Xu Yourong bowed and said, "Please teach me." After that, Sun Lien understood that his performance was still too much.

It's not impossible to keep a good eye, but that means you need to ignore what caused the patient's real illness – or at least ignore important reminders about the condition. Sun Lien can't do this kind of behavior no matter what.

What is the purpose of being a doctor? It is to use what I have learned to help patients relieve their pain. Take back the patient's life from the Grim Reaper and give them a chance to laugh with their own family again. Let their lives go on, and let them refill themselves with countless possibilities, instead of collapsing into death. Although Sun Lien is usually a little unreliable, choosing the path of a doctor is his determination that has not changed from beginning to end.

The big deal is that it's your own talent. Somewhat angry, Sun Lien adjusted the expression on his face and gave the patient the last stitch. Looking at the wound that had been flattened and stitched, he nodded with satisfaction. The skin of the patient's hand is tightly sutured, the tissue section is in good contact, and the tension of the sutures is just enough, and the wound scar should not be particularly ugly after complete healing.

After sending off the patient who had been thanked for thousands of thanks, Sun Lien sat behind the duty desk and began to be in a daze. Probably because of the large number of patients yesterday, the Fourth Central Hospital was unexpectedly calm today. Hardly anyone was brought to the rescue room. The only few patients were elderly people who had difficulty breathing during the winter months.

Older people are always more vulnerable than usual in winter. Dry and cold air is also a stimulus to the respiratory system of adults, not to mention the elderly whose physical fitness has declined significantly. This morning, six elderly people who were transported by ambulance because of panic and asthma came to the hospital one after another. Among them, the most eye-catching is Zhou Xiufang, who is over ninety years old.

Zhou Xiufang is the grandmother of Zhou Jun, the deputy chief physician of the emergency room. The elderly have high blood pressure, diabetes, and hyperlipidemia. He also has a history of coronary heart disease for many years. When the old lady was sent to the hospital, Zhou Jun was still accompanying Liu Tangchun on rounds. It wasn't until he returned to the emergency room that Zhou Jun found that his grandmother was lying on the hospital bed in the emergency room.

Zhou Xiufang also used to be a doctor and also served as a faculty member at Ningyuan Medical College many years ago. Although he is now approaching the age of old age, he still maintains the habits he developed when he was young. Every morning in the medical school, circling around the artificial lake. It's just that I used to be able to walk more than a dozen laps in the morning, but now I can only walk slowly with crutches.

And this morning, while walking around the lake, the old man suddenly felt that his feet had lost strength. She could only sit by the lake, trying to build up her strength by resting.

In Ningyuan in December, the temperature after heavy snow has long fallen below freezing. The old man's already small physical strength passed little by little in the cold wind. The drop in body temperature caused the old man's physical strength to drain further, and he just sat on a stool, but there was no sign of improvement.

If it weren't for the fact that two medical students who passed by for a morning jog found that the old man was still sitting in place after running for half an hour, they came over to ask because they were worried that the old man would catch a cold, and found that the situation was wrong, so they hurriedly sent the person to the hospital, but I was afraid that Zhou Xiufang would continue to sit in the cold wind.

Zhou Xiufang's symptoms were complicated, and she had symptoms of hypothermia when she was admitted to the hospital. There is also a typical circulatory needle with shortness of breath, rapid heart rate, and weakness of the limbs. At the same time, the consciousness of the old man began to appear periodically disordered, and the old man who could still tell his name clearly when he was just admitted to the hospital couldn't even recognize his grandson Zhou Jun after twenty minutes.

"Is this your grandmother?" Liu Tangchun immediately decided after learning that his right-hand man had sent his family members to the rescue room, "You call home first, the family is going crazy now." This patient let Sun Lien take over. ”

Zhou Jun glanced at his grandmother who was lying on the bed and couldn't recognize him, and nodded.

Doctors don't treat themselves, it's not that doctors don't treat themselves. The main thing is that doctors don't and shouldn't see their own relatives. Doctors are not saints, and it is impossible for them to remain calm and objective when their loved ones are suffering. If a doctor sees a loved one, there is a high risk that the doctor will over-treat the patient because he is too concerned or will not admit the severity of the condition, resulting in under-diagnosis of treatment.

This is a huge risk for the doctor, as well as for the patient's family. Therefore, Liu Tangchun immediately made a decision to let Sun Lien and Xu Yourong take over Zhou Xiufang, and at the same time drove Zhou Jun out of the rescue room first, so that he could calm down a little.

Let Sun Lien take over Zhou Xiufang, not because of Sun Lien's diagnostic ability, the old lady's condition is actually more direct, which is a typical symptom of senile left heart failure. The stethoscope is able to hear the early diastolic gallop rhythm directly with wheezing in both lungs. The culprit that made the old man suddenly lose his strength was her heart. And this symptom is actually the same for whoever is given treatment. Handed over to Sun Lien, it was just to reassure Zhou Jun and strengthen the cooperation between Sun Lien and Xu Yourong again - Liu Tangchun was still thinking about the two American medical doctors who were interested in joining his command.

"So Doctor Sun, first of all, what should we do?" After getting the basic examination results of the old man Zhou Xiufang, Xu Yourong looked down at the old man lying on the bed, and asked Sun Lien, "Do you have any other examinations you want to do?"

Sun Lien looked at the old man lying on the bed and was a little stunned, "Zhou Xiufang, female, 88 years old, low hemoglobin, elevated IgG. ”

Low hemoglobin is often referred to as a symptom of anemia. And elevated IgG is a symptom...... Sun Lien swallowed his saliva, he wouldn't let himself run into a mine again, right?

"Let's do a blood routine first, I think the old lady may be a little anemic. Sun Lien decided to start with the appearance first, Zhou Xiufang, who was lying on the hospital bed, had a sallow face and white lips. "And if it's senile heart failure, there should be a trigger such as infection. Identifying the triggers can also help with the next step of treatment. ”

Xu Yourong raised his eyebrows, "It's all normal operation." ”

"Otherwise?" Sun Lien directly scolded, "Do you want to add a cranial MRI to a heart failure patient?" ”

All in all, let's follow the routine first. Sun Lien frowned, for an elderly man in his eighties, any disease may be a hurdle that cannot be overcome, let alone a serious organic lesion like heart failure?

"I think I should add a heart ultrasound. Xu Yourong put forward his own suggestion, "Anyway, it's a symptom of heart failure, so it's good to clarify the type of heart failure." ”

"Do as you say. Sun Lien naturally won't stop this. He was just a little absent-minded. The accuracy rate of the status bar is 100%, and each prompt is the most important clue, so what does this prompt mean?