Whether human nature is evil or human nature is good, this is a vicious cycle that will never be argued for. The reason why medicine can exist is actually prove that human nature is good to a considerable extent - out of the desire to help injured companions, human beings gradually developed medicine. However, this product that can prove that human nature is good is witnessing the evil of human nature again and again.

The head nurse's explanation was very effective. Wang Xinrui quickly accepted this reality and agreed to this treatment plan. Since Wang Lin's condition was serious and he might have MRSA infection, the critical medical department quickly took him to the ICU to start quarantine and treatment.

And Sun Lien finally had the chance to have a breakfast.

"Sold out?" When he walked to the breakfast shop at the entrance of the hospital, Sun Lien was frustrated and received very bad news - at 11:20 in the morning, all the breakfast shops were sold out in stock.

After a walk around, Sun Lien finally solved his stomach problem in a Shaxian snack bar. Then he dragged his tired body back to the dormitory. About four hours later, he had to go back to the hospital to see Wang Lin's examination results. If the result was ordinary Staphylococcus aureus, then the subsequent treatment would be left to the rheumatism and immunology department for treatment. If it was MRSA, he had to continue to leave the patient in the critical care medicine department for continuous treatment. In short, things might be complicated.

Things may be complicated, and in order to leave enough energy to deal with complex situations, Sun Lien must rest immediately - the status bar can indeed have miraculous effects in many cases, and if Sun Lien himself lacks energy, he may miss the prompt in the status bar. If he misunderstands or misses an important prompt, Sun Lien himself feels sorry.

However, when people are tired and anxious, it is very easy to think about it. Since their heads were stained with pillows, Sun Lien's mind was full of thinking about strategies and methods for using various antibiotics.

For Wang Lin's case, the treatment strategy should be very clear. Kidney function can be replaced by dialysis, but the anti-infection treatment principle cannot be replaced. People can live with the support of dialysis without both kidneys, but even if a person who is infected dies, it will be of no benefit to have a healthy pair of kidneys.

Anti-infection treatment takes precedence over kidney protection, and there is no problem with this. So are organ support measures in place? Is it necessary to use ecmo (extracorporeal membrane oxygenation) and crrt (continuous kidney replacement therapy) now?

Although Wang Lin has pulmonary bleeding, his hemoglobin level and blood oxygen level can still be maintained to an acceptable level with the support of continuous suspension of red blood cells. Moreover, the patient's heart function is still normal, and the situation is not urgent, so there is no need to use ecmo immediately. Using crrt has a certain overlap with plasma replacement. On the premise of using plasma replacement to treat the patient, crrt technology seems a little redundant. At least before the second anti-infection treatment, crrt does not need to use crrt to provide kidney support to the patient.

So does the treatment order need to be modified? Do the patient's tests need to be increased frequency? Sun Lien tossed and turned around on the bed, with these problems in his mind. Before he realized it, he had already fallen asleep.

In the dream, Sun Lien returned to the Fourth Central Hospital. He walked in the hospital in a daze, as if he was sleepwalking, passing by his ninth clinic, passing through the dark rescue hall that was empty and alone, and walked all the way to the floor where the operating room was located. Then he pushed open the closed locker room door.

Hu Jia sat on the ground with her back facing the door, and a bunch of colorful energy-saving lamps were placed beside her. The light sprinkled on her face, reflecting that her fair skin had some discoloration.

"Why are you here?" Sun Lien tried to pull his feet forward, but no matter how he walked, his distance from Hu Jia still did not change at all.

Hu Jia slowly turned her head, and Sun Lien could see a blue light tube in her arms. She showed a sad smile to Sun Lien, "You still found it."

"What are you talking about?" Sun Lien slowly realized that he had not been able to get close to Hu Jia successfully. He half-squatted down and stretched out his arms towards Hu Jia, "Come here quickly."

Hu Jia shook her head gently and whispered, "Not now."

Unreasonable depression and sadness instantly came out of Sun Lien's chest. He ran forward like crazy, but Hu Jia, who was holding the lamp, was getting farther and farther away from him.

·

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He suddenly woke up.

Dreaming? Sun Lien rubbed his eyes and glanced at his cell phone. There were still twenty minutes left before the scheduled four-hour sleep time.

"The phone number you called is off." He called Hu Jia, but only such a prompt came from his phone. Sun Lien left a message to Hu Jia on WeChat, and he got up and started to put on his clothes. He had to go to the hospital as soon as possible. According to the time, Wang Lin's examination results were almost out, and this afternoon was Hu Jia's duty time. The phone could not be reached, maybe because she was working in the operating room.

Sun Lien got out of the dormitory in a daze and hurried to the hospital.

