Sun Lien looked at Xu Yourong who was bowing in front of him at a loss, not knowing where to put his hands.
Just when he was about to say something bravely, Xu Yourong suddenly straightened up, stepped back slightly, and let out the entrance to the ward. "Please." She pointed to the door, "Pediatrics
The doctor said we have to complete the ward check as soon as possible."
A breath was held in his throat, and he couldn't get out or go back. Sun Lien's face almost turned purple from holding it in. After a last burst of coughing, he pretended to be fine and entered the ward.
In order to facilitate the care of younger patients in the pediatric ward, the beds used are the ones with half-person-high guardrails. Chen Wen is not tall, but she can lie down quite comfortably. But Sun Lien looked at the pediatric nursing bed board and felt a little
Somewhat worried.
"The blood calcium and hormone levels have come down." Xu Yourong picked up the examination report and looked at it with ease. "The intracranial pressure is also normal, and the results are good."
Sun Lien was more concerned about the gangrene tissue on Chen Wen's chest. There was a female doctor beside him, which made the examination much more convenient. "Has her gangrene expanded?"
"It doesn't look like it." Xu Yourong closed the curtain beside the bed, gently twisted Chen Wen's hospital gown with his hands, observed it carefully for a while and then said to Sun Li'en, "The position is the same as before, there is no development."
Out of caution, although it was determined that the gangrene on Chen Wen's body was not caused by warfarin, Sun Lien stopped taking Chen Wen's warfarin injection and switched to low molecular weight heparin for DVT (deep vein thrombosis) treatment.
The thrombus that has reached the renal vein will not disappear easily on its own. Although it stands to reason that using the new anticoagulant drug rivaroxaban instead of warfarin should be the best choice, considering that Chen Wen has just undergone a brain biopsy
, combined use of rivaroxaban with low molecular weight heparin will lead to excessive risk of bleeding. Moreover, the cyst that caused Cushing's syndrome has also been removed. Sun Lien thought over and over again and decided to wait until the ward rounds were over.
, it would be better to seek further consultation with doctors from the Department of Hematology.
"Do you have a plan for her radical hydatid surgery?" After checking Chen Wen, Sun Lien and Xu Yourong came out of the picu together. As they walked, they exchanged the follow-up treatment plan for Chen Wen. "She is old.
She is still young and is receiving anticoagulant treatment, so she is not suitable for another surgery in the short term. You still have a lot of time to design a surgical plan."
"Her surgery should be performed by Teacher Liu." Xu Yourong hesitated, "My level is not high enough. This level of radical hydatid surgery can be considered a level four surgery."
According to regulations, even if you are a deputy chief physician, you must have on-site guidance from a superior physician if you want to perform a level 4 operation. But Xu Yourong is only the attending physician now, let alone perform the surgery himself. Even with Vice President Liu guiding by his side,
It was not her turn to undergo level 4 surgery.
"Then let's raise the level as soon as possible." Sun Lien was very open-minded, "In her case, she will have to be hospitalized for at least half a month. It is normal to be in and out of the hospital several times in the future. After all, she has to check the health of other organs.
There are no traces of insect cysts. Calculating this way, it will still take about one or two months."
"I know that Teacher Liu plans to promote me as soon as possible, and I also saw the public list." Xu Yourong was a little depressed, "But don't you think this is not good?"
"What's wrong?" Sun Li'en clasped his hands behind his back and walked squarely in the corridor, looking like he was aging prematurely. "In our hospital, there are no quotas for professional titles. I guess President Liu would like to be in the hospital."
All the doctors here have senior professional titles.”
Xu Yourong whispered, "Isn't this not very gregarious?"
Sun Lien stopped and looked at Xu Yourong in shock.
"Is there something wrong with what I said?" Xu Yourong felt uncomfortable being stared at by Sun Lien. She looked away and muttered in a low voice, "I...I don't understand these very well."
Sun Lien sighed, "I'll bet you five dollars that you were definitely the one who was excluded when I was in school."
"You win." Xu Yourong returned to the power-saving mode, "What happens next?"
Only then did Sun Lien realize that he might have said something irritating. He smiled sheepishly, "I'm sorry, I didn't mean to poke your pain." He seemed to feel that the explanation of this sentence was still lacking, and he
He continued to explain, "You are the first person I have ever seen who is unwilling to take the associate senior professional title because of 'fear of not fitting in'. I guess you are probably obsessed with fitting in, so you are paying special attention to these things now."
question."
"Is this an application of diagnostic skills?" Xu Yourong seemed to still have some grudges about this issue, but it was obvious that "diagnosis" was more attractive to her. "Inferring the overall problem through very small clues?"
"What you describe is reasoning, not diagnosis." Sun Lien scratched his head. He didn't know how to teach others something he didn't have. "These two things must be somewhat different, otherwise someone would ask a doctor to do it.
Detective."
Xu Yourong nodded as if thoughtfully, not sure what she understood. But Sun Lien was afraid that he would reveal his secrets by talking too much, so he unconsciously increased the speed of his steps.
Climbing the stairs is always a painful and long task, but going down the stairs when there is no pressure in the heart is obviously much more enjoyable. Sun Lien went down two floors at a very fast speed, and when he looked back, Xu Yourong was still going down slowly.
Walking.
"Are you wearing high heels?" Sun Lien looked at the pair of black leather shoes that appeared and disappeared under Xu Yourong's feet, and said apologetically, "I'm sorry, I didn't pay attention. The nurses in the emergency department usually wear flat shoes.
.”
"Psychology doesn't require much walking. I usually go to outpatient clinics, and emergency surgeries are usually performed by Dr. Dong Xin." Xu Yourong's high heels are actually only about four to five centimeters high. Normally walking is not strenuous, but it needs to be done quickly.
Going down the stairs was a wishful thinking. "Occasionally I have to change into slippers when I go for surgery, so I thought there was nothing wrong with wearing high heels."
"If you want to work with me in a treatment team..." Sun Lien suddenly thought of a very serious question, "Then you'd better wear sports shoes, at least flat shoes. The emergency room is not suitable for tall people.
and."
Xu Yourong nodded, holding on to the handrail of the stairs and moving his ankles with difficulty, he whispered, "I understand."
Coming out of the stairwell on the seventh floor, Sun Lien took Xu Yourong to the elevator and went downstairs. When passing by the triage table in the emergency room, he heard the nurse on duty at the triage table shouting, "Xiao Sun, go call Liu
Director."
"Sister Feng, what's going on?" Sun Lien raised his eyebrows, "Director Liu is not in the emergency room?"
"There was a report that it was burns." Sister Feng lowered her voice, "It seems to be the old lady who signed the discharge consent form before."