I can see the status bar

Chapter 1099 Thief

Lu Yahui, who was stuffed with dog food, finally decided to draw a portrait of Sun Lien and Hu Jia.But this portrait... She needs to think about it a little bit.

After asking Sun Li'en to send a photo of herself and Hu Jia, Lu Yahui waved her small hand, signaling that the sour smell of love on her body could hardly be covered by the protective clothing to get out of here.

Although she claims to be very familiar with the way girls look at the person she likes, Lu Yahui herself is always single.She looked at Sun Lien's back, and couldn't help but muttered in her heart, "The times are better now, ten years ago, a guy like you would have been framed and roasted...Hmph!"

Of course, Sun Li'en didn't know that Lu Yahui was "joking" with herself with the animation works from 13 years ago.He walked all the way to the door of Guan Guxue's ward, and knocked on the door.

"Doctor Sun." Guan Guxue was leaning on the bed and looking at the child in the incubator. When she saw Sun Lien, she forced a smile, "Are you busy recently?"

"In our line of work, they are busy all day long." Sun Lien nodded back - anyway, the patient couldn't see his facial expression. "How do you feel today?"

The status bar of "Novel Coronavirus Infection" above Guan Guxue's head still exists, but the writing seems to be very faint.It was clear that her infection was getting better, but not fully recovered.

"I feel a little dull." Guan Guxue thought for a while and said, "Zhao Jian still has a little diarrhea. Oh, by the way, the two of us still can't smell anything."

Changes in the sense of smell are relatively rare symptoms in patients with new coronavirus infection.Although it is a respiratory infection, in the several surveys conducted by Yunhe, the patients with a change in sense of smell accounted for only about 15%.

Smell and taste can be affected by various upper respiratory tract infections, as the infection directly affects the nasal mucosa, thus affecting taste and smell.But the new coronavirus is different. It belongs to the lower respiratory tract infection disease.

The 15% probability of symptoms is not high, but it is not a symptom that can be ignored.For such symptoms, doctors have somewhat guessed that the new coronavirus may cause damage to the olfactory receptors or the nervous system responsible for processing the sense of smell.

The main reason for the abnormal sense of smell caused by traditional upper respiratory tract infection is due to the edema of the nasal mucosa, which leads to the reduction of air circulation at the olfactory receptors in the nasal cavity.To explain it in simpler words is "the amount is too small to taste the taste".But the new coronavirus infection is different. As a lower respiratory tract infection, the number of patients with nasal congestion symptoms is not large.This abnormality is even more frowning in the cases of Guan Guxue and Zhao Jian.

Both Guan Guxue and Zhao Jian had no symptoms of nasal congestion, but both reported losing their sense of smell.

"We don't even have an ear, nose, and throat specialist who can help us with a consultation..." Sun Lien frowned and thought for a while, "Why don't we, I'll call and consult with our hospital's specialists to see if I can do it Is there any way to deal with it."

In fact, Sun Lien could guess without any consultation from an ENT specialist. This kind of loss of smell is not so easy to solve.

Both Guan Guxue and Zhao Jian have a "loss of smell" prompt in the status bar, and the font color is blue which has never been seen before.

According to Sun Lien's past experience, the black font is a suggestive factor that "causes the patient's current symptoms", and the white font is "the abnormal phenomenon that the patient currently has and has nothing to do with the symptoms".Moreover, the probability of the white status bar prompt appearing is relatively low. Generally, after Sun Lien occasionally checks out the symptoms that are not indicated in the status bar, this status bar that always has an inexplicable evil taste for Sun Lien will be lazy and look for compensation. Add such a white state at the back.

But blue... Sun Lien really saw it for the first time.

Sun Lien cannot be blamed for not being vigilant enough, but the patient has a symptom of a complete loss of sense of smell...it is unlikely to mean any particularly serious disease.

In theory, the most serious etiology that could lead to the symptom of loss of smell is damage to the connection between the central nervous system and the olfactory bulb.But such a lesion does not cause any serious consequences for the patient-it is nerve damage, which is difficult to repair but at the same time there is no other danger.Unless it's something like a tumor that's causing the damage.

If it is a unilateral nose anosmia, it is a very classic positioning problem-it suggests that the location of the cerebrospinal fluid rhinorrhea is at the cribriform plate.

