In the ICU of Ningyuan Fourth Central Hospital, a unique pursuit began.
The main force in this pursuit are the doctors and nurses who take care of the patients. The two parties involved in this strange love are Yang Jianqiang, who is isolated in a clean ward, and his wife, Ms. Lu Jing'an.
Yang Jianqiang still insists that Lu Jing'an is a volunteer who comes to visit people without family members like him. Even this does not explain why this volunteer only comes to visit him and appears every day.
Lu Jing'an originally planned to reveal his identity directly to Yang Jianqiang, but this move was dissuaded by doctors in Shenai. Yang Jianqiang's brain was damaged and caused amnesia. Since he was still unable to get out of bed, the neurology department could not completely evaluate the situation.
The specific symptoms of Yang Jianqiang’s injury. But after he showed a strong desire to pursue Lu Jing’an, the doctors were surprised to find that not only did Yang Jianqiang’s daily waking hours increase by more than 30%, but he could only maintain level 2 muscle strength at most.
His body also began to recover quickly. Within five days, his lower limb muscle strength rose from Level 2 to Level 3.
"No matter what he wants to do, let him do it." The doctors in the Department of Neurology made this decision without hesitation. With the approval of the specialists, the ICU medical staff who originally seemed a little depressed due to extreme work pressure
They all joined in. Especially the female nurses and doctors. They participated with almost incomparable enthusiasm. They were mainly responsible for coordinating the content of Lu Jing'an's speech to prevent her from revealing her secrets prematurely. The male doctors were attracted by themselves.
The female colleagues were ordered to help Yang Jianqiang with advice. With his brains as a man majoring in science and engineering, it was really not easy for him to woo girls.
"Pay attention to your methods and don't affect the patient's health just for the sake of temporary recovery progress." After learning about this, Liu Pingchuan specifically reminded the ICU doctors again. The chances of patients in the intensive care unit being able to leave standing
It's not that high. Watching this miserable couple seem to be returning to normal life, plus knowingly watching the two clumsily fall in love again, is really something that is almost impossible to achieve in normal work.
experience.
The medical staff participated with great enthusiasm, and Yang Jianqiang also showed great acceptance of the sudden appearance of foreign aid. Not only has his mental state improved a lot these days, he can even hold a pen and start writing some sour and long love letters.
Although there are still occasional cases where the words do not convey the meaning or the sentences are reversed, after careful analysis by neurologists, they believe that this may be mainly because Yang Jianqiang is not good at writing such things, and not the result of brain damage.
When the patient is still unable to move around, such activities can indeed more comprehensively assess the damage to the brain. At present, in addition to the slight impairment of spatial recognition ability, the biggest damage Yang Jianqiang suffered is partial amnesia. This result is already considered unfortunate.
Very lucky.
However, for Liu Pingchuan, this patient is definitely a troublesome matter. The reason is simple. This patient was transferred from Zhou Jun to Sun Lien. The diagnosis was jointly made by Sun Lien and Yuan Pingan, and after receiving gamma knife treatment, Yang Jianqiang was
In the name of Yuan Pingan's patient, he was sent to the intensive care unit.
To put it simply, Yang Jianqiang is a patient in Sun Lien's treatment group, and according to Dean Song's instructions, the entire treatment group now needs to be supervised by Liu Pingchuan. And a patient with such a serious and complicated condition should naturally be the one with the highest rank and the most experience in the treatment group.
Liu Pingchuan is in charge.
Unfortunately, Comrade Liu used to have an average of two patients a month. Basically, only patients that other surgical doctors could not handle were given to Liu Pingchuan. He spent most of his time in charge of teaching and surgery.
"Invite the neurology and psychology departments to come for consultation, and ask the tropical diseases and parasites teaching and research group in the college to provide advice." Liu Pingchuan groped for the white hair on his head and sighed softly. Forget it, bear with it.
Well. Just think of it as paving the way for your beloved disciple Xu Yourong.
Xu Yourong, who had a second-level professor personally paving the way, was sitting silently in Sun Lien's ninth clinic. There was a case record in front of her, which came from a patient Xu Yourong had received not long after he was sent to the hospital.
"I think there is something wrong with this case." After the two of them stared at each other in silence for a while in the clinic, Xu Yourong suddenly said, "But Director Zhou and the others think it's just ordinary tuberculosis."
"What's the reason why you think it's not tuberculosis?" Sun Li'en sighed. It's now 7:20 in the morning, and he can go back to bed after work in ten minutes. Being stopped by Xu Yourong, even if her judgment was wrong, the patient did have tuberculosis.
, it is impossible to get off work on time, and the possibility of going back after lunch is relatively high.
"The patient had fundus bleeding, the tuberculin skin test was negative, and the chest X-ray symptoms were inconsistent with the combination." Xu Yourong listed three objections.
Sun Lien scratched his head, "There may be other reasons for bleeding under the eyes, and skin tests and X-rays may have false negatives." In fact, he emotionally disagreed with Xu Yourong's use of these three points as the basis for his objection. After all, this was not in line with tuberculosis.
Diagnostic criteria.
