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Chapter 138 Standard

The reason why the standard process exists is that it can discover as many problems as possible with the least steps. Doctors ask about the patient's condition and prescribe standard examination procedures. The purpose is actually to minimize unnecessary "detours" through this common method. Master the patient's disease type as soon as possible and find the diagnosis direction.

To be fair, except that the methods are a little rough, the doctors in the training center hospital actually have no problem with their thinking. Judging the type of infection is based on blood routines, and using imaging examinations to confirm the location and type of infection. In fact, there is nothing to be picky about in this solution.

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

However, Sun Lien did not immediately find the cause of Rawls because of the status bar. In fact, the status bar actually brings greater confusion.

"Just born..." Sun Lien calculated the six-digit status twice on his mobile phone, and felt helpless after confirming the time again. Chronic malnutrition ranks first among all symptoms, and lasts for up to 180,000 hours - that is, it has been more than twenty years.

Rawls' father was an officer in the Tanzanian army. With his current position, he should have been at least a middle- and low-level officer twenty years ago. The family of such an officer should not be able to afford to eat. Rawls, who was born twenty years ago, should not be malnourished - not to mention that even if it was malnourished due to food scarcity at that time, twenty years have passed. Could it be that he can't afford to eat? Sun Lien is hard to say elsewhere, but when he went to China for military training, the food was absolutely not bad. Although big fish and meat are not enough, the calories and various nutrients are definitely enough.

Continuous malnutrition, and it only happened within a period of time after birth... Sun Lien frowned and knocked his notebook on his hand with a pen. The disease that he could think of was celiac disease (gel enteropathy). But the manifestation of this disease was too obvious and not rare. Rawls should not have been delayed until now. If it was celiac disease, long-term diarrhea and abdominal pain would definitely be discovered by other comrades. Even if Rawls himself didn't know, the serious and serious Liu Chuang would definitely tell him.

Sun Lien stopped and tapped the notebook. He reexamined the order of the status bar he had secretly recorded, vaguely feeling that something was wrong.

"Doctor Sun." There were three sounds of pressing the door at the door, and then a loud shout came, "Report!"

Sun Lien was frightened by this loud figure, and the inspiration that had just looked vaguely in his mind was suddenly frightened and flew out of the sky.

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

"Doctor Sun." Liu Chuang said seriously, "I just received a notice from the chief that the superior chief attached great importance to the situation of Rawls students. 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 hesitantly, "...then...then come." He quickly reacted and wanted to remind him, "There may be inconvenient visits in the rescue room. If the patient's condition is unstable, we will also refuse to visit. I hope you can understand this."

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

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"This is already moderate anemia." Yuan Ping'an held Rawls' blood routine report in the rescue room, frowned at the data above, and cast a look at Dr. Pascal for help, "The level of 8.4g/dl should be considered moderate anemia for black people, right?"

Dr. Pascal frowned slightly, "This is not an easy question to be mentioned in the United States."

Yuan Ping'an thought about it for a while before asking carefully, "Because...racial issues?"

Dr. Pascal sighed, "Fortunately, we are in China now." He thought for a moment and whispered, "I remember the hemoglobin level of african    americans is about 20% to 30% higher than that of whites."

"That is to say..." Yuan Ping'an quickly calculated with a pen, "His current hemoglobin content is about the level of only 5.88g/dl for a white person?" Yuan Ping'an became more and more nervous as he spoke. According to domestic standards, 8.4g/dl is considered moderate anemia, and it is the type of moderate anemia that is not too serious - after all, it is considered moderate anemia only if it is below 9g/dl. But the level of 5.88 is much more serious, and this has reached the point of moderate anemia.

"Although I don't think you can compare it so directly, your concern is right." Dr. Pascal sighed. "His anemia may be a little more serious than the reports we have seen."

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"The suspended red blood cells have been hung up." After Yuan Ping'an arranged the treatment content, he came to report to Sun Lien. "According to the current situation, I will arrange the infusion volume of four units for him first."

Sun Lien nodded, but did not go into detail why moderate anemia requires four units of suspended red blood cells. One unit of suspended red blood cells can increase the amount of hemoglobin in normal people by 1g/dl. According to this treatment plan, Rawls' moderate anemia can be directly corrected to a level of 12.4g/dl - that is, to return to 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 immediately became interested.

"I'm writing about symptoms." Sun Lien put down the notebook in his hand, walked to the front of the whiteboard in the conference room and started writing. This method learned from the high school cram school is actually very useful. Writing these symptoms on the whiteboard is very useful in helping diagnose and reasoning.

"First of all, the symptoms we can see include possible malnutrition." Sun Lien specifically emphasized, "We are not able to confirm the patient's parents' situation for the time being, so I'll give a question mark first."

Rawls' height and weight are there. Even if he is a Chinese, his figure is definitely not a "standard". What's more, he is a black man.

"Then we knew he had pneumonia." Sun Lien wrote down Rawls' blood routine three days ago and the blood routine results today. "Three days ago, his hemoglobin count was 12.7g/dl, which was normal at that time. But today's results were relatively poor, and it had fallen 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, but did not find that he had written something wrong.

"Rolls is black." Yuan Ping'an learned and sold it now, "his hemoglobin content is about 20% to 30% higher than we should."
Chapter completed!
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