I can see the status bar

Chapter 308 A Guest from Africa (5K5 for Subscription)
Sun Li'en, who somehow got a crowdfunding fine, followed at the end of the line, muttering inwardly as he walked.This time I owe everyone a favor, and it will be difficult to repay it in the future.The most troublesome thing is that this small accident also let the leader help to take the blame.Dean Song silently carried this big and black blame behind her back. She probably knew how angry Sun Li'en would be in her heart - letting the leader take the blame, isn't it courting death?
The last person who offended Dean Song had already brought the chief physician of general surgery who fell from the sky to Africa.Sun Li'en asked himself that with his small arms and legs, he would definitely not be able to screw Dean Song.If you want to continue working hard, you'd better find a way to ease the awkward atmosphere.

"Sweet roasted gluten ~ have you ever eaten ~" Sun Lien's cell phone rang, and the atmosphere seemed to become a little more awkward.

"Doctor Sun, hurry to the emergency room." On the other end of the phone, Yuan Pingan, who did not participate in the ward rounds, issued a soul call.

Sun Li'en looked up, and everyone stopped talking and were looking at him.

Dean Song said coldly, "Is there a patient?"

Sun Lien nodded awkwardly.

"Then why are you standing still? Wait until I send a car to take you there?" Dean Song seemed very dissatisfied with Sun Lien's nodding response, "You are a doctor, and there are patients waiting for you now. Then what should you do?"

"But rounds..." Sun Li'en still didn't recover, he clicked on the room in front, and Chen Wen lived in this room.She is also a poor child who has been hospitalized for a long time because the operation plan is pending.According to the rule just now, Sun Lien should have been deducted another 200 yuan when the ward round came here.

"Hurry up and get out." Dean Song unceremoniously issued the order to evict the guests, "You can't tell the priority?"

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The call has already been made.Yuan Ping'an frowned and put the phone in his pocket.The patient in front of him was really troublesome, and it was even beyond the scope of the emergency department of the Fourth Central Hospital.

"When can people come?" asked a person next to him wearing a training camouflage uniform. "We have been here for almost 10 minutes."

"Generally speaking, there are very few emergency patients who appoint a certain doctor to see him." Yuan Ping'an responded softly and stingingly. "Besides, if the general military cadets feel unwell, shouldn't they all go to the military hospital for treatment?"

The man in the camouflage uniform frowned. He was wearing a military rank with a horizontal bar on a green background without any stars on it. "This is a foreign student. He...he has a special status."

Dr. Cao shrugged his shoulders, "I can also tell that this is a foreign student, and we are not as black as him among the ethnic minorities in China. As for the affairs of your army, I am a commoner, I dare not ask, you can Don't tell me."

After expressing his clear stand, Dr. Cao Yanhua began to make basic inquiries. "I said bro, can you hear me?"

"There is no problem." The dark-skinned foreign student spoke with a pure Shandong accent, and it would be hard to tell where he was from if he closed his eyes. "Doctor, I, I'm dizzy."

"Have you had infusions in other hospitals before?" Yuan Ping'an slightly adjusted the oxygen tube hanging under the foreign students' noses to increase the air flow. "Where did you get the infusion? What kind of medicine did you use? Why did you have to give you the infusion?"

The young man next to him in a military uniform and with a student rank patted the foreign student on the shoulder, beckoning him to take a good rest, and then replied, "We came from the station to Song'an Province for transition training. During this period of time, there were a lot of things going on, and suddenly he was going north from the southern provinces, and the weather was relatively cold. The climate in Rawls’ hometown was relatively mild, and he had never been exposed to this kind of weather. The troops caught a cold not long after they arrived in Ningyuan. At first he felt that The problem is not serious, and after all, I am in the army, I always feel young, and it will be fine to carry it over."

The army is a young and full-blooded place.Since the revolutionary era, the Chinese army has always said that "you can't go to the front line for minor injuries, and you can't go to the hospital for serious injuries."This is a matter of the style of the army, and it is also the soul engraved in the bones.Bear hardships and stand hard work, can win battles.Under the guidance of this kind of thinking, the military and military academies actually do not pay special attention to various internal diseases.On the contrary, it is more sensitive to trauma.

