Chapter 45: Retreat as advance
Generally speaking, the head nurses in the ICU handle written work most of the time. Like other departments, the head nurses’ main job is to communicate prescriptions with the doctors and arrange nursing staff and related details. But after Liu Lianzhi moved in, the head nurses of the ICU would always wander around the ward. After seeing other patients, she would walk to Liu Lianzhi’s bedside, then hold his hand and whisper.
"Don't you regret marrying me?" This time, Liu Lianzhi's words to his wife were different from before. He seemed to feel a little panicked. He held Cai Huiping's hand and asked, "My body is too weak. If you get this disease, it's not good..."
"You, that slightest mind." Nurse Cai cursed with a smile, "Now I know I'm in bad health? I started asking you to exercise in the middle of last year. You guys are so good, just treat my words like wind in your ears, right?"
"I thought you said you wanted to exercise, but you were frightened by your cervical spondylosis." Liu Lianzhi asked after coughing twice, "How are you doing recently? Are you still dizzy?"
"I'm much better." Nurse Cai cleaned her husband's hair, "You should get better too. After you get well, let's go to Donghu together - I want to go to the lakeside."
"You haven't answered my question yet." Liu Lianzhi grabbed his wife's hand and asked, "Did you regret it?"
"Never before." Nurse Cai gently tapped her husband's forehead with her fingers, "Not once."
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After reading all the prescriptions and examination reports, Sun Lien decided to go home. Although these plans are somewhat different in their usual habits, they are just different in habits. The protection of various organs and the support and treatment of various vital signs are very detailed. It can be seen that Dean Liu's treatment plan is a result of the wisdom of multiple departments and even many top domestic hospitals. Sun Lien was divided into ten parts and then opened ten status columns, and 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 do one-fifth of this plan. The treatment arrangement is too detailed, and it is calculated in minutes in the order of medication intervals - A is used to continue treatment with a special plan B within three minutes after the use of the drug. If symptoms of C appear within half an hour, the plan B is immediately stopped and converted to D therapy. D therapy needs to last at least one hour, and then the indicators are reviewed... With such a strict arrangement, even if Sun Lien is stuffed directly into the ICU and let him deal with it, he will not be able to propose a solution so quickly.
This treatment arrangement also made Sun Lien smell a little... not very good. Most of the complex treatment plans for Liu Lianzhi were based on content such as "high-level life support" and "enhanced immunosuppression". To put it bluntly, in the end, it was still the same subject and the symptomatic treatment was carried out.
Symptom-based treatment is not a bad thing, but it is not necessarily a good thing. Symptom-based treatment means that doctors have methods to deal with the condition, but it also means... they have no other solutions to use.
Sun Lien waited for Zhu Minhua in the office for a long time, but he couldn't wait for the bald doctor. Finally, he sighed and decided to go to the door to look for it himself - the master and apprentice had no idea how much to say, but they had not finished talking yet.
After reaching the door, Sun Lien saw the two of them standing in a corner with the sun and sheltering wind. Judging from their status bar and body movements, it seemed that they were having a good chat.
"Are you still talking?" Sun Lien greeted the two of them, "Teacher Zhu, if you don't go on duty again, I think the teachers in the office can tear you alive."
This is of course an exaggeration. After hearing that Zhu Minhua came late because she wanted to provide psychological counseling for her students, she all expressed her understanding very generously. However... Sun Lien felt that his goal had been achieved - the "anxiety" status bar above Yuan Ping'an's head had disappeared.
"I have seen the plan... Anyway, with my ability, there is no place in the plan that can be adjusted." Sun Lien did not forget the main purpose of coming here. He said to Zhu Minhua, "Anyway, from my perspective, the whole plan is very suitable. Even the psychological counseling that has not been mentioned... I think there is a head nurse responsible for it, so there will definitely be no problem."
"Well... you think so too." Unexpectedly, Zhu Minhua not only did not show excitement, but was a little solemn. "I have already shown this plan to many experts, and they have no objection to it."
Zhu Minhua's expression made Sun Lien alert. He quickly asked, "Isn't that a good thing if I have no objection?"
"If it's another patient, that'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 always been bad."
Even though he had used plasma from recovered people and had used more than two units, Liu Lianzhi's condition was still not very good. He is still having fever, and the chest CT shows that the range of lesions in the lungs is still expanding.
"The plasma effect of recovered people is not very good. We are worried that the body of recovered people who donate the plasma is not enough," Zhu Minhua said. "The problem is that there are no sufficient means now and there is no condition to measure the antibody titer in the plasma of recovered people - after all, the plasma of recovered people is not enough. Even if we know that the titer is insufficient, this is a very precious blood product, and it is impossible to just throw it away."
"Then I can only apply for plasma again." Sun Lien frowned and said, "No one can do it. It will always work if you use it twice more, right?"
"There is too short of recovery plasma." Zhu Minhua said helplessly, "If it were other patients... we can apply for another view. But Lao Liu's situation is not very different. After all, he is a doctor. If he applies for plasma from recovery too many times, the impact may not be good."
"What's wrong with this?" Sun Lien suddenly became anxious, "That's a life! How can we not save people because of the bad influence?"
Working on Yunhe’s front line is actually a bit happy thing for doctors. You don’t have to consider the patient’s financial conditions, you can use it as long as you need treatment methods. It is really a kind of happiness for doctors to be able to achieve what you have learned to the extreme.
It would be great if I could work in my daily life and if I could do it when there was no new coronavirus.
Seeing Zhu Minhua's expression a little helpless, Sun Lien knew that there might not be any chance to apply for plasma here. He frowned and thought for a while, then asked in a low voice, "Why... I'll apply? If there is a suitable plasma sent, it's okay to transfer Dean Liu to my hospital, right?"
