Chapter 140: Insight
Comrade Major General stood two meters away from Sun Lien in a very regular manner, and the seven or eight colonel-level officers who came with him also stood around him - in the most unobstructive way.
Although the comrades of the People's Liberation Army did their best not to get in the way, after all, it was a team of almost ten people. In a place like an emergency room, ten people are gathered in front of any one bed, and it will be extremely crowded - no matter what formation they are standing in.
When Comrade Major General saw Sun Lien's expression, he was stunned for a moment, then glanced at his side, and immediately understood why this young doctor looked like a ghost. "All of them, turn right!" he lowered his voice and gave an order to the officers beside him, "Outside the iron gate, walk in unison!"
The style of the soldier is so rough and direct, after blasting all the people who are in the way out of the rescue room, Comrade Major General smiled, "Doctor, is it okay now?"
"Uh...... Ah (four tones of the table for sure)!" Sun Lien, who had never seen such a posture, was stunned for a long time, and then only squeezed out two answers that were not Chinese at all. "You are ......" Because his teacher is from the army, and the emergency room work has high requirements for organization, Sun Lien is basically a cut short when he sees people with this kind of aura.
The Major General smiled and pointed at Rawls, who was lying on the bed dumbfounded, "I'm his superior." After all, he is a foreign military cadet, and I am still an old acquaintance of his father, so I came over to see the situation. Only then did Sun Lien hear that the accent of the major general had a slight Shandong accent.
Sun Lien nodded thoughtfully, then looked at the eyes around him, and hurriedly said, "It's not suitable for direct discussion here, you can come with me to the conference room." โ
The major general nodded and said to Rawls who was lying on the bed, "You just lie down honestly, recuperate with peace of mind, and recover your health as soon as possible." โ
Rawls leaned half-up, as if he wanted to at least sit up and salute, and the major general frowned, "What are you doing? Lie down honestly, this is an order!"
Rawls's half-raised body was struck by lightning, and he immediately lay back on the bed, and replied resolutely in a somewhat weak voice, "Yes!" Although his attitude was good, the thick Shandong accent still made Sun Lien want to laugh when he heard it.
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"This kid is good at everything, but his body is too weak. The major general went to the conference room, and seeing that there was no one else in the room, he took off his hat, threw it on the table, pulled out a stool, and sat down. The sitting posture of the golden sword and iron horse looks very iron-blooded. However, the content of the speech was like that of the uncle next door, and there was a cordiality in the warmth. "Are you Xiao Liu's student?"
Sun Lien didn't understand who this "Xiao Liu" was talking about. The major general sighed and explained, "I'm talking about Liu Tangchun. โ
The major general's name is Peng Feng, and he is 59 years old this year. used to be Liu Tangchun's company commander back then.
"Liu Tangchun, this kid, has brought out a lot of young people now. Major General Peng waved his hand, looking like an elder lamenting his previous life in front of a junior. "But the inheritance is not doing well, why don't you even know me?"
"I want to ...... Mr. Zhou should know you. Sun Lien put his heels together and said seriously, "But Mr. Zhou has been on a business trip these days, and I haven't officially joined the group yet......"
"Zhou Jun, right?" Major General Peng nodded, "This kid is good, he looks like a soldier." "I don't know if evaluating a doctor for having the appearance of a soldier is a compliment.
"This Rawls is special. Major General Peng re-said, "He Lao Tzu is my comrade-in-arms who used to lead him hand in hand, and Lao Mu is now a senior officer of the foreign army." He is willing to hand over his son to us to continue training, which is nostalgic. It is also a recognition of us. โ
Sun Lien nodded, he was particularly impressed by Rawls's Shandong dialect.
Peng Feng sighed and continued, "At the beginning, I also spent a lot of effort to get Xiao Liu to Tanzania. After tossing and turning for a while, I remembered that old man Rawls was doing well over there...... Xiao Sun, if you are really unsure, it doesn't matter, we can just transfer people to the capital as soon as possible. Xiao Sun, you are not a soldier and you don't know, our army has never asked the price for the treatment of soldiers, only looking at the results. โ
When Sun Lien heard this, how could he not understand what General Peng meant, isn't it just another form of "do whatever it takes, do whatever it takes". And the words are also very polite, of course it is best to be cured, if you are not sure, then don't leave people behind, so as not to delay the transfer of people to the capital.