It was in this atmosphere that Rawls, a foreign military cadet, chose to resist by himself.Anyway, other comrades in arms have also had the cold. He also had it when he was in Tanzania and later when he was studying in the UK.It will pass after a while, and it is not a serious illness.

Unexpectedly, Rawls' usually thin body became the main factor holding him back at this time. A cold has been delayed from mid-to-late November until now.A "little cold" was dragged into pneumonia.

If you have pneumonia, you can no longer treat it as a "little cold".The military hospital gave Rawls cefoperazone and gave him a one-week exemption from training.

However, after taking cephalosporin, Rawls still felt very uncomfortable.Not to mention the sore muscles all over his body, he even experienced labored breathing, shortness of breath and chest tightness.

Foreign military students have some preferential treatment compared to those promoted from within the army. The biggest feature is that they can use mobile phones.Rawls and his father would talk on the phone every two weeks. During this call, Major General Mbaan, commander of the Tanzanian Army Armored Forces, knew that his son had a serious illness in China.

"I have already asked the Minister of Health and the Chinese experts who came to the country to support." Major General Mubarn hung up the phone after learning that his son was ill, and dialed the number again three hours later, "His former teacher happened to be at Dar es Salaam, he recommended you to go to the Fourth Hospital in Ningyuan City, find an emergency doctor named Zhou Jun, if Dr. Zhou is not available, then go to Dr. Sun Lien."

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The culprit who gave this suggestion, Liu Tangchun, was receiving a banquet from the Minister of Health in a hotel in Dar es Salaam, while Chen Tianyang looked at the food in front of him, looking a little hard to swallow.

"These are all local traditional delicacies." Liu Tangchun nodded with a smile to the staff of the embassy and the officials of the Tanzanian Ministry of Health, then moved behind Chen Tianyang and said in a low voice, "It's nothing strange, at most it's cassava starchy food like that and then deep-fried.”

Chen Tianyang replied with a bitter face, "I'm not from Cantonese, the kind who dares to eat anything." Thinking that in the following year, there would be no hot dry noodles, three delicacies bean curd, no kidnapper rice, and not even a cup of soy milk. On days without it, Chen Tianyang felt very uncomfortable.

"Be patient, bear with it, and it will pass." When he was abroad, even Liu Tangchun, who was full of courage and fearlessness, felt a little bit out of control.Fortunately, the senior management of the health system here are basically former Chinese students, and a considerable number of these people are from Ningyuan Medical College.Everyone can be regarded as the same school, so the worry about staying away from Ningyuan was slightly relieved.

"What did that minister ask you for?" Chen Tianyang sighed, opened a can of beer and drank a couple of sips - it's amazing that iced canned beer is served on such a formal occasion. "I see you're smiling quite happily?"

Liu Tangchun picked up two pieces of "french fries" that didn't look like french fries from the plate in his hand, put them in his mouth and began to chew.He smiled and replied, "In Africa, I can get some business for my hospital. You said that after our old Liu returns, the dean will not thank me so much?"

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Whether Dean Song will thank Comrade Liu for still thinking about his work is unknown, but Sun Lien has already felt the "trouble" coming straight from Africa across the Indian Ocean and the Himalayas.

He looked at the black brother in front of him lying on the hospital bed and wearing a PLA-style training uniform, and for a while didn't know what to say.

The student who came to escort his comrades glanced at the ID on Sun Lien's chest, nodded and asked, "Are you Dr. Sun?"

Sun Li'en nodded, instead of continuing to talk to the military cadet, he said to Yuan Ping'an, "What's the matter?"

Yuan Pingan roughly talked about the foreign student lying on the bed, and then replied, "This Tanzanian student asked to come to our Fourth Central Hospital for consultation."

The word Tanzania immediately caught Sun Lien's attention. He frowned and asked tentatively, "Is it... Director Liu..."

Yuan Pingan nodded helplessly, "Director Liu is trying to solicit business for us." His words were also full of helplessness.

Seeking medical treatment for foreigners is a rather troublesome thing. If it is just a simple outpatient service, and it is purely at their own expense, it is easy to handle, and it can be handled in the same way as ordinary people.But the problem is that this is the rescue room of the emergency room, and the foreigner lying on the bed is also wearing a military uniform.

"You are?" Sun Li'en sighed, then reached out to the soldier whom he had left alone for a while and shook his hand.

