What is hospitalization? Although most people think that sleeping in a hospital is equivalent to being hospitalized. But in reality, this is a common misconception.

Hospitalization mainly refers to the means taken by the outpatient department to consider that the patient's condition is urgent and serious, and needs to receive medical observation and treatment in a place with adequate medical conditions. It sounds rather awkward, but the popular explanation is - "stay in the hospital and don't run blindly, so that if something happens, we will have time to save you".

There are two important points in this passage, the first is "hospital". The medical conditions and emergency response capacity in the hospital are certainly the best. Although the level of each hospital is slightly different, it is better than the hotel on the main road or the upcoming wedding. The second is "we". When the doctor sees something wrong with the patient, he can immediately treat and rescue the patient. And outside the hospital...... It would be nice to have a good Samaritan call 120. Maybe everyone thinks you're making money and walking around.

Nowadays, in a tertiary hospital, the beds in the inpatient department must be tight. In some big cities where medical resources are scarce (yes, I'm talking about Shenzhen), even second-class beds are scarred to death. As long as elective surgery is available, it is common to wait for a week or two - after the patient receives the elective surgery hospitalization notice in the outpatient clinic, he or she needs to call the inpatient department to make an appointment for the hospitalization.

Although Zhao Mengli's condition did not require emergency surgery, it was also more stressful than elective surgery. In case of further internal bleeding, she would have to be taken to the operating table immediately. Blood transfusions are also needed to correct blood loss. In the inpatient unit, she will be the focus of the nurses. And in this case, she actually tried to bargain for another hospital tomorrow, to put it mildly, she simply didn't know whether she was alive or dead.

"It's definitely not going to work. Sun Lien directly rejected her proposal, "Your current condition must be hospitalized for observation, and if there is further bleeding, then you will immediately go to the operating table." The symptoms of internal bleeding are insidious, you don't feel anything yourself, and no one else can see it - if you really feel it, you just faint. Moreover, the layman will not be able to see the symptoms at all, and he will send you to the hospital when the time comes. ”

Seeing that Zhao Mengli still looked unconvinced, Sun Lien sighed and asked, "Do you know what death is?"

"You probably haven't seen it. Sun Lien shook his head, "I haven't been a doctor for long, and now it's only been more than a year plus internship." I've seen it several times. Sometimes fate is cruel, no matter how many methods we use, no matter how much our family cooperates. They still left. The family is sad, and so are those of us who are doctors. He shook his head a little self-deprecatingly and smiled, "You may still not understand that...... But you have to know that you only live once, and if you die, you have nothing. ”

Zhao Mengli blinked, as if he wanted to say something, but in the end he held back the words.

"During the hospitalization, I was able to eat normally. But it's better to eat liquid food. Seeing that the patient had no opinions, Sun Lien continued to explain the specific content. He hadn't sent a patient to the inpatient department before, although he had heard that the nurses in the inpatient department would explain these things to the patient, but he felt that it was better to strike while the iron was hot and explain all the things that needed attention—in case she arrived at the inpatient department, Zhao Mengli was lawless again, and the doctors in the inpatient department couldn't hold her down. "Try not to cough, talk loudly, and don't push too hard during bowel movements, which can cause the corpus luteum to rupture. ”

"That'...... Could it be that her previous rupture of the corpus luteum was due to these?" the cuckold man hurriedly asked, "She is weak and coughs easily. ”

At least five miscarriages, if you can still be strong like a cow, then there will be ghosts. Sun Lien couldn't help but complain in his heart, but he still had to put on a thoughtful look on his face, "It's possible, but it may also be caused by other diseases or impacts." There are many causes of this disease, and sometimes it is really just catching up with it, and it may have been fine before, and now it ruptures and bleeds. Sun Lien concluded, "This can only be said to be bad luck." ”

Luck is not so good. The man's actions are too rude during intercourse, and the woman's hyperemia of the genital system is the main reason for the rupture of the corpus luteum. But Sun Lien couldn't say this, he could only repeatedly emphasize to the cuckold man that he was "unlucky". But if you are a little lucky, you can meet this kind of girlfriend? I don't know that the grassland above my head is not self-conscious, and there is no other reason to explain it except bad luck.

The cuckold man went to go through the hospitalization procedures with a thousand thanks, and Sun Lien suspected that Zhao Mengli was nervous sitting in the room, and it was mainly because he really didn't want to sit with a time bomb. So he simply sent Zhao Mengli out, asked the cuckold man to borrow a wheelchair, and pushed Zhao Mengli to go through the hospitalization procedures.

Before Sun Lien could take a sip of water, Dr. Pascal walked in. He squeezed his eyes at Sun Lien, "You have also started to see the outpatient clinic?"

