"The patient's condition is not particularly ideal, and it's mainly because he doesn't cooperate." Professor Zhang Zhifu has obviously been here for a while. According to him, Professor Zhang was on the scene when the patient was just admitted to the emergency department. "Since he was just sent here, he seemed very irritable."

To be fair, no patient who was forced to the hospital by the police comrades was likely to be emotionally stable. Especially after seeing the restraint belt that tied the other person's limbs. But Cao Zhiquan's problem was obviously not just "irritable".

The entire rescue room was filled with Cao Zhiquan's howlings. Even though the doctor next to him had injected him with 2 ml of cediapam intravenously, he still howled in horror and anger.

Anyone with normal judgment can make a judgment from Cao Zhiquan's howling that "this person has a brain problem". Normal people will not shout "I'm not sick!" or "Someone wants to kill me!" in the hospital. More importantly, normal people will not stop shouting for a few minutes and then twitch all over.

Sun Lien observed Cao Zhiquan for a moment and shook his head, "This kind of manic situation is not suitable for our department..."

The comprehensive diagnosis center currently has sufficient doctors, but the nurses are still not enough. Once a manic patient like Cao Zhiquan, the nurses' staff will become even more scarce - not only because the nurses are not enough, but when taking care of such patients, the first choice should of course be a male nurse, but now there are only male nurses in the comprehensive diagnosis center, and only Xiao Guo is the only one.

Relying on other female nurses to take care of patients at this age of 44, it is easy to have various risks and problems. That's why Sun Lien has this statement.

"The nurse is not in staff, which is a problem that can be solved." Professor Zhang looked at Sun Lien and said seriously. "His condition may be the one that is difficult to solve." He said, taking out a thin piece of paper. "This patient may not be as interesting as I thought at the beginning - I only knew that he was prescribed citalopram by the Mental Diagnostic Center, but I did not see the diagnosis of the Jingwei Center. Their diagnosis was 'somatic disorder'."

When Cao Zhiquan was sent to the Fourth Hospital, he didn't even have an ID card on him. It was only after the police comrades obtained his fingerprint that they confirmed Cao Zhiquan's identity. The doctors in the Fourth Hospital obtained his diagnostic information with this identity information, which happened ten minutes ago.

Somatic disorder? Sun Lien frowned. This is different from what the status bar says.

Somatic disorder is a term that has only been widely used in recent years. It is a term for a syndrome with varying symptoms. Patients with somatic disorders will be extremely worried about their physical condition and continue to seek medical treatment multiple times. Most of the results of doctors and related medical examinations are "safe". Even if there are occasional examinations that support the patient's condition, these examinations cannot explain why patients are so painful and anxious - most of the time they are only very mild and early lesions. Such lesions generally do not cause any serious reactions. Even "discomfort" should be very small or even none at all.

If it is not for somatic disorder, what caused Cao Zhiquan to be diagnosed as a "somatic disorder"? Why did the doctor at Jingwei Center determine that his problem comes from the mental level rather than a tangible physical disease?

"The Jingwei Center is not the same system as us. I have asked the doctors here. They said they wanted to ask the medical staff to retrieve the medical records." Professor Zhang responded to Sun Lien's question, "The detailed cases will take a while to get..." He looked at Sun Lien's deep brow and asked tentatively, "Do you want to accept this patient?"

"Yes." Sun Lien nodded. He was a little worried about the patient's condition. At least from the prompts in the status bar, it can be confirmed that "somatic disorder" should be a misdiagnosis. Cao Zhiquan is indeed sick, and this disease has not been faced with the doctors. After many diagnosis and examinations, the doctors who did not find the problem finally diagnosed Cao Zhiquan with "somatic disorder".

If he left it alone, Cao Zhiquan would never get the treatment he deserved, and would continue to be treated as further as depression and continue to be treated incorrectly. At that time, he would not continue to scream and scream with strong sedation, but the original disease would not improve at all, but would continue to worsen - antidepressants will not have any therapeutic effect on subacute dementia and systemic muscle spasms.

Professor Zhang Zhifu looked at Cao Zhiquan who was lying on the hospital bed with some curiosity and still shouting. He didn't quite understand what changes had happened to make Sun Lien suddenly decide to take him down. But at least Dr. Sun doesn't look like the kind of doctor who would accept a patient he could not handle because of the advice of his superior doctor.

