Chapter 105: Doctor-Patient Communication

Sun Lien sent Hu Jia to the car, and after comforting his girlfriend for a few more words, he watched the taxi slowly blend into the traffic and disappear.

He sighed and turned to walk towards the hospital. Although Zhou Jun told him not to use it, after all, people came for him. It's a big deal to go on rounds to see how the patient is doing, so that it is more convenient to go to the dean's office by yourself than in the dormitory if you need to go to the dean's office.

Sun Lien walked towards the hospital with a long sigh, he felt that he was about to use the hospital as a study room—he used to run like this when he was preparing for exams in the academy. In addition to eating three meals a day and sleeping, Sun Lien is basically in the study room all the time. I take three books a day, each of which is five or six hundred pages thick, and if I don't review it with the consciousness of sudden death, it will not be too easy to fail the course.

Medical schools are different from other schools and majors, and none of these teachers who use "peeling the skin and filling the grass" as their mantra will give students the focus of the exam. And their reason is also very strong, "Will your future patients get sick according to the focus?"

Sun Lien has been in medical school for a few years, and his biggest feeling is that when these professors come up with questions, they must all be in the dark room looking at the papers and smiling, laughing and screaming, "The old man is going to kill those little rookies!" And behind them, I am afraid that the wings of bats and black pointed tails will stretch out, and shake a few times in the air to express the joy in their hearts. All in all, the questions are tricky and extremely difficult.

While nostalgic for the chilling school life, Sun Lien walked towards the unit that made people die suddenly. He slept four hours out of forty-eight hours and had two hours to eat with his girlfriend. This schedule is even more excessive than that of a black factory, and it is no wonder that interns are not included in the list of "interns must not work more than eight hours a day". If they work on an eight-hour schedule during the internship period, they will definitely be exhausted to death when they are trained.

Although it is still easy to die of exhaustion, at least the doctors have a lot of experience with this experience, and even if they are really tired to sudden death, at least they will not be too nervous before they die.

After diluting the boredom in his heart with a sad joke that he couldn't laugh at all, Sun Lien walked into the hospital quickly. Changing into a white lab coat, the first stop of the day is the PICU. He planned to chat with Chen Wen, who had been hospitalized for a long time.

Chen Wen, who was lying on the hospital bed, looked a little thinner, and I don't know if it was because she had been hospitalized for too long and had poor food, or because of the loss of Cushing's syndrome caused by the drop in hormone levels. In short, the little girl who used to weigh 70 kilograms now looks like she is in her early 60s. Although she is not thin enough, at least she already has the appearance that a young girl of this age should have.

"How is it, is there anything else on your body that you don't feel well?" Sun Lien changed into a dust hat and shoe covers, and walked in wearing a mask. pulled a chair, sat on the edge of Chen Wen's bed and asked with a smile. Chen Wen had met Sun Lien and knew that he was her own doctor. So he showed a slightly difficult smile, "Everything else is fine, but I feel a little back pain after lying down for too long." ”

Sun Lien looked at Chen Wen's status bar and found that she had a state of "muscle fatigue" on her head. After thinking about it for a while, Sun Lien felt that he probably knew the reason. The beds in the PICU are hard beds, so that in the event of an emergency that requires CPR, doctors can use them without having to spend precious time putting hard pads under the patient. But this kind of intensive care bed, which is harder than ordinary hard beds, is simply too uncomfortable for Chen Wen.

Her weight is relatively large, which also causes Chen Wen's flap to be thicker. Combined with the special symptoms of Cushing's syndrome, her shoulders and buttocks are much thicker than the average person. The result of the difference in thickness between the two sides is that after she lies on the bed, her waist is actually suspended. For the little girl, lying down for a day or two is nothing, but she has been in the PICU for more than 20 days. As a result of long-term waist overhang, muscle fatigue occurs.

"Try this. Sun Lien asked the nurse sister for a relatively flat pillow, helped put it under her, and carefully adjusted the position so that the pillow could support Chen Wen's waist, "How do you feel now?"

