The nurse on duty reported to Dai Yunyang the relevant data of Tan Yuanyuan before this: "The intake and output are basically balanced, the output is slightly less than 200 ml, diuretic furosemide has been used, there is watery secretion in the trachea, the oxygen saturation is still unstable, sometimes high and sometimes low, and it has never been on the 90% passing line." ”

Dai Yunyang pondered, continuous lung recruitment makes the risk of pneumothorax increasing for pregnant women, where is the limit of lung recruitment? He didn't know that without lung recruitment, he couldn't find a way to deal with lung water and oxygen saturation.

He asked Wu Hao to help think of countermeasures.

Wu Hao listened to his statement silently, checked all the test sheets and medical records, thought about it, and said: "The exuded water has become protein exudation, the molecular weight of the protein is there, and the water pressed back is less than before, in this case, it is useless to continue high-pressure lung recruitment, and the risk of lung injury is increasing." Let's think of something else. ”

"I can't think of a better way, does the director have a way?"

"I didn't." Wu Hao replied honestly, "I said, it is difficult for her to survive this situation." I couldn't help it then, and I still don't. It's amazing that you've been able to drag her life until now. ”

Dai Yunyang lowered his head in frustration, he couldn't think of a way to save Tan Yuanyuan, of course he wouldn't be a little happy because of the director's praise.

It's finally time to get off work.

After working for twelve hours in the intensive care unit, Dai Yunyang left work exhausted.

He changed his clothes and came out, took out his mobile phone to check, and saw a voice message from Sister Du, clicked on it and listened, Sister Du's voice was very anxious: "Doctor Dai, the director of the Department of Nephrology disagrees, saying that there is no such arrangement in the hospital, what should I do?" Please, can you give me a call when you get off work? I can turn on my phone at any time. ”

Dai Yunyang was in a heavy mood, and it seemed that he had to talk about this matter in person, but it was still not possible to convey it through the nurse below.

However, Dai Yunyang felt that he was a small attending physician and communicated with a big director, especially if the other party was the kind of person who refused to be thousands of miles away, which made him a little worried that he couldn't talk, so Dai Yunyang decided to go to find reinforcements to see if Li Yanling could help.

Li Yanling just came out of the same shift as him.

Dai Yunyang waited outside the intensive isolation area for a while, and Li Yanling finally came out of the locker room. Dai Yunyang hurriedly stepped forward and briefly explained the whole thing.

When Li Yanling heard this, she frowned and said, "This is not a matter of our emergency center, it is a matter of nephrology, and we may not be too easy to ask!" Lest people say that our hands are stretched too long, blame me for not being as wide as the police in the Pacific. ”

Dai Yunyang originally thought that Li Yanling was a very upright and responsible person, but he now knows that anyone's responsibility has certain limitations. If it doesn't do you any good, but it will make enemies or cause trouble, then most people will not take responsibility. After all, it's not about yourself, this is a lot of people's attitude towards life, and this attitude can't be said to be bad. It is a famous saying that individuals sweep the snow in front of their own doors, and don't care about the frost on the tiles of others.

Dai Yunyang was very depressed and said: "Director Li, this kind of new crown patient who needs dialysis, not only Sister Du's husband alone, but also many kidney patients who need hemodialysis have encountered this problem. Once they suspect that they are infected with the new crown, they may not be able to stay in the hospital or kidney dialysis, and it will be miserable if they can't reach both sides, which is a major matter of human life. ”

Li Yanling nodded and said, "Yes, I know." However, each department has its own scope of responsibility, although I am the deputy director, but I can only manage the affairs of the emergency center, the road is uneven, there are people to step on, this is only for ordinary people, but when it comes to the scope of authority, it must be limited. I could go to him as an individual, but they would definitely treat me as an emergency center representative, and that would not be appropriate. ”

"Is there any way to fix it? You have a lot of ideas and are familiar with officialdom, so give me two tips. ”

"Why are you going to do such a thing? Our emergency center is busy enough, so it's better to go back to sleep and do your work with good energy! ”

Dai Yunyang said with a bitter face: "This eldest sister has helped me, although it is only a small favor, but I think she is a very enthusiastic person, and I still hope to help her." ”

Li Yanling thought for a while and said, "I'll give you an idea, you ask her to find a way to change hemodialysis to peritoneal dialysis, so that she can do it herself at home." This is the best solution for him. Now there is this trouble everywhere, you have to do the new crown pneumonia investigation first, otherwise it will be infectious. Hospitals are afraid to take this risk. It's best to stay at home and treat yourself, and don't ask for anything. ”

When it was really a word that woke up the person in the dream, Dai Yunyang was overjoyed and said: "Yes, if hemodialysis is changed to peritoneal dialysis, you can do it yourself at home, why didn't you think of it?" You're really stupid, Director Li, you're amazing. ”

Director Li smiled and said, "However, if you change hemodialysis to peritoneal dialysis, you still need to go to the hospital for surgery first, just see if there is a hospital that can help you do this surgery?"

"I believe that this surgery will definitely find a hospital to do it."

"If it were a normal day, this kind of minor surgery would be done in any hospital, even a private hospital. But not necessarily, I feel like the world is in chaos now. ”

Saying that, Li Yanling left, and Dai Yunyang was stunned when she said it, and the excitement at the beginning was no longer there at the moment.

After being stunned for a long time, Dai Yunyang walked aside and called Sister Du on his mobile phone, and told her what Li Yanling told him.

Of course, Sister Du didn't know much about this piece of medical knowledge, so Dai Yunyang explained to her what peritoneal dialysis was, and deliberately told her that peritoneal dialysis patients can do it at home, inserting a tube in the abdomen, but they need to go to the hospital for surgery first.

Dai Yunyang also deliberately reminded: "Now that the epidemic is concentrated, many hospitals have been requisitioned. If you can't do it after asking a few hospitals, don't be discouraged and ask a few more, including private hospitals, and if you can't do it, go to other cities outside Wuhan. ”

The latter suggestion made Sister Du hesitate a little and said: "It's good to go to other cities for treatment, but I don't have any relatives and friends outside." Besides, now that the Chinese New Year is over, many hospitals are closed, and people may not be willing to accept it. Thank you! Dr. Dai. ”

Sister Du hung up the phone.

Dai Yunyang took this matter to heart. He felt that with Sister Du's ability, he might not be able to find a hospital, so if he helped, he would help to the end!

So Dai Yunyang took advantage of the fact that he was not sleepy yet, and hurriedly called several hospitals that were still familiar with him to ask about peritoneal dialysis. And deliberately emphasized that the patient had suspected symptoms of new crown pneumonia, but was not diagnosed, because there was no way to do a nucleic acid test, and the queue was too long, and asked if he could do hemodialysis to peritoneal dialysis surgery first.