Zheng Ren thought about it for ten minutes, but still didn't come to any conclusion.
Big pig trotters are generally very reliable, but so far, there have been several incidents where diagnosis was not given.
The most critical incident was the incident of eating animal thyroid. It was later proved that the big pig's hooves still had a certain internal operating logic.
And this time? Why didn’t Big Pig Hoof give a diagnosis? Is it possible to let people eat live video broadcasts
Zheng Ren looked at the patient's stable condition, with the ventilator and monitor running smoothly, and began to suspect that the patient was not sick.
But to say so, there must be solid diagnostic evidence.
"I'm going to look at the medical records." Zheng Ren said in a deep voice, then returned to his workstation and started looking at the medical records.
The patient's condition is relatively simple, the same as the previous ICU hospitalization. It's just because I'm older that I stayed in the ICU for a few more days of observation after the operation.
This is also a very prudent approach.
The surgery, judging from the records of the surgery, was not a problem.
Zheng Ren then started to look at the test results.
Su Yun looked at the various information that Zheng Ren turned over and asked, "Mr. Yang, did you not touch the gallbladder and liver during the operation?"
"No, the colon is in a position where they can't be touched if they touch each other." Mr. Yang said with certainty.
"That's weird." Su Yun didn't understand.
Judging from the patient's laboratory test results, the patient's condition is gradually improving and he will be transferred out of the ICU ward today.
But before I was transferred out, the problem of green urine arose.
After reading all the test orders, Zheng Ren began to read the doctor's orders.
"Boss, do you think it's caused by drugs?" Su Yun asked.
"I can only doubt it. Other diagnosis and treatment processes are fine. If there is a problem, it can only be a drug problem." Zheng Rendao.
The ICU does not use many medications, unlike some informal intensive care units in other small hospitals. Whenever something goes wrong, several groups of medications are given at the same time, and many patients' conditions are even aggravated by the medication.
Since stepping down, I have only used 24-hour antibiotics, and the rest has been nutritional support.
Strange, what is the problem
Reading the doctor's instructions bit by bit, Zheng Ren didn't even miss many of the medications he had stopped.
This time, he didn't read things very fast, but slower than when he looked at test sheets and medical records before.
Others didn't know what Boss Zheng was doing, but Su Yun suspected that his boss was recalling the instructions for each medicine.
"Su Yun."
In the silence, Zheng Ren suddenly called out.
"Um?"
"Look for the instructions for the milk," Zheng Ren said.
It turns out that the boss didn't remember everything. When he thought of this, Su Yun felt much happier.
Why are you just looking for instructions for milk
Milk, the milk that Boss Zheng mentioned is not the milk that you usually drink at home, but the nickname of Propofol.
Propofol, also known as propofol, is a milky white liquid that anesthesiologists call "milk."
Its main function is the induction and maintenance of general anesthesia. It is often used together with spinal anesthesia and epidural anesthesia, and is used with common pre-anesthetic medications such as neuromuscular blocking drugs, inhaled anesthetics and analgesics.
During clinical use, there are no incompatible contraindications and almost no side effects.
Even if it is used in large quantities for a long time, the patient's body can tolerate it. Some patients who have been on ventilators for a month have not seen any side effects from propofol.
Something wrong with the milk
While Su Yun was trying to remember, he asked the nurse for instructions for propofol.
No, how many general anesthesia surgeries are performed in the operating room every day? Not to mention 912, when I was a graduate student, I was in the operating room every day, and I had never seen green urine.
Taking the drug instructions handed over by the nurse, Su Yun couldn't wait to squint his eyes and search for drug contraindications and side effects in the rows of small words.
Soon, he found six small words in the column of drug side effects, small words that he had never noticed before - rare urine discoloration.
This is the first time Su Yun knows that propofol has this effect.
"Boss, yes!" Su Yun said not excitedly, but slightly confused.
"Let me take a look."
"It's just six words, nothing interesting." As he said that, Su Yun handed the medicine instructions to Zheng Ren.
Zheng Ren glanced at it and said with a smile: "Considering that it is caused by propofol, we can reduce the dosage of the drug, observe it after stopping the drug, and then remove the tube."
“…”
Mr. Yang felt that his eyes were dazzled. How small should the words on the instruction manual be? Boss Zheng could see them at a glance
He took the medicine instructions suspiciously and searched hard for the side effects column.
"Brother Yang, here." Quan Xiaocao was still younger and had good eyesight. He found those six words faster than Mr. Yang.
Rare urine discoloration…
Is this the reason? I tormented myself in the middle of the night... By the way, I seemed to still have diarrhea!
He was so nervous before that Mr. Yang had forgotten about it.
As soon as I thought about it, a tsunami sounded faintly in my stomach.
MD! He held his stomach and cursed in his mind.
"Boss Zheng, I've never seen it." The ICU resident also saw those six words and whispered.
"There are some case reports, but the published documents are not very common, and they are all small articles." Zheng Ren said with a smile: "Looking back now, there should be more than a dozen articles talking about this matter. "
“…”
"It is considered that the green luminescent group of phenol is metabolized in the liver and then excreted in the urine." Zheng Ren explained briefly.
As for too many explanations, Zheng Ren didn't know what to say.
This involves advanced research in biochemistry. It is estimated that the biochemistry skill tree must be opened and at least upgraded to master level to explain it.
"I'll put forward my suggestion, and you can discuss it when the director comes to check the ward in the morning." Zheng Ren also knew that the reason he gave was not enough to get the ICU resident to admit it, so he said softly.
"The patient is fine. You can stop taking the medicine and extubate the tube. If you think there is a problem, you can consult the anesthesiology department, and then change the sedative medicine and take a look again." Zheng Ren let out a sigh.
I've been thinking about my green urine all morning, and I haven't eaten yet.
Although he rarely eats, Zheng Ren still pays great attention to breakfast.
Skipping breakfast can easily lead to gallbladder stones, which will eventually require removal of the gallbladder. Zheng Ren didn't want to have diarrhea every time he ate meat. That would be too annoying.
To some extent, gallbladder stones are an incurable disease.
In the past few years, some people studied incising the gallbladder to remove stones alone, but there were many postoperative complications and the effect was not good. Therefore, the general clinical opinion is to directly remove the gallbladder.
"Then let's go." Zheng Ren felt that he had solved the problem, looked up at the patient, and used the system panel and vital signs to confirm each other for the last time.
no problem.
Zheng Ren turned and left.
…
…
Tomorrow at 2 pm (October 27th), YY voice channel: 1449838393, a small activity for everyone to chat together. Master Xiaolu arranged for the old man to communicate happily with all the adults. Come and play.