Despite the many doubts in his heart, Sun Lien, who was already sleepy and dizzy, decided to go to bed first - the lack of sleep for a week not only caused him to be sluggish now, but also his head was still aching. Sun Lien also went to the bathroom before going to bed, and saw the huge "high blood pressure" state on his head in the mirror of the bathroom.

High blood pressure is not a good thing. Although it is very disturbing to see patients whose blood pressure is so low that it is almost impossible to measure during the rescue, it is actually even more disturbing to encounter critically ill patients with high blood pressure. Raising blood pressure mainly relies on norepinephrine, dopamine and blood volume supplementation, and this correction can be said to be immediate, and as long as the cause of hypotension is stopped at the source, the correction effect can last for a long time. This is not the case with high blood pressure, which is basically associated with the unhealthy lifestyle of modern people, and is actually stubbornly a headache for doctors. Although long-term medication can control blood pressure, it is still difficult to cure it. After all, blood loss and hypotension caused by trauma can be treated by blood transfusion, but it is almost impossible to correct the lifestyle habits of staying up late, eating a high-salt diet, smoking, drinking, and high-fat foods by the patient's own efforts.

The most troublesome are the other "consequences" of high blood pressure. For example, aortic dissection, cerebral hemorrhage, angina, kidney damage, etc., these consequences are not only difficult to treat, but almost all of them are directly life-threatening diseases.

As a doctor, although Sun Lien's usual work has caused Sun Lien to not be at all compatible with "healthy life", this troublesome and deadly disease can still be avoided. Although it was only eight o'clock in the evening, Sun Lien still decided to go straight to bed.

I slept dimly this night, and by the time I barely got out of bed in the morning, it was already half past eight in the morning.

"I ...... !" Sun Lien rubbed his eyes and looked at the time on his phone again, and then jumped out of bed like a cat with its tail stepped on. In the past, when he went to the hospital to take over, he had to rush before 7:20 in the morning - if it was later than this time, Zhou Jun would definitely call and scold Sun Lien - being late for the morning shift meant that there was a doctor on the evening shift who could not take over the shift, and the doctor who had lasted all night had to continue to hold on until the shift person came before he could rest, which was too troublesome for others.

There was no time to clean up, Sun Lien jumped up from the bed, put on his pants in embarrassment, stepped on sneakers, put on a T-shirt and the down jacket that Hu Jiaxin bought for him, and rushed to the hospital with his bag without even having time to wash his face.

The result of running all the way is to run to the fork. Sun Lien held on to his excruciating ribs and panted into the rescue room. As soon as he pushed the door open, he saw many strange smiles from the doctors.

"I'm sorry to ......" must admit that he has made a mistake, and he must stand up when he is beaten. Oversleeping should not have happened to adults who have entered society, Sun Lien walked to the side of the duty desk with an apologetic and tangled face, and asked the head nurse Hu Jing, who was also smiling weirdly in the duty desk, "Aunt Hu...... Whose class should I take?"

"Succession?" Hu Jing looked at the hairy boy in front of him who might be suspected of becoming his niece's son-in-law, "It's eight forty, whose class are you going to take?"

"I ......" Sun Lien was speechless for a while, and when he saw that there was no one around, he folded his hands in front of his face and begged for mercy, "Auntie, I really overslept, and I didn't turn on the alarm when I came back yesterday." Just spare me this time, there will definitely be no next time!"

Hu Jing laughed, she pointed at Sun Lien over and over again and scolded with a smile, "You kid, your ability to climb the ladder is really good!" After laughing enough, Hu Jing pointed to a few beds in the rescue room, "Yourong came first in the morning, and she said to Director Liu that you were receiving the expert from the United States." Go and thank them, remember to make a good confession, don't wait until Director Liu comes back in the afternoon and says that he leaked. ”

·

·

·

Xu Yourong seems to be in good spirits today. She was dealing with the patient Liu Tangchun had treated yesterday - the unlucky child with explosive myocarditis.

Zhang Kai, 16 years old. When Sun Lien saw this high school student, he was startled by the many instruments beside the bed. Ventilators, IABP (intra-aortic balloon counterpulsation), CRRT (continuous renal replacement therapy), ECMO (extracorporeal membrane oxygenation) machines were placed in a circle around his bedside. A tube on the ventilator, a tube on the IABP, a blood vessel pumping and a blood transfusion tube on the CRRT, and two tubes for the ECMO upper femoral vein blood draw and femoral artery blood transfusion, this high school student has six life support system pipes inserted into his body, plus five ECG monitors attached to his limbs and chest, as well as a total of seven lines of blood oxygen saturation detector and blood pressure cuff connected to his fingers, and finally two established intravenous access, Zhang Kai has a total of 15 pipelines on his body. Although the nurses of the Fourth Central Hospital have tried their best to organize and store these lines as neatly as possible, after all, under so many wire pipe connections, Zhang Kai's body still looks extremely chaotic.

Xu Yourong stood in the middle of this large pile of pipelines, looking at the poor high school student with concern. He was too young, and he was sick too suddenly and too severely. Even doctors who are somewhat numb to life and death will feel ...... He was a little too unlucky.

