I can see the status bar

Chapter 353
Sun Li'en looked at the picture with cold sweat on his head.He really didn't understand why a similar scene that appeared in his dream would directly appear in reality.

Seeing Sun Li'en's expression was a bit strange, Dr. Cao seemed to have noticed something, and said embarrassedly, "Yes... This is the case I called this afternoon... Did it disturb you to sleep?"

So... I dreamed this kind of scene purely because Dr. Cao was too loud when he was on the phone?So guide your dreams?Sun Li'en raised his eyebrows and didn't continue to dwell on this issue. "How is the patient doing now?"

"Not very good." Dr. Cao continued to nibble on the mutton in front of him, "Persistent high fever, intractable anemia, acute renal failure, jaundice, unexplained bone destruction... There are six or seven unrelated diseases in his body, but all Symptoms that could kill him. But no matter how we sample and culture, no matter what type of examination we do, we still don’t even have a relatively reliable guess.”

This feeling is also very familiar.Sun Li'en glanced at Dr. Cao, your voice on the phone today is really loud enough.

"I'm not sure if I can handle this patient." Sun Lien pondered for a while and decided to tell the truth to his roommate. "Our current treatment group is mainly for patients in the emergency department. For patients in other departments, we have not received... To be honest, there are very few patients who will be transferred from the specialist department to the emergency department for treatment. I am not sure. Are there any procedural problems in transferring patients from other departments to us?"

Dr. Cao looked a little disappointed, but what Sun Lien said later lifted his spirits up. "However, I think it's okay to try another direction - can't you call us for a consultation after you go back?"

"Good idea." Dr. Cao nodded seriously, then glanced at Sun Lien, "Have you finished eating?"

"Yeah." Sun Li'en nodded, the mutton meal tasted really good.The hand-caught mutton looks like it has been boiled in white water, just the color of cooked meat.But the meat tastes surprisingly good.If it weren't for the limited capacity in his stomach, Sun Li'en would never stop talking.

"Then let's go." Dr. Cao bought the bill with his mobile phone, stood up and said to Sun Li'en, "Go to the hospital, and check the patient's condition first."

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Sun Li'en was arrested after dinner, but in view of the face of the mutton meal, he really didn't have any complaints - after Hu Jia came back, he planned to bring his girlfriend to have another meal.

"This patient's case is here." Dr. Cao picked up a bulging folder from his desk, "Take it and have a look first. It's time for the inpatient department to go to bed now, and I'm applying for it now." Consultation, let's go to see the patient's condition tomorrow."

Sun Li'en took the folder, looked at the case, pondered for a moment and said, "Time waits for no one, let's go and see the patient's condition first." The status bar is only useful after seeing the patient himself.Urology and other departments have been wrangling for several days but have not been able to find the problem, so the documents in hand will definitely not be of much use - at least there will be no obvious hints.Then let Sun Lien come to see the case, the effect will definitely not be very good.

"Go now?" Dr. Cao was stunned, and then readily agreed to Sun Lien's request, "Then let's go now, please."

Sun Li'en shook his head with a smile, "Serve the people, there is no trouble." He followed Dr. Cao all the way, relying on his peripheral vision to follow, and the rest of his attention was devoted to the case in hand.Before seeing the status bar, learn about the basic situation of the patient through the case, which is very helpful for subsequent diagnosis.

The patient is 51 years old and once worked in Guangdong.After living in Guangdong Province for more than ten years, he returned to Ningyuan to visit relatives a month ago.Then he developed symptoms such as fever, cough, expectoration, and hemoptysis, and was admitted to the fourth hospital for treatment.After three days in the hospital, after being negative in two tuberculosis-specific antibodies, the patient was discharged on his own-he felt that his problem was not too big.

After 25 days, the patient was readmitted.In addition to his lung symptoms this time, his problem was accompanied by even stranger problems-he had a scary amount of urine these days.Although it is easy to go to the toilet in winter, he goes too many times.However, the highest record of going to the toilet 29 times in one day still failed to send him back to the hospital-the main reason for his visit to the hospital was because of a sudden kidney stone attack.

