Whether human nature is evil or human nature is good, this is an endless cycle that can never be debated. The reason why medicine can exist is that it can prove to a considerable extent the inherent goodness of human nature - it is out of the desire to help injured companions that human beings have gradually developed medicine. But this product, which can prove the inherent goodness of human nature, has witnessed the inherent evil of human nature again and again.

The head nurse's explanation was very effective, and Wang Xinrui quickly accepted this reality and agreed to this set of treatment plans. Due to the severity of Wang Lin's condition and the possibility of MRSA infection, the intensive care department quickly admitted him to the ICU and began isolation treatment.

And Sun Lien finally had the opportunity to have breakfast.

"Sold out?" Walking to the breakfast shop at the entrance of the hospital, Sun Lien was depressed and got a very bad news - at 11:20 in the morning, all the breakfast shops had sold out of stock.

went around in a circle, and finally Sun Lien solved his stomach problem in a snack bar in Shaxian County. Then dragged his tired body back to the dormitory. About four hours later, he had to go back to the hospital again to see the results of Wang Lin's examination. If the result is Staphylococcus aureus ordinari, then the subsequent treatment can be handled by the rheumatology and immunology department. In the case of MRSA, the patient must continue to be kept in the intensive care unit for ongoing treatment. All in all, things can be complicated.

Things can be complicated, and in order to leave enough energy to deal with complex situations, Sun Lien must go to rest immediately - the status bar can indeed work wonders in many cases, and if Sun Lien himself is not energetic, it is likely to miss the prompt of the status bar, in case he misunderstands or misses an important prompt, Sun Lien himself will not be able to go.

However, it is very easy for people to think about it when they are tired and anxious. Since his head was stained with a pillow, Sun Lien's mind has been full of strategies and methods for the use of various antibiotics.

In Wang Lin's case, the treatment strategy should be very clear. Renal function can be replaced by dialysis, but the principles of anti-infective therapy are not substituted. People can live without the support of dialysis without their kidneys, but even if they do have a pair of healthy kidneys, they will not benefit from infection.

There is no problem that anti-infective therapy takes precedence over kidney-sparing. Is it necessary to go on ECMO (extracorporeal membrane oxygenation) and CRRT (continuous renal replacement therapy) now?

Although Wang Lin is now suffering from pulmonary hemorrhage, his hemoglobin level and blood oxygen level can still be maintained at acceptable levels with the support of continuous suspension red blood cell transfusion. Moreover, the patient's cardiac function is still normal, and the situation is not urgent, and ECMO is not needed immediately. The use of CRRT coincides with plasma substitution. In the context of the use of plasma replacement to treat patients, CRRT technology is slightly redundant. Renal support with CRRT is not required for patients at least until the second dose of anti-infective therapy.

So does the treatment sequence need to be modified? Does it need to increase the frequency of various tests for patients? Sun Lien turned over and over again on the bed, his mind full of these questions. And before he knew it, he had fallen asleep.

In the dream, Sun Lien returned to the Fourth Central Hospital, he walked in the hospital in a daze, as if sleepwalking, passing by his ninth consultation room, passing through the empty gloomy rescue hall, and walking all the way to the floor where the operating room was located. Then he pushed open the closed locker room door.

Hu Jia sat on the ground with his back to the door, and a bunch of glowing colored energy-saving lamps were placed beside him. The light shone on her face, reflecting the slight discoloration of her fair skin.

"Why are you here?" Sun Lien tried to pull his feet forward, but no matter how he walked, the distance between him and Hu Jia still did not change.

Hu Jia turned her head slowly, and Sun Lien could see that she was holding a blue lamp tube in her arms. She showed a somewhat sad smile to Sun Lien, "I was still found by you." ”

"What are you talking about?" Sun Lien slowly realized that he had not succeeded in getting close to Hu Jia, he half-squatted down and stretched out his arms towards Hu Jia, "Come here." ”

Hu Jia shook his head lightly and said in a low voice, "Not now." ”

Unreasonable frustration and sadness instantly overflowed from Sun Lien's chest, and he ran forward like crazy, but Hu Jia, who was holding the lamp, was getting farther and farther away from him.

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He woke up suddenly.

Dreaming?Sun Lien rubbed his eyes and glanced at his phone, there were still twenty minutes left before the scheduled four-hour sleep time.

"The phone you dialed is turned off. I called Hu Jia, but there was only such a prompt on my phone. Sun Lien left a message for Hu Jia on WeChat, and he got up and began to get dressed. He has to go to the hospital as soon as possible, according to the time, Wang Lin's examination results will come out soon, and this afternoon is Hu Jia's duty time. The phone couldn't get through, probably because she was working in the operating room.

Sun Lien got out of the dormitory a little dejected and hurried all the way to the hospital.

