I Can See Health

   Chapter 713 She, fell asleep? (fifth more)

   Enter the ICU.

  Lu Chen put on a hat, mask, isolation gown, and shoe covers.

   The outfit was a bit bloated, and Lu Chen was not used to it for a while.

   Come to the doctor's office.

   There was only one young doctor working in the office at this time.

   "Hello, I'm from the Cardiology Department. I'm here to participate in the discussion of difficult cases." Lu Chen said softly.

  The young doctor immediately raised his head and looked apologetic, "I'm sorry, teacher, our director hasn't come yet. You should go to the classroom and sit for a while. When our director comes, the discussion will begin immediately."

   However, when the young doctor saw Lu Chen, he was also startled.

   So young!

   The doctors who came to discuss difficult cases were mostly deputy chief physicians, and a few were senior attending physicians.

  Why is there a young doctor in the Cardiology Department?

  Lu Chen didn't notice the young doctor's strange gaze, but nodded slightly: "It's alright, I'll wait for a while."

   "Instruct the classroom to be at the back." The young doctor pointed to the back.

   "Okay, thank you." Just as Lu Chen was about to leave, he stopped again, "By the way, may I ask, a 16- or 17-year-old girl should have been transferred to the emergency department yesterday. Which bed is she in?"

   "Yesterday...girl..." The young doctor was taken aback for a moment, "You mean the one who took medicine?"

   "Yes!" Lu Chen nodded.

   "It seems to be in 3 beds."

   "Okay, thanks."

  …

  Lu Chen left the doctor's office. Instead of going to the classroom immediately, he went to see the girl from yesterday.

   ICU beds are easy to find, there are more than ten beds in total.

  Lu Chen found bed number 3 at once.

   The girl lying on the hospital bed was the girl who was in the emergency department yesterday.

   She still closed her eyes and lay quietly on the bed.

   Health is much better than when he was in the emergency department yesterday, it has reached 42!

   The changing trend of life value is no longer a minus sign, but a plus sign.

  This proves that the girl's condition is slowly recovering.

  Beside the bed, the blood purification machine is still running.

   "Have you not woken up yet?" Lu Chen frowned slightly.

   The longer you sleep, the lower your chances of waking up.

   Seeing such a young child lying in the emergency room, Lu Chen felt very uncomfortable.

  Every bed in the ICU is supervised by a nurse.

  The nurse in bed 3 saw a strange doctor standing still in front of her, which was quite strange.

   "May I ask who you are..." the nurse said.

  Lu Chen came back to his senses, "That... I'm a cardiologist, here to discuss difficult cases."

   "The difficult case is talking about 8 beds, not this bed." The nurse was a little puzzled.

   "Oh, I know." Lu Chen hurriedly said, "This little girl was consulted by me in the emergency department yesterday, so I came over to take a look."

   "That's it." The nurse understood, "This little girl is really pitiful. I heard that she broke up with her boyfriend. I couldn't think of it for a while and took medicine."

   "She...was awake?" Lu Chen still asked a little reluctantly, thinking that the girl might have woken up, and now she is just sleeping.

   "Not yet." The nurse shook her head.

   Lu Chen heard the words and sighed softly.

   "But... I feel like she might wake up today." The nurse paused.

   "Huh?" Lu Chen raised his brows, "Why do you say that?"

   "Because her indicators are improving, her blood oxygen saturation has risen, and her blood pressure has stabilized," the nurse said.

   "I hope so."

  Lu Chen looked at the **** the hospital bed, cheering for her in his heart.

  …

   After reading the girl in bed number 3, Lu Chen came to the classroom.

   At this time, in the classroom, several doctors have come to discuss.

   For the discussion of difficult cases of a hospital-wide nature, only the departments related to the disease have sent people to come.

   Of course, there are also several departments that must be hired, such as the Department of Traditional Chinese Medicine, the Department of Pharmacy, etc.

   However, Lu Chen didn't know anyone here.

   The young doctor who was in the office just now was distributing the patient's case data to the consulting doctors.

  Lu Chen also took a copy.

   "Teachers can get acquainted with the patient's condition before the discussion begins." The young doctor smiled.

   "I said Su Wenwen, when will your director arrive?" One of the older consulting doctors asked the young man, "Everyone has something to do, finish the discussion early, and go back early."

  Su Zhengwen touched his head embarrassedly, "On the way, he went to another department to consult a critically ill patient, and he will be back soon."

  Lu Chen didn't care about everyone's chat, he began to read the patient's case data.

  …

   The patient is a middle-aged male with high fever for 8 months.

   He was hospitalized twice in a large local tertiary hospital and was repeatedly diagnosed: Sjögren's syndrome, autoimmune hepatitis, acute pancreatitis, sepsis, septic shock.

   After being admitted to the hospital this time, his condition deteriorated rapidly, and he was transferred to the ICU of the First Hospital of Modu.

  Lu Chen flipped through his auxiliary examination report.

   ESR, C-reactive protein, D-dimer, fibrinogen, IL-6, and procalcitonin are all very high!

  Three days ago, the patient's blood picture was basically normal.

  Beginning the day before yesterday, the patient's hemoglobin decreased, and the platelets plummeted.

  Three days ago, platelets were 43*109/L.

  2 days ago, the small board was only 17*109/L.

  …

  Lu Chen read the complete case data.

   At this moment, the director of the ICU also came back.

  The discussion doctors from other related departments have all arrived.

   All gathered and sat together.

   However, because Lu Chen was young and didn't know anyone, he sat in the last corner.

   "I'm sorry, I'm late." The director of the ICU is a middle-aged male doctor who is unsmiling. "Let's start the discussion now, Xiao Su, you'll introduce your condition first."

   "Okay." Su Wen was standing up immediately and turned on the projector.

   For this discussion, he also made a brief introduction PPT.

   After about ten minutes of medical introduction, Su Wenzheng sat down.

   "After the introduction of the disease, let's go to see the patient first." With a big wave of his hand, the director of the ICU led everyone to the ward to conduct physical examination and consultation for the patient.

  Lu Chen, as a young doctor, followed behind everyone.

   The consulting doctors from other departments thought that Lu Chen was a young doctor in the ICU undergraduate department, just came to participate in the discussion and study.

   Because there are many doctors participating in case discussions, not all doctors have the opportunity to examine patients.

  Otherwise everyone will check it again, it will waste too much time.

   Just like Lu Chen, he had no chance to get started.

   However, he still took a closer look at the patient.

  …

   Return from the ward to the classroom.

  Su Wenzheng stood up again and began to propose the topic of this discussion.

   "I believe that all the experts understand the patient's condition." Su Wenzheng said, "This patient was transferred from another hospital and is in a state of severe infection."

   "The reason why I invited everyone here is mainly to discuss the patient's diagnosis. Is there any other possibility? Because such a long treatment, there is not much effect. On the contrary, the patient's test indicators are gradually getting worse."

   "Also, do you have any comments on the next diagnosis and treatment plan?"

  …

   As soon as he finished speaking, the first person to speak was the consulting doctor from the Respiratory Department.

   "First of all, I think that because procalcitonin and other inflammatory indicators are very high, it should be septic shock, and there may be a tendency to start DIC, resulting in a drop in hemoglobin and a sharp drop in platelets."

   "As for the next treatment plan, I think it is still necessary to upgrade antibiotics!"

  Lu Chen frowned slightly, thinking that things might not be so simple.

   (end of this chapter)