"It's remarkable that you can do this on your own in one night. Professor Zhang Zhifu rarely praises people, especially young doctors, a habit he has developed since he learned that he has a disease.

After being surrounded by the feeling that "time is running out", Professor Zhang Zhifu's habits have changed a lot. He is no longer accustomed to encouraging young doctors, no longer accustomed to a leisurely cup of tea after work every day, or even a delicious meal at an early stall. His demands on himself, of his students and subordinates were raised several notches, as if there was simply no time to wait for them to grow.

But seeing Sun Lien's performance, Professor Zhang Zhifu couldn't help but say with relief, "The characteristics of this lesion are not strong enough, and it is very difficult to lock it to a specific type." He really saw that Sun Lien was blaming himself. Only then did he say, "Modern medicine cannot be solved by one or two ordinary doctors. Manpower is running out, and you have to learn to rely on your own diagnostic team – you can't solve everything alone. ”

Sun Lien nodded, and he also recognized the problem. But it has always been his job to be the first to detect and minimize the suspected disease. In other words, in the entire Fourth Courtyard and even in Song An Province, there will be no one better at this kind of work than him - when facing various diseases, the status bar is simply not too easy to use.

It is precisely because of this understanding that Sun Lien has always had a sense of urgency. He has to try to take every possible opportunity to improve his abilities and levels, so that he can figure out as early and accurate as possible what the various hints in the status bar mean.

"That being said...... But it's because of my lack of ability. Sun Lien smiled bitterly twice and swallowed the last bun, "For example, this patient now, from the MRI, I think it looks a bit like early-onset Alzheimer's disease, but I can't find any evidence other than global brain atrophy......"

"Although we specialize in incurable diseases, the diagnosis should still follow the order of diagnosis from easy to difficult, from common to rare, from treatable to incurable. Professor Zhang Zhifu interrupted Sun Lien's words, "Even if you think it's Alzheimer's disease, you have to rule out other factors first." An important diagnostic criterion for Alzheimer's disease is to rule out other central and non-central neuropathic dementias...... These tasks cannot be done by one person. ”

If this patient is handed over to Zhang Zhifu to deal with by himself, he will definitely first divide several doctors under his command into three groups, Ma Yongfang to determine whether the patient has mental symptoms due to endocrine problems, and Chen Xuerong to check the patient's heart and respiratory system and brain blood supply. As surgeons, Chen Tianyang and Wang Guonan are responsible for taking patients to improve relevant examinations according to Zhang Zhifu's diagnosis.

After such grouping, even if the diagnosis cannot be confirmed immediately, at least a bunch of possibilities can be eliminated very quickly, helping doctors narrow down the scope of suspicion.

From this point of view, Professor Zhang Zhifu's diagnosis is an elimination method. And it is very efficient, and a systematic method of elimination has been formed.

And Sun Lien is different...... With the help of the status bar, the most useful diagnostic method is actually to work backwards. The content of each prompt in the status bar is a key point of reasoning that leads to the patient's onset. However, due to the privacy of the "status bar", Sun Lien could not directly take out his prompts and share them with his team or even other doctors. He had to refine the tests himself again and again, and then put the results of those tests together to find an answer that would explain all the questions.

It's a very difficult job, and it's also a job that you can't fake yourself.

But Sun Lien can still get help from his own team, but it takes a little preparation.

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"At the moment, it is clear that this patient is not a mental illness. His disease was organic. At eight o'clock in the morning, Sun Lien held a morning meeting of the diagnostic team. With two dark circles under his eyes, Sun Lien reported his findings and judgments to his teammates. "The question now is what exactly is causing this organic lesion. ”

Yuan Ping'an looked at the pile of reports that Sun Lien took out, and asked cautiously, "Doctor Sun, this patient is yours...... Acquaintances?"

"Hm......" Sun Lien stayed for a few seconds, and only after confirming Yuan Ping'an's question did he smile bitterly, "No, I haven't seen this person." ”

"Then you did so many examinations when you took in patients at night?" Yuan Ping'an shook his head while smiling, "Team Leader Sun, your work attitude will put a lot of pressure on our gang." ”

"The main reason is that Dr. Yuan is worried that if you are so positive, he will not be able to paddle well in the future. Zhou Ce's smile was wilted, and he said seriously to Sun Lien, "It's not easy to juggle the work of the emergency and diagnostic centers in normal times, and it's even more difficult to find time to go out to accompany my wife." If you are so serious about Dr. Sun in the future, then Dr. Yuan will not have time to paddle to accompany Mrs. Sun. ”

"yes, I'm not like you. Yuan Ping'an glanced at Zhou Ce and retorted quietly, "A lonely person doesn't have these troubles, anyway, if you are a bachelor, even if you dedicate all your time to the hospital, no one will criticize you - maybe I can even give you a medal." ”

"Ahem, guys, I digress. Dr. Brunn retracted, "Dr. Sun, do you have any suspicions at the moment?"

"Nope. Sun Lien shook his head, "If I have to say it, I don't think it's probably a tumor...... His tumor indicators are all negative so far, and there are no noteworthy items. ”

Tumor markers are an important indicator for examining tumors, but in clinical use, tumor markers are not absolutely accurate. In the case of negative tumor markers, it is not uncommon for patients to have cancer. Therefore, this indicator generally needs to be combined with imaging and clinical conditions, and even tissue samples to determine the patient's condition.

"Then what are we going to do next?" Zhou Ce asked with a frown, "First improve the tumor-related examinations, and then move on to other aspects?"

"The patient's vital signs are stable at the moment, and I think it's better to be steady. Sun Lien nodded and said his plan, "Although his mental symptoms are not primary, this manic state is obviously unable to cooperate with the examination. I'll talk to the family later, and if the family agrees, I'll ask the anesthesiology department to put him in a chemical coma. Sun Lien looked around and said to his team members, "If you have any questions that you need to ask patients, then hurry up and ask them now." Don't go into a chemical coma and think about it again - the anesthesiologists aren't going to wake someone up halfway through and turn over the pills again. ”