"What the hell!"

Tanglou put down the phone and received a WeChat friend request:

The two are just right, please add you as a friend, note: Cheng Sisi.

Tanglou immediately clicked through. Cheng Sisi’s avatar was a four-frame avatar of the Wangfu band.

Tanglou didn't expect that Cheng Sisi would also like the Wangfu band. In the most popular variety show "Summer of the Band" recently, besides Mr. Turtle and the Hedgehog, Tanglou's favorite was Xiao Wangfu.

Some people think that the Wangfu band is very childish and their lyrics are very simple, but Tanglou likes the cheerful, optimistic, uplifting, silly, but cute way they always give people.

Every time Tanglou was unhappy, he would listen to Wangfu and he would soon be cured.

Tanglou sent a smile emoticon + hello.

After a while, the person from the other side sent me a location, and then just replied with three words: See you soon.

Tanglou looked at the time and saw that it was almost three o'clock in the afternoon, so he clicked on the location: Hecheng City No. 1 Hospital. After checking the time, it was about half an hour's drive away.

I just clicked on the Didi app, and there weren't many cars in the town. It took more than ten minutes for Tanglou to get on the car.

I took out my phone, clicked on two Qiaochia, and replied: I'll be there at about 3:45.

It took a long time before I received a reply, which was very cold: OK.

Soon Tanglou arrived at Hecheng First Hospital. The First Hospital is the only tertiary general hospital in Hecheng.

In comparison, the county hospital where Tanglou is located is only a first-class hospital with less than 100 beds in total. When doctors from the county hospital come to communicate, they always feel as embarrassed as Grandma Liu entering the Grand View Garden.

Looking at the No. 1 Hospital, which has nearly 250 acres of land, it is impossible not to be envious. Tanglou took the time to rush to the main road.

The entire park enters from the north gate, and all the way from Building 1 to Building 6 are the eye-catching emergency building, several inpatient departments, and the outpatient hall.

Tanglou walked to the second inpatient department according to the location guide, and took out his mobile phone: I arrived at the second inpatient department, and then?

I received a voice message after a while. I must have been very busy and didn't have time to type.

After clicking on Tanglou, I heard a familiar refreshing female voice.

The two are just right: I'm on duty now and can't leave. Come up by yourself. It's on the far right side of the third floor, duty room 3301.

Take the elevator all the way up the tenement building and walk in the corridor. The corridor of the inpatient department of the First Hospital is much brighter than that of the County Hospital. You can faintly see several wards with their doors open for ventilation, and you can see all kinds of things.

patients with different conditions.

The duty room where Cheng Sisi is located is at the end of the corridor.

"Dong dong dong!"

Tanglou knocked on the door, and soon a girl with a ponytail came out. Seeing the handsome and tall Tanglou, she looked up and down.

He showed an expression as if he should be like this, and said to himself: "You old Cheng, you are using public affairs for personal gain. Do you think you can impress your precious daughter with a handsome face? Far from it, what I like is talent."

Being looked up and down by a beautiful woman would make a normal boy blush, but a handsome guy of Tanglou's level would already be used to it.

He looked at Cheng Sisi openly and gave a fake smile: "Cheng Sisi?"

"Well," Cheng Sisi was slightly surprised when she felt Tanglou's calm gaze. After all, she was also very good-looking, a top student, and had long legs. It was surprising that she could be so calm under her gaze.

It's also rare to hear, "I've printed out the information you want. Come in with me."

Cheng Sisi turned around. Although she was wearing a white coat, her slender figure was still clearly visible. Because she was a doctor, she didn't have that random perfume on her body, but gave people a clean and pure temperament.

Cheng Sisi walked to the desk. There was a stack of printed A4 papers spread out on it. Cheng Sisi thought for a while, cleared out a paper bag and put the information in it. In order to prevent it from being scattered, she also took a special paper bag.

Medical tape sealed the opening.

He picked it up and compared it: "This way it won't fall out. Here, here it is."

"Thank you." Although Tanglou met Cheng Sisi for the first time, he was still very grateful for other people's kindness and took it with both hands.

The two people noticed each other's hands at the same time.

