In the ensuing anatomical experiment skills assessment, Chen Gong "lived up to expectations" and drew the rabbit experiment.

I don't know if it's doomed.

Or the rabbit eats too much, which creates gravity.

Since it is a rabbit, Chen Gong has no reason not to go, otherwise he is really sorry for the spirit of the rabbit in the stomach.

So, after Chen Gong successfully finished and completed the assessment.

The examiner glanced at Chen Gong intentionally or unintentionally: "The rabbit didn't eat less, right?" ”

This question made Chen Gong obviously stunned for a moment

"You...... What does that mean? ”

Hearing this, the two examiners looked at each other and smiled.

One of the older said with a slight smile:

"First of all, the experiment was successful, you don't have to be nervous."

"What I'm trying to say is that you don't need to remove the glands during the experiment."

"Hehehe...... You know what I mean, right? ”

This sentence made Chen Gong blush.

The examiner smiled slightly: "Go ahead." ”

Chen Gong scratched his head in embarrassment, got up and left.

The other party's meaning is actually very clear.

Chen Gong didn't expect that he was also addicted to eating rabbits in the past few days, and habitually removed the glands.

Why excision?

Because......

As an animal secretory tissue, the gland often contains some hormones or secretions, and if the gland is retained, it will have a peculiar smell when cooked, and this taste is not easy to remove.

Therefore, every time Chen Gong did an experiment, he habitually removed the gland.

I didn't expect ...... It's time for the exam, and it's a bad habit that has been retained.

……

After the exam, Chen Gong drove towards the school.

On the way, Chen Gong passed by the gas station, just as he was wondering whether to fill up the gas.

Something suddenly came to mind......

It seems to be...... Tram!

This made him a little helpless, and Chen Gong didn't know how to express his gratitude.

So, when Chen Gong passed by, he stopped at the door of the supermarket and bought Yang Li a little nuts and milk, the price was not expensive, and it was just "three or four west".

A little bit of gratitude!

In this assessment, no matter what, Yang Li helped him a lot, especially during this period of bloody fighting, taking Chen Gong in the laboratory and teaching a lot of things, Chen Gong is also a little grateful.

After putting his things in the trunk, Chen Gong returned to the car.

But......

After the car turned around, before I could move forward, I heard a thud.

Chen Gong looked up and realized that it was an electric car that had hit the bumper of the car in front.

This startled Chen Gong.

This isn't my own car!

Moreover, the car should have been newly bought, and a lot of plastic film in the interior has not had time to be removed.

Outcome......

Is this a crash?

Chen Gong was also a little helpless at once.

He hurriedly turned off the engine and got out of the car, and before Chen Gong could go over to see the situation, he saw the aunt riding an electric car pointing at Chen Gong and scolded:

"How did you drive the car?"

"Didn't you see us coming on a bike?"

The woman's body was slightly fat, her face was full of meat, her eyebrows were already raised when she spoke, and she scolded Chen Gong when she pointed at her, and spit was sprayed everywhere.

And the key ...... There is also a five- or six-year-old child in the back seat of the electric car.

After the electric car crashed, the little girl fell directly to the ground by this huge inertia.

However, it was soon ...... The little girl stood up.

"Grandma, are you alright?"

The little girl glanced worriedly at her grandmother.

Only then did the woman realize that her granddaughter was handsome, and she immediately panicked in her heart, hurriedly parked the car, and then walked to the side, bent down, patted the little girl with a little dust, and said distressedly:

"Baby, are you alright?"

"Scared the hell out of grandma......"

Seeing this, Chen Gong also sighed helplessly.

However, at this time, he suddenly found that when the little girl fell to the ground, she was landslided on the concrete floor, and the pants on the right knee were worn out, and some blood oozed out of the surrounding area, soaking through the white pants.

"Are you okay with your legs?"

Chen Gong also felt sorry for the child, and hurriedly asked.

The little girl lowered her head and said cautiously:

"I'm fine."

"Uncle, I'm sorry ......"

"It was me who talked to grandma so she didn't notice you, and then I hit your car......"

But after the woman heard this, her face suddenly changed, she dragged the child with her hand, held it in her arms, and then glanced at Chen Gong directly with wide eyes:

"What a distraction!"

"I don't."

"I walk this road every day, and I can ride it with my eyes closed."

The little girl was also stunned when she heard her grandmother's words, she wanted to explain, but she was firmly grasped by her grandmother, so she ...... I could only bow my head silently.

At this time, Chen Gong also checked the bumper of the car in front, and the bumper obviously had traces of being hit, but fortunately, there was no major problem with the air intake grille.

The paint was hung up a little, and it should not be a big problem to repair the paint.

It's just that this is not his own car, and Chen Gong can only go back and explain to Yang Li.

After all, it is a new car, and it is possible that people are distressed.

