Speaking of which, in addition to Dr. Pascal, there should be another Dr. Bruce who originally intended to come to the Fourth Central Hospital. Dr. Pascal had been in Hospital Fourth for a week, and Bruce had not been heard from. I don't know if it's because he's delayed his trip because of something, or if he simply doesn't plan to come - what's going on near the Caribbean?

Since all the matters related to the "introduction of talents" are actually handled by Xu Yourong, Sun Lien doesn't know whether Dr. Bruce plans to come or not.

Time passed minute by minute, and after reading the literature in hand, and then patrolling the rescue room and the observation area next to it with Rachel, Sun Lien was finally sleepy and couldn't open his eyes.

"Why don't you go back first?" Sun Lien looked at Rachel, who had nothing to do, and asked, "Anyway, you don't have anything to do here now, so you might as well go back to sleep." ”

"No, I don't. Rachel decisively rejected Sun Lien's suggestion. "I'm still waiting for supper. ”

Looking at the wall clock with the hour hand pointing to "4", Sun Lien smiled bitterly, "Then you can eat now." "The eight-treasure chestnut fragrant pigeon ordered by Dr. Cao Yanhua has already been delivered. Dr. Cao estimated that he had finished eating, but the remaining ones were still in the lounge and had not been touched - Hu Jia and Xu Yourong had not yet come out of the operating room.

"Is Hu Jia your first girlfriend?" Unexpectedly, this suggestion immediately attracted Rachel's attention, and she immediately discovered the "Hua Dian" in this sentence, and couldn't help but raise her eyebrows and smiled, "Oh oh ~ I really didn't expect it!"

Sun Lien glanced at Rachel expressionlessly, "Dr. Xu is your first girlfriend?"

The so-called raising of the bar is afraid of revealing the short, when the other party does not change its color and is ready to flip the table, the party who is joking will naturally understand - now is the best time to shut up. However, in the eyes of many players in the bar lifting world, the opponent's flipping of the table shows that he has a great advantage. Since the other party can't bear it anymore, flipping the table is basically equivalent to playing GG. So Rachel smiled and walked out of the exam room - she decided to go for a late-night snack that had already cooled down.

Sun Lien packed up his things and charged his phone. According to initial estimates, Yang's brain edema could peak within a few hours. If Hu Jia and the others have not come out now, it may mean that the Gamma Knife has not achieved the results that the doctors expected at the beginning. In the end, Yang Jianqiang still had to undergo brain puncture and decompression.

After all, the treatment method was proposed by Sun Lien, and if he said that he had no pressure at all, it would obviously be a lie. There are so many things to worry about - what if the experimental therapy fails? What if the radiation dose is too high? What if the radiation is not enough, which causes edema? What if the edema is followed by a brain puncture, resulting in incalculable sequelae? Countless questions are turning over in Sun Lien's mind, and in the ninth clinic at four o'clock in the morning, Sun Lien is in good spirits like a rooster who has just gotten up. After pacing back and forth a few times, he decided to simply go outside the operating room to see what was going on.

Outside the operating room, there sat several family members with numb faces and a hint of fear in their eyes. Their relatives are all lying in the operating room, with an isolation door on the first floor, which may be separated by a life-and-death parting. None of the patients who were still undergoing surgery at 4 a.m. in the major emergency center hospital were "manageable". No one knows whether the doctors who come out of the operation area will bring the good news of "successful surgery" to their loved ones after the door is opened, or the bad news of "I'm sorry, we did our best".

Yang Jianqiang's wife did not sit in the waiting area, she was wearing some thin clothes and sat on the ground with her back against the wall of the operating area. The head was buried between the bent legs. She was like a robot that had drained all its power, huddled up in a ball, motionless.

Sun Lien looked around the waiting area at first, but he couldn't find any trace of Mrs. Yang. Sun Lien, who was wearing a white coat and poking his brain in the waiting area, caused an uneasy commotion. It wasn't until he repeatedly explained to the surrounding family members, "I'm here to find someone," that the commotion gradually subsided.

"Is there any surgery going on in the compound operating room?" Sun Lien swiped open the automatic door of the operating room with his card, and asked in a low voice to the nurse on duty on the nurse island on the side.

The nurse on duty on the nurse island did not sleep on her desk, but was playing with her mobile phone with her head down. Sun Lien's movement when he came in probably made her think that the nurse teacher had come to check the post. After a panicked attempt to hide her phone, the nurse on duty raised her head and asked embarrassedly, "What did you just say?"

"Oh, the compound operating room?" Sun Lien repeated the question again, and the little nurse on duty glanced at the record arrangement on the computer, "The operating room has been preparing for surgery since eleven o'clock in the evening, and I don't know ......if it's done now."

