I can see the status bar

Chapter 266 Paving the Way
In the ICU of Ningyuan Fourth Central Hospital, a unique pursuit began.

At the heart of this pursuit are the doctors and nurses who care for patients.The parties involved in this strange love are Yang Jianqiang, who was isolated in the clean ward, and his wife, Ms. Lu Jingan.

Yang Jianqiang still insists that Lu Jingan is a volunteer who came to visit people without family members like him.Even if it doesn't explain why this volunteer only came to visit him, and he would show up every day.

Lu Jing'an originally planned to reveal her identity to Yang Jianqiang directly, but she was persuaded by the doctor in Shennei.Yang Jianqiang's brain damage led to amnesia. Since he was still unable to get out of bed, the neurology department could not fully evaluate Yang Jianqiang's specific damage performance.But after he showed a strong desire to pursue Lu Jingan, the doctors were surprised to find that Yang Jianqiang not only increased his daily waking time by more than 30%, but also his body, which could only maintain the second-level muscle strength at most, also began to recover quickly. .Within five days, his lower limb muscle strength rose from a second-level evaluation to a third-level evaluation.

"No matter what he wants to do, let him do it." The neurologists made such a decision without hesitation.With the approval of the specialist doctor, the ICU medical staff who were a little depressed due to the high work pressure all joined in.Especially the female nurses and female doctors, they participated almost with incomparable enthusiasm-mainly responsible for coordinating the content of Lu Jingan's speech, so that she would not reveal her secrets prematurely.And the male doctors were ordered by their female colleagues to help Yang Jianqiang give advice—his brain of a man of science and engineering is really not easy to catch up with girls.

"Pay attention to the method, and don't affect the patient's health for the temporary recovery progress." After learning about this, Liu Pingchuan deliberately reminded the doctors in the ICU again.The patients in the intensive care unit were not very likely to be able to walk out standing up. Seeing that this miserable couple seemed to be returning to normal life, and seeing the two clumsy reunion under the condition of knowing Falling in love is really an experience that is almost impossible to obtain in normal work.

The enthusiasm of the medical staff to participate was very high, and Yang Jianqiang also accepted the sudden appearance of foreign aid outside the field.Not only has his mental state improved a lot these days, he can even hold a pen and start writing some sour and long love letters.Although there are occasional situations where words do not convey the meaning or sentences are reversed, after rigorous analysis by neurologists, they believe that this may be mainly because Yang Jianqiang is not good at writing such things, not because of brain damage.

When the patient is still unable to move on the ground, such activities can indeed assess the damage of the brain more comprehensively.At present, in addition to the slight impairment of spatial recognition ability, Yang Jianqiang's biggest injury is partial amnesia.This result is already considered a blessing in misfortune.

However, for Liu Pingchuan, this patient is definitely a troublesome matter.The reason is simple - this patient was transferred from Zhou Jun to Sun Lien.The diagnosis was jointly made by Sun Lien and Yuan Pingan, and after receiving gamma knife treatment, Yang Jianqiang was sent to the intensive care unit in the name of Yuan Pingan's patient.

To put it simply, Yang Jianqiang is a patient in Sun Lien's treatment group, and according to Director Song's instructions, the entire treatment group now needs to be supervised by Liu Pingchuan.For a patient with such a serious and complicated condition, it is natural that Liu Pingchuan, who has the highest rank and most experience in the treatment group, should be in charge.

God is sorry, Comrade Lao Liu used to have only two patients a month on average.Basically, the patients that other neurosurgeons can't handle will be handed over to Liu Pingchuan.He spends more time teaching and operating.

"Please ask the Department of Neurology and Psychology for consultation, and ask the teaching and research group of tropical diseases and parasites in the college to provide some advice." Liu Pingchuan groped for his white hair and sighed softly.Forget it, bear with it.It was just to pave the way for his beloved disciple Xu Yourong.

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Xu Yourong, who was personally paved by a second-level professor, was sitting in Sun Lien's ninth consultation room, silent.In front of her was a case record, which came from a patient who had just been sent to the hospital not long ago - a patient treated by Xu Yourong.

"I think there's something wrong with this case." After the two of them stared at each other silently for a while in the consulting room, Xu Yourong said suddenly, "But Director Zhou and the others think it's just ordinary tuberculosis."

"What do you think is the reason why it's not tuberculosis?" Sun Li'en sighed. It's 10:[-] in the morning, and he still has [-] minutes to get off work and go back to sleep.Being stopped by Xu Yourong like this, even if she misjudged that the patient was indeed tuberculosis, it would be impossible to get off work on time - the possibility of going back after lunch is relatively high.

"The patient had fundus hemorrhage, the tuberculin skin test was negative, and the chest X-ray symptoms did not match the combination." Xu Yourong listed three objections.

Sun Lien scratched his head, "There may be other reasons for fundus hemorrhage, and both the skin test and X-ray may be false negative." He actually disagrees emotionally with Xu Yourong's objection based on these three points.After all, this does not meet the diagnostic criteria for tuberculosis.