However, Chen Gong at the moment looked at the woman and said directly:

"Big sister, one yard is one yard."

"In today's society, it doesn't mean that the voice is loud and reasonable."

"As the elder of the child, I think at least right and wrong must be clearly distinguished."

"Actually, the car is not a big problem, and the child has also suffered some skin trauma, so you are fine."

"You take the child to bandage it as soon as possible."

"I can spare you responsibility, and I can fix the car myself, but ...... I think you should set a good example for your children. ”

"Wrong is wrong!"

"My car was from beginning to end, and it hadn't started yet, and the dashcam on the car clearly recorded everything that happened before and after the car."

"Also, you look up, there's cameras all around here."

"If you continue to mess around, I'll have to call the police."

At this time, several onlookers also came over.

Many of them also saw what happened, and couldn't help but say: "Eldest sister, if you slander people, it won't be interesting." ”

"People don't care, so don't be arrogant and unreasonable."

"The child saw it, this is bad for the child, but it's not right."

"That's it, I'm going to record you like this!"

At this time, someone raised the camera, and the eldest brother next to him hurriedly said, "Young man, stop shooting." ”

"What a big deal, it's on the Internet, what do you do with people's children?"

"That's right, kid!"

"That's it, how obedient the child is, hurry up and take the child to clean up the wound, the pants are bleeding."

……

Listening to the words of the people around her, the woman's face turned blue and purple for a while.

She blackened her face and wanted to explain, but when she opened her mouth, she found that there were enemies on all sides.

"Humph!"

The woman couldn't help but snort coldly at everyone, and then looked at Chen Gong apologetically.

She wasn't trying to quibble, she just ...... I just don't want to lose money.

Since Chen Gong didn't pursue it, the woman didn't say anything more.

The little girl stood up, limped to Chen Gong, stood on tiptoe and wanted to speak.

Seeing this, Chen Gong hurriedly bent down and looked at the little girl: "Are you okay?" ”

The little girl grinned, revealing her front teeth that had lost two teeth, and whispered in Chen Gong's ear:

"I'm sorry, uncle...... It was us who was wrong. ”

"Thank you for not embarrassing grandma."

"Grandma because the family has no money...... That's why ...... That's it. ”

While speaking, the little girl reached out and took something out of her pocket and stuffed it into Chen Gong's hand: "Uncle, don't let grandma see it." ”

"It's the pocket money she saved for me."

"Mom said that if you do something wrong, you have to apologize and compensate."

"There's not a lot of money...... I hope my uncle doesn't get angry......"

"I only have that much money."

When Chen Gong heard the sound, he saw a few ten-yuan bills and a few scattered dollars that the little girl stuffed into his hand, and originally wanted to return them to the other party, but seeing the little girl's stubborn appearance, he put them away.

At this time, Chen Gong looked down and saw that the blood on the little girl's leg had stained an area in front of the calf.

This made him obviously stunned for a moment.

Why did so much blood come out?

Is the wound quite deep?

Chen Gong's face suddenly frowned slightly.

"Eldest sister, let's do it, you park the electric car aside, and I'll take you and the child to bandage it first, okay?"

When the woman saw the blood on her granddaughter's leg, her face suddenly changed, and she was a little panicked.

"Good...... Good...... Thank you...... Thank you, lad. ”

"Just now...... Auntie was wrong just now! ”

"Auntie apologizes to you."

Chen Gong waved his hand, now is not the time to hold accountable.

The woman parked the car and got into the car with the little girl in her arms.

After getting into the car, the woman took off her coat and spread it on the chair, for fear that the girl's blood would stain Chen Gong's car.

Seeing this, Chen Gong silently did not speak.

Maybe......

The woman's behavior at the beginning was really wrong.

But...... Why did she make such a choice?

Make up the paint and apologize, more than 200 yuan, the meaning of compensation is the same, and it will pass.

Is it more than two hundred dollars?

Or rather......

Not much!

For most people, it can afford it.

This question is actually similar to ...... Is 79 yuan more?

Not much!

Everybody can take it.

However, for most people, this amount of money can solve a lot of problems.

To put it bluntly, everyone has become cautious when they start to consume.

Three or four years ago, they could spend 79 at will, not caring because they could earn it back tomorrow.

However, after these three or four years, everyone suddenly found that the money ...... It's not easy to earn.

And there are more and more accidents.

The pace of life is getting faster and faster, the consumption level is getting higher and higher, and everyone is beginning to consume carefully.

The pace of this society is getting faster and faster, and people are desperately trying to make money, only to find that the harder they work, the harder they have to work.

It's not because people don't work hard to earn money, but because ...... They find it increasingly difficult to earn money while working hard.

Under the heavy pressure of society, the people's spirit is tense, and if they are not careful, it is easy to break the defense.

