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Chapter 1027 D+4 day (2) (must win)

When Sun Lien was off work, he received "bad news" from Dr. Pascal.He also had no clue about the criteria for using convalescent serum.

"From the perspective of the mechanism of this infectious disease, I personally suggest that the serum of recovered patients should be used at least before the patient becomes critically ill." Although he has no clue, Dr. Pascalari still has an "empirical" view .More importantly, this view is also highly consistent with Sun Lien's own. "For critically ill patients, the most important factor threatening their lives is no longer viral infection, but immune damage caused by viral infection."

"This can be controlled with the tocilizumab we talked about before." Sun Li'en replied, "The clinical trial request for tocilizumab has been approved, and I used it on the first batch of patients yesterday."

"Then it doesn't make much sense to use convalescent plasma for them." Dr. Pascale said, "The significance of convalescent plasma is to quickly reduce the viral load in their bodies, and the purpose of rapidly reducing the load is to reduce them. The damage to the lungs -- as it stands now, the damage to their lungs is mostly caused by an overreaction of the immune system."

"Therefore, the serum of recovered patients should be given to patients who are not suitable for tocilizumab." Sun Lien suddenly realized that many patients were excluded at once.

"At the same time, patients with a prolonged course of disease should also be avoided." Dr. Pascal on the other end of the phone reminded, "The course of disease is too long, even if their own immune function is low, the damage caused by the virus has already formed."

In the second half of the sentence, Dr. Pascal didn’t say it clearly, but the meaning is already obvious—giving such patients the plasma of convalescents, even if the virus in their bodies is eliminated, will not help, and the damage to many organs is a foregone conclusion.It's like hammering a nail into a tree.It's always a good thing for a tree that the driving of the nails stops and the nails are pulled out.But not every tree can withstand the damage caused by nails.

For trees that are already...weak, it makes little difference whether the nails are uprooted or not.They can't stand it in the end.

Since it doesn't make much sense, don't use the precious convalescent plasma on these patients.This is what Dr. Pascal means.

"...Okay, I see." Although emotionally unacceptable, Sun Lien also understands that this is the best way at present.Thinking on the bright side, preventing other patients from turning from severe to critically ill can at least save some medical resources.These extra medical resources can be used for the treatment of patients who have developed critical illness.

At least it can make the last journey of these patients... a little more comfortable.

Sun Lien hung up the phone and turned around to find Professor Li Chengping who came to take over.And I conveyed the plan I discussed with Dr. Pascal to Professor Li.

"There is nothing wrong with this plan." Professor Li Chengping nodded thoughtfully.Sun Lien's plan is indeed very complete, taking into account not only the patient's tolerance, but also the preciousness of plasma.More importantly, this set of plans is not only stable-it also balances the patients who are "not suitable for plasma therapy".

"Director Lu and I will meet again. If there is no problem, let's implement this first." Sun Lien nodded and said, "When will the ECMO that Mr. Li mentioned earlier be in place?"

"I'll remind you again." As soon as this was mentioned, Professor Li Chengping looked helpless, "They have to borrow ECMO from the hospital, and there are too many procedures to die. And the leaders of the hospital are also a bit... too petty. Bottles and jars Yes, this one is reluctant to let that one go—they don’t have a doctor who can use ECMO!”

Sun Li'en suddenly became a little stunned, and the image of Professor Li Chengping in front of him immediately overlapped with Liu Tangchun to a high degree.

"Anyway, don't worry, Director Sun." After scolding Yunhe's hospital manager a few words, Li Chengping's temper calmed down a little.He patted his chest to Sun Li'en and said, "Even if you take someone to grab it, I'll grab this set of ECMO back for you. Old Li keeps his word. If they dare not give it, I'll go to Yunhe Health Commission to file a complaint."

The front foot said it was going to grab, but the back foot turned "mildly" into a complaint.Such a change finally dimmed the double image in Sun Lien's eyes a little bit - if Liu Tangchun wanted to say to grab it, then he really wanted to grab it.Sun Li'en had even seen such a scene, there must be nurse Xiao Guo and Director Han Wenping among the people who went with Dean Liu.Under the care of these two "beasts of the town", Liu Tangchun felt as if he had entered the land of no one, and led a group of people up and down to search the hospital that was reluctant to accept ECMO.While taking away the equipment and a large amount of consumables, they might have to poach two young and promising doctors to vent their anger.

