Sun Lien's magical status in Yuan Ping'an's heart has been steadily rising since the night of the capital. If at the beginning it was just "curiosity" and "recognition", then in Yang Jianqiang's case, this "recognition" became "shock". Yuan Ping'an consulted hundreds of literature that night, and found a case report that matched Yang Jianqiang's symptoms, and boldly locked down the cause of the disease. And Sun Lien only relied on communicating with the family again, and got the answer more than five hours ahead of him. This simply made Yuan Ping'an almost lose the confidence he had built up in Tongxie - I am a doctor who graduated from Tongxie, shouldn't I be better than the five-year undergraduate doctor of Ningyuan Medical College?

And the shock lasts for a long time, and the feeling will gradually evolve. The self-doubt at the beginning was slowly dissolved by Yuan Ping'an, but the shock of Sun Lien evolved into worship and even blind trust. And this worship reached new heights after Zhan Hao was diagnosed with lead poisoning. In the eyes of Yuan Ping'an now, Sun Lien has almost become synonymous with "correct". And this kind of recognition used to belong to the senior attending doctors or above in the ace department of the association.

Senior attending physicians are naturally senior physicians of resident doctors. Yuan Ping'an served as the general resident in the emergency department of Tongxie, but he was also a member of the resident doctors. According to the practice of the association, before a resident doctor is promoted to the attending doctor, he must go through the general residence stage of six months to one year. You have to be in the hospital six days a week, ready to go to work whenever you want. Although the title has not yet been fully obtained in the Fourth Central Hospital, Yuan Ping'an is actually used as an attending doctor.

When a patient's situation was so troublesome that Yuan Ping'an couldn't even think about it, he subconsciously suggested seeking help from a senior doctor - such as Sun Lien.

"Pain problem?" Sun Lien looked confused when he received the call, "Who has a pain problem? The patients we admitted before?" Sun Lien's first reaction was that the situation of the patients admitted to him had changed, such as Chen Wen or Yang Jianqiang. After all, their brains are parenchymally damaged, and it's possible that the brain is damaged and produces pain that can't be handled by analgesic medications.

"No, it's a patient who has just been taken to the hospital. Yuan Ping'an replied, "Male, 26 years old, has obvious pain allergies. However, there was no record of opioid use, and urine tests were all negative. ”

"26 years old?" Somehow, Sun Lien suddenly thought of the large giant baby with two fish hooks in his hands, and the middle-aged woman who stomped her feet and roared, which made him shudder. "Why did you get into the hospital?"

"I was sent by 120 after calling for help on my own. Yuan Ping'an replied, "He said that since the morning, he didn't dare to touch the skin on his body, and it hurt when he touched it." By noon, his condition had worsened, and he didn't even dare to put on clothes. I can only stand on a plastic board, and I can't wear anything on my body. By the time 120 arrived at the scene, the man had already fainted from the cold. ”

It's okay, it's not the giant baby. Sun Lien suddenly breathed a sigh of relief, and then frowned, "Is this patient awake?" If the other party hadn't woken up, then Yuan Ping'an would never have asked for "no record of opioid use".

"I just woke up for about two minutes," Yuan Ping'an sighed, "I asked about the drug history before he fainted again. ”

·

·

·

Thinking about it now, Yuan Ping'an still feels as if there are insects crawling on his body. The patient was a few years younger, but his face, distorted by the severe pain, made him look very old—as if he were fifty or sixty years old. Yuan Ping'an also knew for the first time that people would be dumb after the pain was extreme. The patient's mouth is wide open, but the only sound in his mouth is "roaring". If it weren't for the rapid rise in blood pressure and heart rate, Yuan Ping'an might not have realized that this was a reaction to being tortured by severe pain.

After reacting, Yuan Ping'an reacted quickly - he gave the patient a tramadol hydrochloride, and then hurried to ask about the condition.

But this tramadol doesn't seem to have had much effect. The patient's blood pressure soared all the way to 185/120mm Hg, and in order to protect his blood vessels, Yuan Ping'an was forced to use another 50mg of nitroprusside, which was pumped into a micropump with 50ml of 5% glucose solution. Controlling his blood pressure seems to have improved in some patients, and he can barely speak, "I haven't taken drugs, help me!"

As soon as this was spoken, the patient fainted. Only Yuan Ping'an, who frowned, and Xu Yourong, who also didn't know how to deal with the patient, were left.

"What is his blood pressure now?" Sun Lien suddenly noticed something strange after hearing "he can barely speak after his blood pressure drops". Although it is true that rising blood pressure can cause paresthesia, such as headaches and numbness at the ends of the limbs, lowering blood pressure will not eliminate these problems immediately. The analgesic effect of nitroprusside is better than that of tramadol hydrochloride, which in itself is a doubt.

"It's 160/95 now. Yuan Ping'an had a very accurate grasp of the patient's situation, and he immediately reported the value, "The output of the micro pump is controlled at 2ml per hour, do you need to adjust the dosage?"

Sun Lien knew how much specific dosage was appropriate, he pondered for a while and said, "After the patient's blood pressure is controlled, the pain is immediately controlled, which is a suspicious point." Have the family arrived?"

"Not yet, being contacted. Yuan Ping'an also felt that there was something wrong with this, but he was more inclined to believe that it was the result of the slow effect of tramadol. "Dr. Xu is not sure about this patient's question, do you need to ask Dean Liu to come?"

Zhou Jun left the emergency department after a meeting, and now it is Dean Song who is in charge of the emergency department. It was obviously "excessive" to invite the dean for consultation, after all, the patient's situation did not seem to be particularly urgent.

"Please. Sun Lien didn't come up with a better way, "You go and ask Dean Liu to come over and have a look, and I'll go back to the hospital now." ”

·

·

·

"Go, go, go. Knowing that Sun Lien was going to rush back to the hospital immediately, Hu Jia was very considerate. "Are you coming back tonight?"

"There are so many bigwigs in the courtyard, I'm just going to show my face. Sun Lien touched Hu Jia's head with some distress. She had to leave in three days, but she couldn't accompany her every minute, which made Sun Lien feel uncomfortable. "I'll be back as soon as I can. ”

Hu Jia hugged Sun Lien with a smile, buried his head in his chest and said, "Since you are going, then settle down and do it well." She raised her head from Sun Lien's arms, looked at her boyfriend seriously, and said, "You are the most handsome when you try your best to save lives." ”