"You came very early." Zhou Ce, as a doctor in the nephrology department, has been staying in Sun Lien's treatment team since yesterday and providing specialist advice. Seeing Sun Lien walk into the conference room, he raised the long can of Red Bull in his hand to Sun Lien, "Is it a drink? It's great to use it to refresh yourself."

Sun Lien shook his head. The steamed dumplings that he ate three hours ago with peanut butter were not easy to digest. If he had another can of Red Bull, he would probably have a stomachache. "Have you turned out?"

"The PCR needs to run for five hours, and I guess I have to wait a while." Zhou Ce glanced at his watch and shook his head, "But the patient's indicators have come up, and the hemoglobin drops a lot slower than the initial one."

"The plasma replacement is finished?" Sun Lien took off his black down jacket and changed into a white coat hanging in the conference room. "There is no other problem, right?"

"At least not yet." Zhou Ce drank two more Red Bulls and threw the empty can into the trash can. "I'll check out his urine volume. If it stabilizes, maybe the subsequent immunosuppression treatment can be put first - after the infection is completely treated, it will start immunosuppression, which is safer."

Sun Lien watched Zhou Ce walk out, leaving him alone in the conference room. There was still no Hu Jia’s WeChat on his phone. He was a little restless. After thinking about it, he would rather ask Nurses Hu Jing about it.

"Are you here?" As soon as he left the door, Sun Lien met Liu Pingchuan head-on. Vice President Liu has looked much haggard these days. As soon as he saw Sun Lien, he waved to him, "It just so happened that you come with me, I have something to ask you."

The content of Vice President Liu's inquiry was of course about the patient's condition. Not only did Wang Lin's treatment need to be directly investigated by Liu Pingchuan, but Yang Jianqiang, who was also ignorant of tracing the pursuer's own wife, and Chen Wen, who was still receiving immunosuppressive treatment, must be checked by President Liu.

"You can write a briefing for these patients every day in the future." Vice President Liu is a colleague and does not care about the patients. Now he needs to personally ask about the patients, so he naturally has to follow the old rules. He asks about the patient's situation every day, communicates with his family, and even writes the daily treatment process of each patient by hand. In particular, the reasons and treatment effects of each treatment method should be noted. These paperworks make Liu Pingchuan very upset.

Although he was from a co-organizer, he was still a surgeon in the final analysis. Liu Pingchuan had no choice but to do ten hours of surgery, but he still had to type in the keyboard to write medical records at such age? The vice president was still a hospital leader no matter what he said!

Liu Pingchuan, who had written the case records for more than ten days, finally realized something was wrong. However, if he had to let the Shenwai doctor under his command write about the patient situation in these other departments, he would not say the professionalism was not right, and to let the surgeons write cases that meet the standards, Liu Pingchuan himself had to provide guidance. He was really annoying.

So, Dean Liu had a sudden inspiration and decided to arrest Sun Lien as a strong man and let him solve the trouble he caused.

"Okay, I'll write today's report as soon as possible." It's normal for a regular doctor to write a medical record, not to mention that these three patients are all patients in Sun Lien's treatment group. He agreed and then prepared to turn around and leave. Who knew that Dean Liu had spoken again.

"Are you not very stable today?" Liu Pingchuan pointed to the seat in front of him and signaled Sun Lien to sit down. "The people in the laboratory are still running PCR programs. Now even if you go urge, you can't speed up the movement."

Liu Pingchuan called Sun Lien to have his own ideas. In his opinion, Sun Lien was so anxious that he seemed to be burning with anger, probably because he felt that Zhao Weiguo from the laboratory department was deliberately delaying the inspection progress. What he wanted to do was to be a peacemaker and press down the conflicts between the two sides.

With Liu Pingchuan's own position and level, let alone Zhao Weiguo, he would not take it seriously even if he had ten or eight. After all, although Zhao Liguo had some background, those things that could not be compared with the vice president and second-level professors after all. But Sun Lien is different. Although he was a student accepted by Liu Tangchun, he was just a regular doctor training after all. Even if he became the leader of the diagnostic team of a newly established diagnostic center in the future, he would be treated as a deputy director if he was slapped directly with Zhao Weiguo, and Liu Pingchuan was worried that Xiao Sun would suffer a loss.

Sun Lien laughed twice and didn't say anything. He couldn't say, "I felt bad after having a dream. I should hurry up and ask about the situation of my girlfriend's aunt." So he could only listen to Liu Pingchuan's preaching honestly.

Liu Pingchuan was criticizing Sun Lien for making a fool of himself. Sun Lien's cell phone suddenly shouted "Gluten!" He nodded at Dean Liu with a embarrassed look, and then quickly glanced at the screen of the phone.

It was Hu Jialai's WeChat, "I was in surgery just now, what's wrong?"
Chapter completed!