I can see the status bar

Chapter 1047 D+6 day (5) (Addition 03 for the leader "Yiwu Big Tail")

This chapter is Chapter 3 of adding updates for the leader "Yiwu Big Tail". After this chapter, there are three more chapters waiting to be updated.

Now is a special period. Due to the lack of adequate protection, keeping fever patients in the hospital for an extra second will multiply the risks they face.So, Sun Lien made a decision - to increase the diagnosis speed to the highest with the help of the status bar.

Anyway, he doesn't need to explain the situation to others now, and the status bar is a little trustworthy-it can prompt the cause of the patient's current symptoms.

In other words, as long as Sun Lien sees these fever patients, at least he can immediately understand the cause of their fever.

From the time the patient entered the consultation room, Sun Lien apologized in advance, "There are too many people queuing up behind, we try to speed up as much as possible, so that more people can see the doctor."

As he said this, he operated the printer and quickly printed out a piece of paper that said "there are many people in the queue, so we need to speed up the consultation, please cooperate", and then directly posted it on the desk, facing the patient orientation.

The first patient to enter the room was an elderly woman who appeared frail.

"Doctor...I can't breathe..." The aunt was about to take off her mask to speak when Sun Lien stopped her.Are you kidding, there is a warning sign on the status bar hanging in this room.

"How long have you been coughing?" Sun Lien asked after stopping the other party's dangerous movement, "Has it gotten worse recently?"

"I have been coughing for more than ten years." The aunt said after taking a few deep breaths, "I have started to feel a little out of breath in the past few days."

"You haven't come to the hospital for physical therapy or breathing training since the beginning of the year, have you?" Sun Lien took the aunt's medical insurance card, swiped it on the system, and quickly called out the medical insurance she received in major hospitals in Yunhe City. records of treatment.The records show that the old man was diagnosed with chronic obstructive pulmonary disease (COPD) eight years ago. In recent years, he has to undergo hyperbaric negative ion oxygen therapy every few months, and has continued to use inhaled albuterol, formoterol and Gelatin. The mixed inhalation of longonium bromide controlled the progression of the disease, and five months ago, the respiratory physician of He'an Hospital prescribed her an additional small-dose and long-term erythromycin prescription—one pill per day for two months.

The medical records stop here. From November last year to today, in the past three months, the patient has no record of going to the hospital for treatment.

"No more." The old man shook his head and said, "Now people are panicked by this disease, how dare I... come to the hospital again." She looked at Sun Lien and asked very worriedly, "I won't get it too Is this pneumonia?"

Sun Li'en looked at the status bar above the old man's head, then shook his head and said, "Your status... To be honest, it doesn't look like it."

The answer given in the status column is no-the 63-year-old woman named Ding Yun has no symptoms of new coronavirus infection.She had lung inflammation and had a marked increase in leukocytes and signs of peripheral lymphocytes - this could not be a viral infection but more likely a bacterial infection.

Considering that the patient had taken erythromycin for a long time and used its immune regulation ability to treat chronic obstructive pulmonary disease, Sun Lien determined that some kind of bacteria resistant to erythromycin might have been born in the old man's body. And it eventually led to the current lung infection, or she was infected by some other bacteria that were not itself sensitive to erythromycin.In short, she has no signs of being infected by the new coronavirus.

"You haven't drawn blood yet, have you?" Sun Li'en thought for a while, and decided to add a little to his chain of evidence on the diagnosis of bacterial infection.He covered the earpiece of Wu Jianping's stethoscope in the consultation room with his hand, and then stuck it directly on the ear outside the protective clothing.

"Okay, you inhale first, then exhale..." Sun Lien tried to listen to Ding Yun's breathing, while directing her to breathe hard.Doctors Yunhe had no problem with the diagnosis of Ding Yun's chronic obstructive pulmonary disease, but after the dry rales from the stethoscope reconfirmed that she did have a lung infection, Sun Lien put away her stethoscope and thought about it few seconds.

Since the patient has long-term experience of using erythromycin, the choice of antibiotics she can use is relatively limited—no matter what infected Ding Yun’s lungs, continuing to use macrolide antibiotics will not be effective great.If you use β-lactam antibiotics at this time, the effect may be better.

But...she has COPD, and infections can get aggravated very quickly. COPD itself is a disease that has no cure and can only be slowed down with long-term medication.For the lung infection of such patients, doctors must attach great importance to it and quickly control it, so as to minimize the adverse impact of infection on the patient's life.

It is necessary to use β-lactam antibiotics, a broad-spectrum antibiotic, and at the same time reverse the damage caused by the infection as soon as possible... Sun Lien made a quick calculation in his mind, and then found that the patient's condition was worse than he had expected at the beginning. Be a little more troublesome.

If there is no epidemic, if it is in Ningyuan, Sun Li'en will definitely take this patient into the ward without hesitation.She is not doing well now, with a lung infection causing her already inadequate breathing to further decline.The duration of hypoxemia has exceeded two days. Even if antibacterial treatment is started now, generally speaking, it will take about two to three days for the treatment to take effect.

For two to three days, it is too risky for Ding Yun to receive treatment in an environment without life support facilities.

"How about this, Auntie, go to the blood draw place first." Sun Lien only thought for three seconds, and then he made a judgment, "Don't worry about the test results after you draw the blood, I can see it here Yes. You go straight to the emergency department, and someone will be there waiting for you—other treatment options, they will all arrange it for you."

Sending home a 63-year-old patient with acquired pneumonia and stage [-] COPD is almost indistinguishable from letting her die.Now the entire inpatient department of He'an Hospital is accepting patients with pneumonia caused by the new coronavirus, or is actively renovating the wards.She couldn't be admitted to an inpatient unit for treatment, but she did need it.

Then there is only one way.Sun Li'en sent Ding Yun away, and then called Liu Pingchuan.After more than ten seconds, a voice that Sun Lien had never heard before rang out, "Dean Liu is in the red zone, what's the matter, Director Sun?"

"I'm currently in the fever clinic of He'an Hospital. I just received a second-stage COPD patient. She still has a relatively large-scale lung infection." Sun Lien said quickly on the phone, "I asked her to complete the examination. Can our medical team send a doctor from the Department of Respiratory Medicine or Infectious Diseases to go to the emergency room first to help her with basic treatment?"

"Got it, I'm going downstairs now." The person on the other end of the phone agreed without any hesitation, "I'll take a nurse down with me—is there anyone in the emergency department now?"

"There is a section chief of the Department of Regulations of the Health and Medical Commission surnamed Wang." Sun Lien said on the phone, "I took the post of an interventional doctor here, and I can't leave now. Please deal with it, patient Ding Yun, female, 63 years old..."

(End of this chapter)