Chapter 209: Big Trouble (Make up for the 1/1 update on October 12)
For every person in charge of the emergency department, trying to choke the neck in the laboratory department is the most intolerable thing. Either the laboratory department will lie down and provide maximum assistance to all requests for examinations in the emergency department, or it will simply bypass the laboratory department and set up a separate laboratory department on its own. All in all, this critical lifeline, which can lead to the disruption of the entire department, must be in your own hands.
Liu Tangchun was a little worried about the establishment of a comprehensive diagnosis center. However, after learning that the comprehensive diagnosis center also comes with an "inspection department", this veteran did not hesitate for even a second, and decided to fully support the establishment of this department. At the same time, he happily pushed Sun Lien and Xu Yourong out.
Liu Tangchun will be so generous, part of course, because he believes that he and Zhou Jun can bring Sun Lien and Xu Yourong back. The other part is...... Towards this inspection center.
Zhao Jianguo and the other units of the hospital did not deal with each other, and this matter was not a secret in the Fourth Hospital. Although Liu Tangchun is confident that Zhao Jianguo will not be able to make any big waves, the premise is that "Song Wen is still in control of everything in his own position". Although the "leader" who put Zhao Jianguo in this position back then has taken a back seat, it is still not something that other deans and directors can resist.
For the smooth work in the future, and for the normal operation of the department in the future. Liu Tangchun strongly supported the construction of the comprehensive diagnosis center, not only to provide an advanced diagnostic department for the emergency department. It is also to let the emergency department have the confidence of "not being stuck".
As long as the emergency department can be strong enough to resist interference, as long as the comprehensive diagnostic center can be developed, then these problems will not be a problem.
Preparing for a rainy day is a unique quality of the Chinese. Every Chinese is well aware of the truth that "if you are warlike, you will die, and if you forget war, you will be in danger." As the country with the highest savings rate, the most direct way for Chinese to deal with unknown risks is to "save" accordingly in advance. For the emergency department of the four hospitals, the comprehensive diagnosis center is their savings or the way back.
But any backup plan takes a certain amount of time from the time the plan is proposed to the time it is implemented. According to Liu Tangchun's estimate at the beginning, it is not too difficult for Sun Lien to be directly promoted to the chief after completing the three-year training plan. During his later tenure as resident director, with the support of the emergency department and Takeda's resources, the General Diagnostic Center should be able to become a "small top three" that can be used on its own. At least in terms of inspection, there is no need to worry about being stuck in the neck.
But...... Things look like something has changed. This change comes from the stabilizer and backbone of the entire four-hospital medical system.
It is very normal and natural for a leader of Dean Song's level to be transferred. However, due to the secrecy of the organizational work and the seriousness of the personnel work, it is often difficult for outsiders to know about the occurrence of such changes, except for the cadres themselves and the cadres of the relevant organizations.
Sun Lien's intelligence is very important in Zhou Jun's opinion, and it is quite credible. Song Wen is not a woman who is easily troubled by her own emotions. Although "women" are often regarded as the type of people who are "easily troubled by emotions", if someone regards Song Wen as such a person, then his brain must be broken.
Dean Song is a woman, but she is also a very rational woman.
"Jun, did Xiao Sun call you?" Zhou Jun was thinking about when to talk to Liu Tangchun, but he didn't expect a Vice Dean Liu to suddenly appear in his office, "I think Dean Song's movement is a little wrong." ”
"He's already told me. Zhou Jun nodded, raised the report in his hand towards Liu Tangchun, frowned and asked, "Will you hand in this proposal at the regular meeting next week?"
"It's a bit of a rush in time...... It's a bit passive, but it can't be helped. Liu Tangchun sighed, "Time is running out." ”
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Sun Lien didn't know what the consequences of his phone call would be, and he didn't care about it now.
"Okay, I'll be right there. Sun Lien, who was discussing with Hu Jia what kind of crib to buy for his future child, received a notice that would free him from the topic of cold sweat - although the notice itself also made Sun Lien break out in a cold sweat.
On the phone, Zhou Ce's voice sounded a little anxious, "Doctor Sun, you come back quickly, the patient has a problem." ”
"What's wrong?" Sun Lien jumped up from the floor, he hadn't been called for an emergency consultation, nor had he been urgently recalled by his own team members. But in Sun Lien's impression, this was the first time he had heard Zhou Ce speak in this tone.
"This Cao Zhiquan you brought in, you used zedipam last night, right?" Zhou Ce lowered his voice and asked, "How much measurement did you use?"
"The medicine given by the emergency department, it should be 2ml......" Sun Lien said with some uncertainty, "What's wrong?"
"People haven't woken up since they took the medicine last night. Zhou Ce must be in a hurry, he urged repeatedly, "You hurry up and see what's going on - I'll call the anesthesiology department to come over for a consultation now!"
Sun Lien thought of a joke that was about to undergo a general anesthetic operation the next day. In order to prepare for the painful and boring postoperative hospitalization with slow internet speed, the patient deliberately went to an Internet café for the night two days before the operation, and stayed up all night for two consecutive nights.
After being completely happy, the patient slept hard for 27 hours on the third day after receiving general anesthesia. When he woke up, he was surrounded by the attending doctor with a white face, an anesthesiologist with a green face, and a vice president of the hospital with a black face.
It's a joke, but it's a bit of a reaction to the doctors' response to the "loss of consciousness after the use of tranquilizers." This is no joke - if you don't get it right, you might be killed.
Obviously, Zhou Ce is worried about this issue now. The emergency department used 2ml of zediapam - it stands to reason that this is more careful in the use of sedative drugs. For adults to be sedated, cediapam generally needs to start with 10 mg – that's a 2ml dose. Then add 5~10mg every 3~4 hours as needed. The total amount of 24 hours should be limited to 8~10ml.
Even if the metabolism of zediapam is slow, T1/2 takes 20~70 hours. Two milliliters of cediapam intravenously should not cause persistent lethargy. This is not consistent with the drug mechanism.
Sun Lien walked to the hospital and began to search for relevant reports with his mobile phone - what are the serious side effects of cediapam?
Doctors also use search engines to find information, but unlike those who use search engines to diagnose themselves, doctors have the ability to distinguish between accurate search results.
If it's really a drug overdose, it's easier to deal with. As a benzodiazepine receptor antagonist, flumazenil is effective in reversing symptoms of benzodiazepine overdose and drug toxicity. But...... Cao Zhiquan's symptoms should have nothing to do with zediapam poisoning. Zhou Ce did not report that Cao Zhiquan had symptoms of depression in the respiratory center, and at the same time, there were no problems such as slow heartbeat.
It wasn't like falling asleep after an all-nighter — Cao Zhiquan fell into a coma without overusing zediapam. This is a big problem.