"He is not in good health, not to mention... how do you ensure that the newly applied plasma antibody titer is enough?" Zhu Minhua shook his head and sighed, "I can't help now. I can only hope that Lao Liu can survive."
Everyone knows what Sun Lien is doing, so Zhu Minhua invites him to consult again and again. If it only focuses on personal abilities 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 and conduct pre-match analysis, and find a young member of the provincial team to serve as a staff officer - this is unreasonable.
Sun Lien also played a very competent role. The treatment plan he proposed at the beginning did indeed have a certain effect. Now, Sun Lien's lively little brain has new ideas.
Then he was scolded by Song Wen so much that he was so bloody.
"I just have this idea..." Sun Lien held the phone half a meter away from his ear and explained guiltily. But Song Wen's roar was still shocking and the phone was buzzing. The most handsome middle-aged and elderly woman in the world cursed at Sun Lien, "You are ill in your brain?!"
Sun Lien, who is full of brains, once again put the existing rules and regulations behind his head. He proposed to extract blood of some patients who are in the recovery period and inject plasma into critically ill patients who cannot recover from plasma.
"What is the blood transfusion system for? It is to prevent people like you who have a trick on their brains and make random things!" Song Wen denounced, "How do you deal with the blood transfusion reaction? How do you suppress the pathogens in the blood? Without the support of the blood station, why do you make sure that the blood drawn from other patients is safe?"
"I can't be sure." After hearing Dean Song finally said this, Sun Lien, who had been scolded for more than ten minutes, finally waited for the opportunity he had been looking forward to. "But even if the recovered patients are willing to offer juice, they will 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 that plasma was rare now. Without enough antiviral drugs, Liu Lianzhi's condition was indeed very dangerous.
"You can't do it nonsense," Song Wen's tone became a little gentler. "I'll ask about plasma matters again... to see if I can coordinate more."
Sun Lien hung up the phone and then breathed a sigh of relief. He deliberately gave up this stupid idea and provoked President Song to scold him. It turned out that this trick he learned from Liu Tangchun would not be used a few times.
Song Wen is the captain of the National Emergency Medical Team of the entire Song'an Province, and is also the branch secretary of the temporary party branch. She speaks much more than Sun Lien.
As long as you can fool Dean Song into coming forward, the success rate of plasma for those who apply for recovery can be much higher. After all, Dean Song himself should also be very clear about how meaningful the successful treatment of Liu Lianzhi is. Not to mention anything else, it will at least make the colleagues in the hospital where Dean Liu is located.
Of course, in order to achieve his own goals, Sun Lien himself prepared a second set of plans. If Song Wen also felt that he should not continue to apply for serum for recovered people, then Sun Lien would immediately start to implement the second set of plans.
He planned to ask Guan Guxue to provide some breast milk and then directly give it to Liu Lianzhi.
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Sun Lien, who had been sleeping hard in the hotel, opened his eyes again, and it was already 6:40 pm. The most eye-catching news today was that the central leadership directly led the guidance group to Xiangbei Province to provide guidance on epidemic prevention and control. At the same time, the number of confirmed cases in the province has also begun to decline significantly - plus clinically diagnosed cases, a total of 2,420 confirmed cases have been reported in the entire Xiangbei Province, including 1,138 clinically diagnosed cases.
PCR's detection capabilities continue to rise, while the large-scale investigation of existing patients continues. In order to support the anti-epidemic work of other prefecture-level cities in northern Hunan Province, the country has decided to adopt a "one province, one city" plan to support the medical systems of other cities in northern Hunan Province.
The main responsible persons in northern Hunan Province and Yunhe City also made adjustments at the same time. From this decision, it can be seen that the central government believes that the main responsible persons in charge of saving and trouble have completed a stage of work. They completed the work from discovering diseases to changing the operation system of the entire government system, and this job cannot be done simply by talking.
When a hospital is facing the infection of the new coronavirus, the president, secretary and vice president are the most important backbone. They are familiar with the situation in the hospital. Only when they are in charge can the doctors in the hospital receive more targeted support. The adjustment of the positions of the main responsible persons in northern Hunan Province and Yunhe City at this time also proves that the situation in northern Hunan Province and Yunhe City is stable enough and the medical system has been fully operational.
While drinking water, Sun Lien looked at the news and looked forward to it. He hoped that the number of confirmed patients would gradually decline from tomorrow. He hoped that starting from tomorrow, more recovered plasma would be available for doctors.
At the same time, good news came from the WeChat group of Yunhe Infectious Disease Hospital - the oxygen pipeline that had been suspended for five days can be put into use again.
Five days ago, due to a large number of severe and critically ill patients being admitted to Yunhe Infectious Disease Hospital, the original oxygen pipelines and pressurized equipment of the infectious Disease Hospital could no longer meet the needs of use. Almost hundreds of patients had oxygen demand, but it turned out that the central oxygen supply equipment of the infectious Disease Hospital could only maintain about 100 people inhaling oxygen at the same time. The supply could not keep up with the demand, and the pressure of the central oxygen supply pipeline was not enough. In order to ensure that the severely ill patients could have enough oxygen, the doctors of Yunhe Infectious Disease Hospital had to travel back and forth between warehouses and wards again and again, just to get the oxygen cylinders needed for patients.
This issue quickly attracted the attention of relevant departments in Yunhe City. As the largest state-owned steel enterprise in the local area, Yungang Group quickly formed a professional expansion team. Together with other state-owned design enterprises, it completed the medical oxygen expansion project within five days.
Chapter completed!