Chapter 27 The three special places of encountering beautiful women again
Chapter 27: Three special places to meet a beautiful woman again
Seeing the smooth dripping of cerebrospinal fluid, Ye Nan breathed a sigh of relief. This puncture was finally successful and there was no need to penetrate the third time.
Ye Nan slowly pushed the needle back, temporarily stopped the cerebrospinal fluid from the needle tube, and then reached out to take out three test tubes from the bag to be penetrated, preparing to leave the cerebrospinal fluid specimens for testing.
Carefully line up the test tubes in your hand in a row in your right hand and place them below the patient's spinal syringe. Then gently hold the needle in your left hand and carefully pull it out at a slow speed. As the needle in your hand exits the needle, the colorless and transparent cerebrospinal fluid quickly drips from the needle into the test tube in Ye Nan's hand like a thread.
Seeing that the cerebrospinal fluid was gushing out so fast, Ye Nan raised his delicate eyebrows gently, and raised his heart, which had just been put down, thinking: "I didn't expect that the patient's skull pressure was so high. It seems that you have to be careful. You can't let the cerebrospinal fluid flow out too fast. If the intracranial pressure drops too quickly, a brain hernia will be over!"
After looking at the small tube of colorless and transparent cerebrospinal fluid in the test tube in his hand, Ye Nan thought: "Looking at the clear cerebrospinal fluid, there is no red blood mixture. It seems that subarachnoid hemorrhage can be completely eliminated, and the possibility of suppurative encephalitis is also very small. It should be certain that it is a viral encephalitis. As long as you send it for a test, it will be completely clear!"
When the three test tubes in his hand were dripped with a small tube of cerebrospinal fluid, Ye Nan quickly pressed the needle with his left finger to prevent the cerebrospinal fluid from flowing out for the time being. Then he handed the test tube in his hand through the nurse beside him, and explained: "Send it to the laboratory for routine and biochemical examinations of cerebrospinal fluid!"
After the nurse carefully reached out to catch the lower half of the test tube without touching the sterile gloves on his hand, Ye Nan nodded with satisfaction, took back his hand, and then took out a pressure measuring tube from his waist piercing bag, carefully put the lower end of the pressure measuring tube into the syringe, and began to measure the intracranial pressure.
As the pressure measuring tube was drawn out, the cerebrospinal fluid scale in the pressure measuring tube soared up rapidly. Ye Nanke was much more careful. He quickly pinched the top of the pressure measuring tube with his fingers, carefully blocking the pressure port at the top, causing the speed of cerebrospinal fluid entering the pressure measuring tube to quickly slow down.
Although this takes a lot of time, the safety is much improved, because if the cerebrospinal fluid flows out of the body too fast, it will lead to a sudden drop in the intracranial pressure and may also cause a sudden brain hernia. Only by allowing the cerebrospinal fluid to flow out slowly can the possibility of brain hernia be minimized.
Seeing the cerebrospinal fluid scale displayed in the pressure measuring tube slowly rising and gradually surpassing the 200 mm water column, Ye Nan also began to become nervous.
After half a minute, as the cerebrospinal fluid scale was still rising slowly, Ye Nan's brow gradually began to frown and he thought to himself: "The normal value is only 100-180 mm water column. If it continues to rise, this patient will be in a little trouble!"
But what should rise will still rise. Seeing the cerebrospinal fluid scale slowly rising by more than 240 mm water column, Ye Nan felt more and more nervous, and kept muttering with a sad face: "Don't rise, it will rise... If you want to rise again, my blood pressure will also rise... If you want to continue rising again, you will be a ghost if you don't have brain hernia."
Ye Nan was now obviously unable to stop and thought to himself: "You are the one who is born in the past. If you want to rise again, I won't do it anymore. I will just remove the tube and place a critical illness notice!"
It seems that there is still some smoke in the kid's ancestral tomb in his family, and his ancestors can still take care of some things. Under Ye Nan's prayer (of course, greetings to his ancestors is also considered a prayer), the cerebrospinal fluid scale finally stayed at the 250mm water column and no longer rose!
Ye Nan stared at the 250 scale with a bulge, staring at the scale for half a minute, and finally confirmed that it was no longer rising. He wiped his sleeves with his sweat and breathed a sigh of relief.
Carefully remove the pressure measuring tube, and insert the needle into the needle to block the cerebrospinal fluid so that it no longer flows out.
