Sun Lien, who had received a crowdfunding fine for no apparent reason, followed at the end of the team, muttering to himself as he walked. I owe everyone a favor now, and it will be difficult to repay it in the future. The most troublesome thing is that this time, the little
In the accident, she also asked the leader to help take the blame. Dean Song silently carried this big and black blame behind her. Sun Lien probably knew how angry she would be if the leader took the blame. Isn't this looking for death?
?
The last person who pissed off Dean Song had already arrived in Africa with the chief physician of general surgery who fell from the sky. Sun Lien thought to himself that with his little arms and legs, he would never be able to defeat Dean Song. If he wanted to continue to work well
, it’s best to think of a way to ease the awkward atmosphere quickly.
"Have you ever tasted the fragrant roasted gluten?" Sun Lien's cell phone rang, and the atmosphere seemed to become a little more awkward.
"Doctor Sun, come to the emergency room quickly." On the other end of the phone, Yuan Pingan, who did not participate in the ward rounds, issued a soul call.
Sun Lien looked up and saw that everyone had stopped talking and were looking at him.
Dean Song said coldly, "Is there a patient?"
Sun Lien nodded awkwardly.
"Then why are you still standing there? Wait for me to send a car to take you there?" Dean Song seemed dissatisfied with Sun Lien's nodding response, "You are a doctor, and there are patients waiting for you now. So what should you do?"
"But ward rounds..." Sun Lien still didn't come back to his senses. He clicked on the room in front. Chen Wen lived in this room. She was also a poor child who had been hospitalized for a long time because the surgical plan was pending. According to the rules just now
, when the ward round came here, Sun Lien should have been deducted another two hundred yuan.
"Get out of here right now." Dean Song issued the order to expel the guests without any politeness. "You can't even distinguish the priorities?"
The call has been made. Yuan Pingan frowned and put the phone in his pocket. The patient in front of him was really troublesome, and even beyond the scope of the emergency department of the Fourth Central Hospital.
"When can people come?" asked a man wearing training camouflage uniform next to him, "We have been here for almost twenty minutes."
"Generally speaking, patients in emergency departments rarely designate a doctor to treat them." Yuan Ping'an retorted softly and stabbingly, "And generally, when military academy cadets are feeling unwell, shouldn't they all go to the military hospital for medical treatment?"
The man in camouflage uniform frowned. He had a military rank with a green horizontal bar and no stars on it. "This is a foreign student. He...his status is quite special."
Dr. Cao shrugged his shoulders, "I can also tell that this is a foreign student, and there is no one as black as him among the ethnic minorities in China. As for things in your army, I am a commoner, so I don't dare to ask, and neither do you."
Don't tell me."
After expressing his clear position, Dr. Cao Yanhua began to make basic inquiries. "I said brother, can you hear me?"
"No problem." The dark-skinned foreign student spoke with a pure Shandong accent. If he closed his eyes, it would be hard to tell where he was from. "Doctor, I, I'm dizzy."
"Have you had infusions in other hospitals before?" Yuan Pingan slightly adjusted the oxygen tube hanging under the nose of the foreign student and increased the air flow. "Where did you get the infusion? What was used for you?
Medicine? Why do I need to give you an infusion?"
The young man next to him wearing a military uniform and a cadet rank patted the foreign student's shoulder, indicating that he should have a good rest, and then replied, "We came here from the station to Song'an Province for transition training.
There were a lot of things going on for a while, and suddenly the weather was colder as we headed north from the southern provinces. The climate in Rawls' hometown is relatively mild, and he has never been exposed to this kind of weather. Not long after the troops arrived in Ningyuan, he caught a cold. At first, he felt
The problem is not serious, and after all, I am in the army. I always feel young, so I can just get over it."
The army is a young and energetic place. Since the revolutionary era, the Chinese army has always said that "if you are slightly injured, you will not go to the firing line, and if you are seriously injured, you will not go to the hospital." This is a matter of the style of the army, and it is also a soul engraved in the bones. Bear hardships and stand hard work
, can win the war. Under the guidance of this idea, the army and military academies actually do not pay special attention to various medical diseases. Instead, they are more sensitive to trauma.