"Well, it's much more comfortable. Chen Wen showed a smile, and then her mood was a little low. She was silent for a moment and then asked, "Doctor Sun, can I get better?"

Sun Lien smiled and nodded at Chen Wen, "Yes." "Chen Wen's condition has actually been controlled. The next thing to do is to kill the hydatid that has not yet caused neurological symptoms without harming itself. Under the attention of the PICU of the Fourth Central Hospital, her condition will basically not progress again. Moreover, the cysts that cause Cushing's syndrome have been punctured and removed, and there will be no recurrence. She'll get better.

"According to Professor Liu's opinion, we are already giving her albendazole. The PICU doctor, who was in charge of taking care of Chen Wen, said hello to Sun Lien, "Does Dr. Sun have any suggestions for adjusting her treatment plan?"

Albendazole is a mainstream broad-spectrum anthelmintic drug that is effective against many parasites. Although the general effective rate for cerebral echinococcus patients is only 20%, it is still a rare effective drug. During Chen Wen's hospitalization, the use of albendazole is also a better treatment than nothing. If he is lucky, he will not have to worry about how to design the surgical plan.

However, looking at the status bar on Chen Wen's head, you can see that Liu Pingchuan's luck is not very good, and Chen Wen's own luck is not too good. The state of the cerebral echinococca is still present, and the handwriting shows no signs of fading—albendazole is probably not working.

"Professor Liu's treatment opinion, where do I have a beak. Sun Lien replied with a smile, he glanced at Chen Wen on the bed, and suddenly whispered to the PICU doctor, "Do you have any mirrors?"

"Mirror?" the PICU doctor was stunned, "Yes, yes...... But ......"

"Lend it to me. Sun Lien patted the other party's shoulder unceremoniously, completely ignoring that the doctor standing opposite him was an attending doctor-his senior doctor.

The female doctor from the PICU returned to her office with some confusion, took out a small makeup mirror and handed it to Sun Lien.

Then Sun Lien handed over the mirror to Chen Wen.

"There's not much opportunity in the hospital for you to look in the mirror. He smiled at Chen Wen and said, "But I think you'll probably want to see what you look like now." ”

A little girl at this age has begun to have a concept of beauty and ugliness in a daze, and it can even be said that she is obsessed. If Chen Wen hadn't been in the accident table, she wouldn't have secretly bought diet pills to eat. She took the makeup mirror in Sun Lien's hand, and then glanced at her own appearance inside, and suddenly stopped moving.

"This is just the beginning. "As the treatment continues to the point where we can wean off the hormones, you'll lose more weight — no, back to what you should be." ”

Chen Wen looked at herself in the mirror in a daze, and then suddenly cried. Crying and laughing. I cried very happily, but I laughed extremely sadly.

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Sun Lien was carried by the PICU doctor by the back of the neck and ordered to leave the intensive care unit - at the same time as the order, the female doctor also glared at him fiercely by the way. Chen Wen's crying was amazing, as if there was a sudden sound of firecrackers in the chicken farm, which caused the surrounding children to cry involuntarily. The PICU, which was originally relatively quiet, suddenly became a kindergarten class on the first day of school. The doctors and nurses who heard the movement put down their less important work one after another, and then had to comfort the children one by one. In this already busy night, there was suddenly so much more work, and the PICU didn't beat Sun Lien out with a stick, which was already considered extremely high-quality and quite caring.

Sun Lien walked out of the PICU hall with an embarrassed face, and was about to go downstairs to see Yang Jianqiang in the ICU, but suddenly heard a noise.

"My child was hit by a car for seven hours, why didn't you hospitalize him?!" a shrill female voice rang out in the hallway, and the voice was extremely harsh.

