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Chapter 44 Genius

People will become stupid because of staying up late. This is not a "good rumor" used by the elderly to scare children. This is a conclusion drawn through medical practice and research.

Last year, science published such a research report. The research team confirmed for the first time through technical means such as electroencephalography and magnetic resonance that when a person is sleeping, the neurons in the brain will be closed for a short time, thereby reducing the blood supply demand in the brain. When the blood supply decreases, cerebrospinal fluid will fully move when the blood supply decreases.

Researchers have conjecture about this unique change: synchronously shut down neurons reduce the oxygen and other nutrients needed by the brain, and this reduced blood supply provides enough space and pressure differentials for cerebrospinal fluid activity.

As a colorless and transparent liquid distributed in the ventricle and subarachnoid cavity, the physiological effect of cerebrospinal fluid not only supports and buffers the impacts of the brain and spinal cord, but also has the effect of removing metabolites and inflammatory exudates. When the brain actively reduces the blood supply demand and guides the active activity of cerebrospinal fluid, the physiological activity plays an obvious role in "clearing metabolites".

The research team's purpose is Alzheimer's disease, but this does not affect the value of this physiological trait they discovered.

Sleep helps cerebrospinal fluid activity, while cerebrospinal fluid activity helps to clear metabolites. This constitutes a logical inference--sleep's greatest function for the brain is to clear metabolites through cerebrospinal fluid activity.

Although the intensity of this inference is worrying, the arguments used to support Zhu Minhua are sufficient - staying up late can really make people stupid, at least it may increase the probability of developing Alzheimer's disease later.

"I haven't stayed up late, really." Yuan Ping'an was honest like a frightened rat in front of his teacher. "I just didn't sleep well recently..."

"If you don't sleep well, you can tell the doctors in the gods." Sun Lien mercilessly exposed Yuan Ping'an's excuse, "When I first arrived at Yunhe, I also had insomnia every day, and later I started taking sleeping pills."

Yuan Ping'an glanced at Sun Lien, then sighed, "I'd better be as heartless as you."

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Yuan Ping'an was under great pressure.

During the SARS period, Yuan Ping'an was still in junior high school. The capital was panicked that year, but for Yuan Ping'an, he had almost no impression or memory of the epidemic. During the Mers period, he had already gone to college, but due to the good domestic defense measures, the disease had never been spread in China.

Coronavirus is something that only exists in books for Yuan Ping'an.

This time, the idea before coming to Yunhe with Sun Lien and other colleagues was very simple. He felt that Yunhe’s biggest problem at present was that there were too many patients. When medical resources were exhausted, many patients could not receive treatment at all. As long as the medical team came to support and there were enough people to start treating patients, Yunhe’s condition would soon improve.

After working in the red zone for a week, Yuan Ping'an couldn't stand it anymore.

The epidemic is out of sight, there is insufficient epidemic prevention materials, and there is also a shortage of medical devices and drugs. The mortality rate of severe patients is high, and rescue measures and treatment measures are almost useless for these critically ill patients - they even have a reverse effect.

The patient's blood oxygen was low, and the doctors risked infection to intubate. As a result, as soon as the ventilator was inserted, the patient's heartbeat suddenly stopped.

This is too mentally illusory. After rescuing three such patients in a row, Yuan Ping'an even questioned his behavior. If the intubation was not intubated, would this patient not have passed away so soon?

Yuan Ping'an has extremely high requirements for himself. He graduated from the top medical school in the country. He is a "down-out prince" who transferred from neurosurgery to emergency department. He never felt that he would encounter any situation in his daily work where he had no choice.

Of course, Sun Lien is an amazing genius, Yuan Ping'an knows this very well. But even Sun Lien often needs to help provide data and analysis. Yuan Ping'an always feels that his cooperation with Sun Lien is quite good. As long as everyone is united, no matter how troublesome the disease is, they can at least have some solutions.

