What is hospitalization? Although most people think that sleeping in the hospital is equivalent to hospitalization. But in fact, this is a common misunderstanding.

Hospitalization mainly refers to the outpatient clinic that the patient's condition is more urgent and serious, and needs to undergo medical observation and treatment in a place with sufficient medical conditions. It sounds more difficult to say, but in a simple way, it is a treatment method that "don't run around in the hospital, so if something happens, we still have time to save you."

There are two key points in this paragraph. The first is the "hospital". The medical conditions and emergency response capabilities in the hospital are of course the best. Although the level of each hospital is slightly different, it is better than the hotel on the road or in the hotel where the wedding is about to be held. The second is "we". When the doctor sees the patient's problems, he can immediately undergo corresponding treatment and rescue. Outside the hospital... it would be nice to have a kind person to call 120. Maybe everyone thought you were extorting money and walked around.

Nowadays, in any Grade A hospital, the beds in the inpatient department must be tight. In some big cities with relatively scarce medical resources (yes, I'm talking about Shenzhen), even the second-class beds are tight. As long as you can have elective surgery, it is common to wait for one or two weeks - after the patient receives the hospitalization notice for elective surgery in the outpatient clinic, he needs to call the hospitalization department himself and make an appointment for hospitalization time with the inpatient department.

Although Zhao Mengli's condition does not require emergency surgery, it is more stressful than elective surgery. In case of further internal bleeding, she will be sent to the operating table immediately. And blood transfusions are required to correct the blood loss. In the hospitalization department, she will be the focus of nurses. In this case, she actually tried to bargain and be hospitalized tomorrow. To be honest, she is simply ignorant of life and death.

"This is definitely not possible." Sun Lien directly rejected her proposal, "You must be hospitalized for observation in your current situation. If there is further bleeding, you will immediately go to the operating table. The symptoms of internal bleeding are very hidden, you will not feel anything yourself, and others will not see it. If you really have feelings, you will faint directly. Moreover, the layman cannot see the symptoms at all. Then I will send you to the hospital? Maybe I can't even save you."

Seeing that Zhao Mengli was still dissatisfied, Sun Lien sighed and asked, "Do you know what death means?"

"You may not have seen it." Sun Lien shook his head, "I haven't been a doctor for a long time, and now I have been internship for more than a year. I have seen it several times. Sometimes fate is cruel. No matter how many methods we use, no matter how our family cooperates, they still left. The family members are very sad, and we doctors are also very sad." He shook his head and smiled with a little self-deprecating voice, "You may still not understand... But you must know that life is only once, and if you die, there will be nothing."

Zhao Mengli blinked, as if she wanted to say something, but in the end she held it back.

"During the hospitalization period, you can eat normally. But it is best to eat liquid food." Seeing that the patient had no objection, Sun Lien continued to explain the specific content. He had not sent the patient to the inpatient department before. Although he heard that the nurses in the inpatient department would explain these things to the patient, he felt that it would be better to strike while the iron was hot and explain everything that needed attention. If you arrive at the inpatient department and Zhao Mengli is lawless again, the doctors in the inpatient department could not suppress her. "Try not to cough, speak loudly, and don't try too hard when defecating. These may cause corpus luteal rupture."

"Then... could she have ruptured corpus luteum before?" asked the cuckold quickly, "She is weak and prone to coughing."

There were at least five miscarriages. If you could still be strong like a cow, there would be a ghost. Sun Lien couldn't help but complain in his heart, but he had to look thoughtful on his face, "It's possible, but it could also be caused by other diseases or impacts. There are many causes of this disease, and sometimes it's really caught up with it. Maybe it was nothing before, but now it's ruptured and bleeding." Sun Lien concluded, "This can only be said to be bad luck."

Luck is not very good. When the man was in the room, he was too rude, and the woman was excited and congested with the reproductive system, which was the main reason for the rupture of the luteal luteum. But Sun Lien could not say this, and he could only repeatedly emphasize to the cuckold man that he was "bad luck". If he had better luck, could he meet such a girlfriend? He didn't know that the grassland above his head was, and there was no other reason to explain it except for being unlucky.

The cuckold man thanked him and went to the hospitalization procedures. Sun Lien thought that Zhao Mengli was nervous when he sat in the house, and it was mainly because he really didn't want to sit with a time bomb. So he simply sent Zhao Mengli out, asked the cuckold man to borrow a wheelchair and pushed Zhao Mengli up to go to the hospitalization procedures.

After seeing off the enemy, before Sun Lien had time to drink water, Dr. Pascal walked in. He squeezed his eyes at Sun Lien, "You have started to visit the clinic, too?"

