I can see the status bar

Chapter 1111 Dark Circles (Blood Donation Plus Series 081, 082)



Chapter 1111 Dark Circles (Blood Donation Plus Series 081, 082)

本章是为了感谢书友“littlefat55”和书友“杏子猫咪”在2020年10月26日和2019年10月18日所捐献的全血而加更。之后还有一章为“杏子猫咪”加更的章节。

Shen Xi and Shen Qingmei are doing their best to promote related work, while Sun Li'en is busy with another kind of work in Yunhe.

"Yes, yes, keep blowing!" Sun Lien encouraged the patient in front of him to blow on the breathing trainer hard.The old man has been on a ventilator for more than 20 days, and his current physical condition allows him to go offline—but during this process, in order to allow the patient’s breathing muscles to re-adapt to their work, doctors will first consider letting the patient pass breathing training Organs, allowing them to re-exercise the muscles involved in breathing work.

This process takes time and requires the continued cooperation of the patient.Therefore, the old man is currently off the ventilator for about four hours a day, and needs intermittent breathing training in the middle.

This kind of work should have been assisted by nurses, but the situation of this patient is a little different.

It has been four days since Huang Ming transferred to North Fifth District, and his recovery speed is a little slower.

It takes time for the human body to absorb lesions and regenerate traumatic tissue, and the human body will also promote this process by regulating body temperature.

And absorption heat is difficult to distinguish directly from infection fever.After all, the new coronavirus infection itself is not easy to cause high fever in patients.How to distinguish between infection fever and absorption fever has become an important key node in the treatment of Huang Ming and other patients.

An important task of Sun Lien every day is to distinguish the specific conditions of these patients to ensure that their fever is due to the absorption of lesions rather than the re-progression of infection.In short, the task of work is not heavy-just look at the status bar.But it's important for treatment.

Huang Ming blew on the trainer a few more times with difficulty and then stopped for a while. He said in a somewhat difficult tone, "Can you take a break?"

"Yes." Sun Li'en nodded, "Just rest for a few minutes and start practicing again."

"A few... a few minutes is not enough." Huang Ming took a few more hard breaths, then picked up the breathing mask on the side and took two deep breaths before continuing, "I'm just a little tired, I'll just take it easy."

Huang Ming has very strict requirements on himself, even to the point of being too much in Sun Lien's view.Still on a ventilator, he began to exercise the muscles in his legs in an attempt to get himself back on his feet.

Of course, such behavior was repeatedly stopped by the doctors. After all, he is not breathing smoothly now, and immediately starting to exercise the leg muscles may rapidly increase his body's oxygen demand.With such a sudden increase in consumption, Huang Ming's blood oxygen saturation, which had already returned to the equilibrium level, may have to drop a little further - this is very dangerous.

"I'm wearing a monitor. When the blood oxygen saturation drops, it will stop." Regarding his behavior, Huang Ming had no intention of admitting his mistake.Instead, he showed his monitoring equipment to the doctors, "I have used this thing many times, as long as my value is higher than 93%, it will be fine."

An old man with a research spirit and a background in science and engineering is very... difficult to fool.After several times of persuasion to no avail, Sun Li'en had no choice but to reach a consensus with Huang Ming - he can do related exercises in advance, but the prerequisite is that the amount of meals he eats every day and other indicators must meet the conditions of the doctors.

At the same time, as long as he does rehabilitation exercises, he must be accompanied by Sun Lien.In other words, every two days he exercises, he has to take a day off - when Sun Lien is on the big night shift, Huang Ming has to lie on the bed and sleep.

Sun Lien persisted in this way for a few days. He watched Huang Ming go from not even having the strength to kick his legs at the beginning to now being able to pedal on the ground elliptical machine for 10 minutes at a stretch... Huang Ming's recovery speed is indeed very fast.

There were even patients in the same ward who were moved by Huang Ming, as well as patients in the North Sixth District who volunteered to help the patient stand up every day.After Huang Ming finished pedaling the ground elliptical machine, the two of them would also pedal together.

If everyone exercises together, the effect will definitely be stronger than if you insist on it alone.Humans are such a strange animal—it's a completely different state when you're alone and when you're with others.

When Huang Ming and his little granddaughter made video calls, his condition was much better than before.He was able to slowly tell stories to his daughter in a childish tone.And the patient in the next bed can also stroll to Huang Ming's bedside, and then say hello to the little girl in the tablet.

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Huang Ming insisted on exercising for more than an hour, and then he lay down on the bed exhausted but satisfied.

"Give me some more soaked radishes at noon today." Sun Lien put away his things and was about to go out. Huang Ming lay on the bed and said to Sun Lien, "The box lunch in the hospital is a bit bland, and it doesn't feel good to eat."

