I can see the status bar

Chapter 180 Contradictions
In the emergency department of Ningyuan Fourth Central Hospital, the situation was a bit chaotic.

Director Liu was directly suspended by Dean Song because of negligence in management and because of the leadership responsibilities that medical staff need to bear in the occupational exposure.Now the entire Emergency Department of the Fourth Central Hospital is in charge of the newly promoted Zhou Jun.

Physicians demand a lot from their own leaders.To be a good leader of a department, in addition to having a strong professional level, one must also be able to convince the public and make the doctors feel that they have a backer.From this point of view, Liu Tangchun is indeed a very qualified director of the department, while Zhou Jun... seems to have lost a lot of confidence.

The most important point is that Zhou Jun seems a bit too young to be the head of the department.He is just 35 years old this year, and he is not married yet.There are several veteran emergency doctors in the department who are in their 40s this year, and their professional titles are high enough.In the eyes of the first-line and second-line doctors, these veteran emergency doctors are more trustworthy than Zhou Jun.

The reason why the emergency room can barely operate is not due to Zhou Jun.It was these emergency doctors who felt that Zhou Jun's appointment might not last forever, and Dean Song would still have to invite Lao Liu back in the future, so they worked as if giving some face.

Although Liu Tangchun expressed his support for Zhou Jun several times on this matter, the other doctors had their own plans.Comrade Liu's success in poaching talents is not only due to the superior salary and welfare system that the Fourth Central Hospital can provide.To put it bluntly, everyone's income is actually about the same when they reach the level above the attending physician.

The nature of the emergency department of the Fourth Central Hospital itself allows these professional emergency doctors to use their skills, and they do not need to run in with doctors who come from other clinical disciplines, which makes them feel a lot more comfortable.Compared with the institutional superiority of the Fourth Central Hospital, Liu Tangchun's personal charm is actually the key.

Although Lao Liu is usually not a decent person, and looks like he is messing around, anyone who knows Lao Liu has to admit that Liu Tangchun has a strong personal charm.In order to protect the calf, I dare to show my teeth to the vice president and even the president; when there is a medical trouble, I dare to go up to the front instead of shrinking back and let the situation worsen; in order to solve the shortage of medical staff, I would rather give up my old face than have to dig Talents come back; in order to train new people, they can even track cases with new people and boldly delegate power.To be honest, it is very easy to be a department director, but to be a good department director, responsibility and decision-making are indispensable.

Zhou Jun is decisive, but he has not yet had the opportunity to show himself.

Zhou Jun's hasty recall of Sun Li'en is actually to some extent an internal signal - I will continue Director Liu's tenure style and not excessively interfere with or change the operation of the department.

·
·
·
"You're here." At three o'clock in the afternoon the next day, Zhou Jun blurted out when he saw Sun Lien, and there was a feeling of relief in his words.

Sun Lien straightened his white coat somewhat unnaturally, "Mr. Zhou...you don't have to be so anxious, right?" To be honest, no one thinks that their vacation is too long.After Sun Li'en worked so hard for a week, his physical and mental exhaustion was considered mild.Yesterday, I played with Hu Jia, Xu Yourong and others in Ninghu for a day, which made Sun Lien feel alive.Life, it turns out, can be beautiful.

"Human life is at stake." Zhou Jun briefly explained his reason for recalling him urgently, "Where is Dr. Xu?"

"She said to go see Dean Liu first..." Sun Lien spread his hands and asked instead, "Didn't Dean Liu come to the emergency department to watch over the past two days?"

"If he can come and stare at him, he won't be Liu Pingchuan." Zhou Jun was obviously dissatisfied with Comrade Liu's passive sabotage. "Just staring at his one-acre three-point land, holding research seminars with doctors in Corey all day long. The academic dean is an academic after all, and he is not used to it if you let him concentrate on clinical work. " Speaking of the latter, Zhou Jun actually turned his head and started to say good things for Liu Pingchuan.

However, this can also prove from another angle how much pressure Zhou Jun is currently under.At the beginning, Dean Song's job adjustment had obviously taken into account that Zhou Jun's seniority was not deep enough, and he might not be able to convince the public.That's why Liu Pingchuan was "exiled" from his neurosurgery department to the emergency department.It's just that this handsome middle-aged and elderly woman probably didn't expect that when she was busy with various meetings, this old boy Liu Pingchuan would dare to obstinate and disobey her, and kept her face aside.

Liu Pingchuan did such a trick, but he didn't actually have any objections to Zhou Jun.He just couldn't let go of the department he brought up with his own hands.But the direct consequence of Liu Pingchuan's play was to put Zhou Jun alone on the fire.He was very happy, but Zhou Jun pulled his hair down anxiously.If it weren't for the achievements of the past few years and the support of Comrade Liu, the doctors below would have been ready to rebel.

"Ms. Zhou, the patient you talked about on the phone yesterday..." Sun Lien couldn't get involved in this kind of hospital operation, and he didn't have much interest in these things.However, Zhou Jun is his teacher, and will be his direct brother in the future.Whether in public or private, Sun Lien had to do something for him.But now, the only thing Sun Lien can do is to do his duty as a doctor and treat patients well.