Yes, I asked in vain. Sun Lien sighed and walked to the side of the dressing area to change into a sterile suit. Since the nurse on duty doesn't know the specific situation, it's better to take a look for herself.

In the operating room, the cardiopulmonary monitor is still ticking. A group of medical staff were gathered around the operating table, and they rarely spoke to each other, not even making eye contact. Everyone was nervously looking at Yang Jianqiang on the operating table and the monitoring monitor next to Yang Jianqiang.

A wire extended from the top of Mr. Yang's forehead and was connected to the cluster of wires behind the monitor. On his head, there is a small white cylinder, and if you look closely, you will find that this small cylinder is actually embedded in Yang Jianqiang's skull.

"Lien?" opened the spring door with his buttocks, and Sun Lien's appearance immediately attracted Hu Jia's attention. She walked a few steps quickly to Sun Lien's side, raised her head to stare at Sun Lien and asked, "Why are you here?"

"I'll take a look at the situation. Sun Lien was also quite surprised, he was wearing a surgical cap, a mask on his face, and the only part of his face was exposed was his ears and a pair of eyes. I don't know how Hu Jia passed through these two parts and recognized himself in an instant. "How's it going?"

"It's not too good. But it's not particularly bad. Hu Jia sighed, "Sister Xu, they have installed intracranial pressure monitoring for patients, and the pressure has been rising in the past three hours. However, his intracranial pressure level is currently within acceptable limits. ”

The surgical team, led by Professor Liu Pingchuan, has been in the operating room for five hours, and depending on the situation, they may have to continue to hold on — at least until Yang's intracranial pressure stabilizes and does not continue to rise.

Because Yang Jianqiang was a critically ill patient taken over by the emergency department, and the treatment plan was proposed by the emergency department. Therefore, Zhou Jun has also been staying in the operating room, and when he saw Sun Lien coming, he walked over slowly and greeted Sun Lien, "Have you finished tonight's visit?"

"I left a strip at the door. Sun Lien shook his head, theoretically speaking, he had to work until seven o'clock in the morning to get off work today. "I calculated the time and felt that Yang Jianqiang's observation period should be almost over, and I haven't seen anyone yet, so I came over to see the situation. ”

"He's not bad enough to do a puncture to decompress, but he's not stable enough to let his guard down. Zhou Jun shook his head, "Continue to observe." ”

Sun Lien nodded and asked in a low voice, "Do you want to change the anesthesia and nurses?" They should have been holding out for a long time, right?"

"How to change?" Zhou Jun glanced at Sun Lien, lowered his voice and said with a dissatisfied lesson, "After watching the Tongxie operation once, I feel that we have a big family like the Tongxie, and we can pull out two rotating teams at any time?" Now there is only one group left on duty, in case of a sudden emergency, the kind that can die on the spot without surgery." Are you going to watch people die, or are you going to take down some of the surgical teams that are doing half of the surgery?"

Speaking of which, the Association has not reached the point of such a "big family and big business". When the atlantoaxial vertebra replacement was done, it was also arranged by the academician and specially prepared two surgical teams. Yang Jianqiang's situation is special, and the professional level of the surgical team is extremely demanding. The surgical team itself must not only have excellent neurosurgical skills, but also have excellent aseptic operation skills and sufficient understanding of immune response, imaging, and even acute radiation injury. The surgical team that can meet these conditions at the same time is really not able to come up with a second one in a while.

Compared with ordinary surgery, Yang Jianqiang does need stricter aseptic measures. With a second suppression of the immune system, as well as a large dose of radiation therapy, his immune system will be weakened to a very weak point. It is so weak that you can suffer a serious infection from the time you leave the operating room to the time you are transferred to a clean isolation room.

Sun Lien lowered his head and pondered for a while, then said to Zhou Jun, "Teacher Zhou, is Yang Jianqiang's intracranial pressure still very high now?"

"Were you sleepwalking when I was talking just now?" Zhou Jun said dissatisfied, "It's not very good and it's not very bad......

"I mean, isn't the swelling of those eight edema areas basically the same?" Sun Lien asked, "Could his current rise in intracranial pressure be caused by acute radiation?"

Acute radiation injury can cause cerebral edema, and this knowledge is what Sun Lien learned when he was chatting with Rachel just now. If the cause of Yang Jianqiang's intracranial pressure change can be determined, at least some adjustments can be made to the subsequent surgical plan - if it is caused by acute radiation injury, then Yang Jianqiang can be transferred out of the composite operating room and sent to the clean room through the positive pressure isolation chamber for follow-up treatment.

And Sun Lien's question was something he couldn't answer. This is not a question with a tendency to guide, but a whim of a medical practitioner.

Because this time, the status bar disappointed Sun Lien.

"Yang Jianqiang, male, 34 years old, multiple occupancy masses in the brain, acute radiation injury. ”