I can see the status bar

Chapter 686 Hard work

Sun Li'en is a man with an axis.When this kind of axis strength is reflected in daily work, it will be manifested as "voluntary overtime".

According to the patient's condition and the current shift order, Sun Li'en actually didn't need to be so troublesome and had to do it himself.Just talk to Yuan Ping'an on duty and ask him to prescribe a corresponding inspection for Cao Zhiquan the next morning.

But Sun Li'en, who has come up with a strong axis, doesn't care so much.Such a patient whose condition can be called "weird" is lying on the hospital bed and lethargic. How can this Sun Lien sleep?

Although I can understand that many doctors are too busy and tired at work, so they put some patients with milder and stable conditions on the next day.But Sun Li'en himself would never do that.The curiosity that gently teased his heart like a kitten's paw from the bottom of his heart was the main motivation that urged Sun Lien to take the initiative to work overtime.

Facing such a patient, which doctor can not be curious?

An MRI is to be done, and an electrocardiogram and chest X-ray will also be done along the way... Sun Li'en is full of motivation to write the doctor's order, while thinking about various possibilities.Now he is mainly considering Cao Zhiquan's condition from two aspects.The simplest and most direct cause of disease is naturally vascular disease.Perhaps the lack of blood supply caused his brain to malfunction.Then it is necessary to do a Doppler ultrasonography of the carotid artery...

Carotid artery Doppler ultrasonography is the result of Sun Lien's reasoning, and an electrocardiogram and chest X-ray should actually be regarded as an occupational disease for emergency doctors.There are not too many strange myocardial infarction patients encountered in the emergency department, and each of them has its own characteristics.Some patients showed referred pain that was not at all appropriate, while others simply showed mental symptoms.All in all, for emergency doctors, it is safest to do an electrocardiogram first when encountering patients whose symptoms are confusing.Even if there is nothing wrong with the patient's electrocardiogram, at least one high-risk factor that may be fatal in a short time can be quickly ruled out.

It took Cao Zhiquan only 10 minutes to enter the emergency room, and the doctors in the emergency room spent several minutes trying to figure out whether he was injured or not.So Cao Zhiquan hasn't had an electrocardiogram yet—since he needs to do it, he should do it all at once.Based on this guiding ideology, Sun Lien frantically clicked on the screen with the mouse. After more than ten minutes, he looked at the densely packed inspection items on the screen and stopped in satisfaction.

Sun Lien is quite satisfied with his doctor's order.Especially proud of his thoughtfulness.In a series of inspection lists, Sun Lien even added anti-decubitus air mattress care to Cao Zhiquan - when using restraint belts, it is difficult for the patient's body to move while lying on the bed, let alone turning over.

In the turbulent place of the emergency department, emergency doctors don't have time to worry about whether a patient will be tied up with a restraint belt and get a bed sore.Anyway, generally speaking, emergency patients will not lie in the emergency room for too long.Bed sores themselves are not considered medical malpractice. Even if bedsores do occur, at worst, debridement and dressing can be done.

If you want to do it, do it thoroughly.Sun Li'en wandered into the water room and poured two large cups of black coffee into his stomach.If he doesn't find out what's wrong with Cao Zhiquan tonight, he will definitely not be able to sleep.Since it is definitely impossible to fall asleep, let's talk about three hundred rounds of fighting this inexplicable disease with the chariots and horses!

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"Doctor Sun?" At six o'clock in the morning, Professor Zhang Zhifu first came to the office of the Comprehensive Diagnostic Center.He originally planned to enter his team's office, but found that the door of the office of the first diagnostic team diagonally opposite was slightly open, and there were still lights on inside.After he carefully opened the door and entered the room, he found that Sun Li'en was still sitting in his seat.Two stacks of A4 printing papers were stacked high on both sides of his seat, and Sun Lien was quickly flipping through something between the two stacks of printing papers.

"Eh..." Sun Li'en raised his head slowly, stared at Professor Zhang Zhifu at the door in a daze for a few seconds, and then he seemed to realize something, turned his head and looked out the window, and stood up to say hello, " Professor Zhang, you haven't gone back yet?"

In Ningyuan at the end of December, the sky was completely bright until almost seven o'clock in the morning.Sun Li'en looked out of the window now, but it was still pitch black.He scratched his head, feeling that he should have spent two or three hours less in the hospital.That is to say, it is about... four o'clock in the morning?
Thinking of this, Sun Li'en not only respected this terminally ill professor.Even if the elderly feel less sleepy, but to survive until this time... that is really hard work.

Zhang Zhifu on the other end nodded secretly, no wonder Xiao Sun is good at diagnosis.In the evening, I was nosy and found a patient for him, but he didn't say a word of complaint. He worked all the way from ten o'clock in the evening to six o'clock in the morning, and it seems that he has no plans to stop now.

How many years has it been since I saw such drive in young doctors?Professor Zhang Zhifu said to Sun Li'en while feeling emotional, "It's already six o'clock in the morning." He raised the buns and soy milk in his hand to Sun Li'en and asked, "Dr. Sun, you must not have breakfast, right? Wake up?"

Two doctors, one old and one young, sat in the middle of a pile of examination reports and gnawed on the steamed stuffed bun. While gnawing, Professor Zhang flipped through the checklists that Sun Lien had brought out.While Sun Lien gnawed on the steamed stuffed bun, he told Professor Zhang his opinion.

"Judging from the current examination situation, this patient is definitely not mentally ill." With no sleep all night and a pile of examination reports, Sun Li'en can confidently express his judgment. "The patient currently has brain atrophy of the whole brain, and this symptom should obviously be new."

"Because the previous doctor diagnosed him with somatization disorder." Professor Zhang immediately followed Sun Lien's logical line, "If there was such a degree of brain atrophy before, it would be impossible to be diagnosed with somatization disorder."

"Yes." Sun Li'en nodded excitedly, the hard work all night was not fruitless.At least he can be sure that he and his diagnostic team can handle such patients.Difficulties remain, however, and not too minor, "but I have not yet been able to find a possible diagnostic direction..."

There are a number of diseases that can cause brain shrinkage.Infections, tumors, degenerative diseases of the nervous system, cerebrovascular diseases, genetic diseases and even metabolic diseases may all cause brain atrophy.At present, Sun Li'en can only rely on the preliminary examination results to judge that Cao Zhiquan's symptoms are probably not caused by infectious diseases-his five items of infectious diseases are negative, and there are no signs of white blood cells in the blood routine.

　This chapter is still updated... I hope to double update tomorrow and pay back the debt first.

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(End of this chapter)