Li Jun completed dialysis and has been sent to the ward.
After receiving the call, Qin Xiaowei stopped exercising and rushed to the ward. He was a little tired. During this time, he had to take care of Ajun and find a way to launch a new work.
In the live broadcast industry, it is not easy to gather fans. Without something new and exciting, it is difficult to get ahead.
Qin Xiaowei is a rock climbing coach. He analyzes industry trends and locks himself in outdoor extreme sports. There are not many people engaged in this industry, so it is relatively easier to get ahead.
In rock climbing, freehand rock climbing, wingsuit flying and death bungee jumping are ranked as the three most dangerous extreme sports.
Without enough excitement, it will be difficult for the audience to buy it.
For example, the project of climbing the iron tower with bare hands was very successful and attracted a lot of fans.
If we continue our efforts and gather a certain number of fans, we can do some free rock climbing to show off the wonderfulness of the Extreme Thieves, and we will definitely become famous in one fell swoop.
In fact, a certain video platform also saw this potential project and planned to cooperate with Qin Xiaowei on the free climbing project to expand the influence of the platform.
They decided to use drones to film and broadcast the entire process live.
This is Qin Xiaowei's opportunity, the opportunity he has longed for for many years.
---
"Just over 800 milliliters were filtered today, and a blood oxygen pulse occurred during the process, which was relieved after inhaling oxygen." The doctor in the hemodialysis room handed over to Li Guodong.
Usually, when going from the ward to and from the hemodialysis room, nurses from both sides usually take you there.
Because Li Jun experienced a blood oxygen fluctuation during hemodialysis, the doctor personally escorted Li Jun back to the ward out of caution.
"It only lasted about five minutes. You can continue to observe." The doctor in the hemodialysis room finished his shift and left.
Li Guodong asked the nurse to connect Li Jun to an ECG monitor, continue ECG monitoring, and provide low-flow oxygen inhalation.
He did not dare to leave when the patient's condition appeared. If the patient's condition changed, the on-duty supervisor would be inexperienced and unable to cope with it.
Qin Xiaowei rushed back to the ward. Hearing that Ajun's blood oxygen was pulsating during dialysis, he was very nervous: "Ajun, are you okay?"
Ajun didn't say anything, but stretched out his hand, and Tan Xiaowei held it.
Blood oxygen fluctuations have also occurred during hemodialysis before, so Tan Xiaowei is not too worried.
Qin Xiaowei forgot to tell the doctor about this matter. Ajun had chest pain once before and his blood oxygen dropped. At that time, the doctor also relieved it after inhaling oxygen.
Li Guodong stayed in the ward for observation for about ten minutes. He found that the blood oxygen was normal and did not drop. He carefully auscultated the heart and lungs and found no problems, so he left the ward with peace of mind.
For better observation, Li Guodong asked the nurse to move the patient to bed No. 1.
Beds 1 to 3 are all emergency beds, which are closest to the nurse station and are conducive to rescue in the event of an accident.
---
The basketball game has officially started, and it's a tough game.
The group of elders in the administrative department are actually very strong, and they don’t just rely on Dean Xia’s Overlord Ball to gain a foothold.
Dean Sun and several other vice presidents, Director Zhao of the Medical Department, and Director Zhou of the Science and Education Department, although most of them are potbellied, they are also frequent visitors on the hospital court.
Needless to say, those young officers are all basketball masters in the hospital.
When these administrative department officers were recruited, the recruitment conditions were different from those of doctors.
The most important thing for doctors is their professional skills, and for these young men, their overall quality is considered, among which literary and artistic talents such as playing basketball are naturally bonus points.
So these officers are all good at sports, literature and art, and they are good at studying.
A dozen powerful officials were sitting outside the venue, ready to be replaced at any time.
The general surgery team is very thin, with only a few capable surgeons, and not even a reserve team, because all those in the regular training team who can be trained have been poached by the Department of Obstetrics and Gynecology.
Director Gao is the chief medical officer of the medical security team of the football match. He brought several young doctors to build a stretcher and a first aid kit was on standby.
Xiong Sihai from the emergency department wore a jersey and watched the game on the field to sum up experience and learn lessons.
Professor Zhang was wearing a baseball cap and looked very energetic. He was running back and forth with the players, his eyes searching the field, and the whistle in his hand ready to be blown at any time. He paid special attention to taking care of Dean Xia.
Since he has been elected as the chief referee this year, the atmosphere of dominating the game needs to be rectified.
There are two commentators in the audience, and their voices are heard on the radio.
All in all, the game was decent.
The score is currently tied, with the Administration Department leading by one point.
The general surgery department wears blue jerseys, and the administrative department wears red jerseys.
"O'Neal (Dean Xia) got the ball, great job, very domineering in passing --- the defender fell to the ground ---"
"Wow! Dunk, score!"
Sharp whistle!
"It seems that the referee does not approve of this ball. Pay attention to the referee's gestures---hitting someone with the ball. Unfortunately, the referees this year seem to be very strict!"
