao, I haven't been able to thank you for the quota."

Su Xiao said suddenly.

"Just work hard, don't think too much about other things."

Zhao Xu was not sure what Su Xiao meant by saying this now, but he didn't want to cause trouble for himself.

If Zhao Xu wanted to be the sea king, he wouldn't wait until now.

It's not that he has a big moral cleanliness, but that he likes the way of dealing with feelings from the beginning to the end.

Although he is constantly seeking innovations and changes in medicine, he is still very specific in terms of personal emotions.

Although he and Zhang Guo'er haven't pierced the window paper yet, they have already confirmed each other's intentions.

Now, there is only one opportunity before the two of them can officially be together.

Therefore, in this important period, Zhao Xu didn't want to have any side effects on the relationship between men and women.

"Doctor Zhao, speaking of work, how about the research center?"

Su Xiao heard the meaning of Zhao Xu's words, so he stopped talking about that aspect, but talked about work seriously.

"It's okay, the next patient is being screened for treatment."

Seeing that Su Xiao asked about work, Zhao Xu couldn't help but breathe a sigh of relief.

Perhaps this feeling of attracting bees and butterflies and surrounded by women is what many men dream of, but Zhao Xu finds it very troublesome.

Especially for the colleagues who work together, Zhao Xu hopes that the relationship between them can be purer.

"Doctor Zhao, the research center will definitely develop rapidly in the next step. Is it going to set up a new medical team?"

Su Xiao asked tentatively.

Although she wanted to join the research center all the time, she was lucky to work by Zhao Xu's side.

But this kind of thing, she can't ask directly.

She also has her reserve and pride, even if Zhao Xu is not tempted by her, but taking a step back, Su Xiao hopes to at least work by Zhao Xu's side.

"At this stage, stem cell therapy is still in the trial stage, and we will not consider setting up a new medical team for the time being, but we will definitely do so in the future. At that time, there may be an open selection in the hospital."

Zhao Xu thought for a while and said.

The research center will definitely develop and grow, and by that time, it will definitely enter again.

Whether it is the broad development platform that the research center can provide, or the enviable treatment given to the research center by the hospital, it is the dream of all young doctors in the First Affiliated Hospital.

Therefore, Zhao Xu has already discussed with the dean about the way of recruiting people in the research center in the future, and that is the way of public selection.

"Open selection? So what are the criteria?"

Su Xiao asked with great concern.

"Diligence, ability and performance will be considered, but for an excellent doctor, broad thinking and solid professional skills are necessary."

Zhao Xu replied formally.

"If selected in this way, then I have confidence."

Su Xiao nodded, she was still very confident about her level.

"It's good to have confidence. Regarding fecal mass transplantation, there is no precedent in the First Affiliated Hospital. If you need my help, you can come to the research center to find me."

Zhao Xu said in a calm tone that if it was just about clinical and work matters, he would still be happy to help with the treatment of patients.

"Uh-huh"

Su Xiao agreed happily.

Although she was sure that she could only get along with Zhao Xu as a friend or colleague in the future, she didn't feel too uncomfortable. After all, this was something she knew a long time ago.

(End of this chapter)