But the epidemic of the new coronavirus completely defeated his spirit. Sun Lien still maintained his always "high fighting spirit". He proposed one treatment plan and treatment principle after another. Most of the treatment methods have achieved good results.

But Yuan Ping'an felt that he could not keep up.

He began to sleep at night and tossed and turned. After the insomnia began, Yuan Ping'an even began to fear the night. He knew that he needed to rest well so that he could have the strength to deal with at least four hours of work the next day. He also knew that he had to sleep well before he could maintain a useful mind. But he just couldn't sleep well.

As long as he was lying on the bed, Yuan Ping'an began to think about the Sun Lien she met. Sun Lien must have much greater pressure than himself, and there is no doubt about this. But Sun Lien can still maintain a flexible mind under extremely high pressure, and even have the energy to help everyone relieve the pressure with Hu Jia.

To put it bluntly, Yuan Ping'an's current mental state mainly comes from suspicion and unwillingness to self-positioning. Sun Lien is indeed very powerful, but he should be not bad either.

If Sun Lien is left farther and farther away, then what will he continue to stay in Ningyuan?

Sun Lien was amused by Yuan Ping'an's words, and he patted his chest with great pride, "Hey, you have to be a little heartless, so that you can live this life." He pointed at Zhu Minhua and said seriously, "Or why do you think Teacher Zhu must have asked you to come to the Fourth Hospital?"

"In order to make me a qualified emergency doctor," Yuan Ping'an replied. Zhu Minhua said this to himself.

"Then you are not qualified at all now." Sun Lien said to Yuan Ping'an seriously, "When it's time to let go, you have to let go."

Sun Lien actually has no right to educate Yuan Ping'an like this - there may be more things he can't let go of than Yuan Ping'an.

President Wu Youqian's criticism of himself still echoes in Sun Lien's ears. The old man's education has indeed benefited Sun Lien a lot.

"Because life is extremely precious and our power is insignificant, every diagnosis and treatment must be done without reservation. Every time you try your best, so that you will not ask yourself pitifully, 'Did I do something wrong?'" Sun Lien said to Yuan Ping'an, "If you want to have a clear conscience, you must first do your best."

Yuan Ping'an was about to say something, but suddenly fell silent again.

Looking at Yuan Ping'an's appearance, Zhu Minhua coughed lightly and said to Sun Lien, "You go to the iCu first. Lao Liu's situation is OK now. You just go over for me first to see if there is any place to adjust the plan - I will talk to Xiao Yuan and I will go there later."

Seeing Sun Lien walking away, Zhu Minhua suddenly said to Yuan Ping'an, "Actually, you are worried that you will be dumped too far away by him, right?"

Yuan Ping'an suddenly raised his head and looked at Zhu Minhua in disbelief, without saying anything for a long time.

"Why do I do when I look at it like this?" Zhu Minhua was amused by Yuan Ping'an's actions. "Don't look at me like this, the bridge I walked over is longer than the road you have walked. Experience can not only be used to treat people, but also to see what is wrong with your kid's mind."

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Zhu Minhua was so familiar with this feeling and expression. When he successfully graduated and entered the work of the team, such expressions also appeared on his face.

At that time, Zhu Minhua was like Yuan Ping'an. During his graduate school stage, Zhu Minhua was developing towards neurosurgery. He was determined to become an excellent neurosurgeon and help his patients overcome the disease and turn the crisis into safety.

Most importantly, Liu Pingchuan's talent in neurosurgery is undoubtedly revealed. The professors highly praised Liu Pingchuan and felt that he should be able to become the next pillar of the neurosurgery department of Tonghui Hospital.

Although Tongxie Medical College is the best medical school in the country, Tongxie Hospital is also the best comprehensive tertiary hospital. However, Tongxie has never been the best in the major of neurosurgery.

Capital Medical College is the strongest hospital in neurosurgery. Within the capital, the collaborative neurosurgery department can only barely rank fifth.