It was in this atmosphere that Rawls, a foreign military student, chose to resist on his own. Anyway, other comrades in arms also suffered from colds, when he was in Tanzania, and later when he studied in the UK.
It has to pass from time to time. It will pass if you carry it with you. It is not considered a serious illness.
Who would have thought that Rawls' usually thin body would become the main factor holding him back at this time, and a cold has been delayed from mid-to-late November until now. A "little cold" was turned into pneumonia.
If you have pneumonia, you can no longer treat it as a "little cold". The military hospital gave Rawls cefoperazone and issued a one-week leave of absence from training.
However, after taking cephalosporins, Rawls still felt very uncomfortable. Not only did his muscles aches all over his body, he even had labored breathing, shortness of breath, and chest tightness.
Foreign military cadets have some preferential treatment compared to cadets promoted within the army. The biggest feature is that they can use mobile phones. Rawls and his father will talk on the phone every two weeks, and during this call, Tanzanian Army Armor Commander Mu
Major General Barn found out that his son had contracted a serious disease in China.
"I have already asked the Minister of Health and the Chinese experts who came to the country to provide support." Major General Mubarn hung up the phone after learning that his son was ill, and dialed the number again three hours later. "His former teacher happened to be in the country.
Dar es Salaam, he recommends that you go to the Fourth Hospital in Ningyuan City and find an emergency doctor named Zhou Jun. If Dr. Zhou is not available, then go to Dr. Sun Lien."
Liu Tangchun, the culprit who gave this suggestion, was accepting a banquet hosted by the Minister of Health in a hotel in Dar es Salaam. Chen Tianyang looked at the food in front of him and found it difficult to swallow.
"These are all local traditional delicacies." Liu Tangchun smiled and nodded with the embassy staff and officials from the Ministry of Health of Tanzania who were attending the banquet. Then he leaned behind Chen Tianyang and whispered, "There is nothing strange, it's just cassava at most."
Such starchy food is just deep-fried."
Chen Tianyang replied with a grimace, "I'm not a Cantonese, and I dare to eat anything." When he thought about the following year, there was no hot dry noodles, no three fresh bean curds, no kidnapping rice, and even a cup of soy milk.
On days without it, Chen Tianyang felt very uncomfortable.
"Be patient, be patient, and it will pass." When abroad, even a courageous person like Liu Tangchun, who is fearless and fearless, feels a little bit unreasonable. Fortunately, the top management of the health system here are basically former Chinese students.
Moreover, a considerable number of these people are from Ningyuan Medical College. We are all considered to be in the same school, so the worry of staying away from Ningyuan is somewhat alleviated.
"What did the minister want to do with you just now?" Chen Tianyang sighed, opened a can of beer and took two sips. It is a very magical thing that cold canned beer is provided at such a formal occasion. "I see you are smiling.
Are you quite happy?"
Liu Tangchun picked up two pieces of "french fries" that didn't look like French fries from the plate in his hand, put them in his mouth and chewed them. He smiled and replied, "You can bring some business to your hospital in Africa.
You said that after our old Liu returns, the dean will not be able to thank me vigorously?"
It is unclear whether Dean Song would thank Comrade Liu for still caring about his work, but Sun Lien had already felt the "trouble" coming straight from Africa across the Indian Ocean and the Himalayas.
He looked at the black brother lying on the hospital bed in front of him, wearing a People's Liberation Army-style training uniform, and for a moment he didn't know what to say.
The student who came to escort his comrades glanced at the ID on Sun Lien's chest, nodded and asked, "Are you Dr. Sun?"
Sun Lien nodded and did not continue talking to the military cadet. Instead, he asked Yuan Pingan, "What's the matter?"
Yuan Pingan briefly talked about the foreign student lying on the bed, and then replied, "This Tanzanian student asked to come to our Fourth Central Hospital for consultation."
The four words Tanzania immediately caught Sun Lien's attention. He frowned and asked tentatively, "Is it... Director Liu..."
Yuan Pingan nodded helplessly, "Director Liu is here to promote business for us." His words were filled with helplessness.
