Wang Lin's test results were very good, confirming that MRSA was not detected, but just a simple Staphylococcus aureus infection. After two rounds of anti-infective therapy, his condition has largely stabilized. According to Dr. Pascal's opinion, immunosuppressive therapy can be started tomorrow after the patient's WBC index has recovered.

After communicating with the patient's family, Sun Lien walked back to his office with a relaxed body. Xu Yourong and others gathered in the consultation room, waiting for Sun Lien's further treatment arrangements.

Speaking of which, there are now five people in a treatment group: Sun Lien, Liu Pingchuan, Xu Yourong, Yuan Ping'an, and Zhou Ce - although Zhou Ce is not a fixed member of the treatment group, he is basically no different from a fixed member. Moreover, the patients in the treatment group are generally patients with more complex and severe conditions. In addition, frequent consultations are required, and although five doctors can be squeezed into a small consultation room, it is not a long-term solution after all.

"I have to talk to the hospital office when I go back, and at least find us a dedicated conference room. Yuan Ping'an sat on the seat and stretched, "Teacher Liu, you are now stationed in our emergency department every day, why do you have to give yourself a better environment?"

"Do you think I love to come?" Liu Pingchuan glared at Yuan Ping'an, before he left the capital association, Comrade Lao Liu and Yuan Ping'an had met twice, and they had also passed the email for a while. In the past, Yuan Ping'an gave Liu Pingchuan the feeling that he was an honest child. Why didn't he work in the emergency department for long, but he fell for Liu Tangchun's scoundrel style? He hadn't even worked with Liu Tangchun—the old rascal, no, Lao Liu had gotten out before Yuan Ping'an joined the company.

A pathogen called Liu Tangchun appears to be spreading quietly in the emergency room of the Fourth Central Hospital.

"I'll go back and talk to the hospital office about the conference room. Liu Pingchuan forcibly freed himself from Liu Tangchun's syndrome, shook his head and sighed, "Get down to business." ”

Yuan Ping'an reported Yang Jianqiang's situation, and his mental condition was still improving. But the amnesiac part shows no signs of replying. The original few suppurative spots have begun to shrink and seem to be being absorbed and metabolized.

Xu Yourong briefly introduced the progress of Chen Wen's treatment. The Department of Neurosurgery at the Fourth Central Hospital has pooled all the forces it can muster and has proposed two treatment options for approval.

The first treatment plan was inspired by Yang Jianqiang, who used a gamma knife to perform precise radiotherapy on the worm cysts in Chen Wen's brain. After killing the insect sacs with a gamma knife, Chen Wen's immunity was slightly weakened, and then her body's immune system attacked the insect sacs to absorb these foreign bodies.

The second treatment is more traditional, with a craniotomy to remove the cysts in batches. Based on the location of the cysts, it would take at least five surgeries to ensure that all the cysts in her skull were removed. At the same time, fractionated surgery is used to minimize the inevitable tissue damage to the brain caused by the operation.

"Which of the two plans is better?" Xu Yourong finished talking about his results, and then asked Sun Lien a question.

"Dean Liu, what do you think?" Sun Lien would not show such a professional limelight in front of the director of the Department of Neurosurgery and the vice president. If you choose the right plan, it is a matter of course, if it is not right, you may be reprimanded again.

Liu Pingchuan didn't catch the ball from Sun Lien, but kicked it back, "What do you think?" He was very curious about what treatment plan Sun Lien would choose, this kid likes to play cards without following the routine. While sometimes a flash of inspiration may not be the most useful, it can be a wake-up call for other doctors.

"I think...... Gamma knife treatment should be the mainstay. Sun Lien pondered for a while, and from a personal point of view, he felt that it should be safest to treat with a gamma knife. After all, the technology of gamma knife irradiation of the cranium is quite mature, and compared with craniotomy, the collateral damage should be minimal. "But the area of the cysts is somewhat scattered, and even if the multiple irradiation is separated, the treatment time will be very long. I think it is possible to use a gamma knife as the main body, supplemented by a traditional craniotomy? Craniotomy can be used to remove the cysts that are located closer to the dural layer, so that some of the irradiation time and total amount of irradiation can be reduced. ”

Sun Lien's suggestion this time was not agreed to by Liu Pingchuan. In fact, Liu Pingchuan prefers traditional craniotomy. The reason is simple – previous experience and many reports have confirmed that the direct removal of cysts from the patient's skull does not cause much damage to the patient's nervous system, even if the eggs themselves may even occupy close to 30% of the cranial cavity. In fact, there are many patients who can carry cysts for life without developing the disease, and many patients are diagnosed with echinococcosis when they are admitted to the hospital for other diseases. Cerebral echinococcosis is the majority of such patients, and the reason is also amazing - the brain itself has a very strong compensatory capacity.

The brain is an amazing organ, and when it is at full capacity, it can produce about 23 watts of power – the largest power generation organ in the human body. It can be fragile, and a slight bump or bruise can deprive a person of speech or mobility. But it can also be very powerful, so strong that someone who has no right hemisphere at all can still be competent for the job of an engineer. Even women who are so strong that they don't have a cerebellum can still move normally with movements that are slightly slower than normal.

