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Chapter 37 Progression of the disease
Chapter 37 Progression of the disease
"You need to calm down." Sun Li'en winked at Luo Ge twice, telling him to continue working as an interpreter.While looking nervously at the cardiopulmonary monitor on Kobayashi Kaoru's right side.Kaoru Kobayashi's performance is consistent with the increase in blood pressure and rapid heartbeat caused by excitement.His blood pressure has risen to a level of 165/120.
"These damned tax thieves!" Kobayashi Kaoru was still scolding the civil servants of the Ministry of Foreign Affairs. "My annual personal tax declaration will be taken away by this stupid pig!"
"If you don't calm down, they will take away not only your tax money." Luo Ge persuaded from the side, "I think you definitely don't want to be the first taxpayer to be pissed off by the pig head of the Ministry of Foreign Affairs Right?"
The pig head of the Ministry of Foreign Affairs was yelling loudly outside the rescue room, "I am a diplomat of RB country, and I have enough reasons to continue to provide consular protection for our citizens!"
"His blood pressure is still rising." Sun Lien glanced at Kobayashi Xun's still bleeding ear canal worriedly, "Take esmolol, two milliliters, push it slowly!"
"Deputy Director Liu is not here." The nurse who was preparing to dispense the medicine was stopped by Hu Jing. She looked at Sun Li'en worriedly, "You go to Director Liu to take a look first, and I will let other doctors handle it."
Sun Lien's prescription right is actually equivalent to Liu Tangchun's permission.In the absence of Liu Tangchun, Hu Jing's blocking of the medication was indeed out of protective psychology - not only to protect the patient, but also to protect Sun Li'en.
Sun Lien, who had just used the prescription right for less than half a day, sighed, and ran towards Liu Tangchun's office.
"It's impossible for me to agree to such a thing. This is plagiarism!" Just a second before Sun Lien pushed away from Deputy Director Liu's office, he heard a female voice coming from the door.The voice sounded very angry, almost arguing.
"This case was followed by Xiao Sun throughout the whole process, and I just performed a biopsy operation. And it is impossible for me to continue to follow the whole process of subsequent treatment. If I want to remove the worm cyst, my authority is not enough. This can only be done. Teacher Liu will do it." The female voice paused for a while, and then continued to raise the volume, "Ms. Liu should be the co-author of this paper, not me! Teacher Liu's reputation is also very good, and it can completely match your previous The purpose of 'using the background to pass the review'!"
Sun Li'en wanted to listen more, after all, women who dare to make a scene in front of Deputy Director Liu are really rare.However, Kobayashi Kaoru's situation in the emergency room is really not suitable for further delay. With a fractured skull and bleeding in the ear canal, combined with the just-appeared hypertensive crisis, it is obviously extremely irresponsible to hide outside the door and listen to the excitement.
Sun Li'en took a few steps back, then coughed violently, and stamped his feet on the ground vigorously, but his stride was deliberately controlled to be small.It wasn't until his stamped feet were about to go numb that he walked to Deputy Director Liu's door and knocked lightly. "Director Liu, I'm Sun Li'en."
"Come in." Liu Tangchun's weary voice came out, "Are you walking forward? You can be heard on the second floor."
Sun Lien pushed open the door, and a somewhat familiar figure stood in the office with his back to the door.And Liu Tangchun was sitting behind the table, rubbing his forehead with some bitterness.
"What's the matter?" Liu Tangchun pointed to the sofa next to him and asked Sun Lien to sit down.
"I won't sit down." Sun Lien shook his head with a smile, and explained, "The family member of Lin Lan who was taken into the emergency room this morning just scolded the staff of the consulate who came to help. Maybe he was too emotional , triggering high blood pressure, which was at 165/120 before I came here and rising."
"Have you taken the medicine?" Liu Tangchun stood up straight away, took the white coat from the hanger next to him, and walked out the door, but suddenly realized that there was someone else in his office, so he turned his head and said, "Xiao Xu, you also come together." Come along and have a look. This is the family member of the patient who asked you and Lao Zheng to work together this morning."
It was only then that Sun Lien realized that it was Xu Yourong who had patted the table with Deputy Director Liu earlier.I don't know what they are arguing about, papers?Sun Li'en sighed silently in his heart. He had heard about it when he was still an intern, and the hospital had to make trouble every year in order to compete for papers.I didn't expect to let myself run into it today.
Xu Yourong silently followed behind Liu Tangchun, and the moment he passed Sun Lien, he suddenly said, "I won't rob you."
