Hypoglycemia appeared almost two days ago, and hyperglyconeemia appeared about 10 hours later than hypoglycemia. Sun Lien arranged the course of Gu Jiahao's illness in his heart. But the more he pondered it, the more Sun Lien felt that something was wrong. In the absence of other factors, why did Gu Jiahao have a mild abnormality in his thinking fourteen hours ago?

I can't figure it out, I can't figure it out whether I'm alive or dead. Sun Lien put down the pen in his hand and sighed. Judging from the current situation, if he does not find out the reason for the child's mental abnormality and rapid heart rate, he may not even find a reason to keep Gu Jiahao under observation - the child just doesn't eat, even if he has mental problems, it is not under the control of the Fourth Central Hospital.

"Come in. Sun Lien shouted to Gu's father outside the door, and after watching the chubby Gu's father shake into the room, Sun Lien sighed and said to him, "The child is not very cooperative with the inquiry, I want to ask you, where has your child been in the past two days? Has he been in contact with anyone? Did his aunt say anything to the child?"

"His aunt?" Gu's father was stunned, "A few days ago, my mother and I were on a business trip, and the child was always taken care of by his aunt." ”

Sun Lien frowned, and he said in a low voice, "The child refuses to eat now, and the stress reaction he shows is a bit like psychological stimulation. ”

Some things can't be said too much, and Sun Lien's questions and explanations have tactfully pointed to the source of the problem. Seeing the change in Gu's father's expression, Sun Lien said cautiously, "I chatted with Xiao Gu for a while just now, but the only useful thing he said was that his aunt asked him not to eat, and said ...... If you keep eating, you'll die. Before Gu's father's expression completely turned from shock to anger, Sun Lien hurriedly said, "But I can't be sure whether Xiao Gu's problems are all caused by this sentence - there are indeed many problems that may arise after children's spirits are stimulated, but if you push all the symptoms on this, it is also a little ...... It's irresponsible. ”

The first time Sun Lien encountered this kind of uncooperative patient, the status bar and the consultation, which were very effective before, could not play their full role. It's no wonder that pediatrics is also called dumb medicine – for those patients who are unable to respond to doctors' inquiries and provide a true and reliable medical history and course of disease, it is inevitable that pediatric doctors will be tired as if they had just gotten up after sudden death.

"I'd recommend doing a basic check-up first. Sun Lien told Gu's father about his plan, "Take a blood draw first, look at the blood routine, blood sugar and blood ketone, if you are sure that there is nothing serious in your body, then take Xiao Gu to a special psychiatric hospital to have a look." ”

Once a person of Dad Gu's size fell silent with a cold face, the silent sense of oppression was even more terrifying than Director Han, who was staring at people.

After a few seconds of silence, he nodded and agreed to Sun Lien's diagnosis and treatment suggestions.

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"You should transfer this kind of patient to the pediatrician. Sun Lien asked Gu's father to take his son to pay for the takeout blood draw to prepare for the examination, and Yuan Ping'an took a gap to report on Rawls's treatment. After hearing about Sun Lien's patient, Yuan Ping'an responded disdainfully and slightly sarcastically to Dr. Sun's special experience - he was not as good as Sun Lien in terms of medical diagnosis, but Yuan Ping'an himself felt that Sun Lien was still lacking in the knowledge and means to "improve the efficiency of diagnosis".

Sun Lien glanced at Yuan Ping'an, "The group of colleagues in the pediatric department are dying suddenly, so save them a little if you can save them." I can still do the basic check-ups - if there is anything I am not sure about, I can ask them to come in for a consultation. He actually seriously considered Yuan Ping'an's suggestion. But when encountering this kind of patient, it is really too much to push the patient to the busy pediatrics under the condition that some strange states are seen in the status bar.

Yuan Ping'an thought for a while, sighed and said, "I think that since this kind of patient is not in danger of life, there is no need to come to occupy emergency resources." Diagnosing the condition of a patient who is not in danger is not the same as diagnosing the condition of a first-class patient. ”

Sun Lien spread his hands, "I don't have other crisis patients to deal with now, not to mention that people do have medical needs, so they come to register—although I am not an expert, I also need ten yuan for an emergency outpatient number." Add to that the hidden costs of waiting and transportation, and if you don't really need help, you won't be able to take your children to see a doctor at noon on a weekday. Yuan Ping'an's idea is actually a very common kind among emergency medical staff - they not only have some "unimportant" ideas about dealing with diagnosis and treatment for ordinary patients, but also because they often deal with critically ill patients, so they neglect the "spiritual feelings" required by ordinary patients who have complete consciousness and can perceive the attitude of medical staff.

Just like Shen Xi, a young scholar who took his wife to see the ureteral stone problem before, he is a medical student and the younger brother of Sun Lien's roommate Dr. Cao. This means that he should have received all the medical clinical education. Even such a person, when his relatives are in pain, will come in very unruly and angrily reprimand the patient who delays treatment. Patients and family members who have not undergone medical clinical education have the ability to distinguish whether the doctor's measures are "appropriate" when their relatives are in pain? They can only subjectively pay attention to the doctor's reaction and the doctor's attitude. And then they get angry with the doctors who they see as somewhat "perfunctory" and "inattentive".

To put it bluntly, the vast majority of patients and their families who come to the hospital are nervous and panicked. There is a great terror between life and death, and they will be more overwhelmed than anyone else when their loved ones may face the test of life and death. In this sense, they are poor people. On the other hand, it is impossible to snatch lives from the hands of death every day, and it is impossible for doctors who are tired to the point of being half-dead to maintain a kind and kind attitude at all times and at all times, and to give equal attention to both mild and severe patients.

The mutual incomprehension of both sides, as well as the insistence of both sides, have indeed led to the current tension between doctors and patients to a certain extent.

Sun Lien can understand this relationship and influence, so he will try to persuade Gu Jiahao's father to take his son for a check-up first — instead of directly pushing people to pediatrics or other psychiatric hospitals. He wanted to provide him with as much help as possible without threatening Gu Jiahao's life.

"If you can help, you can help. Sun Lien took the report handed by Yuan Ping'an and looked down, "After all, he is a child who is about to reach puberty, and he has grown fat, if he knows that he has been to a psychiatric hospital at this juncture, how many classmates will he be bullied? ”