Probably just a trivial word.

can cause emotional agitation.

Because everyone is so tired and too tired.

It's also because everyone found out that they are all working hard, but why are they still so tired alive?

Just like the 79 yuan that made everyone break the defense.

Is it because you can't take it out?

Not!

It's because those who are high up and above can no longer feel the pressure of life, the struggle of ordinary people, and the bruises of ordinary people's struggles for life.

At this time, the other party stood at the height of capital and said a sentence of "reflect well".

Can this not break the defense?

We try desperately to match life, only to be told not to work hard enough.

Is it difficult to fight for your life?

Just like the old man at this time.

Why is she so emotional.

Chen Gong is very clear.

She's scared!

Her anger, her breakdown, her anger, she was faking her fear.

She's afraid of losing money......

That's all.

Right and wrong, doesn't she know?

Of course you do!

But she also knows that the compensation of a few hundred yuan is not an ordinary small amount for her, it may be his two-month old-age pension, which will face the accusations of his children, and even lead to an outbreak of internal conflicts in the family, which will make his son and daughter-in-law quarrel once.

Is it worth it?!

For a few hundred dollars, she can not have a face, because she is afraid......

You can do a lot of things by saving.

The problem is not big, and Chen Gong did not pursue it originally, but if the woman is obsessed, Chen Gong does not mind using legal weapons.

But he felt the 47 yuan and five cents in compensation from the little girl in his palm.

That's it!

……

The car soon arrived at the door of a community hospital.

Chen Gong left the woman to register, and hurriedly walked towards the emergency room with the child in his arms.

When the surgeon on duty saw the situation on the little girl's lap, he couldn't help but be stunned for a moment, a little panicked.

"Hello, the child just fell to the ground, I thought about scratching some skin, but I didn't think that so much blood was shed."

"Please help deal with it."

"It would be better to find out why there is so much blood."

The emergency surgeon was not young, almost 40 years old, his hair was messy, and his white coat was not very clean.

After seeing the little girl's situation, she hurriedly nodded: "Well, sit down first, I'll take a look." ”

As he spoke, the man took off the little girl's shoes.

Then the pants are tighter and can't be rolled up.

Chen Gong said simply: "Just cut it open." ”

The doctor nodded, took the scissors and cut the trouser leg open, exposing the wound.

After seeing the girl's wounds, the doctor immediately comforted: "Don't worry. ”

"It's just a simple scrape."

"I'll just give you a debridement bandage."

And Chen Gong looked at the little girl's calf, and there were indeed traces of slipping and friction on the concrete floor.

The epidermis is obviously damaged, blood is oozing, and a particularly deep wound is not visible.

The man said with a smile: "Scratch a little skin, this subcutaneous blood vessel is rich, and there is a little more blood flowing." ”

As he spoke, the man began to rinse with hydrogen peroxide.

After rinsing, Chen Gong also saw the specific situation of the girl's legs clearly at this time.

At first, he was worried that a small pebble would get stuck in it, after all, the road was not very clean, and his pants were worn out.

However, after examination, it was not found.

After rinsing, the man brought iodine: "Little girl, it hurts a little, you can bear with it a little." ”

As he spoke, he began to use tweezers to hold a cotton ball stained with iodine and begin to disinfect the area around the wound.

The opponent's technique is quite light and skilled.

The girl was also very strong, she didn't cry, her little mouth was tightly pursed, and she didn't say anything.

After disinfection and sterilization, debridement is completed.

The level of debridement in men is okay.

Also very attentive.

Chen Gong looked at the girl's legs and couldn't help asking:

"Doctor, this is a little bit of skin, so it won't bleed so much, right?"

The man suddenly laughed: "Hehe! ”

"You're the child's father?"

"So young!"

"You, don't worry, it's a small problem, it's normal for children to bump and bump, after debridement, just bandage it."

Hearing this, Chen Gong shook his head: "Under normal circumstances, the skin injury of the knee will not bleed so much. ”

"I'd suggest checking it out."

"Why don't you give a doctor's order?"

The man was obviously a little hesitant: "I've been a doctor for so many years and bandaged so many children, no problem." ”

"You have to trust me."

However, Chen Gong patiently explained:

"The bleeding from the skin trauma of the knee is due to damage to the capillaries in the dermis in addition to the epidermal injury."

"However, it has been more than ten minutes since the girl was bruised and I sent it over."

"It stands to reason that within ten minutes, this dermal bleeding can stop bleeding on its own."

"But when you debride, we saw blood oozing out, that doesn't make sense, right?"

"Why don't you give a doctor's order?"

The man looked at the girl's situation and was obviously a little stunned.

"Doctor's orders?"

"Next...... What kind of doctor's order? ”

"Are you afraid of infection? Or...... Do I prescribe some anti-inflammatory drugs? ”

The man hesitated.