Regarding General Peng's request, Sun Lien's feeling in his heart was actually quite complicated. On the one hand, people do speak very politely, and there is no unreasonable threat of "it must be cured, otherwise it will trouble you". But on the other hand, General Peng's distrust of Sun Lien and even the entire Fourth Court is also undisguised. After all, in his cognition, the Fourth Central Hospital is just a hospital that specializes in emergency medicine. It's okay to do first aid and emergency treatment, but if you really want to treat a disease, you still have to go to a big hospital in a big city. Even if you don't go to the military headquarters in the capital, the military district headquarters should be stronger than the Fourth Hospital-if it weren't for Liu Tangchun's blind ideas, Rawls would not have gone to the Fourth Hospital to see a doctor.
Because of the existence of the last reason, General Peng actually has some opinions about the Fourth Court. However, he did not embarrass Sun Lien, but put forward a more compromise approach, "Let's let Rawls treat us today." If, after 12 o'clock, you still have no clue about his illness, then we will be transferred to the capital. โ
General Peng was talking here, Yuan Ping'an suddenly walked in from outside the door, he hurriedly walked to Sun Lien's side, holding the checklist that had just been printed out in his hand, "Doctor Sun, look at this." โ
The things that Yuan Ping'an hurriedly brought would basically not be good news. This time was no exception - Rawls's urine routine and liver function results were released, and the result was acute liver injury combined with acute kidney injury.
Acute kidney injury in patients with hemolytic anemia is simply standard procedure. Because the glomeruli and tubules, the main functional units in the kidney, are extremely dependent on and sensitive to blood cells, hemolytic anemia itself will cause the oxygen saturation to decrease, affecting the efficiency of the kidneys. Moreover, the heme protein released by a large number of damaged and dead red blood cells in the blood can even directly cause blood vessels in the kidney to constrict, and directly cause toxic damage to kidney cells. The kidneys are less efficient and less able to filter and remove waste products, which can be excreted right away, which in turn can further exacerbate kidney damage. This creates a vicious cycle of kidney damage.
However, acute liver injury and hemolytic anemia are generally not directly related. Generally speaking, if a patient with the same experience as Rawls has liver damage, Sun Lien's first reaction will be drug-induced liver damage. But this time he was hesitant - it was unlikely that such an important symptom would be missing from the status bar. According to Sun Lien's experience in using the status bar many times in the past month, if the status bar does not directly remind a certain symptom, then the only possibility is that the existing symptoms are enough to infer this conclusion.
General Peng looked at Sun Lien in a daze, and after waiting for a while, he opened his mouth and asked, "This thing...... Is it Rawls's inspection report?"
General Peng's question regained Sun Lien's attention, he nodded, and said to Yuan Ping'an, "Please take a look at Zhou Ce, if there is no problem with the symptoms, then go to continuous hemodialysis and do a needle biopsy on his kidney to see the type of kidney damage." โ
Yuan Ping'an nodded, and then asked, "What about the liver?"
Sun Lien frowned and thought about it for a while, "Treat conservatively first, and slowly push two polyene phospholipids." He still needs some time and additional evidence to link the acute liver injury to Rawls's symptoms.
"His condition is more serious, isn't it?" waited until Yuan Ping'an left the small conference room before Peng Feng resumed his conversation, "Doctor Sun, although it may not be satisfactory, I hope you can understand my difficulties. A general who is almost forty years older than Sun Lien can say the word "difficult", which actually proves from the side that Rawls's identity is indeed more tricky, "If you can't figure out what kind of illness he has today, I can only choose to transfer him to the capital." โ
Sun Lien nodded, "It is the right of the decision-making agent to handle the transfer of patients. However, I need to remind you that, after all, Rawls and you are not an immediate family member, so in order to transfer to the hospital, theoretically you need to obtain his own consent and the authorization of his immediate family. โ
General Peng nodded, picked up his hat from the table and put it on his head, "Someone will take care of these things." He straightened the hem of his military uniform and said to Sun Lien, "Although Rawls is black, since he is my student, I will treat him as my own soldier." I also hope that he can get the best treatment, not for you, Dr. Sun. โ
Sun Lien blinked, and was about to continue this politeness, when suddenly his brows furrowed violently.
"Doctor Sun?" Peng Feng looked at Sun Lien, whose face changed abruptly, thinking that he might have some physical discomfort, "What's wrong?"
Sun Lien waved his hand violently, he flipped through the materials piled up on the small conference table, and searched for five minutes before he found what he was looking for - the original blood routine test report from the training ground hospital, and the original blood routine test report issued by the laboratory department of the Fourth Central Hospital.
After a quick glance, Sun Lien's frowning brow suddenly relaxed. He put down the two originals in his hand and said to Peng Feng, "General Peng, please give me two hours, if I can't find the cause of Rawls's illness within two hours, I will help you go through the transfer procedures immediately." โ
In the small conference room, Peng Feng's aura was suppressed by Sun Lien for the first time - the expression that appeared on Sun Lien's face was the comfort and pleasure after understanding a strange puzzle.