I can see the status bar

Chapter 488 The First Case (First Update)
"I heard that you have started to take care of patients with difficult and miscellaneous diseases?" Sun Lien was looking at the documents in the ninth consulting room as usual, when Dr. Cao Yanhua's voice suddenly sounded outside the door.The Tianjin man slipped in with a malicious smile on his face, and by the way, he looked back to make sure no one could see him, then closed the door with a smile on his face. "Why do I feel that you have plotted against Dean Liu?"

Sun Lien looked up and saw Dr. Cao Yanhua, and heard his speech again, with a strange expression on his face, "Why did I plot against Dean Liu?"

"Dean Liu usually doesn't like to take care of the affairs of other departments." Dr. Cao strolled up to Sun Li'en, picked up the cup on the table without looking outside, took a sip of tea and continued, "Dean Song and How many times has he talked about it, but he is still holding on to it? To put it mildly, Dean Liu has his own persistence. To put it harshly, it is the stubborn old man who only cares about his own acre of land. Son, just like a dog guarding food, he will bite whoever moves him."

Sun Li'en's eyes dodged a little, and he coughed lightly, "There's no one who compares people to dogs."

Dr. Cao Yanhua laughed "hey", "Old man can't hear you now, how loyal are you..." He was suddenly stunned. On the clothes rack behind Sun Lien, there was a gray straw hat that looked familiar to him.It seems to be the hat my father-in-law wears when he goes out in the morning.

"Then you can't speak ill of me so openly when I can hear you?" Cao Yanhua closed his eyes in pain, and a familiar voice sounded behind him.Then he turned his face away slowly and resolutely, and put on a flattering smile, "Dean Liu..."

"You little bastard..." Dean Liu laughed angrily, and slapped Cao Yanhua on the back.The slap was vigorous and heavy, and there was a dull "dong" sound. "Speak ill of me in front of my colleagues, are you brave enough?"

Cao Yanhua's complexion changed, and he continued to flatter, "Dean Liu, I... I was just joking with Xiao Sun..."

"Call me Dad!" Liu Pingchuan looked dissatisfied, "Who are you with?"

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Dean Liu is here to deliver cases.This morning, the Department of Gynecology of the Fourth Hospital performed a radical hysterectomy and bilateral adnexectomy, and at the same time performed a pelvic lymph node dissection on the patient.The purpose is to cure a patient diagnosed with stage III uterine cancer.

The operation itself was not a big problem, and it can even be said that it went smoothly.However, after the patient woke up four hours after the operation, she had symptoms of chest tightness, shortness of breath and abdominal distension.The gynecologist at the Fourth Hospital adjusted the volume and speed of her infusion and started her on oxygen.But the symptoms did not show a trend of improvement and remission.

Then this case was seen by Liu Pingchuan.

"What I'm worried about is whether there will be problems with the anesthesia during the operation or the operation process." Liu Pingchuan put his doubts directly on the surface, "The blood test results are not normal."

Sun Lien and Cao Yanhua, who were covering their ears, looked at the checklist together. The white blood cell count was 1.7*10^9/L, the C-reactive protein was as high as 246.7mg/L, the serum creatinine concentration was 130umol/L, and the albumin index was only 18.9g/L. .Most seriously, her N-terminal pro-B-type natriuretic peptide (ProBNP) was as high as 3028pmol/L.

These data all suggested that the patient had a severe inflammatory reaction, but the patient's preoperative condition was still good, and the indications for surgery were all at normal levels.The operation lasted two hours, plus four hours after the operation, why such a serious infection suddenly appeared in six hours, Liu Pingchuan was a little puzzled, and the chief surgeons of the gynecology department also couldn't figure it out.

After Liu Pingchuan saw the case, he discussed it with the gynecological doctors and decided to let Sun Lien take a look.If he had a flash of inspiration, maybe the overall treatment would be much easier.

"Gynecological diseases?" After reading the report, Sun Li'en was a little confused. Gynecology is one of the fields he is least good at. "This... I'm really not sure."

Liu Pingchuan waved his hand indifferently, "Try it."

If there is no Sun Li'en, it can only be consulted by a physician, and then symptomatic treatment will be given according to the test results.Let Sun Li'en take a look at the case and give some ideas, which will not have any negative impact on the patient's treatment - anyway, the situation will not be worse.

Sun Li'en looked at the case, pondered for a while, and said, "I'll take Dr. Xu and the others up to see the patient...and then talk to the chief surgeon."

The status bar is useful only if you see it. When it comes to gynecology, which Sun Lien is not good at, he dare not have any reservations.So not only to check the status bar, but also to pull all the staff of his treatment team over to check the situation.

After all, it is life and death, after all, there is no small matter between life and death.

For this request, Liu Pingchuan naturally had no reason not to allow it.Although the patient's condition is not very good, at least his vital signs are stable now.However, the gynecological doctors have begun to consider whether to transfer her to the ICU for observation and treatment.It is best to conduct a consultation before the patient is sent to the ICU.

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It was Dr. Feng Chujie, Sun Lien's old acquaintance, who performed the operation on the patient.Seeing Sun Lien coming with a group of people, Dr. Feng greeted him a little tiredly, then looked at the doctors behind and asked, "Why are you making such a big show? Come to our department to fight?"

Dr. Feng's condition is not bad, at least she is still in the mood to joke with Sun Lien.And Sun Li'en didn't hide it, and directly stated his intention of coming, "Dean Liu showed me the case of Qian Aiwu. I was a little uncertain, so I came up to see the patient's condition."

Dr. Feng glanced at the people behind Sun Lien again, "Why didn't you see Dr. Yuan? Isn't he from your treatment team?"

"Dr. Yuan went to the countryside to support, and it will take another month to come back." Sun Li'en explained that Yuan Ping'an finally chose the shortest time to support in poor areas.A doctor of emergency department who graduated from the Capital Tongxie Association can exert amazing energy in remote and impoverished areas.The last time Dr. Yuan contacted Sun Lien was a week ago. At that time, he called to ask for help to find equipment. The local People's Hospital received a patient with acute renal failure, but there was no dialysis machine in the hospital.

Sun Lien contacted many people, and finally got a machine from Takeda.But I don't know what happened to the patient with acute renal failure.

"Doctor Yuan is going to be promoted to deputy senior?" Feng Chujie was a little emotional, and then enviously said, "Sure enough, it's better to enjoy the shade under the big tree. If you hang out with Director Sun, your professional title will be evaluated faster."

Yes, Sun Lien's nickname in the fourth courtyard is "Director Sun".He has an emergency medicine specialist who graduated from Harvard Medical School, an attending physician in the Department of Nephrology, a fellow emergency doctor who is about to become a deputy senior, and a Johns Hopkins University MD with a deputy senior title. The luxurious configuration is enough to support the backbone structure of a huge emerging department.

"Stop joking with me." Sun Lien smiled wryly, pointed to the ward and asked, "Can we go in and have a look?"

"Yes." Feng Chujie nodded, "Let me lead the way, and I will introduce the details of the operation to you by the way."

(End of this chapter)