After pondering for a moment, Chen Gong said, "I think take a blood routine and see how the blood item is." ”

"Is it a lack of platelets, which causes some clotting disorders?"

"Or rather, you can check the blood clotting."

The male doctor was obviously stunned by Chen Gong's words: "This ...... Not necessarily, right? ”

At this time, Chen Gong suddenly found that the area next to the little girl's knees, where there were no bruises, also began to have some bruises.

"Look, doctor, there's bruises here."

The male doctor was stunned for a moment: "Isn't it normal to have bruises when you fall?" ”

When the girl's grandmother heard this, she also nodded hurriedly: "Yes, this ...... This should be normal, right? ”

When Chen Gong heard this, he said directly: "No, it's not normal. ”

"Not yet."

"You see, it's still bleeding, it's obviously not normal."

"It could be bleeding under the skin."

"This is clearly not a normal performance."

The male doctor was also a little unhappy by Chen Gong's words.

"I told you, it's okay, it's just skin trauma."

"You're bumping and bleeding, isn't it normal to have a bruise?"

"Why are you so ...... So tough. ”

"I'm a doctor, you're a doctor."

When Chen Gong heard this, he was not angry, but said seriously: "You are a doctor, so ...... I'll give you advice. ”

At this time, the little girl's grandmother also hurriedly said: "This ...... Don't be angry, young man. ”

"Adults are not the same as children, right......"

"It's just a broken skin, it's fine."

"One person, one physique!"

"The child is very healthy, it's not a few days ago that the school organized a unified physical examination."

"It's fine, no need to draw blood."

"Thank you, doctor."

When the male doctor heard this, he also glanced at Chen Gong: "Child, don't take it too seriously!" ”

"Don't Baidu anything, it's what!"

"It's just a simple bandage, it's not much of a problem."

"If you say that, check everything, it's going to cost hundreds of dollars."

Chen Gong patiently explained: "It's not a matter of money, and I don't question you. ”

"I think that any disease is justified, and the symptoms should follow the situation."

"There could be no inexplicable bleeding and bleeding."

"This kind of medicine is not rigorous."

The man was laughed at by Chen Gong's stubborn attitude: "Hehe, medical student? ”

Chen Gong nodded: "Hmm!" ”

The man shook his head: "Child, seeing a doctor is not as simple as the book says. ”

"Don't be a nerd."

Chen Gong shook his head: "No, this is not a nerd. ”

"Any symptom needs to be analyzed theoretically."

"Normally, this kind of epidermal abrasion wound will scab over within 5-10 minutes, and the bleeding will be automatically stopped."

"And the patient's condition is obviously not normal behavior, in this case, should other factors be considered?"

"I think even a little illness, a little doubt, needs to be explained."

"Otherwise, there is no way to explain the current situation."

At this time, several people were already around.

Several little nurses also pointed here and watched carefully.

The man was also a little angry: "Why can't you explain it clearly?" ”

Chen Gong said seriously: "First of all, bleeding for a long time can't scab over, there is no way to explain!" ”

"Secondly, there is also a lack of effective evidence for the cause of subcutaneous bleeding."

When the man heard this, he immediately laughed angrily: "Good! ”

"You lad."

"You're not a family member, you're not a doctor at our hospital."

"I don't have any clinical experience, I haven't learned anything, so I think I'm amazing, right?"

"I can't convince you."

"Otherwise."

"Are you going to do it?!"

When the surrounding people heard this, they immediately looked at Chen Gong, and their eyes were a little more playful.

When Chen Gong heard this, he was stunned for a moment: "Is it okay?" ”

The male doctor was also stunned: "What is okay?" ”

Chen Gong said seriously: "Didn't you say that I can do it? ”

"I can do it!"

The male doctor and the few little nurses around him were completely dumbfounded.

Boy!

Are you really on it?!

The community hospital is not big, and there are so many people back and forth.

Naturally, it quickly attracted the attention of many people.

Here, the girl's grandmother saw this situation and hurriedly pulled Chen Gong aside.

"This ...... Lad! ”

"Thank you."

"Do you really feel the need for these tests?"

"Will it be ......?"

Chen Gong seriously told the woman about the situation: "Auntie, has this happened to the child before?" ”

"When the skin is broken, there is more bleeding, and the bleeding stops more slowly."

Or is it...... Nosebleeds, bleeding gums, etc. ”

When the woman heard this, she suddenly thought of something, and hurriedly said:

"There's one thing I remember."

"Didn't he change his teeth!"

"One day I lost a tooth, and the bleeding took a while to stop."

"Does that count?"

When Chen Gong heard this, he immediately nodded: "That's right!" ”

"That's an anomaly."

"It is unlikely that this situation will occur in normal people, and there are platelets in the blood, which will form blood scabs to stop bleeding."

