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University Doctor and His Fragile Patients-Chapter 326 - 264: Platelet 7—Surprised or Not?
"So, what can the school do for this student?"
Chen Mu spoke up, "Secretary Lu, let me explain the platelet issue first, and please jot it down. It'll help in future communications with the student's parents."
"Platelets are at 7. Once admitted to the hospital, they will need a platelet transfusion. You can ask if there's anyone in the patient's family with a blood donor card or someone willing to donate blood at the hospital for the patient."
"If not..."
Before Chen Mu could finish,
Secretary Lu understood his point, "If there's no one in the family who can donate blood for the patient, the school will recruit volunteers on campus and reward donors with credits."
"If we can't find volunteers on campus quickly, I'll donate blood for this student at the hospital."
Chen Mu smiled, "Secretary Lu, that's very noble of you!"
Secretary Lu's tone was not exactly pleasant, "Dr. Chen, I have my pen and paper ready. Please explain the platelet situation."
Chen Mu lowered his eyes, "Okay, Secretary Lu."
"Normal platelet count is (100–300)×10^9/L, but I found purpura on Shen Yan's skin, initially suspecting it to be allergic purpura."
"Subsequent blood routine reports showed Shen Yan's platelets were 7×10^9/L!"
"The current suspicion is immune thrombocytopenic purpura. Definitive diagnosis will require further tests at a tertiary hospital."
"These are the current data the school hospital has on the patient's condition. Next, I'll explain the risks of this platelet count."
Secretary Lu answered weakly, "Alright..."
Chen Mu: "The patient has severely low platelets, indicating impaired coagulation function."
"Possible, but not limited to, conditions include acute leukemia, hypersplenism, aplastic anemia, disseminated intravascular coagulation..."
On the phone line.
Secretary Lu felt dizzy.
He leaned on the chair to prevent himself from falling.
He poured himself a big cup of strong tea, persuading himself internally.
He must take care of his health.
The principal is already down, in the ICU!
If something happened to him, there would be no one to lead Hai City University.
Even if they sent someone new to take over,
that person might not understand Hai City University fully in a short time.
It would be best if he remained here to keep things stable; he must stay well.
Noticing the sudden quiet over the phone, Chen Mu couldn't help but ask softly, "Secretary Lu, are you alright?"
"Not good! How can anyone be alright being the secretary at Hai City University!" Secretary Lu's gritted voice came through, and Chen Mu involuntarily sighed in relief.
Grinning slightly, he said, "Seems like you're still alive, so shall I continue?"
"Yes." Secretary Lu pondered gloomily, thinking Dr. Chen, this young guy, doesn't care about him at all as the secretary.
He almost experienced hypoglycemia just now!
Chen Mu continued, "As I mentioned earlier, due to Shen Yan's low platelet count, there's a constant bleeding tendency."
"Although his condition is better than the previous patient with platelets at 1, overall, it's not much stronger..."
"Furthermore, a gastroscopy is needed later. Secretary Lu, be sure to remind Shen Yan's companion and the doctor performing it to stress repeatedly that Shen Yan's platelets are only 7, which is crucial."
Secretary Lu: "Got it, Dr. Chen, I've noted everything down."
—
"What, does gastroscopy differ for patients with low platelets compared to others?"
"Actually, it's the same. If the family is willing to spend more, they can opt for a capsule endoscopy; if not, they do the same routine gastroscopy as others."
"Yes, if they opt for a routine gastroscopy, with Dr. Chen's reiterated platelet data, the hospital will schedule an experienced doctor for the procedure."
"Gastroscopy is ordinarily straightforward. For those of us with normal platelet levels, it's okay, but Shen Yan could face internal bleeding anytime."
"Experienced veteran doctors can ensure Shen Yan's safety even with his extremely low platelets."
"Wow, I didn't know there was so much to it. My grandfather had low platelets, and we didn't emphasize this with the doctors. Now I know; I'll call and remind my family immediately!"
"Learned so much from Dr. Chen's live stream today!"
"..."
—
Secretary Lu: "Dr. Chen, besides what you mentioned about leukemia and such, does this student face any other risks?"
Chen Mu started, "I mentioned earlier that the patient has a high tendency to bleed, which means there could be bleeding in organs or tissues anytime."
"Common ones include gastrointestinal bleeding, organ bleeding, cerebral hemorrhage, etc."
"So, Secretary Lu, you must instruct those escorting the patient to treat him as if he's fragile. Even a simple touch might cause internal bleeding..."
Listening to Chen Mu's voice,
Secretary Lu felt thoroughly numb and couldn't help but mutter, "Is he made of tofu? Can a gentle touch really cause internal bleeding?"
Chen Mu fell silent for a moment.
Feeling Chen Mu's silence, Secretary Lu felt uneasy.
His tone was unprecedentedly helpless, "No... Dr. Chen, you're not telling me this student is actually as fragile as tofu, are you?"
Chen Mu sighed, "He might be more fragile than tofu."
Secretary Lu: "Then you'd better escort this student personally to the 120 ambulance. I don't think anyone else at our school can handle escorting Shen Yan!"
Chen Mu: "..."
—
"Dr. Chen: I'm calling you, Secretary, expecting help to solve problems, not to throw them back at me!"
"Dr. Chen, if I'm the one escorting Shen Yan, what's the point of calling you, Secretary?"
"Though Dr. Chen is speechless now, I think Secretary Lu makes sense!"
"Given Shen Yan's condition, only Dr. Chen's miraculous Silver Needle can save his life if he suffers unexpected internal bleeding! Regardless of the circumstances, Dr. Chen is the best choice to escort Shen Yan to the hospital."
"However, if Dr. Chen's Silver Needle accidentally causes bleeding, what's the consequence for Dr. Chen?"
"A seasoned expert like Dr. Chen won't make such a rookie mistake, right?"
"Normally, it's impossible. But if on the ambulance, any unexpected jolt causing a skin tear isn't out of the question..."
"So, who can accompany Shen Yan?"
"..."
—
Chen Mu opened his mouth, still wanting to argue, "Secretary Lu, you know the situation at the school hospital. It needs someone to take charge. If I leave now..."
Secretary Lu: "No worries, Dr. Chen, your departure also gives those interns a chance. Their growth might be rapid in your absence."
Chen Mu: "..."
Given how far Secretary Lu's words had gone. 𝒇𝒓𝒆𝒆𝙬𝒆𝒃𝓷𝒐𝓿𝙚𝙡.𝒄𝓸𝒎
Chen Mu clearly understood.
Secretary Lu had made up his mind, leaving no room for dissent.
With a slight sigh, he said helplessly, "Alright, Secretary, I understand. Once Shen Yan's test results come out, I'll personally escort Shen Yan to the 120 ambulance!"







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