Chapter 709: Is She Asleep?

Entering the ICU.

Lu Chen put on a cap, a mask, an isolation suit, and shoe covers.

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

Arrived at the doctor's office.

At this time, there was only a 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 and apologized, "I'm sorry, teacher, our director hasn't come yet. Please go to the demonstration room and sit for a while. When our director comes, the discussion will start immediately."

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

So young!

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

Why did a young doctor come to the Department of Cardiology?

Lu Chen didn't notice the strange look of the young doctor, but just nodded slightly: "It's okay, I'll go and wait for a while."

"The demonstration room 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, there should be a girl of about 16 or 17 transferred to the emergency department yesterday. Which bed was she in?"

"Yesterday... girl..." The young doctor was slightly stunned. "Are you talking about the one who took medicine?"

"Yes!" Lu Chen nodded.

"It seems to be in bed 3."

"Okay, thank you."

...

Lu Chen left the doctor's office and did not go to the demonstration room immediately, but went to see the girl from yesterday first.

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

Lu Chen found bed No. 3 at once.

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

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

The life value is much better than when she was in the emergency department yesterday, it has reached 42!

The trend of the change in 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.

"Not awake yet?" Lu Chen frowned slightly.

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

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

Each bed in the ICU is guarded by a nurse.

The nurse of bed No. 3 was quite surprised to see a strange doctor standing in front of her without moving.

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

Lu Chen came back to his senses, "That... I am a doctor in the cardiology department, and I am here to discuss difficult cases."

"The difficult cases discussed are for 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 to see her."

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

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

"Not yet." The nurse shook her head.

Hearing this, Lu Chen sighed softly.

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

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

"Because her indicators are improving, her blood oxygen saturation is rising, and her blood pressure is stable." The nurse said.

"I hope so."

Lu Chen looked at the girl on the bed, and cheered her up in his heart.

...

After seeing the girl in bed No. 3, Lu Chen came to the demonstration room.

At this time, several doctors had come to the demonstration room to discuss.

For a difficult case discussion like this for the whole hospital, only the departments related to the condition sent people.

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

However, Lu Chen didn't know any of the people present.

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

Lu Chen also took one.

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

"Su Zhengwen, when will your director arrive?" One of the older consulting doctors asked the younger one, "Everyone has something to do, let's finish the discussion and go back early."

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

Lu Chen didn't pay attention to the chat of the crowd. He began to look through the patient's medical records.

...

The patient was a middle-aged man with a high fever for 8 months.

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

After this hospitalization, his condition worsened rapidly and he was transferred to the ICU of the First Hospital of Shanghai in critical condition.

Lu Chen looked through his auxiliary examination reports.

Erythrocyte sedimentation rate, C-reactive protein, D-dimer, fibrinogen, IL-6, and procalcitonin were all very high!

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

Since the day before yesterday, the patient's hemoglobin has dropped, and platelets have dropped sharply.

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

2 days ago, the platelet count 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 procalcitonin and other inflammatory indicators 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.

.