The monk Sun Lienzhang Er was scratching his head and had no idea what the MD, a Johns Hopkins graduate, was talking about.It's just that the focus of attention now should still be Kobayashi Kaoru who is bleeding in the emergency room.He also turned around and left the office, closing the door of Director Liu's office by the way.Then he took two quick steps and described to Liu Tangchun what happened just now.
"When you took him in this morning, what was the reason?" Liu Tangchun roughly listened to the process, but didn't find any surprises.Instead, he asked, "Is his condition relatively stable all the time?"
"Morning..." Sun Li'en thought for a while before answering, "The main reason is that his posture is not right. Apart from some trauma, he is a little unstable. I am worried that it is the sequelae of the concussion, and I am afraid that he will be in the hospital. There is no one to take care of him, and if he faints, there may be secondary injuries, so I asked Brother Luo to help him with the formalities and sent him to the emergency room."
"That's all?" Liu Tangchun's expectations for Sun Li'en were much more than that.Kaoru Kobayashi's condition suddenly changed. Of course, it may be due to emotional fluctuations, but it may also be due to the re-emergence of some conditions hidden under the trauma of the car accident.Zheng Guoyou's illness was discovered by Sun Lien in advance, which made Liu Tangchun feel a little special.Maybe Sun Li'en is a little different from ordinary people - he can observe his pale complexion through the surgical cap and mask during the operation, which requires very careful observation ability.
"He said he couldn't feel his hands." Sun Li'en recalled what happened in the morning, "He tried to put his hands in his pockets, but failed after several attempts."
"Several times?" Xu Yourong, who had been silent all this time, suddenly interjected, "Maybe it's an acoustic neuroma? His unsteady posture may be a symptom of the cerebellum."
"The symptoms are too mild, and there are no typical manifestations." Sun Lien disagreed with this view. "If he feels his face is numb, he should go to the hospital for an examination instead of waiting for the emergency department after the car accident."
Xu Yourong defended his thoughts, "If the acoustic neuroma is serious enough to cause cerebellar symptoms, the car accident may have been caused by numbness in his limbs. As you said just now, he had symptoms of ear canal bleeding twice, skull base The fracture may have exacerbated his acoustic neuroma edema, leading to a more severe presentation."
"This sounds like another very interesting case." Liu Tangchun suddenly turned around and said to the two, "Are you interested in following this case and trying to make a paper out of it?"
(End of this chapter)
"You need to calm down." Sun Li'en winked at Luo Ge twice, telling him to continue working as an interpreter.While looking nervously at the cardiopulmonary monitor on Kobayashi Kaoru's right side.Kaoru Kobayashi's performance is consistent with the increase in blood pressure and rapid heartbeat caused by excitement.His blood pressure has risen to a level of 165/120.
"These damned tax thieves!" Kobayashi Kaoru was still scolding the civil servants of the Ministry of Foreign Affairs. "My annual personal tax declaration will be taken away by this stupid pig!"
"If you don't calm down, they will take away not only your tax money." Luo Ge persuaded from the side, "I think you definitely don't want to be the first taxpayer to be pissed off by the pig head of the Ministry of Foreign Affairs Right?"
The pig head of the Ministry of Foreign Affairs was yelling loudly outside the rescue room, "I am a diplomat of RB country, and I have enough reasons to continue to provide consular protection for our citizens!"
"His blood pressure is still rising." Sun Lien glanced at Kobayashi Xun's still bleeding ear canal worriedly, "Take esmolol, two milliliters, push it slowly!"
"Deputy Director Liu is not here." The nurse who was preparing to dispense the medicine was stopped by Hu Jing. She looked at Sun Li'en worriedly, "You go to Director Liu to take a look first, and I will let other doctors handle it."
Sun Lien's prescription right is actually equivalent to Liu Tangchun's permission.In the absence of Liu Tangchun, Hu Jing's blocking of the medication was indeed out of protective psychology - not only to protect the patient, but also to protect Sun Li'en.
Sun Lien, who had just used the prescription right for less than half a day, sighed, and ran towards Liu Tangchun's office.
"It's impossible for me to agree to such a thing. This is plagiarism!" Just a second before Sun Lien pushed away from Deputy Director Liu's office, he heard a female voice coming from the door.The voice sounded very angry, almost arguing.
"This case was followed by Xiao Sun throughout the whole process, and I just performed a biopsy operation. And it is impossible for me to continue to follow the whole process of subsequent treatment. If I want to remove the worm cyst, my authority is not enough. This can only be done. Teacher Liu will do it." The female voice paused for a while, and then continued to raise the volume, "Ms. Liu should be the co-author of this paper, not me! Teacher Liu's reputation is also very good, and it can completely match your previous The purpose of 'using the background to pass the review'!"
