I can see the status bar

Chapter 207 Scarce Resources

The young man who was outspoken and dared to say anything ran over.In the chilly winter weather, he only wore a short-sleeved upper body, and he smelled of sweat.

"My mother complained that her back hurts again." He leaned on the wall and said to Sun Li'en out of breath, "Can you go and have a look?"

At the beginning, the measures arranged for the young man and his wife, apart from racemic anisodamine hydrochloride and progesterone, were only "drink plenty of water and wait for stone removal" and "stay in hospital for observation".

The position of staying in the hospital for observation was placed in the corridor next to the emergency room. After all, the emergency room is full of critically ill patients.Kidney stones are not life-threatening, and because of the severe pain, patients may vomit, cry out for pain, and so on.Observing in the rescue room is not conducive to the rest of other patients, nor is it conducive to the rest of the middle-aged woman who has kidney stones.Therefore, Sun Lien specially arranged the person next to the emergency room.There are not many people here at night, but it is very close to the consulting room and the nurse's desk.In case of any changes, it is more convenient for the medical staff to rush to the scene - although the urology inpatient department can also receive patients, but considering that she is in pain now, and the inpatient department has to push the patient back for emergency surgery In the emergency building, Sun Lien decided to keep the person nearby to see the situation.

Again, kidney stones are not life-threatening.But severe pain can cause dangerous changes in physiological responses.If the patient has a problem such as an aneurysm, the blood pressure caused by the pain will rise sharply, which may cause the aneurysm to rupture and bleed.Moreover, repeated vomiting and rapid breathing caused by continuous convulsions may also lead to disturbance of the blood internal environment.Such as hypokalemia or respiratory alkalosis caused by hyperventilation and so on.Therefore, in the emergency department, patients with kidney stones are generally defined as three-level observation.For patients like this patient, who still have persistent pain despite the use of anticonvulsants, they may need to be upgraded to a second-level patient.

Pain won't kill people, but the impact of pain is hard to say.

"I'll go and have a look." Sun Lien stood up and asked Rachel to stay in the consulting room.He followed the young man and ran all the way to the door.

In the passage, the light is not too strong.At night, this corridor leading to the imaging department is rarely used.Especially after twelve o'clock in the evening, in response to the initiative of energy conservation and emission reduction, the property will turn off nearly half of the energy-saving LED lights in this corridor.In such a place, the light is not too strong, allowing patients to close their eyes and barely sleep for a while.At the same time, it will not be too dark, so that the doctor cannot directly see the patient's situation.

"Doctor." Accompanying the middle-aged woman lying on the bed was her husband.He stood on the bed, holding his wife's feet in his hands.His hands were not too big, but they still rubbed her feet continuously.Probably this kind of rubbing can relieve her pain a little. "Look at this... what should I do?"

Sun Li'en looked at the status bar of the middle-aged woman, but there was nothing special about it.It's just the same "ureteral stone".He thought for a while and asked, "It still hurts badly now? Are you vomiting again?"

The young man nodded, "After the injection, the pain didn't ease much. My mother probably fell asleep for less than an hour, and then woke up from the pain again."

As for the middle-aged woman lying on the bed, although she screamed in pain, she even cried out from the pain.But in Sun Lien's voice, at least he is quite confident.The status bar also does not indicate symptoms of hypokalemia or acidosis.

"Doctor, what can you do about this?" The middle-aged man rubbing his wife's feet had no idea that "this kind of behavior is not good-looking".He just looked at Sun Lien worriedly, "Can you stop the pain first?"

"How long has she been in pain?" Sun Lien frowned and asked, "What time did the pain start at night?"

"About seven o'clock in the evening," replied the young man. "It's been more than five hours."

"Did she ever go to the toilet?" Sun Lien asked, "From the hospital to now, has she ever gone to the toilet?"

The young man shook his head, "My mother was in so much pain that she couldn't even drink the water. She finally drank a little, but she vomited all over again."

Sun Lien sighed, "The ureteral stones are not serious in nature. But the stones are stuck in the ureter. If they cannot pass for a long time, it may cause hydronephrosis and urinary tract infection. I can give her more powerful painkillers. But as long as the stone doesn't come down, she will still be in pain."

The young man was sweating anxiously, and he said anxiously to Sun Lien, "Even if you need an operation, you must stop the pain first? I also know that ureteral stones can't kill people, but this kind of pain is too painful..."

"I'll go and prescribe pethidine for her." Sun Li'en pondered for a while, and felt that it really wasn't an option to go on like this. "You still need to let her drink as much water as possible. If the stones can be flushed out without surgery, of course the damage to the body will be the least. If the stones still can't come down after taking painkillers, then you have to prepare for surgery."

"I'm mentally prepared for this." The young man nodded helplessly, and then asked, "Which urology teacher is on duty today?"

From the first time he heard this young man talk, Sun Lien felt that he might be a colleague.Now that I hear the name "teacher", it seems that I should indeed be a medical student. "Then you have to call and ask. Why, you are also a medical student?"

"I'm from Ningyuan Medical College, and Dr. Cao Xin is my senior brother." The young man smiled shyly, "If possible, can I invite my supervisor to perform the operation?"

