"Boss Zheng, are you sure?" Zhao Yunlong asked in a low voice.
"Give it a try, I guess it should be fine."
In the song of good luck, Lao He began to administer medicine and intubate.
Everything went smoothly with no unexpected complications. Seeing that the patient's vital signs were stable, Director Xu breathed a sigh of relief. As long as you can pass the anesthesia test, it has nothing to do with you. As for the rest, people with a big heart will naturally worry about it.
As for the situation mentioned by Laban, Director Xu thought it would be best if he didn't need surgery. It didn't concern him and he didn't bother to think about it.
"Boss Zheng, what have you been busy with recently?" Director Xu had a smile on his face. The patient had been anesthetized and his voice was a little louder.
"This is not a mass poisoning of students at Noon No. 2 Middle School. I went to take samples to find the cause of the disease." Zheng Rendao.
"No. 2 Middle School... I heard people say that the food in the student cafeteria is pretty good."
"Well, I took a look and everything is fine." Zheng Ren said, "Now it is suspected that there is something wrong with the freshly squeezed juice, which caused the students to suffer from acute copper poisoning."
"..." Director Xu was stunned for a moment and looked at Boss Zheng speechless. Acute copper poisoning is also rare. Boss Zheng is really busy every day, and he doesn’t know how long he can follow this patient.
"By the way, Boss Zheng, didn't you say that you would have a live broadcast of the surgery in the afternoon?" Director Xu asked.
"I haven't done anything yet. I'm just busy with the food poisoning issue." Zheng Ren sighed, hoping that the Centers for Disease Control and Prevention would conduct laboratory tests as soon as possible to resolve the matter. It would be a good thing to start the live broadcast of the surgery as soon as possible, but what he was mainly thinking about was the rewards given by the system tasks.
"Copper poisoning is quite rare, and today's patient is also rare." Director Xu said with a smile, "Boss Zheng, I thought I needed a thoracotomy when I saw the film. But the risks of a thoracotomy are also quite high, so I'm disturbing you. That side of the job.”
"You're welcome, Director Xu. I was already busy when you asked Fang Lin to make the call. The oranges in the freshly squeezed juice machine were taken to the Centers for Disease Control and Prevention for testing. It is estimated that the results will be available in another two hours, so there will be no delay."
Zheng Ren said with a smile.
"Is there a lot of copper in the oranges? How did it get in? Is it better to keep it fresh or to look good?" Director Xu was a little confused.
"I don't understand. I've never heard of copper being helpful to oranges."
"Generally, those who sell oranges will apply wax on the skin to make them look more shiny, but the quantity is not large." Su Yundao said, "But the copper element does not help the appearance of the oranges, and I don't understand."
Director Xu wanted to say something, but his mouth moved slightly, but in the end no sound came out.
Zheng Ren understood and smiled, "I don't think there should be any mistakes in the medical history Dr. Chang asked. The medical history shows that students with food poisoning have a common experience - drinking freshly squeezed orange juice."
"Let's wait and see. I don't know the details." Su Yun twisted the phone in his hand and looked at the TV screen where Director Li was performing laparoscopic surgery. He didn't know what he was thinking about.
The surgery went smoothly and was over in less than an hour.
Before waking up from general anesthesia, Zheng Ren performed another echocardiogram on the patient and found that the heart had returned a few tenths of a centimeter to the left. The patient's vital signs were stable and there were no abnormalities.
If a routine CT scan had not been done before the operation to discover the problem, and if the 912 medical staff had not had solid basic clinical skills and could directly detect cardiac torsion, this patient would have been ignored.
Many doctors even regard this as congenital right side of the heart.
"Boss Zheng, where will the patient be sent next?" Director Xu asked.
"You can go to the ICU or the general ward. The most dangerous time is intubation. After this period, the patient can recover slowly." Zheng Rendao.
The cautious Director Li thought for a while and sent the patient to the ICU. Are you kidding me? What should I do if a patient with cardiac torsion suffers cardiac arrest if the vagus nerve is accidentally stimulated during resetting
If I go back to the general ward, do I need to arrange special monitoring
Zheng Ren didn't care about these things. When he saw the patient woke up, he smiled and said, "If nothing happens, we'll leave first."
"Okay, I'll call you if anything happens."
Arriving at the locker room, Su Yun asked, "Boss, are you sure?"
"Absolutely. If there is a cardiac hernia, the symptoms will have already been there, and it won't happen again when the heart slowly resets." Zheng Ren said with certainty.
"Who gave you confidence?" Su Yun asked doubtfully.
"I spoke vaguely. You told me not to talk to you in the same tone as explaining the condition to a patient. What I said is definitely not good. What do you want?" Zheng Rendao.
Su Yun spread his hands and looked at the sky.
they said…
Zheng Ren picked up the phone.
"Is everything okay? It's impossible."
"Okay Lin Chu, I understand."
After a brief exchange, Zheng Ren hung up the phone, frowning and thinking seriously.
Su Yun already knew what happened from the phone call, and he was also very confused. Normally, the medical history Chang Yue asked about should be fine. Could it be that there was something else that had not been taken care of
It was really weird, and Su Yun rarely thought about it seriously.
But there really was no idea. Zheng Ren went over the matter. Just now, Director Lin said that there were only some minor problems with the various samples collected in the canteen, and he had been ordered to rectify them. But minor problems refer to things like mold and bacteria, and have nothing to do with metallic copper.
What's going on... How about going to see the students from No. 2 Middle School? Zheng Ren had this idea.
Before Zheng Ren could make a decision, the phone rang again.
This time it was Fan Tianshui.
"Mr. Zheng, someone wants to move the machine." Fan Tianshui's voice was low and he spoke a little hastily.
"Huh? Moving the machine?" Zheng Ren asked doubtfully. He had no idea at first, but after hearing what Fan Tianshui said, he suddenly remembered that there might be something wrong with the machine.
"Wait, I'll be there right away." Zheng Ren said, "Are you from the school?"
"It is said that they said they would call the police if they didn't move."
"I'll contact Chu Lin, you... try to delay as much as possible. By the way, don't hang up yet, don't hurt anyone, Lao Fan!" After Zheng Ren finished speaking, he hung up the phone in a hurry.
It's been a toss-up every day, Zheng Ren sighed.
"If you want to move the machine at this time, there must be a ghost!" Su Yun said with certainty.
"I'm thinking about it, there might be a problem somewhere in the juicer." Zheng Ren quickly changed his clothes and straightened out his thoughts, "What is the PH value of orange juice?"
"Generally it is 3-4. The lower the pH value, the more acidic it is. Freshly squeezed wine may be concentrated, causing the pH value to further decrease." Su Yundao said.
"It's possible! I remember there were two cases of copper poisoning. The copper parts of the Coke machine were exposed, and the poisoning was caused by soaking in Coke with a pH value of about 2." Zheng Rendao, "Hurry up, call a taxi, and rush over immediately. "
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Note: Source of literature on conservative treatment of cardiac torsion: N Engl J Med 2014;370:e30