I can see the status bar

Chapter 276 Doctor-patient Communication

Chapter 276 Doctor-patient Communication

Sun Li'en sent Hu Jia to the car, and after comforting his girlfriend, he watched the taxi slowly merge into the traffic and disappear.

He sighed, turned and walked towards the hospital.Although Zhou Jun told him not to come, after all, the roll call was for him.At worst, go to the ward rounds to see the patient's condition, so that if you need to go to the dean's office by yourself, it will be more convenient than in the dormitory.

Sun Lien sighed and walked towards the hospital. He felt that he had almost used the hospital as a self-study room - when he was preparing for the exam in the college, he used to run like this.Except for three meals a day and sleeping, Sun Lien basically spends all time in the study room.There are three books in the test a day, each of which is five to six hundred pages thick. If you don't review with the awareness of sudden death, it will not be too easy to fail the subject.

The medical school is different from other schools and majors. None of these teachers who use the mantra of "scraping the skin and filling the grass" will give students the focus of the exam.And their reasons are also very strong, "Will your future patients get sick according to the key points?"

Sun Lien has been in the medical school for the past few years, and the biggest feeling is that when these professors are giving questions, they must all be looking at the papers in a dark room and grinning, laughing and screaming, "I just want to die in the exam." A bunch of little chickens!" And behind them, there might be bat wings and black pointed tails stretched out, and they swayed in the air a few times to express their joy.All in all, the questions are tricky and extremely difficult.

While thinking about the head-scratching school life, Sun Li'en walked towards the unit that caused sudden death. In 48 hours, he slept for four hours and had two hours to eat with his girlfriend.This time of work and rest is simply more excessive than that of a black-hearted factory. No wonder the interns are not included in the list of "interns should not work more than eight hours a day."If they work according to the eight-hour schedule during the internship, they will definitely be exhausted when they become regular trainees.

Although it is still easy to be exhausted to death, at least the doctors have had a lot of experience in this kind of experience. Even if they are really exhausted to sudden death, at least they will not be too nervous before death.

After diluting the boredom in his heart with a sad joke that couldn't be laughed at all, Sun Li'en walked into the hospital quickly.Putting on a white coat, the first stop today is PICU.He planned to chat with Chen Wen, who had been hospitalized for a long time.

Chen Wen, who was lying on the hospital bed, looked a little thinner. I don't know if it was because of the poor food for too long in the hospital, or the disappearance of Cushing's syndrome caused by the decline in hormone levels.In short, the little girl who used to weigh [-] kilograms now looks like she is in her early [-]s.Although she was not thin enough, at least she had the appearance that a girl of this age should have.

"How is it? Do you feel uncomfortable anywhere?" Sun Lien put on a dust cap and shoe covers, and walked in wearing a mask.He pulled up a chair, sat beside Chen Wen's bed and asked with a smile.Chen Wen has met Sun Lien and knows that he is her doctor.So he showed a slightly difficult smile, "Everything else is fine, but I feel a little backache after lying down for too long."

Sun Lien looked at Chen Wen's status bar, and found that there was a "muscle fatigue" status on her head.After thinking about it for a while, Sun Lien felt that he probably knew the reason. The beds in the PICU are all hard beds, so that when an emergency situation requires cardiopulmonary resuscitation, the doctors can do it directly, without spending precious time putting hard pads under the patient.But this kind of intensive care bed, which is harder than ordinary hard board beds, is simply too uncomfortable for Chen Wen.

Her weight is relatively large, which also leads to the relatively thick thickness of Chen Wen's skin flap.Combined with the special symptoms of Cushing's syndrome, her shoulders and buttocks are much thicker than ordinary people.As a result of the difference in thickness between the two sides, when she was lying on the bed, her waist was actually hanging in the air.For the little girl, it's okay to lie down for a day or two, but she has been in the PICU for more than 20 days.The result of long-term waist suspension is muscle fatigue.

"Try it like this." Sun Lien asked the nurse sister for a flat pillow, and helped to put it under her body, and carefully adjusted the position so that the pillow could support Chen Wen's waist, "Now how do you feel?"

