Boss Zheng, you're here too. "When the patient was sent into the ICU, the chief resident saw Zheng Ren at a glance.
"I happened to be going to the emergency department and came over when I met you." Zheng Ren had no intention of entering the door. The other side was also busy resuscitating the patient.
"Leave a few family members who know the situation at the door. I'll get the medical history later." After the ICU chief resident finished speaking, she hurried back.
She was directing a few doctors who had already begun to prepare for resuscitation.
The first thing to do was to stabilize the patient's condition. The rest would be discussed later.
Zheng Ren and Su Yun looked at each other. The two of them followed in and changed their clothes.
"Boss, why do you suspect poisoning?" Su Yun asked.
"Yes. When the patient went to the district hospital for treatment two days ago because of kidney stones, there was no problem. At that time, only ureteral stones troubled her, and the pain was intense. Under the outpatient information, there was a payment receipt. I saw 654-2. "
"The effect of 654-2 isn't good. Normally, it requires an intramuscular injection of Dolantin," Su Yun said.
"Maybe the emergency department doctor is unwilling to prescribe anesthesia," Zheng Ren said.
"Although I'm very resistant to your confidence, you're right about this. Many people are willing to try 654-2 first. If it works, they don't have to prescribe anesthesia.
"The control of anesthesia drugs is getting stricter and stricter. By the way, boss, in three days, in the afternoon, there will be an anesthesia prescription exam. "I suggest you take the exam because I definitely won't go. Chang Yue might not focus on her revision.
"If our medical team doesn't have the right to prescribe anesthesia … Well, you can also use Department Chief Kong's work number." Su Yun shrugged, using his actions and words to express his thoughts that he would definitely not take the exam.
"…" Zheng Ren pretended not to hear.
What the hell was an exam? It was something that junior doctors had to do.
"You'll know once you read it. Why are you always worried about looking like a failure in the exam?" Su Yun was puzzled.
"Exams waste time," Zheng Ren said. "If I have that time, I might as well do two more surgeries. Even if there are no difficult surgeries, it's good for me to accompany Cui Lao to the outpatient clinic. "
"This is the rule!" Su Yun said. "There are many things you don't like that you still have to bite the bullet and do them. Then, you'll grow up."
"I can look for Lin Ge." After Zheng Ren said that, he took out his phone and called Lin Ge directly.
"Chief Lin, I have something to trouble you with," Zheng Ren said.
"Go ahead, Boss Zheng." Lin Ge was pleasantly surprised by Zheng Ren's sudden call.
"Is the test for the prescription of poison anesthesia the day after tomorrow? I should be busy, do you think you can … "
"Boss Zheng, are you talking about the narcotic prescription?" Lin Ge was stunned.
He had never expected Zheng Ren to look for him over such a trivial matter. But as soon as he thought about it, Lin Ge became wild with joy.
No matter how big or small it was, it was the same thing!
"Go ahead. Doctors above the rank of chief physician can participate in the simplified procedure." Lin Ge did not wait for Zheng Ren to speak and immediately said, "As for you, I'll make a record here. I'm already a tenured professor at Massachusetts General Hospital. Do I still need to take this exam? "
"Sigh, if I don't take the exam, I'm worried that our medical team won't have the authority to prescribe narcotics."
"Don't worry, leave it to me." Lin Ge smiled and said, "It just so happens that I'm helping out at the Science and Education Division. This matter involves the Medical Administration Division and the Science and Education Division, so I should be in charge. I'll go check it out. You do what you need to do, don't worry about this side. "
"Thank you," Zheng Ren said with a smile.
"Boss Zheng, you're too kind," Lin Ge said with a smile.
Zheng Ren hung up the phone. Seeing Su Yun smiling slyly, he knew that this was the reason why he said that to him.
Although it was a small pit, he definitely had to step into it. He didn't call her boss for nothing.
If something really happened, he would have to take it up. Those who yelled 'charge' and those who followed were two different concepts.
"What do you think about this patient?" Su Yun pulled the topic back.
The two of them were not in a hurry to go in to see the situation because this was the busiest time inside. It would be too late to enter after all the procedures were done.
"I was talking about 654-2 just now, but you interrupted," Zheng Ren said. "The 654-2 is effective. The B-scan ultrasound also showed the stones in the ureter, which means that the patient's symptoms and diagnosis were correct."
"You mean, this is an unexpected incident?" Su Yun said: "Consider poisoning? Or something else? "
"There were no external injuries, and the patient was in good condition when he arrived at the hospital. After we entered the room, I saw the patient's lips and eyelids were pale. At that time, the blood pressure shouldn't be so low. "
"The patient was probably scared when she saw you. If we meet female patients in the future, it's better for me to explain first, "Su Yun said disdainfully.
Zheng Ren ignored Su Yun's provocation and continued speaking.
"The patient's condition today might just be at the critical point. The patient's skin can also prove this. "
Su Yun did not find fault.
The patient said that there were no external injuries. If he walked into the emergency room before Zheng Ren, he would also have to see if there were any external injuries or something else on the patient's body.
This was part of the physical examination.
The reason why the patient's reaction was so intense must be because his boss was too ugly and scared the girl.
That was definitely the case!
Su Yun was very sure.
"Continue," Su Yun said.
"From the last time we went to the district hospital to today, what the patient ate is the main point," Zheng Ren said. "The biggest possibility is diet."
"What you said makes sense, but could it be other diseases that cause internal bleeding?" Su Yun said, "For example, gastrointestinal bleeding or something like that."
"The possibility is not high," Zheng Ren said. "After all, there is hematuria as the main complaint. Also, what disease can cause a decline in coagulation function? Liver disease! Splenomegaly and cirrhosis are the most common. We just saw the CT scan, and the patient did not have splenomegaly or cirrhosis. "
Su Yun was about to speak when Zheng Ren spoke again.
"I know you want to talk about blood system diseases," Zheng Ren said. "I've considered twenty-two blood system diseases, and none of them suddenly caused a decline in coagulation function."
"Okay." Su Yun blew a breath.
The ICU was a really annoying place. He had to wear a sterile cap, and his hair could not be seen flying. Su Yun was thinking about the patient's condition when such a thought suddenly floated in his mind.
"Should we ask the patient's colleagues?" Su Yun asked.
"I'll think about it." Zheng Ren pondered. "It's best to see the patient's condition first."
This was the only way. He could only wait and see.
The patient's condition was quite strange, and Su Yun did not understand many things.
If he did not understand it, there was no need to talk about diagnosis.
He walked into the ICU, and the chief resident was holding an oral endoscope and intubating the trachea. As he did so, he shouted, "Sputum suction tube! Quick! "
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