Sun Lien looked at the picture, cold sweat broke out on his head. He really didn't understand why a similar scene in his dream would appear directly in reality.

Dr. Cao looked at Sun Lien's expression a little strangely, as if he had noticed something, and said embarrassedly, "Yes...... That's the case I called this afternoon...... Are you sleeping?"

So...... I would dream of this kind of scene, purely because Dr. Cao was too loud when he was on the phone, so he guided his dream? Sun Lien raised his eyebrows and didn't continue to dwell on this question. "How is the patient doing?"

"Not so good. Dr. Cao continued to nibble on the mutton in front of him, "persistent high fever, intractable anemia, acute kidney failure, jaundice, unexplained bone destruction...... He had six or seven symptoms in him that were unconnected, but they could kill him. But no matter how we take samples and culture, no matter what type of examination we do, we still don't even have a relatively reliable guess. ”

This feels familiar too. Sun Lien glanced at Dr. Cao, your voice on the phone today is really loud.

"I'm not quite sure if I can handle this patient. Sun Lien pondered for a moment and decided to tell the truth to his roommate. "Our current treatment group is mainly for patients in the emergency department. For patients from other departments, we have not yet received ...... Truth be told, very few patients are transferred from a specialist to an emergency department. I'm not sure if there are any process issues with transferring patients from other departments to us. ”

Dr. Cao looked a little disappointed, but Sun Lien's words quickly brought him back to his senses. "However, I think we can try a different direction - why don't you just call us for a consultation when you get back?"

"Good idea. Dr. Cao nodded seriously, and then glanced at Sun Lien, "Are you done eating?"

"Hmm. Sun Lien nodded, this meal of mutton tasted really good. The finger lamb looks like it has been boiled in plain water, just the color of the cooked meat. But the taste of these meats is surprisingly delicious. If it weren't for the limited capacity in his stomach, Sun Lien would never have stopped talking.

"Then let's go. Dr. Cao paid for it with his mobile phone, stood up directly and said to Sun Lien, "Go to the hospital, you first look at the patient's condition." ”

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Sun Lien was arrested after dinner, but for the sake of this mutton face, he really didn't have any complaints - after Hu Jia came back, he was going to bring his girlfriend to have another meal.

"This patient's case is here. Dr. Cao picked up a bulging folder from his desk, "You take it and take a look at it first." It's time to go to bed in the inpatient department, and I'm applying for a consultation now, and we'll go to see the patient tomorrow. ”

Sun Lien took the folder, looked at the case and muttered for a moment, "Time waits for no one, let's go and see the patient's situation first." "The status bar is only useful if you see the patient himself. Urology and other departments have been digging around for days without being able to find the problem, so the documents in hand certainly won't be of much use – at least not obviously. So let Sun Lien come to see the case, the effect will definitely not be too good.

"Go now?" Dr. Cao was stunned, and then readily agreed to Sun Lien's request, "Then let's go now, I'll trouble you." ”

Sun Lien smiled and shook his head, "Serving the people, what's the trouble." He followed Dr. Cao all the way, relying on the afterglow, and the rest of his attention was on the case in hand. Before seeing the status bar, it is very helpful to understand the basic condition of the patient through the case case, which is very helpful for later diagnosis.

The patient is 51 years old and used to work in Guangdong. After living in Guangdong Province for more than a decade, he returned to Ningyuan a month ago to visit his family. Subsequently, he developed fever, cough, sputum, coughing up blood and other symptoms, and was admitted to the fourth hospital for treatment. After three days in the hospital and two negative antibodies to Mycobacterium tuberculosis, the patient was discharged on his own – he didn't think his problem was too big.

Twenty-five days later, the patient was readmitted to the hospital. This time, in addition to his pulmonary symptoms, his problem was accompanied by an even stranger problem - his frightening amount of urine these days. Although winter makes it easy to go to the toilet, he goes there too often. But the record of 29 visits to the toilet in one day still didn't get him back to the hospital, where he came because of a sudden kidney stone attack.

If it is just a simple frequent urination, then it should be the nephrology department where Zhou Ce is located who takes over the treatment.

After the stone was resolved, the patient began to experience further symptoms such as difficulty breathing. He even broke the humerus of his right arm when he turned over in the hospital bed.

"This patient ...... Shouldn't you have transferred people to other departments a long time ago? Sun Lien looked at the case, a little confused. This patient's problem is clearly beyond the capacity of urology.

"We want to too......," Dr. Cao sighed, "but the problem is that several other departments don't think this patient is in their scope of treatment." His condition was serious, but he just didn't know which department he should be sent to. Whether it's general medicine, renal medicine, or orthopedics, endocrine, they all say they haven't seen this kind of patient. In addition, the first diagnosis responsibility system is ...... We can only refer the patient to the appropriate department after confirming the content of the patient's illness. ”

Sun was sympathetic to Dr. Cao's plight. Not long after they walked, they arrived together in the inpatient department of the Department of Urology.

"Here it is. Dr. Cao pointed to a room with a closed door, "In order to prevent him from getting some strange infectious disease, we specially arranged a single room for him. So remember to put on protective gear before you go in. ”

As in the emergency department, the protective equipment in the urology department is uniformly distributed with goggles, gloves and N95 masks. After Sun Lien put on the equipment, he pushed the door and walked in.

The patient seemed to be in good spirits, he sat up from the bed, looked at Sun Lien standing at the door and said with some confusion, "Are you?"

"I'm a doctor. Sun Lien pointed to Dr. Cao, who was also wearing equipment, "I'm here to participate in the consultation." ”

"Wu Wei, male, 51 years old. The total number of peripheral blood leukocytes increased (1588.36.31), moderate anemia (1279.44.57), increased C-reactive protein (1099.29.01), bone destruction (748.18.27), CD4 lymphocytes 217/μL......" Sun Lien looked at the long list of status bars on Wu Wei's head with some surprise. At a glance, there were at least twenty or thirty abnormal states above Wu Wei's head. In addition to the first four, there are also acute renal failure, supraclavicular lymph node enlargement, extensive inflammatory infiltrates of the lungs in both sides, tracheal submucosal polypoid nodules, and hepatomegaly.

Judging from the prompt in the status bar, it should be a patient with pneumonia and acute kidney injury caused by some kind of infection. Sun Lien recalled the case records he had read before, and during the days he was hospitalized, the urology department not only gave him many pleural effusion, peripheral blood and sputum cultures, but even used antibiotics for him based on experience. But the effect was limited — his temperature briefly returned to normal after taking cephalosporins, and the swollen supraclavicular lymph nodes went down for a few days. But before Dr. Cao could be happy for two days, his body temperature went up again.

"I'll discuss it with Dr. Xu tomorrow. After thinking about it again, Sun Lien felt that this patient's problem was indeed a bit tricky. Just looking at the status bar, Wu Wei's disease involves multiple organs such as lungs, liver, kidneys, and lymph. Although it is not reasonable to put the patient in the emergency department for treatment, if the ability of urology alone, it is definitely not possible to deal with this patient.

"Then I'm bothering you. Dr. Cao nodded earnestly, although some words were not easy to say in front of the patient. But he really didn't have a rut. If Sun and his treatment team could not figure out what was wrong with the patient, he could only persuade the patient to be discharged from the hospital voluntarily or to be transferred to a higher-level hospital, which was higher than the fourth hospital, then he could only try his luck in the capital and Shanghai.