Continue to deduce based on the conventional "logic" of the status bar, if it is really a problem caused by a tumor or some other rare disease, then the status bar of "loss of smell" should be in black font.A blue prompt... What does this mean?
It can't be that all the debuffs were displayed in the past, but the loss of smell is a buff for Guan Guxue and Zhao Jian now, right?
No matter what it is, in short, judge the degree first.Sun Li'en thought about it, and wandered over to the nurse's station in the North Sixth District, looking for something with a strong smell.

"The smell is obvious?" The medical team support nurse at the nurse station thought for a while, and then suddenly remembered something and said, "Director Sun, go to the lounge. I remember when we took over the ward before, we saw it in the lounge. And half a bottle of white vinegar."

Judging from the description on the status bar, Guan Guxue and Zhao Jian's problem should be that all sense of smell has completely disappeared.This is different from hyposmia, anosmia, perversion, or phantom smell.White vinegar, on the other hand, can help doctors distinguish hyposmia from anosmia.Even in the early stages of influenza or other upper respiratory infections, patients experience hyposmia.Pungent odors such as acetic acid can still be recognized by patients normally.But after anosmia occurs, the patient will not respond to pungent odors.

Sun Lien pressed his hand while walking towards the lounge, and he called Yuan Pingan, a humanoid self-propelled data analyzer, "Dr. Yuan, please help me count the number of confirmed patients currently admitted to our hospital. Say that you have anosmia, and then roughly analyze the situation of these patients."

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Even through the mask, Sun Lien could smell the strong smell of vinegar in the paper cup in his hand.But Guan Guxue and Zhao Jian pulled off their masks, and after sniffing carefully for a long time, they still said they couldn't tell the difference between vinegar and water in Sun Lien's hands.

"No, I can't smell anything." Guan Guxue sighed in frustration, "Now I don't have any taste in food, and eating every day is like taking medicine..." If it wasn't for eating more to restore the body, and at the same time To prepare for breastfeeding the child in the future, Guan Guxue might not even be interested in eating.

"Problems with the sense of smell may cause deterioration of the sense of taste, but you should still be able to taste the sweetness, bitterness, and spicyness." Sun Lien poured the vinegar in his hand into the toilet, and after flushing the vinegar away with water, he asked, "You now The main problem is still not being able to smell and fatigue? Do you still have diarrhea or coughing?"

"I don't have any of these two." Zhao Jian replied, "I probably had a little diarrhea the day before yesterday, but it was basically cured yesterday. Xiaoxue has never had diarrhea."

Sun Li'en comforted the two of them a few more words, suggesting that they can actively go to the ground to move around, so that the lungs that were not active before can be opened up again.Then he left the ward.

No patients in North Fifth District and North Sixth District claimed to have experienced anosmia, which made Yuan Ping'an's statistics encounter some troubles.But this does not affect the most useful humanoid self-propelled data analyzer in the Fourth Central Hospital of Ningyuan City to actively exert its subjective initiative.Yuan Pingan directly sent the request for data to the communication group of the medical team, and also noted later, "This data is what Director Sun wants."

Of course, Sun Li'en could not be considered a big name in the medical team, at least he was considered a minor one.In front of several academicians who supported Yunhe, the 28-year-old deputy high was just a nobody.But compared with other doctors, Sun Lien is indeed a famous colleague.Not to mention his articles with a cumulative impact factor of more than 100 points, and the fact that he has already become an administrative director at a young age.Based on the triple therapy he proposed against the immune storm and the treatment principle he repeatedly suggested of "diagnosing the patient's pulmonary edema through bedside B-ultrasound and precisely controlling blood volume", every doctor in Yunhe's medical team will know Impressed with him.

What's more, the comprehensive diagnosis department of Ningyuan No. [-] Hospital is quite famous. Many doctors have suggested that patients who are not sure should "consider going to Ningyuan No. [-] Hospital" instead of going to the capital and Shanghai stock market.

Since Sun Li'en has a unique talent for the diagnosis of rare diseases, this may also prove from the side that this doctor's ability to control some details is far superior to that of his peers.

If Dr. Sun is interested in the "loss of smell in patients with new coronavirus", it may mean that this symptom has some unique "value".

The doctors who successfully completed this logical reasoning began to actively cooperate with Yuan Ping'an's inquiry.They quickly summarized and sorted out the situation of the patients on hand, and reported to Yuan Ping'an in the group.

After Sun Lien greeted the patients who came out for a walk all the way and returned to the office in the red zone, Yuan Ping'an's preliminary data collection had also been completed.

