Sun Lien, who inexplicably got the crowdfunding fine, followed at the back of the line, muttering in his heart as he walked. I owe everyone a favor now, and it will be difficult to repay it in the future. The most troublesome thing is that in this little accident, I also asked the leader to help carry a black pot. This big and black pot Dean Song silently carried it behind her, how angry she would be in her heart, Sun Lien probably knew in her heart - let the leader take the blame, isn't this looking for death?

The last person who provoked Dean Song had already taken the chief physician of general surgery who fell from the sky to Africa. Sun Lien asked himself that with his little arms and legs, he would definitely not be able to screw Dean Song. If you want to continue to do a good job, it's best to find a way to ease the awkward atmosphere.

"Fragrant baked gluten~Have you eaten it~" Sun Lien's mobile phone rang, and the atmosphere seemed to become a little more embarrassing.

"Doctor Sun, hurry up to the emergency room. On the other end of the phone, Yuan Ping'an, who did not participate in the ward round, issued a soul summoning.

Sun Lien looked up, and everyone stopped talking and was looking at him.

Dean Song said coldly, "There are patients?"

Sun Lien nodded awkwardly.

"Then what are you doing in a daze, wait for me to send a car to take you there?" Dean Song seemed to be very dissatisfied with Sun Lien's nodding response, "You are a doctor, and there are patients waiting for you now." So what should you do?"

"But the ward rounds ......" Sun Lien still didn't come back, he clicked on the room in front of him, and Chen Wen lived in this room. She is also a poor child who has been hospitalized for a long time because the surgical plan is pending. According to the law just now, when the ward rounds are here, Sun Lien should be deducted another 200 yuan.

"Get out of here. Dean Song unceremoniously issued an eviction order, "I can't tell the priorities?"

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The call has already been made. Yuan Ping'an frowned and put the phone in his pocket. The patient in front of him was really a bit troublesome, and it was even beyond the scope of the emergency department of the Fourth Central Hospital.

"When will people come?" asked a man in a training camouflage uniform next to him, "We've been here for almost twenty minutes." ”

"In general, it is rare for a patient in the emergency department to appoint a doctor to see him. Yuan Ping'an snorted back, "And the average military cadet is unwell, shouldn't they all go to the military hospital to see a doctor?"

The man in the camouflage uniform frowned, and he hung a rank with a green bottom horizontal bar and no stars on it. "This is a foreign cadet, he ...... His status is rather special. ”

Dr. Cao shrugged his shoulders, "I can also tell that this is a foreign student, and there is no one as black as him among our ethnic minorities in China." As for the affairs of your troops, I am a flat-headed commoner, I dare not ask, and you should not tell me. ”

After expressing his clear position, Dr. Cao Yanhua began to make basic inquiries. "I said, brother, can you hear me?"

"There is a problem with wood. The dark-skinned foreign student spoke with a pure Shandong accent, and it would be hard to tell where he was if you closed your eyes. "Doctor, I, I'm dizzy. ”

"Have you had an infusion in another hospital before?" Yuan Ping'an slightly adjusted the oxygen tube hanging under the nose of the foreign student, and turned on the airflow a little more. "Where did you get the infusion, what kind of medicine did you use, why did you give you an infusion?"

The young man next to him, who was wearing a military uniform and holding the rank of cadet, patted the foreign cadet on the shoulder, motioned for him to have a good rest, and then replied, "We came from the garrison to Song'an Province to do transfer training, there were a lot of things during this time, and suddenly we went north from the southern provinces, and the weather was relatively cold. Rawls' hometown has a milder climate and has never been exposed to this kind of weather. Not long after the troops arrived in Ningyuan, they caught a cold. At first, he felt that the problem was not serious, and after all, he was in the army, and he always felt that he was young, and it was good to carry it through. ”

The army is a young and strong place. Since the revolutionary years, the Chinese army has always said that "minor injuries should not be left in the line of fire, and serious injuries should not be sent to the hospital". This is a question of the style of the troops, and it is also the soul engraved in the bones. Hard-working and able to win battles. Under the guidance of this kind of thinking, the military and military academies actually do not pay special attention to various internal diseases. On the contrary, it is more sensitive to trauma.

