In the ICU of the Fourth Central Hospital of Ningyuan, a unique pursuit began.

The main force in this quest is the doctors and nurses who take care of the patients. And the two parties to this strange love are Yang Jianqiang, who is isolated in a clean ward, and his wife, Ms. Lu Jing'an.

Yang still insists that Lui Jing'an is a volunteer who came to visit people like him without family. Even if that doesn't explain why the volunteer only came to visit him alone, and he always showed up every day.

And Lu Jing'an originally planned to reveal his identity directly to Yang Jianqiang, but this move was persuaded by the doctor in the gods. Yang Jianqiang's brain damage led to amnesia, and because he was unable to get out of bed, the neurology department was not able to fully and thoroughly evaluate the specific manifestations of Yang Jianqiang's injury. But after he showed a strong desire to pursue Lu Jing'an, the doctors were surprised to find that Yang Jianqiang not only increased his daily waking time by more than 30%, but also began to recover rapidly in his body, which could only maintain second-level muscle strength at most. Within five days, his lower limb muscle strength had risen from Level 2 to Level 3.

"Whatever he wants, let him do it. The neurologists did not hesitate to make this decision. With the approval of the specialists, the ICU medical staff, who were originally depressed because of the extreme pressure of work, were involved. The female nurses and doctors, in particular, participated almost with great enthusiasm – mainly responsible for coordinating the content of Lu Jing'an's speech and telling her not to reveal her stuff too soon. And the male doctors were ordered by their female colleagues to help Yang Jianqiang come up with ideas - his science and engineering man's brain is really not easy to catch up with girls.

"Pay attention to the method and don't affect the patient's health for the sake of temporary recovery progress. After Liu Pingchuan learned of this, he specially reminded the doctors in the ICU again. The odds of patients in the intensive care unit getting out on their feet were not very high, and seeing the hard-working couple seem to be back to their normal lives, coupled with knowingly watching the two clumsily fall back in love, is an experience that is almost impossible to get at work.

The enthusiasm of the medical staff to participate was very high, and Yang Jianqiang was also quite receptive to the sudden appearance of off-site foreign aid. Not only has his mental state improved a lot these days, but he can even hold a pen and start writing some sour and long love letters. Although there are still occasional cases where words are not understood or sentences are reversed, after careful analysis by neurologists, they believe that this may be mainly because Yang Jianqiang is not good at writing this kind of thing, not because of brain damage.

When the patient is not able to move on the ground, this activity can indeed provide a more comprehensive assessment of brain damage. At present, in addition to the slight impairment of spatial recognition ability, the biggest damage suffered by Yang Jianqiang is partial amnesia. This result is already a blessing in disguise.

However, for Liu Pingchuan, this patient is definitely a trouble. The reason is very simple - this patient was transferred by Zhou Jun to Sun Lien. The diagnosis was made by Sun Lien and Yuan Ping'an, and after receiving gamma knife treatment, Yang Jianqiang was sent to the intensive care unit in the name of Yuan Ping'an's patient.

To put it simply, Yang Jianqiang is a patient in Sun Lien's treatment group, and according to Dean Song's instructions, the entire treatment group now needs to be supervised by Liu Pingchuan. And for patients with such a serious and complex condition, Liu Pingchuan, who has the highest level and the most experience in the treatment group, should naturally be in charge.

God is pitiful, Comrade Lao Liu used to have an average of only two patients a month. Basically, it is the patients who can't be handled by other extraterrestrial doctors that will be handed over to Liu Pingchuan to be responsible. He spends more of his time teaching and surgery.

"I would like to ask the neurology department and the psychology department to come to the consultation, and ask the teaching and research group of tropical diseases and parasites in the college to provide some advice. Liu Pingchuan groped for the white hair on his head and sighed softly. Forget it, bear with me. It should be to pave the way for his beloved disciple Xu Yourong.

·

·

·

Xu Yourong, who was paved by a second-level professor himself, was sitting in Sun Lien's ninth consultation room and was silent. In front of her was a case record from a patient who had just been sent to the hospital not long ago, a patient received by Xu Yourong.

"I think there's something wrong with this case. After the two stared at each other in silence in the consultation room for a while, Xu Yourong suddenly said, "But Director Zhou, they all think it's just ordinary tuberculosis." ”

"What do you think is the reason why it's not tuberculosis?" Sun Lien sighed, it was 7:20 in the morning, and he still had ten minutes to go back to sleep after work. was stopped by Xu Yourong like this, even if she misjudged, the patient was indeed a tuberculosis, and it was impossible to get off work on time - it was more likely that she would go back after lunch.

"The patient had fundus hemorrhage, a negative tuberculin skin test, and the symptoms on chest x-ray did not match the combination. Xu Yourong listed three objections.

Sun Lien scratched his head, "There may be other causes of fundus bleeding, and there is a possibility of false negatives in skin tests and X-rays." He actually didn't agree emotionally, Xu Yourong used these three points as the basis for opposition. After all, this does not meet the diagnostic criteria for tuberculosis.

