SWNOVELXO I can see the status bar
Chapter 1105
Chapter 1105
Generally speaking, the head nurse in the ICU handles paper work in the office most of the time.Like other departments, the main job of head nurses is to communicate prescriptions with doctors, arrange nursing staff and related details.But since Liu Lianzhi moved in, the head nurse of the ICU wandered around the ward at every turn.After seeing the other patients, she would go to Liu Lianzhi's bedside, hold his hand and whisper something.
"You don't regret marrying me?" This time, what Liu Lianzhi said to his wife was different from before.He seemed to be starting to feel a little flustered.He took Cai Huiping's hand and asked, "My body is too weak. It's not good to have this disease..."
"You, that mind is a little small." Head nurse Cai scolded with a smile, "Now I know I'm not in good health? I started asking you to exercise in the middle of last year. Your brother is fine, so you just take my words as wind on your ears, don't you?" ?”
"I thought you said you wanted to exercise because you were frightened by your cervical spondylosis." Liu Lianzhi coughed twice and asked, "How are you doing recently? Are you still dizzy?"
"I'm much better." Head Nurse Cai straightened her husband's hair. "You should get well soon. After you recover, let's go to East Lake together—I want to go for a walk by the lake."
"You haven't answered my question yet." Liu Lianzhi took his wife's hand and asked, "Have you ever regretted it?"
"Never." Head nurse Cai tapped her husband's forehead lightly with her finger, "Not once."
·
·
·
Sun Li'en read all the prescriptions and inspection reports, and then decided to go home - although these plans are not in line with his usual habits, but they are just different habits.The protection of various organs and the supportive treatment of various vital signs are very detailed.It can be seen that President Liu's treatment plan is the result of combining the wisdom of multiple departments and even many top hospitals in China.Splitting Sun Li'en into ten parts, and then opening ten status columns, it is impossible to give a better treatment arrangement than this plan.
In fact, Sun Lien suspected that he might not even be able to achieve one-fifth of this plan.The treatment arrangement is really too detailed, and the interval between medications is calculated in minutes. After drug A is used, plan B will be used to continue treatment within 3 minutes. If symptoms of C appear within half an hour, plan B will be stopped immediately and transferred to treatment D. , The D treatment needs to last at least one hour, and then recheck the indicators... With such a strict arrangement, even if Sun Lien is put directly in the ICU and let him see what he does, it is impossible for him to come up with a solution so quickly.
And this treatment arrangement also made Sun Lien smell a little... not so good.Most of the complicated treatment plans for Liu Lianzhi were based on "advanced life support" and "enhanced immunosuppression".To put it bluntly, in the end, it is still the same, and symptomatic treatment is carried out.
Symptomatic treatment is not a bad thing, but it is not necessarily a good thing.Symptomatic treatment means that doctors still have the means to deal with the condition, but it also means that ... they have no other options.
Sun Li'en waited for Zhu Minhua in the office for a long time, but in the end he couldn't wait for the bald doctor.In the end he sighed, and decided to go to the door to look for it himself—the master and the apprentice had so much to say, and they still haven't finished talking yet.
Strolling all the way to the door, Sun Li'en saw the two standing in a sunny and sheltered corner chatting from a distance.Judging from the status bar and body movements of the two, it seems that they are still chatting happily.
"Are you still talking?" Sun Lien greeted the two of them, "Mr. Zhu, if you don't go on duty again, I think the teachers in the office will tear you apart."
This is of course an exaggeration. After hearing that Zhu Minhua was late because he was going to give psychological counseling to his students, the doctors in the office all graciously expressed their understanding.But... Sun Lien felt that his goal had been achieved - the "anxious" status bar above Yuan Pingan's head had disappeared.
"I've read the plan...Anyway, with my ability, there is no room for further adjustments in the plan." Sun Lien did not forget his main purpose of coming here, he said to Zhu Minhua, "Anyway, from my From a point of view, the whole plan is very suitable, even the psychological counseling that has not been mentioned... I think there is also a head nurse in charge, so there will definitely be no problem."
"Well... you think so too." Unexpectedly, instead of showing excitement, Zhu Minhua was a little dignified, "I have shown this plan to many experts, and they have no opinion."
