I can see the status bar

Chapter 240 Poolside Consultation (First Update)
The reason why the old experts came over so enthusiastically to greet Comrade Lao Li was not just because they didn't bother the students and the training doctors all day, so they felt uncomfortable.After inquiring about Comrade Lao Li's medical history, many experts noticed one thing at the same time-although his pain was consistent with the symptoms of lumbar disc herniation, it was relatively rare to have a sudden onset while swimming.The reason why doctors recommend swimming for patients with lumbar intervertebral discs is not only because this kind of exercise is harmless to the disease, but also because soaking in water can greatly relieve the stress on the lumbar spine, and swimming can actually relieve pain.Swimming not only did not relieve the symptoms, but the pain caused Comrade Li to choke on the water. This is a point that can easily attract the attention of old experts.

After discussing with Sun Li'en, Hu Jia trotted all the way to the duty station by the swimming pool, and borrowed a stethoscope and a sphygmomanometer.These basic diagnostic tools can actually do a lot more than ordinary people imagine.The experts praised Hu Jia's dexterity in bringing diagnostic tools and operating them.And Sun Lien's attention began to extend to Li Fengmin's limbs and cheeks.

The extremities at the end of the human body's circulation are places where blood circulation disorders are more likely to appear.These areas often exhibit very characteristic diagnostic hallmarks.For example, liver palms, spider nevus, polycythemia vera, Raynaud syndrome, clubbing, etc., are all excellent features to assist in the diagnosis.These features are very suggestive, but sometimes require some patience and sharp attention to discover.

As for the cheeks, Sun Lien was looking for evidence of the existence of autoimmune diseases. Although SLE (systemic lupus erythematosus) is more likely to occur in women of childbearing age, the possibility of developing it in older men still exists.If the other party has a disease such as vasculitis due to an autoimmune disease such as SLE, it can be compared with the symptoms he is showing now.

"Heart rate 95, systolic blood pressure 115 mmHg, diastolic blood pressure 80 mmHg." Hu Jia finished the examination swiftly, and then began to listen to Li Fengmin's heart and lung sounds.The water in the swimming pool is undoubtedly fresh water, because the osmotic pressure of fresh water is lower than that of blood, and choking a certain amount of fresh water may cause the blood to be diluted at the alveoli.Hemodilution causes an increase in blood volume, which leads to an increase in blood pressure.At the same time, a large amount of water pours into the blood, which can also cause severe hemolysis.Serum potassium rises, and nitrogen and sodium concentrations drop rapidly.Ultimately, cardiac arrest can result in death.

The diaphragm of the elderly may not be as strong as that of the young, and it is also possible that after choking on water, all the water that invaded the trachea could not be discharged.Although the blood pressure was not high just now, Hu Jia still didn't dare to be careless.After listening carefully for a long time, I confirmed that there were no rales in the old man's lungs, and the heartbeat was stable and strong, and then the examination was stopped.

The experts who came to the "consultation" exchanged their opinions and basically agreed that the old man was fine.It may be that the lumbar disc herniation is a little serious.And just when everyone was about to leave, an old man recognized Sun Lien.

"Hey, isn't this Dr. Sun who scolded people on the stage at noon!" A white and fat old man waved his hand to Sun Lien with a smile, and said kindly, "Lao Li is fine, you can go on and play. Don't worry, I'll ask the waiter to send him back later."

Sun Li'en remained silent in a somewhat rude manner, still staring at Li Fengmin, his eyes looking everywhere on him.He didn't realize that there was an old man beside him talking to him at all - Li Fengmin's body didn't show any obvious signs of appearance, Sun Li'en stared at the side for at least 5 minutes, and he saw a mole on the old man's back several times all over.But melanoma does not cause this symptom, nor does paraneoplastic syndrome produce the "slow drop" in blood pressure.

I'm sorry, I'm sorry, Sun Lien felt that his head was about to boil, but he just didn't understand what was wrong with Li Fengmin in front of him.He checked the status bar above Li Fengmin's head over and over again, but he just couldn't figure out why he had this prompt.

Sun Li'en suddenly felt that his arm was being gently tugged. He looked back suddenly and found that it was Hu Jia who was looking at him worriedly.Surrounded by a lot of curious experts who only wore a pair of swimming trunks.

"Young man, what do you want to ask?" the fat old man who started the conversation asked with a smile.It's not necessarily a bad thing for a young doctor to be so preoccupied in front of his patients.Sometimes when I suddenly figure out a joint, it may become a key node in the transformation from an ordinary doctor to an excellent doctor.Anyway, many experts present felt that Comrade Lao Li would have no problem, and it didn't matter if Dr. Xiao Sun was distracted.The old man felt a little regretful when he saw that Sun Li'en had been called back to his senses by Hu Jia.He tried to worry that Sun Li'en hadn't figured it out yet, and tried to make up, "If there's something inappropriate for you, why don't you just give Lao Li a physical examination. After all, it's better to do it once than to watch a thousand times!"

Concentrating on a problem for a long time will lead to a result similar to "cloze collapse" or "semantic saturation" when people relax.It's like seeing a large number of Chinese characters repeated in a short period of time, or after staring at a character for a long time, you will find that the character becomes unfamiliar, and you may even forget how to pronounce the character, which represents What's the point.

Sun Lien's concentration was a little higher than this, and when he came back to his senses, he couldn't even remember what he was thinking about.After hearing the suggestion from the older person next to him, Sun Lien subconsciously followed the logic of "regular training doctors follow the instructions of the superior doctor", and walked to Li Fengmin's side to start the examination.

Although usually at school or in the hospital, these old experts may not all be so kind.But being away from home, again, is a professional situation that arises after a somewhat boring meeting.They were all watching Sun Lien's examination with interest, and they were talking about the young doctor's examination techniques in a low voice.

Although it is not bad, it is not very good either. This is the conclusion reached by the experts after the exchange.In the eyes of these old experts, although Sun Lien's inspection actions are standard, they are only standard actions in the regulations.It seems that he hasn't learned the technique of being lazy with purpose and skill to speed up the inspection - Sun Lien is suspected of "dogmatism".

Sun Li'en is not the strict temperament, which can be seen from his rash proposal to use raw materials to treat firefighters poisoned by organophosphorus - sometimes this guy really doesn't play his cards according to the routine.But he was really serious about the inspection this time. After Sun Lien came back to his senses, he fell into the previous confusion again. He tried to use closer contact and inspection to find the main reason for Li Fengmin's blood pressure drop.

"How are you feeling now? What's wrong?" Diagnosing with a problem is at least a little better than a blind inspection trying to find what's wrong.Sun Li'en asked Li Fengmin casually while checking the muscle strength of Li Fengmin's lower limbs.

"I'm fine." Li Fengmin replied with a smile. He did feel that the radiating pain from his lower limbs had eased a lot. "But maybe I drank two sips of water just now, and now I feel a little full."

Sun Lien made no objection, asked Hu Jia to pass the sphygmomanometer, and checked Li Fengmin's heart rate and blood pressure again.

"Heart rate 95, blood pressure systolic 105 mm Hg, diastolic 75 mm Hg." Sun Lien reported the readings, and as expected, Li Fengmin's blood pressure was dropping.

"You said you felt a little full just now?" Sun Li'en suddenly thought of something, "Is it a feeling of fullness, or does it feel a little full?"

Li Fengmin asked with some confusion, "Is there any difference?"

(End of this chapter)