Liu Tangchun's private collection is really a lot, and the whole two boxes of chocolates are still packaged in cardboard boxes. What's more, Comrade Liu seems to have expected that his good things would be remembered. There was also a note on the top of the cardboard box, "Are you hungry? Beat Lao Tzu's local tyrant, which little bastard came up with the idea of emergency? Let the leader write a 2,000-word review, this matter is over." ”

The so-called material is like a god, and he is talking about an old fox like Liu Tangchun. Not only did he expect that someone would be worried about his chocolate, but he was also keenly aware that those who had such guts must be the little bastards in the emergency department. Just looking at the two boxes of untouched chocolates in the locker, Sun Lien could guess that Director Liu might have prepared this set of "reserve grain" a long time ago, just waiting to receive a 2,000-word review book.

"Lao Liu's stock, right?" Eating is not only for the doctors around who can rest, but also for the leaders and other comrades who need to stick to it. Liu Pingchuan was called to the lounge and ate two pieces of chocolate, while Hu Jia and Xu Yourong, who had eaten, went in together to replace Liu Pingchuan and the instrument nurse. As for anesthesiologists and imaging doctors...... can only be wronged to hold on to their posts for a while.

"I took two thousand words of review in exchange for supplies. Sun Lien smiled bitterly and showed Liu Tangchun's message to Liu Pingchuan and Zhou Jun, "You two can eat more, so that my sacrifice will not be in vain." ”

Sun Lien said pitiful, but Liu Pingchuan and Zhou Jun didn't mean to appreciate it at all. While the two of them were eating chocolate, they ignored Sun Lien, who pretended to be pitiful—Isn't Comrade Liu's chocolate the first thing you thought about? I'm going to write a review, thinking about pulling us into the water—are you really stupid as a director?

Anyway, Dean Song had instructions, the sugar coating was eaten, and the cannonballs were fired back. Zhou Jun and Liu Pingchuan finished eating the chocolate and turned their heads to leave, leaving Sun Lien with a wry smile. The imaging department has already released the picture, just waiting for the two bigwigs to come over for consultation. And Yang Jianqiang's condition may have brain herniation at any time. In these conditions, time is of the essence. Being able to take the time to eat two pieces of chocolate is already the limit of "waste" for Zhou Jun and others - anyway, they can't do anything until the image comes out.

Yang Jianqiang, a patient, can indeed be regarded as the most troublesome of the patients taken over by Zhou Jun. It's not because of how serious his illness is - in fact, Zhou Jun has also taken a lot of patients with brain herniation. In the end, under the joint treatment of multi-disciplinary expert consultation in the entire Fourth Central Hospital, it is not too small that the brain herniation occurred. But Yang Jianqiang's situation is troublesome, but the trouble is on another level. The changes in his condition were too uncontrollable.

The use of an epidural fiber detector instead of the traditional lumbar cistern puncture monitoring for continuous monitoring of intracranial pressure is one of the manifestations of uncontrollable disease changes. Faced with a patient who may have brain herniation at any time, out of prudence, Liu Pingchuan directly treated it as "brain herniation" in the intracranial pressure monitoring method. And this is also an absolute contraindication to lumbar cisternal puncture monitoring. At the same time, the use of epidural testing can also avoid direct exposure of the patient's cerebrospinal fluid system to the outside world to a certain extent, reducing the risk of possible infection.

As for the direction in which Yang Jianqiang's disease will develop, not only Zhou Jun, who is mainly responsible for the treatment plan, is not sure, but even Liu Pingchuan is not sure. Although the brain condition is the most pressing threat, at least the problem of this location has been exposed. At the same time, the Fourth Central Hospital has also done its best to take various countermeasures. Whether it is a gamma knife, or observing the situation in the compound operating room, or even letting Liu Pingchuan lead the team to stay up all night and prepare to do puncture and decompression, these are at least the means that can be "prepared".

And what is really scary are the problems that have not yet been exposed.

