Sun Lien held Guo Yulai's cell phone in his hand, feeling a little panicked.
Xiao Guo hadn't had time to post to Moments, which was a good thing. But as soon as he got the phone, he was called over by Zhou Jun who had just entered the rescue room. This made him feel a little uneasy. It couldn't be Xiao Guo or someone else.
A spare mobile phone, and you just posted on Weibo, right?
"How did you think of the plague?" "Why can't the patient be pneumonia?" Unexpectedly, as soon as Sun Lien walked up to Zhou Jun, an old man in white clothes suddenly spoke. His tone was quite kind, but his words were...
Somewhat direct.
Sun Lien was stunned for a moment, and looked at Zhou Jun with pleading eyes. "Senior Brother Zhou, do you need to introduce who this old man is first?"
"This is the old dean of our fourth hospital and the previous president of the college." Zhou Jun briefly introduced Wu Youqian, and then said to Sun Li'en, "Dean Wu is very interested in your diagnosis. If you have anything to say, just say it.
Bar."
Sun Lien nodded, and then explained seriously to Wu Youqian, "Because the existing evidence can only support the diagnosis of plague."
"Tell me about your diagnostic process." Wu Youqian certainly understood this. But Sun Lien's diagnostic thinking was the focus of his curiosity. "How did you eliminate other options?"
"First of all, a family was sent to the hospital, and the symptoms were consistent. In other words, the disease is either highly contagious and can be transmitted to a family of different ages and genders at the same time. Or the disease progresses extremely slowly, enough to allow people to be infected at different times.
All three members of the family fell ill." Sun Lien is now much more confident about his diagnosis than before. After all, he was indeed the one who diagnosed the symptoms of plague, rather than directly giving the answer on the status bar. "But the latter one is obviously not the same.
It is very possible that this family of three was discovered by a neighbor and sent to our hospital for treatment. Therefore, I first ruled out mycoplasma pneumonia."
In the field of medical diagnosis, deriving content that has not yet been mastered through mastered information is actually a very high-risk technology. After all, the inference of information may go wrong. And once the inference goes wrong, it is likely to lead to
Doctors' thinking has entered the wrong path, and they have gone astray all the way to the end.
"The risk is high, but it makes sense." Wu Youqian frowned. He didn't agree with such inferential diagnosis, but in this case, there was no way to derive the diagnosis through inference. "Then what?"
"Then three people showed the same symptoms, so I ruled out lobar pneumonia." Sun Lien pointed to the three people lying in the clean room and said, "Lobar pneumonia will be more serious in young people, but
The symptoms and severity of the three symptoms were comparable to or even more severe than those of the two older adults."
Lobar pneumonia is more likely to occur in young men, and is more common in winter and spring. And most of them have triggers before the onset, such as fatigue, exposure to rain and cold, surgery, etc.
"At the same time, lobar pneumonia is generally not contagious if the immune system is normal." Sun Lien continued, "If there is a hereditary immune system defect, it would be reasonable to manifest the disease in one parent and in the children. But the whole family is affected.
The probability of onset and consistent progression of lobar pneumonia is so low that it should not be considered first."
Wu Youqian nodded silently. At least there was nothing wrong with what Sun Lien had said so far. Of course, these diagnostic ideas were a bit risky and some relied too much on experience. But at least they were reasonable and there were no serious flaws.
"Then next, we need to consider pulmonary anthrax and pneumonic plague." Sun Lien continued, "The manifestations of pulmonary anthrax are highly consistent with those of pneumonic plague. However, after questioning, I learned that the patient had died about two days before the onset of the disease.
Marmot meat has been eaten in Xihai Province. Xihai Province is a natural plague area, and marmots are the main species that spread plague in Xihai Province. Therefore, I highly suspect that these three people are pneumonic plague patients, and according to the corresponding procedures, samples were taken for testing, and
Notified the Centers for Disease Control and Prevention as quickly as possible...This is my diagnosis process."
It can be said that the description of the diagnosis is almost all true. The status bar reminded that three people, Sun Lien, were infected at the same time, and the onset of illness was extremely rapid. At the same time, the three people were infected with highly contagious diseases. The remaining differential diagnoses are all
It was made by Sun Lien himself.
"It's amazing." After Wu Youqian was silent for a while, he suddenly clapped his hands and said, "It's really amazing."
Dr. Pascal said to Dr. Brun who was standing aside, "No matter how many times I watch it, I still feel that Dr. Sun is just like the protagonist in a movie."
"There are more doctors like this in TV dramas." Dr. Brun shrugged his shoulders and said habitually. "Doctors in movies usually die first as props to show that the situation is critical, just like dead black actors.
Same. The ones who can really save the world are those white marines."
Zhou Jun nodded lightly. Every time he heard Sun Lien's diagnosis, it was like watching a theatrical performance. Although he had seen it several times, after seeing the diagnosis in person, the feeling of shock was still not the same.
Decay. All doctors make mistakes, but Sun Lien has never made any mistakes in diagnosis so far. I really don’t know if this guy is really lucky or if he has his own unique diagnostic method.
"Diagnosis is very important. You did a very good job." Wu Youqian was initially doubtful about Sun Lien's miraculous performance. Now after hearing the whole process in person, Wu Youqian, who has taught doctors all his life, had to admit that Sun Lien was indeed the same as the one he had seen before.
Everyone is different.
If there was a genius in diagnosis, it would probably be like this, right?
"Are you doing regular training in the Fourth Hospital now?" Meeting such outstanding young people is every educator's dream and biggest temptation. Even if Wu Youqian has retired, he still cannot escape the temptation. "Have you considered going to other medical schools to continue?
Want to further your studies? Because the Fourth Institute has only been established for a short period of time, the current requirements for academic qualifications are not too high. But in the future, there will definitely be requirements for academic qualifications. You only have an undergraduate degree now, and it will be inconvenient to be evaluated for professional titles in the future..."
"Dean Wu, Li En's enrollment next year has been decided." Zhou Jun on the side felt more and more outrageous. Wu Youqian poached and even got into the emergency room of the fourth hospital. This was too much. "Director Liu will be his mentor."
"Liu Tangchun?" Wu Youqian shook his head regretfully, "Forget it then. I don't want this guy to block my door every day after he comes back from Africa."
After a slightly more relaxed chat and questioning, the next thing to face was unnerving. The condition of the three patients suffering from pneumonic plague was still not good. This made the expert team who came to support also very worried.
Headache.
"Add two units of frozen plasma to patient No. 2 and four units of whole blood for pressurized infusion." Wu Youqian gave the doctor's order. In order to facilitate management and naming, Tang Xingde's family of three was divided into three numbers. Tang Xingde is
Patient No. 1, Hou Huiying is No. 2, and their son Tang Wen is No. 3. The patient No. 2, Hou Huiying, is the one with the problem now.
"I'm vomiting blood again, my blood pressure is still dropping, it's gastric bleeding." The person in charge of treatment has changed from Sun Li'en to Wu Youqian. The old expert is not hasty or slow in giving instructions, but there is basically no hesitation or nonsense in the middle, and he still has time and effort.
Rejecting the suggestions of other doctors. "Don't use such old antiques as three-chamber two-capsule tubes. How to remove the tube while wearing a respirator? Zhou Jun!" Wu Youqian shouted outside the clean room, "Let's prepare for intervention. This is an intervention."
The bleeding stopped."
Sun Lien looked worriedly at the situation inside the clean room. Although Hou Huiying had fallen into unconsciousness, her body's reflex reaction still caused her to tumble and spit out black foam from her mouth from time to time.
Blood is the product of the reaction between blood and gastric acid after stomach bleeding.