What is hospitalization? Although most people think that sleeping in a hospital means being hospitalized. In fact, this is a common misunderstanding.
Hospitalization mainly refers to the method adopted by outpatient clinics when the patient's condition is deemed to be urgent and severe and requires medical observation and treatment in a place with sufficient medical conditions. It sounds a bit confusing, but the popular explanation is "stay in the hospital and don't be blind."
"Run so that if something happens we can save you in time."
There are two key points in this paragraph. The first is "hospital". The medical conditions and emergency response capabilities in hospitals are of course the best. Although the level of each hospital is slightly different, it is always better than those on the road or where a wedding is about to take place.
The hotel should be better. The second thing is "us". When the doctor sees any problem with the patient, he can immediately provide corresponding treatment and rescue. And outside the hospital... it would be good if there are kind-hearted people who can call 120. Maybe everyone thinks
You are extorting money, so you are walking around.
Nowadays, in any tertiary-level hospital, the beds in the inpatient department must be tight. In some big cities with relatively scarce medical resources (yes, I am talking about Shenzhen), even the second-level beds are extremely tight. As long as elective surgeries can be performed,
, it is common to wait for a week or two. After receiving the hospitalization notice for elective surgery at the outpatient clinic, the patient needs to call the inpatient department to make an appointment for hospitalization.
Although Zhao Mengli's situation does not require emergency surgery, it is more stressful than elective surgery. If further internal bleeding occurs, she will have to be sent to the operating table immediately. She will also need a blood transfusion to correct the blood loss. In the inpatient department
, she will always be the focus of the nurses. And in this case, she actually tried to bargain for hospitalization tomorrow. To put it bluntly, she was simply desperate.
"This is definitely not possible." Sun Lien directly rejected her suggestion, "Your current situation must be hospitalized for observation. If there is further bleeding, you will go to the operating table immediately. The symptoms of internal bleeding are very subtle, and you will not have them yourself.
Others can’t see what it feels like. If you really feel it, you’ll just pass out. And outsiders can’t see the symptoms at all. If they send you to the hospital then, they might not even be able to save you.”
Seeing that Zhao Mengli still looked unconvinced, Sun Lien sighed and asked, "Do you know what death means?"
"You may not have seen it." Sun Lien shook his head, "I have not been a doctor for a long time, and it has only been more than a year including internship. I have seen it several times. Sometimes fate is cruel, no matter how much we use it
No matter how much the family cooperates, they still leave. The family members are very sad, and so are we doctors." He shook his head and smiled somewhat self-deprecatingly, "You may still not understand it...but you have to
You know, you only have one life, and if you die, there will be nothing left."
Zhao Mengli blinked his eyes and seemed to want to say something, but in the end he suppressed his words again.
"While hospitalized, you can eat normally. But it is best to eat liquid food." Seeing that the patient had no objection, Sun Lien continued to explain the details. He had never sent patients to the inpatient department before, although he had heard about these things from the nurses in the inpatient department.
They would explain it to the patient, but he thought it would be better to strike while the iron is hot and explain everything that needs attention. If Zhao Mengli gets to the inpatient department and starts acting lawlessly again, the doctors in the inpatient department will not be able to suppress her. "Try not to do it."
Coughing, talking loudly, and not exerting force when defecating may cause rupture of the corpus luteum."
"Then...could this be the reason for her previous rupture of the corpus luteum?" The cuckold man asked quickly, "She is weak and prone to coughing."
He had at least five miscarriages. It would be crazy if he could still be as strong as a cow. Sun Lien couldn't help complaining in his heart, but he still had to put on a thoughtful look on his face, "It's possible, but
It may also be caused by other diseases or impacts. There are many causes of this disease, and sometimes it just catches up for a while. Maybe it was fine before, but now it ruptures and bleeds." Sun Lien concluded, "This can only be said.
It's just bad luck."
His luck was not good. During sex, the man acted too roughly, and the congestion of the woman's reproductive system due to excitement was the main reason for the rupture of the corpus luteum. But Sun Lien couldn't say this. He could only repeatedly emphasize to the cuckold that it was him "
"Bad luck." If you are lucky enough to meet this kind of girlfriend? You don't know it in the grassland above your head. There is no other reason to explain it except bad luck.
The cuckold man went to go through the hospitalization procedures with great gratitude. Sun Lien felt that Zhao Mengli was making himself nervous by sitting in the room, and it was also mainly because he really didn't want to sit with a time bomb. So he simply sent Zhao Mengli out.
, asked the cuckold man to borrow a wheelchair and push Zhao Mengli along with him to go through the hospitalization procedures.
After seeing off the enemies, before Sun Lien could even take a sip of water, Dr. Pascal walked in. He winked at Sun Lien and said, "Have you started seeing outpatients too?"
