I can see the status bar

Chapter 181 Talk
Brain space?Sun Lien rubbed his eyes, but the display on the status bar did not change.The line floating above the patient's head in the status bar really said so.

What are you doing?Sun Lien took out the MRI examination report again, and the above image clearly showed that there was nothing abnormal about the patient's brain.

I had an MRI at [-]:[-] pm yesterday and found nothing abnormal.Did it again at [-] this morning and still found nothing out of the ordinary.After completing the examination at around [-]:[-], Zhou Jun adjusted the patient's medication according to the opinions of the rheumatologists and immunologists...

What happened during the five and a half hours of adjusting the medication to cause this change?Sun Li'en frowned, he didn't need the prompt on the status bar, he could guess that this was probably the main cause of the patient in front of him.At least one of the main reasons.

"Have you checked the pressure of the cerebrospinal fluid?" Sun Lien walked to the side of the patient and asked Zhou Jun.When taking cerebrospinal fluid, the pressure of cerebrospinal fluid is generally not measured by the way.Unless the patient has obvious signs of increased intracranial pressure.The presence of space-occupying lesions in the brain basically means that the patient's intracranial pressure will increase.Checking the cerebrospinal fluid pressure at this time, although there are some risks, is also easier to clarify the patient's symptoms.

"No, I'll arrange someone to investigate later." Zhou Jun nodded, "What other inspections do you need?"

"I want to talk to the patient's family." Sun Lien frowned, but he didn't have any other thoughts.It's just that the status bar now prompts a useful piece of help. Before the cerebrospinal fluid is confirmed, he really doesn't have any other tests to do.After all, the patient's current vital signs are fairly stable, and nothing was seen in the imaging examination five and a half hours ago.Even if there is a change in the condition, it probably won't be life-threatening immediately.

If you continue to stay at the scene, you will have to face Zhou Jun's constant inquiries.Sun Lien didn't want to put himself on the fire.Choosing to communicate with family members now is the best way to avoid disasters.

"The family members are in the small conference room, you can go directly." Zhou Jun nodded, communicating with the family members to understand the patient's medical history is a routine method.But sometimes the patient's family members easily miss some important information in the first few conversations with the doctor due to anxiety or other factors.Multiple conversations can help the patient's family members calm down their anxious emotions, and it is easier for doctors to discover some special places in repeated conversations.

It was his wife who came to the hospital with Yang Jianqiang.Yang Jianqiang himself is an ordinary programmer.Due to the special nature of the work, although I usually live in Ningyuan, the company I work for is far away in Shanghai.And Mrs. Yang is an authentic Shanghainese woman.She used to be Yang Jianqiang's leader, and gradually became attracted to this hairless but humorous science and engineering man at work.In the end, he gave up his management position and came to Ningyuan to settle down with Yang Jianqiang.

However, this woman, who usually pays attention to her appearance, now has oily and messy hair, pimples all over her face, and deep and large bags under her eyes. She looks almost 50 or [-] years old.

"Doctor..." Mrs. Yang stood up nervously from her seat when she saw Sun Lien approaching. "Lao Yang...how is he?"

"The situation is fairly stable. But we are still trying other diagnostic solutions." Sun Lien pointed to the seat and motioned Mrs. Yang to sit down first. "Don't worry, I have some questions to ask you."

Mrs. Yang was anxious, "Our old Yang has been sent to the hospital for a day and a night, why haven't you figured out what disease he has?!"

"That's why I came to ask." Sun Lien said seriously, "He has received bone marrow transplantation before, and has been using immunosuppressants to prevent the transplanted bone marrow from being attacked by the immune system." Sun Lien glanced at Mrs. Yang , "You know about this, right?"

Mrs. Yang nodded, and then began to cry, covering her face.

"According to the situation you described before, I still have some questions to ask. These questions may be related to your husband's condition." Sun Lien sighed. Although he wanted to comfort the family members in front of him, he had to finish the questioning as soon as possible. .It won't take long for the doctors in the emergency department to test the pressure level of the cerebrospinal fluid. When the results are found to be abnormal, he is ready to send the patient to the imaging department for further examination.

Mrs. Yang tried her best to calm herself down. She nodded to Sun Li'en with red eyes, "Ask."

"The patient reported that he started to have a fever a week ago, and he also had symptoms of fatigue." Sun Lien looked at the case, racking his brains to think about the problem, "Did he have any special symptoms before this week? Becoming forgetful...anything different from usual is fine."

Madam Yang lowered her head and began to try hard to recall any unusual experiences her husband had before.But no matter how hard she tried to think, she couldn't provide even a trace of suspicious circumstances.

