Chapter 168: Multiple Misdiagnoses (August 17, 4K5 Subscription Request)
Since returning to Shanghai, Sun Lien has always felt the feeling of being light and fluttering under his feet. Everything he heard and saw seemed to be separated by a white veil as soft as mist, and he was in a trance, with no sense of reality.
Whether it was returning to Ningyuan with Hu Jia and others, or accepting the welcome of everyone in the audience at the welcome party, even until Sun Lien decided to use the ten-day vacation to return to Changning to see his parents, and Hu Jia also decided to accompany him, he still felt very unreal.
"What do you want?" Sun Lien still decided to drive home, while Hu Jia on the side sat in the passenger seat and ate snacks - since she returned to Ningyuan, she had bought thousands of snacks in retaliation. And these things were unreasonable to fill half of Sun Lien's dormitory room.
"I ......," Sun Lien sighed after hesitating for a moment, "I still have the feeling that I am living in a dream. ”
"If my parents hadn't gone out to the seminar, I wouldn't have had time to follow you to see your aunts and uncles. Hu Jia nodded beside him, affirming Sun Lien's feeling of "dreaming". "Usually I don't have this kind of opportunity, and it's fair to say it's a dream. ”
Sun Lien blinked, and decided to hold back the words he had just said.
I have been in love with Hu Jia for so long, what can I say and what I can't say...... He still knows this in his heart.
"It's noon when we get there. Sun Lien glanced at the time in the car and then thought about it and said, "Don't go home first, let's go to the cafeteria to eat first, right?"
"Okay. Although Hu Jia had never been to Changning Zhongfu's cafeteria, he had heard from Dr. Brune and Pascal. She asked excitedly, "Can you order food?"
"Order?" Sun Lien didn't know the answer to this question, and he went to his company's cafeteria as many times as Dr. Brunn. "What would you like to eat?"
"Think about it......" Hu Jia thought for a while and made a request, "Get off the dumplings and get a bowl of noodles!
Sun Lien blinked, he vaguely felt that Hu Jia's request was probably not because she really wanted to eat noodles - this was for fear of causing trouble to others, right?
Slightly moved in his heart, Sun Lien shouted in the car like a fool for a long time, and finally called out the voice assistant. Then I called my wife.
"Mom!" Sun Lien said a little embarrassed after making the call, "Can we eat noodles at noon?"
"Then can you be missing?" Of course, Wang Caifeng didn't know that Sun Lien was on the hands-free side, and she said with some disgust, "But you kid, how can you arrange the dishes like this?
Sun Lien didn't know how to answer for a while, and now in this situation, it seems that it is not appropriate to say that Hu Jia wants to eat.
"If the little girl thinks that our family is thin on her and gets angry with you, you little rabbit cub will have no place to cry when the time comes. Wang Caifeng continued to criticize her son's mature ideas, "As soon as they returned to China, they didn't say that they would go to our house to accompany their parents at home." You don't understand what other girls mean, you just eat noodles?"
Sun Lien coughed and wanted to say something, but Wang Caifeng didn't plan to give his son a chance to defend himself, "If you want to eat noodles, I'll give you when you're done eating." Oh yes, you hurry up and ask Xiaohu, do people have any taboos?"
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Lunch ...... Anyway, in Sun Lien's opinion, this is simply a little more sumptuous than the New Year.
Although most of the dishes look like ordinary home cooking. But the exquisite use of materials is something that Sun Lien has never seen. Don't say anything else – Iberian pork chops are used for sweet and sour ribs, and M9 grade steaks are used for beef and potatoes...... Sun Lien even saw palm-sized abalone in the casserole chicken.
"I don't know what you kid likes to eat. Wang Caifeng had been waiting downstairs for Sun Lien's car for a long time. When the two of them got out of the car and walked, they took two quick steps up, grabbed Hu Jia's hand, and led them into the cafeteria, "I don't know if today's dish is to your taste......" The two walked while talking, but left Sun Lien outside alone.
In Ningyuan in December, the weather is cold. Sun Lien was stunned and looked at his mother's behavior, and he didn't know how to react for a while.
This meal at noon is considered a family feast. said "yes", mainly because there were two people during the banquet who were not relatives, but who were still close to Sun Lien's family.
Dr. Mei Ying, who went to Shanghai to study hospital management, is back. At this meal, she also brought her cousin.
Sun Lien saw this somewhat unfamiliar senior sister at first glance - she looked much more energetic than when they met last year. At this moment, Sun Lien deeply felt how far clinical work can destroy a doctor. Of course, this is also related to the huge pressure of the previous carton factory.
Director Mei ...... Dean Mei, are you here?" Sun Lien felt that he might have called the wrong name as soon as he opened his mouth. Mei Ying is now the director of Zhongfu Hospital, and it is not appropriate to call her director.
"What's the name of the dean? Mei Ying shook Sun Lien's hand with a smile, and then said angrily, "What, don't you recognize me as a senior sister?"