Like other diseases, TB has very strict guidelines and procedures for diagnosis. Experimental methods, such as sputum smears, need to be verified many times before they can confirm that the patient does indeed have tuberculosis.

"The patient complains of low-grade fever, cough, and fatigue for one month, which worsens within two days with hemoptysis. The most recent coughing up of blood is estimated to be around 200 ml. Sun Lien looked at the case records brought by Xu Yourong, and then frowned.

If you look at the history alone, it does look very much like tuberculosis. And Sun Lien also understands why Xu Yourong feels that this disease is a little strange - the progress and performance of the patient's disease are too standard, as if they were deducted from a book.

The only difference is the amount of blood that is coughing up blood. People with tuberculosis may indeed cough up blood, but they usually don't bleed as much. 200 ml of bleeding, which is almost enough to catch up with two-thirds of a can of Coke. So much fluid is coughed up from the lungs, which is not the kind shown in ordinary film and television dramas - covering your mouth and nose with a handkerchief when coughing, and then revealing a large patch of bright red on the snow-white handkerchief - that kind of appearance is probably less than five milliliters of bleeding.

"Let's go, go see the patient. Sun Lien sighed. He took his lab coat off the clothes rack behind him and walked towards the door.

Wearing a white coat while walking, Sun Lien now has a trace of Liu Tangchun's momentum when he strode into a meteor.

·

·

·

"There is a high probability of tuberculosis. From the moment he entered the rescue room and saw Zhou Jun, the momentum on Sun Lien's body completely dissipated. The two sides quickly returned to the relationship between the instructor and the doctor. The instructor criticized Wang Wang, and then the doctor was pressed to the ground and rubbed. Anyway, this is his own senior brother, and he is a teacher. No matter how bold Sun Lien was, he didn't dare to go back directly. He could only listen to Zhou Jun finish a long list of his opinions, and then made a request, "Can you let me see the patient?"

"Go ahead. Zhou Jun sighed. Although the members of Sun Lien's treatment group are all young elites, there is one thing that is not very good - they are all too stubborn. The patient's current symptoms are very consistent with tuberculosis, and although the test results are falsely negative, these diagnostic items of tuberculosis are inherently inherently inconclusive. According to the diagnostic guidelines, even if three sputum smears are negative, as long as the course of the disease and the imaging results are consistent with tuberculosis, the diagnosis of tuberculosis can still be confirmed.

It's okay to let the young people touch the wall. Zhou Jun sighed again, he had been sighing all day long since he was in charge of the rescue room. Now sighing is almost a subconscious habit of him - hearing a series of sighs, the doctors in the emergency department know that their director is coming.

"Wang Lin, male, 56 years old, Staphylococcus aureus double lung infection, 24-hour urine protein 1.57g, 24-hour urine creatinine 8316.91μmol, slight edema of both lower limbs. ”

Sun Lien glanced at Xu Yourong behind him with some surprise. She was not wrong in her judgment, it was indeed not tuberculosis.

"Do a urinalysis. Sun Lien looked at the patient in front of him for a while, and decided to start with renal insufficiency that was not discovered by the doctors. "Let the respiratory and anesthesia come over and do a tracheoscopic lavage culture. ”

Zhou Jun leaned over with his hands behind his back, "What do you see?"

"Director Zhou. Sun Lien nodded politely, and then said in a low voice, "I don't think this is necessarily tuberculosis." ”

"Why?" Zhou Jun asked rhetorically.

"The signs and temperature are not quite right. "Judging from the patient's description, if it is tuberculosis, it should be pulmonary tuberculosis - because of the symptoms of coughing." However, the amount of bleeding is too large, and tuberculosis is generally a blood streak or small blood clot in the sputum, and a single day of bleeding of more than 200 ml is definitely not in line with the symptoms of pulmonary tuberculosis. ”

"I've asked the laboratory to check the coagulation function. Zhou Jun replied quietly, "If the patient has a tendency to bleed spontaneously, then after a severe cough, it may lead to bleeding." ”

"The patient has not had much medical history and has been relatively healthy – except for borderline hypertension, his condition is generally normal. Sun Lien continued to use his brain to talk nonsense, "But in the past month, in addition to low-grade fever, cough, and fatigue, the patient has also developed a fourth symptom. ”

"Fourth symptom?" Zhou Jun frowned, "You mean he concealed his medical history?"

"It doesn't have to be a cover-up. "I think he probably didn't notice it himself. Sun Lien pulled Zhou Jun closer to the patient, and after obtaining the other party's consent, lifted the lower half of the quilt, revealing his legs. "Look at this. ”

Zhou Jun took a closer look, only to see Sun Lien pressing down with his hand, and his fingers pressed down on the tibia of Wang Lin's calf. When he let go of his fingers, his skin began to slowly rebound, but it still left a shallow pit.

"The patient has slight edema of both lower extremities. Sun Lien announced his findings to Zhou Jun, "And edema is not one of the symptoms of tuberculosis." So, I suspect that he didn't have tuberculosis, but something else. ”