My place is on fire

Chapter 484 Similar cases!

At Jishuitan Hospital, every conceivable examination has been done.

In the end, it was not found out what was wrong with Luo Rongning.

Liu Zhenming even urgently convened an expert group for consultation.

Several experts are old experts who have worked in the front line for decades, but after seeing Luo Rongning's situation, they all shook their heads.

"I have been in the industry for so many years, and I have never seen such a strange disease. All vital signs are normal, but I am unconscious. It is really strange."

"Yeah! I wonder if that patient has encountered some major setbacks and is unwilling to wake up in order to escape reality?"

"Very likely, as the saying goes, you can't wake up a person who is pretending to be asleep."

Several experts found nothing wrong with the normal inspection, and began to speculate on psychological problems.

"What you said shouldn't happen."

Liu Zhenming interrupted everyone's conversation with a wave of his hand, and said: "I heard from Dr. Jiang that the patient is the boss of a popular scenic spot at a young age, and he can definitely be regarded as young and promising. The information I got from his friends , He is now in the rising stage of his career, and when he is most proud of his life, escaping from reality should not be possible."

"Is that so..."

"This person's illness is really extremely rare!"

"I can't find any problems in the physical aspect, and there are no problems in the psychological aspect. So where is the problem?"

After everyone listened to the information revealed by Liu Zhenming, everyone lost their minds.

Someone suggested: "How about asking them to go to Xiehe Hospital?"

Although such words are suspected of growing other people's ambitions and destroying one's own prestige, there is no way to do it.

If the best treatment time is missed, no one can bear the responsibility.

"It can't be done, it's the only way..."

Liu Zhenming spoke softly, although he did not want to admit that his department was worse than his peers at Xiehe Hospital, but this was an indisputable fact.

As the hospital ranked first in the country in comprehensive strength, Xiehe Hospital still has its unique features.

An old gray-haired doctor in the temporary expert group stroked his glasses on the bridge of his nose, and suddenly said:
"Although the situation in this patient today is rare, it is not uncommon.

It seems like three years ago, right?I saw a similar disease in country Y on "The Lancet". "

The old doctor stopped when he reached a critical point, frowning slightly, as if he was trying to remember something.

"Oh? Mr. Chen has seen similar cases?"

"What happened to the case in country Y? Has it been cured? Maybe it has certain reference value for our patient."

"Mr. Chen, don't be foolish, tell me what you know."

When several experts heard that there were suspected cases for reference, they immediately became interested.

A doctor encountering an intractable disease is like a student encountering a difficult problem. If he cannot get the answer, he will think about it when he eats and sleeps.

The doctor who was called Old Chen thought for a while and said, "I remember that the illness reported above didn't seem to be cured.

The hospital in country Y is similar to the examination we did today, and also did various examinations.

From blood routine, to brain CT, MRI, everything that can be imagined was done, but nothing was found.

If physical stimulation is given to the patient, the patient will respond, and the brain regions will respond accordingly, but they just cannot wake up.

Finally, the patient woke up spontaneously after being in a coma for a full 105 hours.

After the patient woke up, the doctors gave him a comprehensive physical examination, and all the physical indicators of the patient were the same as those of normal people..."

Mr. Chen explained a case of illness he had seen in "The Lancet" to everyone in detail.

"The Lancet", also known as The Lancet in the domestic medical field, is one of the oldest and most authoritative academic journals in the world's medical field.

This journal is also one of the SCI journals with the highest impact factor, and it has a profound influence in the global medical community.

Since its publication on October 1823, 10, the journal has been the leading mouthpiece of the global medical community, providing its readers with worldwide medical developments across regions and disciplines.

The journal's founder, Thomas Weekley, named the journal after the surgical knife "The Lancet".

Lancet also means "pointed dome window" in English, which means that the journal is determined to become a "bright window that illuminates the medical world".

The journal has remained independent since its inception and has never joined any medical or scientific organization.

More than 180 years after the journal's creation, The Lancet maintains its independence and authority in speaking throughout the medical community.

The purpose of The Lancet journal is to:
Seek to publish high-quality clinical trials that can transform the practice of medicine;
Committed to the mission of world health to ensure broad coverage of research analysis from all regions of the world.