This is probably the main reason why Liu Tangchun decided to rescue this child again and again. Sun Lien walked to the side of the bed and picked up the case record that was placed at the foot of Zhang Kai's bed. After a closer look, I found that yesterday's rescue room must have had a dangerous and abnormal night. Under the command of Liu Tangchun, a total of more than 20 medical personnel participated in Zhang Kai's rescue. In order to deal with the stubborn electrical storm on his body, Liu Tangchun ordered Zhang Kai to be defibrillated 28 times in a row. In order to effectively connect chest compressions and electrical defibrillation, Liu Tangchun did not use the AutoPluse system during the two-hour rescue, but always used the strategy of manual chest compressions. At the same time, during the two-hour rescue process, the intermittent intravenous use of epinephrine reached a staggering 117 mg.

While looking at these astonishing data records, Sun Lien imagined in his mind what had happened in the emergency room last night. By the time he came back to his senses, he had already been scared out of a cold sweat. With such a high work intensity and such frequent rescue measures, the doctors on the night shift are definitely tired like dead dogs. Thanks to Xu Yourong for coming early today, and he also covered for himself, otherwise even if he didn't die today, he would have to be stripped of a layer of skin by the angry Liu Tangchun, and then the leather tube was filled with hay and hung behind the duty desk in the rescue room, with a line of big characters on it, "Sun Thief Lien died with this." ”

Not...... Does this consequence feel familiar?

"Are you here?" Xu Yourong turned his head and saw Sun Lien in a cross-dress, raised his hand to say hello, "It seems that you are sleeping well, and the dark circles under your eyes are almost gone." ”

Sun Lien replied with a wry smile, "It will all rise back in two days." He put down the case board in his hand, "I heard Aunt Hu say, thank you for covering me in the morning." Don't worry, I won't be late in the future. ”

"Cover?" Xu Yourong seemed a little confused, she frowned and asked, "What ......about it?" Who was with Dr. Pascal's family this morning?"

·

·

·

Accompanying Dr. Pascal's family was not Sun Lien, not Xu Yourong, and certainly not Hu Jia, who was smirking while handing hemostats in the operating room. The correct answer is that when Rachel got up this morning, she saw that there was no one around the bed, so she decided to take Dr. Pascal's family and simply go along the family home area near Ningyuan Medical College and eat all the breakfast stalls that were set up.

And when Sun Lien ran wildly to the hospital, Rachel and Pascal's family were eating the third shop.

"It's delicious!" Dr. Pascal's eldest son, Todd Jr., completely abandoned his image of a "great little gentleman" and nibbled on a piece of fried dough sticks soaked in soy milk. The royal way of eating fried dough sticks and soy milk was taught to him by Rachel just now.

"It tastes good, too!" said Pani, sharing a piece of pancake fruit with her mother. The pancake fruit near Ningyuan Medical College is much more authentic than the pancake fruit in other places. This shop and the churro shop next door have a "strategic partnership" relationship. The pancake itself is a pancake made of lamb bone broth, mung bean flour, white flour and cornmeal mixed in proportion, scalded on a round iron plate, with sweet noodle sauce and plenty of chopped green onion eggs. This kind of authentic pancake can starve to death a hundred Tianjin people who have lived in a foreign land for a long time.

Dr. Pascal himself was eating a whole plate of Cantonese rice rolls, a recipe that a Sichuan chef learned from a Hunan chef who was actually more in tune with foreigners.

Rachel is drinking a bowl of porridge with preserved eggs and lean pork, and she quickly falls in love with this strange delicacy after drinking this food for the first time. Squinting her eyes and sipping porridge happily, her mobile phone suddenly rang.

"Starry starry night, Paint your palette blue and grey......" Rachel's mobile phone ringtone is Charlie Landsborough's version of "Viencent", and the melodious and deep male voice rings at the breakfast stall. Rachel hurriedly wiped off the porridge that was sticking to her lips with a tissue in her hand, and when she looked at the electric man, she suddenly narrowed her eyes into a slit again, "Hey~dear~".

Sun Lien was a little embarrassed to hold the phone, he forgot to charge his phone last night, and now he borrowed Xu Yourong's mobile phone. originally called to ask Rachel where they were, but this "dear" blocked all the opening remarks that Sun Lien had thought of.

"I'm Sun Lien. Sun Lien explained awkwardly, "My phone is out of battery, so I borrowed Dr. Xu's phone. ”

Rachel was very open, "You take advantage of me! I'm going to go to Hu Jia to complain!"

Sun Lien couldn't cry or laugh, "Okay, you can just come to the hospital to complain later." Well, Dr. Pascal is with you, right?"

"He's eating cheong fun. Todd is almost finished eating fried dough and soy milk, and he seems to be very interested in tofu brain. Rachel reports one by one, "The pancakes here are very popular with Isabella and Pani. "Isabella, is the name of Madame Pascal.

"I'm not particularly interested in that. Sun Lien said helplessly, "Please let Dr. Pascal go to the hospital after breakfast, my boss plans to talk to him about joining the hospital - you know how to get to the hospital, right?"

Rachel was a little upset now, "Although I'm an American, I also know how to use map navigation!" Of course, this unhappiness is also pretended, "When we get to the hospital, I'll call Yourong again." Okay, for now, I haven't finished breakfast yet. ”

After hanging up the phone, Sun Lien returned the mobile phone to Xu Yourong, he looked at a vacant ECMO system in the rescue room, and asked curiously, "Aren't there only three sets of ECMO in our hospital?" Now we use two sets, and there is one set in the ICU, so where did this new set come from?"

"You say this?" Xu Yourong pointed to the ECMO machine that looked different, and explained naturally, "I heard from the head nurse that Director Liu 'borrowed' it from the Second Hospital last night." ”

Sun Lien was dumbfounded, "In addition to people, Director Liu doesn't even let go of machines?"