Everything was done. It was estimated that the cerebrospinal fluid released just now could slightly relieve the pressure in the skull. Ye Nan reached out and quickly pulled out the puncture needle, sealed the needle hole with a piece of gauze, and then changed the patient's position from the side to the flat position, which successfully completed the lumbar puncture surgery that made him frightened!
When the family opened the door, they saw that the operation was completed, so they rushed in. Ye Nan explained to the family members beside him: "Let the patient continue to sleep now. Don't touch him. Remember not to put a pillow on him. Just lie flat and let him sleep for six hours. I'll wake him up again!"
Seeing that the patient was sleeping well now, the family members did not shout loudly as if they were the first, they all nodded and agreed!
Ye Nanchao's father nodded and signaled him to come to the office, and then explained the patient's condition to him, mainly to inform him that the condition was serious and it was basically confirmed that it was viral encephalitis, and it was confirmed that the test results were only released.
He was sure it was viral encephalitis, but the patient's father was stunned and asked nervously: "Doctor Ye, is it really meningitis? Then my son will not become a fool in the future!"
Hearing this, Ye Nan laughed and shook his head and said, "It's generally not possible. As long as we lower his body temperature, there will be no problem; but the main problem now is that the pressure in your son's head is very high. If the pressure is not reduced in time, it is easy to have brain hernia. Once this occurs, then your son will be very dangerous! Do you know?"
"Ah..." I couldn't become a fool when I heard it. The patient's father was delighted, but then he was frightened by Ye Nan's words. His face turned pale at that time. He grabbed Ye Nan's sleeve and looked at Ye Nan with a trembling voice and said, "Doctor Ye, you must help my son reduce the pressure. I have only such a precious son in my family, but nothing can happen!"
Seeing that the other party was so nervous, Ye Nan quickly comforted him: "Please rest assured that we will try our best to treat this. Besides, there will be no problem. I just told you that there is this danger! Don't worry too much!"
After hearing Ye Nan's words, the poor man finally felt relieved.
Now that the patient's diagnosis has been basically confirmed, Ye Nan has begun to make a major adjustment to the drugs he needs to use.
First of all, Ye Nan gave some anti-inflammatory and antiviral drugs and antipyretic analgesics. Now the diagnosis has been cleared. What we need to use now is to add antiviral and intracranial pressure-reducing drugs. As for anti-inflammatory drugs, just use one!
Ye Nan opened the medical record and looked at the first doctor's advice. Now he used two antibiotics for the patients, one is the third generation of antibiotics that must be treated with cephalosporin, and the other is ordinary penicillin.
After thinking about it, he picked up the pen and Ye Nan signed his name and time in the disposal bar at the back of the mushroom biology, leaving only one penicillin.
Because viral encephalitis is mainly caused by viruses, the requirements for antibiotics are not too high; and although penicillin is very common, it has one advantage, that is, it has a very high pass rate on the blood-brain barrier, so it has a very good effect on intracranial infections.
The blood-brain barrier refers to the structure in which cerebral capillaries prevent certain substances (mostly harmful, including drugs, impurities, etc.) from entering the cerebral circulation of blood.
Although other advanced antibiotics are significantly more effective than penicillin, the rate of passing these drugs on the blood-brain barrier is extremely low. Even if they are used, they cannot pass the blood-brain barrier, which will not have any effect on intracranial infections. It is better not to use them! Moreover, the price of advanced antibiotics is usually relatively high, so in this way, it can save some money for patients!
Antiviral drugs, for viral meningitis, acyclovir is the first choice, but acyclovir needs to be used once every 8 hours to maintain the best effect;
As for reducing intracranial pressure, choose the most common mannitol, which has good effect and is cheap. Although using too much will have some impact on kidney function, this patient is a young person, so there is no need to worry at all! It’s just that the patient’s intracranial pressure is high, and it may take 8 hours to achieve the best effect.
After considering it, Ye Nan wrote in the medical advice: add 250ml of 5% glucose 5% glucose 025g intravenous intravenous infusion, q8h (once once 8 hours, three times a day); 125ml of 20% mannitol intravenous intravenous infusion, q8h.
Moreover, since the patient still has severe fever and is accompanied by severe vomiting, he cannot eat, and needs to protect the stomach and stop vomiting, and supplement with a lot of fluids and nutrition;
Therefore, Ye Nan continued to use 5% glucose 20ml plus 04g of cimetidine intravenous injection to protect the stomach; 10mg of gastrofuan intramuscular injection to stop vomiting; and also used 5% amino acid 250ml of intravenous infusion to replenish fluid and supplement nutrition!