A strong review and communications department ensures rigorous review of research and retrospective articles.

The proposition and style of "TheLancet" are determined after weekly exchanges between the three chief editors, and the priority papers will be published quickly in advance through thelancet.com.

And the continued success of The Lancet series of professional monthly journals ensures that The Lancet explores in-depth knowledge of the major disciplines in medicine.

"So, our treatment plan is to not do any treatment and wait for the patient to wake up on his own?"

After listening to Mr. Chen's narration of the case, Liu Zhenming frowned slightly, as if in deep thought.

Mr. Chen nodded and said: "There is no other way. We did all the checks that should be done, but we didn't find any symptoms. Since there is no way to do it, we don't do it. It's the safest way. Or, let them transfer to Xiehe Hospital." Take a look over there and see what kind of diagnosis and treatment plan the other party will give."

"I agree with Mr. Chen's opinion, this is the best solution I can think of."

"Old Chen is very reasonable."

"..."

Several experts echoed Mr. Chen's opinions after listening to them.

"Okay then, I'll go and tell the patient's family about the situation. It's up to them to stay in the hospital for observation or transfer them."

While speaking, Liu Zhenming stood up from his seat, and said politely to everyone:

"You guys have worked hard today. When everyone is free another day, let's go to the Longhe Restaurant next to the hospital for a meal. I'll treat you."

"There's no need for a treat, Director Liu, we didn't help much, we deserve it!"

"Director Liu is too polite."

"They're all in the same department. When we inevitably need each other, Xiao Liu, you don't have to be so polite. We will need your help in the future."

Several experts also stood up from their seats and prepared to leave, talking politely to Liu Zhenming.

Liu Zhenming can be the director of the department in his fifties, and everyone knows that he has someone in the hospital, which has something to do with it.

Selling him a favor and giving him face is definitely much better than eating him a meal, and everyone can understand this point.

As soon as Liu Zhenming said that he wanted to treat guests to dinner, everyone also refused tacitly.

After finally catching such an opportunity to sell other people's favors, he naturally couldn't let him repay them easily.

After a few polite words in Liu Zhenming's office, everyone went out together and went back to the department they were in charge of.

"Let's go, Xiao Jiang, let's go over and talk to the patient's family about the situation."

After seeing off several colleagues, Liu Zhenming went to the next office to greet Jiang Yi, and the two went to the ward where Luo Rongning was.

Jiang Yi came to Jishuitan Hospital in Beijing this time for advanced training, and Liu Zhenming was her instructor.

Liu Zhenming has taken students with him for more than ten years, but he has never met a student who is more beautiful than Jiang Yi, and he is willing to take her with him wherever he goes.

Such a good-looking, good-looking student, who speaks softly and nicely, will have more face when taken out.

"By the way, Xiao Jiang, what is the name of the patient's scenic spot? Long scenic spot? I forgot after hearing you say it again. This person is getting old, and his memory is really bad."

On the way to Luo Rongning's office, Liu Zhenming chatted with Jiang Yi without anything to say.

"It's called Heilongshan Scenic Spot. Recently, it has become a hot topic on BL and Kuaijiu, and it's often featured in popular recommendations."

Although she was extremely disgusted with Liu Zhenming, the mentor, in order to graduate smoothly, Jiang Yi could only laugh by her side.

"Oh, that's right, that's right, Heilongshan Scenic Area, Ji Province is not too far from the capital, so go and have a look sometime when you have time."

Liu Zhenming couldn't feel Jiang Yi's dislike for him at all, and continued talking to himself:

"That scenic spot is not far from Dr. Jiang's house, isn't it? Dr. Jiang will come with me to guide me, and I'll go home and have a look."

"..." Even if she was as gentle as Jiang Yi, after hearing Liu Zhenming's words, she wanted to scold her in her heart.

I'm here for an exchange and study, so it's okay to let me help him with some private work, but you want me to be a tour guide for him?

Jiang Yi took several deep breaths before suppressing the urge to scold her and leave.

This is the second time she has come to the capital for exchange and study this year, and it is also the last stage.

After successfully completing the exchange and study at Jishuitan Hospital this time, he can be promoted when he returns to the Second Hospital of Shishi City.

