Sun Lien is a person with a lot of energy. When this kind of axis is embodied in daily work, it will manifest as "voluntary overtime".

According to the patient's situation and the current shift order, Sun Lien actually doesn't have to be so troublesome and has to do it himself. Just talk to Yuan Ping'an on duty and ask him to prescribe a corresponding inspection for Cao Zhiquan the next morning.

But Sun Lien, who has come up with the shaft, doesn't care so much. Such a patient whose condition can be called "treacherous" is lying in a coma on the hospital bed, where can Sun Lien sleep?

Although I can understand that many doctors are usually too busy and tired from work, so they put some patients with mild and stable conditions on the next day. But Sun Lien himself would never do this. The curiosity that gently tickles his heart like a kitten's paw from the bottom of his heart is the main driving force that urges Sun Lien to take the initiative to work overtime.

What doctor could not be curious in the face of such a patient?

MRI is done, and ECG and chest X-ray are also done by the way...... Sun Lien was full of motivation to open the doctor's order, and at the same time pondered various possibilities. He is now considering Cao Zhiquan's condition mainly from two aspects. The simplest and most direct cause is naturally vascular lesions. Perhaps the lack of blood supply caused his brain to malfunction. Then it is necessary to do a Doppler ultrasonography of the carotid arteries......

Carotid Doppler ultrasonography is the result of Sun Lien's reasoning, and doing an electrocardiogram and chest X-ray should actually be regarded as an occupational disease for emergency doctors. There are not too many bizarre myocardial infarction patients encountered in the emergency department, and their bizarre characteristics are different. Some patients present with a total amount of referred pain, while others simply show psychiatric symptoms. All in all, it is safest for emergency physicians to have an ECG first when encountering a patient with confusing symptoms. Even if the patient's ECG does not cause any problems, it can at least quickly rule out a high-risk factor that could be fatal in a short period of time.

Cao Zhiquan entered the emergency room for only 20 minutes, and the emergency doctors spent several minutes trying to find out whether he had any external injuries on his body. So Cao Zhiquan hasn't done an electrocardiogram yet - since he wants to check it, he will check it all at once. In line with this guiding ideology, Sun Lien clicked wildly on the screen with the mouse, and after more than ten minutes, he looked at the dense inspection items on the screen and stopped with satisfaction.

Sun Lien was quite satisfied with his doctor's advice. Especially for their own thoughtfulness, they are particularly self-satisfied. In a series of checklists, Sun Lien even added an anti-decubitus air mattress care to Cao Zhiquan - when using a restraint belt, it is difficult for the patient's body to move while lying on the bed, let alone turning over.

In a crowded place like the emergency department, emergency physicians don't have the time to worry about whether a patient will be tied up with a pressure sore. Anyway, in general, patients in the emergency department don't lie in the emergency room for too long. And the bedsore itself cannot be regarded as a medical accident, even if it is really a bedsore, it is a big deal to do debridement and dressing change.

Since you want to do it, you have to do it thoroughly. Sun Lien slipped into the water room and poured two large cups of black coffee into his stomach. If he didn't find out what was wrong with Cao Zhiquan tonight, he would definitely not be able to sleep. Since you can't sleep anymore, let's completely brighten up the chariot and horse and this inexplicable disease battle for three hundred rounds!

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"Doctor Sun?" At six o'clock in the morning, Professor Zhang Zhifu first came to the office of the Comprehensive Diagnostic Center. He had planned to go into his team's office, but found that the door of the office of the first diagnostic team diagonally open was slightly open, and the light was still on inside. When he cautiously pushed the door into the house, he found that Sun Lien was still sitting in his seat. Two stacks of A4 printer paper were piled high on either side of his seat, and Sun Lien was quickly flipping through something between the two stacks of printer paper.

"Forehead......" Sun Lien raised his head a little slowly, looked at Professor Zhang Zhifu at the door and was stunned for a few seconds, then he reacted as if he was something, he turned his head to look out the window, and stood up to say hello, "Professor Zhang, you haven't gone back yet?"

In Ningyuan at the end of December, the sky was completely lit up until almost seven o'clock in the morning. Sun Lien looked out the window now, and it was still pitch black. He scratched his head, feeling like he should have been in the hospital for two or three hours less. That said, it's about early in the morning...... Four?

When Sun Lien thought of this, he not only respected the terminally ill professor. Even if the elderly feel less, but stay up to this time...... That's really hard, too.

Zhang Zhifu on the other end was nodding secretly, no wonder his little grandson has a hand in diagnosis. In the evening, I was nosy and found a patient for him, but he didn't say a word of complaint, and worked from ten o'clock in the evening until six o'clock in the morning, and it seemed that he had no intention of stopping now.

How many years have I not seen this kind of motivation in a young doctor? Professor Zhang Zhifu sighed with emotion and said to Sun Lien, "It's already six o'clock in the morning. He raised the buns and soy milk in his hand towards Sun Lien and asked, "Doctor Sun, you must not have breakfast yet, right?"

The two doctors, an old man and a young doctor, sat in the middle of a pile of examination reports and nibbled on the buns, and Professor Zhang nibbled while looking at the checklists that Sun Lien took out. Sun Lien, on the other hand, nibbled on a bun and told Professor Zhang his opinion.

"Judging from the current examination, this patient is certainly not mentally ill. With a night of not sleeping and a bunch of inspection reports, Sun Lien can confidently express his judgment. "The patient currently has cerebral atrophy in the whole brain, which is obviously new. ”

"Because the previous doctor diagnosed him with somatization disorder. Professor Zhang immediately followed Sun Lien's logical line, "If you have had this level of brain atrophy before, it is impossible to be diagnosed with somatization disorder." ”

"Yes. Sun Lien nodded excitedly, a night of hard work was not fruitless. At least he can be sure that he and his diagnostic team can handle such a patient. However, the difficulties are still there, and they are not small, "but I have not yet been able to find a possible direction of diagnosis......

There are many types of diseases that can cause brain atrophy. Brain atrophy can be triggered by infections, tumors, neurodegenerative diseases, cerebrovascular diseases, genetic diseases, and even metabolic diseases. At present, Sun Lien can only judge based on the preliminary examination results that Cao Zhiquan's symptoms are probably not caused by infectious diseases - his five infectious diseases are negative, and there are no landmark changes such as white blood cells in the blood routine.