Chapter 296 Pain
Sun Lien's miraculous status in Yuan Pingan's heart has been steadily rising since the night of the capital.If it was just "curiosity" and "recognition" at the beginning, then when it came to Yang Jianqiang's case, this "recognition" became "shock".Yuan Ping'an consulted hundreds of documents that night, only to find a case report matching Yang Jianqiang's symptoms, and boldly pinpointed the cause of the disease.And Sun Lien got the answer more than five hours ahead of himself just by communicating with his family members again.This almost made Yuan Ping'an almost lose the confidence he had built up in Tongxie—I am a doctor who graduated from Tongxie, shouldn't I be better than a five-year undergraduate doctor at Ningyuan Medical College?

And the shock lasts for a long time, and the feeling will gradually evolve.The self-doubt at the beginning was slowly resolved by Yuan Pingan, but the shock of Sun Lien turned into admiration and even blind trust.And this kind of worship reached a new height after Zhan Hao was diagnosed with lead poisoning.In Yuan Ping'an's eyes now, Sun Li'en has almost become synonymous with "correctness".And this kind of recognition used to belong to the senior attending or above doctors of the ace department of the Tongxie.

The senior attending doctor is naturally the senior doctor of the resident doctor.Yuan Ping'an works as the chief resident in Tongxie's emergency department, but he is also a member of the resident doctors.According to the practice of the Tongxie, before the resident doctor is promoted to the attending doctor, he must go through the residency stage of half a year to one year.You have to live in the hospital six days a week, ready to go to work anytime, anywhere.Although the title has not been fully settled in the Fourth Central Hospital, Yuan Ping'an is actually used as the attending doctor.

When a patient's situation was so troublesome that Yuan Ping'an didn't know what to do, he subconsciously suggested to seek help from a superior doctor - such as Sun Li'en.

"Pain problem?" Sun Lien was confused when he received the call, "Who has pain problems? The patients we admitted before?" Sun Lien's first reaction was that the conditions of the admitted patients had changed, such as Chen Wen or Yang Jianqiang.After all, their brains have suffered substantial damage, and it is possible that the damage to the brain caused pain that could not be handled by analgesics.

"No, it's a patient just sent to the hospital." Yuan Ping'an replied, "Male, 26 years old, with obvious pain hypersensitivity. But there is no record of opioid use, and all urine tests are negative."

"26 years old?" For some reason, Sun Li'en suddenly thought of the giant baby with two fishhooks in his hands, and the middle-aged woman who stomped and screamed, which made him shiver. "Why did you go to the hospital?"

"I was sent by 120 after I called for help." Yuan Pingan replied, "He said that since the morning, he didn't dare to touch the skin all over his body, and it hurt when he touched it. His condition worsened around noon, and he didn't even dare to wear it. Clothes. You can only stand on a plastic board, and you can’t wear anything on your body. When 120 rushed to the scene, this person had already passed out from the cold.”

It's okay, it's not that giant baby.Sun Li'en breathed a sigh of relief, and then frowned, "Is this patient awake?" If the other party hadn't woken up, it was absolutely impossible for Yuan Pingan to ask "there is no record of using opioids".

"Just woke up for about 2 minutes," Yuan Ping'an sighed. "Before he fainted from the pain again, I asked about his history of drug use."

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Thinking about it now, Yuan Ping'an still feels as if there are bugs crawling on his body.This patient was a few years younger than him, but his distorted face due to severe pain made him look very old—as if he was 60 or [-] years old.It was also the first time Yuan Ping'an knew that a person would lose his voice after being in extreme pain.The patient opened his mouth wide, but he could only make a "roaring" sound.If it weren't for the rapid rise in blood pressure and heart rate, Yuan Pingan might not have realized that this was a reaction to being tortured by severe pain.

After reacting, Yuan Pingan reacted quickly - he gave the patient a tramadol hydrochloride, and then took the time to ask about the condition.

But this tramadol hydrochloride didn't seem to have any effect.The patient's blood pressure soared all the way to 185/120mm Hg. In order to protect his blood vessels, Yuan Ping'an was forced to use 50mg of sodium nitroprusside and 50ml of 5% glucose solution into the micro pump to pump it.Controlling blood pressure seemed to improve some patients' condition, and he could barely speak, "I'm not on drugs, help me!"

After saying this sentence, the patient fainted.Only Yuan Pingan, who was frowning tightly, and Xu Yourong, who also didn't know how to deal with the patient were left.

"What's his blood pressure now?" Sun Lien immediately noticed something strange after hearing "He can barely speak after the blood pressure drops."Although it is true that elevated blood pressure can easily lead to headaches, tingling in the extremities and other paresthesias, lowering blood pressure will not immediately eliminate these problems.The analgesic effect of sodium nitroprusside is better than that of tramadol hydrochloride, which itself is doubtful.

"It's 160/95 now." Yuan Ping'an had a fairly accurate grasp of the patient's condition, and he immediately reported the value, "The output of the micropump is controlled at 2ml per hour. Do you need to adjust the dosage?"

Sun Li'en didn't know the exact amount to use. He pondered for a while and said, "After the patient's blood pressure is controlled, the pain is immediately under control. This is a doubtful point. Has the family member arrived?"

"Not yet, we are in contact." Yuan Ping'an also felt that there was something wrong with this, but he was more inclined that it was the result of the slow effect of tramadol. "Doctor Xu is not sure about this patient's problem. Do you need to invite Dean Liu?"

Zhou Jun left the emergency department after a meeting, and now Dean Song is in charge of the emergency department.However, it was obviously "excessive" to invite the dean to come for consultation. After all, the patient's situation did not seem to be particularly urgent.

"Please." Sun Li'en didn't think of a better way, "You go and ask Dean Liu to come and have a look, I'll go back to the hospital now."

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"Go ahead." Knowing that Sun Li'en was going back to the hospital immediately, Hu Jia was very considerate. "Are you coming back tonight?"

"There are so many big men in the courtyard, I just want to show my face." Sun Li'en touched Hu Jia's head with some distress.She had to leave in three days, but she couldn't spend every minute with her, which made Sun Li'en feel uncomfortable. "I'll be back as soon as possible."

Hu Jia smiled and hugged Sun Lien, buried her head in his chest and said, "Since you are going, then settle down and do it well." She raised her head from Sun Lien's arms, looked at her boyfriend seriously and said, "You look the most handsome when you try your best to save lives."

 September is about to begin, and there will be an event next month. It is said that the boss with the number one monthly pass will have a chance to be on the cover.

  Sanguan also knows that it is a dream of mine to compete for the first place in this bad update.But... salted fish also have dreams, don't they?So, I decided to give myself a little motivation.

  Starting next month, 100 monthly tickets will be added. 200 monthly tickets plus the second update, after accumulating 300 monthly tickets, every 200 monthly tickets plus one update.

  I estimate that according to the current data, it will be almost enough to add three more updates next month.

  Don't mess around!

  
 
(End of this chapter)

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