Comrade Major General stood politely two meters away from Sun Lien, and the seven or eight school-level officers who followed him also stood around him in a manner that would not block the way.
Although the comrades of the People's Liberation Army have tried their best not to get in the way, there is a team of almost ten people after all. In a place like the emergency room, no matter which bed there are ten people surrounding, it will look extremely crowded, no matter how they stand.
formation.
Comrade Major General was stunned for a moment when he saw Sun Lien's expression. Then he glanced around him and immediately understood why the young doctor looked like he had seen a ghost. "Everyone is here, turn right!" He lowered his voice.
, issued an order to the school-level officers beside him, "Go outside the iron gate and walk in unison!"
The military style is so rough and direct. After driving all the people in the way out of the emergency room, Comrade Major General smiled and said, "Doctor, is it okay now?"
"Uh...ah (four tones for affirmation)!" Sun Li'en, who had never seen such a posture before, was stunned for a long time and only squeezed out two answers that were not even in Chinese. "You are..." Since his teacher is
He was born in the military, and emergency room work requires high levels of organization. When Sun Lien sees people with this kind of aura, he will automatically become shorter.
The major general smiled and pointed at Rawls, who was lying on the bed with a dumbfounded expression. "I am his superior. After all, he is a foreign military cadet, and his father and I are old acquaintances, so I came here to take a look at the situation." Sun Lien said.
Only then did I realize that the major general's accent had a slight Shandong accent.
Sun Lien nodded thoughtfully, then looked at the people around him and said quickly, "This is not a suitable place for direct discussion. Come with me to the conference room."
The major general nodded and said to Rawls who was lying on the bed, "Just lie down honestly, recuperate in peace and recover as soon as possible."
Rawls half raised his body, as if he wanted to at least sit up and salute. The major general frowned, "What are you doing? Pretending to be a corpse? Lie down honestly, this is an order!"
Rawls's half-raised body felt like he was struck by lightning, and he immediately lay back on the bed, and replied resolutely in a weak voice, "Yes!" Although his attitude was good, Sun Lien still wanted to laugh when he heard the strong Shandong accent.
"This guy is good at everything, but his body is too weak." The major general walked into the conference room and saw that there was no one else in the room, so he took off his hat, threw it on the table, pulled out a stool and sat down.
The sitting posture of the golden sword and iron horse looks very iron-blooded. However, the content of the conversation is like that of the old uncle next door, with a warm and friendly atmosphere. "Are you Xiao Liu's student?"
Sun Lien struggled to figure out who this "Xiao Liu" was talking about. The major general sighed and explained, "I'm talking about Liu Tangchun."
The major general's name is Peng Feng, he is fifty-nine years old this year. He used to be Liu Tangchun's company commander.
"This kid Liu Tangchun has brought out many young people now." Major General Peng waved his hand, as if an elder was lamenting his past life in front of his juniors. "But the inheritance is not done well, why don't you even recognize me?
"
"I think...Teacher Zhou should know you." Sun Lien stepped on his heels and said seriously, "But Teacher Zhou is on a business trip these days, and I haven't officially joined the group yet..."
"Zhou Jun, right?" Major General Peng nodded, "This guy is pretty good, he looks a bit like a soldier." I don't know if commenting on a doctor who looks like a soldier is considered a compliment.
"This Rawls is quite special." Major General Peng said again, "His father is a comrade I used to take care of, and Lao Mu is now a senior officer in the foreign army. He is willing to hand over his son to us for further training.
This is a nod to old friendship and recognition of us.”
Sun Lien nodded, he was particularly impressed by Rawls's Shandong dialect.
Peng Feng sighed and continued, "Let's start with this. I spent a lot of effort getting Xiao Liu to go to Tanzania. After struggling for a while, I finally remembered that old man Rawls is over there.
You're doing pretty well... Xiao Sun, it doesn't matter if you are really not sure, we can just move people to the capital as soon as possible. Xiao Sun, you are not a soldier, but you don't know that our army's treatment of soldiers has always been done without regard to cost, only with care.
result."
When Sun Lien heard this, how could he not understand what General Peng meant? Isn't it just another form of "no matter the cost, use all means". And he said it very politely. Of course it would be best if he could be cured.
If you are not sure, don't leave the person behind, so as not to delay the person's transfer to the capital.
Regarding General Peng's request, Sun Lien's feelings were actually quite complicated. On the one hand, he was indeed very polite, and there was no unreasonable threat of "it must be cured, or I will cause trouble for you." But on the other hand, he was very polite.
On the other hand, General Peng made no secret of his distrust of Sun Lien and even the entire Fourth Hospital. After all, in his perception, the Fourth Central Hospital is just a hospital that specializes in emergency care. It is no problem to provide first aid and emergency treatment.
