Lumbar puncture is an important test to detect central nervous system infections, but because of the considerable risk of implementation, it has always been performed by doctors in hospitals.

Todd is only nine years old and is still in the pediatric care category. Lumbar puncture is very difficult for a child of this age, and when he is struggling with pain, the difficulty and risk rise to another level. The doctors in the emergency department of the affiliated hospital discussed it and finally decided to ask the pediatric neurosurgeon to perform the lumbar puncture.

Sun Lien called Lao Pa a little farther away and explained the current situation. "I think there is a sign of meningeal irritation, but I can't do a more detailed examination here. The emergency capacity of the affiliated hospital is relatively limited, and if the MRI cannot be taken within half an hour, I recommend transferring Todd directly to our hospital. ”

Pascal on the other end of the phone was silent for a while, "I agree with you, you can communicate directly with Isabella." Do you need me to contact the ambulance here?"

"I'll just do it. Sun Lien rejected the suggestion to involve Dr. Pascal, "If you feel uneasy, then simply let Dean Liu take over first......

Before Sun Lien could finish his words, he was interrupted by Pascal, "No, no one else can help with the work here except me." He took a deep breath, "I'll leave Todd's affairs to you, and I'll join you as soon as the work here is over." ”

The liver transplant is still ongoing, and Chen Tianyi's mother has been pushed out of the operating room. And Xiao Yanran and Chen Tianyi are still undergoing liver removal. It is estimated from the time that Xiao Yanran should end the operation last. Dr. Pascal needs to be continuously monitored after her surgery and then adjust her immunosuppression regimen as needed.

He really can't leave for a while.

Sun Lien hung up the phone and went to communicate with Director Wei about the timing of MRI sequencing. However, the results were still not satisfactory - Todd was considered a second-level patient in the emergency department, and if there were other first-level patients who needed MRI examinations, he would have to give way to others.

"Let's transfer to the hospital. Sun Lien sighed and explained the situation to Xu Yourong and Isabella, "Yourong, you can contact the team in our courtyard now and ask them to send an ambulance to come and prepare to pick up people." Isabella, you just tell the doctor here that you need to be transferred, and then sign the consent form and the notice. I went to contact the imaging department and asked for an MRI to come out. When Todd arrived at the hospital, he went straight to the imaging department. ”

After arranging the division of labor, Sun Lien walked directly into the emergency room of the affiliated hospital, which was somewhat familiar and somewhat unfamiliar, and then effortlessly found the teacher who was still teaching during his internship, "Teacher Wang, that American child is going to be transferred to our hospital, so let the pediatric teachers not be busy coming over to make him waist wear." ”

If Todd had done a lumbar puncture now, he would have to lie down in the hospital for at least six hours. This is clearly not conducive to subsequent transfers. Therefore, Sun Lien simply stopped his waist piercing first and prepared to wait for the transfer.

"Then give me a bottle of mannitol. Teacher Wang was stunned at first when he saw Sun Lien, and then laughed, "You have learned badly from Liu Tangchun." If he poachs doctors in the four hospitals, you will poach patients in the four hospitals?"

"Mr. Liu went to Africa to support medical treatment. Sun Lien replied with a smile, "You don't know, this child's father is an American expert in our hospital, and it is relatively convenient to go back to the fourth hospital for examination." ”

Teacher Wang shook his head, "I really don't know about Liu Tangchun's trip to Africa. He asked curiously, "Is this Lao Liu ready to go further?" ”

"I don't know. Sun Lien shook his head, "I've heard something similar...... But no one can say for sure. Maybe Director Liu offended our Dean Song and was sent to Africa?"

Song Wen is not only the dean of the Fourth Hospital, but also the dean of Ningyuan Medical College. When Teacher Wang heard this, he immediately shuddered, and then nodded, "I think Dean Song did this." ”

Todd was given a bottle of mannitol to prevent the cranial pressure from rising and causing serious consequences, and the affiliated hospital did basically everything it could. About fifteen minutes later, the ambulance from the Fourth Hospital stopped at the transfer channel, Xu Yourong and Isabella followed the ambulance, while Sun Lien trotted all the way to the parking lot and drove back to the hospital.

For him, Todd's illness is not yet clear, but at least one thing is certain - he needs to complete the examination as soon as possible, and then start symptomatic treatment immediately. Meningitis may not sound like a terrible disease, but it's deadly. What's even more terrifying is that even if many patients with meningitis survive, they will still have very serious sequelae in the end. Tao De was only nine years old, and when he thought that this serious-looking little guy might always be paralyzed or simply become a fool who drooled all the time in the future, Sun Lien felt that his heart was particularly uncomfortable.

Fortunately, it was found early enough and fast enough. He could only comfort himself so hard, and little Todd's meningitis attack was less than ten hours old, and it should be too late.

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"It's not very good, he can't get his intracranial pressure down. When Sun Lien arrived at the Fourth Courtyard, the first news he got was bad news. Xu Yourong frowned and said to Sun Lien, "He passed out on the way, and I checked his pupils...... The sides are unequally rounded. ”

Sun Lien was taken aback, "Why is it progressing so fast?" He turned around a little anxiously, "No, I can't wait for the MRI...... Immediately arrange emergency surgery, first take a piece of cranial valve to relieve pressure, and then go down to this brain herniation. ”

That's what I mean. Xu Yourong nodded, "I asked Teacher Dong Xin to prepare for the operation, but I can't do this surgery." ”

Xu Yourong had a close relationship with Dr. Pascal's family when he was studying in the United States, and little Todd can even be said to have grown up with Xu Yourong. The two families are so close that she is indeed not the right person to perform the operation.

"I'll take a look......" Sun Lien sighed, he didn't know what he could do when he went to the operating room, but he always felt that Pascal had entrusted the child's affairs to himself, so it was his responsibility to take a look.

In the operating room, the surgical team of Shenwai was nervously preparing for preoperative measures, and Sun Lien followed after changing into a surgical gown.

The chief surgeon, Dong Xin, knew that Todd was Pascal's son, and he also knew that Sun Lien was entrusted to come over to see the situation. While directing his team to make the final preoperative preparations, he said to Sun Lien, "Since you are here, the work of shaving your head will be left to you." ”

Craniotomy requires an incision of the scalp, whereas before that, all the hair on the head had to be shaved. Nurses usually do this kind of work, but there's nothing wrong with finding a regular trainer to do it – just use a shaving clipper to push all the hair off, without any difficulty or risk.

Of course, if it is specific to the individual case, the biggest risk of Sun Lien shaving Todd's hair with his own hands is probably that he will be hated in the future - this kid can value his hairstyle. Usually rubbing his head will provoke solemn protests, if he is shaved into a little bald, he will not be hated to death?

Sun Lien nodded with a wry smile, took the clipper from the shaved head, and began to shave the wet ginger hair on Todd's head.

The hair gradually fell out, revealing blue skin. Halfway through shaving, Sun Lien suddenly said "Huh?"

"Is there any problem?" Dong Xin came over, the preoperative preparations were basically completed, and he almost started intravenous sedation and anesthesia, and intubated.

"This ......," Sun Lien frowned, pointing to Todd's scalp, "this thing...... Is it a tick?"

A small round bum, a bluish brown, appeared on Todd's scalp, and if you looked closely, you could see several tiny legs that did not match his body at all.