I can see the status bar

Chapter 787 Milk Tea

Despite Liu Tangchun's instructions, Sun Li'en encountered the embarrassing situation of "not sleeping well".

Doctors always have one way or another to go to bed early.In a completely dark environment without looking at the mobile phone, lying down with staring eyes for half an hour basically fell asleep.But I don't know if it's because of something in his heart, Sun Li'en's sleep today is very restless - he always feels that his phone is vibrating when he is about to fall asleep in a daze.

After going back and forth three times like this, Sun Li'en simply got angry, shutting down the phone and going to sleep, wouldn't there be an illusion?

Then he began to dream non-stop, and every time he thought he was sleeping in the duty room of the emergency department.For some reason, it seems that he has become the second line on duty. Whenever the patient is in any condition, the nurse will kick open the door and shout at the top of his voice, "Doctor Sun! Get up!"

Then Sun Lien jumped up from the bed like a fish that had been electrocuted, and after seeing that he was in his own room, he let out a sigh of relief, and went back to the bed to lie down silently.

So again and again, until dawn.

No, if this goes on like this, let alone getting rid of dark circles, I'm afraid I will die suddenly before tomorrow night.Sun Lien sat on the bed, shook his head and sighed.

There is no need to go to the diagnostic center for the time being. Whether it is Lu Chunyu or Tang Min, there is no need to adjust the treatment plan now.Tang Min had just pulled out the cerebrospinal fluid drainage tube, and he had to wait at least another week or two for the second treatment.Lu Chunyu is currently using UDCA at a frequency of 250mg qid, and the bilirubin level has dropped steadily.It is only a matter of time before they are discharged or transferred.

Sun Lien's purpose is also very simple - to find something for himself to do.The best is the kind that can make yourself so tired that you don't want to think about anything, and you can sleep from this afternoon until tomorrow.

So, three or ten minutes later, Sun Lien reappeared in the emergency room of the emergency department.And with a straight face, he snatched a bed from Yuan Ping'an on duty.

"I don't care what kind of patients I send later, as long as they are sent to my bed, I will pick them up." Sun Lien played a rogue by virtue of his "team leader" status. "Don't worry, after I receive the patient, I will handle it for you in a safe manner-I will leave in the afternoon, and you can do the shift in the evening as usual."

Yuan Ping'an said with a bitter face, "Group Leader Sun, don't tease me. You want to admit patients. It's not a rare disease, so it's a ghost... I even asked Yanan to go to the movies at night, you give me Can't you reduce the burden a little?"

"Of course no problem." Sun Lien said confidently, "I promise not to admit people to the diagnostic center, but to send people to specialists." Seeing that Yuan Pingan seemed to be worried, he simply promised, "So, today I will definitely transfer the person away, if you really can’t do it, you can go away, and the specialist will not accept it, so I will take care of this patient to the end, right?”

Having said all this, Yuan Pingan naturally has no reason to refuse Sun Lien's request.However, in order to spend a good time together with his wife, Yuan Pingan still thought of a way - he sneaked to the nurse's station and said to the head nurse Hu who was on duty, "Dr. Sister, you can assign him a simpler patient."

Hu Jing glanced at Sun Lien, who seemed to be fully charged, and then nodded with a mysterious smile, "I see. I will assign him a patient who has a clear diagnosis but needs a little processing time."

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In the emergency department of the fourth center, if the most reliable person is to be selected, the winner will of course be head nurse Hu Jing.And Hu Jing did respond to Yuan Ping'an's expectation.After Sun Lien wandered around in the emergency room for 10 to [-] minutes, Hu Jing arranged for a nurse to send a comatose little girl to the emergency bed where Sun Lien was staring at.

"Ketoacidosis coma." The pre-hospital doctor gave Sun Lien a very clear diagnosis, "blood sugar 168 mmol per liter, heart rate 144, blood pressure 90/63."