After this, with the medicines that were first prescribed, the total liquid was 2,500ml, and the amount of liquid was basically the same. As long as you maintain this, control the intracranial pressure, if nothing unexpected happens, put a week of water on the patient, and the patient should be fine!
After throwing the doctor's order to the nurse, I found a few medical records and started writing the medical records. The medical records cannot be delayed. Once I delayed, I might not be busy and I have no time to write them. This is Ye Nan's experience.
"Shasha...sha..." Ye Nan's pen was scratching the medical record paper happily. As he was about to finish writing, his phone suddenly rang.
Ye Nan frowned and thought, "Who is fine and comes to me at this time, I'll be finished writing it soon, I won't be able to wait!"
But there was no choice but to take it, and call while writing: "Hey... Hello, I'm Ye Nan!"
"Ye Nan...I am Director Wu!" A low voice came from over there!
"Director Wu? Director Wu of the Medical Department?" Ye Nan was a little confused. What did he ask me for? But he was specialized in taking care of himself. Ye Nan quickly smiled and said, "Director Wu, hello, is there anything he has to do with me?"
"Well... Ye Nan, there is something I need to tell you!" Director Wu said helplessly.
Ye Nan heard Director Wu’s voice was not very good, and he had a bad premonition in his heart, but he still asked with a smile: “Director Wu, what’s the matter? I’ve listened to it!”
Director Wu sighed: "Ye Nan, don't be excited when you hear it. Here is a notice from the Academy Committee to criticize you and suspend your post!"
"What? Suspension?" Ye Nan was shocked, and the pen in his hand then made a long mess on the paper.
"It's like this. The hospital committee is not at ease with you during this period, but frequently contacts with various social media, appears in various media for a long time, and causes a large number of unrelated personnel to stay near the hospital for a long time, which has led to chaos in the hospital and has caused great obstacles to the smooth development of the hospital's medical work. We hereby report criticism and suspend it for one month to observe the results!"
Director Wu sighed after reading this handling notice and continued, "Ye Nan, your affairs have been very big recently. The Academy Committee is very annoyed by this, so he made this decision. So Ye Nan, don't be too heartless. Go home and rest for a while. When the popularity of this time is too high, come back to work!"
Ye Nan was still stunned by this matter at this time. After a while, he came to his senses and asked angrily to Director Wu: "The hospital suspended me because of this? I didn't make any mistakes!"
Director Wu said helplessly: "Ye Nan, I know you are wronged, but this matter was proposed by Vice President Xu and the Academy Committee has also approved it. There is no way to change it. Just think it is on vacation and rest for a while. It will be fine in a month!"
Ye Nan hung up the phone blankly, looked at the medical records in his hand, and said in a irritation: "I didn't mess with anyone, Vice President Xu took rat medicine, damn..."
Seeing Ye Nan's indifference after receiving a call, his colleagues rushed over and asked, "Ye Nan, what's going on?"
Ye Nan said this with a wry smile. His colleagues were all indignant and scolded Vice President Xu for not being a thing, but that he was really in charge.
But there was no way. The Academy Committee issued a notice, which could not be changed. He had to comfort Ye Nan well and let him rest for a while and wait for a month before coming back to work!
Since things have come to this point, Ye Nan has no choice but to hand over all the patients in his hands to his colleagues, then greeted the department director Wu Yuqin, and left the hospital.
Ye Nan drove the car and drove home directly, sighed with a wry smile, and thought, "Okay, I haven't had a long vacation for a long time, so I'll have a good rest for a while and relax!"
When he got home, he opened the door and shouted Fang Wei a few times, wanting him to accompany him to drink some wine and relax, but found that Fang Wei didn't know where he went. He called and turned off his phone, but he was afraid that he was hiding where he ran to the beauty.
Ye Nan, who was really bored, found it boring after going online for a while at home, decided to go to the military club that he hadn't been to for a long time to have fun, and at the same time he could relieve his suffocation.
He drove the car and rushed all the way. He watched the scenery around him roar like a shadow, surpassing countless cars, causing a lot of curses to burst out from the people behind him. Ye Nan slowed down his speed and let out a long sigh, slightly eliminating some depression in his heart.
I turned into the suburbs of the city and walked for another ten minutes before I arrived at the Central South Military Club, took out the membership card sent by Manager Wang last time, and successfully entered it.