Cheng Sisi's hands are as beautiful as Tanglou's, straight and long. It would be a pity not to use them for surgery!

"Well, my dad praised you a lot. I hope you won't disappoint him in the training camp."

Cheng Sisi said eloquently, and then looked at the time: "I'm going to go to the ward for rounds, so that's it, see you at the training camp."

"Well, see you at the training camp." Tanglou showed no intention of continuing to strike up a conversation. She smiled and walked out of the duty room.

Immediately afterwards, Cheng Sisi also picked up the folder and walked to the ward with long legs.

"Tap tap tap!"

Suddenly, in the corridor, a burst of rapid footsteps came from the front room, and a young nurse ran over. As she ran, she shouted to Cheng Sisi: "Dr. Xiao Cheng, the 40-bed patient needs rehydration. Professor Liu's phone number has not been connected.

Come take a look and decide on a rehydration plan."

"Rehydration regimen?"

Cheng Sisi frowned. Fluid rehydration is to replenish the amount of fluid lost by the patient, such as fever, vomiting and diarrhea, various fistulas, gastrointestinal decompression, etc. The amount of fluid lost must be replenished.

Of course, rehydration is not just a simple replenishment of normal saline, but also potassium, calcium, amino acids, etc. In short, it is a brain-burning matter that requires precise calculation.

"Okay, take me to see it."

Although Cheng Sisi is a top student, she is still an intern. She has only learned about fluid rehydration in class and knows the normal values.

"Actually, it's just adjusting to this value according to the standard value."

Cheng Sisi comforted herself and followed the nurse to bed 40.

"How about rehydration? As expected of the first hospital, we can handle various situations."

Tanglou was also very interested. It was also the first time he encountered a case of rehydration. As a doctor, his instinct was to follow it.

Cheng Sisi naturally noticed Tanglou and looked at him with some surprise: "Aren't you going back?"

"Dr. Xiao Cheng, you know that I am also a medical student, and this is my first time encountering a rehydration case, so I want to experience it, so don't mind."

Tanglou asked sincerely.

"Well, let's go. Then you just watch." Although this was also the first time for Cheng Sisi, she could not lose her momentum in her own territory. She acted like a big sister and brought her little brother from the countryside to see the world.

Soon we reached bed 40. The patient was a 63-year-old uncle who had just undergone a laparoscopic distal radical gastrectomy for gastric cancer. He lost body fluids during the operation. He had undergone subhepatic drainage not long ago, so he urgently needed to replenish his body fluids.

"Patient medical records."

Cheng Sisi's face was a little solemn. The patient's condition was a bit complicated. The nurse took the medical record and Cheng Sisi looked at it carefully.

And the tenement building on the side also glanced over:

[Patient: Zhou Zhou, male, 63 years old

Symptoms: Preoperative antibiotic prophylaxis 100ml, intraoperative fluid replenishment 1100ml, intraoperative fluid loss of about 300ml, postoperative body temperature increased to 39.5°C, 350ml light blood liquid was seen in subhepatic drainage, 800ml light yellow urine was seen with indwelling catheter

Diagnosis: The patient is in urgent need of fluid rehydration. The plan is as follows:

The liquid volume is 48ｘ80+[(39.5-37)x4ｘ80+350+300]?2-100-1100 = 3365 ml;

Sodium supplement {[(142-120)x80ｘ0.6]?17}?3 = 21(g);

Potassium supplement: For moderate potassium deficiency, supplement 10 g;

Daily requirement of glucose 160 g;

Amino acids 96 g;

Triglycerides 56 g.

Requires 1 vial of 10 ml Trace Element Injection

Special note: 1. If the body temperature is greater than 37°C, for every degree of increase, supplement 3~5ml/Kg more. 2. Replenish 1/2 of the lost amount on the first day, otherwise the patient’s heart will not be able to bear it.】

...

...

After Cheng Sisi returned the case to the nurse, she began to calculate on the ward round paper. After five minutes, she finally came up with the answer, but some of it was not very sure.

Looking at the plan on the paper, when I was hesitating whether to click on this, a magnetic voice came to my ears, calm and confident:
Chapter completed!