Sun Lien's luck has finally bottomed out.

The wound did not continue to deteriorate, and the patients who came after Zhou Ming did not have any serious problems.

"I'm sorry to delay you. A young man who had rushed to the hospital for treatment because of "severe stomach pain" nodded politely at Sun Lien. Previously, during a physical examination, the young man was found to have a patent foramen ovale. Although the impact of patent foramen ovale on the heart is almost zero, after all, it is "heart problem", which makes him very nervous. After checking a bunch of information on the Internet, he probably took the stomach pain as part of the pain in the chest area. Then he hurried to the fourth courtyard.

Sun Lien received the young man, and after confirming that the other party had no other heart problems, he prescribed medicine for stomach ulcers according to the status bar and the other party's description. And advised, "Eat and drink on time, no smoking and no alcohol, and avoid spicy and irritating food...... He didn't have heart problems, but digestive problems piled up. "You start having stomach problems at your age, which is a very bad sign. ”

The young man was relieved when he heard that he didn't have any heart problems, and was ready to get up and say goodbye to Sun Lien. But I was frightened by the words that followed.

"At your age, the sudden onset of stomach problems is generally related to lifestyle habits. Sun Lien pointed to the young man's clothes in front of him, "In such a cold weather, I only wear a thin jacket, and even my pants are only a layer." I don't usually wear down jackets or anything like that to look good, right?"

The young man was taken aback by Sun Lien's sudden assertion and blurted out in question, "How do you know?"

Of course, Sun Lien can't say "I see a slight hypothermia on your status bar". He could only force an explanation, "If you had warm pants underneath, the pants wouldn't look like they are now." ”

"Low temperatures are a burden on the human body. People will have a great appetite when winter comes, you know?" Sun Lien thought for a while, and changed the analogy, "You have some problems with your heart, although it is not very big, but it is a hidden danger after all. In winter, once it is frozen, the body will contract the surrounding blood vessels to ensure the core temperature of the body, so that more blood can be retained in the organs. Sun Lien gestured with his hand to the pattern that gathered from all sides to the center, "And if the blood resides in the core organs, it will cause more pressure on the heart." ”

"You've had stomach bleeding before, right...... Just a month ago?" Sun Lien continued to look at the young man's case, "Your stomach bleeding is caused by a stomach ulcer, but it is also somewhat related to the cold. He pointed to the other person's stomach through the air, "The blood flow in the core area increases, and the pressure on the blood vessels in your stomach will also increase. This can also affect the chance of some stomach bleeding to some extent. ”

"So, maintain a healthy, regular routine. Sun Lien concluded his health lecture, "I understand that you may often need to drink and socialize because of your work, and you still have to drink." After all, it's your own company...... Don't look at me like that. Sun Lien smiled and pointed to the other party's watch, "Ordinary people who have just come out of work for a few years can't afford the watch in your hand." It's not for their own company, and young people with good family backgrounds won't toss themselves like this. ”

The shock on the young man's face could no longer be suppressed, he looked at his watch, and looked at Sun Lien like a monster. This was repeated several times.

"But no matter how much money you make, money can't buy your health. Sun Lien said solemnly, "Gastric ulcers themselves are also one of the high risks of gastric cancer. And if it's severe, not only stomach bleeding may kill you, but also stomach perforation. "For the sake of your health, I strongly advise you not to drink alcohol again, at least for a short time." Eat regularly and keep warm. ”

Advice from doctors to change their lifestyle habits is often difficult to get the patient's cooperation. After all, it's still the same sentence - people who can make themselves sick because of their lifestyle habits are almost impossible to return to a healthy life on their own. But Sun Lien felt that the young man in front of him, who was stunned by himself, would most likely follow his own advice.

Looking at the other party's back, Sun Lien nodded with satisfaction - the other party stayed longer in the warm ninth consultation room through conversation, and the "slight hypothermia" on the top of the other party's head was gone.

Who said that emergency doctors can't use talk therapy to treat diseases? This thing is not a psychiatrist's patent? Sun Lien laughed twice, "Next!"

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"Day-to-day, I really hate doing day-to-day work, you know. Brune grumbled to Dr. Pascal in the small conference room in the emergency room. In order to prevent his complaints from being heard by other colleagues and causing adverse effects, he uses French. "Why ask someone who doesn't even speak Chinese well to write a case?"

"Because you were involved in the rescue, and our boss is now treating people in an emergency clinic. Dr. Pascal looked down and typed, "I haven't complained yet - I even gave up Isabella's oxtail bisque to help you write your medical records!"

Speaking of this, Dr. Brunn was really embarrassed, "I originally wanted Yourong to write some for me, but if I can't find Dr. Yuan, I should be fine......

"Yourong is a neurosurgeon. Dr. Pascal rubbed his neck, bowing his head for a long time made him feel a little uncomfortable, "It's already inhumane to have a neurosurgeon on duty in the emergency department, and you want her to help you write the case?"

Dr. Brune put down the pen in his hand and scratched his hair, "Okay, that's almost the end of the writing - I don't need to be so detailed, and I'm not going to send a case report." ”

"This patient's condition can really be reported. Dr. Pascal disagreed, "As long as you can figure out what kind of bacteria infected him in the first place." ”

The two are discussing Huang Bingxian, who has signed a death certificate.

"People are dead, how do you get tested?" Brunn rubbed his stubble-covered chin and shook his head, "The forensic examination can't find out the cause of his infection." ”

"The laboratory department kept his lower bronchial irrigation fluid. Dr. Pascal kindly reminded, "You can ask Dr. Sun to have the laboratory culture those lower bronchial irrigation fluids - add some amphotericin B to curb the fungus, right?"

Bruen came to the spirit, "If you really want to check, then the cultivation is obviously not reliable enough. Two rounds of culture were done for this patient, but none of them had a convincing result. I think he was infected with a kind of bacteria like fastidious. ”

"He's not suffering from lobar pneumonia. Dr. Pascal shook his head, not quite agreeing with Brunn's speculation, "His imaging results do not support the diagnosis of pneumococcal infection, and the drug reaction does not look like it." I think it may be due to some rare opportunistic bacterial infection. As an immunologist, Dr. Pascal prefers to consider the immune system response when making a diagnosis. "Why don't you pay for an mNGS on the sample yourself? If there's any special result, maybe it's a big discovery." ”