Chapter 306 Milk Tea
Despite Liu Tangchun's instructions, Sun Lien was still very unreliable and encountered the embarrassing situation of "not sleeping well".
Doctors always have one way to go to bed early. They don’t look at their phones in a dark environment, and they just lie down for half an hour after staring at their eyes. But I don’t know if it’s because they have something in their hearts, Sun Lien’s sleep is very uneasy today. He always feels that his phone is vibrating when he is about to fall asleep.
After three trips, Sun Lien simply made a ruthless move. There would be no illusion when he turned off the phone and went to sleep, right?
Then he started dreaming constantly, and every time he was vaguely thinking that he was sleeping in the duty room of the emergency department. For some reason, it seemed that he had become the second line of duty. As long as the patient had some problems, the nurse would kick open the door and shout at the top of his throat, "Doctor Sun! Get up quickly!"
Then Sun Lien jumped up from the bed like an electric fish. He saw that he was in his room and then breathed a sigh of relief and silently returned to the bed and lay down.
This happens again and again until dawn.
No, if this continues, let alone clear the dark circles of your eyes, I'm afraid that he will die suddenly before tomorrow night. Sun Lien sat on the bed, shook his head and sighed.
There is no need to go to the diagnostic center for the time being. Whether it is Lu Chunyu or Tang Min, there is no need to adjust the treatment plan. Tang Min just pulled out the drainage tube of cerebrospinal fluid, and the second treatment will take at least one or two weeks to wait for the second treatment. Lu Chunyu is currently using UDCA at a frequency of 250mg qid, and the bilirubin level has steadily decreased. It is only a matter of time before they are discharged or transferred to the hospital.
Sun Lien’s purpose is also very simple - find something for himself. It is best to be the kind that can make himself so tired that he doesn’t want to think about anything, and can go to bed from today’s afternoon to tomorrow after falling back.
So, thirty minutes later, Sun Lien reappeared in the emergency department rescue room. He snatched a bed from Yuan Ping'an on duty with a gun.
"I don't care what kind of patient I will send to you later. Anyway, as long as I send someone to my bed, I will pick you up." Sun Lien acted like a scoundrel with his identity as "group leader". "Don't worry, after receiving the patient, I will definitely deal with you steadily - I will leave in the afternoon, and you can hand over the shift to the evening normally."
Yuan Ping'an said with a bitter face, "Team Leader Sun, don't tease me. If you want to take patients, it's not a rare disease that makes you ghost... I even asked Yanan to go to the movies in the evening. Can't you reduce the burden for me?"
"Of course there is no problem." Sun Lien said confidently, "I promise not to accept people from the diagnosis center, and I will definitely send people to the junior college." Seeing that Yuan Ping'an seemed to be worried, he simply promised, "In this way, I will definitely transfer people today. If it really doesn't work, you can leave yours. If the junior college is not accepted, I will take care of this patient, right?"
With all this in mind, Yuan Ping'an naturally had no reason to refuse Sun Lien's request. However, in order to spend a good time with his wife, Yuan Ping'an still thought of a solution - he sneaked to the nurse's station and said to the head nurse Hu on duty, "Doctor Sun has some serious business tomorrow. Sister Hu, you can give him a simple patient."
Hu Jing glanced at Sun Lien who seemed to be charged, and then nodded with a mysterious smile, "I understand. I'll give him a patient who has a clear diagnosis, but needs a little time to deal with it."
·
·
·
In the entire emergency department of the Fourth Center, the most reliable person is selected, so the winner will of course be Head Nurse Hu Jing. Hu Jing did respond to Yuan Ping'an's expectations. After Sun Lien wandered in the rescue room for twenty minutes, Hu Jing arranged for the nurse to send a coma girl to the rescue bed where Sun Lien stared at.
"Ketoacid poisoning coma." The pre-hospital doctor gave Sun Lien a very clear diagnosis, "blood sugar is 168 mmol per liter, heart rate is 144, blood pressure is 90/63."
