I can see the status bar

Chapter 479 Care (Second)

The examination results were no different from what Sun Lien expected. Not only could there be obvious edema in the patient's pancreas, but there was also fluid in the abdominal cavity. What's more, Tian Xinghua's spleen showed decreased density and giant spleen.After seeing the CT image, Sun Lien made a decisive decision and asked the imaging department to make up an enhanced CT.The result was unexpected—Tian Xinghua also had splenic infarction caused by splenic vein embolism.

Splenic infarction is one of the serious consequences of acute pancreatitis. Due to the close anatomical location, the edematous pancreas in response to inflammation expands and squeezes the splenic vein, resulting in splenic congestion and enlargement.At the same time, acute pancreatitis causes proteolytic enzymes to be released, resulting in a hypercoagulable state of the patient's blood.Both work together to produce splenic vein embolism and splenic infarction.

If Tian Xinghua still had hope of conservative treatment at the beginning, then the spleen infarction made this hope burst and dissipate like a bubble.His condition was critical and immediate surgery was required to remove the infarcted spleen, drain the pancreas, and lavage the abdominal cavity.

Sun Lien asked Yuan Pingan to continue the treatment and arrange surgery first, while he took the CT image just printed out, and the inspection report of serum amylase up to 284U/L (enzyme rate method 37 ℃) freshly released by the laboratory, all the way. Xiao ran rushed to the medical office.

Director Zang Fusheng, who was familiar with Sun Lien in the medical office, is not here today, and Deputy Director Chen is on duty.After learning about Sun Li'en's intentions, Director Chen wanted the CT images and examination reports, and at the same time called the doctor on duty from the Department of Gastroenterology to review the reports.

"Your emergency department accepts this kind of patients all day long..." When the doctor on duty in the department of gastroenterology came to read the films, Deputy Director Chen chatted with Sun Li'en, and poured a cup of hot water very politely Cha, "I can't even ask about the medical history, it's hard work?"

Sun Li'en nodded, took a sip from the plastic water cup, the tea tasted bitter and smelled like jasmine.Although it is a common tea, the quality is really good.It even competed with the tea leaves that Dean Liu usually used to show off.While drinking tea, Sun Li'en answered Deputy Director Chen's question, "Hi... This is what we do, and we have to do it even when there are difficulties."

It is not a day or two for the emergency department to receive patients who have no family members and are unable to answer questions or even unconscious patients.The procedures are all ready-made. Although it is troublesome, as long as you follow the regulations, basically there will be no too much trouble.

Of course, "following the prescribed procedures" is already the biggest trouble in the world for many people.

"That's right." Deputy Director Chen nodded emotionally, "Your emergency department in the hospital is the only one who does this kind of thing. Since last year, I have signed six or seven authorization sheets, not counting other deputy directors. Permission from the director." He took a sip of tea, took a sip, then put down the cup, looked at Sun Lien and said, "How long have you been working in the Fourth Hospital, Doctor Sun?"

"Half a year...eight months." Sun Li'en thought for a while and replied, "My internship was in the affiliated hospital, and I took the fourth hospital's regular training test later."

Deputy Director Chen didn't seem to listen to what Sun Lien was talking about, but showed a surprised expression very flatteringly, "Such a short period of time? I thought you had been working in the Fourth Hospital for two or three years. It's really... a formidable young man. "The timing of the expressions and the degree of surprise are just right, as if they have been quietly practiced dozens or hundreds of times.

Sun Li'en nodded with a smile and didn't answer. He didn't know how to continue the conversation, so he could only lower his head and suppress the anxiety in his heart, and blew on the tea in the cup.

The tea water is clear, and a few jasmine flowers that are slowly unfolding are exuding a faint fragrance.

"I heard that when the diagnostic center is established this year, Dr. Sun, you will go there to serve as the leader of the diagnostic team, right?" Although this seems to be a very offensive joke in Deputy Director Chen's mind, the truth is true. It's right in front of you, believe it or not. "When the time comes, Dr. Sun will leave the emergency department and go to work in the diagnostic center." He paused, and then added, "If I want to be like today, I'm afraid I won't have a chance to issue you a certificate of authorization."

Sun Li'en continued to smile politely, but began to mutter in his heart.I don't know Deputy Director Chen very well, so it would be a bit reckless for people to talk about these things with me now, not to mention shallow words.

Deputy Director Chen was silent for a while, and seemed to feel that what he said was a little rash, but after thinking about it, he continued to ask tentatively, "I remember, Dr. Sun, you and Director Zhou are brothers in the same school, right?"

Sun Li'en nodded, and then said with some embarrassment, "It can't be counted now, it will only be counted when Director Liu returns to China."

Deputy Director Chen continued to ask tentatively, "Dr. Sun, if you go to the diagnostic center later, you must focus on your work there, right? What about your current work? Does Director Zhou have any plans? "

Sun Lien shook his head. There is nothing to cover up about this, "Director Liu's support in Africa was quite sudden, and Director Zhou also started suddenly. Now the main energy is still on straightening out the existing work. Didn't get along with us."

It must be nonsense for Zhou Jun to say that his head is not big now.Although the doctors in the emergency room don't like to engage in intrigue, they all have a common concept, that is, the director must be able to control the situation.Whether it is outstanding academic ability, strong business ability, or the ability to take care of a calf, there must be at least one of the three qualities that can be sold.

As for Zhou Jun, none of the three characteristics are particularly outstanding.In terms of academic ability, Zhou Jun himself is a chief physician, but his seniority is still young, and his academic achievements are not outstanding.In terms of professional ability, due to his background in orthopedics, Zhou Jun has some skills in dealing with trauma.But the emergency department is not only trauma, poisoning, internal emergency, autoimmune diseases, cardiovascular and cerebrovascular, each of which is indispensable.In terms of other professional abilities, Zhou Jun's performance is similar to that of several deputy chief physicians.

As for the care of the calf, Zhou Jun's performance in this regard can be said to be the worst.Zhou Jun and Xu Yourong's tempers are quite right, and this is the reason - both of them are rigid in their actions. To put it mildly, it's "strict self-discipline, but also strict demands on others." To put it bluntly, Zhou Jun is simply bookish.Emergency work is often seen in critical and severe cases. In many cases, emergency response is a last resort and a necessary requirement.But in Zhou Jun's eyes, this has become a violation of the regulations and needs to be strictly prohibited.Despite encountering similar problems, he will still protect the calves guarded by Zhou Jun, but there will always be criticism and even review and fines.This is completely different from Liu Tangchun's old way of laughing and cursing, holding it up high and putting it down gently. The doctors in the emergency department must be somewhat uncomfortable.

In general, Zhou Jun is the kind of department director who is quite average in all qualities and not very good at all.If the doctors below didn't see that Zhou Jun could at least take the lead and take the initiative to undertake the work; and they had Liu Tangchun's three-point incense and favor, otherwise they really wouldn't give Zhou Jun any good looks.

According to Sun Lien's observation, Zhou Jun's hair has a dangerous tendency to thin recently.

"That's it..." Deputy Director Chen nodded in embarrassment, thought for a while and said, "I've been thinking about this for a long time, but there is really no one to ask about it, so ask Xiao Sun, It's not that I, Old Chen, intend to bully you..." Deputy Director Chen placed himself in a very low position, which made Sun Li'en feel bad in his heart.

"If it's convenient for you, please ask Director Zhou for me..." Deputy Director Chen asked in a low voice, "My son will graduate from medical school next year and wants to enter our fourth hospital for emergency training. Can Director Zhou take care of him?" one time?"

(End of this chapter)