Sun Li'en wanted to listen more, after all, women who dare to make a scene in front of Deputy Director Liu are really rare.However, Kobayashi Kaoru's situation in the emergency room is really not suitable for further delay. With a fractured skull and bleeding in the ear canal, combined with the just-appeared hypertensive crisis, it is obviously extremely irresponsible to hide outside the door and listen to the excitement.
Sun Li'en took a few steps back, then coughed violently, and stamped his feet on the ground vigorously, but his stride was deliberately controlled to be small.It wasn't until his stamped feet were about to go numb that he walked to Deputy Director Liu's door and knocked lightly. "Director Liu, I'm Sun Li'en."
"Come in." Liu Tangchun's weary voice came out, "Are you walking forward? You can be heard on the second floor."
Sun Lien pushed open the door, and a somewhat familiar figure stood in the office with his back to the door.And Liu Tangchun was sitting behind the table, rubbing his forehead with some bitterness.
"What's the matter?" Liu Tangchun pointed to the sofa next to him and asked Sun Lien to sit down.
"I won't sit down." Sun Lien shook his head with a smile, and explained, "The family member of Lin Lan who was taken into the emergency room this morning just scolded the staff of the consulate who came to help. Maybe he was too emotional , triggering high blood pressure, which was at 165/120 before I came here and rising."
"Have you taken the medicine?" Liu Tangchun stood up straight away, took the white coat from the hanger next to him, and walked out the door, but suddenly realized that there was someone else in his office, so he turned his head and said, "Xiao Xu, you also come together." Come along and have a look. This is the family member of the patient who asked you and Lao Zheng to work together this morning."
It was only then that Sun Lien realized that it was Xu Yourong who had patted the table with Deputy Director Liu earlier.I don't know what they are arguing about, papers?Sun Li'en sighed silently in his heart. He had heard about it when he was still an intern, and the hospital had to make trouble every year in order to compete for papers.I didn't expect to let myself run into it today.
Xu Yourong silently followed behind Liu Tangchun, and the moment he passed Sun Lien, he suddenly said, "I won't rob you."
The monk Sun Lienzhang Er was scratching his head and had no idea what the MD, a Johns Hopkins graduate, was talking about.It's just that the focus of attention now should still be Kobayashi Kaoru who is bleeding in the emergency room.He also turned around and left the office, closing the door of Director Liu's office by the way.Then he took two quick steps and described to Liu Tangchun what happened just now.
"When you took him in this morning, what was the reason?" Liu Tangchun roughly listened to the process, but didn't find any surprises.Instead, he asked, "Is his condition relatively stable all the time?"
"Morning..." Sun Li'en thought for a while before answering, "The main reason is that his posture is not right. Apart from some trauma, he is a little unstable. I am worried that it is the sequelae of the concussion, and I am afraid that he will be in the hospital. There is no one to take care of him, and if he faints, there may be secondary injuries, so I asked Brother Luo to help him with the formalities and sent him to the emergency room."
"That's all?" Liu Tangchun's expectations for Sun Li'en were much more than that.Kaoru Kobayashi's condition suddenly changed. Of course, it may be due to emotional fluctuations, but it may also be due to the re-emergence of some conditions hidden under the trauma of the car accident.Zheng Guoyou's illness was discovered by Sun Lien in advance, which made Liu Tangchun feel a little special.Maybe Sun Li'en is a little different from ordinary people - he can observe his pale complexion through the surgical cap and mask during the operation, which requires very careful observation ability.
"He said he couldn't feel his hands." Sun Li'en recalled what happened in the morning, "He tried to put his hands in his pockets, but failed after several attempts."
"Several times?" Xu Yourong, who had been silent all this time, suddenly interjected, "Maybe it's an acoustic neuroma? His unsteady posture may be a symptom of the cerebellum."
"The symptoms are too mild, and there are no typical manifestations." Sun Lien disagreed with this view. "If he feels his face is numb, he should go to the hospital for an examination instead of waiting for the emergency department after the car accident."
Xu Yourong defended his thoughts, "If the acoustic neuroma is serious enough to cause cerebellar symptoms, the car accident may have been caused by numbness in his limbs. As you said just now, he had symptoms of ear canal bleeding twice, skull base The fracture may have exacerbated his acoustic neuroma edema, leading to a more severe presentation."
"This sounds like another very interesting case." Liu Tangchun suddenly turned around and said to the two, "Are you interested in following this case and trying to make a paper out of it?"
(End of this chapter)
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