"I'm a student of the National Defense University. My name is Liu Chuang. I'm Rawls' classmate and comrade-in-arms." Liu Chuang didn't care much about being left alone by Sun Lien for a while. Pretty eye-catching.After all, everyone has seen black people in movies, but Rawls, who is thin and thin, is matched with a Chinese military uniform, which makes people even more concerned.

Sun Li'en nodded, turned his head to look at the top of Rawls's head, no matter what the origin of the other party is, in short, he should find out his condition first.

"Rolls Mubarn, male, 21 years old, chronic malnutrition (181725.44.35), anemia (105920.36.21), pneumonia (322.51.11), hemolytic anemia (49.21.36), hypoxemia ( 44.39.09)."

Sun Lien rubbed his eyes, and carefully counted the length of the first digit of the first two symptoms.Tens of thousands of thousands... [-] hours of symptoms?If he hadn't already known that the three numbers behind the status bar should represent hours, minutes and seconds respectively, he might really have to think about the meaning of this string of numbers.

Yuan Pingan glanced at Sun Lien's unbelievable face, shrugged his shoulders and said nothing.To be honest, even Yuan Ping'an himself was quite shocked when he received foreign patients at the Capital Tongxie Hospital for the first time.At that time, he never thought that he would give a chest massage to a Pakistani living in China.He even subconsciously felt that the patient in front of him seemed to come from another world, and his body structure was different from that of the yellow-skinned Chinese.It was not until the rescue was successful in the end that the patient thanked Yuan Pingan in very authentic Chinese before he was discharged from the hospital, and he finally came to his senses—everyone is human, with two eyes and one nose, and there is no difference.

Sun Li'en pondered for a moment, and began to ask about his condition.

Liu Chuang and Rawls are classmates, comrades-in-arms, and good friends.Before joining the army, Liu Chuang was a top student at Capital University of Foreign Studies. He studied Swahili and Arabic.The addition of Swahili and Arabic, as well as a fairly high level of English, made Liu Chuang a formidable figure who could speak four languages ​​proficiently at the same time.

Swahili is one of the main languages ​​spoken in East Africa.As an East African country, Tanzania naturally has Swahili as one of its official languages.This background made it easy for Liu Chuang and Rawls to communicate. What is even more rare is that Rawls learned a very authentic Shandong dialect from his father since he was a child. Rawls may have spoken the Hebei dialect since elementary school.

In short, during the period of studying together, Liu Chuang, Rawls and other African-born students had a good relationship.And this time Rawls fell ill, and he stayed by his side to help take care of him.The hospital medical records in the army are not connected to the case system of ordinary public hospitals, so he also specially brought a full set of medical records and examination results.

Taking care of comrades-in-arms is something that doesn't even need to say a word of thanks.

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Sun Li'en took a complete set of materials and gathered people to prepare for the meeting.Just now Sun Li'en roughly calculated, according to the description in the status bar, Rawls's chronic malnutrition has lasted for almost 21 years, which is almost equivalent to his age.And anemia has been in this state for more than 12 years-but the reason is unknown.

It was the military hospital in Ningyuan's local training ground that provided Rawls with the initial diagnosis, which is a second-level A-level hospital.The hospital's diagnosis and treatment methods are also relatively straightforward - the blood cell analyzer detected that Rawls had anemia, and the white blood cell index rose to 14.9 at the same time, and after confirming signs of lung infection through imaging examinations, the hospital did not even do sputum culture. Rawls was given cefoperazone injection.

Although the method is a bit crude, it is also understandable.After all, the location of the training ground is far away from the urban area, and the main patients treated by the training ground hospital are soldiers and trainees who come to the training ground from other places.They have rich experience in dealing with heat stroke, bone and trauma, and even digestive system diseases, but they are relatively weak in infectious diseases and respiratory medicine.

Judging from the content of the current status column, Sun Lien's first suspicion was an allergic reaction to the drug.Rawls was injected with cefoperazone for two days, according to medical records.Although the level of the hospital in the training ground is not too high, it is still a serious hospital.A skin test was also done before Rawls was officially given medication.

So this shouldn't be a severe allergic drug reaction, maybe an adverse drug reaction?Sun Lien wrote down the guess in his notebook, and then drew a circle on it.There are various types of adverse drug reactions, and Sun Lien does not know whether dyspnea and hemolytic anemia are one of them.This question is left for investigation.