"Well, it's much more comfortable." Chen Wen showed a smiling face, and then became a little depressed again.She was silent for a while and then asked, "Doctor Sun, can I get better?"

Sun Li'en smiled and nodded to Chen Wen, "Yes." Chen Wen's condition has actually been brought under control.The next thing to do is to kill the echinococcosis that has not caused neurological symptoms without injuring oneself as much as possible.Under the attention of the PICU of the Fourth Central Hospital, her condition will basically not progress.Moreover, the worm cyst that caused Cushing's syndrome has also been punctured and removed, and there will be no recurrence.She will get better slowly.

"According to Professor Liu's opinion, we are already giving her albendazole." The PICU doctor in charge of taking care of Chen Wen greeted Sun Lien, "Does Dr. Sun have any suggestions for adjusting her treatment plan? "

Albendazole is a mainstream broad-spectrum anthelmintic that is effective against many parasites.Although the general effective rate for cerebral hydatid patients is only 20%, it is still a rare and effective drug.During Chen Wen's hospitalization, the use of albendazole was better than nothing.In case of luck, Liu Pingchuan doesn't have to worry about how to design a surgical plan if he encounters a less than 20% effective rate.

However, looking at the status bar above Chen Wen's head, you can tell that Liu Pingchuan's luck is not very good, and Chen Wen's own luck is not too good.The hydatid state still exists, and the handwriting shows no signs of fading—albendazole should not have worked.

"Professor Liu's treatment opinion, I have nothing to say." Sun Lien replied with a smile. He glanced at Chen Wen on the bed, and suddenly whispered to the PICU doctor, "Do you have a mirror?"

"Mirror?" The doctor in the PICU was taken aback, "Yes, yes...but..."

"Lend it to me." Sun Li'en patted the other person's shoulder unceremoniously, completely ignoring that the doctor standing opposite him was an attending doctor - his superior doctor.

The female doctor in the PICU returned to her office in some confusion, took out a small makeup mirror and handed it to Sun Lien.

Then Sun Lien handed the mirror to Chen Wen.

"There is no chance for you to look in the mirror in the hospital." He smiled and said to Chen Wen, "But I think, you probably want to see what you look like now."

A little girl at this age has already begun to have a concept of beauty and ugliness in a ignorant manner, and it can even be said to be an obsession.If Chen Wen didn't care about her appearance, she wouldn't secretly buy diet pills by herself.She took the makeup mirror in Sun Lien's hand, and then took a look at her appearance in it, and suddenly stopped moving.

"It's just the beginning." Sun Li'en explained with a smile, "As the treatment continues until we can withdraw the hormones, you will lose more weight—no, it will return to what it should have been."

Chen Wen stared blankly at herself in the mirror, and then burst into tears.While crying, while laughing.Crying very happily, but laughing extremely sadly.

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Sun Lien was held by the neck by the doctor in the PICU and ordered to leave the intensive care unit—at the same time as the order was issued, the female doctor also gave him a hard look.Chen Wen's crying was terrible, as if there was a sudden burst of firecrackers in the chicken farm, causing the children around them to cry involuntarily.The originally quiet PICU suddenly turned into a small kindergarten class on the first day of school.The doctors and nurses who heard the movement put down their unimportant work one after another, and then had to comfort these children one by one.On this already busy night, suddenly there was so much more workload. The PICU didn't beat Sun Lien out, so he was already considered to be of high quality and caring.

Sun Li'en walked out of the PICU lobby with an embarrassed expression on his face, and was about to go downstairs to see Yang Jianqiang in the ICU, but suddenly heard a loud noise.

"My child was hit by a car for seven hours, why didn't you hospitalize him?!" A shrill female voice sounded in the corridor, the voice was extremely ear-piercing.

"Your child's trauma has scabbed over, and a CT scan of the head has been done, and there is nothing wrong with it." Director Qian Hongjun squatted in the corridor for some reason, with mutton vermicelli soup in one hand and sesame seed cakes in the other. put in.While eating, he shouted to the gorgeously dressed woman, "There is no indication for hospitalization without income, and our pediatric department will definitely not be able to accept it."

