In an instant, countless things appeared like a tide, and the situation changed drastically. Su Yun, Zhou Litao and the patient's family members were all stunned.
The patient's family members, who were originally dissatisfied and slanderous, were suddenly frightened.
The person who left was in a coma after leaving the hospital!
The news turned into fear, making all dissatisfaction disappear.
Seeing that neither the patient nor the patient's family members responded, Su Yun immediately ran to the treatment room, took out the blood-drawing syringe and biochemical tube, and quickly collected blood from the old man.
The old patient obviously had trouble controlling his temper, but just as he was about to say something, Su Yun yelled: "Shut up if you don't want to die!"
At that moment, Su Yun knew what the problem his boss had been looking for.
Abnormal thyroid function, followed by thyroid storm!
Not long ago, a consultation case sent from Massachusetts General Hospital was about a patient with thyroid dysfunction who had thyroid storm due to ingesting a large amount of iodine after undergoing CT enhancement.
This is definitely a terrible, deadly disease.
"Mr. Zhou, does Corey have tapazole?" Zheng Ren asked immediately.
"No." Zhou Litao replied directly.
"Ask someone to borrow it from the pharmacy!" Zheng Ren shouted: "Tapazole or propylthiouracil will do, large quantities, at least twenty boxes."
"..." Zhou Litao was stunned for a moment, and immediately went to find someone to talk about it.
"Call the emergency B-ultrasound room and bring the machine over right away."
"Propranolol, prepare intravenous infusion, proton pump inhibitor, methylprednisolone, and ECG monitoring!"
"Call the patients who are out of sight and come back as soon as possible!"
"Check the rescue medicines!"
Orders were issued one after another, and Zheng Ren stood in the corridor of the emergency department, ruling everything with confidence.
The medical staff in the emergency department were at a loss. Someone confidently gave the order. The memory in their bodies came into play and began to operate quickly according to Zheng Ren's command.
"Boss Zheng!" Director Cheng heard Zheng Ren directing the rescue outside, and he walked out angrily, "Have you found the problem?!"
"Hyperthyroidism, thought to be caused by eating." Zheng Ren said quickly, "The delay was a bit long, and the comatose patient has already developed thyroid crisis."
Director Cheng was stunned when he heard that thyroid was in danger.
This is a really deadly disease, with a mortality rate of over 20%.
"How was it diagnosed?" Director Cheng asked in shock.
"I'm sorry, Director Cheng, I don't have time to explain to you." Zheng Ren said: "Nurse, have you called the patient in isolation? The unconscious one is not needed."
"Fighting now."
"Mr. Zhou, have you gone to get the medicine? Call and ask if there is any medicine."
The drug methimazole is too cheap and the dosage is small, so many pharmaceutical companies no longer produce this money-losing drug.
This is a very sad thing to say.
"I just asked. If there is no methimazole, there is propylthiouracil." Zhou Litao said.
Zheng Ren let out a sigh of relief.
It is estimated that there are more thyroid surgery patients in 912, and they often have to deal with patients with thyroid storm, so propylthiouracil is available.
In the midst of the rush, the sound of the 120 ambulance came. Zheng Ren had no time to explain all this to Director Cheng and ran to the door of the emergency passage.
The car door opens and the patient pushes out.
The system panel is red, and the diagnosis on it is very clear, thyroid storm!
Zheng Ren wanted to understand everything at the last moment.
This group of patients should have accidentally eaten the thyroid gland of animals, which caused the amount of free T3 and T4 in the body to increase rapidly.
Generally speaking, symptoms will appear within 5-20 hours and reach the peak within 2-7 days, causing thyroid storm.
There is no diagnosis for the big pig's trotters because it is not a toxin. Although it is considered food poisoning, it is different from food poisoning in the conventional sense. There are no toxins, but a sudden increase in levels of something the body needs.
This is the most reasonable explanation.
Zheng Ren confirmed his guess the moment he saw the system panel indicating thyroid crisis.
The patient was pushed to the emergency room, and the nurse began to set up an intravenous channel, suction, gastric tube, and urinary catheter.
The doctor in the B-ultrasound room rushed over with the B-ultrasound.
"What patient?" she asked. "Where to check?"
Zheng Ren didn't have time to explain, so he pushed her aside and picked up the coupling agent and applied it to the patient's neck.
The probe dropped, and a clear sea of fire sign appeared on the screen.
After confirming twice, Zheng Ren shouted: "Have you got the propylthiouracil back?"
"I'm back, I'm back." Zhou Litao ran to the door and saw the nurse who took the medicine coming back panting while holding propylthiouracil.
"600mg, inject through gastric tube!" Zheng Rendao, "record the time, prepare potassium iodide solution, monitor thyroid function, and intravenously inject potassium iodide for 1-2 hours."
"Monitor the ECG, pay attention to the heart function, and prepare propranolol."
Only then did Zheng Ren let out a sigh of relief.
Watching 600 mg of propylthiouracil enter the patient's stomach through the gastric tube, Zheng Ren knew that this person would most likely not die.
It can only be a high probability, and there is no way to fully explain it now.
Director Cheng fell silent the moment he saw Huo Haizheng on the B-ultrasound.
Is this what Boss Zheng has been searching for? There were no symptoms before, it was just a common gastrointestinal cold. Why did it suddenly turn into thyroid crisis
There is no way to understand it.
But the facts proved that Boss Zheng was right.
Sea of Fire Sign, only this clinical evidence is enough.
A few minutes later, Su Yun ran back with the urgent test sheet.
T3 and t4 were significantly elevated, and tsh was significantly suppressed. There was a piece of evidence proving hyperthyroidism.
It's just that the old man hasn't suffered from thyroid crisis yet, so he seems to be lucky.
After confirming this again, Zhou Litao, without waiting for Zheng Ren to speak, asked the nurse to conduct blood tests on all patients who could.
Propylthiouracil is ready, and as long as the test results come back, nothing will be a problem.
Treatment will not be hindered by certain things. Zhou Litao knows that there is only one reason: Boss Zheng is here!
If Boss Zheng had left for work one day early, he would definitely be covered in dew. The patient is sent back for various examinations and hospital-wide consultation.
By the time a diagnosis is made, the patient may be dead. And it’s not just one patient, but a group of patients.
Director Cheng stood aside, watching the machines in the emergency department roaring to drive away the disease, with mixed feelings in his heart.
What appeared before his eyes was the scene of Boss Zheng bowing to him just now.
He was a little distracted.
More than ten minutes later, the propylthiouracil fed to the patient in the emergency room through the stomach tube took effect, and the heart rate gradually dropped, and Zheng Ren came out.
When Director Cheng saw that honest and simple face, he really didn't know what to say.
"Mr. Zhou, I don't care about the rest." Zheng Ren greeted Zhou Litao and then saw Director Cheng.
Eyes facing each other.
"Boss Zheng, that's awesome!" Director Cheng sighed.