The heavy opening remarks were over, and Sun Lien immediately began to set up the task.

"Dr. Yuan, you can contact the teachers of the association. Sun Lien's first clear request was to let Yuan Ping'an find a relationship. "You can go to the family and ask for information such as copies of ID cards of the patient's family, and get all the treatment records and major medical records from the association. ”

The cases of the Tongxie are indeed well written. This is a fact recognized by everyone in the domestic medical circle. If they can get this detailed case and record, then Sun Lien can save a lot of effort - Tongxie has been dealing with various rare diseases and incurable diseases for many years, even if they don't find the real cause this time, at least this record can help Sun Lien avoid some options that have been ruled out before.

The biggest significance of figuring out the wrong answers that have been ruled out by the top hospitals in the country is to save time. Sun Lien's requirements for himself are still the same as before. Not only did he have to find out what the child was suffering from, but he also had 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 stages? What if it is a disease that can be treated in the early stage and cannot be treated in the middle and late stages?

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

"Give her another MRI, mainly the cranial part and the optic nerve. Pay attention to the comparison with the results of the examination in the outer hospital. Sun Lien continued to give his own orders. Obviously, the progression of the disease is related to the time. This means that the course of her disease is always in a dynamic process. By comparing it with the previous inspections, you may be able to find something different – and such differences may be the key factor in unraveling all the mysteries.

"All the relevant immunological tests and tumor markers in the lab are checked – don't try to save money for Takeda. With the high degree of cooperation from his family and the promise of free testing fees from Takeda Pharmaceutical, Sun Lien has the confidence to be "big-hearted" when arranging inspections.

"Genetic testing is also added, and the director of pediatrics, Qian Hongjun, is invited to come for a consultation...... Forget it, I'll invite you later. "Theoretically, after filling out the consultation form, the doctors who come to the consultation are generally the majority of residents. But now...... Sun Lien felt that it might not be safe to invite a pediatric resident to come for a consultation. After thinking about it, it is more appropriate to ask Lao Qian to go out of the mountain in person. "Let's test all the genetic diseases in the 121 directory first. ”

"You're doing this way of punching the master to death. Professor Zhang Zhifu raised his eyebrows as he listened, Sun Lien's play would be scolded to death by his superiors in other hospitals. If the senior doctor did not find out about the situation in time, the patient's family would not have spared him. "Are you going to check all the diseases you can?"

"I still think it's underchecked. Sun Lien replied seriously, and he also understood what Professor Zhang Zhifu was worried about, "This case is likely to be beyond the scope of our conventional treatment, and I am now worried that these tests may not provide any valuable clues." ”

Professor Zhang was silent, although he didn't want to admit it, but Professor Zhang Zhifu agreed with Sun Lien's approach from the bottom of his heart. Again, if the association doesn't know what kind of disease this child has, then the four hospitals can't pay too much attention to it.

To use an inappropriate analogy, the enemy who can't be defeated by the number one in the world in the martial arts will be handed over to the local sect to deal with...... If the local sect doesn't use poison darts to get lost, even if their attitude is not good enough.

If you don't have a good attitude, you naturally don't have the opportunity to handle things correctly. Sun Lien didn't dare to be careless at all, and he decided to do his best to deal with the inspection of Nannan from the beginning. Regardless of whether this disease can be cured in the end, at least after unreserved efforts? in order to have peace of mind.

After Sun Lien arranged a series of treatments here? I left the office in the midst of everyone's busy preparations.

Since it is necessary to work unreservedly, the status bar must also be taken out and used.

In the ward? The nurses are pasting patches of vital signs monitoring devices on the little girl's body. After Sun Lien waited at the door for a while? He knocked on the door and walked into the room.

"Tang Min, female? 7 years old. "The status bar is as powerful as ever, but the indications given later...... But Sun Lien was a little confused.

"Decreased visual acuity, bilateral optic nerve curvature, loss of cervical curvature, cerebellar vermis mass, ventral brainstem, scattered punctate liningal enhancement of the spinal meninges, multiple diffuse lesions in the brain? Supratentorial mild obstructive hydrocephalus, cerebellar tonsillar herniation. ”

Quite a bit of state? And there are scary ones. For example, this cerebellar tonsillar herniation - but looking at the duration of these states that last for more than 6,000 hours, Sun Lien is basically certain that this brain herniation is not the kind that needs to be dealt with immediately.