Sun Lien himself can still adapt, anyway, he only saw a patient. He was a little worried that Dr. Pascal would not be able to bear it, after all, Dean Song had let go, and if Lao Pascal couldn't bear it and left, he would have to go to the door of the hospital to hang it. He hurriedly asked, "Is this the case with outpatient clinics in the United States?"

"For the dollar's sake, we're going to have a lot easier. Dr. Pascal had probably recently learned from the immunologist who was his translator and was adept at attacking capitalism. "If I could see so many patients every day in the United States, I would have moved to New York. ”

Sun Lien listened to Lao Pa's tone, and immediately breathed a sigh of relief. "You're looking for me?"

Dr. Pascal looked at the increasingly mentally ill patient, "You didn't call me here?"

"Smack!" Sun Lien covered his face before he realized that he had asked Dr. Pascal to come for a consultation. "Excuse me...... It's so busy that I forgot about it. ”

Yang Jianqiang's test results have not yet come out, and the PCR runs three samples at the same time, and even if it is operated at the same time, it will take six hours to get the results - the fourth central hospital still runs PCR-Elisa, and if you use traditional fluorescence electrophoresis, you will have to wait at least an hour.

"Your reasoning...... Theoretically, it's entirely possible. After listening to Sun Lien's diagnosis, Dr. Pascal pondered for a long time and gave his opinion. "But I also agree with Director Zhou that this diagnosis is too coincidental. Although there is no problem in terms of logic and timing of onset, it is not realistic to use this inference to treat the disease. ”

Sun Lien also knew this, he shook his head and said, "I don't plan to give him radiotherapy right away." Even after diagnosis, radiotherapy is not the first priority. But I think that with the strength of his current immune system, the only one who can weaken Toxoplasma gondii at the same time, and also allow him to resist side effects, is probably only radiotherapy. ”

"I really don't know about that. Dr. Pascal thought for a moment and suddenly suggested, "I suggest you ask Rachel, who is an expert in oncology and knows more about radiation therapy than I do." ”

"I'm sure I'll have to ask other experts about treatment. Sun Lien nodded, "However, can you adjust his immunosuppression regimen back first? If you use the original means to suppress the immune system, you may be able to alleviate his current symptoms." I'm worried that if his immune system continues to be active, he may soon have a brain herniation. ”

Yang Jianqiang now has eight edematous areas in his brain. Moreover, most of the edematous areas are located at the junction of gray matter and white matter. If the edema continues to develop and even becomes an abscess, the abscess in eight areas will almost certainly cause brain herniation. In case of brain herniation, Sun Lien doesn't have to bother asking about the feasibility of radiotherapy - just prepare to write a death certificate.

"Adjusting the immunization regimen is not that simple. Dr. Pascal shook his head, "His current immunization regimen is less hepatotoxic. If you suddenly adjust to the previous regimen, it is likely to cause problems such as acute liver injury. Especially when drugs are used in combination, each drug added may lead to more serious side effects. ”

"Then what else can be done?" Sun Lien was anxious, Dr. Pascal's professional level and ability were here, if he said no, other doctors probably wouldn't have any good solutions. Can we only watch Yang Jianqiang's condition worsen and change from cerebral edema to cerebral herniation?

"The most direct way is to increase the amount of hormones he is taking now. Dr. Pascal's answer was surprisingly simple. "Although long-term medication requires attention to hormone levels to prevent iatrogenic Cushing syndrome, it is perfectly fine to increase the dose of hormone if it is only for short-term suppression. ”

Sun Lien blinked, he really didn't believe that the problem that had plagued him for a long time could have such a solution.

"You're a very gifted doctor. Dr. Pascal looked at Sun Lien's appearance, and probably guessed what Sun Lien was thinking. He smiled, patted Sun Lien on the shoulder and said, "However, starting to contact these patients with complex conditions now is not necessarily a good thing for your growth." Over time, you will gradually forget a very important principle - the disease that the patient suffers from and the means required to deal with it are often very simple. ”

In medical school, there is a saying that says, "When you hear a horse's hooves, think of a horse, not a zebra." That's what happened. Sun Lien now has a tendency to "think of giraffes when he hears the sound of horses' hooves". Complicating the direction of diagnosis and treatment can be a big mess.

If you think someone has severe pulmonary hypertension, then wait to be complained. Obviously, a shot of cephalosporin can solve the problem, you still have to add some oseltamivir to rest assured, and the complaints are considered mild - what if there are serious side effects?

Sun Lien suddenly felt a little chill behind his back, he was originally a little unimpressed with Pascal's suggestion, who knew that now after calming down and pondering, he realized that he really had this tendency.

In general, he is still not good at learning and art, and thanks to Lao Pa, a foreigner, who doesn't care about people's feelings, he said it directly. Sun Lien sighed and nodded at Pascal, "Thank you for your guidance. ”

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