For treatment, you still have to go to a big hospital in a big city. Even if you don't go to the army general hospital in the capital, the military region general hospital should be stronger than the fourth hospital. If it weren't for Liu Tangchun giving people blind ideas, Rawls wouldn't have
I went to the fourth hospital to see a doctor.
Because of the last reason, General Peng actually had some opinions about the Fourth Academy. However, he did not embarrass Sun Lien. Instead, he proposed a more compromise opinion, "Well, let Rawls be with us today."
Treatment. If after 12 o'clock, you still have no clue about his illness, then we will transfer him to the capital."
While General Peng was talking, Yuan Pingan suddenly walked in from outside the door. He hurriedly walked to Sun Lien, holding the just-printed examination form in his hand, "Doctor Sun, take a look at this."
What Yuan Pingan brought in a hurry was basically not good news. This time was no exception. Rawls' urine routine and five liver function results came out. The result was acute liver injury combined with acute kidney injury.
It is standard procedure for patients with hemolytic anemia to develop acute kidney injury. Since the glomeruli and renal tubules, the main functional units in the kidney, are extremely dependent and sensitive to blood cells, hemolytic anemia itself will cause a decrease in blood oxygen saturation.
, affecting the efficiency of kidney operation. Moreover, the heme protein released by a large number of damaged and dead red blood cells in the blood may even directly cause intrarenal vasoconstriction and directly cause toxic damage to kidney cells. The efficiency of kidney operation decreases, and it is difficult to filter and excrete waste.
The ability is weakened, and these wastes that cannot be excreted immediately will further aggravate kidney damage, thus forming a vicious cycle of kidney damage.
However, there is generally no direct relationship between acute liver injury and hemolytic anemia. Generally speaking, if a patient who has the same experience as Rawls develops liver injury, Sun Lien's first reaction will be drug-induced liver injury. But
This time he was a little hesitant that the status bar would miss such an important symptom. According to Sun Lien's experience in using the status bar for diagnosis many times this month, if the status bar does not directly remind a certain symptom, the only possibility is that the existing symptoms have already
It is enough to deduce this conclusion.
General Peng looked at Sun Lien in a daze. After waiting for a while, he opened his mouth and asked, "This thing... is Rawls' inspection report?"
General Peng's question called back Sun Lien's attention. He nodded and said to Yuan Pingan, "Please take a look at Zhou Ce. If there is nothing wrong with the symptoms, then go to continuous hemodialysis and do a puncture biopsy of his kidneys."
Look at the type of kidney damage.”
Yuan Pingan nodded, and then asked, "What about the liver?"
Sun Lien frowned and considered for a while, "First treat conservatively and slowly push two polyene phospholipids." He still needs some time and additional evidence to connect acute liver injury with Rawls' symptoms.
"His condition is more serious, right?" After Yuan Pingan left the small conference room, Peng Feng picked up the conversation again, "Dr. Sun, although it may not be satisfactory, I hope you can understand my difficulties."
A general who is almost 40 years older than Sun Lien can say the word "difficulty", which actually proves from the side that Rawls's identity is indeed difficult, "If you can't figure out what he has got by today."
Whatever the disease, I had no choice but to transfer him to the capital."
Sun Lien nodded, "It is the right of the decision-making agent to transfer patients to other hospitals. However, I need to remind you that after all, Rawls and you are not direct relatives, so in theory, to transfer patients, you need his consent, and
Authorization from his immediate family."
General Peng nodded, picked up his hat from the table and put it on his head, "Someone will handle these matters." He straightened the hem of his military uniform and said to Sun Li'en, "Although Rawls is
He is black, but since he is my student, I will treat him as my own soldier. I also hope that he can get the best treatment, and I am not targeting you, Dr. Sun."
Sun Lien blinked his eyes, and was about to continue this courtesy, when suddenly his brows suddenly knitted together.
"Doctor Sun?" Peng Feng looked at Sun Lien, whose face suddenly changed, thinking that he might be feeling unwell, "What's wrong? Do you need me to call someone?"
Sun Lien waved his hand violently. He rummaged through the information piled up on the small conference table. After searching for five minutes, he found what he was looking for: the original blood test report of the hospital at the training ground and the fourth
The original blood routine test report issued by the Laboratory Department of the Central Hospital.
After a quick glance, Sun Lien's frown suddenly relaxed. He put down the two original documents in his hand and said to Peng Feng, "General Peng, please give me two hours. If I still find it within two hours,
As long as there is no reason for Rawls' illness, I will immediately help you with the transfer procedures."
In the small conference room, Peng Feng's aura was suppressed by Sun Lien for the first time. The expression that appeared on Sun Lien's face was that of relief and joy after understanding a strange puzzle.