I can see the status bar

Chapter 687 Differences in the Division of Labor
"It's amazing that you can do this by yourself in one night." Professor Zhang Zhifu seldom praises others, especially for young doctors. habit.

Surrounded by the feeling of "time does not wait for me", Professor Zhang Zhifu's habits have changed a lot.He is no longer used to encouraging young doctors, is no longer used to leisurely drinking a cup of tea after get off work every day, and is not even used to going to the breakfast stand to have a delicious meal too early.He raised his requirements for himself, his students and his subordinates by several levels, as if he had no time to wait for them to grow up.

However, seeing Sun Lien's performance, Professor Zhang Zhifu couldn't help but comfort him, "This kind of lesion is not characteristic enough, and it is very difficult to lock it to a specific type." He really watched Sun Lien is blaming himself.Only then did he say, "Modern medicine cannot be solved by one or two general doctors. Manpower is sometimes exhausted, and you have to learn to rely on your own diagnostic team—one alone cannot solve all problems."

Sun Li'en nodded, he also realized this problem.But it's always been his job to spot and narrow down suspected diseases first.In other words, in the entire Fourth Hospital and even in Song'an Province, no one is better at this kind of work than him—the status bar is simply not very useful when facing various diseases.

It is precisely because of this understanding that Sun Lien has always had a sense of urgency.He should strive to seize every possible opportunity to improve his ability and level, so that he can figure out what the various prompts given by the status bar mean as early as possible and as accurately as possible.

"Although I said that...but it's because of my lack of ability." Sun Lien smiled wryly and swallowed the last bun, "For example, the patient now, from the MRI, I think it looks a bit like early Onset Alzheimer's disease, but apart from global brain atrophy, I can't find the corresponding evidence..."

"Although we specialize in difficult and miscellaneous diseases, the diagnosis should follow the order of easy to difficult, from common to rare, from treatable to untreatable." Professor Zhang Zhifu interrupted Sun Li'en, "Even if you think Al For Alzheimer's disease, other factors must be excluded first. An important diagnostic criterion for Alzheimer's disease is to exclude other central neuropathy and non-central neuropathy dementia... These tasks cannot be done by one person .”

If Zhang Zhifu were to handle this patient himself, he would first divide his doctors into three groups, Ma Yongfang would judge whether the patient had mental symptoms due to endocrine problems, and Chen Xuerong would check the patient's heart and The respiratory system and blood supply to the brain.As surgeons, Chen Tianyang and Wang Guonan were in charge of taking patients to complete relevant examinations based on Zhang Zhifu's diagnosis changes—or in other words, helping them.

After such grouping, even if the diagnosis cannot be confirmed immediately, at least a bunch of possibilities can be quickly ruled out, helping doctors narrow the scope of suspicion.

From this perspective, Professor Zhang Zhifu's diagnosis is a method of exclusion.And it is very efficient, and a systematic elimination method has been formed.

But Sun Li'en is different... With the help of the status bar, the most useful diagnostic method is actually reverse derivation.The content of each prompt in the status bar is the key reasoning point that leads to the patient's illness.However, due to the privacy of the "status bar", Sun Lien cannot directly share his reminders with his team or even other doctors.He can only perfect the relevant inspections by himself again and again, and then put the results of these inspections together to find an answer that can explain all the problems.

This is an extremely difficult job, and it is also a job that cannot be done by others.

But Sun Lien can still get help from his own team, but this help requires a little preparation.

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"At present, this patient is obviously not a mental illness. His illness is organic." At eight o'clock in the morning, Sun Lien held a morning meeting of the diagnosis team.With two dark circles under his eyes, Sun Lien reported his findings and judgments to his team members. "The question now is what exactly is causing this organic disease."

Yuan Pingan looked at the pile of reports that Sun Lien had brought out, and asked cautiously, "Dr. Sun, is this patient your... acquaintance?"

"Eh...?" Sun Li'en stayed for a few seconds, and after confirming Yuan Ping'an's question, he smiled wryly, "No, I haven't seen this person before."

"Then you took the patient in at night and did so many tests?" Yuan Pingan shook his head while smiling, "Group Leader Sun, your work attitude will put us under a lot of pressure."

"The main reason is that Dr. Yuan is worried that if you are so active, he will not be able to paddle in the future." Zhou Ce smiled weakly, and he said seriously to Sun Li'en, "It is not easy to take care of the work of the emergency department and the diagnostic center at ordinary times. , it will be even more difficult to find time to spend time with my wife. If Dr. Sun is so serious in the future, Dr. Yuan will not have time to paddle to accompany his wife."

"Yeah, I'm not like you." Yuan Pingan glanced at Zhou Ce, and countered calmly, "A loner doesn't have these troubles. Anyway, you are a bachelor, even if you devote all your time to the hospital. Somebody criticizes you - maybe even give you a medal."

"Ahem, everyone, I got off topic." Dr. Bruen changed the subject again, "Do you have any suspicions, Dr. Sun?"

"No." Sun Li'en shook his head, "If I have to say it, I don't think it's a tumor...His tumor indicators are all negative so far, and there is nothing worth noting."

Tumor markers are an important indicator for examining tumors, but in clinical use, tumor markers are not absolutely accurate.In the case of negative tumor markers, it is not uncommon for the patient to have cancer.Therefore, such indicators generally need to combine imaging and clinical conditions, and even tissue samples to determine the patient's condition.

"Then what should we do next?" Zhou Ce frowned and asked, "First improve the examination related to the tumor, and then turn to other aspects?"

"The patient's vital signs are currently stable. I think it's better to be steady." Sun Li'en nodded and said his plan, "Although his mental symptoms are not primary, this manic state obviously cannot cooperate with the examination. After a while I will go talk to the family members, and if the family members agree, then please ask the anesthesiology department to put him in a chemical coma." Sun Lien looked around and said to his team members, "If you have any questions to ask the patient, please hurry up Ask now. Don't think about it when you're in a chemical coma—the anesthesiologists don't wake people up halfway through, and then turn over the medicine again."

　The doctor said that my back pain is best to lie down or stand, so I searched around at home, and finally found that the height above my small refrigerator seems to be okay for a laptop.

　　So there is an update today!And standing seems to improve some work efficiency - after all, standing is really uncomfortable.

　　Will there be a second watch... I can't guarantee it, after all, it's uncomfortable to stand for a long time.

　　Don't be afraid of difficulties, face it with a smile~~~
　　
　
(End of this chapter)