I can see the status bar

Chapter 651 Must Win

Making a diagnosis of mitochondrial encephalomyopathy requires only a series of questions.To diagnose mitochondrial encephalomyopathy, it takes at least 36 hours.

Although Changning is a booming city, it is incomparable with those first-tier and super first-tier cities after all.There are only two companies that can perform genetic testing here, and the fastest promised time limit for results is 36 hours.

During these eighteen hours, it is undoubtedly risky to take new treatment measures for Li Yuhan.Worst case, she doesn't have MET, but does have some kind of infection.Then, in the case of obvious meningeal irritation, it would be very risky to stop using hormone and immunoglobulin pulse therapy for her.

No matter how much support Mei Ying and Deputy Director Qian have, this is a very difficult situation.Fortunately, the hospital has no reservations about the support plan for Li Yuhan's family.All treatments are available - as long as the patient's family agrees.

"Before the evidence of the diagnosis comes out, out of prudence..." Sun Lien discussed with Deputy Director Qian and Mei Ying in the office, "I suggest going to CRRT first to lower the lactic acid level in her body."

For the hyperlactic acidemia in patients, the treatment methods that doctors can generally take are to directly target the cause of high lactic acid in the blood.After all, hyperlactic acidemia does not respond well to treatment. If only symptomatic treatment does not reverse the situation, the prognosis of patients is generally not very good.

But now, doctors are not unable to intervene on the underlying cause, but they are unable to diagnose the patient.Under this prerequisite, targeted therapy using CRRT is feasible.

"Actually, I am more inclined to use plasma exchange." Deputy Director Qian seemed a little more radical than Sun Lien, "Plasma exchange is more effective in quickly reducing various creatinine and lactic acid in her body. The main role that CRRT can play now is to let She's not getting any worse."

"This is also a plan... but her situation is different." Sun Lien's opinion is still to be stable, "Her creatinine level is very high, but it has not reached the point where plasma exchange is needed. After CRRT is used to control lactic acid , her creatinine levels would have come down on their own - the high creatinine levels now are just a result of the hyperlactatemia affecting the muscle tissue."

Sun Lien's suggestion was supported by Mei Ying, "First seek stability, if the patient's condition changes, or if there is a problem with the subsequent genetic point detection, then consider plasma exchange."

"One more thing..." Sun Lien thought for a while, and said to Mei Ying, "This patient has a genetic disease, and he is only 14 years old... Shouldn't it be better to transfer to Children's Hospital or other hospitals with stronger pediatrics?"

Lin Yuhan is 14 years old this year.According to the general principle, she can already go to the general department for treatment.But considering that she has been sick since she was 11 years old, and she is still suffering from a genetic disease - going to a pediatrician seems to be more in line with her experience and current situation.

Specialized outpatient clinics for genetic metabolic diseases are beginning to be set up in most pediatric hospitals.Compared with the departments in general hospitals, the specialized outpatient clinics for genetic metabolic diseases have obvious advantages—they have dealt with more patients with genetic metabolic diseases, and they have more experience and equipment.

As far as the interests of patients are concerned, if Lin Yuhan can be transferred to these specialties, he will definitely be able to receive better treatment.

"I don't really care...Anyway, it's fine if the diagnosis comes from our hospital." Meiying felt helpless, "But you can also see that the financial situation of this child's family is not very good. In our hospital, they can still have all the treatment expenses. Bao. I went to a specialized outpatient clinic for genetic metabolic diseases...they may not be able to afford the treatment."

Having said that, what should be notified still needs to be notified.Mei Ying sighed and called the inpatient department. She asked the bed doctor to talk to Lin Yuhan's parents first, and then talk about other things.

Mitochondrial encephalomyopathy is one of the most common maternally inherited diseases, and Zhongfu Hospital is not powerless to treat it.But at the same time, they also have to face a rather powerless reality - Zhongfu Hospital itself does not intend to make a name for itself as "good at treating genetic diseases".