And this foreign military cadet Rawls chose to resist his own in this atmosphere. Anyway, other comrades-in-arms also had this kind of cold, and he himself had it when he was in Tanzania and later when he was studying in the UK. It's over with a carry, and it's not a serious illness.

Who knew that Rawls's usually thin body had become a major factor in the delay at this time, and a cold had dragged on from mid to late November until now. A "small cold" was dragged into pneumonia.

If you have pneumonia, you can no longer treat it as a "small cold". The military hospital gave Rawls cefoperazone and a false note for a week of exemption from training.

However, after using cephalosporin, Rawls still felt very unwell. Not to mention the muscle aches all over the body, there is even a phenomenon of labored breathing, shortness of breath and chest tightness.

Foreign military cadets have some preferential treatment compared with cadets promoted from within the army, and the biggest feature is that they can use mobile phones. Rawls and his father spoke on the phone every two weeks, and it was during this call that the commander of the Tanzanian Army's armoured forces, Major General Mubarn, learned that his son was seriously ill in China.

"I've asked the Minister of Health and the Chinese experts who have come to China to provide support. Major General Mubaan hung up the phone after learning that his son was sick, and dialed the number again three hours later, "His former teacher happened to be in Dar es Salaam, and he recommended that you go to the No. 4 Hospital in Ningyuan City and find an emergency doctor named Zhou Jun, and if Dr. Zhou is not there, then go to Dr. Sun Lien." ”

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Liu Tangchun, the culprit who gave this advice, was receiving a banquet from the Minister of Health in a hotel in Dar es Salaam, while Chen Tianyang looked at the food in front of him, looking a little hard to swallow.

"It's all local traditions. Liu Tangchun smiled and nodded with the embassy staff attending the banquet and the officials of the Tanzanian Ministry of Health, then leaned behind Chen Tianyang and whispered, "There is nothing strange about it, at most it is starchy food such as cassava and then fried in oil." ”

Chen Tianyang replied with a bitter face, "I'm not from Guangdong, the kind that dares to eat anything." Thinking of the days when there were no hot dry noodles, no three-fresh bean skin, no kidnapper rice, and not even a cup of soy milk in the following year, Chen Tianyang felt very uncomfortable.

"Bear with it, endure it and it's over. "When going abroad, even a bold character like Liu Tangchun who is not afraid of the sky and the earth feels a little unprepared. Fortunately, most of the top members of the health system here are former Chinese students, and a considerable number of these people are from Ningyuan Medical College. Everyone can be regarded as the same family, so the worry of staying away from Ning Yuan has been slightly alleviated.

"What was that minister looking for you just now?" Chen Tianyang sighed, opened a can of beer and took two sips - it was a miracle in itself that such a formal occasion was served with a cold canned beer. "I see you're smiling a lot?"

Liu Tangchun picked up two pieces of "French fries" that didn't look like french fries from the plate in his hand, put them in his mouth and chewed them. He replied with a smile, "In Africa, you can do some business for your own hospitals." You said that after our old Liu goes back, the dean won't have to thank me hard?"

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It is not known whether President Song will thank Comrade Lao Liu for still worrying about his work, but Sun Lien has already felt the "trouble" coming from Africa across the Indian Ocean and the Himalayas.

He looked at the black brother lying on the hospital bed in front of him, wearing a People's Liberation Army-style training uniform, and didn't know what to say for a while.

The trainees who came to escort their comrades-in-arms glanced at the ID on Sun Lien's chest, nodded and asked, "You are Doctor Sun, right?"

Sun Lien nodded, and did not continue to talk to this cadet, but said to Yuan Ping'an, "What's the matter?"

Yuan Ping'an roughly talked about the content of the foreign student lying on the bed, and then replied, "This Tanzanian student asked to come to our Fourth Central Hospital for consultation. ”

The four words Tanzania immediately caught Sun Lien's attention, and he frowned and asked tentatively, "Is it ...... Director Liu ......"

Yuan Ping'an nodded helplessly, "Director Liu, this is to pull business for us." There was also some helplessness between the words.

