Chapter 53: Three Entrances to the Palace (Second Update)
Sun Lien looked at Xu Yourong who was bowing in front of him with some panic, and he didn't know where to put his two hands.
Just when he was about to bite the bullet and say something, Xu Yourong suddenly straightened up, gave way to the back slightly, and let out the entrance of the ward. "Please. She pointed to the door, "The pediatrician said we need to finish the room as soon as possible." ”
Holding a breath in his throat, he couldn't get out and couldn't go back, Sun Lien's face was almost purple. After a last cough, he entered the hospital room as if he was fine.
In the paediatric ward, the beds used are of the half-height guardrails to make it easier to care for younger patients. Chen Wen is not tall, but she is quite comfortable to lie down. It's just that Sun Lien looked at the pediatric nursing bed board and was a little worried.
"Blood calcium and hormone levels have come down. Xu Yourong was familiar with the road and picked up the inspection report first. "The intracranial pressure is also normal, and the effect is good. ”
Sun Lien is more concerned about the gangrene tissues on Chen Wen's chest, and there is a female doctor beside him, so it is much more convenient to do an examination, "Does her gangrene still expand?"
"It doesn't look like so. Xu Yourong closed the curtain next to the bed, gently twisted Chen Wen's hospital gown with his hand, and after carefully observing it for a while, he said to Sun Lien, "The position is the same as before, there is no development." ”
Out of caution, although it has been determined that Chen Wen's gangrene was not caused by warfarin, Sun Lien still stopped Chen Wen's warfarin injection. Switch to low-molecular-weight heparin for DVT (deep vein thrombosis) – the blood clot that has reached the renal vein will not go away easily. Although it stands to reason that rivaroxaban should be the best choice instead of warfarin, considering that Chen Wen has just undergone a brain biopsy, the risk of bleeding is too high if rivaroxaban is used in combination with low-molecular-weight heparin. Moreover, the cyst that caused Cushing's syndrome had also been removed, and Sun Lien thought about it again and again, and decided that it would be better to consult with a doctor in the department of hematology after the ward rounds were over.
"Do you have a plan for her radical brain hydatid resection?" After checking Chen Wen, Sun Lien and Xu Yourong went out of the PICU together, and the two exchanged follow-up treatment plans for Chen Wen while walking. "She's still young and on anticoagulant therapy, so she's not a good candidate for another surgery anytime soon, and you still have a lot of time to design a surgical plan. ”
"Her surgeon should still be done by Mr. Liu. Xu Yourong hesitated a little, "My level is not enough, this level of radical brain hydatidectomy can be regarded as a fourth-level operation." ”
According to the regulations, even if the deputy chief physician wants to go on stage to perform a fourth-level operation, he must have the on-site guidance of a senior physician. And Xu Yourong is only the attending physician now, let alone doing it himself, even if Vice President Liu is by her side, it will not be her turn to do the fourth-level surgery.
"Then move up as soon as possible. Sun Lien looked very open, "In her case, she will have to be hospitalized for at least half a month." It is normal to go in and out of the hospital a few times later, after all, it is necessary to check whether there are traces of worm cysts in other organs. If you calculate it this way, it will take about a month or two. ”
"I know that Mr. Liu intends to promote me as soon as possible, and I have also seen the public list. Xu Yourong's mood was a little low, "But don't you think it's not good?"
"What's wrong?" Sun Lien walked in the corridor with his hands behind his back, walking out of a comical pre-aging appearance, "There is no limit to the number of professional titles in our hospital." I guess Dr. Liu would like all the doctors in the hospital to have a high professional title. ”
Xu Yourong said in a low voice, "Isn't this unsociable?"
Sun Lien stopped and looked at Xu Yourong with a shocked expression.
"Is there anything wrong with what I said?" Xu Yourong was stared at by Sun Lien's eyes uncomfortably, she looked away and muttered in a low voice, "I...... I don't know much about that. ”
Sun Lien sighed, "I bet five yuan with you, when you used to go to school, you must have been the one who was excluded." ”
"You won. Xu Yourong returned to power-saving mode, "And then?"
Sun Lien realized that he might have said something that made people angry. He smiled embarrassedly, "I'm sorry, I didn't mean to poke you in the sore spot." As if he felt that the explanation of this sentence was still lacking, he continued, "You are the first person I have met who is unwilling to take the deputy senior title because of 'fear of not fitting in'. I'm guessing you're probably obsessed with being gregarious, so you're paying special attention to these issues now. ”
"Is this an application of diagnostic techniques?" Xu Yourong still seemed to have some doubts about the question, but it was clear that "diagnosis" appealed more to her. "Extrapolate the whole problem through very small clues?"
"You're describing reasoning, not diagnosis. Sun Lien scratched his head, he didn't know how to teach others what he didn't have at all. "There must be something different between these two things, otherwise someone would have found a doctor to be a detective. ”
Xu Yourong seemed to nod thoughtfully, not knowing what she understood. And Sun Lien was afraid that he would talk too much, so he unconsciously sped up the speed of his feet a little.
Climbing the stairs is always painful and long work, and going down the stairs when there is no pressure in my heart is obviously much more hearty. Sun Lien went down two floors at a very fast speed, and when he looked back, Xu Yourong was still walking down slowly.
"Are you wearing high heels?" Sun Lien looked at the black leather shoes that appeared from time to time at Xu Yourong's feet, and said apologetically, "I'm sorry, I didn't pay attention." Nurses in the emergency department usually wear flat shoes. ”
"Outside of the gods, you don't need to walk much. I usually see outpatient clinics, and emergency surgeries are usually done by Mr. Dong Xin. The high heels under Xu Yourong's feet are actually only about four or five centimeters high, and it is not difficult to walk in ordinary times, but it is wishful thinking to go down the stairs quickly. "I occasionally have to change my slippers when I go to surgery, so I thought there was nothing wrong with wearing high heels. ”
"If you're going to work with me in a therapy team...... Sun Lien suddenly thought of a very serious question, "then you'd better wear sneakers, at least flat shoes." Heels are not suitable in the rescue room. ”
Xu Yourong nodded, leaned on the handrail of the stairs and moved his ankles with difficulty, and said in a low voice, "I know." ”
Coming out of the stairwell on the seventh floor, Sun Lien took Xu Yourong to take the elevator downstairs. When I passed by the triage desk in the emergency hall, I heard the little nurse on duty at the triage desk shouting, "Xiao Sun, go and call Director Liu." ”
"Sister Feng, what's the matter?" Sun Lien raised his eyebrows, "I just met Director Liu at the door of the ICU." ”
"There was a prediction that it was burns. Sister Feng lowered her voice, "It seems to be the old lady who signed the discharge consent form before." ”