The reason why the standard procedure exists is that it can detect as many problems as possible with the fewest steps. The doctor asks about the patient's condition and prescribes the standard examination procedure. The actual purpose is to use this common method to minimize unnecessary "
"Detour". Understand the patient's disease type as soon as possible and find the direction of diagnosis.
To be fair, except for the slightly crude methods, there is actually nothing wrong with the thinking of the doctors stationed at the training ground hospital. They can determine what type of infection the patient has through routine blood tests, and use imaging examinations to confirm the location and type of infection. This plan is actually fundamental.
Nothing to fault.
But the problem is that they don't have the trick in Sun Lien's eyes, and they have no idea that the patient's problem was planted shortly after he was born.
However, Sun Lien did not immediately find the cause of Rawls' illness because of the status bar. In fact, the status bar more often caused greater confusion.
"Just born..." Sun Lien counted the six-digit status twice on his mobile phone, and felt helpless after confirming the time again. Chronic malnutrition ranked first among all symptoms, and it lasted for as long as eighteen years.
Ten thousand hours means more than twenty years.
Rawls's father is an officer in the Tanzanian army. With his current position, he should have been a mid- to low-level officer at least twenty years ago. The family members of such an officer should not be able to afford food.
Little Rawls, who was born twenty years ago, should not be malnourished. What's more, even if he was malnourished due to lack of food at that time, twenty years have passed. Has he still been unable to afford food? Elsewhere.
It's hard to say for Sun Lien, but they all went to China to receive military training, so the food is definitely not the same. Although the food is not big fish and meat, the calories and various nutrients are definitely enough.
Persistent malnutrition, which only occurred within a period of time after birth... Sun Lien frowned and tapped the notebook in his hand. The disease he could think of that best fit this situation was celiac disease (celiac disease).
disease). But the symptoms of this disease are too obvious and it is not rare. Rawls should not have delayed the diagnosis until now. If it is celiac disease, long-term diarrhea and abdominal pain will definitely be discovered by other comrades. Even if Rawls
I don’t know, but Liu Chuang, who has a serious look on his face, will definitely tell him.
Sun Lien stopped typing on the notebook and re-examined the status bar sequence he secretly recorded, vaguely feeling that something was not quite right.
"Doctor Sun." There were three knocks at the door, and then a loud shout came, "Report!"
Sun Lien was frightened by this resounding figure, and the vague inspiration in his mind was suddenly frightened and flew out of the sky.
"Who...who?" Sun Lien stood up tremblingly and carefully opened the door of the conference room. The serious-looking Liu Chuang appeared in front of him again.
"Doctor Sun." Liu Chuang said seriously, "I just received a notice from the chief. The superiors attach great importance to the situation of the Rawls students. They will arrive at the hospital in about an hour."
"...What?" Sun Lien didn't understand.
Liu Chuang sighed, "The vice principal of our school is coming to visit the patient."
Sun Lien nodded hesitantly, "...then...come on." He quickly reacted and wanted to remind him, "There may be times when it is inconvenient to visit in the emergency room. If the patient's condition is unstable, we will also
I will refuse to visit. I hope you can understand this."
Liu Chuang nodded, "Don't worry, we will definitely obey the doctor's instructions."
"This is already moderate anemia." Yuan Ping'an held Rolls' blood routine report in the emergency room, frowned at the data above, and cast a look at Dr. Pascal for help, "8.4g
/dl level should be considered moderate anemia for black people, right?”
Dr. Pascal frowned slightly, "This is not an issue that is easily mentioned in the United States."
Yuan Pingan thought for a while and then asked cautiously, "Because... of racial issues?"
Dr. Pascal sighed, "Fortunately, we are in China now." He thought for a moment and whispered, "I remember that the hemoglobin level of African Americans is about 20% to 30% higher than that of white people."
"That is to say..." Yuan Pingan did a quick calculation with a pen, "His current hemoglobin content is approximately equal to a Caucasian's level of only 5.88g/dl?" Yuan Pingan became more and more nervous as he spoke. According to domestic standards,
8.4g/dl is considered moderate anemia, and it is not too serious. After all, less than 9g/dl is considered moderate anemia. But the level of 5.88 is much more serious, which has reached moderate anemia.
the point.
"Although I don't think we can make such a direct comparison, your concern is right." Dr. Pascal sighed, "His anemia may be more serious than the reports we have seen."
"The suspended red blood cells have been attached." After Yuan Pingan arranged the treatment content, he came to report the situation to Sun Lien, "Based on the current situation, I will first arrange an infusion volume of four units for him."
Sun Lien nodded, but did not go into detail about why moderate anemia requires four units of suspended red blood cells. One unit of suspended red blood cells can increase the hemoglobin count of a normal person by 1g/dl. According to this treatment plan, Rawls' moderate anemia
Anemia can be directly corrected to a level of 12.4g/dl, which means it returns to normal.
"Doctor Sun, what are you looking at?" Yuan Ping'an suddenly became interested when he saw Sun Lien writing and drawing in the notebook in his hand.
"I'm writing the symptoms." Sun Lien put down the notebook in his hand, walked to the whiteboard in the conference room and started writing. This method learned from the high school cram school is actually very useful. Write these symptoms on the whiteboard,
Very useful for aiding diagnosis and reasoning.
"First of all, the symptoms we can see include possible malnutrition." Sun Lien emphasized again, "We can't confirm the condition of the patient's parents at the moment, so we put a question mark first."
Given Rawls' height and weight, even if he is Chinese, his figure cannot be called "standard". What's more, he is a black man.
"Then we knew that he had pneumonia." Sun Lien wrote on the whiteboard Rawls's blood routine three days ago and today's blood routine results. "Three days ago, his hemoglobin number was 12.7g/dl. At that time,
It’s still normal. But today’s result is worse, it has dropped to 8.4g/dl.”
Yuan Pingan immediately raised his hand, "Dr. Sun, there is something wrong here."
Sun Lien stopped the pen in his hand, looked at the information in his hand, and then looked at the whiteboard. He didn't find anything wrong in his writing.
"Rolls is a black man." Yuan Ping'an is now learning and selling. "His hemoglobin content is about 20% to 30% higher than ours."
Sun Lien raised his eyebrows and turned to look at the data of hb 12.7g/dl three days ago.