"This is very detrimental to the red side."
The one who fell to the ground was Zhang Lin, who had already reached the best defensive position first and was knocked down by Dean Xia's huge body.
Zhang Lin got up immediately. It was no big deal. He followed Dean Xia closely. Regardless of the disparity in height and strength, he might not be able to continue like this.
Yang Ping immediately patted Zhang Lin and motioned for him to go away, and he would keep an eye on Dean Xia.
"There are subtle changes in the offense and defense on the court. The blue team's defender, Dean O'Neal, is replaced by the young Professor Yang. This professor is the youngest professor at Sanbo. He is talented, but I don't know if his performance in basketball is as strong as the surgery. We will wait and see.
."
"Blue side Rukawa Kaede got the ball, it was beautiful, he took off and turned around to shoot, oh, no, he hasn't taken off yet."
"He is organizing the offense, the red team is very defensive, and O'Neal controls the basket."
"Seize the gap, jump and shoot, score!"
"The girls over there are starting to go crazy, the situation is out of control, security, call security, don't let the girls over there invade the stadium."
Song Zimo suddenly took off and shot under the opponent's tight defense and scored.
The screams of the girls outside the court were overwhelming, and the scene was in danger of getting out of control.
Dean Xia looked at Yang Ping who was staring at him. He got the ball several times and did not dare to collide. He was really afraid that his tank-like collision would hurt Yang Ping.
"Why are you always staring at me?"
Dean Xia said angrily.
Yang Ping didn't speak, just stared at him, following him like a shadow.
Yang Ping didn't care so much. If he didn't control him, the game would be unwinnable.
Maybe he was really worried about hurting Yang Ping, so Dean Xia wanted to confront him several times, but gave up.
"The blue team's defense was very successful. Mr. O'Neill seemed very quiet and never played a dominant ball again!"
"Above the Sky"
"Oh, no---it should be a domineering attack."
"Professor Yang shot the ball decisively. He wanted to shoot a three-pointer. What? Is he aiming for a fixed shot? Very good. He shot the ball. The ball was spinning on the basket and it was still spinning. What happened? Why was it still spinning?
!"
"Rukawa Kaede! Here he comes, he is like a bolt of lightning, pushing the ball into the basketball and scoring."
"It's very strange how O'Neal on the red side didn't have any interference just now, allowing the blue side to aim and throw without any scruples."
"Olier looks exhausted."
Fatty Liang ran and started to sway, and his physical strength was not as good as the others, so he was a bit behind on the court.
"Fat man, what's going on?" Yang Ping looked at him in pain.
"Gout attack!" The fat man looked painful.
"Professor Liang Ruanhua, the anesthesia expert on the blue team, had an accident. Did he sprain his ankle? The blue team requested to suspend substitutions."
"Professor Liang is sitting on the ground. Are you going to smoke a cigarette and continue fighting?"
"Hel the fat man down!"
Song Zimo waved, and two auxiliary personnel from the general surgery department and two interns ran up.
"Where is Li Guodong? Where is Li Guodong?"
"He is in the ward and can't leave!"
Except for Li Guodong, no one can replace him. Xu Zhiliang just came off the field to rest.
If it doesn't work, let Xu Zhiliang play again, the manpower will be too tight.
With the help of the two people, Fatty, Professor Zhang ran over: "Fatty, how are you, are you okay?"
Director Gao also followed as the site doctor.
The fat man wiped his sweat and said, "It's okay! Lao Gao, give me a sealing needle."
Dean Xia couldn't bear it and ordered the young men who came in to slow down.
"Change someone else, don't force yourself to hold on!" Professor Zhang suggested.
The fat man shook his head: "Gout is not a trauma. I need to get an injection to seal it and relieve the pain. Hurry up, don't waste time."
Director Gao immediately directed the young doctor: "Go and get the medicine, one tube each of Neroline, Depotoxone, and normal saline, prepare the medicine, and prepare for closure!"
Everyone helped the fat man sit down again.
There's no rush anyway, let's take a rest and wait until things get straightened out before fighting again.
Dean Xia also came over to greet the fat man. The fat man waved his hand and said it was okay.
"Cigarette, get a cigarette, I'll take a puff!"
The fat man did not forget to smoke at this time. The intern he led actually put a cigarette in his mouth, lit it, and he took a puff and waited for Director Gao to seal it for him.
The host joked on stage.
"Professor Liang is indeed a smoker. He is really smoking and very depressed. Everyone is waiting for him to finish smoking before starting the game. What a warm and humane scene. This is our Sanbo."
"Who is that? Carrying a huge backpack, the biggest backpack I have ever seen."
"Foreigners? Could this be Blue's foreign aid?"
"Professor! Professor! Professor---" Robert finally squeezed in and finally saw Yang Ping.
"Carrot head?"
"Oh, Professor, it's Sauvignon Blanc."
Robert held Yang Ping's hand tightly.
When Zhang Lin saw Robert, it was like seeing a savior: "Quick, quick, quick, change clothes and come on stage."
