Is there something wrong with the status bar? Sun Lien felt a chill in his heart. He even felt a little regretful. He regretted relying too much on the prompts in the status bar, regretted that he relied on illusions for the patient's health, and regretted that he underestimated the disease.
"Don't panic." Liu Tangchun's voice was calm and firm, "If you panic, what will the patient do?"
"Director Liu..." Sun Lien took the examination sheet and said calmly, "All five of the patient's infectious diseases were negative."
Liu Tangchun took the test sheet and glanced at it, shook his head and said, "Syphilis and hepatitis B are rapid tests, and there is a possibility of false negatives. Considering that the patient's symptoms should belong to the end stage of some kind of liver disease, and this disease
It can also affect the brain. You should continue to do other tests to confirm the cause."
This is why experienced attending doctors are more valuable. Liu Tangchun's judgment on this patient is almost consistent with Sun Lien's conclusion through the status bar. The only difference is that Deputy Director Liu does not have any status bar to support his opinion.
"Do a lumbar puncture and collect the spinal fluid for testing." Sun Lien gave the instruction, "Get the liver biopsy bag and prepare to extract the liver tissue for biopsy."
"You are really brave." Brother Luo from the Imaging Department yelled. He leaned next to Sun Lien and lowered his voice, "Brother, just do a few needle pricks to vent your anger. Liver biopsy is risky, and the family members should not
I agree that I can’t do it.”
Sun Li'en said helplessly, "I look like I'm seeking revenge? He's a patient, and his illness has caused mental disorders. What's there to hold a grudge against?"
"What about family members?" Liu Tangchun interrupted, "Have his family members arrived? How do you plan to tell them?"
Sun Lien thought for a while and said with some confusion, "What else is there to say? Let's explain to them the dangers and importance of biopsy..."
"Then you just wait for the family members to make a fuss and find connections to transfer to another hospital, delaying the treatment process and time." Liu Tangchun raised his eyebrows, "At work, you must pay attention to methods."
Sun Lien was a little confused.
"You see, the reason is very simple." Liu Tangchun pointed to Zheng Xiaoyu who was lying on the hospital bed, "He is seriously ill now. Our Fourth Central Hospital mainly focuses on emergency care. Although Ningyuan Medical College has departments in internal medicine and neurology,
It has a strong backing, but after all it is not as good as those old general hospitals."
Although it didn't sound nice, it was the truth. Sun Lien nodded hesitantly.
"However, the patient's condition does not allow the family to delay any further." Liu Tangchun sighed with regret, "Of course, from an administrative point of view, the best option at present is to transfer the patient to another hospital. In this way, when the condition worsens,
He has nothing to do with us either. But we are doctors and we cannot just start from the perspective of 'avoiding trouble'. In order to allow patients to receive the most timely treatment, sometimes we have to pay attention to the methods and methods when communicating with the patient's family."
This kind of course is not taught in universities. Sun Lien nodded like a chicken pecking at rice.
"Why did my old Zheng become like this?" A middle-aged woman with heavy makeup wiped her tears. The tears were mixed with eyeliner and foundation, and kept falling down the corners of her eyes.
Sun Lien took the notice and put on a troubled expression on his face, "Our leaders also attach great importance to this patient, and have already done a round of minor damage examinations that can be done in advance. But there is still no definite conclusion.
"
"What do you do for food!" The middle-aged woman went crazy just as Sun Lien expected, "I was fine when I left home in the morning, how come you were treated like this when I got to the hospital?!"
"Calm down first." Sun Lien pressed his hands in the air twice and asked in a low voice, "Do you... know why Zheng Xiaoyu came to the hospital today? Has he ever told you what's wrong with him?"
"No." The middle-aged woman quickly became suspicious, "What is he doing here?"
"He signed up with an experienced dermatology and venereology doctor in our hospital." Sun Lien pretended to be a bit embarrassed, "Have you...have you ever...had any physical discomfort in that area over the years?"
The middle-aged woman's face turned from red to white, then from white to purple. She clenched her fists tightly and gritted her teeth. After a long while, she squeezed out a curse from between her teeth, "No man is good!"
"I strongly recommend that you also do a physical examination. If you have... other partners, it is best to inform them to come to the hospital for a check-up." Sun Lien scratched his head, "We are not yet completely sure of the disease that caused Zheng Xiaoyu's serious condition.
What it is, but your examination results may be able to provide some hints for our diagnosis."
Sun Lien successfully obtained the consent form required for the invasive examination. He looked at Zheng Xiaoyu, who was lying on the hospital bed with his face turning yellow, and sighed softly. "You are so old that you don't even know how to use safety measures?"
With the assistance of three male nurses, Sun Lien successfully completed the spinal puncture test on Zheng Xiaoyu. A few drops of slightly yellow cerebrospinal fluid dripped out along the hollow sampling needle and into the test tube prepared by Sun Lien in advance.
.
"The yellow color of the cerebrospinal fluid indicates an increase in protein." When Sun Lien saw these drops of cerebrospinal fluid, he immediately smiled reassuringly. The previous result should indeed be a false negative. In the late stage, it is difficult to detect the pallid spirochete of syphilis in the blood.
.But they will eventually leave clues as they wreak havoc on other parts of the body.
"I found you." Sun Lien smiled really happily. Brother Luo, who was holding a B-ultrasound probe next to him and was about to guide the liver biopsy, couldn't help coughing twice and lowered his voice and said, "Hurry up and put the things down. You have a special expression now.
Like a pervert, you know?"
Sun Lien carefully closed the lid of the test tube and then relaxed. He smiled and explained to Brother Luo, "You can tell there is something wrong with this cerebrospinal fluid at a glance. If you can find something problematic, it means that the diagnosis will make progress. I
Of course I’m happy.”
"Then don't smile so gracelessly." Brother Luo coughed twice more. After watching Zheng Xiaoyu being laid down again, he asked, "How about it, should you do the biopsy or let another doctor do it?"
"It must be me. A biopsy that the patient will not complain about is so rare!" Sun Lien changed a pair of gloves and tore out the special biopsy needle from the sealed plastic bag. Then he picked up the syringe that had been filled with lidocaine.
Local anesthesia was started on the patient.
Brother Luo raised his eyebrows, "Okay, okay, isn't it troublesome enough?"
"What's the trouble?" Sun Lien asked, but his hands still didn't stop. Two milliliters of lidocaine were evenly injected into the tissue around the biopsy point.
"This is a comatose patient." Luo Ge sighed, "Do you know what are the benefits of a comatose patient?"
"Um..." Sun Lien put down the local anesthetic needle and asked curiously, "What good can this do?"
"This means they are not afraid of pain, and they will not scream. But since you have finished the local anesthesia, just pretend I didn't say anything." Brother Luo chuckled twice. "Okay, let's get started."