Like other diseases, TB has very strict diagnostic guidelines and procedures.Experimental methods, including sputum smears, require multiple verifications before confirming that the patient is indeed suffering from tuberculosis.

"The patient complained of low-grade fever, cough, and fatigue for a month, and his condition worsened within two days, accompanied by hemoptysis. The most recent hemoptysis is estimated to be around 200 milliliters." Sun Lien looked at the case record brought by Xu Yourong, and then frowned.

If you just look at it historically, it really looks a lot like tuberculosis.And Sun Lien also understood why Xu Yourong felt that this disease was a bit strange - the progress and performance of the patient's disease were so standard, as if they were taken out of a book.

The only difference is the amount of hemoptysis.Patients with pulmonary tuberculosis may indeed cough up blood, but generally they do not have such a large amount of bleeding. 200ml of bleeding, which is almost as good as two-thirds of a can of Coke.Coughing up so much liquid from the lungs is not the kind shown in ordinary film and television dramas - covering the mouth and nose with a handkerchief when coughing, and then a large area of ​​bright red is revealed on the snow-white handkerchief - that kind of appearance is probably bleeding It's less than five milliliters.

"Let's go and see the patient." Sun Lien sighed.He took off his white coat from the clothes rack behind him and walked towards the door.

Wearing a white coat while walking, Sun Li'en now has a trace of Liu Tangchun's striding momentum.

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"There is a high possibility of tuberculosis." From the moment he entered the emergency room and saw Zhou Jun, Sun Lien's aura completely disappeared without a trace.The two sides quickly returned to the relationship between the teaching teacher and the regular training doctor.The teacher with the teaching barked and criticized, and then Dr. Guipei just meowed and rubbed on the ground.Anyway, this is my senior brother, and he is also a teacher.No matter how daring Sun Lien was, he didn't dare to go back directly.He could only listen to Zhou Jun's long list of his own opinions before asking, "Can you let me see the patient?"

"Go." Zhou Jun sighed.Although the members of Sun Lien's treatment group are all young elites, there is one thing that is not good - they are all too stubborn.The patient's current symptoms are very consistent with tuberculosis. Although the test results are false negative, these diagnostic items for tuberculosis are not easy to produce results.According to the diagnostic guidelines, even if the three sputum smears are negative, as long as the disease course and imaging results are consistent with tuberculosis, the diagnosis of tuberculosis can still be made.

It is also good to let young people bump against the wall.Zhou Jun sighed again. Since he started to take charge of the rescue room, he has been sighing all day long.Now sighing has almost become a subconscious habit of his - hearing a series of sighs, the doctors in the emergency department know that their director is here.

"Wang Lin, male, 56 years old, Staphylococcus aureus double lung infection, 24-hour urine protein 1.57g, 24-hour urine creatinine 8316.91μmol, slight edema of both lower extremities."

Sun Lien glanced at Xu Yourong behind him in surprise.Her judgment was not wrong, it was indeed not tuberculosis.

"Do a urine routine." Sun Lien looked at the patient in front of him for a while, and decided to start with the renal insufficiency that had not been discovered by the doctors. "Let the respiration and anesthesia come over, and do a bronchoscope lavage fluid culture."

Zhou Jun leaned over with his hands behind his back, "What do you see?"

"Director Zhou." Sun Lien nodded politely, then whispered, "I don't think this is really tuberculosis."

"What's the reason?" Zhou Jun asked back.

"The signs and body temperature are not quite right." Sun Li'en is now making up nonsense that he just opened his mouth, "From the patient's description, if it is tuberculosis, it should be tuberculosis - because of the symptoms of coughing. But the amount of bleeding is too large, Pulmonary tuberculosis is generally blood streaks or small blood clots in the sputum, and bleeding exceeding 200 ml in a single day is definitely not consistent with the symptoms of tuberculosis."

"I have asked the laboratory department to check the coagulation function." Zhou Jun replied calmly, "If the patient has a tendency to bleed spontaneously, it may cause bleeding after a severe cough."

"The patient doesn't have a lot of medical history, and his body has always been relatively healthy—except for the borderline high blood pressure, other conditions are basically normal." Sun Lien continued to use his brain to talk nonsense, "But in the past month, the patient, apart from low-grade fever, cough, and fatigue, There is also a fourth symptom."

"The fourth symptom?" Zhou Jun frowned, "You mean he concealed his medical history?"

"It's not necessarily a concealment." Sun Lien explained, "I think he may not have noticed." Sun Lien pulled Zhou Jun closer to the patient, and after obtaining the other party's consent, he lifted the lower half of the quilt, revealing his legs. "Look at this."

Zhou Jun took a closer look and saw that Sun Li'en pressed down with his hand, and pressed down a section of Wang Lin's shin with his fingers.After releasing his fingers, his skin began to slowly spring back, but a shallow pit was still left.

"The patient had mild lower limb edema." Sun Lien announced his discovery to Zhou Jun, "and edema is not one of the symptoms of tuberculosis. Therefore, I suspect that what he has is not tuberculosis, but some other problem."

　The blocked chapter 93 has been re-released, readers who haven’t read it yet can subscribe to read it again

　　
　
(End of this chapter)