Time passed quickly, and it was almost time for lunch break.
Zhou Jun was aware of Sun Lien's arrangement. Before twelve o'clock, Zhou Jun waved his hand and let Sun Lien go off work. It was not good for the two directors to wait for him alone.
Wang Jianpei, director of the Department of Cardiology, is famous for his love for mutton vermicelli soup. This is probably related to the fact that he was born in the northwest border. In particular, he uses golden and crispy bread with a little minced garlic, and then serves it with the fragrant mutton soup.
The Zunyi mutton noodle shop at the entrance of Siyuan can provide this kind of combination, and it has almost become Director Wang's designated canteen.
"Two bowls of noodles, plus meat, and four pancakes." Director Wang couldn't wait to order as soon as he sat down.
"I said Lao Wang, there are three of us here." Liu Tangchun protested, "Three people, two bowls of noodles, what kind of distribution method is this?"
Director Wang was startled, then he patted his head and laughed at himself, "I'm sorry, I'm so busy today that my brain is broken." He waved and called the waiter, "Add two more bowls of noodles and four sesame seed cakes."
He turned to look at Sun Lien, who had dull eyes, and laughed twice like a kind-hearted elder, "The sesame biscuits they have here are quite generous. You can eat two first and see. If it's not enough, we can add more." The familiarity and warmth in his tone were
Naturally, people even mistakenly thought that Sun Lien was the guest.
Director Liu almost sprayed a mouthful of tea leaves on Wang Jianpei's face. "Did you eat those by yourself just now?"
"Yes." Director Wang nodded, "It's getting cold now."
"It's not like this when it's cold." Director Liu patted the table with dissatisfaction, "If you overeat, I might get a stomach piercing later on. Then I'll have to trouble the young general surgeons to get rid of you.
Push your stomach out..."
Director Liu didn't say clearly what he was stroking out of his stomach. After all, it was a meal, and it was in the restaurant where he was eating. If what he said was so true that the diners around him vomited, the owner of the mutton noodle shop would have to send him to meet Zheng.
The state-owned company cannot be your companion.
"It's getting cold." Director Wang sighed, "With such a drastic drop in temperature, I might have to stay in the duty room in the next two days."
When the weather gets colder, it is the high-risk period for middle-aged and elderly people and people prone to cardiovascular and cerebrovascular diseases. The human body stimulated by the cold will subconsciously begin to contract blood vessels to reduce heat loss. The consequences of this action are sudden.
Blood pressure rises. This puts people who are originally vulnerable to cardiovascular and cerebrovascular diseases at greater risk than in summer.
"Now there is an app on your mobile phone." Director Liu didn't pay attention to Wang Jianpei's lament. "What's the name of the group? It can deliver food. As long as you pay on it, it will be delivered directly to the duty room for you. No problem.
."
Director Wang was very tempted by this proposal. He took out his mobile phone and put it directly into Sun Lien's hand. "You young people are good at this, help me install this software."
The mutton vermicelli soup was delivered very quickly, and Director Wang began to eat his two portions of vermicelli soup with his head down and slurping. Sun Lien began to exchange views on the case with Director Liu. Starting in the afternoon, the four patients
If it falls into your own hands, it would not hurt to discuss the condition with the director more.
"Comparatively speaking, Lin Lan is the most stable." Sun Lien took a bite of the sesame seed cake. The crispy texture and the fragrant mutton soup made him feel refreshed. "Her main problems are cerebral hemorrhage and condom detachment.
Injury. Dr. Xu can solve the problem of cerebral hemorrhage, and other doctors in the Department of Orthopedics have solved the problem of her skin flap survival. As long as she recovers a little, she can perform another operation to reattach her broken femur.
Already."
"You should also pay attention to the issue of male hormone insensitivity." Liu Tangchun is from Jiangnan, and his eating movements are much gentler than Director Wang from the frontier. He tore off two pieces of sesame seed cakes, slowly soaked them in the soup and ate them. "Generally.
Generally speaking, cryptorchidism in this kind of patient will be a hidden danger in the future. You should talk to her family members, and if appropriate, just perform surgery to remove it."
Sun Lien thought for a while and said with some uncertainty, "You mean... there is a possibility of carcinoma in situ?"
"Her cryptorchidism has not sunk since the embryonic stage. Under the long-term influence of body temperature, cryptorchidism has a high possibility of tissue cancer." Liu Tangchun took out a piece of cake that had been soaked until soft, ate it, and slowly took out one piece.
He wiped his mouth with a tissue and said, "It would be better to take pathological sampling as soon as possible. Although it is unlikely, if a tumor forms and causes problems like paraneoplastic syndrome, her body may not be able to survive."
Sun Lien nodded to indicate that he had written it down, and continued to introduce, "The diagnosis result of the 10-year-old girl who had a myocardial infarction has also come out. She took over-the-counter weight loss drugs privately and suspected that she was acutely poisoned by anthraquinone compounds. Teacher Zhou agreed with me.
Viewed, put on dexamethasone and glucose saline."
"It's a very unique angle." Liu Tangchun showed an expression of appreciation, "But it makes sense."
Director Wang, who had already finished two and a half sesame seed cakes and a bowl of mutton soup, raised his head and interrupted, "Are you talking about the little girl I made this morning?"
"Yes." Sun Lien nodded, "Acute poisoning of anthraquinone compounds can cause systemic thrombosis, and the location of the thrombosis can cause myocardial infarction, renal vein thrombosis and mental symptoms."
"The symptoms are correct, but the dose is not right." Director Wang continued to attack the remaining mutton soup, and at the same time waved to the waiter, and specially added two pieces of sugared garlic. "This thing is not much more toxic than ethanol.
The usually larger No. 00 capsules can hold about 1 gram of medicinal powder. Even if the content inside is all anthraquinone extract, the purity is as high as 100%. She would have to eat fifteen or six capsules at a time to cause acute poisoning."
The sweet and garlic was brought over by the beautiful clerk, and the wrinkles on Director Wang's face made the smile deepen. "Even if she is a child, she is more sensitive to medicines. But with just three or four pills a day, she can
Can it cause such a serious reaction? I don’t quite believe it.”
Liu Tangchun raised his eyebrows, "It seems that you need to deal with this patient immediately when you return. If she is not poisoned, her condition may continue to worsen."
"She has been given low-molecular-weight heparin and warfarin for anticoagulation treatment." Sun Lien felt a little heavy. "I will collect blood immediately after returning and send it to the laboratory to check the drug reaction."
"The work is endless." Director Wang finished all the sesame seed cakes, poured the whole portion of mutton into the specially reserved mutton soup and scalded it. "What happened, I heard what Lao Liu said. He
I plan to let you be a doctor and have fun. It can also be regarded as training for you. But young man, you have to remember that the work is never finished. Therefore, you should eat well when you eat. Store enough energy for yourself, so
Only then can the work be completed efficiently.”
The experience of the seniors is a lesson gained through blood and tears. Sun Lien took a closer look and saw that even Director Liu, who was eating slowly and slowly, had almost finished all the food in front of him, but Sun Lien still had more than half a bowl of mutton vermicelli soup left untouched.
Pass.
If you don't fill your stomach quickly when you are free, you are likely to be hungry all the time. This is the most important rule for doctors in their daily work.