Medical treatment for foreigners is a troublesome matter. If it is just an outpatient service and paid for at your own expense, it would be easy to handle it. It can be treated in the same way as ordinary people. But the problem is that this is the emergency room of the emergency room, and this person is lying on the bed.
The foreigners also wore military uniforms.
"Who are you?" Sun Lien sighed, then stretched out his hand to the soldier who had been ignored for a while by him and shook it.
"I am a student at the National Defense University. My name is Liu Chuang. I am a classmate and comrade of Rawls." Liu Chuang didn't care much about being ignored by Sun Lien for a while. To be honest, Rawls's appearance was already good.
It's quite eye-catching. After all, everyone has seen black people in movies, but the thin Rawls paired with a Chinese military uniform makes people even more concerned.
Sun Lien nodded and turned to look at the top of Rawls's head. No matter what the origin of the other person was, he had to figure out his condition first.
Sun Lien rubbed his eyes and carefully counted the lengths of the first digits of the first two symptoms. A hundred, a million, a million, a hundred thousand... a hundred thousand hours of symptoms? If he hadn't already known what the three numbers behind the status bar should be.
It represents hours, minutes and seconds. He may really want to think about the meaning of this string of numbers.
Yuan Pingan glanced at Sun Lien's somewhat disbelieving face, shrugged his shoulders and said nothing. To be honest, even Yuan Pingan himself was quite shocked when he received foreign patients for the first time at the Capital Tongxie Hospital.
At that time, he never thought that he would give a chest massage to a Pakistani living in China. He even subconsciously felt that the patient in front of him seemed to come from another world, and his body structure was different from that of the yellow-skinned Chinese.
.It was not until the rescue was successful in the end and the patient said thank you to Yuan Pingan in very authentic Chinese before he was discharged that he finally came to his senses and realized that we are all human beings, with two eyes and one nose, nothing different.
Sun Lien pondered for a moment and began to ask about his condition.
Liu Chuang and Rawls are classmates, comrades-in-arms, and good friends. Before joining the army, Liu Chuang was a top student at Capital University of Foreign Languages. The languages he studied were Swahili and Arabic. And Swahili and Arabic
, and his already quite high level of English, together, Liu Chuang became a powerful person who could use four languages proficiently at the same time.
Swahili is one of the main languages used in East Africa. As an East African country, Tanzania naturally uses Swahili as one of its official languages. This background makes communication between Liu Chuang and Rawls quite easy and more
What is rare is that Rawls learned a very authentic Shandong dialect from his father since he was a child. If Major General Mubarn was born in the infantry system, then Rawls may have learned the Hebei dialect since he was in elementary school.
In short, during the period of studying together, Liu Chuang had a good relationship with Rawls and other students from Africa. And this time Rawls fell ill, he has been with him to help take care of him. The medical records of the hospital in the army and
The case systems of ordinary public hospitals are not connected, so he specially brought a complete set of cases and examination results.
Taking care of your comrades is something that doesn't even require a word of thanks.
Sun Lien took a complete set of information and gathered people to prepare for the meeting. Sun Lien did some calculations just now. According to the description in the status column, Rawls's chronic malnutrition has lasted for almost 21 years, which is almost the same as his age.
I have been anemic for more than 12 years but the cause is unknown.
The hospital that provided Rawls with his first diagnosis was the military hospital stationed in the local training ground in Ningyuan, which is a second-class hospital. The hospital’s diagnosis and treatment methods were relatively direct. The blood cell analyzer found that Rawls was anemic, and his white blood cell index rose to 14.9.
After confirming signs of pulmonary infection through imaging examinations, the hospital did not even conduct a sputum culture and directly gave Rawls cefoperazone injection.
Although the method is a bit crude, it is understandable. After all, the training ground is far away from the city, and the main patients treated by the hospital at the training ground are soldiers and trainees who come from other places for training. They are very concerned about heat stroke.
, has rich experience in dealing with bone injuries, trauma and even digestive system diseases, but is relatively weak in infectious diseases and respiratory medicine.
