The Surgeon’s Studio

Chapter 2620: 2574 is medicine with three parts poison

Views:

Zheng Ren was sitting in the car, and countless luxury cars behind him had been "persuaded" to move away.

Yan Changsen left his assistant to deal with those people, while he accompanied Boss Zheng back to his old house.

There are some traffic jams when driving in downtown Yangcheng City, but Zheng Ren has long been accustomed to such road congestion in big cities.

For example, running from home to 912 is faster than driving. I have always wanted to buy an electric car, but there is no need for it.

I asked Yan Changsen how the patient was doing now, and Yan Changsen just smiled and said nothing.

Zheng Ren was worried about having to change dressings and remove stitches after surgery, but since the patient was not here, he just told the patient's family. For this kind of thing, Zheng Ren felt that it would be over once he explained it, and it would have nothing to do with him no matter how much he did.

Su Yun felt very bored. Yan Changsen didn't talk about the most gossipy things, which was very boring. He picked up the phone and suddenly frowned: "Boss, that Master Xiao is hospitalized."

"Well, hasn't he been hospitalized all the time?" Zheng Ren didn't take it seriously.

"No, no, no, you got it wrong." Su Yun said doubtfully: "It's said to be cerebral hypoxia and kidney failure. If the rescue is successful, there is a high probability that he will become a vegetative state."

"..." Zheng Ren was stunned for a moment, what does this mean

I tried to recall the system panel of Master Xiao Kaixiao before. Coronary atherosclerotic heart disease is not very serious. It can be cured by going to the hospital for a few days and taking medicine for a period of time. How can it cause cerebral hypoxia and kidney failure

Is there something wrong that I didn't notice? Zheng Ren carefully recalled the system panel at that time. There was nothing wrong with it... It was really weird.

But Zheng Ren didn't ask. He watched Su Yun fiddle with his phone, typing away with residual images in his hands. This speed is faster than talking. It would be a pity not to become a professional e-sports player.

But given his age, even if he were a professional player at his age, he would be no different from the 40-year-old Mutombo.

A few minutes later, Su Yun looked at Zheng Ren with a dumbfounded expression and said helplessly: "Boss, that guy woke up in the emergency department of the Medical University Affiliated Hospital that night and left the hospital on his own initiative without even signing anything."

"Then what?" Zheng Ren asked with a frown.

"I was just sent to the hospital through emergency call 120, and I am still investigating. The initial consideration is that the dosage of oral nitroglycerin is too large, which leads to peripheral vein expansion, reduced blood return to the heart, and delayed cerebral ischemia and renal ischemia."

“…”

Zheng Ren really didn't know what to say.

"Too much nitroglycerin? Who?" Yan Changsen asked.

Su Yun told him about Master Xiao, but he didn't expect Yan Changsen to know this person.

"I know that liar." Yan Changsen said: "The one who said he had a narrow escape from death by going to the hospital. A few years ago, a diabetic patient in the UK listened to him and stopped injecting insulin subcutaneously, and began to treat the disease by tapping the meridians. The result Ketoacidosis soon developed, and the person was not rescued.”

After saying that, Yan Changsen asked curiously, "What happened this time? Did he go to the imperial capital?"

"Once these people who don't take medicine take medicine, they will really feel like they are full of food." Su Yun said with disdain.

"I guess it's the wrong way to take nitroglycerin orally." Zheng Ren pondered for a few seconds and then said: "The correct way to take nitroglycerin tablets is sublingually. There are more capillaries under the tongue and they can enter faster. The blood circulates and the medicine works.”

"One minute, maybe. Some say it takes effect in 2-3 minutes and reaches the maximum blood concentration in 5 minutes." Su Yun said, "I guess the person took a certain dose of nitroglycerin with water first and found that it didn't work. The pain was severe, so I panicked and remembered that I should take it sublingually."

"Well, I guess that's the case. When I was panicking... I felt a sense of fear of dying. I was afraid that he was afraid of death, so he took an excessive dose of nitroglycerin. Or he took too much nitroglycerin at once. As time goes by, another part of the drug slowly enters the blood circulation after metabolism by the liver... "

"No, liver metabolism has a first-pass effect, and the drug utilization rate is only about 8%." Su Yun caught Zheng Ren's carelessness in speaking and said directly.

Zheng Ren was helpless. Should a casual chat be like a debate, paying attention to every detail? Are you tired of living like this? !

But Su Yun will definitely not feel tired, he will never tire of it.

"Besides, the nitroglycerin was taken incorrectly. It must be poison. It's a three-part poison. There's nothing wrong with that. It's just that Master Xiao grasped the word "poison" and expanded it to release fear." Su Yun said with a sneer at the corner of his mouth. , "When it was his turn, he simply forgot that medicine is three parts poison."

"Why did he suffer from kidney failure? He became a vegetative state. Is this... caused by insufficient blood returning to the heart?" Yan Changsen asked.

"Nitroglycerin releases nitric oxide, activates guanylyl cyclase, increases cyclic guanylate in smooth muscles and other tissues, leads to dephosphorylation of myosin light chain, regulates the contraction state of smooth muscles, and causes vasodilation." Zheng Ren Dao, "especially peripheral blood vessels, leading to lower blood pressure."

"This reduction in blood pressure is meaningful. While dilating the coronary arteries, it reduces the peripheral load and allows the myocardium to rest."

At this point, Yan Changsen already understood.

It must be an overdose of drugs, which leads to persistently low blood pressure, which can even be said to be shock blood pressure. The brain tissue and kidneys are ischemic for a long time, leading to kidney failure and cerebral hypoxia.

"It's so rare. I didn't expect to encounter this person." Zheng Ren shook his head and said softly.

"You are a cat crying and a mouse pretending to be compassionate." Su Yun said disdainfully, "I don't usually take medicine, saying that the medicine is poisonous. When I should take medicine, I take it secretly, and the dose I take at one time is too large. What do you think? Who do you blame in the end?" Su Yun said disdainfully: "Send him to the hospital and treat him well, no! He has to leave the hospital voluntarily. The people at the Medical University Affiliated Hospital said that the medical records are still in the medical office, for fear of something happening."

"What was the result of the rescue?" Zheng Ren asked.

"I don't know, the people at the Medical University Affiliated Hospital are busy enough. I reminded them that this is an internationally renowned liar, and he must leave enough evidence. If he is bitten back, I guess the Medical University Affiliated Hospital will have to peel off his skin even if he is not dead. ." Su Yun said.

"Keep the surveillance video of him voluntarily leaving the hospital during his first medical visit," Zheng Ren said. "No, I asked about the results of the rescue, not about the lawsuit in the future."

"Every time you perform a rescue, you must first think of a lawsuit. This is the norm in the emergency department. You are still the chief resident of the emergency department. Isn't it embarrassing?" Su Yun looked at Zheng Ren and blew a breath. His black hair was floating on his forehead. .

Zheng Ren shrugged and looked out the window indifferently, not knowing what he was thinking.