Mei Ying's goal is to build Zhongfu Hospital into a comprehensive hospital focusing on critical and severe trauma surgery.Although Lin Yuhan can be handed over to the internal medicine department for treatment, but...if Lin Yuhan's case really makes Zhongfu Hospital famous in the first battle (although this possibility is very small), the pediatric and genetic disease patients who come here later may have to refer the physician drive them crazy.

"Forget it, but do good deeds, don't worry about the future." Mei Ying made a helpless decision, "If they are willing to receive treatment here, they will be treated to the end. I can't just watch a little girl lose her life like this Well."

Sun Li'en smiled and said in a low voice, "If Sister Mei makes things difficult for you, I can go to work with my parents."

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Sun Lien quickly adapted to the change of his identity.In Zhongfu Hospital, he is not only a "violating doctor" who practices beyond the scope of his practice, but also... he is also the "young boss" of this hospital.

Sun Hongbin and his wife bought 70% of the shares of Zhongfu Hospital, and the remaining 30% was allocated to the employee stock ownership plan—all doctors who have worked in the hospital for more than five years can be allocated from the employee stock ownership plan. Get your share of the dividends.

It can be seen from this action that Sun Hongbin and his wife really intend to run the hospital well.And the main reason why they decided to enter the medical industry in the first place was to leave a way out for Sun Lien.

"The hospital is the way out for you." In the evening at home, Sun Hongbin and Sun Li'en talked openly and honestly for the first time about the reason why he bought the carton factory hospital. "No one knows whether there will be another SARS. If this large-scale infectious disease breaks out again, you must bear the brunt of the emergency department."

Sun Li'en nodded, this is true.The emergency department, respiratory medicine department, and infection department are the departments that are most likely to be affected in the face of an outbreak.

"Your uncle and uncle are gone because of SARS." Sun Hongbin sighed, "Your mother and I are the only one child. They died in the line of duty, the old man and your mother and I can rely on. But if something happens to you For things, our old couple can’t rely on anyone.” He was silent for a while and then said, “If there is another SARS and all the doctors are required to go to the front line...you don’t have to go.”

Sun Li'en didn't answer, he knew that his father had something to say later.He is also very sure that if there is another SARS, he will definitely fight at the forefront. The status bar is really easy to use. If it is used to identify severe infectious diseases, his processing speed can even be faster than the high-throughput special nucleic acid reagents. faster.

"I'm not encouraging you to be a deserter." Sun Hongbin rubbed his legs and sighed, "But I hope you know that if someone threatens you with the words 'if you don't go to the front line, you will be fired', you have a way out."

It's very... depressing to say that.If it weren't for his own home, and sitting beside his son and his girlfriend, Sun Hongbin would never have said this.Even if he was surrounded by his own family, he still felt uncomfortable after saying such words.

"If I ran away..." Sun Lien asked rhetorically, considering his words, "If the doctor ran away in the face of a sudden epidemic, then who else can stand between the disease and ordinary people?"

"Doctors in the face of large-scale infectious diseases are like soldiers in war." Sun Lien leaned back and said in a declarative tone, "Everyone is afraid of death. This is our natural instinct. But if soldiers If he runs away in fear of death on the battlefield, more people will die. Those who die can be his comrades in arms, his friends, his relatives and lovers." He looked at Sun Hongbin helplessly and said, "If there is another SARS , I will not retreat, and neither will Hu Jia...Maybe there will be one or two out of millions of doctors who are afraid. But more people, most of them will stick to their positions."

"The disease is in front of us, and the people are behind us. We are the doctors of the people, how could we flee without a fight?" Sun Lien smiled lightly, and then hugged his father's shoulders, "But don't worry, the hospital feels sick now. The authority is getting higher and higher, and the protective equipment is getting more and more abundant. Even if SARS comes again, we will definitely win."

(End of this chapter)