I can see health

Chapter 713 She fell asleep? (Fifth update)
Enter the ICU.

Lu Chen put on a hat, a mask, an isolation gown, and shoe covers.

The outfit was a bit bloated, and Lu Chen was not used to it for a while.

Come to the doctor's office.

At this time, only one young doctor was busy in the office.

"Hello, I'm from the Department of Cardiology, and I'm here to participate in the discussion of difficult cases." Lu Chen said softly.

The young doctor raised his head immediately, with an apologetic expression on his face, "I'm sorry, teacher, our director hasn't come yet, please go to the demonstration room and sit for a while. When our director comes, the discussion will start immediately."

However, when the young doctor saw Lu Chen, he was startled.

So young!

Most of the doctors who came to discuss difficult cases were deputy chief physicians, and a few were senior attending doctors.

Why is there a young doctor in the cardiology department?

Lu Chen didn't notice the young doctor's strange gaze, but nodded slightly: "It's okay, I'll wait for a while."

"The classroom is at the back." The young doctor pointed to the back.

"Okay, thanks." Lu Chen was just about to leave, but stopped again, "By the way, may I ask, a sixteen or seventeen-year-old girl should have been transferred to the emergency department yesterday. Which bed is she in?"

"Yesterday...girl..." The young doctor was taken aback for a moment, "You mean the one who took the medicine?"

"Yes!" Lu Chen nodded.

"It seems to be in 3 beds."

"Okay, thanks."

……

Lu Chen left the doctor's office, instead of going to the classroom immediately, he went to see the girl from yesterday first.

ICU beds are easy to find, there are only a dozen beds in total.

Lu Chen found bed No. 3 in no time.

The person lying on the hospital bed was indeed the girl who was in the emergency department yesterday.

She still closed her eyes and lay quietly on the bed.

The life value is much better than it was in the emergency department yesterday, it has reached 42!

The change trend of life value is no longer a minus sign, but a plus sign.

This proves that the girl's condition is slowly recovering.

Beside the bed, the blood purification machine was still running.

"Aren't you awake yet?" Lu Chen frowned slightly.

The longer you sleep, the less likely you are to wake up.

Seeing such a young child lying in the emergency room, Lu Chen felt very uncomfortable.

Each bed in the ICU is supervised by a nurse.

The nurse in bed No. 3 was quite surprised to see a strange doctor standing in front of him and not moving.

"Excuse me, are you..." the nurse said.

Lu Chen came back to his senses, "Well... I'm a cardiology doctor, here to discuss difficult cases."

"The difficult case is about 8 beds, not this bed." The nurse was a little puzzled.

"Oh, I know." Lu Chen said hastily, "I saw this little girl in the emergency department yesterday, so I came over to have a look."

"That's it." The nurse understood, "This little girl is really pitiful. I heard that she broke up with her boyfriend. She couldn't think about it for a while, so she took medicine."

"Is she...wake up?" Lu Chen still asked a little unwillingly, thinking that the girl might have woken up, and now she is just sleeping.

"Not yet." The nurse shook her head.

Hearing this, Lu Chen sighed lightly.

"But... I feel like she might wake up today." The nurse paused.

"Huh?" Lu Chen frowned, "Why do you say that?"

"Because her indicators are improving, her blood oxygen saturation has risen, and her blood pressure has stabilized," said the nurse.

"I hope so."

Lu Chen looked at the girl on the hospital bed, cheering for her in his heart.

……

After watching the girl in bed No. 3, Lu Chen came to the demonstration classroom.

At this time, in the demonstration classroom, several doctors who had come to discuss had already arrived.

For this kind of hospital-wide discussion of difficult cases, only the departments related to the disease will send people to come.

Of course, there are still several departments that must be hired, such as the Department of Traditional Chinese Medicine, the Department of Pharmacy, and so on.

However, Lu Chen didn't know anyone here.

The young doctor who was in the office just now is distributing the patient's case information to the consulting doctors.

Lu Chen also took a copy.

"Teachers, you can familiarize yourself with the patient's condition before the discussion begins." The young doctor smiled.

"I said Su Zhengwen, when will your director arrive?" One of the older consultants asked Chao Young, "Everyone has something to do, so finish the discussion early and go back earlier."

Su Zhengwen patted his head in embarrassment, "He's on his way, he's going to another department to consult a serious patient, and he'll be right back."

Lu Chen didn't care about everyone's chatting, he started to read the patient's case information.

……

The patient was a middle-aged male with high fever for 8 months.

He was hospitalized twice in a large local tertiary hospital, and was repeatedly diagnosed with: Sjogren's syndrome, autoimmune hepatitis, acute pancreatitis, sepsis, and septic shock.

After being admitted to the hospital this time, his condition worsened rapidly, and he was transferred to the ICU of Shanghai No. [-] Hospital when he became critically ill.

Lu Chen flipped through his auxiliary inspection report.

ESR, C-reactive protein, D-dimer, fibrinogen, IL-6, and procalcitonin are all very high!
Three days ago, the patient's blood picture was basically normal.

Starting the day before yesterday, the patient's hemoglobin decreased, and the platelets plummeted.

3 days ago, the platelets were 43*109/L.

2 days ago, the small plate was only 17*109/L.

……

Lu Chen read the entire case file.

At this time, the director of the ICU department also came back.

Discussion doctors from other relevant departments have arrived.

Everyone gathers and sits together.

However, because Lu Chen was young and didn't know anyone, he sat in the last corner.

"Sorry, I'm late." The director of the ICU is a middle-aged male doctor with no smile on his face, "Let's start the discussion now, Xiao Su, you first introduce the condition to everyone."

"Okay." Su Wenzheng immediately stood up and turned on the projector.

For this discussion, he also made a brief presentation PPT.

After about 10 minutes of medical introduction, Su Wenzheng sat down.

"The introduction of the condition is over, let's go see the patient first." With a wave of his hand, the director of the ICU led everyone to the ward for physical examination and consultation.

As a young doctor, Lu Chen followed behind everyone.

The consulting doctors in other departments thought that Lu Chen was a young doctor in the ICU department, and they just came to participate in the discussion and study.

Because there are many doctors participating in the case discussion, not all doctors have the opportunity to conduct physical examinations on patients.

Otherwise, it would be a waste of time for everyone to look it up.

Just like Lu Chen, he had no chance to get started.

Still, he took a closer look at the patient.

……

Return to the classroom from the ward.

Su Wenzheng stood up again and began to raise the topic of this discussion.

"I believe that all the experts understand the patient's condition." Su Wenzheng said, "This patient was transferred from another hospital and is in a state of severe infection."

"The reason why I invite everyone here is mainly to discuss the patient's diagnosis. Is there any other possibility? Because such a long treatment does not have much effect, on the contrary, the patient's laboratory indicators are gradually getting worse."

"In addition, do you have any opinions on the next step of diagnosis and treatment plan?"

……

As soon as the voice fell, the first person to speak was the consulting doctor from the respiratory department.

"First of all, I think that because procalcitonin and other inflammatory indicators are very high, it should be septic shock, and there may be a tendency to start DIC, resulting in a drop in hemoglobin and a sharp drop in platelets."

"As for the next treatment plan, I think it is still necessary to upgrade the antibiotics!"

Lu Chen frowned slightly, thinking that things might not be that simple.

(End of this chapter)