I can see the status bar

Chapter 272
Whether human nature is inherently evil or human nature is inherently good, this is an endless loop that can never be debated.The reason why medicine can exist is that it can prove to a considerable extent that human nature is inherently good-humans have gradually developed medicine out of the desire to help their injured companions.But this product, which can prove that human nature is inherently good, has witnessed human nature to be inherently evil time and time 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 be infected with MRSA, the intensive care department quickly took him to the ICU for isolation treatment.

And Sun Li'en finally had the opportunity to have breakfast.

"Sold out?" Walking to the breakfast shop in front of the hospital, Sun Lien got a very bad news in frustration - at [-]:[-] in the morning, all the breakfast shops had sold out of stock.

After going around in a circle, 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 is common staphylococcus aureus, then the subsequent treatment should be handled by the rheumatology department.If it is MRSA, the patient must continue to be kept in the intensive care unit for continuous treatment.All in all, things can get complicated.

Things may be complicated, and in order to reserve enough energy to deal with complicated situations, Sun Lien must go to rest immediately-the status bar can indeed play a miraculous effect in many cases, and if Sun Lien lacks energy, he is likely to miss the status If you misunderstand or miss an important reminder, Sun Li'en will feel very sorry.

However, when people are tired and anxious, it is very easy to think about it.Ever since his head was stained with the pillow, Sun Lien's mind was full of strategies and methods for using various antibiotics.

For Wang Lin's situation, the treatment strategy should be very clear.Renal function can be replaced by dialysis, but the principle of anti-infection treatment cannot be replaced.A person can live without both kidneys with the support of dialysis, but a person who is infected and dies has no benefit even if he really has a pair of healthy kidneys.

There is no problem with anti-infection treatment taking precedence over kidney protection.So are organ support measures in place?Is it necessary to go on ECMO (Extracorporeal Membrane Oxygenation) and CRRT (Continuous Renal Replacement Therapy) now?
Although Wang Lin is suffering from pulmonary hemorrhage, his hemoglobin level and blood oxygen level can still be maintained at an acceptable level with the continuous infusion of suspended red blood cells.Moreover, the patient's heart function is still normal, the current situation is not urgent, and ECMO is not needed immediately.The use of CRRT has a certain overlap with plasma replacement.Under the premise of using plasma replacement to treat patients, CRRT technology is slightly redundant.Renal support with CRRT is not yet required, at least until the second anti-infective treatment.

So does the order of treatment need to be modified?Is it necessary to increase the frequency of various tests for patients?While Sun Li'en was tossing and turning on the bed, his mind was full of these questions.And before he knew it, he had fallen asleep.

In the dream, Sun Lien returned to the Fourth Central Hospital again. He walked in the hospital in a daze, as if he was sleepwalking. He passed his ninth consulting room, walked through the empty and dark first-aid hall, and walked all the way to the operating room. The floor you are on.Then he pushed open the closed locker room door.

Hu Jia sat on the ground with his back to the gate, surrounded by a bunch of glowing colorful energy-saving lamps.The light shone on her face, reflecting some discoloration of her fair skin.

"Why are you here?" Sun Li'en tried to move forward, but no matter how he walked, the distance between him and Hu Jia still remained unchanged.

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

"What are you talking about?" Sun Lien slowly realized that he failed to get close to Hu Jia. He squatted down and stretched his arms towards Hu Jia, "Come here quickly."

Hu Jia shook his head lightly, and said in a low voice, "Not now."

Unreasonable frustration and sadness overflowed from Sun Li'en's chest in an instant, and he ran forward like crazy, but Hu Jia, who was holding the light tube, was getting farther and farther away from him.

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He jerked awake.

dream?Sun Lien rubbed his eyes and glanced at his phone. There were still 10 minutes before the scheduled four hours of sleep.

"The phone you dialed has been turned off." I called Hu Jia, but only such a prompt came from the phone.Sun Lien left a message to Hu Jia on WeChat, and got up and started getting dressed himself.He had to go to the hospital as soon as possible. According to the time, Wang Lin's examination results would be out soon, and this afternoon was Hu Jia's duty time.The phone couldn't be reached, probably because she was working in the operating room.

Sun Li'en got out of the dormitory in a daze, and hurried all the way to the hospital.

"You came quite early." Zhou Ce, as a nephrologist, has been staying in Sun Lien's treatment group since yesterday to provide professional advice.Seeing Sun Lien walk into the meeting room, he raised the long can of Red Bull in his hand towards Sun Lien, "The enhanced version, would you like a cup? It's good to refresh yourself."