Judging from the content of the current status column, Sun Lien's first suspicion was a drug allergic reaction. According to medical records, Rawls injected cefoperazone for two consecutive days. Although the hospital level at the training ground was not too high,
But it is a serious hospital after all. It also did a skin test before giving Rawls the official medication.
So this shouldn’t be a serious drug allergic reaction, maybe an adverse drug reaction? Sun Lien wrote down his guess in his notebook, and then drew a circle on it. There are various types of adverse drug reactions, and Sun Lien didn’t know whether it would be dyspnea or an adverse drug reaction.
Whether hemolytic anemia is one of them? This question remains to be investigated for the time being.
"Added another patient today?" Xu Yourong asked as he led Rachel into the conference room. Rachel happily waved to Sun Li'en and Yuan Pingan, and at the same time hugged Dr. Pascal who hurried over.
For a moment. As for Zhou Ce...he only received a handshake.
Sun Lien nodded and said helplessly, "Director Liu made a plan in Africa and asked people to come to our hospital to see a doctor."
"This shows that your progress has been recognized by Director Liu." Zhou Ce praised him, then lowered his head to read the report, frowning while reading, "Why is the hospital stationed at the training ground still writing medical records by hand?"
"You ask me, who should I ask?" Anyway, we are all familiar with each other now, and Sun Lien doesn't seem to be formal at all when talking to the superior doctors. "Maybe someone knows that this patient is coming to our hospital.
Why did you change it to handwriting specifically to show respect?"
Although he was joking, Sun Lien's mind was full of confusion. There were two biggest confusions. The first was the two symptoms of 100,000 units, and the second was the appearance of two anemias.
The item in the status column is "the most important factor that prompts the patient's current symptoms." But what does the symptoms that have lasted for more than ten or even twenty years have to do with the dyspnea that only appeared in the last two days? As for the second question, that's
What’s even more confusing is that the two states of anemia and hemolytic anemia appear at the same time. Does it mean that Rawls’ anemia has progressed into hemolytic anemia? Or does the anemia cause hemolytic anemia?
There were too many questions, and there seemed to be no clue at the moment. Sun Lien frowned, suppressed his confusion, and began to introduce the patient to the team members.
"The patient's past medical history is unclear, but he may have suffered from malnutrition." Sun Lien added some private goods during his introduction. "When the patient came to China for military training, he was 1.72 meters tall and weighed 48 kilograms. According to the
According to international standards, BMI is in the extremely thin category. Although my weight has reached 53 kilograms after one year of life, I am still considered on the thin side."
"The patient's family background is relatively good in Tanzania. He even went to the UK to study for a period of time." Yuan Pingan added later, "So I think his malnutrition may be a symptom rather than an objective cause.
Caused."
Dr. Pascal spread his hands and added a joke, "Maybe this poor child is too thin because of the British food."
In China, mocking British food is a popular thing for the people.
"We have no medical records of patients in Tanzania." Xu Yourong said, "So should we also take into account some diseases that are not particularly popular in China?"
Sun Lien had roughly known Tanzania before. Its medical capabilities were backward, and various diseases that had almost disappeared under the domestic medical system still broke out from time to time. However, Sun Lien did not agree with Xu Yourong's suggestion, "The patients have already lived in China.
After studying for more than a year, even if there is any disease, it should have manifested long ago. If it is a disease with a long incubation period, it will be even rarer. You know, he first studied in the UK for five years, and then directly from Heathrow
Departing from the airport and arriving directly in Shanghai. The patient has not been back to Africa for more than six years. I don’t think any disease with an incubation period of more than six years will show such symptoms."
To put it bluntly, Rawls's current symptoms are relatively simple. It is just pneumonia, plus hemolytic anemia and dyspnea of unknown causes. If the hemolytic anemia is more serious, such as the previous pulmonary hemorrhage-nephritis syndrome,
Like Wang Lin, it makes sense that Rawls has difficulty breathing and is accompanied by hypoxemia.
But if it was really that simple, Sun Lien would not call all members for a meeting now, and Liu Tangchun would not directly suggest that Rawls come to the Fourth Central Hospital for treatment.
"First do a blood routine, add sputum culture and a lung CT examination." Out of caution, Sun Lien decided to go through the standard procedure first.