"You see, right now, there's still a little bit of blood oozing out of my legs."

"If you look at the kid here, the bruises around the knee are even more obvious."

"The range is also larger, which should not be a normal situation."

Hearing Chen Gong's words, the woman looked down and suddenly widened her eyes:

"Seems to be!"

"Doctor, please take some blood and have a look."

"Look around my baby's knees, there's bruises."

"What's going on?"

The doctor was obviously a little stunned.

The family members have now put forward their opinions, although the subcutaneous bleeding is normal after the abrasions, but the scope is a little larger.

The man was stunned for a moment: "Wait a minute, I'll call a consultation to see?" ”

Chen Gong said directly: "Let's give a doctor's order first!" ”

"First give a doctor's order, first draw blood for routine blood routine, look at platelets, and then check coagulation."

"Then prescribe a hemostatic spray to stop the bleeding in the knee."

"Secondly, for the next consultation order, invite the doctor from the hematology department to come down for a consultation."

"Finally, I recommend doing an electrocardiogram to check for heart problems."

"Otherwise, if the consulting doctor comes and then prescribe it, I'm afraid of delaying the time."

Hearing Chen Gong's words, everyone around looked at Chen Gong.

What he said just now is obviously not a layman.

It seems to be really a bit level!

After listening, the male doctor nodded, no longer shirked, and quickly issued a medical order.

At this time, the old man did not feel sorry for the money.

Hurriedly ran to pay the fee.

Chen Gong took the child for examination.

It didn't take long......

After the blood was drawn, an electrocardiogram was done.

The consulting doctor also arrived.

A 40-year-old female director of the hematology department is named Wang Lei.

"Director Wang, why are you here?" The male doctor smiled awkwardly.

Wang Lei smiled: "I just had time, so I came over, what's going on?" ”

Chen Gong was holding the child here and hurriedly walked over:

"Hello!"

"Hello, what's the situation? Little darling. ”

Wang Lei lowered her head, saw the little girl's wound, and asked with a smile.

The male doctor on the side told me the ins and outs.

After listening, Wang Lei continued to look at the child's wound, and now, it is still not completely scabbed.

"How long?"

Chen Gong glanced at the time: "Half an hour." ”

When Wang Lei heard this, she couldn't help but nodded: "Young man, your analysis is very reasonable!" ”

"This situation is something to be checked."

"Don't miss out on illness because of habitual thinking."

"You see, it's been half an hour, and under normal circumstances, the rupture of dermal capillaries needs to be completely scabbed."

"But there is no one yet, which means that there is an abnormality in blood clotting."

"We'll have to find out why."

"Are you studying medicine? How do you know so much? ”

Chen Gong nodded: "I am from Shanhe Medical University." ”

"Sophomore."

When Wang Lei heard this, she immediately laughed: "Shanhe Medical University! ”

"Top students."

"Today, our hematology department just invited hematology experts from Shanhe Medical University to come for consultation."

"It's nice that you can think of that."

Wang Lei wears a pair of black-framed glasses, although her appearance is not very beautiful, but her short hair is shoulder-length, and her eyebrows are capable, which gives people a clean and neat feeling.

After everyone waited for a while, the blood routine soon came out.

The nurse ran over with the results.

"Director Wang, look, it's normal!"

Wang Lei also took the blood routine report and looked at it.

It's basically all normal.

The most critical platelets, there are also 110.

Normal platelet value: (100 to 300) ×10^9 platelets/L.

And now the little girl's 110 is not high, but it is definitely not low.

The male doctor on the side couldn't help but say, "I think it...... This is normal, after all, people are not the same as people. ”

"Clinical treatment can't be exactly the same as in the book, right?"

"Is it okay to go to the doctor with a book in your hand like this?"

Wang Lei frowned slightly, as if she was thinking about something.

But Chen Gong shook his head: "Wait for blood coagulation." ”

"That's the key."

Although Wang Lei is the director of the hematology department, the hematology department of this community hospital is obviously not a large department.

The level of discipline is average, and there are only 20 beds.

Wang Lei herself has just passed the deputy senior title this year, and the hospital has not yet hired her.

Community hospitals in China, large and small, actually have some serious problems.

It is the relative lag of medical standards.

Most medical school graduates are rarely willing to work in community hospitals.

Even if they come, they are basically concentrated in big cities, such as Beijing, Shanghai and Guangzhou.

After the overall level of Shanhe Province is relatively low, Shanyang City, the provincial capital, is only a new second-tier city.

The level of community hospitals is also somewhat average.

Wang Lei is already quite powerful.

While everyone was waiting, the little girl's legs were already slowly scabbing over.

The male emergency doctor on the side looked much better at this time, and even looked at Chen Gong with a little more smile in his eyes.

