I can see the status bar

Chapter 723 Heredity?
The heavy opening remarks were over, and Sun Lien immediately began to assign tasks.

"Doctor Yuan, please contact the teachers of the Tongxie." Sun Lien's first clear request was to ask Yuan Pingan to find a relationship. "You should ask the family members for information such as a copy of the ID card of the child's family members, and get all the treatment records and major medical records from the Tongxie."

Tongxie's case is indeed well written.This is a fact recognized by everyone in the domestic medical circle.If you can get this detailed case and record, then Sun Lien can save a lot of effort - the co-workers have been dealing with various rare and difficult diseases all year round, even if they didn't find the real cause this time, at least this record It can also help Sun Lien avoid some options that have been ruled out before.

The greatest significance of figuring out the wrong answers that have been eliminated by the top hospitals in China is to save time.Sun Lien's demands on himself are still the same as before.Not only did he want to figure out what disease the child had, but he also wanted to make his own diagnosis as quickly as possible.

What if it is a disease that is reversible in the early stage and irreversible in the later stage?What if it is a disease that can be treated in the early stage but is ineffective in the middle and late stage?

Nannan's family members were ready to give up, but Sun Lien couldn't give up.As a doctor, he cannot allow himself to have the idea of ​​"defeating before fighting".Only by doing his best every time can he not blame himself in the end.

"Give her another MRI, mainly to check the cranial part and optic nerve. Be careful to compare the results with the results from other hospitals." Sun Lien continued to give his instructions.Obviously, the progress of Nannan's condition is related to time.This also means that her disease course is always in a dynamic process.Depending on the comparison with the previous inspection, you may be able to find some differences-such differences may become the key factor in unlocking all mysteries.

"Check all the laboratory-related immune tests and tumor markers-don't try to save money for Takeda Pharmaceutical." With the high degree of cooperation of his family members, and the free testing fee promised by Takeda Pharmaceutical, Sun Lien is arranging the inspection At that time, I had the confidence to "spend a lot of money".

"Genetic testing is also added. Please ask Director Qian Hongjun from the Department of Pediatrics to come for a consultation... Forget it, I will invite you later." Theoretically speaking, after filling out the consultation form, the doctors who come to the consultation are generally residents. .But now... Sun Lien felt from the bottom of his heart that it might not be safe to ask the head resident of the pediatric department for consultation.After much deliberation, it is more appropriate to ask Lao Qian to come out of the mountain in person. "First test all the genetic diseases in the 121 catalog."

"This is how you beat the master to death with random punches." Professor Zhang Zhifu raised his eyebrows while listening. Sun Li'en would be scolded to death by his superiors in other hospitals for such a method.If the superior doctor did not discover this situation in time, the family members of the child would not spare him. "Are you planning to check all the diseases that can be checked?"

"I still think there are too few investigations." Sun Lien replied seriously, and he also understood what Professor Zhang Zhifu was worried about. Provide any valuable clues."

Professor Zhang fell silent. Although he didn't want to admit it, Professor Zhang Zhifu agreed with Sun Lien's approach from the bottom of his heart.It's still the same reason, if even the Association doesn't know what kind of disease this child has, then the Fourth Hospital can't take it too seriously.

To use an inappropriate analogy, an enemy in the martial arts world that even the best in the world can't beat is handed over to the local sects... If the local sects don't use poison darts, it is considered that their attitude is not correct.

If the attitude is not correct, naturally there will be no chance to deal with things correctly.Sun Li'en didn't dare to be careless at all, he decided to do his best to deal with his daughter's inspection from the very beginning.Regardless of whether the disease can be cured in the end, at least after unreserved efforts have been made to feel at ease.

After Sun Lien arranged a series of treatments, he left the office while everyone was busy preparing.

Since it is necessary to work hard without reservation, the status bar must also be used.

In the ward, the nurses are pasting the little girl's body with patches of vital signs monitoring equipment.After waiting at the door for a while, Sun Li'en knocked on the door and walked into the room.

"Tang Min, female, 7 years old." The status bar was as good as ever, but the indications given later... made Sun Li'en a little confused.

"Decreased vision, bilateral optic nerve curvature, disappearance of cervical curvature, cerebellar vermis occupying space, ventral brainstem, spinal meninges with scattered point-like enhancement shadows, multiple diffuse lesions in the brain, and mild supratentorial obstructive cerebral edema Water, cerebellar tonsil hernia."

There are many states, and some are scary.For example, this cerebellar tonsillar hernia—but judging from the duration of these states all lasting more than 6000 hours, Sun Lien is basically sure that this brain hernia is not the kind that needs to be dealt with immediately.

