I can see the status bar

Chapter 311 Insights
Comrade Major General stood two meters away from Sun Lien in a very orderly manner, and seven or eight school-level officers who came with him also stood around him—in the least obstructive way.

Although the comrades of the People's Liberation Army tried their best not to get in the way, it was a team of nearly ten people after all.In a place like the emergency room, no matter which bed is surrounded by ten people, it will appear extremely crowded—no matter what formation they are standing in.

Comrade Major General was taken aback when he saw Sun Lien's expression, then glanced at his side, and immediately understood why this young doctor looked like he saw a ghost. "Everyone is there, turn right!" He lowered his voice, and issued instructions to the school-level officers beside him, "Outside the iron gate of the target, walk in unison!"

The soldier's style is so rough and direct. After blasting everyone in the way out of the emergency room, Comrade Major General smiled, "Doctor, can you do it now?"

"Ah... ah (four voices for sure)!" Sun Li'en, who had never seen such a posture before, was stunned for a long time, and then he could only squeeze out two answers that could not be considered Chinese at all. "You are..." Since his teacher is from the army, and the work in the emergency room requires a high degree of organization, Sun Lien basically automatically looks shorter when he sees this kind of aura.

The major general smiled and pointed to Rawls who was lying on the bed stunned, "I can be regarded as his superior. After all, he is a foreign military student, and his father and I are old acquaintances, so come and see the situation." Sun Lien said It was only then that the major general's accent had a touch of Shandong accent.

Sun Li'en nodded thoughtfully, then looked around, and said hastily, "It's not suitable for direct discussion here, come with me to the meeting room."

The major general nodded, and said to Rawls who was lying on the bed, "Just lie down obediently, recuperate with peace of mind, and recover as soon as possible."

Rawls raised his body halfway, as if he wanted to at least sit up and salute, the major general frowned, "What are you doing? Lie dead? Lie down honestly, this is an order!"

Rawls's half-raised body seemed to be struck by lightning, and he immediately lay back on the bed, and firmly replied in a weak voice, "Yes!" Although he had a good attitude, his strong Shandong accent still made Sun Lien want to laugh.

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"This kid is good in everything, but his bones are too weak." The major general walked into the conference room, saw no one else in the room, so he took off his hat, threw it on the table, pulled a stool and sat down .The sitting posture of the golden knife and iron horse looks very iron-blooded.However, the content of the conversation was like that of the old uncle next door, and there was a kind of kindness in the enthusiasm. "Are you Xiao Liu's student?"

Sun Lien tried his best to figure out who this "Little Liu" was talking about.The major general explained with a sigh, "I'm talking about Liu Tangchun."

Major general named Peng Feng, 59 years old this year.He used to be Liu Tangchun's company commander.

"Liu Tangchun, this boy has brought out many young people now." Major General Peng waved his hand, like an elder lamenting his past life in front of a junior. "But the inheritance is not good, why don't you even know me?"

"I think...Mr. Zhou should know you." Sun Lien put his heels together and said seriously, "However, Mr. Zhou is on a business trip for the past few days, and I haven't officially joined the group yet..."

"Zhou Jun, right?" Major General Peng nodded, "This kid is not bad, he looks like a soldier." I don't know if it is a compliment to comment on a doctor who looks like a soldier.

"This Rawls is quite special." Major General Peng said again, "His father is a comrade-in-arms whom I took care of before, and Lao Mu is now a senior officer of a foreign army. He is willing to entrust his son to us for further training. It’s nostalgic. It’s also a recognition of us.”

Sun Li'en nodded, he was particularly impressed by Rawls' Shandong dialect.

Peng Feng sighed, and continued, "Let's start with this. It took me a lot of effort to get Xiao Liu to Tanzania. It took me a while to realize that the old man Rawls is over there." It's not bad... Xiao Sun, if you are really not sure, it doesn't matter, we just transfer people to the capital as soon as possible. Xiao Sun, you are not a soldier. I don't know, our army never asks the price for the treatment of soldiers. result."

How can Sun Li'en not understand what General Peng means when he hears this, isn't it just another form of "do whatever it takes to do whatever it takes".And the words are very polite, it is of course best to be cured, if you are not sure, then don't leave him, so as not to delay his transfer to the capital.

For General Peng's request, Sun Lien's heart is actually quite complicated.On the one hand, they are indeed very polite in their words, and there is no unreasonable threat of "it must be cured, or I will trouble you".But on the other hand, General Peng made no secret of his distrust of Sun Li'en and even the entire Fourth Academy.After all, in his perception, the Fourth Central Hospital is just a hospital that specializes in emergency treatment.It’s okay to do first aid and emergency treatment, but if you really want to get medical treatment, you still have to go to a big hospital in a big city.Even if he didn't go to the Military General Hospital in the capital, the Military General Hospital should be stronger than the Fourth Hospital—if it wasn't for Liu Tangchun's blind advice, Rawls wouldn't have gone to the Fourth Hospital to see a doctor.