"168?!" Sun Lien was shocked by this value. However, it is relatively simple to treat such a patient. It is nothing more than a large amount of fluid to correct the deficiency of blood pressure caused by hyperosmotic dehydration and diuresis, a large amount of sodium bicarbonate is injected to correct acidosis, and the use of insulin to lower blood sugar. At the same time, stabilize the patient's vital signs and maintain the balance of breathing and electrolytes. He quickly issued the first medical advice, "establish an intravenous channel and hang two bags of 500 ml of normal saline."
The nurses quickly started working, and then Sun Lien gave one treatment plan after another, "Get on guard, urgently check blood gas, pump insulin - give four units first every hour. Put on the urinary catheter, check blood ketone and urinary ketone. Take two pieces of sodium bicarbonate!"
It is not uncommon for patients who are unconscious in the emergency room. Sun Lien's doctor's advice was quicker, and the nurses' treatment speed was faster. In less than five minutes, the measures required were basically in place. Blood gas examinations require the extraction of arterial blood. This action was a little slower, but it was also completed in six minutes.
The sample that was supposed to be sent for testing has been taken for testing, and Sun Lien finally had time to take a look at the patient's status column.
"Zeng Jing, female, 28 years old. Pancreatitis (52.32.51), hyperglycemia (47.41.12), hyperkalemia (21.48.51), ketoacidosis (04.12.28), hypotension (02.57.02)." The prompt in the status bar made Sun Lien a little stunned. This was actually someone he had seen.
Zeng Jing was the first group of people Sun Lien met after he got the status bar. However, her identity was not a patient, but a temporary guardian of the patient. When she arrived at the Fourth Hospital last time, she took a helicopter to accompany Chen Wen to the hospital.
The reason why Sun Lien was deeply impressed by Zeng Jing was partly because she was at a loss at the time, and on the other hand, because as the head teacher of a private school, she had almost no management ability for her students. Although strictly speaking, Zeng Jing herself is also a pitiful person, once the bad impression is left, it is indeed not so easy to forget.
Just as Sun Lien was stunned, the nurse on the side ran over, "Doctor Sun, the patient's leader is waiting outside the rescue room. Do you have to talk to him?"
This is the normal process. Sun Lien nodded and instructed him that "Once the blood gas test results prove acidosis, start infusion of sodium bicarbonate as soon as possible", and walked out of the rescue room.
"Doctor." The one who was waiting outside the rescue room was a woman who was about the same age as Dean Song. She was dressed very ordinary and looked similar to the middle-aged women who could be seen everywhere on the street. The only detail that could see her profession was the white chalk marks on the cuffs of her black jacket. "How is Teacher Zeng?"
"At present, it should be ketoacidosis." Sun Lien said, "Have the family arrived?"
"No. The school has notified it, but they are all in other places, so it may take the afternoon to get here." The female principal shook her head, "Do whatever the hospital needs to do, and our school will do it with all our strength."
With this sentence, many things are easy to deal with. Sun Lien nodded and asked, "What's going on when the incident happened? Does Teacher Zeng usually have diabetes?"
"No." The female principal shook her head, "Xiao Zeng is in good health. Since she arrived at our school last year, she has never taken a sick leave. When she joined the company, oh, she only had a physical examination last month, and she didn't find any problems. Her daily lifestyle habits are quite normal, and she just likes to drink milk tea."
I joined the job last year? This means that Teacher Zeng changed his job? However, changing his job probably has nothing to do with the condition. However, the habit of drinking milk tea is likely to be directly related to her symptoms.
"Love to drink milk tea?" Sun Lien asked with a frown. He had seen what kind of milk tea is now. A cup of milk tea is made of like a rice bowl, such as taro paste, pearl brown sugar, and milk candy, which is poured into a cup like no money, and even makes people have the idea of "eating milk tea" instead of "drinking milk tea". Most of such a cup of milk tea must be solid. Such specially added milk tea must contain a lot of sugar and starch, and sometimes even a lot of animal fat. No matter which ingredient it is, it is a death talisman for diabetics. "How much does she love to drink it? How many days does she drink it?"
"It's almost a drink or two a day." The female principal frowned, "Many female teachers in our school are not old, and many people are buying milk tea every day in the group."
Chapter completed!