As he spoke, he shook his head consciously or unconsciously.

Chen Gong was not angry about this.

Because he knows very well that this is the common situation of doctors in many ordinary small hospitals in China, and they have inertial diagnosis and treatment thinking.

For some minor issues, there is basically less attention.

The male doctor couldn't help but say, "I've said it all, there's really no problem." ”

"It's not good!"

"The bleeding has stopped."

"No infection, just a good rest for two days."

"It's not necessary to toss for so long, right?"

Not long after, the nurse brought in a blood clotting test.

The four items of coagulation belong to the clinical examination items of the laboratory department, which belong to the examination of thrombotic diseases.

The four blood items include prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT), and fibrinogen (FIB).

The goal is to find out if the patient has a defect in hemostasis.

The time to activate partial thrombin is 44 seconds, compared to 25-37 seconds under normal conditions.

While the prothrombin time is 17 seconds, the normal time is: 11-14 seconds.

Fibrinogen is 3, which is in the normal range (2-4).

Thrombin time is 14 seconds, normal time is 12-16 seconds, normal indicators.

Now, four coagulation results are out, two of which are completely normal, and the time of thrombin is also normal, which is a key indicator.

Now the activated partial thrombin time and prothrombin time are longer.

However, it is not much more than normal.

Theoretically, although the coagulation function is abnormal, it is ...... It can't be considered too much of a problem.

When the male doctor in the emergency department saw this, he didn't say anything.

He doesn't know much about this, so he doesn't have much to say.

just looked at Wang Lei: "Director Wang, is this situation serious?" ”

And the little girl's grandmother also looked at Wang Lei a little nervously: "Director, how is it?" ”

"Kid...... Are you alright? ”

And Wang Lei couldn't help frowning and thinking about it at this time.

"There's obviously something wrong with the blood clotting."

"I think ......"

"Or ...... It should be examined in detail, and the four items of coagulation can only explain some of the basic problems in it, but for coagulation factors or some special plasma components, we need to further observe whether there is anything lacking. ”

"Also, have you had any liver function tests?"

"Has the child ever had any illness before?"

The main target of the hematology department is children, in fact, in many cases, children.

Pediatric hematological diseases have become a key focus in many hospitals.

Among them, it is inseparable from the consideration of diet, defense, and other comprehensive conditions.

At this time, seeing the child's situation like this, Wang Lei couldn't help but ask:

"Now the blood clotting function is abnormal, which is obviously not normal behavior."

"Are the child's parents here?"

"I think it's better for them to go and check it out, and if there's really nothing going on, we can relax."

"However, this test cannot be ruled out!"

While speaking, Wang Lei looked at Chen Gong:

"You're good, young man!"

"Being able to judge the clinic through some phenomena is an ability that a clinician should have."

At this time, Chen Gong asked curiously: "Can I take a look at the test sheet?" ”

Wang Lei handed it to Chen Gong.

By this time, it was about six o'clock in the afternoon.

It's almost time to get off work.

Chen Gong looked at the test results and was suddenly pleasantly surprised.

Because he's all too familiar with these things.

He found that the discipline of biochemistry and clinical examination are really inextricably linked.

It can even be said that laboratory science is based on biochemistry.

Coagulation function, whether it is prothrombin, thrombin, or fibrin......

These are all part of the coagulation experiment.

The patient is now activated with partial thromboplastin (APTT) time increased by 7 seconds.

The prothrombin time (PT) is more than 3 seconds longer than normal.

And fibrinogen is basically normal is 3, normal is 2-4!

And the time of thrombin is also normal.

Chen Gong seems to remember a calculation announcement......

This is an exploration of a correction test for prothrombin depletion.

Although changes in coagulation factors II., VII., IX., and X. are not known at this time, correction experiments are not visible.

However, a special effect value can be calculated from the clotting time.

Thinking of this......

Chen Gong hurriedly walked to the side, picked up a pen and quickly calculated it on the paper.

Approximately...... Ten minutes passed.

Chen Gong ran over excitedly.

And the child's grandmother also called the child's parents at this time to inform.

Wang Lei seemed to communicate with the woman over there.

The little girl sat there in disappointment, her eyes full of loss.

"What's wrong?"

Chen Gong smiled.

The little girl sighed: "Mom and Dad are probably going to quarrel again......"

Chen Gong was stunned for a moment: "Why?" ”

The little girl pouted: "My dad was unemployed last year and now drives a taxi, and my mom is a housekeeper." ”

"Mom and Dad work hard every day."

"Dad often comes home late."

"Hey......"

"Actually, it's okay if you fall, so you don't have to dance, and I don't like it anyway."

"A few days ago, my mother and father asked for money for dance lessons, and they quarreled directly with my father."

"I saw my dad crying on the balcony."

"Grandma is reluctant to spend money......"

