Communicating with family members is generally more cumbersome than communicating directly with the patient. The reason is also simple - the pain and suffering experienced by the patient is known only to the patient himself. As "bystanders" and potential "funders", the patient's family will always consider more than the patient himself. As a result, patients themselves make decisions more quickly than their families in most cases, and they tend to be more aggressive.

But Sun Lien really didn't want to talk to Wang Ge anymore, not even a word - he was afraid that if he continued to talk, he would really punch the other party in the face.

has been an ordinary human for twenty-six years, and Sun Lien has never seen such a bad guy. In his opinion, Wang Ge's degree of unbeaten is far greater than the acne face of the chubby girl who was rumored to be in love with the chubby girl at the next table in junior high school, and successfully won the honor of the first place on the list of "Sun Lien's most wanted to beat in his life".

Instead of continuing to embarrass yourself, you should simply start communicating with the patient's family. Sun Lien directly found Wang Ge's girlfriend and asked her to contact Wang Ge's family immediately. In order to meet Wang Ge's family as soon as possible, Sun Lien even deliberately emphasized the urgency of the current situation to Wang Ge's girlfriend, "His life may be in danger at any time, and it is the kind of life danger that we may not be able to save back." ”

Even the most critical lawyer can't find out what is inappropriate from Sun Lien's information - the three lesions are 99% narrow, and the patient already has symptoms of angina. This is a high-risk patient in any hospital in the world. And Sun Lien's special notice of serious illness once again strengthened the credibility of his words. Wang Ge's girlfriend's eyes were red at that time, and then she quickly took out her mobile phone to call Wang Ge's parents. After making the call, she put away her mobile phone, stiffened slightly, and then knelt on the ground with a plop, hugged Sun Lien's leg and began to cry, "Doctor, doctor, you ...... You save him!"

Sun Lien was taken aback by this sudden movement. The dissatisfaction with Wang Ge in his heart also disappeared in an instant, and he and the two female nurses next to him hurriedly dragged Wang Ge's girlfriend up.

Such an ETC who just came to the hospital from the highway toll booth without permission also has a girlfriend who is very good to him...... Sun Lien sighed in his heart, and mourned for a few seconds for Xiao Guo, who is still single - this kind of person has a girlfriend, how can you, a young man who doesn't smoke or drink, is tall and handsome, still single?

"It's useless for you to kneel here and beg me now. Although Sun Lien was very moved, he still relentlessly said to the crying girl in front of him, "Wang Ge's current situation is not optimistic, and only by starting treatment as soon as possible can his safety be guaranteed to the greatest extent." But he's very resistant to treatment now, so we can't treat him right away – we can only see if his family can agree to treatment when they come over. ”

He ...... He refuses treatment?" Wang Ge's girlfriend sobbed and stammered, "Why?"

Sun Lien shook his head helplessly, "I don't know either." He doesn't seem to think that his condition is serious, right?" Sun Lien paused and continued, "Anyway, I communicated with him for a long time, and I couldn't explain anything, but I was almost stunned by him. ”

Wang Ge's girlfriend looked shocked, she even stopped crying, and just muttered repeatedly with a puzzled and confused face, "Why ......?"

Sun Lien wanted to know the answer to this question more than her. From a personal emotional point of view, Sun Lien feels that this answer may be because Wang Ge is a bar. But medically it is not completely unexplained - Wang Ge may have cardiogenic encephalopathy.

Cardiogenic encephalopathy is a relatively common collateral condition in patients with heart disease. How it happens is easy to understand – when there is a disease in the heart, it will inevitably affect the blood circulation inside the body. As a major oxygen guster of the human body, the brain is extremely dependent on blood. When blood circulation is affected, the normal functioning of the brain is inevitably disrupted.

Cardiogenic encephalopathy can be diagnosed when a patient diagnosed with heart disease suddenly becomes agitated, depressed, or hallucinations after other organic pathologies have been ruled out.

But...... Even if it is clear that Wang Ge has cardiogenic encephalopathy, it will not help the current situation. Cardiogenic encephalopathy means he is now unable to make rational, legally valid decisions. In this case, only his immediate family members can exercise medical decision-making power in his place.

Of course, if before Wang Ge's relatives arrived at the hospital, he suddenly had another heart attack. Then the hospital can carry out the treatment through the authorization of the hospital office. But Wang Ge is not sick now, and even this risk is not too great. After Sun Lien weighed it himself, he decided to be conservative - before Wang Ge's relatives arrived at the hospital and signed the consent form, he first applied for authorization from the hospital through normal channels. In this way, if Wang Ge has a sudden heart attack, at least the doctors can still save him.

Although this is a bit ...... Too much suspicion of management. But Sun Lien still decided to go through the process. Although this is such a method, the staff of the hospital office will probably have to scold him after that.

It is not easy for the hospital to agree to the treatment procedure, and every time there is such an application, it is a matter of life. The staff of the hospital office have to complete the examination and approval as quickly as possible. And such a toss, just "just in case"......

Sun Lien himself felt a little embarrassed, but after all, it was a human life. At least he thinks that the crying girl is worth a gang - it's a big deal, after work, he pays out of his own pocket to send two cases of drinks to the staff of the hospital office.

Although he had made enough preparations in his heart, Sun Lien was still shocked - the hospital office did not complain after learning that Sun Lien only applied for approval "just in case". They still completed the approval as quickly as possible.

"You're bigger than me now. After Yuan Ping'an saw the authorization in Sun Lien's hand, he said half-jokingly and half-seriously, "It's the application of the deputy head of the diagnosis team of the comprehensive diagnosis center, and the attitude of the hospital office is different! ”

"That's good, too. Sun Lien looked at the power of attorney in his hand and showed a comfortable smile. "It feels really good. ”

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"I don't feel good. Sun Lien took Wang Ge's inspection report, sighed, and said to Yuan Ping'an on the side, "It's not fun." ”

Wang Ge's kidney function began to deteriorate rapidly after he was admitted to the hospital, and the latest results showed that his blood creatinine had increased by 27.3 μmol/L compared to when he was admitted to the hospital, and the rate of urine increase in the urine bag had suddenly begun to slow down.

"Acute kidney injury...... But the contrast agent is not so fast, right?" Faced with this result, Sun Lien's first thought was contrast nephropathy. But he quickly rejected his conjecture, "SLE?"

"It's still a bit difficult to diagnose SLE now, after all, he hasn't had all the symptoms yet. Yuan Ping'an had reservations about this, "There is proteinuria, and there is also a positive antinuclear antibody." However, even with the addition of reduced C3C4 complement, it is still not enough for the four diagnostic conditions. ”

Sun Lien frowned and thought about it again, "This patient is a little more troublesome than I thought, otherwise it would be better to transfer to the diagnostic center, right?" He habitually reached out the phone, "I'll talk to Dr. Xu." ”

"Do you still need to call?" Yuan Ping'an suddenly smiled and shook his head, "You are now the deputy team leader, can you just accept it?"