I can see the status bar

Chapter 1028 D+4 day (3) (good news)

Waking up after a good night's sleep, Sun Li'en heard the first good news of his four days in Yunhe.

Brother Qian Guojian's fever has subsided.

Not only Brother Qian, but all twelve patients who received the triple therapy of tocilizumab, CRRT and gamma globulin showed improvement to varying degrees.Among them, the most obvious improvement is Qian Guojian - his blood oxygen saturation has risen to 98%, and other vital signs have shown satisfactory changes.

Sun Lien looked at the message sent by Professor Li Chengping on the phone, and was stunned for a while, then jumped up from the bed, jumped up and down on the floor with bare feet, and shouted "YES! Awesome! "

And that's not all the good news.

Uncle Shen woke up around two o'clock in the afternoon.

The ECMO support in VV mode keeps Mr. Shen's blood oxygen saturation at 100%.And after about two days of continuous treatment, he opened his eyes for the first time.

Although the person is still very weak, and can hardly speak.But Mr. Shen has indeed woken up.He can slightly nod and shake his head to indicate his needs, and he can drink some warm water, and even mumble the word "hungry".

This is all great news.Sun Li'en jumped on the ground more than a dozen times in a row, and only then did he calm down his excited mood a little.

A few minutes later, Sun Lien's mobile phone was filled with various messages.Not only were there inquiries from doctors among WeChat friends, but there were even dozens of friend applications—the ones who submitted friend applications to Sun Lien seemed to be doctors from other medical teams.

There is only one thing everyone asked, is it true that more than a dozen critically ill patients have improved?Dr. Sun, what treatment plan did you use to make these severe or even critically ill patients suddenly improve?
There are many severe and critically ill patients currently being treated, and many conventional treatments do not work well for these patients.Physicians are anxious -- even more so than families.As long as there is a little progress and hope, almost everyone's eyes will be on Sun Lien.

The other colleagues were very eager, but... Sun Lien encountered a very real problem in answering.

It is impossible for him to solve the treatment problems of all severe and critically ill patients in Yunhe.

The use of tocilizumab for anti-inflammatory treatment is a risky move-the instruction manual of tocilizumab clearly mentions that one of the contraindications to the use of drugs is "the patient has a serious infection."

This biological agent itself is a drug that can effectively suppress the immune system. The use of immunosuppressants in infected patients must be done with caution.

Patients who received tocilizumab treatment in North Fifth District did not start treatment until doctors repeatedly confirmed that there were no bacterial and fungal infections.And in order to prevent possible outbreaks of infection, all patients who received tocilizumab were also treated with imipenem prophylactically.

This can be regarded as a little basic guarantee, but during the whole treatment process, the members of the Song'an Provincial Medical Team were still extremely uneasy.I'm afraid that something serious will happen.

Among the critically ill patients, a total of three received tocilizumab, and all of them had undergone tracheostomy.Therefore, it is very important to care for the wound of tracheotomy.Director Lu specifically warned that nearly half of the patients receiving tracheostomy in the ICU may develop infection, and the situation of these three patients is particularly dangerous.

Sun Li'en and the others had to work hard on the treatment of the patients in the fifth district of the North. For the patients in other places...the situation was even more complicated.There is no status column, only relying on a large number of inspection reports... Sun Lien really can't tell whether these patients can receive tocilizumab treatment.

Moreover, Sun Li'en is just an ordinary person with one pair of hands and ten fingers.Facing dozens of urgent inquiries from hundreds of doctors, he really... couldn't answer all of them.Even with all voice, it would take a long time.

"I was asked by a bunch of people, right?" Just when Sun Lien had a headache, Song Wen made a direct call to Sun Lien's mobile phone, "I guess you are having a headache now, how should you deal with this group of overenthusiastic people?" What about the guy...isn't it?"

"Dean Song, have you installed a surveillance camera in my room?" Sun Lien expressed his agreement with Song Wen's judgment with a joke, "You crushed me into pieces with a grinder, which may not be enough for everyone."

"Then don't be one-on-one." Song Wen laughed twice, "Your qualifications were slightly inferior, but the usage of tocilizumab is indeed an innovation—and now, the effect is not bad."

Sun Lien didn't ask what Song Wen meant by "weaker qualifications". He just corrected and said, "Tocilizumab has some effect now, but it doesn't necessarily have a good effect in the future. This must be fully experimental. treatment, and then we can judge whether it is worth promoting.”

"It's good that you have this attitude." Song Wen nodded, and then continued, "You will start to add an extra burden tomorrow—you have to participate in the joint meeting of medical experts in Song'an Province."

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A 28-year-old vice-high is an intimidating achievement.But even more frightening than this achievement is a 28-year-old deputy senior doctor who is eligible to attend the joint expert meeting.

When Sun Lien turned on the computer in the hotel and started a video conference, his heart rate had already accelerated to 120 beats per minute.Not because of nervousness, but a little excitement.At this level of conference, the participating experts are all leaders in various fields. At least in the field of critical care and circulation, he can get feedback at any time whenever he has any questions.Such a useful think tank, if you have any other treatment-related questions, you should be able to get answers quickly-at least you don't need to call an expert from the medical school at four o'clock in the morning to ask questions.

The video started, and Sun Lien, who was full of anticipation in his heart, suddenly felt cold after seeing the "experts" attending the meeting clearly.This... isn't this all old acquaintances?

In addition to Song Wen who presided over the meeting, Liu Pingchuan and Chen Tianyang also attended the meeting, and there were several professors from the medical school who should be still in Ningyuan.

In addition, Sun Lien also saw the director of the emergency department Zhu Minhua who had met several times in the co-operative.And two middle-aged doctors who have never met, but look very serious.

"The new person attending the meeting is Director Sun Lien, who received treatment from North Fifth District at Yunhe Infectious Disease Hospital." Song Wen made an introduction for Sun Lien, "He is the youngest deputy senior in our college, and he is also the administrative director of the Comprehensive Diagnostic Center The triple therapy of tocilizumab, CRRT and gamma globulin, as well as the current plasma treatment plan for convalescents, were also proposed by Director Sun.”

"Hi, seniors." Sun Lien nodded towards the screen very "obediently", and then said, "The previous treatment plan still has many deficiencies, and I hope all the seniors can correct it."

"Director Sun is too polite." A strange doctor who looked about the same age as Liu Tangchun said, "Dean Song said that the triple therapy you proposed this time, Director Sun, has improved more than a dozen critically ill patients. This We are very concerned about the huge progress, can Director Sun explain the relevant details to us?"

(End of this chapter)