I can see the status bar

第649章 多次误诊(8月17日4K5求订阅)

第649章 多次误诊(8月17日4K5求订阅)
Ever since he returned to the Shanghai stock market, Sun Li'en has been feeling light under his feet.Everything he heard and saw seemed to be separated by a white veil as soft as mist, in a trance, without any sense of reality.

Whether he returned to Ningyuan with Hu Jia and others, or accepted the welcome of the audience at the welcome meeting, even until Sun Lien decided to use the ten-day vacation to return to Changning to visit his parents, and Hu Jia also decided to accompany him, he still Feel very unreal.

"What are you thinking?" Sun Li'en still decided to drive home, while Hu Jia beside her was sitting in the passenger seat and eating snacks—since she returned to Ningyuan, she bought thousands of snacks of all kinds in retaliation.And these unreasonable things filled half of Sun Lien's dormitory room.

"I..." Sun Lien sighed after hesitating for a moment, "I still have the feeling that I am living in a dream."

"If my parents hadn't gone out to attend the seminar, I definitely wouldn't have time to follow you to see your uncles and aunts." Hu Jia nodded beside him, affirming Sun Lien's feeling of "dreaming". "I definitely don't have this kind of opportunity in normal times. It's justified to say that it's a dream."

Sun Li'en blinked, and decided to hold back the words that came to his lips just now.

Having been in love with Hu Jia for so long, what can be said and what can't be said... He still knows this in his heart.

"It will be noon when we get there." Sun Lien glanced at the time in the car and said after some calculations, "Don't go home later, go to the cafeteria to eat first?"

"Okay." Although Hu Jia had never been to Changning Zhongfu's cafeteria, he had heard it from Dr. Bruen and Pascal.She asked enthusiastically, "Can I order food?"

"Order?" Sun Li'en didn't know the answer to this question either. He went to his company's cafeteria as many times as Dr. Brunn. "What would you like to eat?"

"Let me think about it..." Hu Jia thought for a while, and made a request, "Get out of the noodles with the dumplings, let's have a bowl of noodles! We haven't eaten noodles since we returned to China!"

Sun Li'en blinked, he vaguely felt that Hu Jia's request was probably not because she really wanted to eat noodles - was she saying that because she was afraid of causing trouble to others?
Feeling a little moved, Sun Lien yelled like an idiot in the car for a long time, and finally called out the voice assistant.Then he called his mother.

"Mom!" Sun Lien said a little embarrassed after getting through the phone, "Can we have noodles at noon?"

"Then can we miss you?" Of course Wang Caifeng didn't know that Sun Li'en was on the hands-free, she said angrily, "But you child, how can you arrange the dishes like this? It's the first time Xiaohu came to us For dinner at home, you just let me eat noodles?"

Sun Li'en was at a loss for words for a moment and didn't know how to answer. Under the current circumstances, it seemed that it was not appropriate to say that Hu Jia wanted to eat.

"In case the little girl feels that our family has neglected her and gets angry with you, you little bastard will have no place to cry." Wang Caifeng continued to criticize her son's immature thoughts, "I just As soon as I returned to China, I ran to our house without saying that I would stay at home with my parents. You don’t understand what the girl means? Just eat noodles?”

Sun Li'en coughed and wanted to say something, but Wang Caifeng didn't intend to give her son a chance to defend himself, "If you want to eat noodles, I'll let you go down after eating this meal. Oh yes, hurry up and ask Ask Xiao Hu, do you have any taboos?"

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The lunch at noon... Anyway, in Sun Li'en's opinion, it's a little richer than New Year's Eve.

Although most of the dishes looked like normal home cooking.But Sun Lien has never seen the exquisite materials used.Not to mention anything else - Iberian pork chops are used to make sweet and sour pork ribs, M9 grade steak is used to make beef and potatoes... Sun Lien even saw palm-sized abalone in the chicken casserole.

"I don't know what your child likes to eat." Wang Caifeng had been waiting for Sun Lien's car downstairs.After the two of them got off the car and came, they took two quick steps up, grabbed Hu Jia's hand, and led them into the cafeteria, "I don't know if today's food suits your taste..." The two talked and walked, but put Sun Li'en hung out alone.

In Ningyuan in December, the weather is cold.Sun Li'en stared at his mother's behavior in a daze, and didn't know how to react for a while.

This meal at noon is a family feast.The main reason for saying "sort of" was that there were two people who were not relatives but were still closely related to Sun Lien's family.

Dr. Mei Ying, who went to Shanghai to study hospital management, is back.At this meal, she brought her cousin with her.

Sun Li'en saw this strange senior at first sight - she looked much more energetic than when they met last year.At this moment, Sun Lien deeply felt how much clinical work can destroy a doctor.Of course, this is also related to the huge work pressure of the previous carton factory.

"Director Mei...Dean Mei, are you here?" As soon as Sun Lien opened his mouth, he felt that he might have called him by the wrong name.Mei Ying is now the director of Zhongfu Hospital, so calling him director is inappropriate.

