I can see the status bar

Chapter 209 Chocolate

Acute radiation injury will definitely appear on Yang Jianqiang.But the status column did not indicate whether the cost of this acute injury was manifested as cerebral edema.

You can't completely rely on the status bar, this is the point of view that Sun Lien has always adhered to deep in his heart.After all, this thing is related to the life and health of the patient. If something goes wrong, the price to be paid is probably the life of an innocent patient.But what he’s been wary of is that the status bar itself is “clearly wrong,” such as suggesting a symptom of a disease that doesn’t exist, or being in the wrong direction entirely.

Rather than the current situation - it was clearly prompted, but it was the same as not saying it.

"Cerebral edema caused by acute radiation injury?" Zhou Jun frowned, turned around and asked, "Dean Liu, you are more familiar with the brain nerve than I am. Is this possible?"

"I have never had radiation brain injury." Unexpectedly, Liu Pingchuan also suffered from difficulties. Most of the craniocerebral injuries he usually undergoes are brain contusions and brain tumors. Extensive brain contusion and brain herniation of various causes.But these are not the same as radiation brain injury. After all, the brain tissue damaged by radiation has no visible damage form, and it also lacks unique symptom prompts. "Let's do another CT scan, it will be done soon anyway."

This is the benefit of putting Yang Jianqiang in the hybrid operating room.In the hybrid operating room, CT can be performed at any time, and patients can even be transferred to the side MRI examination room in a stable state through electric rails, and intraoperative MRI examinations can be performed on the patients.It has much more robust equipment than ordinary operating rooms, and it can also transfer patients in a very safe situation.These two points alone are enough for high-level hospitals to drool over hybrid operating rooms.Especially for departments such as neurosurgery and spine surgery, which require detailed imaging examination results to support treatment methods, having a fully equipped compound operating room is simply the dream of department directors.

The compound operating room of the Fourth Central Hospital has been in use for less than three weeks. Strictly speaking, this operating room cannot even be called "officially put into use."After all, the first patient treated in the operating room was Zheng Guoyou, the director of the orthopedics department, and the second patient was Yang Jianqiang.As for the ribbon-cutting that was agreed to be officially put into use, it should have been held only next week.

The suggestion to give Yang Jianqiang a CT scan of his brain caused some concern.It is mainly because the doctors in the imaging department are a little worried about this. Although CT scanning is fast and convenient, it is still a radioactive diagnostic method in essence.And Yang Jianqiang's brain has been impacted eight times by a large dose of Gamma Knife. Who knows if there will be any serious consequences if he does a radiological examination on this basis.As for whether there are other ending options—anyway, the doctors in the auxiliary department only need to raise the problems they can find.It's going too far for them to worry about the overall treatment plan.

Dean Liu Pingchuan's judgment was very fast. Under the current circumstances, CT scanning is the only feasible inspection method.After all, in order to detect the changes in Yang Jianqiang's intracranial pressure in real time, the neurosurgery doctors, under Liu Pingchuan's arrangement, made a hole in Yang Jianqiang's forehead with a mold.And a fiber-optic intracranial pressure monitor was placed in the hole.The monitor uses the epidural manometry method. Although the relative accuracy is a little worse than the intraventricular catheter detection method, it is sufficient on the one hand and can reduce the risk of infection.

But this monitor also announced that it was impossible for Yang Jianqiang to undergo an MRI examination.The reason is simple - there are magnetic metals in the monitor. As soon as the MRI is turned on, the monitor will be torn off Yang Jianqiang's brain by the huge magnetic force. At that time, everyone should stop thinking about treating the disease and just collect Yang Jianqiang's body.

CT is the only option right now, and the best option.In fact, Liu Pingchuan had long thought of doing further examinations to clarify the source of the edema, but on the one hand, he did not think about acute radiation injury, and on the other hand, Liu Pingchuan felt that although Yang Jianqiang had signs of developing cerebral edema, after all, the brain The increase in pressure is not particularly large.Moreover, there is still room for adjustment of the diuretic infused into him, so there is no need to be so anxious—maybe his intracranial pressure will stabilize in the next hour?
The CT machine was pulled over by rails suspended from the ceiling.All the irrelevant personnel present cleared the scene, while the radiologists, anesthesiologists, and Dean Liu who had to stay at the scene put on heavy lead clothing.Sun Li'en, Hu Jia and Xu Yourong walked out of the operating room together, and waited for the examination to end in the corridor outside the operating room.

"So you came here?" Hu Jia's eyes narrowed into beautiful crescents, and she didn't know why she suddenly laughed. "Mainly because you are worried about the patient's surgical situation?"

"The main reason is that you'll feel too tired after standing in the operating room for too long." Sun Li'enfu was deeply moved, and he opened his mouth to coax the little nurse, "How is it? Are you tired after standing for several hours?" He patted himself on the shoulder, "Look at me, I came here specially to lend you a shoulder to lean on."

"Emergency mouth, deceitful ghost." Hu Jia pretended to be angry, lightly kicked Sun Lien's calf with his foot, and then took the opportunity to lean over. "But I'm really tired." As long as it is a person, standing in the operating room for five hours will feel tired.What's more, they didn't do anything in the operating room, they were just waiting for the situation to change.This kind of nervous waiting, actually doing nothing, actually consumes more energy than a tense and long-lasting operation.

Xu Yourong stood aside, walked around a little bit, rested his feet and asked, "Has Rachel gone back?"

Sun Li'en shook his head, "She's in good spirits, she said she wanted to wait for you to go out for supper..." He suddenly realized something, and regretted, "I should bring the pigeons to eat."

"Forget it, so three pigeons are not enough points." Hu Jia rejected Sun Lien's proposal, "Everyone is tired, and it's not appropriate for us to have something to eat."

After pondering for a while, Sun Li'en suddenly smiled, "I remember...Director Liu has a cabinet in the operating room, right?"

Liu Tangchun is an emergency doctor and a soldier.The character of preventing problems before they happen is much more important than other doctors, and the working environment where he needs to come to the operating room from time to time to keep an eye on the situation makes it a luxury for him to have a safe meal.Therefore, Liu Tangchun has developed a "good habit". As long as he has his personal storage space, he will definitely stuff a whole box of chocolates in it.

This habit is well known among the doctors in the emergency room, so that when some hypoglycemia patients who are not too serious are occasionally sent, the first reaction of the doctors is not to hang a bag of ten sugar, but to go to the hospital first. Director Liu wants a bar of chocolate.It's a pity that chocolate cannot be covered by medical insurance, nor can it be included in the hospital's charging system.One or two is fine, as there are too many patients, the director Liu Tangchun's income can't bear it.Therefore, Comrade Liu gritted his teeth and stomped his feet, and narrowed the scope of chocolate supply to "only the staff of the hospital".

Usually, everyone would not eat Director Liu's chocolate when they were free, but after this habit spread, Sun Lien suddenly discovered an uncultivated "rich mine".Everyone is hungry, so taking a few pieces of chocolate from Director Liu's storage box is not too much, right?

Although he was sure that Liu Tangchun had already fallen asleep, Sun Lien still sent a text message to Lao Liu based on the principle of "taking without telling is a thief".Then he took everyone to fight a wave of local tyrants.

Chocolate is indeed a good thing to replenish physical strength!

(End of this chapter)