Time passed quickly, and it was almost not long before it was time for the lunch break.

Sun Lien's arrangement, Zhou Jun knew. Before it was twelve o'clock, Zhou Jun waved his hand and let Sun Lien get off work - it was not good to let the two directors wait for him alone.

Wang Jianpei, director of the Department of Cardiology, is famous for his love for mutton vermicelli soup. This probably has something to do with the fact that he was born in the northwestern frontier. In particular, the dough baked until golden brown and crispy is sandwiched with a little garlic and served with a fragrant and greasy mutton broth. The Zunyi mutton noodle shop that can provide this kind of combination at the gate of the fourth courtyard has almost become Director Wang's designated canteen.

"Two bowls of flour, with meat, four scones. As soon as Director Wang sat down, he couldn't wait to order food.

"I said, Wang, there are three of us here. Liu Tangchun protested, "Three people, two bowls of noodles, what kind of distribution method is this?"

Director Wang was stunned, and then patted his head and laughed at himself, "I'm sorry, I'm sorry, I'm really busy today." He beckoned and called the waiter, "Add two bowls of noodles and four baked cakes." He turned his head to look at Sun Lien, who was glazed over, and laughed twice like a generous elder, "Their baked cakes here are quite large, you can eat two first." If it's not enough, let's add more. The familiarity and naturalness in the tone even made people mistakenly think that Sun Lien was the one who was the guest.

Director Liu almost sprayed a mouthful of tea on Wang Jianpei's face. "You ate those alone?"

"That's right. Director Wang nodded, "It's cold now." ”

"It's not like this when it's cold. Director Liu patted the table very dissatisfied, "Overeating, beware of turning around and giving you a stomach perforation." When the time comes, you'll have to trouble the young people who are ordinary people to take it out of your belly......"

What to put out of the stomach, Director Liu did not say clearly. After all, it's a meal, and it's still in the restaurant where you eat. If it was too true, the surrounding diners would vomit, and the owner of the mutton noodle shop would have to send him to Zheng Guo as a companion.

"It's cold. Director Wang sighed, "With such a drastic drop, I will have to live in the duty room in two days." ”

When the weather becomes cold, it is a high-risk period for middle-aged and elderly people and people prone to cardiovascular and cerebrovascular diseases. People who are stimulated by the cold will subconsciously begin to constrict their blood vessels to reduce heat loss. And the consequence of this action is a sudden increase in blood pressure. This leads to people who are originally fragile in cardiovascular and cerebrovascular diseases facing greater risks than in summer.

"Now there's an app on my phone. Director Liu didn't care about Wang Jianpei's exclamation, "What kind of group is it?" I can deliver takeaway. As long as you pay on it, it will be no problem for people to send you directly to the duty room. ”

Director Wang was very moved by this proposal. He took out his mobile phone and stuffed it directly into Sun Lien's hand. "You young people are good at this, help me install this software. ”

The mutton vermicelli soup was delivered quickly, and Director Wang began to eat his two servings of vermicelli soup with his head bowed and snoring. Sun Lien began to exchange views on the case with Director Liu. From the beginning of the afternoon, these four patients will fall into their own hands, and it is always good to discuss the condition with the director at this time.

"Comparatively speaking, Lin Lan is the most stable. Sun Lien took a bite of the baked cake, the crispy texture and the fragrant mutton soup, the superimposed fragrance made him refreshed. "Her main problems were cerebral hemorrhage and dislodgement injuries. Dr. Xu was able to solve the problem of cerebral hemorrhage, and the other doctors in the orthopaedic department have solved the problem of her skin flap survival. Just wait for her to recover a little bit, then have another operation to get her broken femur back. ”

"You should also pay attention to the problem of insensitivity to male hormones. "Liu Tangchun is a native of Jiangnan, and his eating actions are much more gentle than Director Wang from the frontier. He tore off two pieces of baked bread and slowly soaked them in the soup and ate them. "Generally speaking, this kind of patient's cryptorchidism is a hidden danger in the future. You should talk to her family, and if it is appropriate, you can just have surgery to get rid of it. ”

Sun Lien thought for a moment and said with some uncertainty, "What do you mean...... Is there a possibility of carcinoma in situ?"

"Her undescended testicles have not sunk since the embryonic stage. Cryptorchidism has a high probability of tissue cancerous under the long-term influence of body temperature. Liu Tangchun took out a piece of soaked soft cake and ate it, slowly took out a tissue and wiped it on the side of his mouth, "It's better to do a pathological sampling as soon as possible." Although it is unlikely, if a tumor forms and causes a problem such as paraneoplastic syndrome, her body may not be able to survive. ”

Sun Lien nodded and signaled that he had written it down, and continued to introduce, "The diagnosis of the 10-year-old girl with a heart attack also came out, and she took over-the-counter diet pills without permission, and it was suspected that it was acute poisoning of anthraquinones. Mr. Zhou agreed with me and took dexamethasone and glucose saline. ”

"Very unique angle. Liu Tangchun showed an appreciative expression, "But it makes sense." ”

Director Wang, who had already killed two half-baked cakes and a bowl of mutton soup, raised his head and interjected, "Are you talking about the little girl I made this morning?"

"Yes. Sun Lien nodded, "Anthraquinone acute poisoning can cause systemic thrombosis, and the location of thrombosis produces myocardial infarction, renal vein thrombosis and psychiatric symptoms. ”

"The symptoms are correct, but the dose is not right. Director Wang continued to attack the remaining mutton soup, and at the same time waved his hand to call the waiter, and deliberately added two heads of sugar and garlic. "It's not much more toxic than ethanol. The commonly used No. 00 capsule can hold about 1 gram of powder, even if all the contents are anthraquinone extract, the purity is as high as 100%. She had to take fifteen or six pills at a time to cause acute poisoning. ”

The sweet garlic was sent over by the beautiful clerk, and the wrinkles on Director Wang's face smiled more deeply. "Even because she's a child, she's more sensitive to drugs. But just three or four pills a day can cause such a serious reaction? ”

Liu Tangchun raised his eyebrows, "It seems that you have to deal with this patient immediately when you go back." If it weren't for the poisoning, her condition would probably have worsened. ”

"She has been given low molecular weight heparin and warfarin for anticoagulation. Sun Lien's mood was a little heavy, "I will collect blood as soon as I go back and send it to the laboratory department to check the drug reaction." ”

"The work is endless. Director Wang finished eating all the baked cakes, poured the whole mutton added at the beginning into the mutton soup that was deliberately left behind and scalded it. "What about things, I heard Lao Liu say it. He's going to make you a cure. It can also be regarded as a cultivation of you. But remember, young man, work is never done. So, eat well when you eat. Store enough energy for yourself so that you can get the job done efficiently. ”

The experience of the old-timers is a lesson in exchange for blood and tears. Sun Lien looked at it, and even Director Liu, who was eating slowly, had almost finished all the food in front of him, but Sun Lien himself still had most of the bowl of mutton vermicelli soup left untouched.

If you don't fill your stomach when you have time, you're likely to be hungry all the time. This is the most important rule in the daily work of doctors.

I want a referral ticket!!!