"Your child's trauma has all been scabbed, and a CT scan of the head has been done, and there are no problems. Director Qian Hongjun sat in the corridor for some reason, holding mutton vermicelli soup in one hand and putting baked cakes in his mouth with the other. As he ate, he shouted to the woman who was dressed rather gorgeously, "There is no indication of admission to the hospital, and our pediatric department will definitely not be able to admit it." ”

Now that the time is almost ten o'clock in the evening, Director Qian is still eating mutton vermicelli soup that I don't know if it is dinner or lunch, and his tone of voice is naturally a little rushed. And Sun Lien felt that he needed to go up and do Director Qian a favor - Qian Hongjun couldn't see clearly when he sat on the steps, but Sun Lien could see clearly - the woman looked at her hands on her chest, but the mobile phone was caught in the crook of her arm, and she was still recording. Secretly recording a quarrel while secretly recording a doctor's meal in the hallway, which is generally not a good thing.

"Director Qian. Sun Lien leaned over to say hello to Qian Hongjun, and then asked the woman, "Do you have anything to do?"

"How did you do it in the hospital?" Qian Hongjun's soft and hard attitude made the woman who was secretly taking pictures seem to have a little headache, and seeing Sun Lien coming over, she seemed to have found an outlet, and couldn't help but say that she lost her temper towards Sun Lien. "My child was hit by a car at 2 p.m., and the car hit me! I was so scared that I took him to the hospital to see a doctor. The emergency department asked us to send the child to the pediatric surgeon for CT, and after the neurosurgery did the CT, he said that he could not be hospitalized. Then I went to the emergency department, and the emergency department turned around and didn't let me be hospitalized, and I played the ball? I ran back and forth many times!" she said angrily, "If you don't give me an explanation today, I'll expose it on the Internet!"

Sun Lien raised his eyebrows, and said calmly, "Don't worry, can you let me see the child?" He looked at the woman's side, and there was no one.

"It's out there. The woman pointed out of the hallway, and then remained where she was. Sun Lien walked out of the corridor inexplicably, and then next to the trash can near the toilet, he saw a little boy curled up in a chair and falling asleep.

"Wang Tianyong, male, 2 years old, soft tissue contusion, scalp tear 45mm, tired. The status bar indicates three statuses.

"This is your child, right?" Sun Lien returned to the stairwell and called Wang Tianyong's mother out. After confirming that it was this child, Sun Lien asked, "Does he show anything different, such as headaches, unsteady walking, or nausea and vomiting?"

Wang Tianyong's mother shook her head, and then said with a very tough attitude, "No matter what today, I must first hospitalize my child!"

"Without these symptoms, we wouldn't have been able to admit him to the hospital. Sun Lien intends to move with emotion and reason, "And the child is so young, if he is hospitalized without his parents, it may also have a traumatic impact on the psyche." You should take your child back with you, and if you really feel unwell, it's not too late to come to the hospital. He saw very clearly that the child was not seriously injured, and it was estimated that he would never go to the hospital again after returning home.

"Absolutely not!" Wang Tianyong's mother gritted her teeth and said, "I must make the driver who caused the accident lose more money!"

Sun Lien was a little confused, he quickly regained his composure and persuaded, "Money and other things, let such a young child be hospitalized, and his parents can't accompany him when he has to work, how much does that child suffer?"

Wang Tianyong's mother obviously hesitated for a moment, and then she quickly changed her attitude again, "Then retreat my child's wounds!" Use the best medicine and the most expensive equipment!"

"His wounds were all scabbed. Sun Lien deliberately emphasized the word "scab". "It's just crusted over, and if you want to deal with it, you have to tear the child's wound back and disinfect it. He continued, "I looked at the wound, and there were already traces of sterilization around it. And this wound is not very long, and it does not even need to be stitched. Don't look at the small size of children, but for this kind of trauma, it can grow quickly. Re-tearing open the wound is no different from tearing flesh at the same time. It's really not necessary. ”

"I don't care. Wang Tianyong's mother snorted coldly, and then asked, "Did you take the money from the driver who caused the accident? Why do you speak for him everywhere? We are the victims now!" She seemed to see the "emergency department" work sign hanging on Sun Lien's chest, and immediately became excited, "It's you, go and re-disinfect and suture my child! Prescribe more medicine! Otherwise, I will complain about you!"

The mobile phone screen in Sun Lien's pocket lit up quietly, clearly recording this unusual conversation.