"I spent all the money in the family."

"I just heard from the doctor that I still have to be hospitalized, so I want to spend a lot of money......"

As she spoke, the little girl's tears flowed down directly.

The pain in her knees just kept her mouth shut.

Can...... At such an age, he cries so sadly because of spending money.

Seeing this, Chen Gong was also helpless.

He patted the little girl on the back: "It's okay." ”

"There is no need for examination, and we don't need to be hospitalized."

"Uncle told you, you...... It must be that you don't usually eat well and are picky eaters! ”

"So, there's a lack of vitamins!"

"I'll have to eat well in the future."

The little girl's eyes widened: "Really?!" ”

Chen Gong nodded: "Of course it's true!" ”

"You wait, I'll go talk to Director Wang."

While speaking, Chen Gong stood up and walked over directly.

"Director Wang, excuse me."

Wang Lei saw Chen Gong coming over, nodded and smiled: "Well, what's wrong?" ”

Chen Gong said seriously: "Actually, Director Wang, I don't think the child is abnormal in blood clotting factors. ”

"And it's not a liver problem."

"What's that?" Wang Lei looked at Chen Gong curiously.

Chen Gong directly took out the things he calculated.

"This is the result of the calculation of the coagulation effect of APTT."

"In the patient's condition, it should be a decrease in the coagulation effect caused by vitamin K deficiency."

"The thing I have in my hands is the discussion of the coagulation effect of DCP in the biochemical polymer calculus.

"Of course, my suggestion is to have a re-examination and get a diagnosis!"

"I think...... There's no need for hospitalization, right? ”

Wang Lei looked at the dense indicators in Chen Gong's hands, and was dumbfounded.

It's a completely incomprehensible formula calculation on paper.

There are also various English letters......

Let's be honest!

Wang Lei really can't understand.

"This ...... What does this mean? ”

Chen Gong looked at Wang Lei and was stunned for a moment: "Huh? ”

He didn't expect Wang Lei to be incomprehensible.

Isn't it the director?

Wang Lei was also a little blushing by Chen Gong's expression.

She coughed, "I'm sorry, I'm ...... I really don't understand. ”

"You ...... now? Does medical school still learn these things? ”

Chen Gong coughed and explained, "This is actually biochemistry and molecular biology...... Almost. ”

"Let me explain it to you."

"The most sensitive indicator of vitamin K deficiency is the presence of de-γ-carboxy-prothrombin (DCP) in the blood plasma, which is commonly referred to as PIVKA (a protein induced by vitamin K deficiency or antagonism), which can be measured with appropriate antibodies. None in plasma in healthy people. ”

"The research I've done is also about that."

"With the four functions of blood clotting, it can actually be diagnosed that the patient is vitamin K deficient."

Hearing Chen Gong's words, Wang Lei was stunned.

"Now the university ...... Is it so hard? ”

"We were ...... This...... Do you still have to learn this? ”

Wang Lei felt an unprecedented sense of crisis.

Are college students so good now?

They...... Is there a way out in the future?

……

She was about to say something when she suddenly saw a figure walking towards her.

Wang Lei hurriedly said hello:

"Professor Sun, is the outpatient clinic over?"

"Good work!"

Sun Weihong smiled: "Well, it's over,"

Wang Lei suddenly thought of something, and hurriedly said, "By the way, Director Sun, is it convenient to help me diagnose a patient?" ”

"She's right there."

"This is the result of the patient's examination."

"Here's the situation......"

Sun Weihong frowned, and after listening, he hurriedly walked to the little girl's side and consulted seriously.

Moments later!

He looked at the result, and after pondering for a while, he said to Wang Lei:

"No other tests need to be done for now!"

"Do a plasma antibody assay."

"Check the DCP, can your hospital do it?"

"The patient's condition, I think, may be relatively simple, not a complex coagulation dysfunction."

"If you look at this indicator, the APTT and PT are simply increased by less than 13, in this case, combined with signs and medical history."

"Diagnosis of vitamin K deficiency is suspected based on symptoms, signs, and medical history, and the diagnosis is confirmed when PT and PTT are prolonged!"

"So, I think the patient should be a simple vitamin K deficiency."

"Although our blood disease is more complicated, there is no need to do too many examinations and assistance."

"The inspection must be carried out accurately."

When Wang Lei heard Sun Weihong's words, she was stunned for a moment, and instinctively blurted out: "Huh?!" ”

"It really is!"

Sun Weihong was stunned for a moment: "What do you mean?" ”

Wang Lei couldn't cry or laugh, she really didn't expect that this college student would ...... And it's a sophomore, really got it right?!

"This, Director Sun, I'm sorry!"

"That's right, this young man just said the same thing."

He said the child may have had a reduced clotting effect due to a lack of vitamin K.