"What's the dean?" Mei Ying smiled and shook hands with Sun Li'en, then said angrily, "Why, you don't recognize me as a senior?"

Sun Lien changed his address with a smile, and then introduced Hu Jia to the senior sister who was ten years older than him, "This is my girlfriend Hu Jia, a nurse from the Fourth Hospital."

"Hello, sister." Hu Jia greeted Mei Ying with a smile, and then followed up with a common combo of female greetings, "Sister has such a good temperament."

After a little joking, everyone took their seats. Mei Ying and her cousin sat in the middle, and Sun Lien sat at the bottom alone—Hu Jia sat with Wang Caifeng and Mei Ying, and the three of them were quietly chatting about something.

The colors are rich, and Sun Lien is also very happy to eat.These dishes are definitely not my mother's handwriting.After all, my mother is almost 50 years old, and it is really difficult for her to manage such a large table of dishes by herself.This meal must have been handcrafted by the chef—it is said that this chef is the executive chef who was poached from a five-star hotel by his father with a high salary.

But the seasoning is still its own style.While gnawing on the braised pork, Sun Lien wondered where he would eat this abalone that was only half the size of his palm.While thinking with some emotion, this executive chef deliberately imitated his mother's seasoning style, and I don't know how much effort has been put into it.

Halfway through the meal, Sun Lien suddenly saw a somewhat...strange movement.Senior sister Mei's cousin secretly picked up boiled prawns from the dining table while eating, and put them in her pocket.

Sun Li'en had never seen such a thing as stealing food from the dinner table.Hu Jia, who was sitting next to Senior Mei, also noticed this action. After thinking about it, she found two unused ziplock bags from her bag—this was what she planned to use to hold unfinished food. snacks.

"Auntie, you use this." Hu Jia stood up generously, walked to Aunt Meiying, then squatted down, and handed out the ziplock bag in his hand, "Put shrimp in this bag, it won't mess up." Dirty clothes."

Mei Ying's expression changed from surprise to anger, to embarrassment and then to being at a loss. She stood up quickly and asked in an obviously flustered tone, "Gu, what are you..."

"Auntie, who are you serving these shrimps for?" Hu Jia stopped Mei Ying's questioning with his eyes, and he still squatted down and asked with a smile, "Is there anyone in the family who likes to eat shrimps?"

"That's right." Meiying's cousin smiled embarrassedly. She took the bag from Hu Jia's hand and put the three boiled shrimps in her pocket, "My cousin's niece loves shrimp the most... My family can't afford it, and I don't think anyone touched the shrimp on the table, so I thought it would be a pity to waste it..."

At this moment, Meiying covered her mouth and cried, but she didn't know whether it was because she was sad, or because she was suffering from Alzheimer's disease, she couldn't recognize her cousin, and she still remembered the cousin who had no father and no mother. Shrimp is my favorite.

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The family banquet was temporarily interrupted for a while because of this unexpected situation. After about 10 minutes, Meiying's mental condition stabilized a lot before she returned to the dining table, "I'm sorry, I made everyone laugh."

"It's okay." Wang Caifeng was obviously very satisfied with Hu Jia's reaction just now.This coping ability is not only decent, but also takes care of Mei Ying's emotions to the greatest extent.She came over and pressed Mei Ying's shoulder, "You should be happy—the elder sister still remembers you now."

Mei Ying smiled gratefully, and then took two deep breaths.She suddenly said to Sun Li'en, "Xiao Sun, I remember that your Fourth Hospital has set up a diagnostic center, right? And you also work in it?"

"Yes." Sun Li'en nodded. He had already seen the kraft paper bag that Mei Ying put behind him, and now he heard the question again, and he understood it all at once—it is estimated that there is some intractable disease at hand. Waiting for myself.

"I have a patient here...the situation is more complicated." Mei Ying really pulled out a brown paper bag from behind her, "This patient came to our hospital the day before yesterday, but Shennei and the infection department disagreed."

Logically speaking, it is not appropriate to discuss the case at the dinner table, and Mei Ying's initial plan was to find an opportunity after the meal to listen to Sun Lien's opinion in private.But now that she was troubled by her cousin's affairs, she was eager to divert everyone's attention, so she took out this medical record.

After Mei Ying came back from the Shanghai stock market, she began to dig people everywhere.Cooperating with the former carton factory hospital that has been rebuilt in the first phase and is now Zhongfu Hospital, Meiying's ambition is gradually becoming a reality. A comprehensive private hospital with cardiology, kidney and urology, dialysis center and infection department.

Compared with the previous carton factory hospital that mainly relied on medical insurance for chronic diseases and geriatric diseases, Mei Ying hopes that Zhongfu Hospital under her command will become a hospital that is strong enough to truly relieve the pain of patients.

