A standard process exists because it can uncover as many problems as possible in the fewest steps. The doctor asks about the patient's condition and prescribes a standard test procedure, which is actually aimed at minimizing unnecessary "detours" through this common method. As soon as possible, we can grasp the type of disease of the patient and find the direction of diagnosis.

In all fairness, apart from a slightly rough approach, there is actually nothing wrong with the thinking of the doctors at the training ground. The exact type of infection is determined by a complete blood test, and the location and type of infection are confirmed by imaging tests. There's really nothing to find fault with this plan.

But the problem is that they don't have the plug-in in Sun Lien's eyes, and they don't know that this patient's problem has been planted shortly after he was born.

However, Sun Lien did not immediately find the cause of Rawls because of the status bar. In fact, more often than not, the status bar is actually more confusing.

"Just born......" Sun Lien counted the six-digit status twice on his mobile phone, and was a little helpless after confirming the time again. Chronic malnutrition ranks first among all symptoms and lasts for 180,000 hours – more than 20 years.

Rawls's father was an officer in the Tanzanian army, and in his current position, he would have been at least a mid-to-junior officer twenty years ago. The families of such officers should not be able to afford even food. Twenty years ago, little Rawls should not have been malnourished - not to mention that even if he was malnourished due to lack of food at that time, twenty years have passed, could it be that he has not been able to afford to eat? Sun Lien is hard to say elsewhere, but he went to China for military training, and the food was definitely not bad. Although it is not enough to have big fish and meat, it is definitely enough for calories and various nutrients.

Persistent malnutrition that occurs some time after birth...... Sun Lien frowned and tapped the notebook in his hand with a pen. The disease he can think of most appropriately is celiac disease (gliatinous enteropathy). But the disease is too obvious and not uncommon. Rawls should not have been undiagnosed until now - if it was celiac disease, long-term diarrhea and abdominal pain would definitely be discovered by other comrades. Even if Rawls didn't know it, Liu Chuang, who had a serious face, would definitely tell him.

Sun Lien stopped tapping his hand on the notebook, and he revisited the order of the status bars he had secretly recorded, and vaguely felt that something was not quite right.

"Dr. Sun. There were three slams at the door, and then there was a loud shout, "Report!"

Sun Lien was frightened by this sonorous figure, and the vague inspiration in his mind was suddenly frightened and flew out of the clouds.

"Who...... Who?" Sun Lien stood up tremblingly and cautiously opened the door to the conference room. The serious-looking Liu Chuang appeared in front of him again.

"Dr. Sun. Liu Chuang said with a serious face, "I just received a notice from the chief that the superior chief attaches great importance to the situation of the Rawls trainees, and they will arrive at the hospital in about an hour." ”

“...... What?" Sun Lien didn't understand.

Liu Chuang sighed, "The vice principal of our school is coming to visit the patient. ”

Sun Lien nodded with some hesitation, "...... That...... Then come on. He quickly reacted to a reminder, "There may be times when it is inconvenient to visit in the emergency room." We also refuse to visit patients if they are unstable. I hope you can understand this. ”

Liu Chuang nodded, "Don't worry, we will definitely obey the doctor's command." ”

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"This is already moderate anemia. Yuan Ping'an was holding Rawls's routine blood report in the emergency room, looking at the data on it and frowning, he cast a pleading look at Dr. Pascal, "The level of 8.4g/dl should be considered moderate anemia for black people, right?"

Dr. Pascal frowned slightly, "This is not an easy issue to mention in the United States. ”

Yuan Ping'an thought for a while before asking cautiously, "Because...... Racial issues?"

Dr. Pascal sighed, "Fortunately, we're in China now. He thought for a moment and whispered, "I remember that African Americans had hemoglobin levels about 20 to 30 percent higher than white Americans. ”

"That is to say......" Yuan Ping'an quickly calculated with a pen, "his current hemoglobin content is about the same as a Caucasian only 5.88g/dl?" Yuan Ping'an said more and more nervous, according to domestic standards, 8.4g/dl is considered moderate anemia, and it is not too serious of the kind of moderate anemia - after all, less than 9g/dl is considered the category of moderate anemia. But the level of 5.88 is much more serious, which has reached the point of moderate anemia.

"I don't think you can make such a direct comparison, but you're right to be worried. Dr. Pascal sighed, "His anemia may be a little more severe than what we've seen." ”

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"The red blood cells in suspension are already hooked. After Yuan Ping'an arranged the treatment content, he came to report the situation to Sun Lien, "According to the current situation, I first arranged four units of infusion for him. ”

Sun Lien nodded, but did not delve into why moderate anemia requires four units of suspended red blood cells. One unit of suspension red blood cells can increase the amount of hemoglobin in a normal person by 1 g/dl, and according to this treatment regimen, Rawls's moderate anemia can be directly corrected to a level of 12.4 g/dl – that is, normal.

"Doctor Sun, what are you looking at?" Yuan Ping'an looked at Sun Lien writing and drawing in the notebook in his hand, and suddenly became interested.

"I'm writing about symptoms. Sun Lien put down the notebook in his hand, walked to the whiteboard in the conference room and began to write. This method I learned from a cram school in high school is actually quite useful. Writing these symptoms on a whiteboard can be useful in both diagnosis and reasoning.

"First of all, the symptoms we can see include possible malnutrition. Sun Lien deliberately emphasized another sentence, "We can't confirm the situation of the patient's parents for the time being, so let's put a question mark first." ”

Rawls's height and weight are there, even if he is a Chinese, this figure is definitely not a "standard". Not to mention being a black man.

"Then we knew he had pneumonia. Sun Lien wrote down Rawls's blood routine three days ago and today's blood routine results on the whiteboard. "Three days ago, his haemoglobin count was 12.7 g/dl, which was normal. But today's results are worse, falling to 8.4g/dl. ”

Yuan Ping'an immediately raised his hand, "Doctor Sun, there is something wrong here. ”

Sun Lien stopped the pen in his hand, looked at the information in his hand, and then looked at the whiteboard, and didn't find that he had written anything wrong.

"Rawls is black. "His hemoglobin content is about 20 to 30 percent higher than we should be." ”

Sun Lien raised his eyebrows and turned to look at the HB 12.7g/dl data three days ago.