I can see the status bar

Chapter 29
Something wrong with the status bar?Sun Li'en felt a chill in his heart, and he even felt a little regretful.I regret relying too much on the prompts in the status bar, regret that I have pinned the patient's health on the illusion, and regret that I have underestimated the disease too much.

"Don't panic." Liu Tangchun's voice was steady and firm, "If you panic, what will the patient do?"

"Director Liu..." Sun Lien held the checklist and said calmly, "The patient's five items of infectious diseases are all negative."

Liu Tangchun took a look at the test sheet, shook his head and said, "Syphilis and hepatitis B are rapid tests, and there is a possibility of false negatives. Considering that the patient's symptoms should belong to the end stage of some kind of liver disease, and this disease It can also affect the brain. You should continue to do other tests to confirm the cause."

That's why veteran primary care physicians are worth more.Liu Tangchun's judgment on this patient was almost the same as Sun Lien's conclusion through the status bar.The only difference is that Deputy Director Liu doesn't have any status bar to support his point of view.

"Do a lumbar puncture and take spinal fluid for testing." Sun Lien gave instructions, "Take a liver biopsy kit and prepare to extract liver tissue for biopsy."

"You are really courageous." Brother Luo from the Imaging Department yelled, and he moved to Sun Lien's side and lowered his voice, "Brother, you just need to do a few needle sticks to vent your anger. Liver biopsy is risky. Agree that you can't do it."

Sun Li'en said helplessly, "I look like I am avenging my own personal revenge? He is a patient, and his mental disorder is caused by the disease. What is there to bear grudges about?"

"What about the family?" Liu Tangchun interrupted, "Has his family arrived yet? What are you going to tell them?"

Sun Li'en thought for a while, and said in confusion, "What else can I say? Tell them about the danger and importance of biopsy..."

"Then you just wait for the family members to quarrel, find a relationship and transfer to another hospital, and delay the treatment process and time." Liu Tangchun raised his eyebrows, "At work, you must pay attention to methods."

Sun Lien was a little dazed.

"Look, the reason is very simple." Liu Tangchun pointed to Zheng Xiaoyu who was lying on the hospital bed, "He is currently in a serious condition. Our Fourth Central Hospital mainly focuses on emergency departments. Although internal medicine and neurology are provided by Ningyuan Medical College Backing, but after all, it is not as good as those old general hospitals.”

Although the words are not very nice, it is the truth.Sun Lien nodded hesitantly.

"However, this patient's situation does not allow the family members to continue to delay." Liu Tangchun sighed with some regret, "Of course, from an administrative point of view, the best option at present is to transfer the patient. In this way, when the condition worsens, He has nothing to do with us. But we are doctors, and we can't just start from the perspective of 'avoiding trouble'. In order to allow patients to receive the most timely treatment, sometimes when communicating with patients' families, we must pay attention to the methods."

This kind of course is not taught in universities.Sun Lien nodded like a chicken pecking rice.

"Why did my old Zheng become like this?" A middle-aged woman with heavy make-up wiped her tears, the tears mixed with eyeliner and foundation, and kept sliding down the corners of her eyes.

Holding the notice, Sun Lien put on a perplexed expression, "Our leader also attaches great importance to this patient, and we have already done a round of inspections that can be done in advance with little damage. But there is still no definite conclusion. "

"What are you doing to eat!" The middle-aged woman really went into a rage just as Sun Lien expected, "I was fine when I left home in the morning, why did you treat me like this when I arrived at the hospital?!"

"Calm down first." Sun Li'en pressed his hands in the air twice, and asked in a low voice, "Do you... know what Zheng Xiaoyu came to the hospital for today? Has he ever told you that he is not feeling well?"

"No." The middle-aged woman quickly became suspicious, "Why is he here?"

"He has an account of an experienced dermatology and venereal disease doctor in our hospital." Sun Lien pretended to be a bit embarrassed, "Have you...have you...have any physical discomfort in that area over the years?"

The middle-aged woman's face turned from red to white, and then from white to purple, her fists clenched tightly, her teeth creaking.After a while, she squeezed out a curse from between her teeth, "Men don't have a good thing!"

"I strongly recommend that you also have a physical examination. If you have... other partners, it is best to inform them to come to the hospital for an examination." Sun Lien scratched his head, "We are still not completely sure about the disease that caused Zheng Xiaoyu's condition to be so serious What is it, but the test results on your side may be able to provide some hints for our diagnosis."

Sun Lien successfully obtained the consent form required for the invasive examination.He looked at Zheng Xiaoyu who was lying on the hospital bed, his complexion starting to turn yellow, and sighed softly. "You're so old that you don't even know how to use security measures?"

With the assistance of three male nurses, Sun Lien successfully completed the spinal tap examination on Zheng Xiaoyu.A few drops of slightly yellowish cerebrospinal fluid dripped out along the hollow sampling needle, and dripped into the test tube prepared in advance by Sun Lien.

"The cerebrospinal fluid is slightly cloudy with clots, suggesting that the protein has increased." Sun Lien smiled reassuringly when he saw these drops of cerebrospinal fluid.The previous results should indeed be false negatives—at the advanced stage, Treponema pallidum of syphilis is difficult to detect in the blood.But their ravages in other parts of the body will eventually leave clues.

"I found you." Sun Lien smiled really happily.Holding a B-ultrasound probe next to him, who was about to guide the liver biopsy, Brother Luo couldn't help coughing twice, and said in a low voice, "Hurry up and put the things down. You have a perverted expression right now, you know that?"

Sun Li'en carefully closed the lid of the test tube, and then he relaxed.Smiling and explaining to Luo Ge, "This cerebrospinal fluid can tell that there is a problem at a glance. If you can find something that is problematic, it means that the diagnosis will make progress. Of course I am happy."

"Then don't laugh so disrespectfully." Luo Ge coughed twice again.Seeing Zheng Xiaoyu being put back into the lying position, he asked, "How about it, will you do the biopsy or let another doctor do it?"

"It must be me. A biopsy that patients don't complain about is so rare!" Sun Lien changed a pair of gloves and tore out a special biopsy needle from the plastic-sealed plastic bag.Then he picked up the syringe filled with lidocaine in advance and began to give the patient local anesthesia.

Brother Luo raised his eyebrows, "Okay, okay, isn't it troublesome enough?"

"What's the trouble?" Sun Li'en responded, but his hands still didn't stop.Two milliliters of lidocaine was evenly injected into the tissue surrounding the biopsy site.

"This is a comatose patient." Luo Ge sighed, "Do you know the benefits of a comatose patient?"

"Er..." Sun Lien put down the local anesthetic needle and asked curiously, "What good can this do?"

"This means that they are not afraid of pain. And they won't shout. But since you have finished the local anesthesia, then just pretend I didn't say anything." Luo Ge laughed twice. "Okay, let's get started."

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(End of this chapter)