I can see the status bar
Chapter 312 Sun Lien's Reasoning
Chapter 312 Sun Lien's Reasoning
The answers to many reasoning stories always seem so illusory and ethereal before they are revealed, but once the detective with a pipe in his mouth narrates it in the fireplace and the single-back sofa, readers often have two feelings-"This is also okay." ?” “…That’s right!”
If Rawls's illness is written as a story, then the current readers will most likely still be at a loss, "What does the author want to say?"
The two original documents Sun Lien found were the basic evidence to prove his inference.His reasoning still needs to be proven by decisive evidence, but these two original blood routines are the prerequisite for his entire diagnosis—if the two blood routines are not quickly obtained by an analyzer, Sun Lien's bold speculation It's just a ghostly phantom.
"Two hours?" The suppressed General Peng frowned, "Dr. Sun, if you feel that you don't have the ability to judge the condition, I can get someone to prepare for transfer right now." He thought that Sun Lien was I'm giving up on myself.
Sun Li'en smiled and shook his head, "I have some thoughts about his illness now, if the test results later are different from what I imagined, then I will be considered incapable." He said to General Peng, "If you have other things You can go first, I will arrange an inspection - the new inspection results will come out within two hours."
"So... what do you understand?" Xu Yourong stood at the door of the small conference room. As soon as Sun Lien went out, he was startled by Deputy Chief Physician Xu's ambush.Xu Yourong didn't make any jokes because of Sun Lien's almost falling, she asked Sun Lien very seriously, "I have discussed with Dr. Yuan and Zhou Ce for a long time, but we still don't know what is wrong with this patient. question."
Sun Li'en supported the wall and slowly climbed up. He pulled back half of the soul that had floated out of his mouth with his thoughts, and sighed, "Sister Xu, scaring people can scare people to death." The drug dealer's feeling of being scared to death returned to Sun Lien's body. Without looking in the mirror, Sun Lien could guess that his head must be in a state of "excessive adrenaline secretion".
"Your sudden inspiration is scary." Xu Yourong seemed to have been really hit - although it didn't look like it on the outside. "The three of us, and even Rachel together don't have a reliable guess direction. You dare to say that you can find out the reason in two hours..."
Sun Li'en had no choice but to correct Xu Yourong's misunderstanding, "I mean, my guess can be confirmed within two hours, if it is not confirmed after more than two hours, then there is no need to keep others in vain Time—I have no other ideas anyway."
Xu Yourong was stunned for a while, "So you're planning to put all your eggs in one basket and smash everything?"
"The first half is correct, but the second half is not what I said." Sun Lien corrected Xu Yourong's idiom usage dumbfounded, "I am quite confident about this guess."
"What exactly is it?" Xu Yourong couldn't help it anymore, "Is it hemolysis in blood vessels caused by pneumonia?"
"No, actually, if you consult with Dr. Pascal instead of a few of them, you might be able to discuss the answer." Sun Lien smiled very meanly, very embarrassed, "foreigners always say that you can't care about skin color , can’t care about race. But they always overcorrect—this patient’s biggest characteristic is just ignored, and he is black.”
"Is it related to race?" Xu Yourong was a little dazed, "But the theory of race..."
Sun Lien was dumbfounded and interrupted Xu Yourong's speech for the third time, "I'm talking about objectively existing physiological differences, not the basis for genocide. He is black, so his hemoglobin content should be about 15% to 30% higher than ours." %. Also because he is black living in a falciparum malaria area, a population that has evolved a physiological defense against malaria."
Xu Yourong suddenly realized, and said in unison with Sun Lien, "Sickle cell disease!"
Although he knew the answer, Xu Yourong still didn't quite believe in Sun Lien's judgment. "Shouldn't it? Didn't you do blood routine twice? The sickle-shaped red blood cells are obvious under the microscope..."
Sun Lien took out the two blood routine checklists in his hands, "That's why I dared to make this kind of speculation after seeing these two checklists. Whether it's the hospital stationed in the training ground or the laboratory department of our hospital The routine blood test reports all use blood cell analyzers."