Like other diseases, tuberculosis has very strict diagnostic guidelines and procedures. Experimental methods, including sputum smears and other tests, require multiple verifications to confirm that the patient is indeed suffering from tuberculosis.
"The patient complained of low fever, cough, and fatigue for a month. Within two days, the condition worsened and was accompanied by symptoms of hemoptysis. The latest blood hemoptysis volume is estimated to be about 200 ml." Sun Lien looked at the case records Xu Yourong brought and frowned.
If we only look at the medical history, this is indeed very similar to tuberculosis. And Sun Lien also understood why Xu Yourong felt that this disease was a bit strange. The progression and performance of the patient's disease were so standard that it seemed as if they were taken from a book.
.
The only difference is the amount of bleeding when coughing up blood. Patients with tuberculosis may indeed cough up blood, but generally there will not be such a large amount of bleeding. 200 ml of bleeding is almost as much as two-thirds of a can of Coke. So
Coughing up a lot of liquid from the lungs is not like what is shown in ordinary movies and TV shows. When you cough, you cover your mouth and nose with a handkerchief, and then a large area of bright red appears on the white handkerchief. It is probably less than five milliliters of bleeding.
That's all.
"Let's go and see the patient." Sun Lien sighed. He took his white coat from the clothes rack behind him and walked towards the door.
Wearing a white coat while walking, Sun Lien now has a hint of Liu Tangchun's aura when he strode like a star.
"The possibility of tuberculosis is very high." From the moment he entered the emergency room and saw Zhou Jun, Sun Lien's aura completely dissipated. The two parties quickly returned to the relationship between teaching teacher and training doctor.
The teacher barked and criticized, and then Dr. Guipei was pressed to the ground and rubbed. Anyway, this was his senior brother, and he was also the teacher. No matter how bold Sun Lien was, he would not dare to directly retaliate.
He could only listen to Zhou Jun finish a long list of his opinions, and then made a request, "Can you let me see the patient?"
"Go." Zhou Jun sighed. Although the members of Sun Lien's treatment team are all young elites, they are all too stubborn. The patient's current symptoms are very consistent with tuberculosis. Although the test results are falsely negative, these characteristics of tuberculosis
Diagnostic items are inherently difficult to produce results. According to the diagnostic guidelines, even if three sputum smear tests are negative, as long as the disease course and imaging results are consistent with tuberculosis, tuberculosis can still be diagnosed.
It's okay to let young people hit the wall. Zhou Jun sighed again. Ever since he took charge of the emergency room, he has been sighing all day long. Now sighing has almost become his subconscious habit. He hears a series of sighs.
, the doctors in the emergency department knew that their director was here.
"Wang Lin, male, 56 years old, suffered from Staphylococcus aureus bilateral lung infection, 24-hour urine protein 1.57g, 24-hour urine creatinine μmol, and slight edema in both lower limbs."
Sun Lien glanced at Xu Yourong behind him in surprise. Her judgment was correct; this was indeed not tuberculosis.
"Do a urine routine." Sun Lien looked at the patient in front of him for a while and decided to start with the renal insufficiency that had not been discovered by the doctors. "Let the respiratory department and anesthetist come over and do a bronchoscope lavage fluid culture.
"
Zhou Jun came over with his hands behind his back, "What did you see?"
"Director Zhou." Sun Lien nodded politely, and then whispered, "I think this is not necessarily tuberculosis."
"What's the reason?" Zhou Jun asked.
"The physical signs and body temperature are not right." Sun Lien was just making up lies now. "From the patient's description, if it is tuberculosis, it should be pulmonary tuberculosis because of the symptoms of coughing. But the amount of bleeding is too large, and pulmonary tuberculosis is normal."
There are blood streaks or small blood clots in the sputum, and bleeding exceeding 200 ml in a single day is definitely not consistent with the symptoms of tuberculosis."
"I have asked the laboratory department to check the coagulation function." Zhou Jun replied calmly, "If the patient has a tendency of spontaneous bleeding, then severe coughing may lead to bleeding."
"The patient does not have much past medical history and has always been relatively healthy. Except for borderline high blood pressure, other conditions are basically normal." Sun Lien continued to use his brain to talk nonsense, "But in the past month, in addition to low fever, cough, and fatigue, the patient has also developed symptoms of
Got the fourth symptom.”
"The fourth symptom?" Zhou Jun frowned, "You mean he concealed his medical history?"
"It's not necessarily a concealment." Sun Lien explained, "I think maybe he didn't notice it himself." Sun Lien pulled Zhou Jun closer to the patient, and after obtaining the patient's consent, he lifted the lower half of the quilt, revealing
Lifting his legs. "Look at this."
Zhou Jun took a closer look and saw that Sun Lien pressed down with his hand and his fingers pressed down on Wang Lin's calf. After his fingers were released, his skin began to rebound slowly, but there was still a mark left.
Shallow pit.
"The patient has mild edema of both lower limbs." Sun Lien announced his findings to Zhou Jun, "and edema is not one of the symptoms of tuberculosis. Therefore, I suspect that he does not have tuberculosis, but some other problem."