Chapter 50: Ward Rounds (Part 1)

The roles of patting the table and being slapped on the table switch between Liu Pingchuan and Liu Tangchun without delay. Vice President Liu, who originally planned to ask for guilt, suddenly became a reassuring character.

As Xu Yourong's doctoral supervisor, Liu Pingchuan certainly knows how stubborn he can be as a proud disciple. After admitting Xu Yourong in the first year, Liu Pingchuan would seriously consider whether to transfer Xu Yourong to other tutors or simply hand it over to the college for persuasion every other month. Liu Pingchuan himself is the vice president of the Fourth Central Hospital and the director of neurosurgery, and in addition to scientific research and teaching, he usually puts more energy into administrative management. Therefore, compared with ordinary professors and doctoral supervisors, Liu Pingchuan also requires his doctoral students to have good teamwork and management skills.

But Xu Yourong is an alternative, or rather, she is a freak.

On the operating table, Xu Yourong watched and listened to all directions. Whether it's teamwork or mutual communication, even emotional management is very well done. But as soon as he got off the operating table, Xu Yourong seemed to have turned off the switch that was "good at communication", and the whole person entered the power-saving mode. If you don't say anything about other people's words, it's how convenient and direct the response is. As for other people's reactions and psychological feelings, they were completely out of Xu Yourong's consideration.

"You're looking for me to report?" Although he had already asked three times, less than two minutes later, Sun Lien still asked again. "Dr. Xu, this ...... There's no such rule. ”

"This is Director Liu's arrangement. Xu Yourong, who entered the power-saving mode, still didn't want to explain in detail, "If you have any questions, you can just ask Director Liu directly." ”

Sun Lien touched his nose and didn't know what to say.

"The patient's condition has basically stabilized. Xu Yourong didn't pay attention to the curious glances thrown at her around her, but just lowered her head and glanced at Kaoru Kobayashi's case, "Can you send it to the ICU?"

Sun Lien spread his hands, "This is not my patient, and I have no right to dispose of it." ”

"He's not your patient?" Xu Yourong's eyes widened, then he took out his phone and dialed a number. "Director Liu, we took this RB patient. Yes, the prescription right is mine. ”

Hanging up the phone cleanly, Xu Yourong nodded towards Sun Lien, "He is now." ”

"You see, Lao Liu, the strategy I racked my brains to come up with is still very effective. Liu Tangchun shook the phone in his hand proudly towards Liu Pingchuan, "Xiao Xu is helping Lien grab the patient now." ”

Liu Pingchuan had some expectation in his heart, but also a little uneasy. Looking forward to Xu Yourong being able to become the deputy chief physician smoothly, he is worried that his successor will be fooled away by Liu Tangchun - Liu Tangchun doesn't say anything else, the ability to use people to recognize people definitely has two brushes. Zheng Guoyou's successor, Zhou Jun, is a typical example. It's just that Zhou Jun is probably not the only one who has been fooled, but I'm afraid that Zheng Guoyou will also be fooled enough - otherwise, how can he willingly let Zhou Jun go to the emergency department!

"Okay, all four patients are in the ICU. Then let's check the room by the way. Sun Lien and the doctor in charge of the ICU made a handover, looking at the time display on the mobile phone at 20:45, Sun Lien decided to go to see the situation of several patients.

"Lin Lan, male, 23 years old, has fluid in the ascites cavity. "Lin Lan's face was a little swollen after the operation, but the urination was quite normal. The attending doctor sent by the Department of Hematology was wearing a hand-washing gown and sat next to Lin Lan's bed, as if he was a family member accompanying the bed, and looked at the cardiopulmonary monitor next to Lin Lan's bed from time to time.

"Hello. Sun Lien shook hands with the attending doctor of the Department of Hematology, "Lin Lan is the patient I am in charge of, and I will trouble you tonight." ”

The attending doctor in the blood is called Wu Boen, he doesn't know Sun Lien, but he knows Xu Yourong, who is half a step behind Sun Lien. "Hello. Wu Boen was a little unclear about Sun Lien's origin. The doctor who can make Xu Yourong follow behind him like an intern, I'm afraid that at least he has to be a director. But Sun Lien is too young, and it is a little reluctant to say that he is a resident doctor. "Are you ......?"

"My name is Sun Lien. Sun Lien scratched his head embarrassedly, "Director Liu asked me to be in charge of this case, Doctor Xu...... Responsible for supervising me. ”

Xu Yourong didn't speak, she just picked up the record hanging on the bedside and looked at it. Lin Lan's cerebral hematoma removal was done by herself, and the operation went smoothly. As a result, she focused more on the orthopedic part.

"Lower extremity blood vessels are recovering well. Xu Yourong lifted the quilt at the foot of the bed, gently pressed on Lin Lan's toes a few times, watched the white skin quickly recover its ruddyness, and nodded with satisfaction, "The orthopedics department is also doing very well." ”

"After the patient's condition is stabilized, do an abdominal ultrasound to take a look. Although Sun Lien is only a regular trainee, as Lin Lan's doctor, he still has the right to make requests to the doctors in the ICU. "When she was admitted to the hospital, she was found to have intra-abdominal bleeding, but the amount of bleeding was not too large, about 500CC. There was no open abdomen during the operation, so please pay more attention to it. ”

The doctor on duty in the ICU nodded, made another note on the record, and then asked, "Do you want to take a little ascites fluid for a biochemical test first?"

Sun Lien thought twice and rejected the suggestion. "No, just keep a close look. Give her another bottle of mannitol to control the cerebral edema after surgery and speed up the absorption of ascites. ”

Xu Yourong nodded and put the record back at the foot of the bed, "Do as he says." ”

"When did you two get together?" Just as Xu Yourong put the case back, Zheng Guoyou's voice suddenly came from the bed next to him, "Or is it that Lao Zheng and I have been asleep for several years?"

"Director Zheng, are you there too?" Sun Lien was startled by this sudden interjection, and turned his head to see Zheng Guoyou grimacing at him with his eyebrows.

"What do you mean I'm here too. I'm not lying here, are I going to lie down in the morgue?" Zheng Guoyou smacked his lips and lowered his voice towards Sun Lien, "I'm dying of thirst, who is that, Xiao Sun, go get me some water." ”

Patients after coronary intervention are different from traditional post-operative patients in that they need to drink plenty of water so that the contrast agent injected into the blood can be excreted as quickly as possible. If the contrast medium remains in the body for too long, it is likely to lead to contrast nephropathy and possibly even kidney failure.

It has been almost 12 hours since Zheng Guoguo underwent PCI (coronary intervention) surgery. The amount of urine is not too high. Sun Lien lowered his head and looked at the urine bag next to Lao Zheng's bed, and there was only about 600 ml of urine in 12 hours. This is not a good situation.

Sun Lien went to the ICU duty room to pour two glasses of warm water, asked for a straw from the nurse's station, and came back to the bedside with water. "Director Zheng, you haven't drunk much water since the morning?"

It can be seen that Zheng Guoyou is also a little thirsty. He took a straw in his mouth and drank the warm water from his cup in one go. "It wasn't long after I woke up. If it weren't for you and Xiao Xu talking next to me just now, I would have had to sleep for a while. ”