"I'll go up and take a look." Zheng Ren chose to believe Fan Tianshui.
To believe in professional judgment, whether it is Fan Tianshui or Chang Yue, Zheng Ren knows this. He immediately became worried and wanted to see Su Yun and Chang Yue.
"I'll go with you, Mr. Zheng." Fan Tianshui said.
Zheng Ren did not refuse, and the two of them walked up the stairs to the second floor. Seeing that the lights in the classroom were on, Zheng Ren knocked on the door, and then pushed the door open and entered.
Su Yun and Chang Yue were watching the surveillance video on their mobile phones. Su Yun was lying on a chair with his legs twisted together and resting on the table. Chang Yue sat solemnly at the table, concentrating on the surveillance screen on his mobile phone.
"Did you find anything?"
"No." Su Yun blew and smiled, "What else can I find."
"Has the glucose been used?" Zheng Ren asked.
"Yes, I have already used it." Chang Yue said, "The blood sugar has recovered obviously, there is no problem."
Zheng Ren found it strange. Could it be that Chang Yue and Fan Tianshui were both wrong
Suddenly, Chang Yue's straight body tensed up, and Zheng Ren could clearly feel the tension contained in that tight sitting posture.
In the surveillance video, a man's back appeared, holding a toilet in his right hand and on his way to the bathroom.
"This is the patient's family." Seeing Zheng Ren approaching, Chang Yue pointed at the back and said.
"Well, it looks... quite normal." Zheng Ren saw in the surveillance video that the man was holding a toilet, saying hello to people on the way, saying a few words, and acting very normal.
Chang Yue glanced at her phone and said, "The last time I went to the bathroom to empty the toilet was 46 minutes ago."
Is the interval so short? Zheng Ren tilted his head slightly.
"Let Dr. Jiang do a check-up." Su Yun said with a smile, "If you are worried, it will be enough to have another check-up."
"Did the patient take furosemide after surgery?" Zheng Ren recalled the doctor's instructions, but without any memory, he asked directly.
Generally, patients with ascites will use furosemide. After diuresis, the peritoneum will absorb the peritoneal fluid on its own, allowing the amount of ascites to be quickly reduced.
"No, the patient's portal pressure decreases after the new TIPS surgery. Without furosemide, the ascites can be reduced to a depth of about 3cm in about 3 days. Furosemide also requires monitoring of ions, which is not necessary. I stopped 3 months ago. Yes." Chang Yue said.
I urinated twice in more than 40 minutes without using furosemide. Could it be that I have an acute urinary tract infection? Zheng Ren recalled the system panel during ward rounds in the afternoon and still had no idea.
There was no prompt for urinary system infection on the system panel at all, which made Zheng Ren a little distressed and confused.
"Dr. Jiang, are you there?" Chang Yue picked up the phone and called the doctor on duty.
"Go and measure the fingertip blood sugar of the patient in bed 18 and check the situation."
After saying that, Chang Yue hung up the phone.
Soon on the surveillance screen, a doctor went to room 18 with a device for measuring fingertip blood sugar.
Three minutes later, the patient's family members came back with the toilet. The toilet was clean. It was obvious that he was a very neat and organized person.
After another 2 minutes, the patient's family members sent Dr. Jiang out. On the surveillance screen, the two stood at the door and chatted for a few words, both smiling.
In the end, the patient's family bowed slightly and politely sent Dr. Jiang away on duty.
After watching him return to the duty room, the patient's family members looked around leisurely, then returned to the room and closed the door.
At the same time, Chang Yue's cell phone rang.
"Sister Yue, the blood sugar of the patient in bed 2 on the 18th is 6.2mmol/L." Dr. Jiang said with a smile, "The drip is almost finished. The patient in bed 2 has fallen asleep and is still a little unhappy when I woke him up."
"Are you conscious?" Chang Yue asked.
"It's nothing. I checked my pulse. The heart rate is 92 beats/minute, which is very stable."
Chang Yue hung up the phone, but Zheng Ren's eyebrows wrinkled.
There was nothing wrong with what Dr. Jiang just said, but he felt that something was wrong.
A fleeting doubt troubled Zheng Ren. It wasn't that Chang Yue and Fan Tianshui couldn't say it was wrong, but that he had seen some details just now but failed to capture the problem at that moment.
This time, even Zheng Ren himself noticed something was wrong.
Zheng Ren glanced at Su Yun, who was looking at the ceiling, wondering what he was thinking, looking confident or absent-minded. Looking at Chang Yue again, it seemed that Chang Yue also realized something was wrong. He crossed his fingers with his hands and kept circling each other with his thumbs.
"Chang Yue, what do you think is wrong?" Zheng Ren asked.
Chang Yue said, "At first, Dr. Jiang wanted to increase the sugar intake, but the patient's family refused. He offered 10 sugar, but the patient's family said no, and finally gave him 5 sugar."
This is the most troublesome thing for "professional" patients' families. They have to discuss the doctor's orders, which is very troublesome. But after a long illness, sometimes what they say makes sense.
Zheng Ren shook his head. It didn't matter whether it was 50% high sugar, 10% sugar, or the 5% glucose given now.
The patient's blood sugar recovered well, and this is the result. If there is something abnormal, blood sugar should not be so stable...
wrong!
What Chang Yue just said was big sugar, referring to the large 500ml bottle of glucose.
Zheng Ren suddenly realized something, and at the same time Chang Yue said: "That's not right! The 5 pieces of candy I gave you, 500ml, shouldn't be ordered so quickly."
"I've urinated twice. If I drank Pu'er tea as a diuretic, I shouldn't have come out now." Su Yundao, "I suspect..."
"Did the patient's family withdraw the glucose?" Chang Yue asked doubtfully.
"It's possible. If 500ml of liquid is poured into the vein in a short period of time, the afterload of the heart increases. It must be acute left heart failure. The patient's heart condition is not very good." Su Yun still maintained the same posture, "It's very possible. The patient's family drew out the glucose solution. Besides, if Dr. Jiang was not blind, he would always pay attention to the drip speed when he went to the ward to see the drip. This is the basic quality of a doctor. The reason why he didn't say anything is that this is what he should do Yes, there’s no need to say it, he probably doesn’t even care, just take a look and it’ll be fine.”
"why?"
"Who knows." Su Yun said, "Let's take a look in five minutes."
Zheng Ren was a little confused, why did he have to wait for 5 minutes? After saying this, Su Yun took out his mobile phone and started to press the timer. It seemed that he was bored. If he said 5 minutes, it would be 5 minutes. Everything in front of him was like a game, which needed to be accurate to the second.
Zheng Ren was a little helpless, but he always felt that Su Yun seemed to have thought of something.
"Su Yun, what are you thinking about?" Zheng Ren asked.
"Nothing, let's take a look in 5 minutes."
You couldn't see Su Yun's expression, but there was something wrong with his speaking voice, which was cold and not full of joking and contempt as usual.
In the surveillance screen, everything is peaceful and quiet. The family members of patients and recovered patients chatting in the corridor make the whole world appear vibrant.
But Zheng Ren's brows furrowed more and more tightly.