Sun Lien himself was able to adapt to it. He had only seen one patient anyway. He was a little worried that Dr. Pascal wouldn't be able to bear it. After all, Dean Song had said that if Dr. Pascal couldn't bear it and left, he would have to go to the entrance of the hospital.
Hanging. He quickly asked with concern, "Is this also the case in American outpatient clinics?"
"For the sake of US dollars, it's much easier for us." Dr. Pascal may have learned a lot from the immunologist who acted as a translator for him recently, and he is very familiar with criticizing capitalism. "If I could see this every day in the United States,
If there are too many patients, I would have moved to New York a long time ago."
Sun Lien was relieved when he heard that Lao Pa's tone was okay. "You have something to do with me?"
Dr. Pascal looked at the patient whose mental condition was getting worse and asked, "Didn't you ask me to come?"
"Pah!" Sun Lien covered his face before he realized that he had invited Dr. Pascal to come for consultation. "I'm sorry... I was so busy that I forgot about it."
Yang Jianqiang's test results haven't come out yet. PCR runs three samples at the same time. Even if they are operated at the same time, it will take six hours to get the results. The Fourth Central Hospital still runs PCR-ELISA. If you use traditional fluorescence electrophoresis, you have to wait.
At least an hour.
"Your inference... is completely possible in theory." After hearing Sun Lien's diagnosis, Dr. Pascal pondered for a long time and gave his own opinion. "But I also agree with Director Zhou that this diagnosis is too coincidental.
.Although there is no problem in logic and time of onset, it is not realistic to use this inference to treat the disease."
Sun Lien also knew this. He shook his head and said, "I don't plan to give him radiotherapy right away. Even after the diagnosis, radiotherapy is not the first priority treatment method. But I think that with the current strength of his immune system, it can be weakened at the same time.
Toxoplasma gondii, and the only way he can survive the side effects is radiotherapy."
"I really don't know about this." Dr. Pascal thought for a moment and suddenly suggested, "I suggest you ask Rachel. She is an expert in oncology and has a deeper understanding of radiation therapy than I do."
"I definitely have to ask other experts for their opinions on treatment." Sun Li'en nodded, "However, can you first adjust his immunosuppression plan? If you use the original method to suppress the immune system, you may be able to alleviate his current symptoms.
performance. I'm worried that if his immune system continues to be active, he may develop a brain herniation soon."
There are now eight edema areas in Yang Jianqiang's brain. And most of the edema areas are located at the junction of gray matter and white matter. If the edema continues to develop and even turns into an abscess, the abscesses in the eight areas will almost certainly cause brain herniation.
With a cerebral hernia, Sun Lien didn't need to bother asking about the feasibility of radiotherapy and could just prepare to write a death certificate.
"Adjustment of the immune regimen is not that simple." Dr. Pascal shook his head. "His current immune regimen is one with less hepatotoxicity. If he suddenly adjusts to the previous regimen, it is likely to cause problems such as acute liver injury."
.Especially when drugs are used together, every time a drug is added, it may cause more serious side effects."
"Then what else can we do?" Sun Lien was anxious. Dr. Pascal's professional level and ability were here. If he said no, other doctors probably wouldn't have any good solutions. Could they just watch Yang Jianqiang's condition?
Further worsening, from cerebral edema to cerebral herniation?
"The most direct way is to increase his current hormone dosage." Dr. Pascal's answer was unexpectedly simple. "Although long-term medication requires attention to hormone levels to prevent iatrogenic Cushing's syndrome, it is only for the short term.
If it is suppressed, there is absolutely no problem in increasing the hormone dose.”
Sun Lien blinked. He really didn't believe that there would be such a solution to the problem that had been bothering him for a long time.
"You are a very talented doctor." Dr. Pascal looked at Sun Lien and probably guessed what Sun Lien was thinking. He smiled, patted Sun Lien on the shoulder and said, "But now, start contacting these things.
Patients with complex conditions are not necessarily a good thing for your growth. As time goes by, you will gradually forget a very important principle. The disease the patient suffers from and the treatment methods required are often very simple."
When I was in class in medical school, there was a saying that "When you hear the clatter of horse hooves, you should think of horses instead of zebras." This is the situation. Sun Lien now has a tendency to "hear the clatter of horse hooves and think of giraffes."
.Complicating the direction of diagnosis and treatment methods will cause big troubles.
If you think that a patient who just has a cold has severe pulmonary hypertension, then wait to be complained. Obviously a shot of cephalosporin can solve the problem, but you still have to add some oseltamivir to feel relieved.
The complaints are considered minor. What should I do if there are serious side effects?
Sun Lien suddenly felt a little chill in his back. He originally disapproved of Pascal's suggestion, but now that he calmed down and thought about it, he realized that he really had this tendency.
In general, he is still not good at learning, and thanks to the character of a foreigner like Lao Pa who doesn't care about the world, he said it directly. Sun Lien sighed and nodded to Pascal, "Thank you for your guidance."