The blood cell analyzer is a good thing. The five-differentiation blood cell analyzer is used in the training field hospital and the laboratory department of the Fourth Central Hospital.Only about 20 microliters of peripheral blood is needed, and the analyzer can report 1 blood cell indexes of the patient within 15 minute, and report the whole blood C-reactive protein index within 3 minutes.Fast speed, high accuracy, and complete items.This greatly relieves laboratory doctors from making blood smears and then counting the cells under a microscope.At the same time, because the number of blood samples required is small, it can also save patients more pain.But most importantly, most of the blood test items can be completed within 3 minutes. This speed of response makes the blood cell analyzer a life-saving artifact in the emergency department.
The problem, however, is that hematology analyzers cannot discern shape defects in red blood cells.
Although more advanced blood cell analyzers can already identify abnormal cell tissues such as huge platelets, sickle cells still do not belong to the scope of blood cell analysis.Generally speaking, the diagnosis of patients with sickle cell disease or sickle cell anemia still relies on the eyes of laboratory doctors.Unless sickle cells are seen in the blood smear, it is impossible for the laboratory to report this symptom to the doctors.
The training ground hospital and the Laboratory Department of the Fourth Central Hospital fell into this blind spot.The content detected by the blood cell analyzer could not completely cover Rawls' symptoms, and also covered up his main disease.This error keeps doctors circling the dead end of infections and autoimmune diseases.The most frustrating thing is that sickle cell disease and sickle cell anemia are very rare diseases in China.The disease has the highest incidence in Africa.
According to research, the medical community generally believes that sickle cell disease is caused by the replacement of the sixth amino acid glutamic acid in the β chain of the patient's chromosome by valine, forming abnormal hemoglobin S, and replacing normal hemoglobin.As the partial pressure of oxygen drops, hemoglobin S molecules interact to form a helical shape, which distorts otherwise normal red blood cells into sickle cells.And because the mechanical shape of sickle cells changes, the cells themselves are more prone to hemolysis, or symptoms such as blocked capillaries.
Someone in the group guessed the symptoms correctly, so... need to add more (crash)
(End of this chapter)
The answers to many reasoning stories always seem so illusory and ethereal before they are revealed, but once the detective with a pipe in his mouth narrates it in the fireplace and the single-back sofa, readers often have two feelings-"This is also okay." ?” “…That’s right!”
If Rawls's illness is written as a story, then the current readers will most likely still be at a loss, "What does the author want to say?"
The two original documents Sun Lien found were the basic evidence to prove his inference.His reasoning still needs to be proven by decisive evidence, but these two original blood routines are the prerequisite for his entire diagnosis—if the two blood routines are not quickly obtained by an analyzer, Sun Lien's bold speculation It's just a ghostly phantom.
"Two hours?" The suppressed General Peng frowned, "Dr. Sun, if you feel that you don't have the ability to judge the condition, I can get someone to prepare for transfer right now." He thought that Sun Lien was I'm giving up on myself.
Sun Li'en smiled and shook his head, "I have some thoughts about his illness now, if the test results later are different from what I imagined, then I will be considered incapable." He said to General Peng, "If you have other things You can go first, I will arrange an inspection - the new inspection results will come out within two hours."
"So... what do you understand?" Xu Yourong stood at the door of the small conference room. As soon as Sun Lien went out, he was startled by Deputy Chief Physician Xu's ambush.Xu Yourong didn't make any jokes because of Sun Lien's almost falling, she asked Sun Lien very seriously, "I have discussed with Dr. Yuan and Zhou Ce for a long time, but we still don't know what is wrong with this patient. question."
Sun Li'en supported the wall and slowly climbed up. He pulled back half of the soul that had floated out of his mouth with his thoughts, and sighed, "Sister Xu, scaring people can scare people to death." The drug dealer's feeling of being scared to death returned to Sun Lien's body. Without looking in the mirror, Sun Lien could guess that his head must be in a state of "excessive adrenaline secretion".
"Your sudden inspiration is scary." Xu Yourong seemed to have been really hit - although it didn't look like it on the outside. "The three of us, and even Rachel together don't have a reliable guess direction. You dare to say that you can find out the reason in two hours..."