Now it was almost ten o'clock in the evening, and Director Qian was still eating mutton vermicelli soup for dinner or lunch, so his tone of voice was naturally a little rushed.But Sun Lien felt that he had to go up and do a favor to Director Qian——Qian Hongjun couldn't see clearly when he was sitting on the steps, but Sun Lien could see clearly——The woman looked at her with her arms crossed, but her phone was caught by her It's in the crook of the arm, and it's still being recorded.Secretly videotaping while arguing, and also recording the scene of the doctor eating in the corridor, this generally does not do anything good.

"Director Qian." Sun Lien leaned over to greet Qian Hongjun, and then asked the woman, "Do you have anything to do?"

"What's going on in your hospital?" Qian Hongjun's soft-hearted attitude made the woman who was secretly taking pictures feel a little headache. Seeing Sun Lien approaching, she seemed to have found an outlet, and she couldn't help but lose her temper at Sun Lien. "My child was hit by a car at two o'clock in the afternoon. The car hit! I was scared to death and took him to the hospital to see a doctor. The result? The emergency department asked us to send the child to the pediatric department for CT, and the neurosurgery was done. After the CT, they said they couldn’t be hospitalized. Then they went to the emergency department, but the emergency department turned around and refused to allow the hospitalization. Playing football? Tell me, I'll expose it online!"

Sun Li'en raised his eyebrows, and said calmly, "Don't worry, can you let me see the child?" He looked around the woman, but there was no one there.

"It's outside." The woman pointed out the corridor, and then continued to stay where she was.Sun Li'en walked out of the corridor inexplicably, and next to the trash can near the toilet, he saw a little boy curled up on a chair and fell asleep.

"Wang Tianyong, male, 2 years old, soft tissue contusion, 45mm scalp tear, tired." The status bar indicated three states.

"Is this your child?" Sun Lien returned to the stairwell and called Wang Tianyong's mother out.After confirming that it was this child, Sun Li'en asked, "Did he show anything different? For example, a headache, unsteady walking, or nausea?"

Wang Tianyong's mother shook her head, and then said with a very strong attitude, "No matter what, my child must be hospitalized first!"

"Without these symptoms, we would not be able to admit him to the hospital." Sun Li'en intends to understand and reason with emotion, "Besides, the child is so young, if he is hospitalized without the company of his parents, it may also have a traumatic effect on his psychology. You It's better to take the child back, if you really feel uncomfortable, it's not too late to come to the hospital." He could see clearly that the child was not seriously injured, and he probably wouldn't be used in the hospital again after returning home.

"Absolutely not!" Wang Tianyong's mother gritted her teeth, "I must make the driver who caused the accident pay more!"

Sun Li'en was a little stunned, he quickly regained his composure and persuaded, "Money is something other than money, let such a young child be hospitalized, and mom and dad can't accompany her when they have to work, how hard will that child suffer?"

Wang Tianyong's mother obviously hesitated for a while, and then she quickly changed her attitude, "Then treat my child's wound again! Use the best medicine and the most expensive equipment!"

"His wounds are scabbed." Sun Li'en specially emphasized the word "scab". "It's just scabbed now. If you want to deal with it, you have to tear the child's wound up again and then disinfect it." He continued to persuade, "I looked at the wound, and there are traces of disinfection treatment around it. And this wound is also It's not very long, and you don't even need sutures. Don't look at the small size of a child, but for this kind of trauma, it will grow back quickly. Opening the wound again is no different from tearing the flesh. It's really unnecessary ah."

"I don't care." Wang Tianyong's mother snorted coldly, and then asked, "Did you collect the money from the driver who caused the accident? How can you speak up for him? We are the victims now!" She seemed to see Sun Lien hanging on the phone. The "Emergency Department" job card on the chest suddenly became excited, "It's you, go and re-sterilize and suture my child! Prescribe more medicine! Otherwise, I will complain to you!"

The screen of the mobile phone in Sun Li'en's pocket was silently on, clearly recording this unusual conversation.

 Pray for the compatriots affected by Typhoon Lekima, hope nothing will happen.

  Please drive carefully in rainy days, stay away from slopes, and try to avoid going out during typhoons.

  
 
(End of this chapter)

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