Zhu Minhua's expression made Sun Lien vigilant, and he hurriedly asked, "I don't have an opinion, isn't that a good thing?"
"If it's another patient, it's really a good thing." Zhu Minhua shook his head, and said with some concern, "But Lao Liu's situation is different—his reaction has not been good."
Even though he had used the convalescent blood plasma and used more than two units, Liu Lianzhi's situation was still not very good.He is still having a fever, and chest CT shows that the lung lesions are still expanding.
"The effect of plasma from recovered patients is not very good. We are worried that the antibody titers in recovered patients who donate plasma may not be enough." Zhu Minhua said, "The problem is that there is currently a lack of sufficient means, and there is no condition to measure recovered patients. The antibody titer in the plasma—after all, the plasma itself of the recovered patients is not enough. Even if you know the titer is insufficient, this is a very precious blood product, so it’s impossible to just throw it away.”
"Then we can only apply for blood plasma again." Sun Lien frowned and said, "It won't work once, but it will be useful if you use it twice?"
"The convalescent plasma is in short supply." Zhu Minhua said helplessly, "If it's other patients...we can apply again. But Lao Liu's situation is not the same. He is a doctor after all. He has applied too many times. Plasma, the effect may not be good."
"What's wrong with this?" Sun Li'en became anxious immediately, "That's a life! How can you not save people because of some bad influence?"
Working on the front line of Yunhe is actually a bit of happiness for the doctors.Regardless of the patient's economic conditions, as long as there is a need for treatment, it can be used.It is really a blessing for doctors to be able to give full play to what they have learned.
It would be great if I could do it when I was working normally, and if I could do the same when there is no new coronavirus.
Seeing Zhu Minhua's helpless expression, Sun Lien knew that there was probably no chance to apply for blood plasma again.He frowned and thought for a while, then asked in a low voice, "How about... I'll apply for it? If there is suitable plasma to be sent, it's okay to transfer Dean Liu to my place?"
"His health is not getting better, not to mention... how do you ensure that the newly applied plasma antibody titer is enough?" Zhu Minhua shook his head and sighed, "There is no other way now, I can only hope that Lao Liu will Be brave enough to carry it over.”
Everyone knows that Sun Li'en's mind is running wild, so Zhu Minhua invites him over and over again for consultation.If we only talk about personal ability and qualifications...Sun Lien is actually not qualified to participate in this level of consultation.A group of professional athletes from the national team play games for pre-match analysis, and find a young player from the provincial team to be a staff member—this is unreasonable.
And Sun Lien also played a role very competently.The treatment plan he proposed at the beginning did have some effect.But now, Sun Lien had a new idea in his little brain.
Then he was scolded bloody by Song Wen.
"I just had such an idea..." Sun Lien held the phone half a meter away from his ear, and explained with a guilty conscience.But Song Wen's roar still made the phone buzz, and the most handsome middle-aged woman in the world scolded Sun Li'en, "Are you fucking out of your mind?!"
Sun Li'en, who has a lively mind, once again left the existing rules and regulations behind.He proposed to draw part of the blood of patients who are recovering and inject it as convalescent plasma to critically ill patients who cannot get convalescent plasma.
"What's the blood transfusion system for? It's to prevent fools like you from messing around!" Song Wen scolded, "How do you deal with blood transfusion reactions? How do you suppress pathogens in the blood? Without the support of the blood bank, you How can you be sure that blood drawn from other patients is safe?"
"I'm not sure." Hearing that Dean Song had finally come to this point, Sun Lien, who had been scolded for more than ten minutes, finally got the opportunity he had been looking forward to. "However, even if the recovered patients are willing to donate blood, they have to wait at least 14 days after they are discharged from the hospital - Dean Liu Lianzhi may not have this time."
Song Wen suddenly fell silent. She also knew that Liu Lianzhi's condition was serious, and she also knew that blood plasma was rare now.Without enough antiviral drugs, Liu Lianzhi's situation is indeed very dangerous.
"That can't be messed up." Song Wen's tone was a little gentler, "I'll ask about the blood plasma... see if we can coordinate it a little more."
Sun Li'en hung up the phone and breathed a sigh of relief.Deliberately throwing out such a stupid idea to provoke Dean Song to scold him really did work.It's just that this set of tricks learned from Liu Tangchun probably won't be used a few times.