Sun Li'en had no choice but to correct Xu Yourong's misunderstanding, "I mean, my guess can be confirmed within two hours, if it is not confirmed after more than two hours, then there is no need to keep others in vain Time—I have no other ideas anyway."
Xu Yourong was stunned for a while, "So you're planning to put all your eggs in one basket and smash everything?"
"The first half is correct, but the second half is not what I said." Sun Lien corrected Xu Yourong's idiom usage dumbfounded, "I am quite confident about this guess."
"What exactly is it?" Xu Yourong couldn't help it anymore, "Is it hemolysis in blood vessels caused by pneumonia?"
"No, actually, if you consult with Dr. Pascal instead of a few of them, you might be able to discuss the answer." Sun Lien smiled very meanly, very embarrassed, "foreigners always say that you can't care about skin color , can’t care about race. But they always overcorrect—this patient’s biggest characteristic is just ignored, and he is black.”
"Is it related to race?" Xu Yourong was a little dazed, "But the theory of race..."
Sun Lien was dumbfounded and interrupted Xu Yourong's speech for the third time, "I'm talking about objectively existing physiological differences, not the basis for genocide. He is black, so his hemoglobin content should be about 15% to 30% higher than ours." %. Also because he is black living in a falciparum malaria area, a population that has evolved a physiological defense against malaria."
Xu Yourong suddenly realized, and said in unison with Sun Lien, "Sickle cell disease!"
Although he knew the answer, Xu Yourong still didn't quite believe in Sun Lien's judgment. "Shouldn't it? Didn't you do blood routine twice? The sickle-shaped red blood cells are obvious under the microscope..."
Sun Lien took out the two blood routine checklists in his hands, "That's why I dared to make this kind of speculation after seeing these two checklists. Whether it's the hospital stationed in the training ground or the laboratory department of our hospital The routine blood test reports all use blood cell analyzers."
The blood cell analyzer is a good thing. The five-differentiation blood cell analyzer is used in the training field hospital and the laboratory department of the Fourth Central Hospital.Only about 20 microliters of peripheral blood is needed, and the analyzer can report 1 blood cell indexes of the patient within 15 minute, and report the whole blood C-reactive protein index within 3 minutes.Fast speed, high accuracy, and complete items.This greatly relieves laboratory doctors from making blood smears and then counting the cells under a microscope.At the same time, because the number of blood samples required is small, it can also save patients more pain.But most importantly, most of the blood test items can be completed within 3 minutes. This speed of response makes the blood cell analyzer a life-saving artifact in the emergency department.
The problem, however, is that hematology analyzers cannot discern shape defects in red blood cells.
Although more advanced blood cell analyzers can already identify abnormal cell tissues such as huge platelets, sickle cells still do not belong to the scope of blood cell analysis.Generally speaking, the diagnosis of patients with sickle cell disease or sickle cell anemia still relies on the eyes of laboratory doctors.Unless sickle cells are seen in the blood smear, it is impossible for the laboratory to report this symptom to the doctors.
The training ground hospital and the Laboratory Department of the Fourth Central Hospital fell into this blind spot.The content detected by the blood cell analyzer could not completely cover Rawls' symptoms, and also covered up his main disease.This error keeps doctors circling the dead end of infections and autoimmune diseases.The most frustrating thing is that sickle cell disease and sickle cell anemia are very rare diseases in China.The disease has the highest incidence in Africa.
According to research, the medical community generally believes that sickle cell disease is caused by the replacement of the sixth amino acid glutamic acid in the β chain of the patient's chromosome by valine, forming abnormal hemoglobin S, and replacing normal hemoglobin.As the partial pressure of oxygen drops, hemoglobin S molecules interact to form a helical shape, which distorts otherwise normal red blood cells into sickle cells.And because the mechanical shape of sickle cells changes, the cells themselves are more prone to hemolysis, or symptoms such as blocked capillaries.
Someone in the group guessed the symptoms correctly, so... need to add more (crash)
(End of this chapter)
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