Sun Lien smiled and changed his name, and then introduced Hu Jia to the senior sister in front of him, who was more than ten years older than him, "This is my girlfriend Hu Jia, a nurse in the Fourth Hospital." ”
"Hello sister. Hu Jia greeted Mei Ying with a smile, and then took a set of common female greetings, "My sister's temperament is really good." ”
After a little joke, everyone sat down one after another, Mei Ying and her cousin sat in the middle position, and Sun Lien sat alone at the bottom - Hu Jia, Wang Caifeng and Mei Ying sat together, and the three of them chatted quietly.
The colors are rich, and Sun Lien is also very happy to eat. These dishes are definitely not the work of my mother. After all, my mother is almost fifty years old, and it is indeed a little difficult for her to let her run such a large table of dishes by herself. This meal must have been the work of a chef - I heard that this chef was still the executive chef who was poached by his own father with a high salary from a five-star hotel.
But the seasoning is still your own style. Sun Lien nibbled on the braised pork while wondering where he would start to nibble on the abalone, which was only half the size of his palm. On the other hand, I thought with some emotion that the executive chef deliberately imitated his mother's seasoning style, and I don't know how much work was put into it.
Halfway through the meal, Sun Lien suddenly saw a ...... Strange movements. While eating, Senior Sister Mei's cousin secretly took boiled shrimp from the dining table and put it in her clothes pocket.
Stealing vegetables from the dinner table, Sun Lien has never seen such a thing. And Hu Jia, who was sitting next to Senior Sister Mei, also noticed this action, she thought about it, and then found two unused ziplock bags from her bag - this is what she intends to use to hold uneaten snacks.
"Auntie, you use this. Hu Jia stood up generously, walked to Aunt Mei Ying's side, then squatted down and handed out the ziplock bag in his hand, "Use this bag to hold shrimp, it won't stain your clothes." ”
Mei Ying's expression changed from surprise to anger, to embarrassment to a little overwhelmed, she quickly stood up and asked in an obviously flustered tone, "Aunt, what are you ......?"
"Auntie, who are you putting these shrimp for?" Hu Jia stopped Mei Ying's inquiry with her eyes, she was still squatting, and asked with a smile, "Does anyone in the family like to eat shrimp?"
"That's right. Mei Ying's cousin laughed embarrassedly, she took the bag in Hu Jia's hand and put the three boiled shrimp in her pocket, "My cousin and niece love shrimp the most...... I can't afford to eat it at home, and I don't seem to have any chopsticks on the table when I see these shrimps, so I think it's a pity to waste them......"
Mei Ying was already covering her mouth and crying at the moment, but she didn't know whether it was because she was sad or because she was suffering from Alzheimer's disease, she couldn't recognize her cousin, and she still remembered that her cousin and niece, who didn't have a father or scolded her mother, loved to eat shrimp the most.
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The family banquet was temporarily interrupted for a while because of this unexpected situation, and after about twenty minutes, Mei Ying's mental condition stabilized a lot, and she returned to the table, "I'm sorry, I made everyone laugh." ”
"It's fine. Wang Caifeng was obviously very satisfied with Hu Jia's reaction just now. This coping ability is not only decent, but also takes care of Mei Ying's emotions to the greatest extent. She walked over and pressed Mei Ying's shoulder, "You should be happy—the eldest sister still remembers you." ”
Mei Ying smiled gratefully, then took two deep breaths. She suddenly said to Sun Lien, "Little Sun, I remember that your Fourth Hospital has set up a special diagnostic center, right?
"Yes. Sun Lien nodded, he had already seen the brown paper bag that Mei Ying put behind him, and now when he heard this question, he immediately understood seven or eight points - it is estimated that there are some incurable diseases waiting for him.
"I have a patient here...... The situation is more complicated. Mei Ying really pulled out the brown paper bag from behind her, "This patient came to our hospital the day before yesterday, but the opinions of Shennai and the infection department are not quite consistent. ”
It stands to reason that the case should not be discussed at the dinner table, and Mei Ying's initial plan was just to prepare an opportunity after the meal and listen to Sun Lien's opinion in private. But now that she was troubled by her cousin's matter, she was a little eager to divert everyone's attention, so she took out this medical record.
After Mei Ying returned from Shanghai, she began to dig people around. With the completion of the first phase of the renovation of the original carton factory hospital and now Zhongfu Hospital, Mei Ying's ambition is gradually becoming a reality - the positioning of Zhongfu Hospital is a comprehensive private hospital with intensive care medicine as the main fist, emergency as the signboard, supplemented by the inner and outer minds, inner and outer hearts, renal and urological departments, dialysis centers and infectious diseases.
Compared with the previous carton factory hospital, which mainly focused on chronic diseases and geriatric diseases and relied on medical insurance, Mei Ying hopes that her Zhongfu Hospital will become a hospital with strong enough strength to truly relieve the pain of patients.
