"Boss Zheng." Director Kong walked to the door with his hands behind his back, "I just received a call from Director Lin, and the entire ICU is consulting."
Zheng Ren stood up and asked, "Director Kong, what patient?"
"It is said that he is a young patient with liver failure." Director Kong said, "Go and have a look."
"Okay." Zheng Ren strode out of the office.
"Remember to eat well at noon." Su Yun and Chang Yue said, "Eat carbohydrates!"
After saying that, he followed Zheng Ren and walked out.
There were a lot of footsteps behind him. Before Zheng Ren could look at it, he heard Su Yun say: "Go back and write the medical records."
"I'm not going to have the surgery today, so there's no need to write down the surgery records. I'll just paste them in after Fugui'er finishes writing them." Lin Yuan followed, "Besides, if I can't finish the work, I'll work overtime at night, so I need you to take care of it."
"You talk back to the superior doctor like this?" Su Yun said disdainfully, "In the United States, this is how you talk to the big boss?"
"..." Lin Yuan was startled for a moment, and his steps paused slightly.
She was a little scared when she thought about her time in the United States. He stopped and looked at the two people leaving fiercely. Finally, he sighed and went back to write the medical record.
Although there is no clear superior doctor in the medical team, the first assistant in Boss Zheng's medical team must have a higher status than Lin Yuan.
Lin Yuan still knew what was going on.
"Boss, what do you think is the problem with this young man's liver failure?" Su Yun was also anxious to go to the hospital for consultation. He ignored Lin Yuan and walked beside Zheng Ren and asked.
"Usually they are patients with hepatitis B or infectious liver disease. Who knows, in the ICU, the whole hospital needs consultation, which is probably not easy to handle." Zheng Ren looked seriously and strode towards the fire escape.
Zheng Ren said it very simply, and the sentences were a bit illogical, but Su Yun knew what his boss meant.
Liver failure is liver failure, and the whole hospital consultation will not come up with a solution.
But he called Director Kong directly and asked him to attend the consultation. The meaning of this is intriguing.
Diagnosis is not a problem. If the 912 diagnosis of liver failure was wrong, then it would not be one of the top large tertiary hospitals in the country. If you go to the whole hospital for consultation, it will definitely involve surgery.
Zheng Ren has preliminary ideas and many speculations. But guesses are just guesses and cannot be counted.
Su Yun stopped talking and began to think about this young liver failure patient.
Entering the ICU, the door of the conference room was open, and several directors were already sitting inside, whispering about something.
Zheng Ren changed his clothes and went in. Professor Yang waved at him.
"Boss Zheng!"
"Brother Yang." Zheng Ren smiled, walked to him and sat down, "What patient?"
As he spoke, he picked up the medical records on the table.
High fever for 2 days and jaundice for 6 hours. The main complaint came into view, and Zheng Ren's eyebrows wrinkled.
After 2 days of fever, he developed acute liver failure. How serious is this disease
Rapid onset means that the condition is extremely severe and the treatment effect will not be particularly good.
Moreover, jaundice has appeared, and the degree of liver failure is probably very serious...
I'm afraid this person is quite embarrassed.
Looking down, the names and oral dosages of three cold medicines appear in the history of current illness, as well as other proprietary Chinese medicines.
The patient’s diagnosis was clear—acetaminophen poisoning!
Acetaminophen is the name of the drug, the main ingredient in paracetamol, which was ubiquitous decades ago.
The drug is absorbed from the gastrointestinal tract and metabolized by the liver. 90% of the drug is combined with glucuronic acid and sulfide in the liver and excreted in the urine.
However, 2-4% of the drugs are metabolized by the cytochrome P-450 mixed-function oxidase system in the liver and become toxic intermediate metabolites that are combined with glutathione.
Under normal circumstances, acetaminophen will not cause harm to the human body. After all, the metabolic function of the liver is quite powerful.
However, if the dosage of drugs is too high, glutathione will be exhausted, and toxic intermediate metabolites will combine with liver cell proteins, leading to liver cell necrosis.
Zheng Ren glanced at the dosage of the medicine and already had the calculation in his mind.
Normally, taking 7.5g of acetaminophen orally at one time can produce toxic side effects.
The dosage of oral medication for young patients is enough to treat liver failure two or three times.
"I'll go...here's how much acetaminophen I took." Su Yun looked at the medical record and said in surprise.
"Alas, the patient's condition is not good now." Professor Yang sighed and said: "The liver cells are rapidly necrotic, liver failure is serious, and hepatic encephalopathy has already occurred."
“…”
Zheng Ren looked at the age written on the medical record, 20 years old, and felt extremely regretful.
It was just a seemingly ordinary cold, and I just took some cold medicine, but I had to face such serious consequences.
It is estimated that this little patient named Chen Li never thought of it before.
If there is a next time, he will definitely not take so many cold medicines indiscriminately. It's a pity that there is no chance to do it again in this world.
Now the patient has hepatic encephalopathy, coupled with severe jaundice, proving that liver failure has reached an almost irreversible stage.
"Boss Zheng, do you think there is any other way?" Professor Yang asked softly.
After teaming up with Boss Zheng to perform interventional embolization + surgical resection, Boss Zheng seemed not to be interested in it, so Professor Yang tacitly took advantage of it.
Professor Yang has his own way of publishing papers and so on. If it goes through Boss Zheng's hands again, it will really be unreasonable.
The technical level is high, but they are unwilling to compete for the benefits, or they simply look down on the benefits. Who wouldn’t want to make friends with this kind of person
Professor Yang has always been very close to Zheng Ren, and their relationship has been on the rise recently. So he asked casually without asking anyone.
Zheng Ren shook his head, indicating that he had nothing to do.
"Liver transplantation seems to be the only way to do it." Su Yun frowned and said.
"Liver transplantation requires matching. The key is to try your luck and wait for the donor." Professor Yang sighed.
He also knew that the patient needed a liver transplant and could wait for a donor. Three to five months was considered a short time.
There are a handful of people who did not wait for a donor until their death.
Director Li of the 912 Hepatobiliary Surgery Department is good at performing liver transplants. Although the number is not large, he performs more than a dozen or dozens of liver transplants every year.
"He is a junior student, and he is usually in very good health." Professor Yang glanced at the door and whispered, "The school attaches great importance to this matter."
I think so.
Although the school has no fault, but such a young child always gets into trouble whenever he says it. How can he explain it to his family
It is impossible to be like before, where everyone is dead and wounded, and everyone is destined to live in peace.
If the mood at home is out of control...
Thinking of this, Zheng Ren's head started to hurt.
"The patient's family flew here from their hometown and will arrive in three or four hours." Professor Yang said, "When I came up, I saw Director Ye accompanying Vice President Yuan."
"The principal of the school is here too?"
"Well, there was someone talking to Vice President Yuan. When I looked at him, I felt like he was the principal of the school."