"This patient..." Zhou Jun sighed, "It's very troublesome."

"Is the condition very serious?" Sun Li'en was somewhat prepared for this. If the condition was not serious, Zhou Jun would not have hurriedly called him back from the Ninghu Lake.

"In a sense, it's very serious." Zhou Jun took out a medical record folder and handed it to Sun Li'en. "Director Huang was asked to look at Shennei, but he didn't have a clue. The imaging department checked the MRI twice from yesterday to today, but there was no signal enhancement. They don't know what's wrong with this patient."

Sun Lien opened the medical record folder, and he probably read the contents last night.

The patient is Yang Jianqiang, 34 years old.Two days ago, he was sent to the emergency room of the Fourth Central Hospital, which had just restarted operation, because of high fever.After careful screening at the fever clinic, the suspicion of bird flu was ruled out, and he was transferred to the emergency room for treatment.

According to the patient's self-report, he started to have a fever a week ago, and took antipyretics many times during this period, but the effect was not good.At the same time, the patient also had symptoms of fatigue and blurred vision for more than 20 days.After consultation with the ophthalmology department, it was confirmed that the patient's eyeball structure was normal. The consultation opinion given by the ophthalmology department was to consider nervous system problems.

After being admitted in the emergency department, the patient was first classified as a second-level patient, and a series of examinations began.However, there was no abnormality in blood routine and immunological examination.In addition to the slightly higher liver function, the only thing worth noting is that because the patient received bone marrow transplantation for leukemia treatment a year ago, his CD4 lymphocyte content was much lower than normal, and the test result was 157/UL, suggesting immunity The system is heavily inhibited.

After confirming that the patient's CD4 lymphocyte count was low, the emergency department immediately tested the patient for HIV antibodies, and the result was determined to be negative.Zhou Jun judged that the severe suppression of the patient's immune system was caused by the anti-rejection drugs the patient was taking.

After consulting the Department of Hematology, the emergency department adjusted the immunosuppressant originally used by the patient to a triple inhibitory regimen of mycophenolate mofetil, methylprednisolone and basiliximab.However, the adjusted immunosuppressant regimen only reduced the patient's alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase and other indicators to normal.The patient still had a persistent fever, and his fatigue and blurred vision did not improve.

And just after Zhou Jun and Sun Lien made a phone call, the patient developed a new symptom - confusion.

"This should be under the control of God." Sun Li'en looked at the thick stack of inspection documents and felt worried, "Will God not accept it?"

"Director Huang said that he has no idea." Zhou Jun shook his head with a bitter face, "We are considering whether we should simply send the patient's test samples to the college for mNGS testing."

mNGS detection is the last resort for non-imaging examinations in modern medicine.Using this method is basically equivalent to surrendering to the doctors - I'm sorry, I really don't know what you are infected with, so we plan to test all the more than 7000 known pathogens to see if you are infected What a jackpot.

"Can the patient afford the cost?" Sun Lien frowned. The patient had just undergone a bone marrow transplant a year ago, and the price of this treatment is not cheap.Continuously taking anti-rejection drugs for a year is also a heavy burden for many families. The cost of mNGS inspection is extremely high, and they may not be able to afford it.

"So I'm thinking about it." Zhou Jun sighed. Since he became the deputy director, he may have sighed more times in the past few days than in the first half of his life. I have my own unique opinion, so I want you to give it a try first.”

From a certain point of view, the Sun Lien with the status bar is indeed much easier to use than the mNGS. The biggest advantage of the Sun Lien brand inspection instrument is that it is cheap.It costs 10 yuan to register a number. As long as the patient has medical insurance, the part he will bear is only about 2.8 yuan.Compared with the price of mNGS, which starts at [-] to [-] yuan for a set of inspections, and the medical insurance does not report a penny, Sun Lien is really much cheaper.

"Let me give it a try." Encountered such a case that the bigwigs couldn't handle, Sun Lien was also very confused.Before entering the emergency room to see the patient, he specifically asked, "Did Yuan Pingan see it? What did he say?"

"Dr. Yuan came to see it." Zhou Jun frowned. "After studying for a long time, he said that he would go to check the information. As a result, from last night to now, there is still no conclusion."

research?Sun Li'en's heart moved slightly, probably Yuan Ping'an already had doubts.After seeing the patient, he planned to meet with Yuan Ping'an again to see what he thought.

"Yang Jianqiang, male, 34 years old, multiple brain space-occupying." Sun Lien walked into the emergency room and found an unexpected symptom popping up on the patient's status bar.

　Recommend a new book "Mine Sea".

　　Li Hechuan likes to mention the Mining Sea APP, research and development of mining equipment, construction of heavy-duty railways, construction of chemical bases, and establishment of smart factories...Starting from the small coal mine that is about to be closed, he has traveled all the way to create a mining empire.

　　Thanks to book friend Agni's right hand for tipping 500 starting coins.

　　Thank you book friend for the reward of 500 starting coins.

　　Thanks to the book friend Azure Future Sky for the reward of 100 starting coins.

　　Thanks to the book friend book friend 20181106183023003 for the reward of 100 starting coins.

　　
　
(End of this chapter)