He found the last time the beautiful woman. Ye Nan was not in the mood to talk to this enthusiastic little beauty now. After a few perfunctory words, he received a Type 92 pistol and 100 bullets, and adjusted the target to the farthest twenty-five meters, holding the gun at the target, and banging it randomly.
First of all, Ye Nan was shooting around ten guns simply as if he was venting his breath. Although he did not off the target, he looked like two, three, three, and four. But later, with a habitual aiming and shooting, Ye Nan's pupils gradually expanded, and the target in his field of vision also gradually increased.
The target twenty-five meters away looked like a volleyball, but gradually became as big as a wheel in Ye Nan's eyes. He aimed slightly at the nine rings and ten rings. Ye Nan's shooting became more and more convenient. When the dozens of guns behind him, the guns were all ten rings. Moreover, the twelve bullets in a magazine were actually shot in the same bullet hole.
Only after changing the magazine will a new bullet hole be opened, and then all the bullets inside the magazine will be shot into this bullet hole!
Ye Nan is no longer surprised by his ability, but it makes others stunned.
In the secret basement, the cold and beautiful woman from the special place was still the third place. She stared blankly at Ye Nan in the monitor, and watched him send all the bullets to the same bullet hole one by one!
After Ye Nan finished all ejaculation, the beauty came to her senses in a daze, turned her head and asked Manager Wang behind her, "Have you discovered that there are any special circumstances in Ye Nan recently?"
Manager Wang said respectfully: "Dr. Li, this is the first time Ye Nan has been to the club since last time. I just found some interesting news about him in the newspaper!"
The cold and beautiful woman was stunned: "After you said that it was his first time to come here to play after I came that time?"
"Yes, it's a coincidence that it's his first time here during this period!" Manager Wang replied with a smile!
Hearing this, a faint smile appeared on Dong Li’s cold face, but it was fleeting: “It seems that he and I are really destined to be together! Tell me, what news is there in the newspaper?”
"A few days ago, a hijacking case occurred at Central South Normal University. Two gun-armed robbers hijacked a group of students and confronted the police. It just so happened that there were two girls among the group of students, Ye Nan and the girlfriends of our club coach Fang. They both acted alone and in full view of the public, they climbed from the sixth floor into the fifth floor, and then rushed into the room where the robbers were. They successfully subdued the robbers and rescued everyone!"
Manager Wang said this and chuckled: "So, Ye Nan is quite famous recently, and all the media in Central and Southern China can find news about him! I also have videos of him saving people here, so you can check it out if you need it!"
The cold and beautiful woman nodded in surprise, with a strange light flashing in her eyes: "Oh...is there something wrong? Then take a look!"
Manager Wang walked up and clicked on the computer on the desk twice. Soon, the video of Ye Nan and Fang Wei saving people was filmed by Zhongnan TV Station on the opposite side appeared on the curtain wall!
"Are you brave enough?" The cold and beautiful woman looked at the thrilling action of the two of them climbing from the sixth floor into the fifth floor, and couldn't help but sigh, thinking: "The two of them did not carry any weapons, so they dared to rush in to save people like this, and they had not rescued the people smoothly. In the end, there was no news of using special abilities. It seems that Ye Nan really has two brushes!"
Now, the cold and beautiful woman became more and more interested in Ye Nan, and then ordered: "Look at what this kid is doing now?"
Manager Wang switched back to the monitor with the remote control, but found that Ye Nan had left.
Manager Wang was stunned, pressed the headset on his ear and asked in a low voice: "Where is Ye Nan who has just started to be an underground shooting range?"
After waiting for more than ten seconds, a message came from the monitoring center: "Ye Nan has entered the boxing ring on the second floor and is now in the locker room! Do you need to switch scenes?"
"No, wait until he enters the boxing ring, then switch!" Manager Wang quickly replied. If he really switches to the locker room, Mr. Li is afraid that he will get angry on the spot!
Ye Nangang felt that he was still not very angry after finishing a hundred bullets at the shooting range. He remembered that there seemed to be a boxing ring on the second floor, so he planned to go to the boxing ring, gather one or two people, and let out his anger!
Then he walked up the second floor, went to the locker room to change into a pair of boxing shorts, and walked out slowly!
Before we got closer, there were about a dozen people scattered off the field, and there were several familiar beauties, all staring at the stage with excitement and whispering from time to time: "Come on!"
And now the two people fighting each other on the stage are fighting back and forth, fighting with great sturdyness.
Chapter completed!