"At present, I have obtained the data of four designated hospitals and two shelter hospitals." Yuan Pingan entered the collected and summarized data into his own analysis software with great interest, and said to Sun Li'en, "At present, there may be The data of three or 4000 people is for us to analyze."

"What's the result?" Sun Lien sat next to Yuan Ping'an curiously and asked, "How many patients have abnormal sense of smell?"

"Let me see." Yuan Pingan finished importing the last set of data, and then pressed the statistics button on the software, a series of numbers flashed by, and then a number jumped out.

"17.2% of the patients had hyposmia." Yuan Ping'an was taken aback by this data. After quickly checking the statistics from various places, he said hesitantly, "Reports of hyposmia... mainly focus on the In the data collected by the cabin hospital."

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According to the preliminary analysis of the data obtained by Yuan Pingan, the cases of hyposmia and anosmia are mainly concentrated in patients with mild symptoms.Moreover, according to statistics, the number of female patients who report symptoms of olfactory loss is slightly more than that of men—female accounts for about 60%.

"Tell the doctors in the group that if possible, let them test it with something like acetic acid." Sun Lien looked at the data on the screen, and his first reaction was to ask the other doctors to reconfirm the feasibility of the data .After all, according to current research and statistics, the main symptoms of patients infected with the new coronavirus should still be fever, dry cough, fatigue and diarrhea.Anosmia is not a major symptom that is noticed.

If it is said that the loss of smell was not noticed by doctors before because other symptoms of the patient were too obvious, then this "loss of smell is mainly concentrated in mild patients" is even more puzzling.According to Sun Lien's guess, the loss of smell and decline is likely to be the result of the patient's nervous system being attacked by a virus.

The diseases of lower respiratory tract infection have begun to attack the nervous system, but it turns out that only mild patients have it?This kind of thing is as unimaginable as a group of armed robbers breaking into the bank just to rob the two buckets of drinking water in the lobby.

This is not common sense.

"There is not much gender difference among patients with symptoms, but according to the gender data of patients included, this difference is indeed statistically significant." Yuan Pingan said to Sun Lien, "Female patients do seem to be more prone to such symptoms than male patients. .”

"This difference... I personally think it doesn't make much sense." Sun Lien said with a frown, "Women are more sensitive to smells, and it is very likely that other male patients also have the performance of olfactory decline, but they themselves did not notice this. a little."

"Hmm... Could it be related to oxygen inhalation?" Yuan Pingan continued to look at the data and said, "Among all the patients in the statistics, 72% of the patients did not receive oxygen inhalation, and 28% of the patients received oxygen therapy."

"But it has the same significance as the frequent occurrence of anosmia in mild patients." Before Sun Lien could speak, Yuan Pingan shook his head and vetoed his guess, "All critically ill patients will receive oxygen therapy. It directly proves that there is a logical relationship between the lack of oxygen therapy and the loss of smell."

"But statistically, patients who do not inhale oxygen are indeed more likely to have symptoms of olfactory loss than patients who inhale oxygen." Sun Lien pointed to the data on the screen and said, "The statistical data for those who do not inhale oxygen is P=0.048, which is statistically significant."

There is statistical significance, which means that doctors should start looking for ways to explain this statistical significance.Sun Li'en thought for a while, then frowned and said, "This...will it have something to do with the course of the disease?"

Both Guan Guxue and Zhao Jian's illnesses were by no means short.Guan Guxue started showing symptoms on January [-]. According to what doctors know about the novel coronavirus, it is an infectious disease with an incubation period of three to seven days.Calculated in three days, Guan Guxue might have been infected on January [-]th.

It is now the night of February 29th, and Guan Guxue's infection has lasted for at least 28 days.Zhao Jian's infection time may be slightly shorter, but it should be about [-] days.

This is the only reason Sun Lien can think of that can explain the olfactory nervous system damage in mild patients.These mild patients have a longer course of disease, so the virus has more opportunities to invade the nervous system and cause damage.In other words, the reason why the robbers who broke into the bank moved two buckets of purified water instead of the vault was not because they changed their temper, but because they really couldn't knock on the strong vault door.

What is this... a thief who doesn't leave empty space?Sun Li'en was amused by his reasoning.He sighed and said to Yuan Ping'an, "The incidence of this symptom may be higher than we expected. You have to work a little harder these two days and do more analysis on the data... I think this symptom may be very important."

(End of this chapter)