So far, Sun Lien has been speeding twice in his life.

Last time it was to save people, and this time, it's also to save people.

Neonatal hemolytic jaundice is not refractory. In general, the level of bilirubin in the child can be effectively relieved by irradiation of blue light. As a general rule of thumb, children can recover after about three to seven days of exposure in an incubator.

Children with high levels of jaundice may require adjuvant therapy with intravenous gamma globulin to prevent further hemolysis. But neither blue light nor gamma globulin is a particularly "rare" and "difficult" treatment. Based on Sun Lien's understanding of the medical level of his hometown Changning City, if it is only jaundice of this degree, then there is definitely no need to consider transferring to the hospital.

His two uncles are both doctors, and the Wang family knows at least a lot of doctors in the local medical system. If it was just ordinary hemolytic jaundice, it would not and did not need to call Sun Lien, and the newborn who had just been born less than 72 hours ago would be transferred hundreds of kilometers to Ningyuan.

Something is not right.

Sun Lien noticed the problem for the first time, and immediately asked to send his cousin, whom he had never met, to the Fourth Courtyard immediately. In terms of the ability to respond to pediatric emergencies at night, no hospital in the whole of Song On, except for the Provincial Children's Hospital, is stronger than the four hospitals that have opened pediatric sub-specialties.

There are enough bad things today, and Sun Lien really doesn't want to encounter any major events.

"Doctor Yuan, are you still in the hospital now?" Sun Lien made a phone call to Yuan Ping'an on speakerphone while driving the car. Yuan Ping'an, who served as the chief resident physician in the Fourth Hospital as the attending doctor, was a poor person who had to stay in the Fourth Hospital for six days a week, just like Cao Yanhua.

"In. "Yuan Ping'an has just finished dinner, and he is lucky tonight, there is no emergency, and there are no particularly critical patients to deal with.

But now that Sun Lien has called, it seems that this night will not be easy again.

"Please help me ask if there is a place in the pediatric NICU in our hospital. Sun Lien was silent for a few seconds and asked, "Also, ask them if they can do plasma exchange for newborns." ”

If you feel that something is wrong, then imagine and prepare for the most serious situation. If the cousin's jaundice is severe, and the blood type alone does not allow for hemolysis, plasmapheresis may be a last resort. Plasmapheresis is occasionally treated in the emergency department and in the emergency care unit (ICU) and CCU. However, pediatric plasmapheresis is less common. Plasmapheresis for newborns born less than 72 hours ago, whether this treatment plan can be used, what needs to be paid attention to, Sun Lien has no concept at all. In a way, the difference between the treatment of children and adults in neonatology, especially in the neonatal intensive care unit, is so great that it is almost as if they were treating two species.

The result of the huge difference is that Sun Lien can't do anything in this matter except for paying money and helping to contact the bed.

He didn't even know how much of the drug would have to be given at what rate if a newborn was to be given an intravenous infusion of gamma globulin.

Sun Lien, who was driving to the hospital, is not a doctor now, he is just a family member of a patient who is anxious.

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"Dr. Sun. Yuan Ping'an beckoned to Sun Lien in the rescue room, and next to him stood Qian Hongjun, the hairless director of pediatrics.

"The beds in the NICU are fine. Qian Hongjun nodded at Sun Lien with a serious face, "What is the condition of the patient, and where is it sent?"

Sun Lien nodded gratefully to Qian Hongjun first, and then roughly relayed the news he had learned.

"Haven't you been transferred to the hospital yet?" Qian Hongjun was stunned, and then asked with a frown, "There is only one symptom of neonatal hemolysis?"

As soon as Qian Hongjun heard Yuan Ping'an say that Sun Lien came to ask about the NICU bed, he subconsciously regarded this upcoming patient as a difficult case with serious problems. He even adjusted the schedules of several neonatologists for this reason, bringing together several doctors with the best professional skills, ready for them to take over the case immediately.

"I didn't make it clear. As soon as Sun Lien saw Qian Hongjun's expression, he knew that the old man probably dragged out the doctors at the bottom of the box in order to pick up the "critical patient" in his hand. He hurriedly explained his reasoning to Qian Hongjun, "The problem now is that the information is not coming so quickly on the way to transshipment." ”

Qian Hongjun's frowning brows relaxed, "Hey, didn't you say that you were your own relative, wouldn't it be over?" I thought you had a rare case - it is said that even if the newborn needs to see a doctor, it will not run to the emergency department of our four hospitals." ”

Qian Hongjun was really relieved. Newborns are not treated in the neonatology department of the birth hospital, but are transferred to the fourth hospital, which is a "high-risk" attribute - patients who can't even handle the professional neonatology department, how troublesome it must be can be imagined.

But it seems that this is probably Xiao Sun's plan to go through the back door for the sake of his relatives. Director Qian not only had no opinion on this, but raised his hands to welcome it, but it was just a neonatal hemolysis, and the four hospitals could handle six or seven hundred cases of this kind of child a year. It would be nice to shine on the blue light.

Yes, even if Sun Lien has already expressed his judgment and reminded Qian Hongjun, the bald Director Qian still doesn't think this matter will be too troublesome. In terms of neonatology, Sun Lien, an emergency doctor, did not pay much attention to the opinion.

"I'm sorry to trouble you. Sun Lien solemnly said to Qian Hongjun, "It's also to blame me for not being able to hold my breath, after all, ...... My uncle was a child. ”

"It's okay, it's okay. Qian Hongjun waved his hand generously, "If you care, it's chaotic, we have seen a lot of this kind of thing." He looked at his watch and said to Sun Lien, "The beds over there in the NICU have been coordinated for you, and when you are about to arrive, you tell me, and I will arrange it for you." ”

After sending Qian Hongjun away with a thousand thanks, and thanking Yuan Ping'an, Sun Lien stood at the door of the rescue hall with his mobile phone. "Mom, are you leaving?"

"Already on the way. Wang Caifeng's voice came from the other end of the phone, "We have already gotten on the highway, and if you look at the navigation, it will take about an hour and a half." ”

"Pay attention to safety on the road and call the traffic police if necessary. Sun Lien was a little nervous to his mother, "The longer the child is on the road, the more variables may occur." Don't dare to delay. ”

Wang Caifeng was also a little nervous by Sun Lien, "Okay, I know......" she paused and asked, "Son, this disease...... Isn't it hard to treat?"

"What I'm worried about right now is not refractory. Hemolytic jaundice in newborns is actually quite common. Sun Lien sighed and said, "What I'm worried about is that our hospital in Changning can't get it right—if they can't get it either, it might be very troublesome." ”