Sun Lien shook his head. The steamed dumplings served with peanut butter that he ate three hours ago did not feel good to digest. If he had another can of Red Bull, he would probably have a stomachache for a while. "Has the result come out?"

"PCR will take five hours to run, so I guess we will have to wait a while." Zhou Ce glanced at his watch, shook his head and said, "But the patient's indicators have come up, and the rate of hemoglobin decline is much slower than the original estimate."

"Is the plasma exchange done?" Sun Lien took off his black down jacket and changed into a white coat hanging in the conference room. "No other questions?"

"At least not yet." Zhou Ce took another two mouthfuls of Red Bull, and then threw the empty can into the trash can. "I'll go and see his urine output. If it stabilizes, maybe the immunosuppressive treatment can be put on hold for a while. It's safer to start immunosuppressive treatment after the infection has been completely dealt with."

Sun Li'en watched Zhou Ce go out, and he was the only one left in the conference room.There was still no Wechat of Hu Jia on his phone, so he was a little restless, thinking about it, it would be more reassuring to ask head nurse Hu Jing.

"Are you here?" As soon as he went out, Sun Lien ran into Liu Pingchuan head-on.Vice President Liu looked visibly haggard in the past few days. When he saw Sun Lien, he waved at him and said, "Just in time, 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 Wang Lin's treatment needs to be directly intervened by Liu Pingchuan, Yang Jianqiang, who is still chasing his wife in a daze, and Chen Wen, who is still receiving immunosuppressive treatment, have to be supervised by Director Liu.

"The situation of these patients, you write a briefing to me every day from now on." Vice President Liu is from the same association, and he usually doesn't care about the patients, but now he needs to personally ask the patients, so naturally he has to follow the old rules.I inquire about the patient's situation in person every day, communicate with family members, and even write down the daily treatment process of each patient by hand.In particular, it is necessary to indicate the reason and therapeutic effect of each treatment method. These paperwork make Liu Pingchuan very annoying.

Although he was born in the same association, he is still a surgeon after all.For ten hours of surgery, Liu Pingchuan is duty-bound, but this old man has to spend ten hours typing on the keyboard to write medical records?No matter how you say it, the vice president is still a leader of the institute!

Liu Pingchuan, who had been writing the case records for more than ten days, finally realized that something was wrong, but he had to ask the surgeons under him to write about the conditions of patients in other departments. For standard cases, Liu Pingchuan himself has to guide, which is really annoying.

So, Dean Liu had an idea, and decided to arrest Sun Lien as a strong man, and let him solve all the troubles he caused.

"Okay, I'll write today's report as soon as possible." It's normal for Dr. Guipei to write medical records, not to mention that these three patients are all patients in Sun Lien's treatment group.He agreed with all his heart, and then he was about to turn around and leave. Who knew that Dean Liu had spoken again.

"Are you not emotionally stable today?" Liu Pingchuan pointed to the seat in front of him, motioning for Sun Li'en to sit down. "The people in the laboratory are still running the PCR program, and now you can't speed up the action even if you urge them."

Liu Pingchuan told Sun Lien to have his own ideas.From his point of view, Sun Li'en seemed impatient, probably because Zhao Jianguo from the inspection department was deliberately delaying the progress of the inspection.And what he wants to do is to be a peacemaker and to press down the conflicts between the two sides.

With Liu Pingchuan's own position and level, not to mention one Zhao Jianguo, even ten or eight would not be taken seriously.After all, although Zhao Liguo had some background in the rumors, those things that were not on the table could not be compared with the vice president and second-level professors.But Sun Li'en was different. Although he was a student accepted by Liu Tangchun, he was still just a trained doctor after all.Even if he becomes the leader of the diagnostic team of the newly established diagnostic center in the future, he will be treated as a deputy director if he dies.Wanting to directly wrestle with Zhao Jianguo, Liu Pingchuan was worried that Xiao Sun would suffer.

Sun Li'en laughed twice and didn't speak. He couldn't say "I had a dream and it didn't feel right. I have to go to my girlfriend's aunt to ask about the situation." So he could only listen to Liu Pingchuan's preaching honestly.

Liu Pingchuan was criticizing Sun Lien for his nonsense, when Sun Lien's cell phone suddenly yelled "Roast gluten!" He nodded towards Dean Liu with a look of embarrassment, and then quickly glanced at the phone screen.

It was Hu Jia's WeChat message, "I was just undergoing surgery, what's the matter?"

Sun Lien suddenly felt relieved.

(End of this chapter)