"I heard that you have started to take over patients with incurable diseases?" Sun Lien was looking at the literature in the ninth consultation room as usual, and Dr. Cao Yanhua's voice suddenly sounded outside the door. The Tianjin man slipped in with a malicious smile on his face, glanced back behind him, and closed the door with a smile after making sure that no one could see him. "How do I think you've calculated Dean Liu?"

Sun Lien looked up and saw Dr. Cao Yanhua, and heard his speech again, his expression was a little strange, "Why did I become the dean of Liu?"

"Dean Liu usually doesn't care about other departments. Dr. Cao walked up to Sun Lien, picked up the cup on the table, took a sip of tea and continued, "How many times has Dean Song talked to him, doesn't he still hold on to his mind? At worst, it is said that the stubborn old man only looks at his own one-third of an acre, just like a dog guarding food, who touches him to bite whom. ”

Sun Lien's eyes were a little evasive, and he coughed lightly, "How can anyone compare people to dogs." ”

Doctor Cao Yanhua laughed "hey", "The old man can't hear it now, which one of you is loyal......" He was suddenly stunned, and on the clothes rack behind Sun Lien, there was a gray cool hat that he looked a little familiar with. It seems to be the hat that my father-in-law wears when he goes out in the morning.

"Then you can't just speak ill of me when I can hear me, right?" Cao Yanhua closed his eyes in pain, and a familiar voice sounded behind him. Then he slowly but resolutely turned his face and replaced it with a flattering and flattering smile, "Dean Liu......"

"You little rabbit cub...... Liu Chang laughed angrily and slapped Cao Yanhua on the back. The slap was strong and heavy, and there was a dull "thump" sound. "Dare to speak ill of me in front of your colleagues?"

Cao Yanhua's face changed, and he continued to flatter, "Dean Liu, I'm ...... I'm just kidding my grandson......"

"Call Dad!" Liu Pingchuan looked dissatisfied, "With whom?"

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Dean Liu is here to deliver the case. This morning, the Department of Gynecology of the Fourth Hospital performed a radical hysterectomy and salpingectomy on both sides, and at the same time performed pelvic lymph node dissection on the patient. The goal is to cure a patient diagnosed with stage 3 uterine cancer.

The surgery itself was not a big problem, and it could even be said that it went smoothly. However, four hours after the operation, the patient woke up and developed symptoms of chest tightness, shortness of breath and abdominal distention. The gynecologist at the fourth hospital adjusted the amount and speed of her infusion, and started her on oxygen. However, there is no trend of improvement or relief in symptoms.

Then this case was seen by Liu Pingchuan.

"I was worried about whether there would be a problem with the anesthesia or the procedure. Liu Pingchuan put his doubts directly on the surface, "The results of the blood routine are not normal. ”

Sun Lien and Cao Yanhua, who was covering his ears, looked at the examination list together, the white blood cell count was 1.7*10^9/L, the C-reactive protein was as high as 246.7mg/L, the serum creatinine concentration was 130umol/L, and the albumin index was only 18.9g/L. Most severely, her N-terminal B-type natriuretic peptidin (ProBNP) was as high as 3028 pmol/L.

These data suggest that the patient has a severe inflammatory response, but the patient is in good condition before surgery, and the indications for surgery are normal. The operation lasted for two hours, plus four hours after the operation, and why such a serious infection suddenly appeared in six hours, Liu Pingchuan couldn't figure it out, and the chief surgeon of the gynecology department couldn't figure it out.

After Liu Pingchuan saw the case, he discussed it with the doctors in the gynecology department and decided to let Sun Lien take a look. If he could have had a flash of inspiration, maybe the overall treatment would have been much easier.

"Gynecological diseases?" Sun Lien was a little difficult after reading the report, gynecology is one of the areas he is not good at. "This ...... I'm not sure. ”

Liu Pingchuan waved his hand indifferently, "You can try it." ”

If there is no Sun Lien, this can only be consulted by an internist, and then symptomatic treatment is carried out according to the test results. Letting Sun Lien look at the case and come up with some ideas will not have any negative impact on the patient's treatment – it won't be worse anyway.

Sun Lien looked at the case, pondered for a while, and then said, "I'll take Dr. Xu and the others up to see the patient...... Let's talk to the surgeon. ”

The status bar wants to see that talents are useful, and when he encounters gynecology, a field that Sun Lien is not good at, he does not dare to have any reservations. So not only did I have to look at the status bar, but I also had to pull all my treatment team staff over to see how it was going.

After all, it is life and death, after all, there is no trivial matter between life and death.

For this request, Liu Pingchuan naturally has no reason not to allow it. The patient is not doing well, but at least his vital signs are stable. However, gynaecology doctors have begun to consider whether to transfer her to the ICU for observation and treatment. It is best to do the consultation before the patient is admitted to the ICU.

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The person who operated on the patient was Dr. Feng Chujie, an old acquaintance of Sun Lien. Seeing that Sun Lien was coming with a group of people, Dr. Feng greeted him a little tiredly, and then looked at the doctors behind him and asked, "Why are you making such a big stance?

Dr. Feng's condition is not bad, at least she still has the heart to joke with Sun Lien. And Sun Lien didn't hide it, and directly said his intention, "Dean Liu asked me to see that Qian Aiwu's case, and I was a little unsure, so I came up to see the patient's situation." ”

Doctor Feng glanced at the people behind Sun Lien again, "Why didn't you see Doctor Yuan?

"Dr. Yuan went to the countryside to help, and it will take a month to come back. Sun Lien explained that Yuan Ping'an finally chose the shortest time to support in poor areas. The energy of a doctor of emergency medicine who graduated from the Capital Association in the field of emergency medicine in a remote and impoverished area is amazing. The last time Dr. Yuan contacted Sun was a week ago, when he called for help — the local people's hospital had seen a patient with acute kidney failure, but there were no dialysis machines in the hospital.

Sun Lien contacted many people, and finally got a machine from Takeda. But I don't know what happened to the patient with acute kidney failure.

"Doctor Yuan is also going to be promoted to deputy high?" Feng Chujie sighed a little, and then said enviously, "Sure enough, it's better to enjoy the shade under the big tree, follow Director Sun, and you will be evaluated faster." ”

Yes, Sun Lien's current nickname in the Fourth Courtyard is "Director Sun". With an emergency medicine specialist who graduated from Harvard Medical School, an attending physician in nephrology, a doctor of emergency medicine who is about to become a deputy high school, and an M.D. from Johns Hopkins University, the luxury of this staffing is enough to support the backbone structure of a huge new department.

"Don't joke with me. Sun Lien smiled bitterly, he pointed to the ward and asked, "Can we go in and have a look?"

"Yes. Feng Chujie nodded, "I'll lead the way, and by the way, I'll introduce you to the details of the operation." ”