Quan Xiaocao busied herself the entire night.
In the wee hours of the morning, he laid down and wanted to sleep for a while. His mind was still filled with the various details of the colonoscopy, as well as Brother Yun recently said that he wanted to summarize the case reports and surgeries of intestinal malformations and submit them to the New England Journal.
Although he did not enter Boss Zheng's medical team, he managed to get his hands on two world-class SCI articles. If he could pass this one, it would be his third.
Quan Xiaocao naturally knew how important this was, so she worked even harder than usual. It was just that he was a little sleepy today. The sky was already bright outside. He wanted to sleep for a while. He still had things to do during the day.
But tonight, she didn't get the blessing of the Night Shift God. As soon as she lay down, her phone rang.
The nurse knocked on the door and said from outside, "Emergency consultation in the ICU. Chief Yang has diarrhea and wants you to take a look first."
Quan Xiaocao was a first-line resident, so this kind of consultation should be handled by the second-line chief residents.
Since Chief Yang said that he had diarrhea, then it was better for him to go up and take a look.
Quan Xiaocao sleepily walked into the ICU after putting on the isolation suit and a white coat.
"What's wrong?" Quan Xiaocao asked in a low voice after she went in.
The atmosphere in the ICU was a little tense, as if something big had happened.
"The urine of the patient you sent over a few days ago turned green." A young nurse knew Quan Xiaocao and whispered to her, "Get the chief resident here. You can't do this."
Quan Xiaocao hurriedly nodded her head and cautiously left. She didn't want to be scolded by the first and second string doctors in the ICU.
When she reached the corridor, Quan Xiaocao immediately called Chief Yang.
"Chief Yang, the urine of the patient who had surgery a few days ago turned green," Quan Xiaocao said in a low voice.
"I did not see it with my own eyes …"
Quan Xiaocao managed to avoid a round of scolding, but she had no choice but to receive another round of scolding.
However, Director Yang did not say much. In the end, he said that he would come as soon as possible.
Quan Xiaocao felt a bit cold and lonely as she waited in the corridor of the ICU.
The sky was about to brighten. After a sleepless night, the wrinkles on her face could be made up with a lot of makeup. Although she was still young, Quan Xiaocao felt that she was starting to look older than her high school classmates.
If he had a choice, he would definitely not go into the medical field. Not to mention the pressure, just the night shift was unbearable.
If it was a night shift plus one or two resuscitation calls, this was not something he could even think about. Just thinking about it made him feel uncomfortable.
While he was lost in his thoughts, Director Yang entered.
"Xiaocao, what's going on?" Chief Yang asked.
Quan Xiaocao immediately gave in. She had given in earlier, but now … life was all about being a coward.
Seeing her like this and knowing a little about the situation over the phone, Mr. Yang had his own guesses.
Xiaocao had probably been kicked out.
Chief Yang shook his head and strode into the ICU.
"Chief Yang, the green urine coming out of your patient's urine bag is related to the surgery?" the ICU's chief resident asked directly.
Chief Yang quickly walked to the patient's side, his heart had already shrunk into a ball.
Green urine. His first thought was that it was bilirubin urine!
Bilirubin can be divided into unconjugated bilirubin that has not been processed by the liver and conjugated bilirubin formed by the liver and glucuronic acid.
Unbound bilirubin was insoluble in water, bound with proteins in the blood, and could not pass through the glomerular filtration membrane. Bound bilirubin has a small molecular weight and high solubility. It can pass through the glomerular membrane and be excreted in the urine. It is called urinary bilirubin.
The presence of such urine indicated liver failure!
Although the possibility of it happening was not high, Chief Yang had seen it once before. In the end, the patient did not make it. After three days and three nights of resuscitation, he still died.
When he came to the patient's bed, Chief Yang squatted down and carefully looked at the urine bag.
There was about 300 ml of urine in the urine bag. It was light green and looked eerie. The green inside was faintly fluorescent, just like the beautiful world in the movie Avatar.
But in the movie, one could experience a kind of beauty. And the urine bag in front of him … Chief Yang's head buzzed.
This patient is going to die!
"How long has it been?" Chief Yang asked.
"It just appeared 20 minutes ago," the ICU's chief resident said. "It was normal before, but the color of the urine suddenly changed. We just checked the liver function. It shouldn't have happened. "
Obviously, she was also thinking about bilirubin urine.
However, the liver function check early in the morning did not have any problems. The patient's condition was constantly improving. If not for his old age and breathing problems, he would have been taken off the machine and returned to the gastrointestinal surgery department.
The ICU's chief resident was also very puzzled.
How could a normal person have bilirubin urine?
"Is the liver function checked in an urgent manner?" Chief Yang asked.
"Yes, it's an urgent check," the ICU's chief resident said. "He should be back soon. I'll go take a look."
After saying that, she walked back to the workstation and glanced at the computer.
"Chief Yang!" the ICU's chief resident shouted.
Chief Yang stood up in confusion. He looked over nervously, like a criminal waiting to be tried.
"Liver function is normal!" The ICU's chief resident did not keep him in suspense. It was easy to be beaten to death in the ICU.
Normal?
Liver function was normal?!
What was going on with that green urine!
Chief Yang began to think.
"What anti-inflammatory drugs did the patient use?"
"Twenty-four hours after the surgery, the anti-inflammatory drugs were already stopped," the ICU's chief resident said.
The ICU of the 912 was very sterile. After a normal surgery, there was no need for anti-inflammatory drugs at all. This was a gastrointestinal surgery. They only used it for 24 hours because of 'face'.
This was completely different from the ICU of Sea City General Hospital.
In Sea City, if the patient did not use antibiotics for three to five days after he left the stage, no one would be at ease.
The difference in technical strength was reflected in all aspects.
It was not something that could be done just by performing the surgery well.
Chief Yang originally knew that antibiotics were no longer used, but the green urine would also appear when large doses of certain antibiotics were used.
But now, this path was also blocked.
"Does it have anything to do with the surgery?" the ICU's chief resident asked.
"It should be fine … Ah …" Chief Yang also began to be uncertain.
The surgery was still relatively successful, but the green urine in front of him was like a warrior who had turned on his taunt, mocking him to his heart's content.
"Have you checked the blood calcium?" Chief Yang asked.
"The blood calcium and vitamin D have all been checked. The report is a little slow. I estimate that it will take another hour or two."
"Have you used aminopterin?"
"No."
"What about methylene blue, indigo card red, creosote, and salicylic acid?" Chief Yang asked.
"Chief Yang, it's not like you didn't read the doctor's advice. Why did you give these things to your patient?" the ICU's chief resident said unhappily.
It had nothing to do with the surgery. There was a high chance that it would not be bilirubinuria, so they would just wait.
Chief Yang and Quan Xiaocao observed for an hour. The patient was in a calm state with the help of the ventilator. His vital signs were stable, and nothing could be seen.
Following that, the blood calcium and vitamin D reports did not show any abnormalities.
The two chief residents were dumbfounded.
They had no choice but to report it level by level and find a second-rate professor to take a look.
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