"It's okay, it's okay if you can't figure it out." Sun Lien had to stop asking again, and comforted the family members instead.Yang Jianqiang's main difficulty in diagnosis is actually reflected here.In the existing inspection system, most of the inspections need to rely on the body's own immune system to react and mark antigens.This is the so-called antibody test.It has to be said that the immune system in the human body is actually a very efficient and sensitive defense system.They will produce specific antibodies against various antigens, and use these antibodies to label the antigens, so as to achieve the purpose of guiding immune cells to eliminate the antigens.

In modern medicine, doctors can use these antibodies floating in the blood to determine what has invaded the human body and what caused the disease.Antigens are clarified by examining antibodies, and corresponding treatment methods are adopted by clarifying antigens.This is the basic treatment process of modern medicine.

However, this method did not work as it should on Yang Jianqiang.

Immunosuppressants suppressed the cellular immune function in his body, and Yang Jianqiang also received T-lymphocyte scavenger treatment after bone marrow transplantation.This further weakened his body's immune system's ability to fight off and mark antigens.

Yang Jianqiang's immune system cannot resist antigens, and at the same time cannot label antigens.This means that not only is his body defenseless, but doctors have no way to help him. So far, the doctors haven't figured out what caused Yang Jianqiang's symptoms.

"How about it..." Sun Lien continued to comfort him for a long time, but after seeing that the effect of the comfort was not obvious, he suddenly had an idea. "Can you tell me about Yang Jianqiang?"

"What?" Mrs. Yang was taken aback, she thought she had heard wrong.

"Can you tell me what kind of person Yang Jianqiang is?" Sun Li'en took out his notebook and pen, "Please tell me what you know about him, it doesn't matter where you start." He looked up Looking at Mrs. Yang, she said seriously, "Please tell me, I'm ready."

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Yang Jianqiang is a technical geek who loves life.This is Mrs. Yang's evaluation of her husband.He is humorous, kind, generous and has great enthusiasm for life.He likes to make some furniture by himself, repair the electrical appliances at home by himself, and even likes to do it himself, grafting and cutting fruit trees at home—even though he has no experience and knowledge in this area at all.

The Yang family is full of Yang Jianqiang's self-made handicrafts, and the types are also different.From the homemade sofa, to the homemade wool felt, and even the cat climbing frame on the ceiling in the corner of Yang’s house, Yang Jianqiang made it by himself bit by bit.

"Your family has pets?" Sun Li'en was immediately refreshed when he heard this. This was something that was not mentioned in the previous medical records.

"No." Mrs. Yang shook her head lonely, "Old Yang wanted to raise a cat, so he had already designed these cat climbing frames and other things before decorating the house. But we were planning to have children at that time, so I haven’t raised them all the time.”

"No pets...?" Sun Li'en's excitement subsided a bit, but he still pulled himself together and asked, "How long have you been trying to conceive?" Mrs. Yang and Yang Jianqiang are not too young.

"More than two years." Madam Yang lowered her head, "We went to the hospital for an examination, and I have some difficulty getting into bed."

In other words, Yang Jianqiang did not have any reproductive system problems before.Sun Lien once again ruled out a direction.It's just that none of these seem to be of any direct help to the diagnosis.

"I'm still a little concerned about the cat climbing frame." Sun Lien pondered for a while, then asked directly, "When doing woodworking, does he use any varnish or spray to protect the wood?"

Mrs. Yang shook her head, "We stayed away from all chemical agents that could be avoided when we were preparing for pregnancy. Old Yang's carpentry never used varnish. If it needs to be preserved, he would use a spray gun to bake it on the wood to make it carbonized and preserved. "

"Why is it a cat climbing frame?" Sun Li'en continued to ask, there was no purpose anyway, maybe if he kept asking, he could find some clues. "Has he ever had a cat before?"

"Before I met...Lao Yang should have raised a dog." Mrs. Yang tried her best to recall, and replied uncertainly, "It's just that before he went to Shanghai to apply for a job, that dog was killed by a car." Killed. Well... he said his grandma used to have a white cat. Big white cat with blue eyes, very beautiful. Except that was almost 30 years ago."

Nothing seems suspicious?Sun Lien sighed, it seems that this conversation did not make any progress.I don't know how Xiao Guo's inspection is going.

"Brother Sun." Just as he was thinking about it, Xiao Guo suddenly poked his head out of the emergency room and waved at Sun Lien, "The pressure of the cerebrospinal fluid is 210mm/H2O, which is a little higher."

"Send it to the CT room, and then do another MRI." Sun Lien stood up abruptly from his seat, "Prepare two bags of mannitol..." He suddenly remembered something, "Where's Dr. Pascal?"

"Old Pa should be out of the rheumatology clinic today." Xiao Guo replied, "Should I call him over?"

"No need, you go to arrange the video inspection. I'll ask Lao Pa to come over to hold the line." Sun Lien quickly made arrangements, apologized to Mrs. Yang, and rushed directly to the duty desk.

(End of this chapter)