How could the old professors of Tonghui Hospital bear this grievance? Tonghui's arrogance, the world's number one, work in his heart, which makes them more and more rigorous in the training and training of students.

Liu Pingchuan and Zhu Minhua are both targets of "focus on". Liu Pingchuan has the talent for neurosurgery, while Zhu Minhua has made great progress after being criticized, and is also regarded as a "creative material" by professors as desperately giving up small stomps.

However, Zhu Minhua himself never regarded "progress" as his strengths and strengths. He was under great pressure, so great that he could hardly do it, "Why can't I do it?"

People are indeed different. Zhu Minhua came to this conclusion almost a week after insomnia.

There are thousands of things in the world, and there are countless ways to solve problems. Zhu Minhua clearly realized that he could never look down on the shadowless lamp like Liu Pingchuan. He is not such a person.

But this does not mean that he has been wasting his time in the past eight years. As long as he still has this intention, Liu Pingchuan can still become a doctor himself. It’s just that unlike Liu Pingchuan, the doctor who is fighting in other fields - such as the emergency department that has just begun to be established in the hospital seems to be good.

"'Don't forget your original aspiration and keep your mission in mind', these eight words are not just for you to learn the history of the Party." Zhu Minhua said seriously to Yuan Ping'an after telling his own story, "A genius like Sun Lien is not the norm. People like us who work hard and study are the most common. The birth of a genius can promote the progress of the entire industry and discipline for several years or even more than ten years, but without ordinary people like us, the birth of a genius would have no meaning."

Yuan Ping'an's expression changed a little, and he asked in a low voice, "But I..."

"It's normal to be unwilling to give up." Zhu Minhua smiled and rubbed Yuan Ping'an's head, "Everyone is a person with both noses and ears. Why is he better than me?"

Yuan Ping'an nodded.

"Because people are different. Sun Lien's genius may be reflected in his diagnostic talent, or in his solid basic skills." Zhu Minhua said seriously, "But you also have your own genius. You can't just treat your genius as something that is not worth mentioning just because Sun Lien performs well, right?"

"You are the doctor I have ever met, the most suitable doctor for emergency diagnosis, and even more suitable than Sun Lien. He is good at rare diseases, but his judgment of common diseases may not be much better than you." Zhu Minhua patted Yuan Ping'an on the shoulder and said, "You will always face competition from countless people when running on the same track as others. But as long as you find the path you are good at and find your own track, you can become the person leading the way."

Genius is naturally enviable, but genius is not born.

In Zhu Minhua's view, everyone can be a genius - as long as you find your own path and run unswervingly on this path, a genius will be born.

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Sun Lien, who was recognized as a "diagnostic genius" by Zhu Minhua, was carefully reading the prescriptions prescribed by critical care medicine doctors for Dean Liu Lianzhi in his office outside the ICU.

Liu Lianzhi's current situation is pretty good. Sun Lien could see through the surveillance camera inside the ward - Liu Lianzhi is now leaning on the bed, holding his cell phone in his hand.

Although he is still relying on ecmo to maintain blood oxygen levels, at least Liu Lianzhi's vital signs are still stable. When he just entered the office, Sun Lien also heard Liu Lianzhi joking with his colleagues in the office in a hoarse voice through the intercom, "If I go to visit Donghu now, I will not even need to breathe from the east to the west!"

Liu Lianzhi's mentality is OK, and this is inseparable from his wife's careful care. The head nurse of the icu is Liu Lianzhi's wife. The two have not been able to see them since Yunhe closed down the city. Now they can get along day and night in the hospital again. I wonder what President Liu feels like.

I hope he can feel more comfortable... Sun Lien raised his eyebrows. He saw several traces of doctors' habits in Liu Lianzhi's treatment plan. After a rough count, at least seven or eight doctors have contributed their strength in this treatment plan.

For liver protection treatment, some doctors like to use polyolefinylcholine, some doctors like to use diisopropylamine dichloroacetate, while others consider giving some injections of ribonucleic acid.
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