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Chapter 514 Accidental Discovery
Lumbar puncture is an important examination method for detecting central nervous system infection, but because of the considerable risk of implementation, this examination has always been performed by doctors in hospitals.

Todd was only nine years old, and he was still within the scope of pediatrics.Performing a lumbar puncture on a child this age is difficult, and doing it while he is struggling with pain raises the level of difficulty and risk.The doctors in the emergency department of the affiliated hospital discussed it, and finally decided to invite the doctors of pediatric neurosurgery to perform the lumbar puncture.

Sun Li'en called Lao Pa from a little further away, and explained the current situation. "I think it's meningeal irritation, but I can't do a more detailed examination here. The emergency department of the affiliated hospital is relatively limited. If the MRI can't be taken within half an hour, I suggest that Todd be directly transferred to our hospital. In the yard."

Pascal on the other end of the phone was silent for a while, "I agree with you, you can communicate with Isabella directly. Do you need me to contact the ambulance in the hospital?"

"I'll do it." Sun Lien rejected Dr. Pascal's suggestion to get involved, "If you feel uneasy, then simply let Dean Liu take over..."

Before Sun Li'en finished speaking, he was interrupted by Pascal, "No, no one else can help with the work here except me." He took a deep breath, "I will leave the matter of Todd to you , After the work here is over, I will join you immediately."

The liver transplant operation is still in progress, and Chen Tianyi's mother has been pushed out of the operating room.Both Xiao Yanran and Chen Tianyi are still undergoing liver resection.Estimated from the timing, Xiao Yanran should be the one who ended the operation last.Dr. Pascale needs to continue to monitor her condition after surgery, and then adjust the immunosuppressive regimen at any time.

For a while, he really couldn't leave.

Sun Lien hung up the phone, and went to communicate with Director Wei about the timing of the MRI sequence.However, the results obtained this time are still not ideal-Todd is considered a second-level patient in the emergency sequence, and if there are other first-level patients who need MRI examinations, he has to give way to others.

"Transfer to another hospital." Sun Li'en sighed, and explained the situation to Xu Yourong and Isabella, "Yourong, you should contact the team in our hospital now and ask them to send an ambulance to prepare to pick him up. Yi Sabella, you directly tell the doctor here that you need to be transferred, and then sign the consent form and notification form. I will contact the imaging department and ask for an MRI to be left there. After Todd arrives at the hospital, he will go directly to the imaging department .”

After arranging the division of labor, Sun Lien walked directly into the emergency room of the affiliated hospital, which was both familiar and unfamiliar, and found his teacher who was still in the internship without any difficulty, "Mr. Wang, that American kid is going to be transferred to us. Go to the hospital, and tell the pediatric teachers not to rush over and give him a lumbar puncture."

After the lumbar puncture, he needs to lie down and lie still. If Todd had the lumbar puncture now, he would have to lie down in the affiliated hospital for at least six hours.This is obviously not conducive to subsequent transfers.Therefore, Sun Li'en simply stopped the puncture on him and prepared to wait for the transfer.

"Then give him a bottle of mannitol." Teacher Wang was stunned when he saw Sun Li'en, and then laughed, "You have learned from Liu Tangchun badly. He poached doctors from the fourth hospital, so you go to the fourth hospital." Poach patients?"

"Mr. Liu went to Africa to support medical treatment." Sun Lien replied with a smile, "You don't know? The father of this child is an American expert in our hospital. It is relatively convenient to go back to the fourth hospital for examination."

Teacher Wang shook his head, "I really don't know about Liu Tangchun's going to Africa." He asked curiously, "Is this old Liu going to go further? It's a good thing."

"I don't know about that." Sun Li'en shook his head, "I've heard of similar claims... But no one can say for sure about this kind of thing. Maybe Director Liu just offended our Dean Song and was assigned Did you go to Africa?"

Song Wen is not only the dean of the Fourth Hospital, but also the dean of Ningyuan Medical College.When Mr. Wang heard this, he shivered immediately, then nodded and said, "I think Dean Song can do this."

A bottle of mannitol was given to Todd to prevent serious consequences caused by increased intracranial pressure. The affiliated hospital basically did everything they could.About 15 minutes later, the ambulance from the Fourth Hospital stopped at the transfer passage, Xu Yourong and Isabella got into the ambulance together, while Sun Lien trotted all the way to the parking lot and drove back to the hospital.

For him, although Todd's disease is not very clear, at least one thing is certain - he needs to complete the examination as soon as possible, and then start symptomatic treatment immediately.Although meningitis does not sound like a terrible disease, it can also kill people.What's even more frightening is that even if many meningitis patients survived, they would still have very serious sequelae in the end.Tao De was only nine years old, and Sun Li'en felt very uncomfortable when he thought that this serious-looking little guy would always have facial paralysis or simply become a drooling idiot in the future.

Fortunately, it was discovered early enough and fast enough.He could only try so hard to comfort himself. It took less than ten hours for little Todd's meningitis to attack, so there should be still time.

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"The situation is not very good. His intracranial pressure can't drop." When Sun Lien arrived at the Fourth Hospital, the first news he got was bad news.Xu Yourong frowned and said to Sun Li'en, "He passed out on the way, I checked his pupils...the sides are not equal to round."

Sun Lien was taken aback, "Why is it progressing so fast?" He turned around anxiously, "No, we can't wait for the MRI... Immediately arrange emergency surgery, take out the cranial flap to relieve the pressure, if it continues, it will cause a herniation .”

"That's what I mean too." Xu Yourong nodded, "I'll let Teacher Dong Xin and the others prepare for the surgery. I can't do this surgery."

When Xu Yourong was studying in the United States, he had a very close relationship with Dr. Pascal's family. Little Todd could even be said to have been watched by Xu Yourong growing up.With such a close relationship between the two, she was indeed not the right candidate to perform the operation.

"Let me go take a look..." Sun Lien sighed, he didn't know what he could do in the operating room, but he always felt that Pascal had entrusted him with the child's affairs, so he had the responsibility to take a look Condition.

In the operating room, Shenwai's surgical team was nervously preparing for the preoperative measures, and Sun Lien followed after changing into the surgical gown.

Dong Xin, the chief surgeon, knew that Todd was Pascal's son, and also knew that Sun Li'en was entrusted by someone to come over to check on the situation.While directing his team to make the final preoperative preparations, he said to Sun Lien, "Since you are here, I will leave the job of shaving your head to you."

Craniotomy requires incision of the scalp, and before that, of course, all the hair on the head needs to be shaved off.Usually this kind of work is done by nurses, but it’s not a problem to ask a professional trainer to do it—just use a razor clipper to push all the hair off, there is no difficulty in operation, and there is no risk.

Of course, if it comes to specific cases, the biggest risk of Sun Lien shaving Todd's hair by himself is that he will be hated in the future - this kid really values ​​his hairstyle.Usually rubbing his head would provoke serious protests, but if he was shaved into a small bald, wouldn't he be hated to death?

Sun Li'en nodded with a wry smile, took over the shaving clipper, and began to shave off Todd's wet ginger hair.

The hair gradually fell off, revealing the blue skin.Halfway through the shaving, Sun Lien suddenly said "Huh?"

"Is there any problem?" Dong Xin came over. The preoperative preparations were basically completed, and the only thing left was to start intravenous sedation, anesthesia, and intubation.

"This..." Sun Li'en frowned, pointing at Todd's scalp, "This thing... is it a tick?"

A small green-brown pimple appeared on Todd's scalp, and if one looked closely, one could see several tiny legs that did not match his body at all.

(End of this chapter)