Sun Li'en chatted with Professor Li Chengping for a few more words before turning around and leaving North Fifth District with other doctors.Sitting on the bus, Sun Li'en was a little confused why he suddenly thought of Liu Tangchun just now, and why the hospital "looted" by Dean Liu and other doctors from the Fourth Hospital in his imagination looked so much like the Second Central Hospital of Ningyuan City.

After pondering for a few minutes, Sun Lien suddenly realized when he saw the empty street and the residential area closed by orange water horses in the distance.

He is homesick.

It has been four days since I left Ningyuan.In this unfamiliar place, Sun Lien led more than 100 medical staff—more than 80 of whom had never even met before—to fight against a strange virus that humans encountered for the first time.Secretary Chen said to Sun Lien that "one of these colleagues must not be missing", Song Wen said to Sun Lien, "This is a war", and those patients... those patients who were infected with the virus said to Sun Lien with their eyes and vital signs, "Save help me".

He was under too much pressure.Although never in the mind, subconsciously, home has always been a place of relaxation and peace of mind.During times of stress, it is easy to become homesick.

Sun Li'en sighed, he missed not only his home in Ningyuan.What he misses, at the same time, is that place without so much pressure.

In other words, what he misses is that the new coronavirus has not yet spread in the world, there are not so many patients, there are no warning signs everywhere, and there are not so many days when it is necessary to make short decisions about the life and death of patients.

Sitting unsteadily on the bus and looking out, Sun Lien suddenly seemed to hear something vaguely.

The brother driver who was driving the car was stunned for a moment, then he opened the window and listened.Then, he braked and stopped the shuttle bus directly on the side of the road - the roadside was not too far from the residential area blocked by the water horse, about 20 meters away.

The medical staff who were half asleep and half awake in the car were taken aback by the brake.Everyone woke up from the dream, and then looked out of the car in horror.They thought there was an accident with the vehicle.

The driver master stopped the car, opened the door of the cabin, and jumped down by himself.After a few seconds, Sun Li'en saw the driver standing outside the water horse with his head half raised, his head motionless, and his body shaking slightly.

A voice drifted in through the car door.The rhythm and tone of this voice were very familiar, so familiar that Sun Lien was a little surprised.

Outside... it looks like the national anthem is being sung.

Discussions suddenly rang out in the car, and after a few seconds, the medical staff in the car reached a consensus—get out of the car and take a look.

Twenty or so people got off the bus, and the sound echoing on the street was heard in everyone's ears.This is indeed the national anthem, although it sounds a little out of tune, it sounds a little out of rhythm, and it even sounds a little broken.

But at least Sun Li'en suddenly felt that his soul had been hit by a heavy hammer.He even felt that his hands were trembling, and his whole body was trembling.

"Get up, people who don't want to be slaves..." The national anthem echoed on the streets of Yunhe, and the doctors and nurses who got out of the car also began to sing, the voice became louder and louder, it seemed that with the singing, the previous Exhaustion and stress all floated into the sky.

Sun Lien also participated in this sudden chorus.He almost exhausted all his strength and sang along, "The Chinese nation has arrived, the most dangerous time!"

He sang along, tried his best, and burst into tears like other colleagues.

"Get up, get up, get up!"

"We are united, marching against the enemy's artillery. Braving the enemy's artillery, advancing, advancing, advancing!" The chorus entered the end.The singing stopped, but louder voices came from the residential area.

"Come on, Yunhe!" "Come on, China!" "We will definitely win!" Huge voices were mixed with strong belief and strength, resounding through the streets of Yunhe.It seems that billions of people are screaming at the unfair and despicable fate-we will not back down, the victory will be ours!

The brother driver who stopped at the beginning also shouted a few words, and then turned his head to see the doctors he was pulling were also standing behind him.He hurried over and said embarrassingly, "My house is here, and I couldn't hold back listening to the neighbors singing..."

"The national anthem must be sung by everyone." Sun Lien wiped the tears from the corners of his eyes, and then said with a smile, "Yunhe...is indeed a city of heroes, and the people are also the people of heroes."

"You are the heroes." The driver brother said seriously, "The ones who can come to Yunhe to help us pass the level at this time are all heroes."

The other doctors began to get on the bus gradually, and Sun Lien said to the driver brother, "The people are the heroes, have you heard that? The deafening cry just now."

The driver brother nodded, and he asked worriedly, "Doctor, can we...can win?"

"Why not? Of course we can!" Sun Li'en has never been so confident. "Just with the national anthem just now, and with the action of you stopping the car just now, brother, we will definitely win, and we will definitely win! In this world, if even If none of us can win, then no country can defeat this disease. We will definitely win this battle!"

(End of this chapter)