I can see the status bar

Chapter 777 Response plan
The condition of the two patients was not very good. Even if the doctors in the diagnostic center wanted to do something, they were really powerless.

The problem with Tang Min is that the doctors don't know what else is wrong with her.And Lu Chunyu was even more troublesome—her problem seemed to be different from what the doctors had identified.

Dr. Pascal believes that Lu Chunyu has AIH-PBC overlap syndrome.This diagnosis was unanimously approved by all diagnosticians including Sun Lien.

Apart from overlapping syndrome, there is no other explanation that can cover Lu Chunyu's symptoms and condition.And this diagnosis does fit all the available evidence.

However, the effect of liver protection treatment on Lu Chunyu was not very good.

The current usage of polyene phosphatidylcholine injection is close to the maximum value.However, Lu Chunyu's liver physiological indicators remained motionless like a stubborn old man, and even the bilirubin level was still on the rise.

"It's not a problem to go on like this." After the discussion about Tang Min was over, the doctors naturally switched the topic to Lu Chunyu.She has been hospitalized in the comprehensive diagnostic center for a week, and she has been treated with drugs for a week without any effect.This not only made Lu Chunyu a little impetuous, but her doctors also felt a little anxious and puzzled.

"The effect of conservative treatment is not very good. We also expected this." Dr. Pascale thought for a while and said, "Please consult with the hepatobiliary surgery department. If necessary, perform nasobiliary drainage to relieve her cholestasis."

"Then we will have to be complained by the hepatobiliary surgery department." Bruen added with a smile, "I handed it over to your patients, but you still can't handle it in the end!"

"This is multi-departmental efforts to work together to relieve the pain." Dr. Pascal glared at Brunn, "Don't try to take revenge just because I refused to introduce you to a boyfriend—the eyes of the people are discerning Yes, your plan is destined to fail!"

Two American experts bickering in Chinese is already funny, but one of the two foreigners used his Chinese language advantage to crush the other—this is even more ridiculous.

Bruen blushed, but he really didn't know what words to use to fight back.To be honest, he didn't even fully understand what Pascal said.However, he could still understand the parts of "introducing boyfriend" and "conspiracy".As for the remaining parts that he didn’t understand, just by looking at Pascal’s expression, combined with the suppressed smiles of the other doctors, he could guess it pretty well.

Brunn chose to fight back in the way he was used to - blurting out a series of Spanish, accompanied by a high-pitched and bright "FUCK" as a sentence break.However, this counterattack method is much less powerful when others do not understand Spanish.

The two bickered for a while before getting back to the topic.

"If it is necessary to do it, then do it." Sun Lien highly trusted Dr. Pascal's judgment.After all, he doesn't know much about liver disease, and it's even more impossible for him to compare with Old Pa in terms of immunology. "The consultation should be called... the conversation with the patient, and I will do it."

As the team leader, but also a regular trainee who is about to complete the training, Sun Lien not only has to make good job arrangements for the doctors under him, but also has to make arrangements for himself.

Talking to family members should of course be done by the trainee.When the regular trainees do not do well, the superiors will come forward to deal with them.

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Team leader Gui Peisheng Sun Lien walked to the door of the ward, adjusted his neckline a little, and then knocked on the door of the ward.

"Sister Lu, how are you doing?" After entering the ward, Sun Lien chose to give some humanistic care first, and then talk about business.Lu Chunyu is more than 20 years older than him, so it is no problem for Sun Lien to call him big sister.

"It's okay." Lu Chunyu half leaned on the bed and was wearing a sweater. It was her husband who came to open the door.Lu Chunyu on the hospital bed put down the sweater and sweater needles in his hand, and complained to Sun Lien, "It's just that I feel itchy all over my body recently." She looked at Sun Lien, and asked with some embarrassment, "This bed of yours Should I change it?"

Sun Li'en smiled and nodded, "I'll let the nurses come and change it later." But he could see clearly that a new symptom of "skin itching" had indeed been added to the status bar on Lu Chunyu's head.According to the consistent characteristics of the status bar, this symptom should be directly related to all her current diseases.That said, itchy skin is likely a follow-up symptom of liver damage.

"Let me add a stool inspection item for you." Sun Lien thought about it, and thought it's better not to mention the liver damage.Itchy skin is a common symptom of liver disease, especially cholestatic liver disease and autoimmune liver disease.There is no better way to control itching than steroids.

The use of hormones will increase Lu Chunyu's risk of peptic ulcer.And Lu Chunyu, who has varicose veins in the fundus of the stomach, can't afford this risk now.

Adding inspection items can relieve her tension caused by skin itching to a certain extent.Agreeing to change the sheets is part of this tension-relieving action.Sun Lien has learned his lesson thoroughly this time - mannitol injections may lead to aggravation of the condition, so there will be no accidents after checking the stool, right?Can't the patient get sicker just because the stool is checked?
"I'm here this time to discuss the follow-up treatment with you." Sun Lien took out the surgery notification letter he brought, "After a week of treatment, although your condition has improved, the improvement is still not effective. To the extent we expected." He paused and said, "So, after consulting with the superior doctor, we think we should use more aggressive means to intervene - we are going to use minimally invasive surgery to treat your stagnant and obstructed biliary tract Do a dredge."

Lu Chunyu unexpectedly showed a "somewhat unacceptable" expression, "Didn't you say before that I don't need surgery?"

"Of course it would be best not to have surgery." Sun Lien explained, "But looking at the situation now, if you don't have surgery, your problem may not be properly resolved and dealt with." He added, "This surgery Now it is a very mature minimally invasive surgery with relatively small wounds and easier recovery than other surgical options.”

"Is it useless to take medicine and injection?" After discussing with her husband for a while, Lu Chunyu asked, "Is surgery necessary?"

"As your doctor, we recommend that you undergo surgery. At present, this is the most responsible treatment for your body and the most beneficial treatment plan for future treatment." Sun Lien replied, "Of course you can also choose to refuse surgery and continue to be conservative. Treatment. But we don't recommend it..." He roughly talked about why hormone therapy can't be done now to deal with the AIH-PBC overlap syndrome. "For us, the sooner you improve the condition of your liver and unwind the fundal varices, the easier it will be for treatment."

Lu Chunyu was taken aback by the result of varicose veins in the fundus of the stomach, she agreed to Sun Lien's suggestion almost without hesitation, "Okay, I will do it!"

(End of this chapter)