Sulfadiazine and pyrimethamine were infused according to the maximum allowable dose when Yang Jianqiang entered the operating room. According to time, the drug concentration in Yang Jianqiang's body has just reached its peak. The parts of his body that had been infected by Toxoplasma gondii had been soaked in drugs that could kill the parasite. But this also means that organs that were still working normally are likely to be embarrassed and even fail under this wave of blows. What's more, for people with low immune levels, the Toxoplasmosis recommendation given by the Zoonotic Disease Professional Committee of the Chinese Society of Microbiology is to double the treatment course time on the basis of "a course of 15 days" for ordinary patients, and at the same time need to be separated by five to seven days, and then re-treated for at least two courses.

As a general rule of thumb, Toxoplasma gondii infection may affect the brain, eyes, lymph nodes, heart, lungs, liver, and other areas. That is to say, from now on, to the next 105 days, Yang Jianqiang's whole body organs may have the risk of strike - although the risk of the next few courses of treatment is certainly not as great as the previous one, but such a danger still objectively exists.

For this small family, their trials have only just begun.

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Sun Lien's test is coming.

At seven o'clock in the morning, Yang Jianqiang had been sent to the clean room for isolation and treatment. The results of the CT imaging were positive - he developed new edema in his skull. However, the edema area is not the original focus of infection. Rather, it runs slightly in strips across the skull. The extent of the edema is not too large, and it is acceptable. That is, his increased intracranial pressure was indeed caused by acute radiation injury, not by further expansion of the lesion.

After increasing the dosage of mannitol, Yang Jianqiang's situation has gradually stabilized. And it was only at this time that Sun Lien, Hu Jia, Xu Yourong and Rachel had the opportunity to eat a bite of the eight-treasure chestnut fragrant pigeon that had been completely cold.

"It's delicious!" Hu Jia's eyes lit up. Although the soup poured on the pigeon had cooled thoroughly and even solidified into a jelly-like appearance, she still couldn't stop eating.

Sun Lien originally suggested simply putting the pigeons in the microwave to heat them up before eating. However, considering that the quality of the takeaway box is not very controllable, I don't know if the packaging box provided by the healthy stir-fry restaurant can withstand microwave heating. After thinking about it again, these three pigeons were still eaten into everyone's stomach. Sun Lien sighed, how nice it would be if it was hot! The pigeon itself was removed from all the bones in it by the chef with exquisite techniques, and this skill must be at least the level of an orthopedic doctor in the hospital. In addition to chestnuts and shiitake mushrooms that can be eaten immediately, there are probably at least four or five kinds of fillers. But what is it, Sun Lien really can't eat it.

As for Rachel, she fully carried forward the glorious tradition of foreign friends who were defeated in the face of Chinese food. Except for the fact that she felt a little nowhere to eat when she looked at a whole pigeon at first, she didn't think of herself as a lesbian at all for the rest of the time - what kind of image does it care about when there is such a delicious thing?

Even Xu Yourong was full of praise for this cold supper. If it weren't for the fact that this pigeon couldn't be booked at all, and there were only three or four of them a day. She has to eat it for at least a month or so before she can stop - Dr. Xu kept nodding with a cold face and saying that it was delicious, and Sun Lien was stunned when he saw it.

After eating supper at breakfast time, Hu Jia took a taxi home to go to bed. Xu Yourong and Rachel decided to walk back together - although the Eight Treasure Chestnut Pigeon is delicious, it is meat after all. Eating meat early in the morning, both felt they needed some exercise to burn off some extra calories. And Sun Lien - he had to stay and clean his ninth clinic again.

And this cleaning has swept away a huge trouble.

Sun Lien was blocked in the hospital.

The one who blocked the person was Zhao Mengli, who had just been transferred to the gynecology inpatient department by Sun Lien last night. and sixty or seventy women comrades who came from nowhere.

They stormed into the emergency hall and unfurled a banner at the paid window, with a line of large letters written in dripping ink. "Gender discrimination is unforgivable, immediately dismiss the unscrupulous doctor Sun Lien!"

"Xiao Sun, what are you doing?" Brother Liang, the security guard who saw that the situation was not good, lowered his hat, slipped into Sun Lien's ninth clinic like a thief, and reported in a panic, "Why are all the women outside looking for you?"