"Another patient admitted today?" Asked Xu Yourong, he led Rachel into the conference room. Rachel happily waved to Sun Li'en and Yuan Ping'an, and at the same time hugged Dr. Pascal who rushed over one time.As for Zhou Ce...he only got a handshake.

Sun Li'en nodded, and said helplessly, "Director Liu gave me a trick from far away in Africa, and asked him to come to our hospital to see a doctor."

"This shows that your progress has been approved by Director Liu." Zhou Ce applauded, then looked down at the report, frowning while reading, "Why are the hospitals in the training ground still writing medical records by hand?"

"You ask me, who am I going to ask?" Anyway, everyone is familiar with each other now, and Sun Li'en is not at all restrained like Gui Peisheng when he talks to the senior doctors. "Maybe people know that this patient is coming to our hospital, so they changed it into handwritten to show respect?"

He was joking, but Sun Lien's mind was full of confusion.There are two biggest confusions. The first is the symptoms of the two [-] units, and the second is the appearance of the two anemias.

The item in the status column is "the most important factor prompting the patient's current symptoms".But what is the relationship between the symptoms that have lasted for more than ten or even 20 years and the dyspnea that appeared only in the last two days?As for the second question, it is even more confusing. The simultaneous appearance of anemia and hemolytic anemia means that Rawls' anemia has progressed into hemolytic anemia?Or does the anemia trigger the hemolytic anemia?

There are too many questions, and none of them seem to have a clue at the moment.Sun Lien frowned, first suppressed his confusion, and began to introduce the patient to the team members.

"The patient's past medical history is not clear, but he may have malnutrition." Sun Lien slipped in some private goods during the introduction, "When the patient came to China for military training, he was 1.7 meters tall and weighed 48 kilograms. According to international According to the standard calculation, BMI belongs to the category of extremely thin. Although after a year of life, the weight has reached 53 kg, but it is still underweight."

"The patient's family background is relatively good in Tanzania, and he even went to study in the UK for a while." Yuan Pingan added later, "So I think his malnutrition may be a symptom rather than an objective cause. Caused."

Dr. Pascal spread his hands and inserted a joke, "Perhaps this poor child has been too thin due to the torture of British food."

In China, mocking British food is a popular thing to do.

"We don't have medical history records of patients in Tanzania." Xu Yourong said, "So should some diseases that are not particularly prevalent in China be taken into consideration?"

Sun Lien probably knew about this place in Tanzania before. Medical capabilities are backward, and various diseases that have almost disappeared under the domestic medical system still break out from time to time.However, Sun Lien did not approve of Xu Yourong's suggestion, "The patient has been living and studying in China for more than a year, so even if there is any disease, it should have manifested early - if it is a disease with a long incubation period, it is even rarer. You know, he first studied in the UK for five years, and then directly departed from Heathrow Airport and arrived in Shanghai. The patient has not been back to Africa for more than six years. I don’t think there is any disease with an incubation period of more than six years. It's going to show symptoms."

To put it bluntly, Rawls' current symptoms are relatively simple.It was just pneumonia, plus hemolytic anemia of unknown cause and dyspnea.If the hemolytic anemia is severe, such as Wang Lin who suffered from pulmonary hemorrhage-nephritis syndrome before, it makes sense for Rawls to have difficulty breathing and hypoxemia.

But if it were really that simple, Sun Li'en would not call all the members for a meeting now, and Liu Tangchun would not directly suggest that Rawls come to the Fourth Central Hospital for treatment.

"First do a blood routine test, add sputum culture and a lung CT examination." Out of the principle of caution, Sun Lien decided to go through the standard procedure first.

　Sanguan's mother had a heart stent operation today - the circumflex branch was 95% narrowed.I have to complain about a certain second-grade hospital in Shenzhen. Two months ago, they thought there were only two stenosis, and the stenosis rate was less than 50%...

　　Fortunately, the operation went well, thank God.

　　But it looks like... the arrangements for this Mid-Autumn Festival are completely ruined.

　　PS, there was originally a chapter of 200 monthly tickets to add updates today, but there are too many things recently and it is difficult to concentrate, so Sanguan strives to release the updates tomorrow.

　　Ask for a subscription, ask for a monthly pass, ask for a reward.

　　
　
(End of this chapter)