Although it is easy to say, Sun Lien is not sure whether he can save Qian Aiwu's life. He didn't have any other reserve means in his hands to apply - except for plasma exchange, which was still waiting to be evaluated, all the available means had already been used on Qian Aiwu's body. Although the consent letter was obtained to continue the treatment, it was only for Sun Lien and the fourth hospital to lift the compliance issue of ECMO.

To save a life, it depends on the effect of treatment. Sun Lien looked at Qian Aiwu with a pale face and an open mouth in the ICU, a little helpless. In order to save her life, Qian Aiwu's children have paid a price beyond ordinary people's imagination. But a great sacrifice may not necessarily bring her peace. This somewhat cruel helplessness is an objective reality that is not subject to human will.

"Anyway, they did what should have been done by other families. The doctors in the ICU are obviously much more skilled than Sun Lien in the face of this situation, and they can even turn around and comfort Sun Lien under great pressure, "To do our job is to do what you can to the best, and then leave the rest to life itself." You can't always feel like a savior wearing red pants. If you always have this kind of thought, then sooner or later, reality will one day press you to the ground and beat you violently. ”

Sun Lien smiled bitterly and nodded, when his idea of being a savior was just a sprout, Dean Wu Youqian's angry scolding had already made him wake up. Now Sun Lien is extremely sober and accurate in his position - I am a brick of the medical system, where I need to move. The division of labor in the modern medical system is too detailed and specialized, and no matter how talented Sun Lien is, no matter how capable he is, it is impossible for him to do all the work by himself. If you want to save more lives, you can only try to work with other doctors and other departments in a more correct way.

"This patient's situation is indeed more complicated, and I have worked hard for you. Sun Lien nodded to the doctors in the ICU and decided to go to the laboratory to ask about the results of the bacterial culture.

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"How can there be results now?" Shi Yan hugged his head and wailed as if he was broken down at Sun Lien's repeated questioning, "I'm not an immortal! It takes at least 72 hours for cultivation to bear fruit, how long has it been?"

"You have to figure it out. Of course, Sun also knows that bacterial culture takes time. Anyway, there are no other doctors now, and Shi Yan has no other testing work to do. It's time to destroy the other party vigorously to ensure your inner peace. Sun Lien's face did not change, and his heart continued to exert pressure, "This test result is really very important." ”

"Fuck off!" Shi Yan finally couldn't help it, he jumped up from his stool, "Either you get me a time machine, or get out of here! Lao Tzu is annoyed when he sees you now! I'm a test dog, not a fairy!"

Every time Shi Yan calls himself a "dog", the conversation should be over. Sun Lien left the laboratory with a smile, and threw down a declaration of "I'll come back tomorrow morning to ask about the situation", and then walked to the rescue room.

What Dean Liu had instructed on the phone before, he had to truthfully bring it to Dr. Cao Yanhua.

I hope that Lao Cao, who just ate two and a half bowls of cold noodles, still has the stomach to eat today's "dinner".

Sun Lien actually has a very bad habit, when he is stressed, he always likes to think of some way to relieve the pressure. In the past, I mainly relied on tossing Shi Yan, but now...... Tossing Dr. Cao Yanhua doesn't seem to be bad.

Unfortunately, Dr. Cao Yanhua is organizing a consultation with several other neurology doctors. Sun Lien didn't find an opportunity to hit him directly. Just as he was about to go back to the small conference room to see the case first, Dr. Cao Yanhua saw Sun Lien in the crowd at a glance. Then he was overjoyed, grabbed the sleeve of Sun Lien's white coat, and didn't let go.

"Lien, brother, how do I usually treat you?" Dr. Cao Yanhua asked a serious question, "My brother will help you with anything you have, right?"

Sun Lien looked at Cao Yanhua with a vigilant expression, "I'll state in advance, it's his own idea for Dean Liu to trouble you, and I can't help you." ”

"I'm usually so kind to you, you have to give me a staff officer for this patient......" Dr. Cao said to himself, and in the middle of his words, his eyes suddenly widened, "What?"

"What kind of patient?" Sun Lien didn't reply, he looked at the CT film in Dr. Cao's hand, and said with some curiosity, "This film doesn't look like there's anything wrong with it." ”

The CT scan in Dr. Cao Yanhua's hand was a scan of the skull, and there seemed to be nothing obvious abnormal.

Cao Yanhua's attention was immediately shifted to the patient, "This is a patient sent in at 120 in the afternoon, a 17-year-old female doll. At the time of admission, he was unconscious, with a Glasgow coma score of 4, bilateral pupils, unresponsiveness to light, increased muscle tone in the lower limbs, and intermittent tremor. The blood sugar is slightly higher, but it is still in the normal range of 12.8 mmol/L. ”

"Do you suspect that there may be a cerebrovascular accident?" Sun Lien took the CT image and looked at it again, he was admitted to the hospital in a coma, with dilated pupils on both sides and slow response to light, and the emergency doctor would first guess the cerebrovascular accident. But since even the blood sugar has been checked, and the neurology doctors have been invited to come for consultation, it means that it should not be a cerebrovascular accident - if so, it should be a neurosurgeon who came for consultation.

"It's normal to suspect the direction, but it's clear that it's not quite the right direction. Dr. Cao Yanhua sighed, "I, the doctors in the imaging department, and the doctors in the Kaminai have all seen the CT scan, and I don't see anything wrong. The patient's family came and said that the patient had experienced intractable nausea and vomiting about two weeks ago, and that the doctors at the affiliated hospital had prescribed her ondansetron. ”

Ondansetron is a central nervous system inhibitory antiemetic commonly used to combat post-chemotherapy vomiting. It has no effect on vomiting caused by motion sickness, but it is very effective in blocking the binding of serotonin (5-HT3) to the vagus nerve. It is believed that chemotherapy-induced vomiting is a direct consequence of the combination of serotonin and the vagus nerve.

From this point of view, inferring the diagnosis of the doctors at the affiliated hospital, Sun Lien can be sure that the vomiting of this seventeen-year-old girl must have been very serious at that time. Otherwise, the doctors in the affiliated hospital would not have used such a powerful antiemetic as ondansetron - this can even be regarded as an over-the-range medication.

"Could it be an adverse drug reaction?" For a young girl, the sudden onset of unconsciousness after taking a strong antiemetic drug, and the CT scan results ruled out a cerebrovascular accident. Sun Lien naturally began to ponder the cause of the disease in the direction of drug use, and while he said his inference, he looked around, "What about the patient?"

"I was sent to the imaging department for an MRI. Dr. Cao Yanhua scratched his head, "I was still wondering if it would be a side effect of ondansetron, but after asking the pharmacy department, the pharmacists said that it should not be." Ondansetron has some hepatic damage, but the degree of damage is generally manageable. Her current liver function is also normal - there is no abnormality in the five items of liver function. ”

Hearing this, Sun Lien cautiously asked, "Brother Cao, are you sure this patient wants to discuss with me?"

Cao Yanhua was stunned for a moment when he heard this, and then suddenly realized, "That's right!" He took out the phone with a relieved expression and dialed out, "Hey, Dean Liu? I have a very complicated case at hand, can I transfer it to Xiao Sun for processing?"