If you quit at this time, all previous efforts will be wasted, and all the efforts made this year will be in vain.

So, even though she was extremely upset and wanted to scold her every day, Jiang Yi persisted.

Jiang Yi herself can afford a multi-million dollar luxury car like a Lamborghini, so of course the salary is not bad for a job in a hospital.

But she will succeed her father as the dean in the future, which is also her ambition when she chose to study medicine.

This exchange and study at Jishuitan Hospital is related to her future career development, so she can only endure it.

If it wasn't for Lin Suqing's best friend who gave her psychological counseling every day, she would have been driven mad by Liu Zhenming.

Chatting all the way, Liu Zhenming and Jiang Yi quickly returned to the door of Luo Rongning's ward.

Entrusted by Zhao Yunlong, Liu Zhenming used his position as director to arrange a separate ward for Luo Rongning.

In Jishuitan Hospital, where beds are hard to find, even if you have a broken finger, you have to wait in line for treatment. Such a place with extremely tight medical resources.

It is definitely not easy to live in a separate ward.

It can also be seen that Zhao Yunlong still has a lot of face with Liu Zhenming. From the side, it also shows that the relationship between the two is real iron, not plastic brothers.

"Old Liu, you are back! How is Yuning's situation? Have you researched it for a long time?"

Seeing Liu Zhenming's appearance, Zhao Yunlong rushed up impatiently to ask him about the situation.

Liu Zhenming said truthfully: "Brother Yunlong, Mr. Luo's symptoms are extremely rare even in the diagnosis records of our Jishuitan Hospital.

I asked Dr. Jiang to check our database just now, and I couldn't even find a similar case. "

"Yes." Jiang Yi nodded in agreement, what Liu Zhenming said was the truth and did not exaggerate.

When Liu Zhenming organized an expert consultation just now, Jiang Yi was in the office next door to collect information. Among the tens of millions of diagnosis records in the hospital, no case similar to Luo Rongning was found.

Although Luo Yuning's current state is in a coma, it is quite different from a vegetable state.

The medical vegetative state is referred to as PVS, which is a special human state similar to the living state of plants.

In addition to retaining some instinctive nerve reflexes and the ability to metabolize matter and energy, vegetative people have completely lost their cognitive abilities (including the awareness of their own existence), without any active activities.

This state is also called vegetative state and irreversible coma. The brain stem of a vegetative person still has functions. When delivering nutrients to the body, it can also digest and absorb, and can use these energy to maintain the metabolism of the body, including breathing, heartbeat, blood pressure, etc. .

Vegetative people can also produce some instinctive reflexes to external stimuli, such as coughing, sneezing, yawning, etc., but the human body no longer has consciousness, perception, thinking and other high-level neural activities unique to humans.

What's more, the EEG of vegetative people showed stray waveforms, but Luo Rongning's EEG was the same as that of normal people in a sleeping state.

Therefore, even though Luo Rongning is still in a coma for a long time, he is far from a vegetative state. This is what the expert team headed by Liu Zhenming can't understand.

"Then what should we do! You group of experts consulted for a long time and didn't come up with any treatment plan? You can't just do an examination and do no treatment!"

Zhang Jinwu was much more nervous than Zhao Yunlong, and even the tone of his speech was full of complaints.

"Brother Yunlong, you introduced him, and he must have a good relationship with you, so I'll tell you straight."

Liu Zhenming ignored Zhang Jinwu's complaint, turned to look at Zhao Yunlong and said:
"Situations like Mr. Luo's are extremely rare, but there have been similar cases around the world..."

Liu Zhenming told everyone about the case that Mr. Chen had seen in the journal "The Lancet", and finally said:
"We have given two options. The first is to continue to observe. We will observe the patient's vital signs at any time until he wakes up.

Second, you can transfer to Xiehe Hospital to see if they have a suitable treatment plan. "

"Continue to observe, or transfer?"

After hearing the two treatment plans given by Liu Zhenming, Zhao Yunlong turned to look at Xu Kejing, waiting for her decision.

　Thank you for your support all the time, and I would like to wish you an early year here.

　　In the new year, I wish everyone good health and prosperity.

　　
　
(End of this chapter)