Song Wen is the captain of the national emergency medical team in the entire Song'an Province. In addition, he has been working in the field of emergency and critical care for decades, and has the qualifications to teach a group of backbone doctors in critical care. She speaks better than Sun Lien, a 28-year-old The sub-high should have more weight.
As long as Dean Song can be fooled into coming forward, the success rate of applying for plasma from recovered patients will be much higher - after all, Dean Song himself should be very clear about the significance of the successful treatment of Liu Lianzhi.Among other things, at least it can cheer up the colleagues in the hospital where President Liu works.
Of course, in order to accomplish his goal, Sun Li'en himself also prepared a second plan.If Song Wen also felt that he should not continue to apply for the recovered serum, then Sun Lien would immediately implement the second set of countermeasures.
He planned to ask Guan Guxue to provide some breast milk, and then directly feed it to Liu Lianzhi.
·
·
·
After returning to the hotel and taking a deep sleep, Sun Li'en opened his eyes again, and it was already 2420:1138 in the evening.At that time, the number of confirmed cases in the whole province also began to decline significantly—including clinically diagnosed cases, a total of [-] confirmed cases were reported in the entire Hunan Province, and this figure also included [-] clinically diagnosed cases.
The detection capacity of PCR is still rising, and the large-scale investigation of existing patients is still going on.In order to support the anti-epidemic work of other prefecture-level cities in northern Hunan Province, the state has decided to adopt the plan of "one province covers one city" to support the medical systems of other cities in northern Hunan Province.
The main responsible comrades in Xiangbei Province and Yunhe City also made adjustments at the same time.It can also be seen from this decision that the central government believes that the previous comrades in charge of saving troubles have completed a stage of work.They've done everything from spotting disease to transforming the functioning of entire systems of government, a job that takes more than lip service.Although with the benefit of hindsight one can always pick out a host of mistakes and mistakes, there is no doubt that they have fulfilled their duties.Now is also the time to adjust the appointment and let the new responsible comrades lead everyone to continue to fight against the virus.
When a hospital is facing a new type of coronavirus infection, the dean, secretary and vice presidents are the most important backbones.They are familiar enough with the situation in the hospital, and only when they hold the line can the doctors in the hospital receive more targeted support.Putting the adjustment of the positions of the main responsible comrades in Xiangbei Province and Yunhe City to this time also proves that the situation in the entire Xiangbei Province and Yunhe City is stable enough, and the medical system has been fully operational.
While drinking water, Sun Li'en watched the news and looked forward to it. He hoped that starting tomorrow, the number of confirmed patients would gradually decrease.Hopefully starting tomorrow, more plasma from recovered patients will be available for doctors to use.
At the same time, good news came from the WeChat group of Yunhe City Infectious Disease Hospital-the oxygen pipeline that had been out of service for five days can be put into use again.
Five days ago, because a large number of severe and critically ill patients were admitted to Yunhe City Infectious Disease Hospital, the original oxygen pipeline and pressurization equipment of the Infectious Disease Hospital could no longer meet the needs of use.Hundreds of patients almost all need oxygen inhalation, but the original central oxygen supply equipment in the infectious disease hospital can only maintain about 100 people inhaling oxygen at the same time.The supply cannot keep up with the demand, and the pressure of the central oxygen supply pipeline has been insufficient.In order to ensure that there is enough oxygen available for critically ill patients, the doctors of Yunhe City Infectious Disease Hospital had to go back and forth between the warehouse and the ward again and again, just to get the needed oxygen cylinders for the patients.
And this problem quickly attracted the attention of relevant departments in Yunhe City. As the largest state-owned steel company in the area, Yungang Group quickly formed a professional expansion team.Together with other state-owned design companies, the medical oxygen reconstruction and expansion project was completed within five days.
The acceptance of the renovation and expansion project has been completed today, and it has been put into use.Sun Li'en felt happy from the bottom of his heart—finally he didn't have to go downstairs to carry the oxygen cylinder anymore!
Sorry everyone... I still overestimated my abilities.
There was only one 4K update yesterday, and there must be two updates today!I'll come out even if I don't eat or drink!
Ask for a subscription (the reader who can see here must have subscribed, but I just want to shout a few words), ask for a monthly pass (this is very important)!