But it's difficult, and it's not easy.Zhongfu is a private company, and there is nothing wrong with complicated shareholder relationships.After discussion, Sun Hongbin and Wang Caifeng decided to set the first phase of investment in Zhongfu Hospital at [-] million.

[-] million funds is definitely not a small amount for private companies.But for a hospital... not enough.Because it is a reconstruction, the cost of civil engineering, etc. is still slightly lower.But there is not enough room for purchasing equipment and poaching people with high salaries.

Mei Ying planned to try another route.She mobilized the contacts she had accumulated over the years, and prepared to diagnose and treat a group of patients with intractable diseases for free.Then make your own brand known in the industry first—it would be even better if you can be featured on TV or a hot search on the Internet.

But what Meiying didn't expect was that the first patient she found caused serious conflicts within the young Zhongfu Hospital.The doctors of Neurology and Infection almost got into a fight because of this young patient.

"The patient is 14 years old, and he was admitted to the hospital for the first time two years ago." Mei Ying watched Sun Lien flip through the medical records while supplementing what she knew. "She was admitted to the hospital because of convulsions twice in half a day."

Li Yuhan was sent to the hospital for the first time when she was 12 years old.

It was an afternoon in January, and Li Yuhan, who was in school, suddenly convulsed and fell to the ground.This can frighten the teacher in class and the classmates next to him.

She was quickly sent to the school infirmary by her classmates and teachers. When she just lay on the bed in the school infirmary, the panicked teachers and classmates had no time to describe her symptoms to the school doctor when she had a second convulsion.

Twitching twice in a row, the teacher directly called Li Yuhan's parents.She was rushed to Changning City No.1 People's Hospital.

After receiving the diagnosis in the emergency department of the hospital, she was quickly handed over to the doctor in Shennei for diagnosis.According to the doctor in Shennei, Li Yuhan had symptoms of upper respiratory tract infection a week ago, bilateral bulbar conjunctival edema, positive cervical resistance and bilateral Papanicolaou signs, lactate dehydrogenase 349U/L, phosphocreatine kinase 240U/L, α- Hydroxybutyrate dehydrogenase 268U/L and head CT showed no abnormalities, and the cerebrospinal fluid routine was normal, so it was determined that Li Yuhan was suffering from viral encephalitis.After 14 days of treatment with ganciclovir, he got better and was discharged.

But the situation was not that simple. Nine days later, Li Yuhan was admitted to the hospital for the second time.This time the cause was dizziness.

No. 1 People's Hospital received Li Yuhan again. She showed suspicious neck resistance, positive bilateral Papanicolaou signs, and positive Klinefelter signs.Cerebrospinal fluid-related examinations still showed no abnormalities, lactate dehydrogenase rose to 489U/L, creatine phosphokinase 805U/L, and α-hydroxybutyrate dehydrogenase 489U/L.

I don’t know if it’s because she was worried about a misdiagnosis last time. This time, the No.1 People’s Hospital finally gave her a head MRI. The test showed that Li Yuhan’s left parieto-occipital gyrus was swollen with cortical abnormal signal—T1W1 low signal. , T2WT high signal, FLARI and DWI images showed high signal.

However, the No. 1 People's Hospital still determined that Li Yuhan was suffering from viral encephalitis after an in-hospital consultation.Give antiviral, gamma globulin and methylprednisolone shock treatment.Ten days later, Li Yuhan's condition improved and she was discharged from the hospital.

At that time, in order to make sure that the child received the correct treatment, her parents took her for another MRI examination half a year later, and the results showed that the lesion on the left side of her head had shrunk significantly.

After another half a year, Li Yuhan's 13th birthday had just passed, and when the weather turned cold in November, she had convulsions again, and this time the situation was more serious.In addition to frequent convulsions, she also experienced symptoms of coma.

This time, Li Yuhan's parents were more careful. They did not choose to go to Changning City No. 1 People's Hospital for treatment. Instead, they took their children and went straight to Ningyuan in an ambulance, and came to the Second Central Hospital for treatment.

After the physical examination of the Second Hospital, it was found that Li Yuhan had a weak orbital pressure reaction, and it was determined that she had fallen into a light coma.At the same time, it was found that she had positive symptoms of left Pap sign, negative Pap sign on the right side, and positive symptoms of cervical resistance.Lactic acid was 11.36mmol/L. MRI of the head showed that her left lesion was slightly enlarged compared with the MRI re-examination, and there were multiple abnormal signals in the right parietal and occipital lobe.At the same time, diffuse brain atrophy-like changes were also shown.After confirming that Li Yuhan had an obviously abnormal EEG, Ningyuan Second Hospital diagnosed Li Yuhan with acute disseminated encephalomyelitis and symptomatic epilepsy.Methylprednisolone and gamma globulin pulse therapy were given.For epilepsy, lamotrigine was given for anticonvulsion treatment.After she got better and was discharged from the hospital, the doctors of the Second Hospital asked her to continue oral prednisone treatment.

In Sun Lien's view, these were three obvious misdiagnoses.

(End of this chapter)

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