The young man who was outspoken and dared to say anything ran over. In the cold weather of winter, he wore a short-sleeved shirt on his upper body, and he also ran out of sweat.

"My mom complained about back pain again. He leaned against the wall and panted and said to Sun Lien, "Can you go and have a look?"

At the beginning, the measures arranged for the young man and his wife, in addition to racemic hyoscopine hydrochloride and atropine and progesterone, were only "drink more water, wait for the stone to be discharged", and "stay in the hospital for observation".

The place of observation in the hospital was placed in the corridor next to the emergency hall, after all, the emergency room was full of critically ill patients. Kidney stones are not life-threatening, and because of the severe pain, patients may vomit, cry out in pain, and so on. Observation in the emergency room is not conducive to the rest of other patients, nor is it conducive to the rest of this middle-aged and elderly woman who has kidney stones. Therefore, Sun Lien deliberately arranged people next to the emergency hall. There are not many people walking here at night, but it is very close to the consultation room and the nurse's desk. In case anything changes, it is more convenient for the medical staff to rush to the scene - although the urology inpatient department can also accept patients, considering that she is in pain now, and the inpatient department will have to push people back to the emergency building if they have to perform emergency surgery, Sun Lien decided to leave people nearby to see the situation first.

Again, kidney stones are not life-threatening. However, severe pain can cause dangerous physiological changes. If the patient has a problem such as an aneurysm, the blood pressure of the pain rises sharply, which may lead to the rupture of the aneurysm and bleeding. In addition, repeated vomiting and rapid breathing caused by continuous spasms may also cause disorders in the blood environment. For example, hypokalemia or respiratory acidosis due to hyperventilation. Therefore, in the emergency department, patients with kidney stones are generally defined as third-level patient observation. Patients like this who continue to have pain despite antidosmodics may need to be escalated to a Level 2 patient.

Pain doesn't kill people, but the effect of pain is hard to say.

"I'll take a look. Sun stood up and let Rachel stay in the consultation room. He followed the young man and trotted all the way to the door.

In the passage, the lights are not very strong. At night, the corridor leading to the imaging department is not far away. Especially after 12 p.m., in response to the initiative of energy conservation and emission reduction, the property will turn off nearly half of the energy-saving LED lights in this corridor. In this kind of place, the light is not too strong, and the patient can barely sleep for a while with his eyes closed. And at the same time, it is not too dark for the doctor to see the patient's condition directly.

"Doctor. Accompanying the middle-aged woman in bed was her husband. He stood on the bed, holding his wife's feet in his hands. His hands weren't too big, but they kept rubbing against her feet. Probably this kind of rubbing can make her pain a little less. "Look at this...... What to do?"

Sun Lien looked at the status bar of the middle-aged woman, there was nothing special. It's just that "ureteral stone". He thought for a moment and asked, "It still hurts so much, do you throw up again?"

The young man nodded, "Originally, after the injection, the pain was not relieved much. My mom probably fell asleep for less than an hour and then woke up in pain again. ”

And the middle-aged woman lying on the bed, although she screamed in pain, she even cried out in pain. But in Sun Lien's voice, at least he has a lot of confidence. The status bar also does not suggest symptoms of hypokalemia or acidosis.

"Doctor, what can you do if you look at this?" The middle-aged man who was rubbing his wife's feet didn't have any thoughts of "this behavior is not good-looking". He just looked at Sun Lien worriedly, "Can you stop the pain first?"

"How long has she been in pain?" Sun Lien frowned and asked, "What time does it start hurting at night?"

"It was about seven o'clock in the evening. The young man replied, "It's been more than five hours." ”

"Have you ever been to the toilet in the middle?" Sun Lien asked, "Since she came to the hospital, has she ever been to the toilet until now?"

The young man shook his head, "My mother couldn't drink water in pain, so I finally drank a little just now, but I vomited all the pain again." ”

Sun Lien sighed, "Ureteral stones are actually not serious in nature. However, if the stone gets stuck in the ureter, if it is not passed for a long time, it can lead to hydronephrosis and urinary tract infection. I could give her more powerful painkillers, but as long as the rocks don't come down, she'll still hurt. ”

The young man was sweating anxiously, and he said to Sun Lien urgently, "Even if you need surgery, you have to stop the pain first, right?" I also know that ureteral stones can't kill people, but this kind of pain is too sinful......

"I'm going to prescribe her a meperidine. Sun Lien pondered for a while, and felt that it was indeed not a way to go on like this. "You're still going to have to get her to drink as much water as she can. If the stones can be flushed out without surgery, of course, the damage to the body will be minimal. If you take painkillers and the stones still don't come down, then you have to prepare for surgery. ”

"I have this mental preparation. The young man nodded helplessly, and then asked, "Which teacher is on duty today?"

As soon as he listened to this young man, Sun Lien felt that this might be a peer. Now when I hear the name "teacher", it seems that I should indeed study medicine. "You'll have to call and ask. Why, you're also studying medicine?"

"I am from Ningyuan Medical College, and Dr. Cao Xin is my senior brother. The young man smiled sheepishly, "If you can, can I ask my mentor to do the surgery?"