(End of this chapter)
Generally speaking, the head nurse in the ICU handles paper work in the office most of the time.Like other departments, the main job of head nurses is to communicate prescriptions with doctors, arrange nursing staff and related details.But since Liu Lianzhi moved in, the head nurse of the ICU wandered around the ward at every turn.After seeing the other patients, she would go to Liu Lianzhi's bedside, hold his hand and whisper something.
"You don't regret marrying me?" This time, what Liu Lianzhi said to his wife was different from before.He seemed to be starting to feel a little flustered.He took Cai Huiping's hand and asked, "My body is too weak. It's not good to have this disease..."
"You, that mind is a little small." Head nurse Cai scolded with a smile, "Now I know I'm not in good health? I started asking you to exercise in the middle of last year. Your brother is fine, so you just take my words as wind on your ears, don't you?" ?”
"I thought you said you wanted to exercise because you were frightened by your cervical spondylosis." Liu Lianzhi coughed twice and asked, "How are you doing recently? Are you still dizzy?"
"I'm much better." Head Nurse Cai straightened her husband's hair. "You should get well soon. After you recover, let's go to East Lake together—I want to go for a walk by the lake."
"You haven't answered my question yet." Liu Lianzhi took his wife's hand and asked, "Have you ever regretted it?"
"Never." Head nurse Cai tapped her husband's forehead lightly with her finger, "Not once."
·
·
·
Sun Li'en read all the prescriptions and inspection reports, and then decided to go home - although these plans are not in line with his usual habits, but they are just different habits.The protection of various organs and the supportive treatment of various vital signs are very detailed.It can be seen that President Liu's treatment plan is the result of combining the wisdom of multiple departments and even many top hospitals in China.Splitting Sun Li'en into ten parts, and then opening ten status columns, it is impossible to give a better treatment arrangement than this plan.
In fact, Sun Lien suspected that he might not even be able to achieve one-fifth of this plan.The treatment arrangement is really too detailed, and the interval between medications is calculated in minutes. After drug A is used, plan B will be used to continue treatment within 3 minutes. If symptoms of C appear within half an hour, plan B will be stopped immediately and transferred to treatment D. , The D treatment needs to last at least one hour, and then recheck the indicators... With such a strict arrangement, even if Sun Lien is put directly in the ICU and let him see what he does, it is impossible for him to come up with a solution so quickly.
And this treatment arrangement also made Sun Lien smell a little... not so good.Most of the complicated treatment plans for Liu Lianzhi were based on "advanced life support" and "enhanced immunosuppression".To put it bluntly, in the end, it is still the same, and symptomatic treatment is carried out.
Symptomatic treatment is not a bad thing, but it is not necessarily a good thing.Symptomatic treatment means that doctors still have the means to deal with the condition, but it also means that ... they have no other options.
Sun Li'en waited for Zhu Minhua in the office for a long time, but in the end he couldn't wait for the bald doctor.In the end he sighed, and decided to go to the door to look for it himself—the master and the apprentice had so much to say, and they still haven't finished talking yet.
Strolling all the way to the door, Sun Li'en saw the two standing in a sunny and sheltered corner chatting from a distance.Judging from the status bar and body movements of the two, it seems that they are still chatting happily.
"Are you still talking?" Sun Lien greeted the two of them, "Mr. Zhu, if you don't go on duty again, I think the teachers in the office will tear you apart."
This is of course an exaggeration. After hearing that Zhu Minhua was late because he was going to give psychological counseling to his students, the doctors in the office all graciously expressed their understanding.But... Sun Lien felt that his goal had been achieved - the "anxious" status bar above Yuan Pingan's head had disappeared.
"I've read the plan...Anyway, with my ability, there is no room for further adjustments in the plan." Sun Lien did not forget his main purpose of coming here, he said to Zhu Minhua, "Anyway, from my From a point of view, the whole plan is very suitable, even the psychological counseling that has not been mentioned... I think there is also a head nurse in charge, so there will definitely be no problem."
"Well... you think so too." Unexpectedly, instead of showing excitement, Zhu Minhua was a little dignified, "I have shown this plan to many experts, and they have no opinion."
Zhu Minhua's expression made Sun Lien vigilant, and he hurriedly asked, "I don't have an opinion, isn't that a good thing?"