But it's difficult, and it's not that small. Zhongfu is a privately owned company, and there is nothing wrong with the complex shareholder relationship. After Sun Hongbin and Wang Caifeng discussed, they decided to set the first phase of investment in Zhongfu Hospital at 200 million.
200 million is definitely not a small amount for a private enterprise. But for a hospital...... Not abundant. Since it is a reconstruction, the cost of civil construction and so on is slightly lower. But the space to purchase equipment and poach people with high salaries is not so sufficient.
Mei Ying plans to try another way. She mobilized the connections she had accumulated over the years and was ready to diagnose and treat a group of patients with incurable diseases for free. Then first play your own brand in the industry - it would be better if it could be on TV or Internet hot search by the way.
But what Mei Ying didn't expect was that the first patient she found caused serious confrontation within the young Zhongfu Hospital. The doctors in the Department of Neurology and Infectious Diseases almost got into a fight because of this young patient.
"The patient is 14 years old and was first admitted to the hospital two years ago. Mei Ying watched Sun Lien flip through the medical records while supplementing the information she had. "She was admitted to the hospital because she had convulsions twice in the middle of the day. ”
Li Yuhan's child was first admitted to the hospital when she was 12 years old.
It was a January afternoon, and Li Yuhan, who was in class at school, suddenly convulsed and fell to the ground. This frightened the teacher and the students next to him.
She was rushed to the school infirmary by her classmates and teachers, and when she was just lying on the bed in the school infirmary, the panicked teachers and classmates had no time to describe her symptoms to the school doctor, when she had a second seizure.
had two convulsions in a row, and directly asked the teacher to call Li Yuhan's parents. She was rushed to the First People's Hospital of Changning City.
After receiving her from the hospital's emergency department, she was quickly handed over to a doctor in Kaminai for diagnosis. The doctors in the gods determined that Li Yuhan had viral encephalitis on the basis that Li Yuhan had symptoms of upper respiratory tract infection a week earlier, bilateral bulbar conjunctival edema, positive neck resistance and bilateral Pap sign, lactate dehydrogenase 349U/L, phosphocreatine kinase 240U/L, α-hydroxybutyrate dehydrogenase 268U/L, and no abnormalities in head CT, and normal cerebrospinal fluid. Ganciclovir was treated for 14 days and he was discharged from the hospital.
But the situation was not so simple, nine days later, Li Yuhan was admitted to the hospital for the second time. The reason this time was dizziness.
The First People's Hospital received Li Yuhan again, and she showed symptoms of suspicious neck resistance, positive bilateral Pap sign, and positive K-line's sign. Cerebrospinal fluid (CSF) examination showed no abnormalities, with lactate dehydrogenase rising to 489 units/L, phosphocreatine kinase 805 units/L, and α-hydroxybutyrate dehydrogenase 489 units/L.
I don't know if it's because I'm worried that the last diagnosis was misdiagnosed, this time the First People's Hospital finally gave her a brain MRI, and the test showed that Li Yuhan's left parieto-occipital gyrus swelling with abnormal cortical signals - T1W1 low intensity, T2WT high intensity, FLARI and DWI images showed high intensity.
However, after in-hospital consultation, the First People's Hospital still determined that Li Yuhan had viral encephalitis. Antiviral, gamma globulin, and methylprednisolone pulse therapy is given. Ten days later, Li Yuhan's condition improved and he was discharged from the hospital.
At that time, in order to make sure that the child was receiving the right treatment, her parents took her for another MRI examination half a year later, and the results showed that the lesion on the left side of her head had shrunk significantly.
Half a year later, just after Li Yuhan's thirteenth birthday, when the weather cooled down in November, she had convulsions again, and this time the situation was even more serious. In addition to frequent convulsions, she also developed symptoms of coma.
This time, Li Yuhan's parents had an extra heart, they did not choose to go to the First People's Hospital of Changning City for treatment, but took the child and went straight to Ningyuan in an ambulance, and came to the Second Central Hospital for treatment.
After the physical examination of the second hospital, it was found that Li Yuhan had a weak reaction to the pressure orbit, and it was determined that she had fallen into a shallow coma. At the same time, she was found to have positive Pap sign on the left, negative Pap sign on the right side, and positive symptoms of neck resistance. Lactate was 11.36 mmol/L, and brain MRI showed that her left lesion was slightly enlarged compared with the MRI reexamination, and there were many abnormal signals in the right parieto-occipital lobe. It also presents with diffuse brain atrophy-like changes. After confirming that Li Yuhan had an obvious abnormal electroencephalogram, Ningyuan Second Hospital diagnosed Li Yuhan with acute disseminated encephalomyelitis and symptomatic epilepsy. Methylprednisolone and gamma globulin pulse therapy were given. For epilepsy, lamotrigine is given anticonvulsive therapy. After she got better and was discharged from the hospital, the doctor at the second hospital asked her to continue oral prednisone treatment.
In Sun Lien's view, these are three obvious misdiagnoses.