"You're here early. "As a doctor in the Department of Nephrology, Zhou Ce has been staying in Sun Lien's treatment team since yesterday to provide specialist advice. Seeing Sun Lien walk into the conference room, he raised the long can of Red Bull in his hand towards Sun Lien, "Enhanced version, it's good to have a cup to refresh yourself." ”

Sun Lien shook his head, the steamed dumplings with peanut butter in his stomach three hours ago didn't feel very digestible, if he had another can of Red Bull, it was estimated that he would have a stomach ache for a while. "Are the results out?"

"The PCR takes five hours, so I guess we'll have to wait a while. Zhou Ce glanced at his watch, shook his head and said, "However, the patient's indicators have come up, and the rate of hemoglobin decline is much slower than estimated at the beginning." ”

"Plasma exchange is done?" Sun Lien took off his black down jacket and changed into a white coat hanging in the conference room. "Nothing else, right?"

"At least not yet. Zhou Ce poured two more mouthfuls of Red Bull, and then threw the empty can into the trash. "I'm going to take a look at his urine output, and if it stabilizes, maybe the rest of the immunosuppressive therapy can be put aside for a while — it's safer to start immunosuppression after the infection is completely treated. ”

Sun Lien watched Zhou Ce walk out, and he was left in the entire conference room. There was still no Hu Jia's WeChat on his mobile phone, he was a little restless, thinking about it, and it was more reassuring to ask Hu Jing, the head nurse.

"Are you here?" As soon as he went out, Sun Lien met Liu Pingchuan head-on. Vice President Liu looked obviously haggard a lot in the past few days, and as soon as he saw Sun Lien, he beckoned to him and said, "It's just right, you come with me, I have something to ask you." ”

Of course, the content of Vice President Liu's inquiry was about the patient's condition. Not only Wang Lin's treatment needs to be directly interrogated by Liu Pingchuan, but Yang Jianqiang, who is still rubbing his suitor for his wife, and Chen Wen, who is still receiving immunosuppressive treatment, have to be checked by Dean Liu.

"For the situation of these patients, you will write me a briefing every day in the future. "Vice President Liu is from the same association, and he usually doesn't care about patients, but now he needs to ask patients in person, so he naturally has to follow the old rules. Personally inquire about the patient's condition every day, communicate with the family, and even write down the daily treatment experience of each patient. In particular, it is necessary to indicate the reasons for each treatment and the effect of the treatment, which annoys Liu Pingchuan.

Although he came from a fellow association, he is still a surgeon after all. It took ten hours of surgery for Liu Pingchuan to shirk his responsibility, but when he was old, he still had to type on the keyboard for ten hours to write medical records?

Liu Pingchuan, who had written the case records for more than ten days, finally reacted that something was wrong, but it was really annoying to let the surgeons under his command write about the patients in these other departments.

So, Dean Liu had an idea and decided to arrest Sun Lien as a strong man and let him solve the trouble he had caused.

"Okay, I'll write today's report as soon as possible. "It's normal for Dr. Gui Pei to write medical records, not to mention that these three patients are all patients in Sun Lien's treatment group. He agreed, and then he was about to turn around and leave, who knew that Dean Liu spoke again.

"You're not in a stable mood today?" Liu Pingchuan pointed to the seat in front of him and motioned for Sun Lien to sit down. "The people in the laboratory department are still running the PCR procedure, and now you can't speed up the action even if you urge it. ”

Liu Pingchuan told Sun Lien to have his own ideas. In his opinion, Sun Lien's urgency seemed to burn his eyebrows, probably because he felt that Zhao Weiguo of the laboratory department was deliberately delaying the progress of the inspection. And what he wants to do is to be a peacemaker and press down the contradictions between the two sides.

With Liu Pingchuan's own position and rank, let alone one Zhao Weiguo, even if it is ten or eight, it is not in his eyes. After all, although Zhao Liguo has some background in the legend, those things that can't be put on the table can't be compared with the vice president and second-level professors after all. But Sun Lien is different, although he was accepted by Liu Tangchun, he is still just a regular doctor after all. Even if he becomes the head of the diagnosis team of the newly established diagnostic center in the future, he will be treated as a deputy director if he dies. wants to wrestle with Zhao Weiguo directly, Liu Pingchuan is worried that Xiao Sun will suffer.

Sun Lien laughed twice and didn't speak, he couldn't say, "I had a dream and didn't feel good, I have to go to my girlfriend's aunt to ask about the situation." So I can only listen to Liu Pingchuan's preaching honestly.

Liu Pingchuan was criticizing Sun Lien's Hu Lai, and Sun Lien's mobile phone suddenly shouted "Roast gluten!" He nodded to Dean Liu with an embarrassed face, and then glanced at the phone screen quickly.

It's Hu Jialai's WeChat, "I just had surgery, what's wrong?"

Sun Lien suddenly felt relieved.