It is inherently troublesome for foreigners to seek medical treatment, but if it is only a simple outpatient clinic and it is purely self-paying, it is easy to deal with it in the same way as ordinary people. The problem was that it was the emergency room, and the expatriate in bed was also wearing a military uniform.

"Who are you?" Sun Lien sighed, and instead stretched out his hand to shake the soldier who had been left by him for a while.

"I am a cadet of the National Defense University, and my name is Liu Chuang. He was Rawls's classmate. Liu Chuang didn't care much about being hung by Sun Lien for a while, to be honest, Rawls's appearance was quite eye-catching. After all, everyone has seen black people in movies, but the thin Rawls and a Chinese military uniform make people even more concerned.

Sun Lien nodded, turned his head to look at the top of Rawls's head, no matter what the other party's origin was, in short, find out his condition first.

Rawls Mubarn, male, 21 years old, chronic malnutrition (181725.44.35), anemia (105920.36.21), pneumonia (322.51.11), hemolytic anemia (49.21.36), hypoxia (44.39.09). ”

Sun Lien rubbed his eyes and carefully counted the length of the first digits of the first two symptoms. 100,000,000,000...... 100,000 hours of symptoms? If he hadn't known that the three numbers at the end of the status bar should represent hours, minutes, and seconds, he might have really had to figure out the meaning of the numbers.

Yuan Ping'an glanced at Sun Lien's somewhat incredulous face, shrugged his shoulders and didn't speak. To be honest, even Yuan Ping'an himself was quite shocked when he first received a foreign patient at the Capital Tongxie Hospital. At that time, he never thought that he would give a chest massage to a Pakistani living in China. He even subconsciously felt that the patient in front of him seemed to be from another world, and his body structure was not the same as that of yellow-skinned Chinese. It was not until the final rescue was successful, and the patient said thank you to Yuan Pingan in very authentic Chinese before being discharged, and he completely came to his senses - everyone is human, they are all two eyes and one nose, nothing different.

Sun Lien pondered for a moment and began to inquire about his condition.

Liu Chuang and Rawls are classmates, comrades-in-arms, and good friends. Before joining the army, Liu Chuang was a top student at the Capital University of Foreign Languages, studying Kiswahili and Arabic. The combination of Kiswahili and Arabic, as well as a fairly high level of English, makes Liu Chuang a powerful person who can use four languages at once.

Swahili is one of the main languages spoken in East Africa. As an East African country, Tanzania has naturally adopted Kiswahili as one of its official languages. This background makes it quite easy for Liu Chuang and Rawls to communicate, and what is even more rare is that Rawls learned a very authentic Shandong dialect from his father since he was a child - if Major General Mubhai was born in the infantry system, then Rawls may have come from elementary school in the Hebei dialect.

In short, during the period of studying together, Liu Chuang had a good relationship with Rawls and other students from Africa. And this time Rawls was sick, and he was always by his side to help take care of him. The medical records of the hospitals in the army were not connected to the case system of ordinary public hospitals, so he also brought a full set of medical records and examination results.

Taking care of comrades-in-arms is something that doesn't even need to be said a word of thanks.

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Sun Lien took a complete set of materials and gathered people to prepare for the meeting. Sun Lien roughly calculated just now, according to the description in the status bar, Rawls's chronic malnutrition has lasted for almost 21 years, almost the same as his age. Anemia has been in this state for more than 12 years – but the cause is unknown.

The first diagnosis for Rawls was provided by the military hospital at the local training ground in Ningyuan, which was a second-class hospital. The hospital's diagnosis and treatment methods are also relatively straightforward - the blood cell analyzer detected Rawls's anemia, and the white blood cell index rose to 14.9, and then after imaging tests confirmed that there were signs of lung infection, the hospital did not even do sputum culture, and directly gave Rawls cefoperazone injection.

Although the means are somewhat rudimentary, they are understandable. After all, the location of the training ground is far away from the urban area, and the patients that the hospital mainly handles in normal times are soldiers and cadets who come from other places for training. They have a lot of experience in dealing with heatstroke, bone and trauma and even digestive diseases, but they are relatively weak in infectious diseases and respiratory medicine.