"If it's another patient, it's really a good thing." Zhu Minhua shook his head, and said with some concern, "But Lao Liu's situation is different—his reaction has not been good."
Even though he had used the convalescent blood plasma and used more than two units, Liu Lianzhi's situation was still not very good.He is still having a fever, and chest CT shows that the lung lesions are still expanding.
"The effect of plasma from recovered patients is not very good. We are worried that the antibody titers in recovered patients who donate plasma may not be enough." Zhu Minhua said, "The problem is that there is currently a lack of sufficient means, and there is no condition to measure recovered patients. The antibody titer in the plasma—after all, the plasma itself of the recovered patients is not enough. Even if you know the titer is insufficient, this is a very precious blood product, so it’s impossible to just throw it away.”
"Then we can only apply for blood plasma again." Sun Lien frowned and said, "It won't work once, but it will be useful if you use it twice?"
"The convalescent plasma is in short supply." Zhu Minhua said helplessly, "If it's other patients...we can apply again. But Lao Liu's situation is not the same. He is a doctor after all. He has applied too many times. Plasma, the effect may not be good."
"What's wrong with this?" Sun Li'en became anxious immediately, "That's a life! How can you not save people because of some bad influence?"
Working on the front line of Yunhe is actually a bit of happiness for the doctors.Regardless of the patient's economic conditions, as long as there is a need for treatment, it can be used.It is really a blessing for doctors to be able to give full play to what they have learned.
It would be great if I could do it when I was working normally, and if I could do the same when there is no new coronavirus.
Seeing Zhu Minhua's helpless expression, Sun Lien knew that there was probably no chance to apply for blood plasma again.He frowned and thought for a while, then asked in a low voice, "How about... I'll apply for it? If there is suitable plasma to be sent, it's okay to transfer Dean Liu to my place?"
"His health is not getting better, not to mention... how do you ensure that the newly applied plasma antibody titer is enough?" Zhu Minhua shook his head and sighed, "There is no other way now, I can only hope that Lao Liu will Be brave enough to carry it over.”
Everyone knows that Sun Li'en's mind is running wild, so Zhu Minhua invites him over and over again for consultation.If we only talk about personal ability and qualifications...Sun Lien is actually not qualified to participate in this level of consultation.A group of professional athletes from the national team play games for pre-match analysis, and find a young player from the provincial team to be a staff member—this is unreasonable.
And Sun Lien also played a role very competently.The treatment plan he proposed at the beginning did have some effect.But now, Sun Lien had a new idea in his little brain.
Then he was scolded bloody by Song Wen.
"I just had such an idea..." Sun Lien held the phone half a meter away from his ear, and explained with a guilty conscience.But Song Wen's roar still made the phone buzz, and the most handsome middle-aged woman in the world scolded Sun Li'en, "Are you fucking out of your mind?!"
Sun Li'en, who has a lively mind, once again left the existing rules and regulations behind.He proposed to draw part of the blood of patients who are recovering and inject it as convalescent plasma to critically ill patients who cannot get convalescent plasma.
"What's the blood transfusion system for? It's to prevent fools like you from messing around!" Song Wen scolded, "How do you deal with blood transfusion reactions? How do you suppress pathogens in the blood? Without the support of the blood bank, you How can you be sure that blood drawn from other patients is safe?"
"I'm not sure." Hearing that Dean Song had finally come to this point, Sun Lien, who had been scolded for more than ten minutes, finally got the opportunity he had been looking forward to. "However, even if the recovered patients are willing to donate blood, they have to wait at least 14 days after they are discharged from the hospital - Dean Liu Lianzhi may not have this time."
Song Wen suddenly fell silent. She also knew that Liu Lianzhi's condition was serious, and she also knew that blood plasma was rare now.Without enough antiviral drugs, Liu Lianzhi's situation is indeed very dangerous.
"That can't be messed up." Song Wen's tone was a little gentler, "I'll ask about the blood plasma... see if we can coordinate it a little more."
Sun Li'en hung up the phone and breathed a sigh of relief.Deliberately throwing out such a stupid idea to provoke Dean Song to scold him really did work.It's just that this set of tricks learned from Liu Tangchun probably won't be used a few times.
