From the moment Xu Yourong bowed and said, "Please teach me." Sun Lien understood that his performance was still a bit too much.
It's not impossible to keep a low profile and bide your time, but it means that you need to ignore the real cause of the patient's illness, or at least ignore the important reminders of the illness. Sun Lien cannot do this kind of behavior no matter what.
What is the purpose of becoming a doctor? It is to use what you have learned to help patients relieve their pain. To snatch the lives of patients from the hands of death and give them the opportunity to laugh with their families again. Let their lives
Continue to fill them with countless possibilities, instead of collapsing into death. Although Sun Lien is usually a bit unreliable, choosing the path of being a doctor is his determination that has never changed from beginning to end.
At worst, he just said it was his talent. Somewhat determined, Sun Lien adjusted the expression on his face and gave the patient the last stitch. Looking at the wound that had been sutured flatly, he nodded with satisfaction. The skin of the patient's hand
The sutures are tight, the tissue cross-sections are in good contact, and the suture tension is just enough. After complete healing, the wound scars should not be particularly ugly.
After sending away the patient who had thanked him so much, Sun Lien sat in a daze behind the duty desk. Probably because there were so many patients yesterday, the Fourth Central Hospital was unexpectedly calm today. Almost no one was sent to the emergency room.
.The only patients are all elderly people who have difficulty breathing in winter.
The elderly are always more vulnerable than usual in winter. The dry and cold air is also an irritation to the respiratory system of adults, not to mention the elderly whose physical fitness has declined significantly. This morning, patients were sent to the hospital one after another.
Six elderly people arrived by ambulance because of panic and asthma. The most eye-catching among them was Zhou Xiufang, who was over 90 years old.
Zhou Xiufang is the grandmother of Zhou Jun, the deputy chief physician of the emergency room. The elderly woman has high blood pressure, diabetes, and hyperlipidemia. She also has a history of coronary heart disease for many years. When the old lady was sent to the hospital, Zhou Jun was still accompanying Liu Tangchun on ward rounds.
.It was not until he returned to the emergency room that Zhou Jun discovered that his grandmother was lying on the bed in the emergency room.
Zhou Xiufang was also a doctor, and she also taught at Ningyuan Medical College many years ago. Although she is almost octogenarian now, she still maintains the habits she developed when she was young. Every morning in the medical school, she walks around
There are circles around the artificial lake. I used to be able to walk around a dozen times in the morning, but now I can only walk around slowly with a cane.
But this morning, while taking a walk around the lake, the old lady suddenly felt that her feet had no strength. She could only sit by the lake and try to build up strength by resting.
In Ningyuan in December, the temperature after the heavy snowfall had already dropped below zero. The old man's already scant physical strength was losing little by little in the cold wind. The drop in body temperature caused the old man's physical strength to further drain away. He just sat on the stool,
But there are no signs of improvement at all.
If it weren't for two medical students passing by for a morning jog who found the old man still sitting there after running for half an hour. They came over to ask because they were worried that the old man would catch a cold. They found that something was wrong and quickly sent the man to the hospital. I'm afraid that Zhou Xiufang
I still have to sit down in the cold wind.
Zhou Xiufang's symptoms were very complex. When she was admitted to the hospital, she had symptoms of hypothermia. She also had shortness of breath, fast heart rate, and typical circulatory needle-like symptoms of weakness in her limbs. At the same time, the old man's consciousness began to have periodic disorders. She was just admitted to the hospital.
The old man who could still pronounce his name clearly could not even recognize his grandson Zhou Jun twenty minutes later.
"Is this your grandma?" After Liu Tangchun learned that his right-hand man's family member had been sent to the emergency room, he made an immediate decision, "You call home first. The family may be going crazy now. This patient asked Sun Li'en
They take over."
Zhou Jun glanced at his grandmother who was lying on the bed and couldn't recognize him, and nodded.
When doctors don’t treat themselves, it doesn’t mean that doctors won’t treat themselves. The main point is that doctors don’t and shouldn’t treat their own relatives. Doctors are not saints, and they can’t remain patient when their loved ones are suffering from illness.
Be calm and objective. If a doctor treats a loved one, there is a high possibility of over-medication due to excessive concern, or insufficient treatment and diagnosis because he is unwilling to admit the seriousness of the condition.
This kind of thing is a huge risk for doctors and patients' family members. Therefore, Liu Tangchun immediately made a decision to let Sun Lien and Xu Yourong take over Zhou Xiufang, and at the same time drove Zhou Jun out of the emergency room first to let him calm down a little.
Let Sun Lien take over Zhou Xiufang, not because of Sun Lien's diagnostic ability. The old lady's condition is actually relatively straightforward. This is a typical symptom of senile left heart failure. The stethoscope can directly hear the early diastolic gallop rhythm, accompanied by both lungs.
There was a wheezing sound. The culprit that caused the old woman to suddenly lose strength was her heart. In fact, no matter who gave the treatment to this symptom, it would be the same. Giving it to Sun Li'en only reassured Zhou Jun and at the same time strengthened Sun Li'en and
The cooperation between Xu Yourong and Liu Tangchun was still thinking about the two American doctors of medicine who were interested in joining his team.
"So Doctor Sun, first of all, what should we do?" After getting the basic examination results of Zhou Xiufang, Xu Yourong looked down at the old man lying on the bed and asked Sun Lien, "What other examinations do you want to do?
What?"
Sun Lien looked at the old man lying on the bed in a daze, "Zhou Xiufang, female, 88 years old, low hemoglobin, elevated IgG."
Low hemoglobin is what people often call anemia symptoms. And the symptom of elevated IgG... Sun Lien swallowed, he wouldn't let himself encounter another landmine, right?
"Let's do a blood routine first. I think the old lady may be a little anemic." Sun Lien decided to start with the appearance. Zhou Xiufang, who was lying on the hospital bed, had a sallow face and white lips. "And if it's senile heart failure, there should be infection.
Such triggers. Clarifying the triggers will also be helpful for the next step of treatment."
Xu Yourong raised his eyebrows, "It's all normal operations."
"Otherwise?" Sun Lien responded directly, "Are we going to do a cranial MRI for patients with heart failure? If Teacher Zhou knew about it, he wouldn't have skinned me."
All in all, let’s follow the routine first. Sun Lien frowned. For an elderly person in his eighties, any disease may be an obstacle that cannot be overcome, let alone a serious organic disease such as heart failure?
"I think we should add a cardiac color Doppler ultrasound." Xu Yourong put forward his own suggestion, "It's a symptom of heart failure anyway. It's good to clarify the type of heart failure."
"Do as you say." Sun Lien naturally wouldn't stop him. He was just a little absent-minded. The accuracy of the status bar was 100%, and every prompt was the most important clue. So what exactly is this prompt?