Chapter 448 Talking Therapy
Sun Lien's luck finally bottomed out.

The wound did not continue to deteriorate, and none of the patients who came after Zhou Ming had any serious problems.

"Sorry for wasting your time." A young man who rushed to the hospital because of "severe stomach pain" nodded politely towards Sun Lien.During the previous medical examination, the young man was found to have a patent foramen ovale.Although the impact of the patent foramen ovale on the heart is almost zero, it is "a problem with the heart" after all, which makes him a little nervous.After consulting a lot of information on the Internet, he probably regarded the stomach pain as part of the pain in the chest area.Then hurried to the Fourth Courtyard.

Sun Li'en received the young man, and after confirming that the other party had no other heart problems, he prescribed medicine to treat gastric ulcer according to the status column and the other party's description.He also warned, "Eat and drink on time, no smoking and alcohol, avoid spicy and irritating food..." He didn't have any heart problems, but his digestive problems piled up like a mountain. "It's a very bad sign to have stomach problems at your age."

The young man was relieved immediately after hearing that he had no heart problems, and was about to stand up and say goodbye to Sun Lien.But he was frightened by the words behind him.

"At your age, sudden stomach problems are usually related to living habits." Sun Lien pointed to the clothes of the young man in front of him. It’s pretty, so you don’t wear down jackets, right?”

The young man was taken aback by Sun Lien's sudden conclusion, and blurted out a question, "How do you know?"

Of course, Sun Lien can't say "I see mild hypothermia on your status bar".He could only forcefully explain, "If you were wearing thermal pants, the pants would not look like what they are now."

"Low temperature is a burden on the human body. You know that people will have a big appetite in winter, right?" Sun Lien thought for a while, and changed the metaphor, "You have some heart problems, although they are not serious, but after all It is a hidden danger. And once it is frozen in winter, the body will shrink the blood vessels around it to ensure the core temperature of the human body, so that more blood will be stored in the organs." Sun Lien gestured with his hands to gather patterns from the surroundings to the center , "and this blood resides in the core organs, which puts more stress on the heart."

"You had stomach bleeding before, right... just a month ago?" Sun Lien continued to look at the case of this young man, "Your stomach bleeding was caused by gastric ulcer, but it is also related to the cold. He pointed at the other person's stomach through the air, "The blood flow in the core area increases, and the pressure on the blood vessels in your stomach will also increase. This will also affect the chance of gastric bleeding to some extent."

"So, maintain a healthy and regular life habit." Sun Lien concluded his health lecture, "I understand that you may often need to drink and socialize because of work, and you still have to drink. After all It's my company...don't look at me like that." Sun Lien smiled and pointed at the other party's watch, "Ordinary people who have just been out of work for a few years can't afford the watch in your hand. It's not for your own The company, the young people from a good family background wouldn’t make themselves like this.”

The shock on the young man's face could no longer be suppressed. He looked at his watch, and then at Sun Lien as if looking at a monster.So repeated several times.

"But no matter how much money you earn, you can't buy your health." Sun Lien said solemnly, "Gastric ulcer itself is also one of the high risks of gastric cancer. And if it gets serious, not only gastric bleeding may kill you , Gastric perforation will also happen." He solemnly said, "For your health, I strongly recommend that you stop drinking alcohol for at least a short period of time. Eat regularly and keep warm."

It is generally difficult for doctors to persuade patients to change their living habits to get the cooperation of patients.After all, it is still the same sentence-people who can make themselves sick because of their living habits are almost impossible to return to a healthy life by their own strength.But Sun Lien felt that the young man in front of him who was stunned by him would most likely follow his suggestion.

At least temporarily stop drinking too?Looking at the back of the other party, Sun Li'en nodded with satisfaction - through the conversation, the other party stayed in the warm ninth consulting room for a longer time, and the "slight hypothermia" on the top of the other party's head disappeared.

Who Said Emergency Physicians Can't Use Talk Therapy?This thing is not the patent of psychiatrists!Sun Lien laughed twice, "Next!"

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"Routine work, I really hate doing routine work, you know." Bruen complained to Dr. Pascal in the small conference room of the emergency room.In order to prevent his complaints from being heard by other colleagues and causing adverse effects, he used French. "Why do you ask a person who can't even speak Chinese well to write a case?"

"Because you participated in the rescue, and our boss is currently treating patients in the emergency department." Dr. Pascal bowed his head and typed, "I haven't complained yet—I even gave up on Isabella to help you write the medical records Made oxtail bisque!"

Speaking of this, Dr. Bruen was really a little embarrassed, "I originally wanted You Rong to help me write some, if it doesn't work, I should ask Dr. Yuan..."

"Yourong is a neurosurgeon." Dr. Pascal rubbed his neck, and he felt a little uncomfortable when he lowered his head for a long time, "It's already very inhumane to have a neurosurgeon on duty in the emergency department. Let her write the case for you?"

Dr. Bruen put down the pen in his hand and scratched his hair, "Okay, this is almost finished - I don't need to write so detailed, and I don't plan to publish a case report."

"This patient's condition can really be reported." Dr. Pascal disagreed with this, "as long as you can figure out what bacteria infected him in the first place."

What the two were discussing was Huang Bingxian, who had been signed a death certificate.

"Everyone is dead, how do we check?" Bruen rubbed his stubble-covered chin, shook his head and said, "The forensic examination can't find out the cause of his infection."

"The laboratory has kept his lower bronchial washing fluid." Dr. Pascale reminded "kindly", "You can apply to Dr. Sun to have the laboratory culture the lower bronchial washing fluid—add some amphoteric Su B, can you stop the fungus?"

Bruen came to his senses, "If you really want to check, the culture is obviously not reliable enough. This patient has undergone two rounds of culture, but there is no convincing result. I think the infection should be a harsh disease. Bacteria like bacteria."

"Fastid bacteria? He didn't have lobar pneumonia." Dr. Pascal shook his head, not agreeing with Brunn's guess, "His imaging test results do not support the judgment of Streptococcus pneumoniae infection, drug reaction It doesn’t look like it. I think it may be caused by some rare opportunistic pathogen infection.” As an immunology expert, Dr. Pascale prefers to consider the immune system response for diagnosis. "Why don't you spend your own money to make mNGS for the sample? If there are any special results, maybe this is a major discovery."

(End of this chapter)

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