The cysts of the cerebral echinococcus are very valuable in a sense - they do not grow fast, but the size that grows in the end is definitely not small. So much brain tissue is eroded by cyst compression, but neurological function can still remain roughly normal. This is a very remarkable thing in the first place.

It is precisely because of this that Liu Pingchuan actually prefers to use traditional surgical treatment options. Although there are a large number of cysts, not all of them are of the same size, and many can even be removed with a long biopsy needle. Plan a more suitable surgical path, and then use the path with as few punctures as possible and the shortest puncture distance for the brain.

However, Dean Liu did not directly dismiss Sun Lien's idea, and it is always beneficial for young doctors to have more discussions. Anyway, he had to finalize the final surgical plan, and even if there were some deviations in the current discussion, it would not hurt.

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It was seven o'clock in the evening when the discussion ended, and Sun Lien sent a message to Hu Jia, asking if she could go to dinner together after work. After waiting for about half an hour, Hu Jia replied with a message, "I'll go downstairs now, see you in the parking lot." ”

Sun Lien put away his mobile phone and felt something was wrong in his heart. Usually, when Hu Jia sends a message, he can basically put seven or eight emojis in two sentences. But the two sentences posted today are clean, and there is nothing else.

Sun Lien, the straight man, felt a little abnormal.

"Why do I think you're not in a good mood today?" After waiting for a while, Sun Lien saw Hu Jia in a coat. He hugged his girlfriend and cautiously asked, "Is there something wrong?"

Hu Jia buried his head in Sun Lien's chest, and after being silent for a while, he raised his head and said to Sun Lien with red eyes, "I have to go." ”

"Where are you going?" Sun Lien felt more and more that something was wrong, and he pressed Hu Jia's shoulders with both hands, "What's wrong?"

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Hu Jia's parents are college teachers. However, they are not medical practitioners, they and Xu Yourong's father are colleagues, and they both work at Song'an University.

Their daughter did not go to Song'an University or the capital school as they had envisioned, which was actually very disappointing for them. And Hu Jia was influenced by Hu Jing and actually went to Ningyuan Medical College to study undergraduate nursing, which made them feel even more uncomfortable. According to their thinking, if you want to study medicine and go to clinical practice, why do you have to study nursing to become a nurse? Aren't all nurses graduated from a college or secondary school?

However, the wood is already in the boat, and the old couple is not the maker of a time machine. Hu Jia insisted on becoming a nurse, except for the usual number of mistakes, the old couple actually did not have any other actions. They just think, since you're going to be a nurse, you have to do your best. And to be the best, an undergraduate nursing degree alone is certainly not enough.

They spent a whole year persuading Hu Jia to continue his studies.

And Hu Jia also agreed to this request. It must be noted that that it was in August of this year. At that time, Sun Lien had just joined Ningyuan Fourth Hospital as a regular training doctor. And Hu Jia didn't know that the little doctor he once had a crush on had become a colleague with him.

The time for a Master of Nursing to study abroad is not too long, at least much shorter than that of a Master of Medicine. Generally, it only takes one year. Hu Jia's qualifications also meet the admission requirements for a master's degree in nursing in the UK. He went out for further study for two years, while Sun Lien's regular training had three years. After learning that Sun Lien was also admitted to the Fourth Central Hospital, she still did not change her mind. Anyway, Sun Lien is tethered to the hospital, and he can't run. It's too late to go abroad for a year of further study.

But when this idea was in the capital, she completely put it in her mind. Otherwise, I won't go, and it seems that it is not bad for me to guard Sun Lien like this now.

Women's ideas are always changeable.

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"I'm going to study in the UK, and it's going to take a year. Hu Jia explained the reason to Sun Lien, she lowered her head and said, "The ticket has been bought, and it will leave next Tuesday." ”

Sun Lien was already stunned, and he stammered for a long time before asking, "Is this ...... Why didn't you tell me earlier?"

Hu Jia sighed, "I've been hesitating too. However, when I was in Sanya, I felt that I still had to go. She looked at Sun Lien and said with a smile, "I can't just let you be in the limelight, I want to be the most beautiful boy in this hospital." ”

It's not a joke that is all that funny. Hu Jia didn't laugh out loud herself, she sighed and said quietly, "My parents don't agree that I am looking for a partner in this hospital." They thought that if I was a nurse, it would definitely not be good to find another doctor. ”

Sun Lien felt that his heart was blocked for a while, but he couldn't say bad things about her parents in front of his girlfriend, so he could only sigh and say, "It's understandable that the elders are a little worried." ”

"So I made a deal with them. Hu Jia broke out of Sun Lien's arms, wiped the tears from his face and said with a smile, "When I get this master's degree in nursing, they can no longer oppose my decision." ”

She looked at Sun Lien and said very seriously, "I want to marry you." And I want them to agree with my decision. ”