I can see the status bar

Chapter 53 Entering the Palace Three Times (Second Change)
Sun Li'en looked at Xu Yourong who was bowing in front of him in some panic, he didn't know where to put his hands.

Just when he was about to bite the bullet and say something, Xu Yourong suddenly straightened up, stepped back slightly, and gave way to the entrance of the ward. "Please." She pointed to the door, "The pediatric doctor said we have to finish the room check as soon as possible."

Holding his breath in his throat, unable to get out and go back, Sun Lien's face was almost purple.After coughing for the last time, 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 comfortably.It's just that Sun Li'en was a little worried when he looked at the nursing bed board in the pediatric department.

"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 effect is good."

What Sun Lien was more concerned about was the gangrene on Chen Wen's chest. With a female doctor beside her, it was much easier to do the examination. "Is her gangrene still expanding?"

"It doesn't look like it." Xu Yourong drew the curtain beside the bed, and gently rolled up Chen Wen's hospital gown with her hands. After observing carefully for a while, she said to Sun Li'en, "The location is the same as before, no development."

Out of caution, although it has been determined that the gangrene on Chen Wen's body was not caused by warfarin, Sun Lien still stopped taking Chen Wen's warfarin injection.Switch to low-molecular-weight heparin for DVT (deep vein thrombosis) treatment-the thrombus that has reached the renal vein will not disappear easily by itself.Although it stands to reason that replacing warfarin with the new anticoagulant drug rivaroxaban should be the best choice, but considering that Chen Wen has just undergone a brain biopsy, rivaroxaban should be used in combination with low molecular weight heparin. Shaban causes an excessive risk of bleeding.Moreover, the worm cyst that caused Cushing's syndrome had also been removed. Sun Lien thought over and over again, and decided that after the ward rounds were over, it would be better to consult with the doctors of the Department of Hematology.

"Her hydatid radical operation, do you have a plan?" After checking Chen Wen, Sun Lien and Xu Yourong left the PICU together, and they exchanged the follow-up treatment plan for Chen Wen while walking. "She is still young and is undergoing anticoagulant therapy. It is not suitable for another operation 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, and radical hydatid surgery of this level can be regarded as a fourth-level operation."

According to the regulations, even the deputy chief physician must have the on-site guidance of the superior physician before performing a fourth-level operation on stage.And Xu Yourong is only the attending physician now, not to mention performing the surgery herself, even with Vice President Liu as the guide, it's not her turn to perform the fourth-level surgery.

"Then upgrade your level as soon as possible." Sun Lien took it very seriously, "In this situation, she will have to be hospitalized for at least half a month. It is normal to go in and out of the hospital a few times later, after all, other organs need to be checked There are no traces of worm cysts. Based on this calculation, it will take about a month or two."

"I know that Teacher Liu intends to promote me as soon as possible, and I also saw the announcement list." Xu Yourong was a little depressed, "But don't you think this is not good?"

"What's wrong?" Sun Li'en walked in the corridor with his hands behind his back, showing a funny premature decrepit appearance, "There is no limit to the number of professional titles in our courtyard. I guess Dean Liu can't wait for the courtyard All the doctors here have senior titles."

Xu Yourong said in a low voice, "Isn't this not a good fit?"

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 averted her gaze, and muttered in a low voice, "I...I don't really understand this."

Sun Li'en sighed, "I'll bet you five yuan that you must have been the one who was excluded when you were in school."

"You won." Xu Yourong returned to power saving mode, "And then?"

Only then did Sun Lien realize that he might have said something irritating.He smiled embarrassedly, "I'm sorry, I didn't poke your sore spot on purpose." As if feeling that the explanation of this sentence was still lacking, he continued to explain, "You are the first person I have ever seen because People who are unwilling to take the exam for deputy senior titles because they are afraid of not being in the group. I guess you are probably obsessed with being in the group, so you are paying special attention to these issues now.”

"Is this the application of diagnosis skills?" Xu Yourong seemed to be a little bit hesitant about this question, but obviously "diagnosis" was more attractive to her. "Through very small clues, to infer the overall problem?"

"What you describe is reasoning, not diagnosis." Sun Lien scratched his head, and he didn't know how to teach others what he didn't have at all. "There must be some difference between these two things, otherwise someone would have asked the doctor to be a detective."

Xu Yourong nodded thoughtfully, not knowing what she understood.And Sun Li'en was afraid that he would reveal too much, so he unconsciously accelerated the speed of his feet.

Climbing the stairs is always painful and long work, but going down the stairs when there is no pressure in my heart is obviously much more hearty.Sun Li'en went down two floors at a very fast speed. Looking back, Xu Yourong was still walking down slowly.

"Are you wearing high heels?" Sun Lien looked at the black leather shoes that appeared and disappeared under Xu Yourong's feet, and apologized, "Sorry, I didn't notice. Usually the nurses in the emergency department wear flat shoes .”

"Shenwai doesn't really need to walk. I usually go to the outpatient clinic, and the emergency surgery is usually performed by Teacher Dong Xin." Xu Yourong's high-heeled shoes are actually only about four or five centimeters high. Usually walking is not strenuous, but you need to be fast. Going down the stairs is wishful thinking. "Occasionally I have to change into slippers when I go to surgery, so I thought it would be fine to wear high heels."

"If you want to cooperate with me in a treatment team..." Sun Lien suddenly thought of a very serious question, "Then you'd better wear sneakers, at least flat shoes. The emergency room is not suitable for high and."

Xu Yourong nodded, leaning on the handrail of the stairs, moved her ankle with difficulty, and said in a low voice, "I see."

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 desk in the emergency room, I heard the nurse on duty at the triage desk shout, "Xiao Sun, go and call Director Liu."

"Sister Feng, what's the matter?" Sun Lien raised his eyebrows, "I just ran into Director Liu at the gate of the ICU."

"There's a forecast saying it's a burn." Sister Feng lowered her voice, "It seems to be the old lady who signed the discharge consent form earlier."

　It was supposed to be the second update posted last night... the writing is a bit slow, sorry, everyone has been waiting for a long time

　　
　
(End of this chapter)