The prompts on the status bar were quite detailed, but Sun Lien was a little disappointed—these information had basically been mastered by the doctors.Even the status bar did not give any new clues.

Of course, Sun Li'en himself had expected this situation.After all, he is a monster that even the best in the world can't beat. It's not hard to accept that Sun Li'en, who comes from a local sect, can't see why at first glance.He observed Tang Min's state for a while, and after doing a basic physical examination, he greeted Tang Min's parents who entered the ward again.

"The relevant examination doctors are already preparing." Sun Lien conveyed the current diagnosis progress to Tang Min's parents, "We are also in contact with Tongxie, hoping to get the case and diagnosis records of Tongxie as soon as possible .”

Tang Min's father looked a bit tired. He shook his head and said, "Everyone says Tongxie is the best, but we have lived in Tongxie for more than [-] days, and we haven't found out why..."

Sun Li'en could well understand the helplessness and even anger in Tang Min's father's words.He persuaded in a low voice, "Doctors are not omnipotent. Collaborative abilities do exist, and their doctors' level is definitely high enough. But diagnosis and treatment are not just about hard power. Sometimes, it is necessary to accurately identify The diagnosis also depends on luck. They are not very lucky this time."

Diagnosis is often a matter of luck.After all, the state of each patient is different. For the same disease, the symptoms shown by two patients may be very different.

For example, let’s take the case that Sun Li’en has seen with his own eyes as an example—it’s also a myocardial infarction. Sun Li’en has seen typical and standard pain in the chest area; seen some rare but classic toothache; It is too common to complain about leg pain; I have seen people who mistakenly think it is gastrointestinal spasm pain.The rarest one was an old lady with a myocardial infarction manifesting as delirium and hallucinations.

For the previous cases, as long as the doctors have a little more experience and are good at observation, there are traces to follow.As for the last old lady... If Sun Lien hadn't had a status bar, she might have transferred this patient directly to the Department of Neurology or Anding Hospital.If you make such a turn, you might die.

Diagnosis requires some luck, and Sun Lien has a deep understanding of this.He didn't feel that there was even a slight chance of the Association being "unresponsible" or "in vain".These colleagues far away in the capital are just unlucky.

Sun Li'en's explanation seemed to make Tang Min's parents feel a little better.The two of them looked at each other, and this time there was helplessness in their eyes instead of anger.

They had heard of Sun Lien's "legend".The young doctor in front of him is said to be a rising star in the medical field.He specializes in diagnosis, and is particularly good at the diagnosis and treatment of various difficult and rare diseases.

After taking their child to seek medical treatment many times, Tang Min's parents have almost lost their confidence in curing their daughter.Sun Li'en is indeed their last hope - the fourth hospital is already the last stop for them to seek medical treatment with their daughter.If the Fourth Hospital still can't cure their daughter, they can only take the child back to their hometown in the end, and then... try to make her live a little more comfortable during the last period.

"During this time when the other doctors are preparing for the examination, I have some questions to ask you two." Sun Lien took out a small notebook and pen from his pocket.He took the two of them and sat down in the isolation living room that came with the ward, and then started his own consultation process. "You two may have answered some questions many times, but I still want to ask you, try to think again and answer after confirming."

Tang Min's mother nodded, "Doctor, if you have any questions, please ask them directly."

Sun Lien was silent for a few seconds before asking, "Is Tang Min your only child? Does she have any siblings?"

"No."

"Before she went to the hospital due to trauma, did she mention to you that she had a headache, dizziness, or couldn't hear anything?"

"No."

"So...you and your husband, as well as your immediate family members, have you ever had a sudden loss of vision?" Sun Lien continued to write in the notebook, "For example, suddenly became short-sighted after waking up at night?"

"..." The answer stopped, and Sun Li'en looked up at the couple in front of him in confusion.And the two were talking in low voices.

"Yes." After a while, Tang Min's mother suddenly said, "My brother had this once when he was a child—he said that his eyes suddenly couldn't see clearly. But after a few months, something happened again inexplicably. alright."

Sun Lien was taken aback when he heard the words, this is a new situation.Although the treatment records of the Tongxie have not been obtained, the Yunhe City Infectious Disease Hospital has never mentioned this point.

Although he was a little excited in his heart, Sun Li'en still kept the expression on his face very well.He wrote "Uncle had a sudden loss of vision, genetic?" in his notebook.

Then draw a few circles hard on "hereditary".

　I know you guys think the plot is stuck, so today's update is also a little earlier.

　　I know you don't think it's enough to watch, so today is chapter 3K.

　　Sanguan is gradually recovering - how can I be worthy of the word "explosive update" on the cover, right?
　　
　
(End of this chapter)