Because of the last reason, General Peng actually has some opinions on the Fourth Academy.However, he did not embarrass Sun Lien, but put forward a more compromise solution, "How about this, let Rawls treat him at our side for one day today. If it is past 12 o'clock, you still have nothing to do with his illness." If there is any clue, then we will transfer to the capital."

While General Peng was talking, Yuan Ping'an suddenly walked in from the door. He hurriedly walked to Sun Lien, holding the printed checklist in his hand, "Doctor Sun, take a look at this."

What Yuan Pingan brought in a hurry was basically not good news.This time was no exception—Rawls' urine routine and five liver function results were released, and the result was acute liver injury combined with acute kidney injury.

Acute kidney injury is almost standard procedure in patients with hemolytic anemia.Since the glomeruli and renal tubules, the main functional units in the kidney, are extremely dependent and sensitive to blood cells, hemolytic anemia itself will lead to a decrease in blood oxygen saturation and affect the operating efficiency of the kidneys.Moreover, the heme protein released by a large number of injured and dead red blood cells in the blood can even directly cause the blood vessels in the kidney to constrict, and directly cause toxic damage to the kidney cells.The kidneys function less efficiently and are less able to filter and excrete waste, which can further aggravate kidney damage.Thus forming a vicious circle of kidney damage.

However, there is generally no direct relationship between acute liver injury and hemolytic anemia.Generally speaking, if a patient with the same experience as Rawls suffers from liver damage, Sun Lien's first reaction will be drug-induced liver damage.But this time he hesitated - it was unlikely that such an important symptom would be missed in the status bar.According to Sun Lien's experience of using the status bar for diagnosis many times in the past month, if the status bar does not directly remind a certain symptom, the only possibility is that the existing symptoms are enough to infer this conclusion.

General Peng looked at Sun Lien in a daze, and after waiting for a while, he opened his mouth and asked, "This thing... is Rawls' inspection report?"

General Peng's question got Sun Li'en's attention back, he nodded, and said to Yuan Ping'an, "Please take a look at Zhou Ce, if there is nothing wrong with the symptoms, then go to continuous hemodialysis and do a biopsy on his kidneys." Look at the type of kidney damage."

Yuan Ping'an nodded, and then asked, "What about the liver?"

Sun Lien frowned and thought for a while, "Treat conservatively first, and slowly push the two polyene phospholipids." He still needs some time and additional evidence before he can link the acute liver injury with Rawls' symptoms.

"His condition is getting worse, right?" Peng Feng picked up the topic again after Yuan Ping'an left the small meeting room, "Dr. Sun, although it may not be satisfactory, I hope you can understand my difficulty." A general who is almost 40 years older than Sun Lien can say the word "difficulty", which actually proves from the side that Rawls's identity is really difficult, "If you can't figure out what he has won within today If he is sick, I can only choose to transfer him to the capital."

Sun Lien nodded, "It is the decision-making agent's right to transfer patients. However, I need to remind you that after all, Rawls and you are not in the immediate family, so to transfer patients, theoretically, he needs his consent, and authorized by his immediate family."

General Peng nodded, picked up his hat from the table and put it on his head, "Someone will take care of these things." He adjusted the hem of his military uniform and said to Sun Li'en, "Although Rawls is He is black, but since he is my student, I will treat him as my own soldier. I also hope that he can get the best treatment, not for you, Dr. Sun."

Sun Li'en blinked, and was about to continue this kind of politeness, when suddenly his brows furrowed together.

"Doctor Sun?" Peng Feng looked at Sun Li'en whose face changed suddenly, thinking that he might have some physical discomfort, "What's wrong? Do you need me to call someone?"

Sun Li'en waved his hand violently. He rummaged through the materials piled up on the small conference table. After searching for a full 5 minutes, he finally found what he was looking for - the original blood routine test report from the training ground hospital, and The original copy of the blood routine test report issued by the Laboratory Department of the Fourth Central Hospital.

After a quick glance, Sun Li'en's frowning brows loosened all of a sudden.He put down the two original documents in his hand and said to Peng Feng, "General Peng, please give me two hours. If I can't find out the cause of Rawls' illness within two hours, I will help you handle it right away." Hospital transfer procedures."

In the small conference room, Peng Feng's aura was suppressed by Sun Lien for the first time—the expression that appeared on Sun Lien's face was the comfort and joy after understanding a weird puzzle.

　Today is September 2019, 9. Before the results of Rawls’s condition are announced in Chapter 15 (within 141 hours of this update), if any book friends answer the content of Rawls’s disease correctly in the reader group, Sanguan will be in Add a new chapter in two days (yes, I'm that confident).

　　
　
(End of this chapter)