Sun Lien held Guo Yulai's mobile phone in his hand, and he was a little panicked.

Xiao Guo hasn't had time to post on Moments yet, which is a good thing. But as soon as he got the mobile phone, he was called by Zhou Jun, who had just entered the rescue room, which made him feel a little uneasy - it can't be that Xiao Guo has other spare mobile phones, and he posted Weibo just now, right?

"How did you come up with the plague?" "Why can't the patient be pneumonia?" Unexpectedly, as soon as Sun Lien walked in front of Zhou Jun, an old man dressed in white suddenly spoke. The tone is quite kind, but the words are somewhat direct.

Sun Lien was stunned, and looked at Zhou Jun with a look for help, Senior Brother Zhou, do you have to introduce who this old man is first?

"This is the old dean of our four academies, and he is also the president of the previous academy. Zhou Jun briefly introduced Wu Youqian, and then said to Sun Lien, "Dean Wu is very interested in your diagnosis, so if you have anything to say, just say it." ”

Sun Lien nodded, and then explained to Wu Youqian seriously, "Because the existing evidence can only support the diagnosis of plague. ”

"Tell me about your diagnosis. Of course, Wu Youqian also understands this. But Sun Lien's diagnosis is the focus of his curiosity. "How did you rule out other options?"

"First of all, it was a family who was sent to the hospital, and the symptoms were the same. In other words, the disease is either highly contagious and can be transmitted to a family of different ages and sexes at the same time. Either the course of the disease progresses extremely slowly, enough to make all three members of a family infected at different times sick. Sun Lien is now much more confident than before when he talks about his diagnosis - after all, the symptom of plague was indeed diagnosed by him, not the state bar directly gave the answer. "But the latter is obviously unlikely, this family of three was found by a neighbor and sent to our hospital for treatment. Therefore, I ruled out mycoplasma pneumonia in the first place. ”

Deriving what has not yet been grasped from the information we have acquired is actually a very risky technology in the field of medical diagnosis. After all, it is possible to make mistakes in reasoning about information. And once the reasoning is wrong, it is likely to lead the doctor's thinking into the wrong path, and all the way to the end.

"It's risky, but it makes sense. Wu Youqian frowned, he didn't agree with this kind of reasoning diagnosis, but in this case, there was no way to elicit a diagnosis through reasoning. "And then?"

"Then through three people showed the same symptoms, so I ruled out lobar pneumonia. Sun Lien pointed to the three people lying in the clean room, "Lobar pneumonia will be more serious in young people, but the symptoms and severity of the three are comparable—the two older ones are even more severe." ”

Lobar pneumonia is more common in young men and is more common in winter and spring. And most of them have triggers before the onset of the disease, such as fatigue, rain and cold, surgery, and so on.

"At the same time, lobar pneumonia is generally not contagious – if the immune system is normal. Sun continued, "If there is a hereditary immune system deficiency, it can be said that it is manifested in one of the parents and the child. However, all families were ill and showed lobar pneumonia that progressed consistently...... This probability is too low, so low that it should not be considered in the first place. ”

Wu Youqian nodded silently, at least there is no problem with what Sun Lien said so far. Of course, some of these diagnostic ideas are risky and some are too empirical. But at least it makes sense, and there are no serious holes.

"Then it's time to think about pulmonary anthrax and pneumonic plague. "The manifestations of pulmonary anthrax are highly consistent with those of pneumonic plague, but I was informed by questioning that the patient had eaten marmot meat in Sai Hai Province about two days before the onset of the disease. Sai Hai Province is a natural plague endem area, and marmots are the main plague transmission species in Sai Hai Province. Therefore, I highly suspected that these three people were pneumonic plague patients, and I followed the corresponding procedures to take samples for testing, and notified the CDC as soon as possible...... That's how I made the diagnosis. ”

It can be said that the description of this diagnosis is almost always true. The status bar indicates that Sun Lien's three people were infected at the same time, and the onset was extremely fast, and the three of them were infected with highly contagious diseases at the same time. The rest of the differential diagnoses were made by Sun Lien himself.

"Remarkable. Wu Youqian was silent for a while, then suddenly clapped his hands and said while applauding, "It's really amazing." ”

Dr. Pascal said to Dr. Brunn, "No matter how many times I watch it, I still think Dr. Sun is like the main character in a movie." ”

"There are more such doctors in TV dramas. Dr. Brunn shrugged his shoulders and habitually raised the bar, "The doctor in the movie is usually the first to die to indicate that the situation is critical, just like a dead black actor." It was the white Marines who really saved the world. ”

Zhou Jun nodded slightly, every time he listened to Sun Lien's diagnosis, it was like watching a theatrical performance. Although I have seen it several times, after seeing the diagnosis in person, the shock and feeling still do not fade in any way. All doctors make mistakes, but Sun has never made a mistake in diagnosis. I really don't know if this kid is really lucky, or if he has his own unique diagnostic method.

"Diagnosis is important, and you're doing a great job. Wu Youqian was originally only skeptical of Sun Lien's miraculous performance, but now after listening to the whole process in person, Wu Youqian, who has taught doctors all his life, has to admit that Sun Lien is indeed different from everyone he has seen before.

If the diagnosis was genius, it would probably be like this, right?

"Are you doing regular training in the Fourth Academy now?" Seeing this kind of outstanding young man is the dream and the biggest temptation of every educator, even if Wu Youqian has retired, he is not exempt from vulgarity, "Have you considered continuing your studies in other medical schools in the past?" Because of the short time since the establishment of the Fourth Hospital, the requirements for academic qualifications are not too high. But in the future, there will definitely be requirements for academic qualifications. You're only an undergraduate now, and it's not convenient to evaluate your job title in the future......"

"Dean Wu, Lien's enrollment next year has been decided. The more Zhou Jun on the side listened, the more he felt that it was not like words, Wu Youqian dug the foot of the wall and actually dug into the emergency department of the Fourth Hospital, which was too much. "Director Liu is his mentor. ”

"Liu Tangchun?" Wu Youqian shook his head regretfully, "Then forget it, I don't want this guy to block my door every day after he comes back from Africa." ”

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After a little more relaxed chatting and inquiry, the next thing to face is not relaxing. The three patients with pneumonic plague are still not doing well. This is also a headache for the team of experts who came to support.

"Add two more units of frozen plasma to patient 2. Four units of whole blood, pressurized infusion. Wu Youqian gave a doctor's order. In order to facilitate management and salutation, Tang Xingde's family of three was divided into three numbers. Tang Xingde is patient No. 1, Hou Huiying is No. 2, and their son Tang Wen is No. 3. And now the problem is patient No. 2 Hou Huiying.

"I vomited blood again, my blood pressure was still dropping, and I had stomach bleeding. "The person in charge of the treatment has changed from Sun Lien to Wu Youqian, and the old expert is not in a hurry to give instructions, but there is basically no hesitation and nonsense in the middle, and at the same time, there is also the effort to dismiss the suggestions of other doctors. "Don't use this kind of antique like the three-cavity and two-sac tube, how can you get off the tube with a respirator?" Zhou Jun!" Wu Youqian shouted into the clean room, "Let the intervention be prepared, this one needs to be intervened to stop the bleeding." ”

Sun Lien looked inside the clean room with some worry, although Hou Huiying had fallen into delirium, the reflex reaction of her body still made her keep churning, and from time to time spit out black foamy blood from her mouth - this is the product of the reaction between blood and stomach acid after stomach bleeding.