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Chapter 29 Recheck

Is there something wrong with the status bar? Sun Lien felt a chill in his heart, and he even felt a little regretful. He regretted relying too much on the status bar prompts, regretted that he placed the patient's health on hallucinations, and regretted that he underestimated the disease too much.

"Don't panic." Liu Tangchun's voice was calm and firm, "What should the patient do if you are panic?"

"Director Liu..." Sun Lien said with a checklist and forced himself to calm down, "The patient's five infectious diseases are all negative."

Liu Tangchun took the test form and took a look, shook his head and said, "Syphilis and hepatitis B are used for rapid tests, and there is a possibility of false negatives. Considering that the symptoms of the patient should be in the end stage of a certain hepatic disease, and this disease can also affect the brain. You should continue to do other tests to confirm the cause."

This is why the qualified attending doctor is more valuable. Liu Tangchun's judgment of this patient is almost consistent with Sun Lien's conclusion through the status column. The only difference is that Deputy Director Liu does not have any status column to support his point of view.

"Doing lumbar puncture and taking spinal fluid for testing." Sun Lien gave instructions, "Getting liver biopsy packs and preparing to extract liver tissue biopsy."

"You are really brave." Brother Luo of the imaging department shouted. He leaned over to Sun Lien and lowered his voice, "Brother, just take a few injections when you vent your anger. There is a risk in liver biopsy. The family members don't agree. You can't do it."

Sun Lien said helplessly, "I look like I'm taking revenge on my own? He is a patient, and his mental disorders are caused by the disease. What's the point of holding a grudge?"

"What about family issues?" Liu Tangchun interrupted, "Have his family arrived? What are you going to tell them?"

Sun Lien thought for a while and said in confusion, "What else can I say? Let me explain to them the danger and importance of biopsy..."

"Then you just wait for your family to make a big fuss, find a relationship and need to be transferred to the hospital, and delay the treatment process and time." Liu Tangchun raised his eyebrows, "At work, we must pay attention to methods."

Sun Lien was a little confused.

"Look, the reason is very simple." Liu Tangchun pointed to Zheng Xiaoyu lying on the hospital bed. "He is now seriously ill. Our Fourth Central Hospital mainly focuses on emergency departments. Although Ningyuan Medical College is backed by internal medicine and neurology, it is not as good as those old comprehensive hospitals."

Although the words were not very nice, this was the fact. Sun Lien nodded hesitantly.

"However, the patient's condition does not allow the family to continue to delay." Liu Tangchun sighed with regret. "Of course, from an administrative perspective, the best option at present is to transfer the patient to the hospital. When the condition worsens, he has nothing to do with us. But we are doctors and cannot just start from the perspective of "avoiding trouble". In order to get the patient's most timely treatment, sometimes when communicating with the patient's family, we should pay attention to the methods."

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

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

Sun Lien took the notice and showed a embarrassed expression on his face, "Our leader also attaches great importance to this patient. He has done a round of examinations that can be done in advance, which are not very harmful. But there is still no definite conclusion."

"What are you doing for?" The middle-aged woman was really angry as Sun Lien expected. "I was fine when I left home in the morning, why did you get treated like this when I arrived at the hospital?!"

"Calm down first." Sun Lien pressed his hands twice in the air, and asked in a low voice, "You... know what Zheng Xiaoyu is doing in the hospital today? Have he told you what he is feeling uncomfortable in his body?"

"No." The middle-aged woman quickly became suspicious, "What did he do?"

"He has been detained as an experienced dermatology and venereology doctor in our hospital." Sun Lien pretended to have a somewhat unspeakable expression, "Have you...have you...have you...any physical discomfort in that aspect over the years?"

The middle-aged woman's face turned from red to white, and from white to purple. Her fists were clenched, and her teeth were creaking. After a while, she squeezed out a curse from the cracks of her teeth, "There is no good thing for men!"

"I strongly recommend that you have a physical examination too. If you have... other partners, it is best to notify them to come to the hospital for a test." Sun Lien scratched his head, "We are not completely sure what the disease is causing Zheng Xiaoyu's condition is, but the results of your examination may be able to give some tips for our diagnosis."

Sun Lien successfully obtained the consent form required for the invasive examination. He looked at Zheng Xiaoyu, who was lying on the hospital bed and his face began to turn yellow, and sighed softly. "At aged, can't even use safety measures?"

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

"The yellowing of cerebrospinal fluid indicates an increase in protein." Sun Lien immediately smiled at these drops of cerebrospinal fluid. The previous result should indeed be false negative - in the late stage, it is difficult for the pale spirochetes of syphilis to detect in the blood. However, their rampant in other parts of the body will eventually leave clues.

"We found you." Sun Lien smiled so happily. Brother Luo, who was holding an ultrasound probe next to him and was about to guide the liver biopsy, couldn't help but cough twice, lowered his voice, "Put down the thing quickly. Your expression is particularly perverted now, do you know?"

Sun Lien carefully covered the test tube lid and then relaxed. He smiled and explained to Luo Ge, "You can tell that there is something wrong with this cerebrospinal fluid at a glance. If you can find something in question, it means that the diagnosis will progress. Of course I am happy."

"Then don't laugh so ungraceful." Brother Luo coughed twice again. After watching Zheng Xiaoyu being put back on the flat position, he asked, "How about it, should you come for the biopsy or let other doctors come?"

"It must be me. It's so rare for a biopsy that the patient won't complain about!" Sun Lien changed into a pair of gloves and tore out a special biopsy needle from the plastic-sealed plastic bag. Then he picked up the syringe that filled the lidocaine in advance and started to do local anesthesia for the patient.

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

"What trouble?" Sun Lien responded, but his hands still did not stop. Two milliliters of lidocaine were evenly injected into the tissue around the biopsy site.

"This is a coma patient." Luo Ge sighed, "Do you know what are the benefits of a coma patient?"

"Uh..." Sun Lien put down the acupuncture needle and said curiously, "What's the benefit?"

"This means they are not afraid of pain. They will not shout. But since you have finished doing the slap, just pretend I didn't say it." Brother Luo laughed twice. "Okay, let's start."
Chapter completed!
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