Sun Lien was shocked when he heard that Cao Xin is a doctor of urology.However, Ningyuan Medical College does not have an eight-year mentor training program for undergraduates.Therefore, the title of "senior brother" must at least be a master's student in the same laboratory.But the one in front of him looks much younger than himself.

"I'll prescribe the medicine first." Although he was curious about the identity of the young man, the first priority was to prescribe painkillers to relieve the symptoms.Sun Li'en thought for a while, and simply called the young man to the consultation room. He pointed to the seat next to Rachel, "You sit first. I'll make a call."

Sun Lien's call was to Zhou Jun.Pethidine is pethidine, which is a controlled drug.Sun Li'en did not have the right to prescribe, so he could only ask Zhou Jun to prescribe the medicine, "Mr. Zhou, I have a patient with ureteral calculi here, and the anticonvulsant therapy does not work well. Please come here and prescribe pethidine."

Zhou Jun agreed happily on the other end of the phone, and it happened that he still had something to talk to Sun Lien about.

"You don't have the right to prescribe?" The young man asked curiously, "Can Guipei Doctor make independent visits now?"

"I belong to a special case." Although this sounded a bit pretentious, Sun Lien could only explain in this way, "I am using Director Zhou's prescription right now, but I can't prescribe pethidine directly. Invite him to come."

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Before Zhou Jun came to the ninth consulting room, Sun Lien chatted with this young man for a while, and then he was surprised to find that he had met a real academic bully.

The real kind.

The young man's surname is Shen Mingxi, and he is 21 years old this year.I am studying for a master's degree at the Institute of Urology, Ningyuan Medical College, and I am doing my second year of research this year.

That is to say, Shen Xi was admitted to Ningyuan Medical College majoring in clinical medicine when she was 15 years old at the latest.Although he was four years younger than himself, the young man in front of him was Sun Lien's senior brother.

"Hello, brother." Sun Lien, a graduate student who has not yet enrolled, met the second senior brother, and his first reaction was to be cowardly.

Although Shen Xi talked in a daze with Zhao Mengli, who had a ruptured corpus luteum before, but now she is easy-going, "Brother Sun, don't be so polite, I still have something to ask you."

Shen Xi really wasn't being polite, his question was straightforward, "It's one o'clock in the morning, and in my mother's condition, even if she can have surgery, it doesn't seem appropriate to pick my tutor out of bed at one o'clock in the morning..."

"Actually, that's what I mean too." Sun Li'en followed the other party's words. We are all in the same business, so many things can be said directly. "Anyway, surgery is always risky. Your mother will definitely not be able to use the URL method with the least side effects now - the smooth muscle of the urethra is so convulsed that the hard tube will definitely not go in. If you use a soft endoscopic tube, the operation process will be more difficult. There is nothing to say, but the hose is disposable, and it is still a new product. It is really unnecessary to make more than 2 yuan at a time."

Shen Xi sighed, and continued to ask, "Then this is the only way to carry it now?"

"You have also seen the B-ultrasound before, and the position of the stone card is in the middle and lower segments." Sun Lien explained, "You are also from the Institute of Urology, and you should know that in this case, the best way is to let the aunt Pass out the stones. Then go to the hospital and give some anti-inflammatory drugs to prevent urinary tract infection. This method will cause the least damage and the fastest recovery. After the meeting prescribes painkillers, you can persuade your aunt to drink more water Check it out. If she can't drink it, I can prescribe some Ringer's solution for auntie."

Shen Xi nodded, "That's the only way to go first." He got up and nodded towards Sun Li'en and Rachel, "Then I'll trouble you. I'll go check on my mother first."

By the time Zhou Jun arrived at the consultation room, Shen Xi had long since disappeared.As soon as Zhou Jun entered the room, he saw Rachel in the consultation room. He was taken aback and asked, "Is there a patient?"

"This is Dr. Rachel." Sun Lien introduced, "It's... Dr. Xu's friend."

"Oh?" Zhou Jun probably didn't know about Xu Yourong's situation, he regarded Rachel as a corner that Sun Lien would poach soon, and extended his hand to Rachel enthusiastically, "Hello, you are here to visit our hospital Healing the environment?"

Rachel blinked her eyes, then nodded and smiled, "Yes." She gave Sun Li'en a look of help, the meaning was obvious - who is this?

"Dr. Rachel is a former classmate of Dr. Xu, and he is also very familiar with Dr. Pascal." Sun Lien continued to introduce bravely, "She is an expert in the oncology department."

"I'll prescribe a medicine for the patient first." Fortunately, Zhou Jun still remembered the main purpose of his coming here. He nodded at Rachel first, then walked behind the computer and quickly prescribed a pethidine hydrochloride injection liquid comes out.Then he said to Sun Lien, "Go and get the medicine. You have to do a good job in the reception of Dr. Rachel. If you have any questions, please contact me directly." After finishing speaking, Zhou Jun turned and walked out of the consultation room—the emergency room sent A girl who committed suicide by drinking sleeping pills came, and the situation was not too good.Zhou Jun had to go back and watch the situation.

"This doctor, thinks I'm here to apply for the job?" Rachel thought for a while before realizing what happened just now.

"After all, Lao Pa has already made a name for himself in the outpatient clinic." Sun Lien stood up with a wry smile and said, "Excellent doctors are scarce resources no matter where they are."

(End of this chapter)