In an instant, countless things appeared like a tide. The situation changed drastically. Su Yun, Zhou Litao, and the patient's family were stunned.
The patient's family members, who had been dissatisfied and complaining in their hearts, were shocked.
The patient who had left had fainted after leaving the hospital!
The news turned into fear, dispelling all their dissatisfaction.
Su Yun saw that the patient and his family members were still in a daze, so he ran to the treatment room and retrieved a syringe and biochemical tube to draw blood for the old man.
The old patient could not control his temper, but just as he was about to say something, Su Yun shouted, "Shut up if you don't want to die!"
At that moment, Su Yun knew what the problem his boss had been looking for.
Thyroid dysfunction was followed by a thyroid crisis!
Not long ago, Massachusetts General Hospital had sent a consultation case about a patient with thyroid dysfunction who had undergone a CT scan and developed a thyroid crisis due to ingestion of large amounts of iodine.
This is definitely a terrible disease that can kill.
"Chief Zhou, do we have tapazole in the department?" Zheng Ren asked immediately.
"No," Zhou Litao answered directly.
"Get someone to borrow it from the pharmacy!" Zheng Ren shouted. "Tapazole or propylthiopyrimidine will do. Large amounts, at least twenty boxes."
"…" Zhou Litao was stunned and immediately went to talk to someone.
"Call the emergency ultrasound room and have them bring the machine over immediately.
"Prepare the intravenous infusion, proton pump inhibitor, methylprednisolone, and ECG monitoring!
"Call the patient in the observation room and tell him to come back as soon as possible!
"Check the emergency medication!"
Zheng Ren stood in the corridor of the emergency department and issued a series of orders, ruling everything with confidence.
The medical staff in the emergency department were at a loss. Someone gave the order confidently, and their body's memory came into play, operating quickly according to Zheng Ren's instructions.
"Chief Zheng!" Chief Cheng heard Zheng Ren directing the resuscitation and walked out angrily. "You found the problem?!"
"Hyperthyroidism. It's caused by food intake," Zheng Ren said quickly. "It took too long and the comatose patient is showing signs of thyroid crisis."
Chief Cheng was stunned when he heard the thyroid crisis.
It was a fatal disease with a mortality rate of more than 20%.
"How did you diagnose it?" Chief Cheng asked in surprise.
"I'm sorry, Chief Cheng. I don't have time to explain," Zheng Ren said. "Nurse, have you called the patient under observation? I don't need the unconscious one. "
"I'm fighting now."
"Director Zhou, have you gone to get the medicine? Call and ask if there's medicine. "
Bazol was too cheap, and the dosage was small. Therefore, many pharmaceutical companies no longer produced this kind of medicine that was losing money.
It is a sad thing to say.
"I just asked. There's no tapazole, but there's propyl thiopyrimidine," Zhou Litao said.
Zheng Ren let out a long sigh.
It was estimated that there were more patients with thyroid surgery on the 912 side. They often had to face patients with thyroid crisis, so there was medicine for propylthiopyrimidine.
In the midst of the chaos, the sound of an ambulance could be heard. Zheng Ren did not have time to explain everything to Chief Cheng. He ran to the entrance of the emergency department.
The car door opened and the patient was pushed out.
The System Interface was blood red, and the diagnosis was very clear. Thyroid crisis!
Zheng Ren understood everything at the last moment.
This group of patients should have mistakenly eaten the thyroid gland of animals, which caused the amount of free T3 and T4 in their bodies to rapidly increase.
Under normal circumstances, there would be symptoms within five to 20 hours, and it would reach its peak within two to seven days, causing a thyroid crisis.
The System did not diagnose it because it was not a toxin. Although it was considered food poisoning, it was different from normal food poisoning. There was no toxin, but the content of a substance that the human body needed had suddenly increased.
This was the most reasonable explanation.
The moment he saw the System's panel show the thyroid crisis, Zheng Ren confirmed his guess.
The patient was pushed to the emergency resuscitation room. The nurse began to set up venous channels, suction, gastric tube, and urinary catheter.
The doctor from the ultrasound room rushed over with the ultrasound.
"What patient?" she asked. "Where do you want to check?"
Zheng Ren did not have time to explain. He directly pushed her to the side and picked up the coupling agent to apply to the patient's neck.
The probe lowered, and a very clear sea of fire appeared on the screen.
After confirming it twice, Zheng Ren shouted, "Has the propyl thiopyrimidine been retrieved?"
"It's back, it's back." Zhou Litao ran to the door and saw the nurse who had retrieved the medicine holding the propyl thiopyrimidine, panting as she came back.
"600 mg, injected through the gastric tube!" Zheng Ren said. "Record the time, prepare the potassium iodide solution, monitor the thyroid function, and inject potassium iodide for 1-2 hours.
"ECG monitoring, pay attention to the heart function, and prepare propranolol.
Only then did Zheng Ren let out a long sigh.
Looking at the 600 mg of propyl thiopyrimidine entering the patient's stomach through the gastric tube, Zheng Ren knew that there was a high probability that this person would not die.
It could only be a high probability. There was no way to be confident yet.
Chief Cheng fell silent the moment he saw the sea of fire on the ultrasound.
Was this what Boss Zheng had been searching for? There were no signs before. It was just an ordinary gastrointestinal cold. How did it suddenly become a thyroid crisis?
He could not understand.
However, it turned out that Boss Zheng was right.
Sea of Fire sign. Just this one clinical evidence was enough.
A few minutes later, Su Yun ran back with the urgent test results.
, T4
Significantly elevated,
Hyperthyroidism was the only evidence that the old man was suffering from a thyroid crisis.
However, the old man had not experienced a thyroid crisis yet. It seemed like he was in luck.
After confirming it once again, Zhou Litao did not wait for Zheng Ren to speak and ordered the nurse to conduct a blood test on all the patients who could be tested.
The propyl thiopyrimidine was ready. As long as the test results came back, everything would be fine.
Zhou Litao knew that there was only one reason why the treatment would not be hindered — Boss Zheng was there!
If Boss Zheng had left for the mission a day earlier, he would have been covered in sweat. After the patients were sent back, they would undergo various tests and consultations.
By the time the diagnosis was confirmed, the patient would be dead. Furthermore, it was not just one patient, but a group of patients.
Chief Cheng stood at the side, watching the emergency department's machines roar and banish the disease. His heart was filled with mixed feelings.
The image of Boss Zheng bowing to him appeared in front of him.
He was lost in thought.
Ten minutes later, the propyl thiopyrimidine took effect in the resuscitation room and the patient's heart rate gradually decreased. Zheng Ren walked out of the resuscitation room.
Department Chief Cheng didn't know what to say when he saw that honest face.
"Chief Zhou, I don't care about the rest." Zheng Ren greeted Zhou Litao and saw Chief Cheng.
Their eyes met.
"Boss Zheng, you're amazing!" Chief Cheng sighed.
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