Song Wen is the captain of the national emergency medical team in the entire Song'an Province. In addition, he has been working in the field of emergency and critical care for decades, and has the qualifications to teach a group of backbone doctors in critical care. She speaks better than Sun Lien, a 28-year-old The sub-high should have more weight.
As long as Dean Song can be fooled into coming forward, the success rate of applying for plasma from recovered patients will be much higher - after all, Dean Song himself should be very clear about the significance of the successful treatment of Liu Lianzhi.Among other things, at least it can cheer up the colleagues in the hospital where President Liu works.
Of course, in order to accomplish his goal, Sun Li'en himself also prepared a second plan.If Song Wen also felt that he should not continue to apply for the recovered serum, then Sun Lien would immediately implement the second set of countermeasures.
He planned to ask Guan Guxue to provide some breast milk, and then directly feed it to Liu Lianzhi.
·
·
·
After returning to the hotel and taking a deep sleep, Sun Li'en opened his eyes again, and it was already 2420:1138 in the evening.At that time, the number of confirmed cases in the whole province also began to decline significantly—including clinically diagnosed cases, a total of [-] confirmed cases were reported in the entire Hunan Province, and this figure also included [-] clinically diagnosed cases.
The detection capacity of PCR is still rising, and the large-scale investigation of existing patients is still going on.In order to support the anti-epidemic work of other prefecture-level cities in northern Hunan Province, the state has decided to adopt the plan of "one province covers one city" to support the medical systems of other cities in northern Hunan Province.
The main responsible comrades in Xiangbei Province and Yunhe City also made adjustments at the same time.It can also be seen from this decision that the central government believes that the previous comrades in charge of saving troubles have completed a stage of work.They've done everything from spotting disease to transforming the functioning of entire systems of government, a job that takes more than lip service.Although with the benefit of hindsight one can always pick out a host of mistakes and mistakes, there is no doubt that they have fulfilled their duties.Now is also the time to adjust the appointment and let the new responsible comrades lead everyone to continue to fight against the virus.
When a hospital is facing a new type of coronavirus infection, the dean, secretary and vice presidents are the most important backbones.They are familiar enough with the situation in the hospital, and only when they hold the line can the doctors in the hospital receive more targeted support.Putting the adjustment of the positions of the main responsible comrades in Xiangbei Province and Yunhe City to this time also proves that the situation in the entire Xiangbei Province and Yunhe City is stable enough, and the medical system has been fully operational.
While drinking water, Sun Li'en watched the news and looked forward to it. He hoped that starting tomorrow, the number of confirmed patients would gradually decrease.Hopefully starting tomorrow, more plasma from recovered patients will be available for doctors to use.
At the same time, good news came from the WeChat group of Yunhe City Infectious Disease Hospital-the oxygen pipeline that had been out of service for five days can be put into use again.
Five days ago, because a large number of severe and critically ill patients were admitted to Yunhe City Infectious Disease Hospital, the original oxygen pipeline and pressurization equipment of the Infectious Disease Hospital could no longer meet the needs of use.Hundreds of patients almost all need oxygen inhalation, but the original central oxygen supply equipment in the infectious disease hospital can only maintain about 100 people inhaling oxygen at the same time.The supply cannot keep up with the demand, and the pressure of the central oxygen supply pipeline has been insufficient.In order to ensure that there is enough oxygen available for critically ill patients, the doctors of Yunhe City Infectious Disease Hospital had to go back and forth between the warehouse and the ward again and again, just to get the needed oxygen cylinders for the patients.
And this problem quickly attracted the attention of relevant departments in Yunhe City. As the largest state-owned steel company in the area, Yungang Group quickly formed a professional expansion team.Together with other state-owned design companies, the medical oxygen reconstruction and expansion project was completed within five days.
The acceptance of the renovation and expansion project has been completed today, and it has been put into use.Sun Li'en felt happy from the bottom of his heart—finally he didn't have to go downstairs to carry the oxygen cylinder anymore!
Sorry everyone... I still overestimated my abilities.
There was only one 4K update yesterday, and there must be two updates today!I'll come out even if I don't eat or drink!
Ask for a subscription (the reader who can see here must have subscribed, but I just want to shout a few words), ask for a monthly pass (this is very important)!
(End of this chapter)
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