The pickles that Sun Li'en and Hu Jia bought have become the "hope" of patients in the fifth and sixth districts of the Infectious Diseases Hospital of Yunhe City.Especially for elderly patients, this pickle simply represents "everyday".

From childhood to adulthood, they have these small pickled vegetables in the hot dry noodles they eat every morning, in the work meal they eat at noon, and even in their dinner at night.

Whether the daily sodium intake has exceeded the standard is not a problem at all in the eyes of Yunhe people.If you don't even have a pickle for your meal, how can you survive this day?

What's the point of controlling your sodium intake when you can't get by?
The company that supplied box lunches to Yunhe City Infectious Disease Hospital was actually Huang Ming's own company.He also knows how the meals provided by his company to the hospital are made every day-the meals provided by the hospital to patients generally require control of the amount of oil, salt and other condiments.Some special meals, such as meals for diabetics, need to control the ratio of carbohydrates and other vegetables.Anyway, highlighting one trouble.

Huang Ming's own company doesn't often take orders like this. After all, most of the tertiary hospitals now have their own canteens and nutrition departments. What they usually do is actually ordering meals for elderly care institutions and community hospitals.However, since the closure of the city, the cafeterias of these designated hospitals have fallen into difficult situations almost instantly. Although the staff in the logistics department of the hospitals are still sticking to their posts, the chefs and kitchen assistants have basically returned from their holidays in advance. At home, it is impossible to recruit people temporarily.The chefs in some hospitals are still sticking to their posts, but because the holiday is approaching, the staff is really not enough.

Huang Ming's company was just on the verge of the holiday, and they had stopped a large number of business lunches provided to other companies, and the company was originally scheduled to have a holiday on the 24th.In the end, I didn't expect such a big thing to happen to Yunhe - the city closure measures have been implemented, and the entire company's employees can't go home for the New Year.

Anyway, being idle is idle, so why not work harder together and do something for this city.Therefore, the company quickly reached an agreement, and this "big business" was taken over by Huang Ming's company.

In fact, this business is not easy to do at all. Huang Ming made a decision on his own to provide meals for the patients in the hospital, even if it is to pay for it.

Eating the box lunch produced by his own company, Huang Ming's heart... was full of bitterness.Although the ingredients are all authentic, the quality of the dishes can definitely pass the test.You can limit the use of salt and oil, no matter how talented the chef is, it is impossible to cook the dishes too well.

Because of this, Huang Ming never dared to tell others that this boxed lunch was made by his company - many grandpas and aunts in the North Fifth District uttered harsh words, and would argue with the boss of the company that wanted to make this boxed lunch. "Is this salt made of gold?!"

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Sun Lien communicated with Ma Yongfang a little bit, and he tried to get a little more sodium intake quota for these uncles and aunts.Then, Sun Li'en was criticized by Dr. Ma without any surprise.

"Almost all of these patients have high blood pressure, and they are too busy to control sodium. How dare you give them more pickles?" Dr. Ma Yongfang gave Sun Lien a look, and then said, "It's good to let them eat better. But you also You have to consider life safety factors, right? Now all the medicines for high blood pressure can’t control it, I can’t wait to let them eat boiled chicken breast every day!”

The main cell receptor of the new coronavirus infection is ACE2, and the expression of ACE2 receptor in the human body will directly affect the inhibition of ACE1 receptor.Without inhibition, the ACE1 receptor will work at full capacity, and then raise the blood pressure of the human body.

Controlling blood pressure is an equally important issue for patients of all ages.In addition to actively using drugs to regulate blood pressure, doctors sometimes have to intervene in patients' blood pressure through more "physical" means such as controlling intake and output.

Under such circumstances, Sun Li'en and Hu Jia bought more than a dozen bottles of pickles without saying hello to Dr. Ma Yongfang, which already made her very angry.If it weren't for the fact that Sun Lien was his immediate boss, Ma Yongfang might have asked him to throw all these things away.

No endocrinologist has a soft spot for pickles.Especially in their daily work, they often hear patients with high blood pressure say, "I eat very lightly, and there is no salt in the dishes!" These endocrinologists seem to have met a sworn enemy.

A large intake of sodium will cause an imbalance of osmotic pressure in the human body.In order to balance the osmotic pressure, the human body will actively take in more water.After a large amount of water enters the body, the blood volume will increase and blood pressure will rise.

Diuretics can effectively excrete sodium and excess water in the blood at the same time, thereby achieving the effect of lowering blood pressure and blood sodium.But this kind of good thing is not so ... easy to happen to patients with pneumonia caused by the new coronavirus.The severe hypoxemia caused by acute respiratory distress syndrome (ARDS) can damage the patient's kidneys.Many of these hypertensive patients have impaired renal function.

In order to adjust the blood pressure of these patients, Dr. Ma Yongfang has dark circles on his face recently.

 I really can't write today, the second update will be 3K... Sorry, everyone.

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(End of this chapter)


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