He glanced at Zheng Ren and Su Yun who were sitting next to him, and said contemptuously: "If you have two security guards and pretend to be doctors in white coats, do you think everything will be fine?"
"Hey, who said we were security guards?" Su Yun was eating melon and watching the fun, but unexpectedly, he got caught in the act and said unhappily.
"Boss Zheng, Doctor Su..." Lin Ge didn't expect the artillery fire to extend, and he was a little panicked at this time.
I just dealt with this dispute and didn't take it seriously. But he didn't expect to bring Boss Zheng in and cause trouble.
"Don't make trouble, Su Yun." Zheng Ren held Su Yun down and said with a smile, "You guys talk, Su Yun and I will wait."
"You guys are wearing white coats, come here and tell me why pills come out of your stool." The middle-aged man said.
He felt that Ringer was too difficult to deal with and would not hold back. These two young security guards, who probably didn't know much, happened to be sitting here.
As a young man, you may say the wrong thing. Once you catch yourself, it's fun.
"Nifedipine controlled-release tablets are indeed not completely absorbed." Zheng Rendao: "The situation you encountered is the most common situation."
"Common?" the middle-aged man sneered, "Then why haven't I heard anyone else say it?"
Zheng Ren wanted to say that not many people looked back after defecating.
But you can't say this, because if you say it, you'll get into a fight. Although I am not afraid of fighting, it would be bad to beat someone up.
"Boss Zheng, you..." When Lin Ge saw Zheng Ren talking, he was about to ask you about nifedipine controlled-release tablets, but he felt so stupid before the words came out.
Can Boss Zheng not understand
You can't think of him as a little clinical doctor. He is a visiting professor at Mayo.
"This gentleman, Professor Zheng, a visiting professor from the Mayo Clinic, is here. Let him tell you." Lin Ge said slowly.
Mayo Clinic? what is that? Sounds like a small clinic. Is it in Sanlitun or Zuojiazhuang
The middle-aged man said disdainfully: "What do doctors in the clinic know?"
"You have time to check the Mayo Clinic online to avoid misunderstandings." Ringer smiled and did not continue to explain.
Zheng Ren searched for it, took out a piece of paper from the printer, walked to the coffee table, and said gently: "Then let me explain."
"Nifedipine controlled-release tablets are indicated for hypertension or chronic stable angina pectoris due to coronary heart disease." Zheng Ren's voice was thick, with an irrefutable feeling.
"If you have read the instructions carefully, you will notice the warning. Please do not bite, chew, or break the tablets. After the active ingredients are absorbed, the empty tablets are completely excreted through the intestines." Zheng Rendao.
"What?!" The middle-aged man was startled.
He didn't believe what Zheng Ren said at all. Just looking at Zheng Ren's expression and the calm way he spoke, he felt a little panicked.
From his demeanor and expression, the middle-aged man could tell that what Zheng Ren said was true!
"Director Lin, print out a note for him." Zheng Ren looked at the middle-aged man and said.
Ringer stood up, went to the computer to open the file, found the instructions for nifedipine controlled-release tablets, and clicked to print.
"The nifedipine controlled-release tablets currently sold in hospitals come in two specifications. One is produced by Bayer in Germany, and the other is made in China." As he spoke, Zheng Ren glanced at the sealed plastic bag on the coffee table. "Looking at the structure, it should be an imported drug, produced by the German company Bayer."
"If I remember correctly, there are similar instructions in point 8 of the instructions for imported nifedipine controlled-release tablets."
Ringer came to the middle-aged man with a piece of warm A4 paper and handed it to him.
"Eighth point, this product has a non-absorbable shell, which allows the drug to be slowly released into the human body for absorption. When this process is completed, complete empty tablets can be found in the feces."
The middle-aged man followed what Zheng Ren said and found the eighth point of caution effortlessly.
His face suddenly turned pale.
"This is impossible!" the middle-aged man whispered.
"If you think it's impossible, or if there are any problems with the documents here, you can go home and read the instructions for the nifedipine controlled-release tablets you bought." Zheng Ren smiled slightly, "It should be no different from the instructions printed by the medical office. .”
Director Lin lamented that in his lifetime of work, he had encountered dozens of patients with such objections. Until now, I can only explain it to him with the manual.
Point 8 of note…
I won't remember it in such detail.
Boss Zheng has a really good memory, but do they often use nifedipine controlled-release tablets in the interventional department
"How is this possible?" The middle-aged man muttered in surprise, "How come there are empty pills?"
"Sir, the effect of controlled-release tablets is different from what we usually think of as drugs." Zheng Ren explained gently: "Take the nifedipine controlled-release tablets you are taking as an example. It is a dual-chamber osmotic pump controlled-release preparation. "
"The characteristic of this preparation is that its dosage form shell does not change during the release process. The push layer absorbs water and expands, releasing the active ingredients through the small holes in the semipermeable membrane."
While talking, Zheng Ren drew a circular three-dimensional structure on the A4 paper.
Because the height is relatively small, it doesn't look like a cylinder.
The middle-aged man thought it looked familiar. It was the nifedipine controlled-release tablet he had taken that had been magnified more than ten times.
"The outer shell of the dosage form may be retained intact in the body and excreted with the stool."
"Then why didn't you tell me?!" The patient was a little angry, thinking that he had been deceived and tricked by the hospital!
"That's right, you go home and look at the outer packaging of the medicine. If I remember correctly, the top of the front is on a red background with white writing, and the words Nifedipine Controlled Release Tablets are written on it." Zheng Ren said, Draw what the pill box looks like.
The middle-aged man was speechless, not knowing what Zheng Ren was talking about.
"Below is a yellow stripe with the trade name of the drug written on it. Further down, to the right of the center, there is a box that says Do not bite, chew, or break the tablet. After the active ingredients are absorbed, the tablet will be empty. Complete intestinal elimination."
"..." The man was speechless.
Zheng Ren's painting was so lifelike that he vaguely remembered similar images in his mind.
But is this really written on it
Ringer brought over another piece of paper, which was an image of the outer packaging of nifedipine controlled-release tablets.
Sure enough, just as Zheng Ren said, a paragraph was divided into four lines and appeared in front of the man.
"It's okay, it's just a misunderstanding." Zheng Ren smiled and said, "This is a normal situation. Even if you are a medical doctor, not everyone clearly knows how the controlled-release tablets work."
After speaking, he pushed the A4 paper with the structure and outer packaging of the pills toward the middle-aged man.
"Yes... I'm sorry."
…
…
Note: Perhaps 80% of local medical staff will not know this.