According to the regulations of the competition, training doctors from various disciplines can play, but the number of places cannot exceed two.
"Can you play basketball?" Yang Ping didn't know Robert had this talent.
Robert put down his huge backpack: "Harvard basketball star, who participated in the NBA draft, accepted Teacher Zhang's order a few days ago and came to support. It's really lively here, with huge crowds of people."
"Change quickly! Take him to change clothes." Song Zimo heard that Robert could beat him, so he could just change the fat man.
I saw Robert taking off his jacket and pants in public. Underneath was a blue basketball uniform and basketball shoes on his feet, ready to play at any time.
"The situation has changed subtly. That international friend is really a foreign aid. The referee has now gone over to verify his identity. There seems to be no problem."
"This change is not very subtle. Judging from the posture, the foreign aid has a certain strength."
"The game continues to begin."
The fat man didn't have to hold on anymore. He was taken off the court. After the timeout, the game continued immediately.
"The foreign player's jersey is No. 23. O'Neal has a rival. Judging from their stature, the two are very close."
"Foreign players get the ball, wow, dribble, turn around, break through, attack, layup, dunk---"
"It's exciting, this foreign aid is actually the king."
---
Regarding Li Jun's condition, Li Guodong has never dared to relax.
He didn't dare to go to the stadium and stayed in the ward, visiting Li Jun every few minutes.
"Dr. Li, Dr. Li---"
"What happened?"
"Bed 1 said there was chest pain and the blood oxygen level dropped again."
The nurse hurried over, and Li Guodong stood up like a spring and ran to the ward.
Li Jun's face looked bad and his breathing was a little labored. Qin Xiaowei kept touching his chest to comfort him.
Chest pain and unstable blood oxygen. Li Guodong leaned over and auscultated his heart and lungs. There were no symptoms of heart failure. Could it be pulmonary embolism?
What orthopedic surgeons fear most is pulmonary embolism. Fatal pulmonary embolism is difficult to rescue and is extremely ferocious.
"Emergency chest CT, hurry! Call the respiratory medicine department for emergency consultation!"
Now, Li Guodong is the backbone of the ward, and he makes a prompt decision to divide the work between his several trainees.
"You go to the stadium and report to Professor Yang that Li Jun suspects pulmonary embolism and now recommends emergency CT."
Interns have little clinical work ability and can only perform errands at this time. Unlike regular trainees, they have certain clinical work ability.
Li Guodong personally pushed Li Jun to the CT room for an emergency lung CT scan.
Residents from the Department of Respiratory Medicine rush directly to the CT room to read the films with the radiologists.
Sure enough it was pulmonary embolism!
The pulmonary artery branches are partially embolized, and the emboli rush towards the main pulmonary artery like a snowstorm, and will soon embolize the main trunk.
After seeing the CT images, the respiratory doctor immediately made a decision: "If we want to save lives, we can only risk emergency intervention and direct thrombolysis! And it must be fast!"
Moving from the CT examination table to the flat car, Arjun was panting, as if he might lose his breath at any time, and his blood oxygen dropped to only 80%.
He grabbed Tan Xiaowei's hand, his face was pale, and he wanted to say something, but he couldn't.
"Don't be afraid, Jun, don't be afraid, I'm here!"
Qin Xiaowei held Ajun's hand tightly, very decisively
"We agree to emergency intervention."
Because Arjun had a pulmonary embolism during hemodialysis before. It was relatively mild and was relieved by just inhaling oxygen. But the doctor said that fortunately it was not a mild pulmonary embolism. If it was a fatal pulmonary embolism, if there was no emergency
The ability to intervene in thrombolysis is difficult to rescue,
There are not many hospitals with the ability to provide rapid emergency intervention thrombolysis.
Obtain consent from the patient and family.
Li Guodong immediately made a decision not to wait, and immediately sent the interventional department for thrombolysis. He immediately called the interventional department for help, contacted the operating table, and reported his condition.
Not daring to waste a second here, they pushed Li Jun to the interventional department.
It is very rare for a resident doctor to be so calm and dare to make decisions.
Li Guodong learned a lot from Yang Ping in general surgery, including calmness and decisiveness.
---
"Rescue! Rescue! Rescue! General surgery has rescue."
The intern was very witty and directly took charge of the stage, holding the microphone and shouting.
Listen to the rescue!
Everyone on the court stopped, and the doctors outside the practice court immediately got into gear.
"Li Jun, fatal pulmonary embolism, now sent to the CT room for examination, Dr. Li asked me to call a general surgeon."
The intern finished speaking and ran towards the court.
Professional habits make doctors put down whatever they are doing.
"Call Li Guodong, quickly!"
Yang Ping called Gu Peisheng outside the venue, and then took Song Zimo and others to the direction of the CT room. Xiao Su had already brought his mobile phone, handed it to him, and helped him dial Li Guodong's number.
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Yang Ping made a phone call while running.
"Go to the interventional operating room No. 5 operating room."
A group of people wearing jerseys ran quickly, including Robert, and Takahashi followed.