When Sun Weihong heard this, he was immediately curious.

You know, he can tell because in the first half of this year, he just attended an international conference.

The conference will introduce the latest indication effect of DCP.

But......

Relying on this test alone, it is still difficult to give an accurate answer.

So, for a while, he looked at the boy on the side curiously.

"Hello."

"Excuse me...... How do you judge? ”

"By the way, my name is Sun Weihong, director of the Hematology Department of the First Affiliated Hospital of Shanhe Medical University."

When Chen Gong heard this, he nodded hurriedly: "Teacher Sun is good." ”

"I'm a sophomore at Shanhe Medical University, Chen Gong."

"It's my speculation process."

Sun Weihong took the paper curiously and looked at it carefully.

It's just that......

At first glance, Sun Weihong's eyes widened.

"It's ...... Coagulation Effect Inference Calculation? ”

Chen Gong nodded:

"I calculated the coagulation effect based on the four indicators of coagulation, and speculated on the change of DCP ......"

"According to the guidelines, the most sensitive indicator of vitamin K deficiency is the presence of de-γ-carboxy-prothrombin DCP in plasma."

"So, I ......"

"I think the patient may have a simple vitamin K deficiency."

Sun Weihong looked at Chen Gong with some surprise: "Where did you learn this?" ”

Chen Gong smiled awkwardly: "This is biochemistry!" ”

"However, the specific formula, I saw it from the data, so I calculated it."

"I didn't expect it to be true."

Sun Weihong was completely numb.

"You're a sophomore today?"

Chen Gong nodded: "Well, clinical college, sophomore." ”

Sun Weihong swallowed his saliva and tried to calm down, but ...... Can this be calming?

You know, this announcement aside.

Able to understand biochemical processes inside out.

It can accurately predict DCP changes.

It's all ......

What level?

"Do you still study this in college?"

Chen Gong coughed: "I started studying biochemistry in my sophomore year." ”

As soon as these words came out, Sun Weihong's face was very exciting.

He pondered for a moment and then said, "Chen Gong, right? ”

"Very good!"

"Can you give me this paper?"

Chen Gong nodded: "Of course you can." ”

Sun Weihong nodded and smiled: "Can I leave a phone call?" ”

"I'd like to talk to you when it's convenient, okay?"

Chen Gong nodded: "I can't ask for it." ”

While talking, the two left their contact information.

At this time, Sun Weihong walked next to Wang Lei, chatted a few words, got up and left.

And Wang Lei looked at Chen Gong and gave a thumbs up:

"You're amazing!"

"Director Sun has praised you."

Chen Gong smiled: "Director Wang is polite. ”

"Actually...... Nothing. ”

"It's just ordering college stuff and selling it at will."

"The real diagnosis depends on you."

At this time, the parents of the children also came.

After Wang Lei finished talking about the situation, she said, "You should thank this young man!" ”

"If he hadn't insisted."

"To be honest, I can't find out today at all."

"The child is most likely caused by a vitamin K deficiency."

"However, we still need to clarify how it is and whether there are other symptoms."

"Okay?"

Hearing this, the child's parents hurriedly thanked him.

At this time, the man took out five hundred yuan from his pocket and stuffed it to Chen Gong:

"Thank you!"

"Young man!"

"I'm sorry my mom offended you today."

"The result...... You've helped so much before and after running. ”

"Thank you so much!"

"There's not a lot of money, you go back and make up the paint, I think it's a new car, it's ...... I'm so sorry. ”

Chen Gong prevaricated, stuffed the money into the little girl's pocket, squeezed her eyes with the little girl, and got up to leave.

Chen Gong is not short of this money.

But......

The other party's attitude made him very comfortable.

He got up and walked outside.

And Wang Lei was still immersed in Chen Gong's words just now at this time.

Some worried, a little afraid.

College students are so good now......

What should I do if I don't study hard in the future?

And the male emergency doctor also apologized to Chen Gong in embarrassment.

There was a sense of urgency in my heart.

The habitual diagnosis and treatment rules that he was so proud of seem to have failed!

In fact......

Sun Weihong sat in the car, and his heart was also uneasy.

Boy......

I'm still proud.

I also think that the blood of mountains and rivers, I am the best!

But......

Today a child, a sophomore, gave him a lesson.

It's really amazing!

No, no, no......

I'm not going to eat tonight, I'm going back to reading!

Sun Weihong suddenly felt a sense of urgency and pressure in her heart.

The back waves of the Yangtze River push the front waves, and you really have to beat the front waves to death on the beach!

……

……

ps: My husband was hospitalized for surgery, and I had to run back and forth, so I was delayed for some time, sorry.

12000 delivered, I can only write so much today, forgive me.

In the future, the update time will be around 7 p.m. every day.

It's also convenient for everyone to fix it.

(End of chapter)