"Boss Zheng, you are here too." When the patient was sent to the ICU, the resident general saw Zheng Ren at a glance.
"I happened to be on my way to the emergency department. I came over when I saw him." Zheng Ren had no intention of coming in. He was also busy rescuing people over there, so he just wanted to say hello.
"Family members who know the situation, please leave a few at the door. I will understand the medical history in a moment." After the ICU resident said this, he hurried back.
On her side, she directed several trainee doctors to prepare for rescue.
Stabilize the patient's condition first, and we'll talk about the rest later.
Zheng Ren and Su Yun looked at each other, then went in and changed their clothes.
"Boss, why do you suspect poisoning?" Su Yun asked.
"Yes. When the patient went to the district hospital for kidney stones two days ago, there was no problem. At that time, the only thing that bothered her was ureteral stones, which caused severe pain. Under the outpatient information, there was a payment receipt, and I saw 654- 2."
"The antispasmodic effect of 654-2 is not good. Normally, it requires an intramuscular injection of pethidine." Su Yundao said.
"Perhaps the emergency doctor is unwilling to prescribe poison and numbing medicine." Zheng Ren said.
"Although I am very resistant to your confidence, you are right about this. Many people are willing to try 654-2 first. If it works, there is no need to prescribe poison and numbing.
Nowadays, the control of narcotic drugs is becoming more and more strict. By the way, boss, there will be an exam for narcotic drugs in the afternoon in 3 days. I suggest you take the exam, because I definitely won’t go, and Chang Yue may not be able to concentrate on reviewing.
If our medical team does not have the right to prescribe poisonous anesthetics... Well, you can also use Director Kong's job number. "Su Yun shrugged and expressed with actions and words that he would definitely not take the exam.
"..." Zheng Ren pretended not to hear.
What the hell are exams? That’s what the little doctor has to do.
"You will know it after reading it once. Why do you always worry about looking like a scumbag in exams?" Su Yun was puzzled.
"Exams waste time." Zheng Ren said: "With that time, I might as well do two more surgeries. Even if there are no difficult surgeries, it would be good for me to accompany Mr. Cui out of the clinic."
"This is a rule!" Su Yundao said, "You still have to do a lot of things you don't like, and then you will grow up."
"I can call Ling Ge." After Zheng Ren said that, he took out his mobile phone and called Ling Ge directly.
"Director Lin, I have something to trouble you." Zheng Ren said.
"Boss Zheng, tell me." Lin Ge expressed surprise at the sudden call from Zheng Ren.
"Is Du Ma Fang's exam the day after tomorrow? I should have something to do. Do you think you can..."
"Boss Zheng, are you talking about the poisonous hemp prescription?" Lin Ge was stunned by Zheng Ren's words.
He never expected that Zheng Ren would come to him for such a big deal. But just as soon as he changed his mind, Ringer was overjoyed.
No matter how big or small, this is the same thing!
"As busy as you are, doctors at the level of chief physician or above can participate in the simplified procedure." Lin Ge didn't wait for Zheng Ren to speak, and immediately said: "As for you, I will make the record. We are all lifelong residents of Massachusetts General Hospital. You’re a professor, why do you still need to take this test?”
"Well, if I don't take the exam, I'm worried that our medical team won't have the authority to prescribe poisonous and numbing medicine." Zheng Ren was helpless.
"Don't worry, leave it to me." Lin Ge smiled and said: "I happen to be helping in the Science and Education Department. This matter involves the Medical Department and the Science and Education Department. I should be responsible for it. I'll go check it out. You are busy with your work. Don’t worry about this.”
"Thank you then." Zheng Ren smiled.
"Boss Zheng, you're too polite." Lin Ge smiled.
Zheng Ren hung up the phone and saw Su Yun smiling mischievously, knowing that this was the purpose of what he said to him.
Although it is a small pit, I must step on it. The shouting of "boss boss" is not for nothing.
If something really happens, you have to take care of it yourself. Shouting for me and rushing with me are two different concepts.
"What do you think about this patient?" Su Yun brought the topic back.
The two of them were not in a hurry to go in and check out the situation, because this was the busiest time inside. After all operations are completed, it will be too late to go in again.
"I just mentioned 654-2, but you interrupted it." Zheng Ren said: "Using 654-2 is effective, and the B-ultrasound also showed stones in the ureter, which means that the patient's symptoms and diagnosis last time were correct. "
"You mean this is an emergency?" Su Yun said: "Considering poisoning? Or something else."
"There was no trauma, and the patient was even in good condition when he arrived at the hospital. After we entered the room, I saw that the patient's lips and eyelids were pale. His blood pressure should not have been that low at that time."
"I guess the patient was frightened when he saw you. If I meet a female patient in the future, it would be better for me to explain it first." Su Yun said disdainfully.
Zheng Ren ignored Su Yun's provocation and continued.
"Today's patient's condition may be just at the critical point. The skin on the patient's body can also illustrate this."
Su Yun didn't find fault.
The patient reported no trauma. If he walked into the emergency room in front of Zheng Ren, he would also check to see if there were any trauma or other injuries that he had not noticed.
This is part of the physical exam.
The reason why the patient reacted so violently was because his boss was so ugly that he frightened the girl.
This is so awesome!
Su Yun was sure.
"You continue." Su Yun said.
"What the patient has eaten since the last visit to the district hospital until today is the key point." Zheng Rendao, "Diet is the most likely factor."
"What you say makes sense, but is it possible that it is other diseases that cause internal bleeding?" Su Yundao said, "For example, gastrointestinal bleeding."
"It's unlikely." Zheng Ren said: "After all, hematuria is the main complaint. And what disease can cause a decrease in coagulation function? Liver disease! Splenomegaly and cirrhosis are the most common. We just saw a CT scan and the patient did not have splenomegaly or liver disease. Hardened image.”
Just as Su Yung was about to speak, Zheng Ren spoke again.
"I know you want to talk about blood system diseases." Zheng Ren said: "I have considered twenty-two blood system diseases, and none of them suddenly lead to a decrease in coagulation function."
"Okay." Su Yun breathed.
This place in the ICU is really annoying. You have to wear a sterile cap and you can't even see your hair flying. Su Yun was thinking about the patient's condition, and suddenly such an idea came to his mind.
"Should I ask the patient's colleagues?" Su Yun asked.
"I'll think about it again." Zheng Ren pondered, "It's best to see the patient's condition first before talking."
That's all we can do, let's see what happens.
The patient's condition was quite strange, and Su Yun had many things he didn't understand.
Don't even think about it, let alone a diagnosis.
Walking into the ICU, the chief resident was holding an oral mirror in his hand and was intubating the trachea. While doing so, he shouted: "Suction tube! Hurry!"