I Can See Health

Enter 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.

At this time, there was only one young doctor busy in the office.

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

The young doctor immediately raised his head with an apology on his face, "I'm sorry, teacher, our director hasn't come here yet. Please go and sit in the classroom 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!

Most of the doctors who came to discuss difficult cases were deputy chief physicians, and a few were senior attending doctors.

Why is there a young doctor in the cardiology department?

Lu Chen didn't notice the strange look in the young doctor's eyes, and just nodded slightly: "It's okay, I'll go and wait."

"The classroom is at the back." The young doctor pointed to the back.

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

"Yesterday...the girl..." the young doctor was stunned for a moment, "you mean the one who took the medicine?"

"Yes!" Lu Chen nodded.

"It seems to be in bed 3."

"Okay, thanks."

…

Lu Chen left the doctor's office and did not go to the classroom immediately. Instead, he went to see the girl from yesterday first.

ICU beds are easy to find, with a total of more than ten beds.

Lu Chen immediately found bed No. 3.

Lying on the hospital bed was indeed the girl who was in the emergency department yesterday.

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

The health value is much better than when I 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 was still running.

"Aren't you awake yet?" Lu Chen frowned slightly.

The longer you sleep, the lower the chance of waking up.

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

Each ICU bed is guarded by a nurse.

The nurse on bed No. 3 was quite surprised to see a strange doctor standing motionless in front of her.

"Excuse me, are you..." the nurse said.

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

"The difficult cases are discussing bed 8, not this bed." The nurse was a little confused.

"Oh, I know." Lu Chen said quickly, "I consulted this little girl 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 about it for a while and took medicine."

"Is she... awake?" Lu Chen still asked with some persistence, thinking that the girl might have woken up and was just sleeping now.

"Not yet." The nurse shook her head.

When Lu Chen heard this, he sighed softly.

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

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

"Because all 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 girl on the hospital bed and encouraged her in his heart.

…

After watching the girl in bed No. 3, Lu Chen came to the demonstration classroom.

At this time, several doctors who came to discuss the matter had already arrived in the demonstration classroom.

For such difficult case discussions of a hospital-wide nature, people from all departments related to the disease are sent here.

Of course, there are also several departments that require admission, 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 patient case information to the consulting doctors.

Lu Chen also took a portion.

"Teachers, you can familiarize yourself with the patient's condition before the discussion begins." The young doctor smiled.

"I'm talking about Su Zhengwen, when will your director arrive?" One of the older consultant doctors asked the young man, "Everyone has something to do. Please finish the discussion early and go back early."

Su Zhengwen rubbed his head awkwardly, "He's on the way. He went to another department to consult a serious patient and will be back soon."

Lu Chen didn't pay attention to everyone's chat. He began to look through the patient's case information.

…

The patient is a middle-aged man who has had high fever for 8 months.

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

After being admitted to the hospital, his condition rapidly worsened and he was transferred to the ICU of the No. 1 Hospital in Shanghai when he became critical.

Lu Chen looked 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.

Starting from the day before yesterday, the patient's hemoglobin dropped, and his platelets plummeted.

Three days ago, the platelet count was 43*109/l.

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

…

Lu Chen read the entire case information.

At this time, the director of the ICU department also came back.

Doctors from other relevant departments were present for discussion.

Everyone gathered and sat together.

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

"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 can introduce the condition to everyone first."

"Okay." Su Wenzheng stood up immediately and turned on the projector.

For this discussion, he also made a brief disease introduction ppt.

After about ten minutes of briefing on the condition, Su Wenzheng sat down.

"The introduction to the condition is over, let's go see the patient first." The ICU director waved his hand and took everyone to the ward to conduct a physical examination and consultation on the patient.

As a young doctor, Lu Chen followed behind everyone.

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

Because there are many doctors participating in case discussions, not all doctors have the opportunity to conduct a physical examination on the patient.

Otherwise, if everyone checks 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 to the classroom from the ward.

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

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

"The reason why we invite everyone here is mainly to discuss the patient's diagnosis. Are there any other possibilities? Because such a long treatment does not have much effect. On the contrary, the patient's laboratory indicators are gradually getting worse."

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

…

As soon as he finished speaking, the first person to speak was the consultant doctor from the respiratory department.

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

"As for the next treatment plan, I think we still need to upgrade the antibiotics!"

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

.