Sun Lien was shocked when he heard this, Cao Xin is a doctor of urology. However, Ningyuan Medical College does not have an eight-year tutor training plan. Therefore, the title of "senior brother" must at least be a master's student in the same laboratory. But the person in front of him looks much younger than himself.

"I'll go prescribe the medicine first. "Although I am curious about the identity of the young man, it is imperative to prescribe painkillers to relieve the symptoms first. Sun Lien thought about it, and simply called the young man to the consultation room, he pointed to the seat next to Rachel, "You sit first." I'll make a call. ”

Sun Lien's call was made to Zhou Jun. Meperidine is demerol, which is a controlled drug. Sun Lien didn't have the right to prescribe, so he could only ask Zhou Jun to prescribe medicine, "Teacher Zhou, I have a patient with ureteral stones here, and the effect of using it to relieve spasm is not good, please come over and prescribe meperidine." ”

Zhou Jun agreed very happily on the other end of the phone, and it just so happened that he still had something to talk to Sun Lien.

"You don't have the right to prescribe?" the young man asked curiously, "Can the doctor still visit independently?"

"I'm a special case. Although this sounds a bit pretentious, Sun Lien can only explain like this, "I am now using Director Zhou's prescription authority, but I can't prescribe meperidine directly, so I still have to invite him to come." ”

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Before Zhou Jun came to the ninth clinic, Sun Lien chatted with the young man for a few words, and then was surprised to find that he had met a real scholar.

The real kind.

The young man's surname is Shen Mingxi, and he is 21 years old this year. He is studying for a master's degree at the Institute of Urology of Ningyuan Medical College, and is in his second year this year.

In other words, Shen Xi was admitted to the clinical medicine major of Ningyuan Medical College at the latest at the age of 15. Although he was four years younger than himself, the young man in front of him was Sun Lien's senior brother.

"Hello senior brother. "Sun Lien, a graduate student who has not yet studied, met the second senior brother of Yan, and his first reaction was to coax him first.

Although Shen Xi was stunned when he spoke to Zhao Mengli, who had a ruptured luteal body before, he was now outstanding, "Brother Sun, don't be so polite, I still have something to ask you." ”

Shen Xi is really not polite, his question is quite direct, "It's one o'clock in the morning, my mother's condition, even if she can have surgery, it doesn't seem appropriate to pull my tutor out of bed at one o'clock in the morning......"

Actually, that's what I mean. Sun Lien followed the other party's words and said, everyone is considered peers, and a lot of words can be said directly. "Regardless, there are always risks associated with surgery. Your mother will definitely not be able to use the URL method with the least side effects now - the urethral smooth muscle spasm is so bad that the hard tube will definitely not be inserted. If you use a soft endoscopy, there is not much to say about the procedure, but the hose is disposable and is a new product. It costs more than 20,000 yuan at a time, which is really unnecessary. ”

Shen Xi sighed and continued to ask, "Then you can only carry it like this now?"

"You also looked at the previous B ultrasound, and the position of the stone card is in the middle and lower sections. Sun Lien explained, "You are also from the Institute of Urology, and you should know that in this case, the best way is to let your aunt drain the stones by herself." Then admit to the hospital and give some anti-inflammatory drugs to prevent urinary tract infection. This method is the least damaging and the quickest recovery. After the meeting prescribes painkillers, you persuade your aunt to drink more water. If she can't drink it, I'll prescribe some Ringer liquid for my aunt. ”

Shen Xi nodded, "That's the only way to do it first." He got up and nodded at Sun Lien and Rachel, "Then I'll trouble you." I'll go check on my mom first. ”

By the time Zhou Jun arrived at the clinic, Shen Xi had already disappeared. As soon as Zhou Jun entered the room, he saw Rachel in the consultation room, he was stunned for a moment, and asked, "Is there a patient?"

"This is Dr. Rachel. Sun Lien introduced, "That's it...... A friend of Dr. Hsu's. ”

"Oh?" Zhou Jun probably didn't know about Xu Yourong's situation, he regarded Rachel as a corner that was about to be poached by Sun Lien, and stretched out his hand to Rachel enthusiastically, "Hello, are you here to visit the treatment environment of our hospital?"

Rachel blinked, then nodded and smiled, "Yes." She handed Sun Lien a look of help, and the meaning was obvious-who is this?

Dr. Rachel was Dr. Hsu's former classmate and knew Dr. Pascal well. Sun Lien continued to introduce stubbornly, "She is an expert in oncology. ”

"I'll prescribe a medicine to the patient first. Fortunately, Zhou Jun still remembered what his main purpose was when he came, he nodded to Rachel first, then walked to the back of the computer, and quickly opened a meperidine hydrochloride injection. Then he said to Sun Lien, "You go and get the medicine." Dr. Rachel's reception, you need to do a good job. If you have any questions, please contact me directly. After speaking, Zhou Jun turned around and walked out of the consultation room - a girl who committed suicide by drinking sleeping pills was sent to the emergency room, and the situation was not too good. Zhou Jun had to go back and keep an eye on the situation.

"This doctor, do you think I'm here to apply?" Rachel thought for a moment before she realized what was going on.

"After all, Lao Pa has already made a name for himself in the outpatient clinic. Sun Lien stood up with a wry smile and said, "Excellent doctors, no matter where they are, are scarce resources. ”