Sun Lien's heart was cold, and he even felt a little regretful. I regret relying too much on the hints in the status bar, regretting that I pinned the patient's health on illusions, and regretting that I underestimated the disease.

"Don't panic. Liu Tangchun's voice was calm and firm, "If you are panicked, what should you do with the patient?"

"Director Liu......" Sun Lien took the checklist and forcibly calmed down, "The patient's five infectious diseases are all negative. ”

Liu Tangchun took the test sheet and glanced at it, shook his head and said, "Syphilis and hepatitis B are rapid tests, and there is a possibility of false negatives." Consider that the symptoms of the patient should be in the terminal stage of some kind of liver disease, and the disease can also affect the brain. You should continue with other tests to confirm the cause. ”

That's why the old qualified attending physician is worth more. Liu Tangchun's judgment of this patient is almost the same as the conclusion reached by Sun Lien through the status bar. The only difference is that Deputy Director Liu doesn't have any status bar to support his views.

"Do a lumbar puncture and take spinal fluid for testing. Sun Lien instructed, "Take a liver biopsy kit and prepare to extract liver tissue for biopsy." ”

"You're really bold. Brother Luo from the imaging department shouted, he leaned over to Sun Lien's side and said in a low voice, "Brother, you can get a few needles when you get angry, liver biopsy is risky, and the family can't do it if you don't agree." ”

Sun Lien said helplessly, "I look like a communiqué personal vendetta? He is a patient, because of the mental abnormality caused by the disease. What's there to hold grudge about?"

"What about the family?" Liu Tangchun interjected, "Has his family arrived?"

Sun Lien thought for a while, and said with some confusion, "What else is there to say about this......?

"Then you just wait for the family to make a big noise, find a relationship and transfer to the hospital, and delay the treatment process and time. Liu Tangchun raised his eyebrows, "In work, we must pay attention to ways and means." ”

Sun Lien was a little confused.

"You see, it's very simple. Liu Tangchun pointed to Zheng Xiaoyu who was lying on the hospital bed, "He is seriously ill now." Our Fourth Central Hospital is mainly for emergency medicine, and although Ningyuan Medical College is the backer in internal medicine and neurology, it is not as good as those old general hospitals after all. ”

It's not a nice word, but it's true. Sun Lien hesitated and nodded.

However, the patient's condition did not allow the family to delay any longer. Liu Tangchun sighed with some regret, "Of course, from an administrative point of view, the best option at present is to transfer the patient to the hospital." If his condition worsens, he has nothing to do with us. But we are doctors, and we can't just start from the perspective of 'avoiding trouble'. In order to allow patients to get the most timely treatment, sometimes it is necessary to pay attention to the ways and means in the communication with the patient's family. ”

This kind of course is not taught in universities. Sun Lien nodded like a chicken pecking rice.

"Why did my Lao Zheng become like this?" a middle-aged woman with heavy makeup wiped her tears, tears mixed with eyeliner and foundation, and kept sliding down the corners of her eyes.

Sun Lien took the notice with an embarrassed expression on his face, "Our leaders also attach great importance to this patient, and the examinations that can be done in advance with little damage have already been done for a round." But there are still no definitive conclusions. ”

"What are you doing to eat!" The middle-aged woman really went crazy as Sun Lien expected, "People were fine when they left home in the morning, why did you get treated like this when you arrived at the hospital?!"

"Calm down. Sun Lien pressed his hands in the air twice, and asked in a low voice, "You...... Do you know what Zheng Xiaoyu is doing in the hospital today? Has he told you what he is not feeling well?"

"Nope. The middle-aged woman quickly became suspicious, "What is he doing here?"

"He hung up on an experienced dermatologist and venereology doctor at our hospital. Sun Lien pretended to have an unspeakable expression, "You...... Have you been ...... all these years? Is that unwell?"

The middle-aged woman's face turned from red to white, and then from white to purple, her fists clenched, and her teeth creaked. After a while, she squeezed out a curse from between her teeth, "Men don't have a good thing!"

"I highly recommend that you also get a physical check-up. If you have ...... For other partners, it is a good idea to inform them to come to the hospital for a check-up. Sun Lien scratched his head, "We can't be completely sure what the disease caused Zheng Xiaoyu's condition to be so serious, but the results of the examination on your side may be able to give us some hints for our diagnosis." ”

Sun Lien successfully obtained the consent form required for invasive testing. He looked at Zheng Xiaoyu, who was lying on the hospital bed, her face was beginning to turn yellow, and sighed softly. "When you're old, you can't even use security measures?"

With the assistance of three male nurses, Sun Lien successfully completed the spinal puncture test on Zheng Xiaoyu. A few drops of slightly yellowed cerebrospinal fluid dripped out of the hollow sampling needle and dripped into the test tube that Sun Lien had prepared in advance.

"The cerebrospinal fluid (CSF) is slightly cloudy with clots, suggesting an increase in protein. As soon as Sun Lien saw these drops of cerebrospinal fluid, he immediately smiled reassuringly. The previous results should indeed have been false-negative – in advanced stages, syphilis pallidum pallidum is difficult to detect in the blood. But their wreak havoc on other parts of the body will eventually leave a trail.

"Found you. Sun Lien smiled really happily. Brother Luo, who was holding a B-ultrasound probe next to him and was about to guide a liver biopsy, couldn't help coughing twice, and said in a low voice, "Hurry up and put things down." You look very perverted right now, you know?"

Sun Lien carefully closed the lid of the test tube, and then relaxed. smiled and explained to Brother Luo, "This cerebrospinal fluid knows that there is a problem at a glance. Being able to detect something problematic indicates that the diagnosis is progressing. Of course I'm happy. ”

"Then don't laugh so ungracefully. Brother Luo coughed twice. After watching Zheng Xiaoyu be put back in a flat lying position, he asked, "How is it, is it for you to come for the biopsy or let another doctor come?"

"It must be me, how rare is a biopsy that patients won't complain about!" Sun Lien changed a pair of gloves and tore out a special biopsy needle from the plastic-sealed plastic bag. Then he picked up the syringe with lidocaine in advance and began to administer local anesthesia to the patient.

Brother Luo raised his eyebrows, "Okay, okay, it's not enough trouble?"

"What's the trouble?" Sun Lien replied, but his hand still didn't stop. Two milliliters of lidocaine are injected evenly into the tissue surrounding the biopsy site.

"It's a comatose patient. Brother Luo sighed, "Do you know what is good about a comatose patient?"

"Forehead......" Sun Lien put down the local anesthetic needle and asked curiously, "What good can this be?"

"It means they're not afraid of pain. And it doesn't shout nonsense. But since you're done with local anesthesia, then I didn't say it. Brother Luo laughed twice. "Alright, let's get started. ”

Please give me a recommendation ticket, thank you~