I can see the status bar

Chapter 25 Rules
Time passed quickly, and it didn't take long for the lunch break.

Zhou Jun knew about Sun Lien's arrangement.Before it was twelve o'clock, Zhou Jun waved his hand and let Sun Lien get off work - it's not good to let the two directors wait for him alone.

Wang Jianpei, director of the Department of Cardiology, is well-known for his love of mutton vermicelli soup.This probably has something to do with his birth in the northwest border.Especially with a bit of mashed garlic sandwiched between golden and crispy noodle cakes, and then served with mutton soup that is fragrant and greasy.The Zunyi mutton noodle shop at the entrance of the Fourth Hospital, which can provide this kind of combination, has almost become Director Wang's designated canteen.

"Two bowls of noodles, meat, and four scones." Director Wang couldn't wait to order food as soon as he sat down.

"I said, Old Wang, we have three people here." Liu Tangchun protested, "Three people, two bowls of noodles, what kind of distribution method is this?"

Director Wang was taken aback, then slapped his head and laughed at himself, "I'm sorry, I'm so busy today that I lost my mind." He beckoned and called the waiter, "Add two more bowls of noodles and four sesame cakes." He turned his head to look at Sun Li'en, who had dull eyes, and smiled twice like a generous elder, "The sesame seed cakes here are quite large, you can eat two first. If it is not enough, let's add more." The familiarity and harmony in his tone Naturally, people even mistakenly thought that Sun Lien was the guest.

Director Liu almost sprayed Wang Jianpei's face with a sip of tea. "Did you eat those just now?"

"That's right." Director Wang nodded, "It's cold now."

"It's cold and you can't eat like this." Director Liu patted the table dissatisfied. Squeeze your stomach out..."

Director Liu didn't say what to push out from the stomach.After all, it's a meal, and it's still in the restaurant.If what he said was so true that the diners around him vomited, the owner of the mutton noodle shop would have to send him to be company with Zheng Guoyou.

"It's getting cold." Director Wang sighed, "With such a drastic drop in temperature, I might have to live in the duty room in another two days."

When the weather turns cold, it is the high-risk period for middle-aged and elderly people and people prone to cardiovascular and cerebrovascular diseases.People who are stimulated by cold will subconsciously start to constrict blood vessels to reduce heat loss.The consequence of this action is a sudden rise in blood pressure.This leads to people with fragile cardiovascular and cerebrovascular diseases facing greater risks than in summer.

"Now there is an app on the mobile phone." Director Liu didn't care about Wang Jianpei's exclamation. .”

Director Wang was very tempted by this proposal.He took out his mobile phone and stuffed it directly into Sun Lien's hand. "You young people are good at this, help me install this software."

The mutton vermicelli soup was delivered very quickly, and Director Wang began to eat his two portions of vermicelli soup with his head down.Sun Lien began to exchange views on the case with Director Liu.From the afternoon onwards, these four patients will fall into his own hands. It will not hurt to discuss the condition with the director more at this time.

"Comparatively speaking, Lin Lan is the most stable." Sun Li'en took a bite of the biscuit, the crispy texture and the rich mutton soup, the superimposed aroma lifted him up. "Her main problem is cerebral hemorrhage and degloving injury. Dr. Xu can solve the problem of cerebral hemorrhage, and other doctors in the orthopedics department have solved the problem of her flap survival. Just wait for her to recover a little bit and do another operation Just put her broken femur back together."

"You should also pay attention to the problem of male hormone insensitivity." Liu Tangchun is from Jiangnan, and his eating movements are much more refined than Director Wang from the frontier.He tore off two biscuits, soaked them in the soup slowly and ate them. "Generally speaking, the cryptorchidism of this kind of patient will be a hidden danger in the future. You should talk to her family members, and if it's appropriate, you can have surgery to remove it."

Sun Lien thought for a while, and said with some uncertainty, "You mean... there is a possibility of carcinoma in situ?"

"Her cryptorchidism has not sunk since the embryonic period. Under the long-term influence of body temperature, the cryptorchidism has a high possibility of cancerous tissue." Liu Tangchun took out a piece of soaked pancake and ate it, and slowly took out a tissue Wiping her mouth, "It's better to do a pathology sample as soon as possible. Although it's unlikely, if a tumor forms and causes problems like paraneoplastic syndrome, her body may not be able to survive."

Sun Li'en nodded to indicate that he had written it down, and continued to introduce, "The diagnosis of the 10-year-old girl with myocardial infarction came out, and she took non-prescription weight-loss drugs privately, suspected to be acute poisoning of anthraquinone compounds. Teacher Zhou agreed with me. View, on dexamethasone and dextrose saline."

"It's a unique angle." Liu Tangchun showed an expression of appreciation, "But it makes sense."

Director Wang, who had finished two and a half sesame seed cakes and a bowl of mutton soup, raised his head and interjected, "Are you talking about the little girl I made this morning?"

"Yes." Sun Li'en nodded, "Acute poisoning of anthraquinone compounds can cause systemic thrombus, and the location of the thrombus produces myocardial infarction, renal vein thrombosis and mental symptoms."

"The symptoms are right, but the dosage is not right." Director Wang continued to attack the remaining mutton soup, and at the same time waved his hand to call the waiter, and specially added two ends of sugared garlic. "The toxicity of this stuff is not much stronger than ethanol. The relatively large 00 capsules that are usually used can hold about 1 gram of medicinal powder. Even if the contents are all anthraquinone extracts, the purity is as high as 100%. She has to take fifteen at a time. It takes six pills to cause acute poisoning."

Tangsuan was brought over by the pretty shop assistant, and the wrinkles on Director Wang's face deepened with a smile. "Even if she is more sensitive to drugs because she is a child. But three or four pills taken separately a day can cause such a severe reaction? I don't believe it."

Liu Tangchun raised his eyebrows, "It seems that you have to deal with this patient immediately when you go back. If it wasn't for poisoning, then her condition may continue to deteriorate."

"Low-molecular-weight heparin and warfarin have been given to her for anticoagulant treatment." Sun Li'en felt a little heavy, "I will take blood immediately after returning, and send it to the laboratory to check the drug reaction."

"Work is endless." After eating all the biscuits, Director Wang poured the entire mutton that was added at the beginning into the mutton soup left on purpose and ate it hot. "As for the matter, I heard what Lao Liu said. He intends to let you be an attending doctor and enjoy yourself. It can be regarded as your cultivation. But young man, you have to remember that work is never finished. So, when eating Eat well. Store enough energy for yourself so that you can complete your work efficiently."

The experience of the old predecessors is a lesson learned in exchange for blood and tears.Sun Lien took a closer look, and even Director Liu, who was eating slowly, had almost finished all the food in front of him, but Sun Lien himself still had half a bowl of mutton vermicelli soup left untouched.

If you don't fill your stomach when you have time, you're likely to stay hungry for the rest of the day.This is the most important rule in a doctor's daily work.

I want a recommendation ticket! ! ! !

　Dr. Sun was on ECMO, and it was reported that his life was temporarily out of danger.

　　PS There are actually errors in several cryptorchidisms in the article, but because the anatomical terms of this part are taken by the river crab, so let’s just wait and see.

　　
　
(End of this chapter)