The prompts in the status bar are quite detailed, but Sun Lien is a little disappointed - this information has basically been mastered by the doctors. Even if it's a status bar? Nor did it give any new clues.

Of course? In this case, Sun Lien himself also expected some of them. After all, he is a monster that can't be defeated by the number one in the world, and it is not difficult to accept that Sun Lien, who is from a local sect, can't see it at first glance. He observed Tang Min's state for a while, and after doing a basic physical examination, he said hello to Tang Min's parents who entered the ward again.

"The doctors are already preparing for the relevant examinations. Sun Lien conveyed the current diagnosis progress to Tang Min's parents, "We are also in contact with the association?" I hope to be able to get the records of the cases and diagnoses of the Association as soon as possible. ”

Tang Min's father looked a little tired, he shook his head and said? "Everyone says that Tongxie is the best, but we have lived in Tongxie for more than 20 days? I didn't find out why......"

Sun Lien can understand the helplessness and even anger in Tang Min's father's words. He whispered, "Doctors are not omnipotent. Do you have the ability to cooperate with each other? The level of their doctors is definitely high enough. But diagnosis and treatment are not just a matter of hard power? Sometimes? To make an accurate differential diagnosis, it also depends on luck. They weren't so lucky this time. ”

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

For example, take the case that Sun Lien has seen with his own eyes as an example - the same myocardial infarction, Sun Lien has seen typical and standard pain in the chest area, he has seen some rare but classic toothache, he has seen the less common complaints of leg pain, and he has seen the pain of gastrointestinal spasm mistakenly. The rarest of these cases are an old lady with a heart attack that manifests itself as delirium and hallucinations.

In the first few cases, as long as the doctors are a little more experienced and observant, they can be more or less traceable. And the last old lady...... If it weren't for Sun Lien's status bar, it is likely that the patient would have been transferred directly to the neurology department or Anding Hospital. If you turn around like this, you will die if you don't do it well.

Diagnosis requires some luck, and Sun Lien knows this well. He didn't think that there was the slightest possibility of the association being "dead or not saved" or "in vain". These colleagues in the capital are just not very lucky.

Sun Lien's explanation seemed to make Tang Min's parents feel a little better. The two of them glanced at each other, this time with more helplessness in their eyes than anger.

They had heard Sun Lien's "legend". The young doctor in front of him is said to be a rising star in the medical world. He specializes in diagnostics and is particularly adept at diagnosing and treating intractable and rare diseases.

After taking their child to the hospital many times, Tang Min's parents have almost lost the confidence to heal their daughter. Sun Lien is indeed their last hope - the Fourth Hospital is already their last stop for their daughter to seek medical treatment. If the four hospitals 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 last few moments a little more comfortable.

"While the other doctors are preparing for the exam, I have some questions for both of you. Sun Lien took out a small notebook and pen from his pocket. He took the two of them to sit down in the isolation living room that came with the ward, and then began his own consultation process. "There are some questions that you may have answered many times, but I still ask you to think as hard as you can, and only answer them after confirming them. ”

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

Sun Lien was silent for a few seconds before he began to ask, "Is Tang Min your only daughter, and does she have any brothers and sisters?"

"Nope. ”

"Before she went to the hospital with a traumatic injury, did she mention to you that she had a headache, dizziness, or couldn't hear clearly?"

"Nope. ”

"So...... Have you, my husband, and your immediate family members ever had a sudden loss of eyesight?" Sun Lien continued to write in his notebook, "For example, suddenly became nearsighted after waking up one night?"

The answer to the ...... stopped, and Sun Lien raised his head to look at the couple in front of him with some confusion. And the two were whispering something to each other.

"Yes. After a while, Tang Min's mother suddenly said, "My brother had this time when he was a kid - he said that his eyes suddenly couldn't see clearly. But after a few months, it was inexplicably better. ”

Sun Lien was stunned when he heard this, this is a new situation. Although I haven't gotten the treatment record of the association, the Yunhe Infectious Disease Hospital has never mentioned this.

Although he was a little excited in his heart, Sun Lien still kept the expression on his face very well. He wrote down in his notebook, "Uncle had a sudden loss of eyesight, hereditary?"

Then I drew a few circles vigorously on "hereditary".