"I heard you have started taking over patients with difficult and complicated diseases?" Sun Lien looked at the documents in the ninth clinic as usual. Dr. Cao Yanhua's voice suddenly sounded outside the door. The Tianjin man came in with a malicious smile on his face, and looked back at the back. After confirming that no one could see him, he closed the door with a smile. "Why do I think you have planned Dean Liu?"

Sun Lien looked up and saw Dr. Cao Yanhua, and heard his speech again, with a strange expression, "Why did I plot against Dean Liu?"

"Director Liu doesn't like to care about other departments." Dr. Cao walked up to Sun Lien, picked up the cup on the table indifferently, took a sip of tea and continued, "Director Song has talked to him many times, but he still holds the gods out of his mind? To put it nicely, Dean Liu has his own persistence. To put it bluntly, it is the stubborn old man who only looks at his own acre of three-point land, just like a dog protecting food. Whoever touches him bites whoever touches him."

Sun Lien's eyes dodged a little, and he coughed lightly, "How can one compare a person to a dog?"

Dr. Cao Yanhua laughed "hey" and said, "The old man can't hear you now. What kind of loyalty do you show?" He was stunned. On the clothes rack behind Sun Lien, there was a gray cool hat that he looked familiar to him. It seemed to be the hat his father-in-law wore when he went out in the morning.

"Then you can't just say bad things about me so openly when I can hear it, right?" Cao Yanhua closed his eyes in pain, and a familiar voice sounded behind him. Then he turned his face slowly and resolutely, and changed into a flattering and pleasing smile, "Dean Liu..."

"You little bastard..." Dean Liu laughed in anger and slapped Cao Yanhua on the back. The slap was so strong that he made a dull "dong" sound. "You are brave enough to say bad things to me in front of my colleague?"

Cao Yanhua's face changed and he continued to flatter, "Director Liu, I...I'm just kidding Xiao Sun..."

"Call dad!" Liu Pingchuan looked dissatisfied, "Who are you with?"

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President Liu came to deliver the case. This morning, the gynecology department of the Fourth Hospital underwent a radical uterus and bilateral adnexectomy, and at the same time, the patient was dissected with pelvic lymph nodes. The purpose was to cure a patient diagnosed with stage 3 uterine cancer.

The operation itself was not a big problem, and it could even be said to be very smooth. However, after the patient woke up four hours after the operation, she felt symptoms of chest tightness, breath and abdominal distension. The gynecologist at the Fourth Hospital adjusted her infusion volume and infusion speed and asked her to start inhaling oxygen. However, the symptoms did not tend to improve or relieve.

Then this case was seen by Liu Pingchuan.

"What I'm worried about is whether there will be problems with the intraoperative anesthesia or the surgical process." Liu Pingchuan put his doubts directly on the surface, "The blood routine results are not normal."

Sun Lien and Cao Yanhua, who was covering his ears, looked at the checklist together. The white blood cell count was 1.7*10^9/L, the C-reactive protein was as high as 246.7 mg/L, the serum creatinine concentration was 130umol/L, and the albumin index was only 18.9g/L. The most serious thing was that her N-terminal B-type natriuretic peptide (ProBNP) was as high as 3028pmol/L.

These data all suggest that the patient has a severe inflammatory reaction, but the patient's preoperative condition is quite good, and the indications for the operation are normal. The operation lasted for two hours, plus four hours after the operation, and six hours, why did such a serious infection suddenly appear? Liu Pingchuan was a little confused, and the gynecologists couldn't understand it either.

After seeing the case, Liu Pingchuan discussed it with the gynecologists and decided to let Sun Lien take a look. If he had a flash of inspiration, the overall treatment might be much easier.

"Gynecological disease?" Sun Lien felt a little troubled after reading the report. Gynecology is one of his worst areas. "This... I'm really not sure."

Liu Pingchuan waved his hand indifferently, "You can try it."

If Sun Lien was not there, I could only ask an internal medicine doctor for consultation and then conduct symptomatic treatment based on the test results. Let Sun Lien look at the case and come up with some ideas, which will not have any negative impact on the patient's treatment - the situation will not be worse anyway.

Sun Lien looked at the case, thought for a while and said, "I will take Dr. Xu and the others up to see the patient... and then talk to the surgeon."

The status bar is useful only when it comes to gynecology, which is something that Sun Lien is not good at, he dare not make any reservations. So he not only needs to check the status bar, but also has to pull all his treatment team staff over to see the situation.

After all, it is life and death, after all, there is nothing trivial between life and death.

Liu Pingchuan naturally had no reason not to allow this requirement. Although the patient's condition was not very good, at least his vital signs were still stable now. However, gynecologists have begun to consider whether to transfer her to the ICU for observation and treatment. To conduct consultation, it is best to do so before the patient was sent to the ICU.

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The person who performed the operation on the patient was Sun Lien's old acquaintance Dr. Feng Chujie. Seeing that Sun Lien came with a group of people, Dr. Feng greeted him a little tiredly, then looked at the doctors behind him and asked, "Why are you doing such a big situation? Come to our department to fight?"

Dr. Feng is in good condition, at least she still has the heart to joke with Sun Lien. Sun Lien did not hide it and directly expressed her intention, "Director Liu asked me to see the case of Qian Aiwu. I was a little confused, so I came up to see the patient's condition."

Dr. Feng looked at the people behind Sun Lien again, "Why didn't you see Dr. Yuan? Isn't he from your treatment team?"

"Doctor Yuan went to the countryside to support him, and it would take a month to come back." Sun Lien explained that Yuan Ping'an finally chose the shortest-time poor area to support him. A doctor in the emergency department who graduated from the capital's association can exert amazing energy in remote and poor areas. The last time Dr. Yuan contacted Sun Lien was a week ago. At that time, he called to ask for help and find equipment. The local people's hospital treated a patient with acute renal failure, but there was no dialysis device in the hospital.

Sun Lien contacted many people and finally got a machine from Takeda. But he didn't know how the patient with acute renal failure ended up doing.

"Doctor Yuan is going to be promoted to the deputy high school?" Feng Chujie sighed a little and then enviously, "It's true that it's better to enjoy the cool under the big tree. Follow Director Sun, you can get a quicker evaluation of your professional title."

Yes, Sun Lien is nicknamed "Director Sun" in the Fourth Hospital. He is a senior medical expert who graduated from Harvard Medical School, a attending doctor in the department of nephrology, a co-education doctor who is about to become an associate senior, and a Johns Hopkins University M.D with the associate senior title. The luxurious staffing level is enough to support the backbone structure of a huge emerging department.

"Don't joke with me." Sun Lien smiled bitterly, and pointed to the ward and asked, "Can we go in and take a look?"

"Yes." Feng Chujie nodded, "I'll lead the way and introduce the details of the surgery to you by the way."
Chapter completed!