"168?!" Sun Lien was taken aback by this value.However, the treatment of such patients is relatively simple. It is nothing more than a large amount of fluid replacement to correct the hypotension caused by hypertonic dehydration and diuresis, a large amount of sodium bicarbonate to correct acidosis, and insulin to lower blood sugar.At the same time, stabilize the patient's vital signs and maintain respiratory and electrolyte balance.He quickly issued the first doctor's order, "Establish intravenous access and hang two bags of 500ml normal saline."

The nurses started working quickly, and then Sun Lien gave one after another a treatment plan, "Go to monitoring, check blood gas urgently, pump insulin - give four units every hour first. Put on urinary catheter, check blood ketones and urine ketones. Get two sticks of sodium bicarbonate!"

It is not uncommon for the emergency room to deal with comatose patients due to ketoacidosis. Sun Lien's doctor's order was given quickly, and the nurses' treatment was faster.In less than 5 minutes, the necessary measures were basically in place.The blood gas test requires drawing arterial blood. This action is a little slower, but the drawing is completed in 6 minutes.

The samples that should be submitted for testing have already been taken for testing, and Sun Lien finally had time to glance at the patient's status bar.

"Zeng Jing, female, 28 years old. Pancreatitis (52.32.51), hyperglycemia (47.41.12), hyperketosis (21.48.51), ketoacidosis (04.12.28), hypotension (02.57.02. [-])." The prompt on the status bar made Sun Lien slightly taken aback, this is actually someone he has seen before.

Zeng Jing was the first group of people Sun Lien met after he got the status bar.However, at that time, her identity was not the patient, but the temporary guardian of the patient - when she came to the Fourth Hospital last time, she accompanied Chen Wen to the hospital by helicopter.

Part of the reason why Sun Lien was able to impress Zeng Jing was because she was at a loss at the time, and the other part was because, as a head teacher in a private school, she had almost no ability to manage her own students.Although strictly speaking, Zeng Jing herself is a poor person, but once a bad impression is left, it is indeed not so easy to forget.

Just as Sun Lien was in a daze, the nurse at the side ran over quickly, "Doctor Sun, the leader of the patient is waiting outside the emergency room. Do you need to talk to him?"

This is the normal process.Sun Li'en nodded, and instructed "Once the blood gas test results confirm acidosis, start sodium bicarbonate infusion as soon as possible", and walked out of the emergency room.

"Doctor." Waiting outside the emergency room was a woman about the same age as Dean Song.She was dressed very ordinary, and she looked similar to the middle-aged women who can be seen everywhere on the street.The only detail of her occupation that can be seen is the white chalk marks on the cuffs of her black coat. "How is Teacher Zeng?"

"At present, it should be ketoacidosis." Sun Lien said, "Has the family members arrived yet?"

"No. The school has already notified them, but they are all out of town, and it may take the afternoon to come here." The female principal shook her head, "Just do what the hospital needs, and our school will definitely cooperate fully."

With this sentence, many things will be easy to handle.Sun Li'en nodded, and then asked, "What happened after the incident? Does Mr. Zeng usually have diabetes?"

"No." The female principal shook her head and said, "Xiao Zeng is usually in good health. Since she joined our school last year, she hasn't taken a single sick leave. When she joined the job, oh, she just finished her physical examination last month. They didn't find any problems. Her usual living habits are quite normal, except that she likes to drink milk tea."

Joined last year?This means that Mr. Zeng changed his workplace?However, changing the workplace probably has nothing to do with her condition, but her habit of drinking milk tea may be directly related to her symptoms.

"Do you like milk tea?" Sun Lien asked with a frown, he has seen the current milk tea.A cup of milk tea is made like a bowl of rice. What kind of taro balls, pearl brown sugar, and milk candy are poured into the cup like no money, and even make people "eat milk tea" instead of "drinking milk tea" thought.More than half of such a cup of milk tea must be solid.Such specially added milk tea must contain a lot of sugar and starch, and sometimes even a lot of animal fat.No matter which ingredient it is, it is a reminder for diabetics. "How much does she like to drink? How many days?"

"About one or two cups a day." The female principal frowned, "Many of the female teachers in our school are not very old, and many of them buy milk tea together in the group every day."

　The update for the lord leader... Although it has been delayed for a while, it is still over!
　　
　
(End of this chapter)