The mindset of emergency medicine is different from that of other departments, and the mindset of clinical medicine and basic medicine is also different. It's the norm and it's only natural. Anyway, for clinicians, it is simply natural for patients to lose weight during hospitalization. As long as the blood sugar and blood ketones are within the normal range, and all protein indicators are normal, there is no need to pay too much attention.

Even if there is a low protein due to insufficient protein intake, then two bottles of albumin are enough. The ratio and content of the nutrient solution are calculated individually for each patient in advance, and then the pre-packaged diaphragm bag nutrient solution is used to support it with other nutrients...... Where do the doctors and nurses in Chinese hospitals have so much effort? Are they not busy enough at work, or what?

What's more, there is no clear research and data on the impact of protein intake on patients' recovery.

In fact, whether it is Director Huang's opinion or Zhou Jun's attitude, neither can be said to be wrong. Sun Lien was sandwiched between the two people, in addition to being in a dilemma, he was more confused. However, he still has some tendencies in his heart, anyway, in the foreseeable future, the number of patients admitted to the inpatient department of the comprehensive diagnosis center will definitely not be too much. Under the premise that the business pressure is completely acceptable, there is no difficulty in providing an "individualized" treatment plan for each patient.

As long as the patient and family are willing to accept it, and there is no financial difficulty, it is better to give them the appropriate nutrients.

While it is uncertain how much benefit there will be, it certainly doesn't hurt to provide patients with comprehensive and adequate nutritional support.

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"I told Isabella to go to the hotel to find Penny. Seeing Sun Lien return to the office, Xu Yourong nodded at him, and then said in a low voice, "Todd hasn't woken up yet." ”

Sun Lien thought for a while and asked, "Do you want to ask the anesthesiology department?" After the general anesthesia operation, the patient did not wake up for a long time, so he must ask the anesthesiology department to ask about the situation.

"Wait another hour. Xu Yourong thought for a while and said, "I'll call the anesthesiology department first and ask them to stay here." ”

If she could, she really didn't want to give Todd naloxone to wake up. As long as he can wake up on his own, he can sleep again.

With naloxone now, Todd will clearly feel the pain in the surgical area for the next few hours. And that kind of pain...... Opioid analgesics do not work.

Sun Lien nodded, "I'll go to the room to take a look......" He took out a previously printed shift schedule from his body, "This is the schedule from Director Zhou, and Bruen and I have to take turns to go back to the emergency room." He said calmly, "But Dr. Xu, you don't have to go back to the emergency room." ”

"The only reason why I came to be the head of the treatment team of this comprehensive diagnosis center is that Dr. Sun, you don't have an intermediate title yet. Xu Yourong looked at Sun Lien, with a little encouragement in his words, "You can get the medical license this year, and the treatment in the future will definitely be based on you." ”

"How can the intermediate title be so fast. Sun Lien smiled bitterly, "No one can run away from the three-year regular training, and I can't get a doctorate right away." ”

"I'm sure you're going to be a little faster than the other doctors. Xu Yourong replied with a smile, "You have a paper in your hand, and when you are hospitalized for two years, you can directly take the main examination, very soon." ”

"Then it's better to take a doctorate, maybe Director Liu can take care of me when he sees me so obedient, and let me graduate smoothly." Sun Lien chatted with Xu Yourong for a rare time, "After graduating from the doctorate, I will be able to take the main examination immediately, and it will save me the effort of staying up for two years in the hospital." ”

"Then you can just talk to Director Liu and go straight to the doctor. Xu Yourong was very enthusiastic about his opinions, "You still have two years to train, plus two years of hospitalization, a total of four years, and then take a master's degree exam." After graduating with a master's degree and a doctorate, I will directly take the doctoral degree examination, and my development will be much easier after that. ”

Sun Lien was a little moved by what he said, he thought about it, and then smiled, "It's still a bit early to worry about this kind of thing now, let's talk about it when Director Liu comes back." He picked up his notebook and pen, "I'll go see Todd." ”

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Todd lay on his hospital bed, his eyes closed.

Sun Lien gently broke his eyelids with his hand and shook his eyes with a penlight. The pupils on both sides are equally rounded and respond well to light. The effect of removing the bone flap to relieve pressure was remarkable, and the brain herniation, which had been the most worrying thing before, did not occur.

Sun Lien looked at the state bar on Todd's head that was gradually improving, and was thinking about whether to send him for an MRI tomorrow to see the infection.

Antibiotics hung on the shelves next to the bed, and under the control of the infusion pump, the antibiotics were slowly injected into Todd's body at a relatively gentle rate. Under the effect of anesthetics, Todd's face did not look very good. Of course, this may also be due to the fact that he is a white man - small faces are naturally white.

"You've been waiting here for a long time?" Dr. Pascal's voice appeared behind Sun Lien, who looked tired, but the appearance of Old Pa also made Sun Lien sure that Todd's complexion was actually okay - Dr. Pascal's face looked even whiter.

"It's been about ten minutes since I arrived. Sun stood up and sat down beside Todd with Pascal, "You look terrible, you already look a bit like a pediatrician in the hospital." ”

Dr. Pascal was followed by Qian Hongjun, and as soon as he entered the room, he heard Sun Lien slandering pediatrics, and immediately became dissatisfied, "What do you mean by a bit like......? But after ...... "but" for a long time, Qian Hongjun didn't have a reason to come. It's obviously a bit out of place to joke at this time.

"He's not awake yet?" Dr. Pascal gently touched Todd's hand and glanced at Qian Hongjun with some concern, "It's okay, right?"

"It's not a big problem. Qian Hongjun and Sun Lien exchanged words in a low voice, raised their heads and smiled after hearing Pascal's question, "Children's liver and kidney functions are weaker than adults, and he metabolizes anesthetics relatively slowly, so it is normal to wake up later." ”

Compared with anesthesia and not waking up, Qian Hongjun is actually more concerned about Todd's brain herniation. The unequal size of the pupils on both sides is basically equivalent to announcing the occurrence of brain herniation. This is also the main basis for the emergency surgery on Todd. Fortunately, Todd's bilateral pupils quickly returned to a normal state of equal size on both sides after the operation, and the light reflex was also good. This is a good sign.

"When he wakes up, he can do some other tests. Qian Hongjun comforted Dr. Pascal, "His Lyme disease should be the first stage, and there shouldn't be too many sequelae." ”

Everyone is a doctor, so a lot of things can be said more directly. Pascal sighed, then muttered like a sister-in-law, "I shouldn't have stopped the property from spraying ......pesticides."

"Okay, let's stop muttering. Qian Hongjun patted him on the shoulder, "Ticks can be spread through bird migration, according to your statement, is it appropriate to install a bird trap gillnet near your house?" he stretched, "I know the immunization plan." You're here with the kids, so don't stay in the hospital tonight. Take a good break, and you'll have your work to do in a few days - don't get tired and mess up some kind of medical accident. ”