Sun Lien was still able to adapt himself. Anyway, he had just seen a patient. He was a little worried that Dr. Pascal could not bear it. After all, Dean Song said that if Lao Pa could not bear it, he would have to go to the hospital door to hang it. He quickly said to himself, "Is this the same thing in the American outpatient clinic?"

"For the sake of US dollars, we need to be much more relaxed." Dr. Pascal probably learned badly from the immunologist who was a translator for him recently, and he was familiar with capitalism. "If I could see so many patients every day in the United States, I would have moved to New York long ago."

When Sun Lien heard that Lao Pa's tone was OK, he immediately breathed a sigh of relief. "Do you have something to ask me for?"

Dr. Pascal looked at the patient who was getting more and more mentally ill, "Didn't you ask me to come?"

"Pa!" Sun Lien covered his face before he realized what he had asked Dr. Pascal to consult before. "Sorry... I'm so busy that I forgot about it."

Yang Jianqiang's examination results have not yet come out. PCR runs three samples at the same time. Even if it is operated at the same time, it will take six hours to get results. The Fourth Central Hospital still runs PCR-Elisa. If you use traditional fluorescence electrophoresis, you have to wait at least an hour.

"Your inference... is completely possible in theory." After listening to Sun Lien's diagnosis, Dr. Pascal pondered for a while and gave his own opinions. "But I also agree with Director Zhou's view that the coincidence of this diagnosis is too great. Although there is no problem in logic and onset time, it is not realistic to use this inference to treat the disease."

Sun Lien also knew this, and shook his head and said, "I don't plan to give him radiotherapy immediately. Even after the diagnosis, radiotherapy is not the first priority treatment method. But I think that with the strength of his current immune system, the only thing that can weaken Toxoplasma gondii and make him able to withstand side effects is probably the only one that can reduce the side effects of Toxoplasma gondii."

"I really don't know this," Dr. Pascal thought for a while and suddenly suggested, "I suggest you ask Rachel, who is an expert in oncology and has a deeper understanding of radiation therapy than me."

"I definitely have to ask other experts about the treatment." Sun Lien nodded, "But can we adjust his immunosuppression plan first? If we use the original means to suppress the immune system, it may reduce his current symptoms. I am worried that if his immune system continues to be active, brain hernia may soon appear."

There are now eight edema areas in Yang Jianqiang's brain. Most of the edema areas are located in the junction of gray matter and white matter. If the edema continues to develop and even becomes an abscess, the abscess in the eight areas will almost certainly cause brain hernia. In case of brain hernia, Sun Lien doesn't have to spend time asking about the feasibility of radiotherapy - just prepare to write a death certificate directly.

"The adjustment of the immunization regimen is not that simple," Dr. Pascal shook his head. "His current immunization regimen is the one with less liver toxicity. If it is suddenly adjusted to the previous regimen, it is likely to cause problems such as acute liver damage. Especially when the drug is used in combination, every time a drug is added, it may lead to more serious side effects."

"Then what else can I do?" Sun Lien was anxious. Dr. Pascal's professional skills were here. If he said it was not possible, other doctors probably wouldn't have any good solutions. Could it be that he could only watch Yang Jianqiang's condition worsen, from cerebral edema to brain hernia?

"The most direct way is to increase his current hormone dosage." Dr. Pascal's answer was unexpectedly simple. "Although long-term medication requires attention to hormone levels to prevent iatrogenic Cushing's syndrome, if it is only short-term inhibition, it is completely no problem to increase the hormone dosage."

Sun Lien blinked. He really didn't believe that the problem that had troubled him for a long time would have such a solution.

"You are a very talented doctor." Dr. Pascal looked at Sun Lien and probably guessed what Sun Lien was thinking. He smiled and patted Sun Lien on the shoulder and said, "But now, starting to contact these patients with complex conditions may not be a good thing for your growth. Over time, you will gradually forget a very important principle - the disease that patients suffer from and the treatment methods required are often very simple."

When teaching in medical school, there is a saying that "when you hear the sound of horse hooves, you should think of horses instead of zebras." This is the case. Sun Lien now has the tendency to "when you hear the sound of horse hooves, you think of giraffes." Complicating the diagnosis direction and treatment methods will cause chaos.

If a patient who is obviously just a cold, if you think that someone has severe pulmonary hypertension, then wait for complaints. If a needle spore can solve the problem, you still have to add some oseltamivir to be relieved. It is considered mild to be complained - what if there are serious side effects?

Sun Lien suddenly felt a little chilling behind his back. He was originally a little dissatisfied with Pascal's suggestion, but who knew that after calming down and thinking about it, he realized that he really had this tendency.

In general, I still don’t have good skills, thanks to Lao Pa’s personality, who is a foreigner who doesn’t care about the world, said it directly. Sun Lien sighed and nodded at Pascal, “Thank you for your guidance.”

.m.
Chapter completed!