If it's just simple frequent urination, then Zhou Ce's department of nephrology should take over the treatment.

After the stones were resolved, the patient began to have further symptoms such as dyspnea.He even broke the humerus of his right arm when he turned over on the hospital bed.

"This patient...you should have transferred him to another department a long time ago." Sun Lien looked at the case, a little confused.This patient's problems were clearly beyond the capabilities of the urology department.

"We think about it too..." Dr. Cao sighed, "But the problem is, the other departments don't think this patient is within their scope of treatment. His condition is very serious, but they just don't know which one he should be sent to." Go to the department. Whether it is general medicine, kidney surgery, orthopedics, endocrinology, they all say that they have never seen this kind of patient. Coupled with the first visit responsibility system...we can only transfer him after confirming the content of the patient's disease Go to the corresponding department."

Sun Lien sympathized with Dr. Cao's experience.Not long after they left, they came to the inpatient department of the urology department together.

"Here it is." Dr. Cao pointed to a room with a closed door. "In order to prevent him from getting some strange infectious disease, we specially arranged a single room for him. So before you go in, remember to put on your clothes first." Put on your protective gear."

Like the emergency department, the protective equipment in the urology department is a uniform distribution of goggles, gloves and N95 masks.After Sun Li'en put on the equipment, he opened the door and walked in.

The patient seemed to be in good spirits. He sat up from the bed, looked at Sun Lien standing at the door, and asked in confusion, "Who are you?"

"I'm a doctor." Sun Li'en pointed to Dr. Cao who was also wearing the equipment, "I'm here to participate in the consultation."

"Wu Wei, male, 51 years old. The total number of peripheral blood white blood cells increased (1588.36.31), moderate anemia (1279.44.57), C-reactive protein increased (1099.29.01), bone destruction (748.18.27) CD4 217 lymphocytes/μL..." Sun Lien was a little surprised to see the long list of status bars on Wu Wei's head.Suddenly, there are at least twenty or thirty abnormal conditions on the top of Wu Wei's head.In addition to the previous four, it also included acute renal failure, supraclavicular lymph node enlargement, extensive and diverse inflammatory infiltration in bilateral lungs, tracheal submucosal polypoid nodules, and hepatomegaly.

Judging from the prompt on the status bar, this should be a patient with pneumonia and acute kidney injury caused by some kind of infection.Sun Lien recalled the case records he had read before. During the days of hospitalization, the Department of Urology not only performed multiple pleural effusions, peripheral blood and sputum cultures for him, but even used antibiotics for him based on experience.But the effect was limited—his temperature briefly returned to normal after the cephalosporins, and swollen supraclavicular lymph nodes subsided for a few days.But before Dr. Cao was happy for two days, his temperature rose again.

"I'll discuss it with Dr. Xu and the others tomorrow." After thinking about it, Sun Lien felt that the patient's problem was really difficult.Just looking at the status bar, Wu Wei's disease involves multiple organs such as the lungs, liver, kidneys, and lymph.Although it is unreasonable to send the patient to the emergency department for treatment, if only the ability of the Department of Urology is used, it is definitely not possible to deal with this patient.

"Then I'll trouble you." Dr. Cao nodded seriously, although there were some things that were hard to say in front of the patient.But he did.If Sun Lien and his treatment team can't figure out what is wrong with the patient, he can only persuade the patient to be discharged automatically, or be referred to a higher-level hospital—a higher level than the fourth hospital. I can only go to the capital and Shanghai to try my luck.

　It will be recommended tomorrow, so... there will be a big update tomorrow.

　　The goal is [-] words and ten chapters, but judging from the current situation, [-] words is not a big problem. The troublesome point is that it is a story that is not directly related to the current plot.And it may not be enough for ten chapters.

　　So... maybe a separate volume will be released.To prevent subsequent readers from getting confused when they see this.

　　All explosive updates will be released in one go before about [-]:[-] pm tomorrow night, so stay tuned.

　　


(End of this chapter)