Judging from the content of the current status column, Sun Lien's first suspected content is drug allergic reaction. According to medical records, Rawls was injected with cefoperazone for two days in a row. Although the level of the hospital in the training ground is not too high, it is also a serious hospital. A skin test was also done before giving Rawls a formal drug.

So this shouldn't be a serious allergic reaction to a drug, maybe an adverse drug reaction? Sun Lien jotted down his guess in his notebook and drew a circle on it. There are various types of adverse drug reactions, and Sun Lien does not know whether dyspnea and hemolytic anemia are one of them. I'll leave that question to be examined for the time being.

"Another patient today?" Xu Yourong asked, and walked into the conference room with Rachel, who happily waved to Sun Lien and Yuan Ping'an, and also hugged Dr. Pascal who was hurrying over. As for Zhou Ce...... He was only courtesy of a handshake.

Sun Lien nodded, and said helplessly, "Director Liu gave a trick from far away in Africa and asked people to come to our hospital to see a doctor." ”

"This shows that your progress has been recognized by Director Liu. Zhou Ce held the scene, then looked down at the report, frowning as he read it, "Why is the hospital still handwriting cases in the training ground?"

"Who am I going to ask if you ask me?" Anyway, now that everyone is familiar with each other, Sun Lien and the senior doctors don't have a formal look at all when they talk to the senior doctors. "Maybe people know that this patient is coming to our hospital, and they have changed it to handwriting to show respect?"

joked, but Sun Lien's mind was full of confusion. There are two biggest puzzles, the first is the symptoms of the two hundred thousand units, and the second is the appearance of two anemias.

The status bar item is "the most important factor indicating the patient's current symptoms". But what does the symptom that has lasted for more than 10 or even 20 years have anything to do with the dyspnea that has only manifested itself in the last two days? As for the second question, it is even more head-wrenching, does the simultaneous appearance of anemia and hemolytic anemia mean that Rawls's anemia has progressed to hemolytic anemia? Or does anemia cause hemolytic anemia?

There are so many questions, and none of them seem to have a clue at the moment. Sun Lien frowned, suppressed the confusion in his heart first, and began to introduce the patient to the team members.

"The patient's past medical history is unclear, but there may be malnutrition. Sun Lien stuffed some private goods into it by the way when he introduced, "When the patient came to China for military training, he was 1.72 meters tall and weighed 48 kilograms. According to international standards, BMI is in the category of extremely thin. Although he has now weighed 53 kilograms after a year of life, he is still on the thin side. ”

"The patient's family is relatively good in Tanzania, and he even went to the UK to study for a while. Yuan Ping'an added later, "So I think his malnutrition may be a symptom, not an objective cause." ”

Dr. Pascal spread his hands and interjected into a joke, "Maybe this poor boy is too thin from the torture of English food." ”

In China, ridiculing British food is a popular thing for the masses to see.

"We have no medical history of the patient in Tanzania. Xu Yourong said, "So shouldn't we take into account some diseases that are not particularly prevalent in China?"

Tanzania has also been known to Sun Lien before, the medical capacity is backward, and various diseases that have almost disappeared under the domestic medical system still break out from time to time. However, Sun Lien did not agree with Xu Yourong's suggestion, "Patients have been living and studying in China for more than a year, and even if they have any diseases, they should have already manifested themselves - if they are those diseases with a long incubation period, it is even rarer." You know, he studied in the UK for five years, and then he departed directly from Heathrow Airport and arrived directly in Shanghai. Patients have not been back to Africa for more than six years, and I don't think there are any diseases with an incubation period of more than six years that would show this symptom. ”

To put it bluntly, the symptoms that Rawls is currently exhibiting are also relatively simple. It is a pneumonia, plus hemolytic anemia and dyspnea whose cause is unknown. If the hemolytic anemia is severe, as in the case of Wang Lin in the previous pulmonary hemorrhage-nephritis syndrome, then it makes sense that Rawls has difficulty breathing and is accompanied by low blood oxygen.

But if it was really that simple, Sun Lien would not have called all the members to a meeting now, and Liu Tangchun would not have directly suggested that Rawls come to the Fourth Central Hospital for treatment.

"First do a blood test, plus sputum culture and a lung CT scan. Out of prudence, Sun decided to go through the standard process first.