"Then take it." A few seconds later, Zhang Zhifu said seriously, "The patient's condition may be more complicated. Doctor Sun, you may have to work harder."

"It's common for this job to work hard." Sun Lien responded with a smile. He turned around and looked at Cao Zhiquan, who seemed a little tired because of the gradual effect of siadiapam. "As long as you can get good results, it's not hard."

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By the time Cao Zhiquan was admitted to the hospitalization department of the Comprehensive Diagnosis Center, it was already 1:00 a.m. the next day.

Cao Zhiquan's wife and son arrived at the emergency department at around 1:20 pm. Sun Lien and Professor Zhang Zhifu received the mother and son together.

"How long has your father been feeling uncomfortable like this?" Asking about medical history is Sun Lien's job, and Sun Lien himself is also good at finding the basis for supporting the status bar judgment during the inquiry. "Did he have a major personality change?"

"My father had a good temper before." Cao Zhiquan's son dressed quite well in a young man's position, wearing a slightly slight Shamatt style. But when he spoke, he did not have the "spiritual" temperament that was unique to the "spiritual young man". Anyway, when Sun Lien heard him speak, he felt that the young man in front of him was even a little shy. "When he worked on the construction site before, many of his colleagues said that he had no temper and was not angry no matter how he joked. Even if some people were too joking, he just told others not to do this... he never had a big face with others."

"But later there was a very obvious change in personality?" Sun Lien continued to ask, "When did it start?"

"It's been... two years?" It's obvious that Cao Zhiquan's son wasn't sure when his father's personality changed drastically. "There was a lot of obvious in the past year. He got angry because of a little bit of a small matter. Last time, he slapped me twice because I was a little stronger when I closed the door."

This change is definitely obvious enough. Sun Lien lowered his head and recorded it, thinking in his mind whether this change was caused by "subacute dementia" or "high signaling of the whole cerebral cortex diffusion-weighted imaging."

"Why did you go to Jingwei Center?" Sun Lien asked in another direction, "Have you been to other hospitals before? Why did you go to the hospital? What problems did you have?

"My father went to the hospital because he felt dizzy and had a bad memory." Cao Zhiquan's son replied, "Since he came back from Dongjiang Province for the New Year, he felt that he was particularly dizzy. In the past, he liked to talk about work to me, but after that time, what he said was not as good as before and after. Sometimes he said he was working as a bricklayer there, sometimes he said that he was a board-mounted board, and even said that he was actually responsible for being a chef on the construction site... I asked him what happened, and he lost his temper. However, he remembered everything about the past very clearly."

Memory decline, irritable personality, and may have mild delusions. Sun Lien paused for a moment, and he felt that the delusions and irritable personality in this part might have to be questioned. This is not necessarily because of Cao Zhiquan's disease, or because of emotional fluctuations caused by problems with his memory.

Professor Zhang sat quietly beside him, observing Sun Lien's questions and recording methods. And he observed some very interesting things.

Sun Lien has only said eight sentences and asked eight questions at present. But each question has received a definite response. This is rare in clinical practice.

When collecting medical history in clinical practice, the more answers heard are basically "no", "no" and "not remember", which is the most common situation for clinical inquiries. Patients have no underlying diseases in the past, no history of surgery and blood transfusion, and no history of travel... In short, it should be normal to get a negative answer.

But Sun Lien did not choose the simplest and most common inquiry. He directly started from the patient's symptoms and asked the patient's family questions. At the same time, he got the most direct and very valuable answers. This inquiry method is very different from clinical practice.

More importantly, Professor Zhang was a little confused. Why did Sun Lien ask about the important clinical symptom of "character change" when asked the first question. He was very convinced that Sun Lien did not know Cao Zhiquan before, and the Fourth Hospital has not received relevant case reports from the Jingwei Center until now. But Sun Lien asked this point... Why is this? Or, why?

"If the examination is done... I don't know much. When I went to Ningyuan Medical College's Affiliated Hospital a few times, I was still in another place to go to Jingwei Center. Later, when I went to Jingwei Center, I followed me, but the doctor at Jingwei Center did not let my mother and I go to the clinic. I don't know what examinations I did." In the following question, Cao Zhiquan's son gave the first "uncertain" answer.
Chapter completed!