Zheng Ren thought for a full ten minutes but still could not come to a conclusion.
The System was usually very reliable, but so far, there had been a few incidents where he did not give a diagnosis.
The most critical time was the incident of eating the thyroid gland of an animal. Afterwards, it was proven that the System still had a certain internal operating logic.
But this time? Why didn't the System give a diagnosis? Could it be that he would be eaten by someone through a live broadcast?
Zheng Ren looked at the patient's stable condition. The ventilator and monitors were operating smoothly. He began to suspect that the patient was not sick.
However, if he wanted to say that, he had to have a solid diagnosis.
"I'm going to look at the medical records," Zheng Ren said in a deep voice. Then, he returned to the workstation and began to look at the medical records.
The patient's condition was relatively simple. It was the same as what the ICU chief resident had described earlier. It was only because of his old age that he had to stay in the ICU for a few more days.
This was also a very cautious approach.
According to the records of the surgery, there was no problem with the surgery.
Zheng Ren started reading the test results.
Su Yun glanced at the documents and asked, "Chief Yang, you didn't touch the gallbladder or liver during the surgery, did you?"
"No, it's at the colon. Even if we touch, we won't be able to touch it," Chief Yang said with certainty.
"That's strange." Su Yun did not understand either.
According to the results of the test, the patient's condition was improving little by little, and he could be transferred out of the ICU ward today.
Unfortunately, the problem of the green urine appeared before he could turn around.
After going through all the test results, Zheng Ren started reading the doctor's advice.
"Boss, do you suspect that it's caused by drugs?" Su Yun asked.
"I can only suspect that. The rest of the treatment process is fine. If there is a problem, it can only be a problem with the medicine," Zheng Ren said.
There were not a lot of drugs in the ICU. It was not like the ICU of some small hospitals that did not follow the rules. As long as there was something wrong, several groups of drugs would be administered at the same time. Many patients' conditions had even worsened because of the drugs.
After he left the stage, he only took antibiotics for 24 hours, and the rest was nutritional support.
Strange, what was the problem?
He read the doctor's advice bit by bit and did not miss many medications that had been discontinued.
This time, his reading speed was not very fast. In fact, it was even slower than when he was reading the test results and medical records.
The others did not know what Boss Zheng was doing, but Su Yun suspected that his boss was recalling the instructions for each drug.
"Su Yun."
In the silence, Zheng Ren suddenly called out.
"Hmm?"
"Look for the instructions for the milk," Zheng Ren said.
It turned out that the boss did not remember everything. Thinking of this, Su Yun felt much happier.
But why was he looking for the instructions for the milk?
The milk that Boss Zheng mentioned was not the milk that he usually drank at home, but the nickname of propofol.
Propofol, also known as propofol, was a milky white liquid. Anesthetists called it "milk".
Its main function is the induction and maintenance of general anesthesia. It is often used together with spinal anesthesia and epidural anesthesia. It is also used with common preanesthesia drugs such as neuromuscular blocking drugs, inhalation anesthetics, and analgesics.
There were no contraindications in clinical use, and there were almost no side effects.
Even if it was used in large quantities over a long period of time, the patient's body would be able to accept it. Some patients with ventilators had been on them for a month, and there were no side effects of propofol.
Is there something wrong with the milk?
Su Yun tried hard to recall as he asked the nurse for the instruction manual for propofol.
It was impossible. How many general anesthesia surgeries were performed in the operating theater every day? Not to mention 912, when he was a postgraduate student, he spent every day in the operating theater. He had never seen green urine.
After taking the instruction manual from the nurse, Su Yun could not wait to narrow his eyes and look for the contraindications and side effects in the small lines of words.
Soon, he found six small words in the column of side effects of the drug. They were small words that he had never noticed before — rare urine discoloration.
This was the first time Su Yun knew that propofol had such an effect.
"Boss, there is!" Su Yun was not excited. Instead, he said with a little confusion.
"Let me take a look."
"It's just six words. There's nothing to see." As he spoke, Su Yun handed the instruction manual to Zheng Ren.
Zheng Ren glanced at it and smiled. "Considering that it was caused by propofol, you can reduce the dosage. After stopping the medication, observe for a while, and then remove the tube."
"…"
Chief Yang felt that his eyes were blurry. The words on the instruction manual were as small as they could be. Boss Zheng saw it with a glance?
He took the instruction manual suspiciously and tried hard to find the column of side effects.
"Brother Yang, here." Quan Xiaocao was still a little younger and had good eyesight. She found the six words faster than Chief Yang.
Rare urine discoloration …
Was this the reason? He was torturing himself in the middle of the night … Right, he seemed to be having diarrhea!
Chief Yang had forgotten about this matter because he was so nervous.
Once he remembered it, a faint roar came from his stomach.
MD！ He clutched his stomach and cursed in his heart.
"Boss Zheng, I've never seen it before," the ICU chief resident also saw the six words and said in a low voice.
"There are some case reports, but the published literature is not very common. Moreover, they are all small articles." Zheng Ren smiled and said, "Now that I think about it, there should be more than ten articles talking about this matter."
"…"
"I think it might be caused by the metabolism of the green light-emitting group of phenol in the liver and then excreted with the urine," Zheng Ren explained briefly.
As for the excessive explanation, Zheng Ren did not know what to say.
This involved advanced research in biochemistry. He estimated that he would need to unlock the biochemical skill tree and at least be at the Master rank to explain it.
"I'll give my suggestion. When the chief comes for ward rounds in the morning, you can discuss it." Zheng Ren also knew that his reason was not enough to make the ICU chief resident agree, so he said softly.
"The patient is fine. You can stop taking the medication and extubation. If you think there's a problem, you can consult the anesthesiology department and change the sedative. We'll see after that. "Zheng Ren let out a long breath.
He had been thinking about the green urine in the morning and had not eaten yet.
Although he rarely ate, Zheng Ren still paid attention to breakfast.
If he did not eat breakfast, it would easily cause gallstones and eventually, he would have to remove the gallbladder. Zheng Ren did not want to have diarrhea every time he ate meat in the future. That would be too annoying.
To a certain extent, gallstone was an incurable disease.
A few years ago, some people studied opening the gallbladder to remove the stones, but there were many postoperative complications and the effect was not good. Therefore, the general clinical opinion was to remove the gallbladder directly.
"Then we'll go." Zheng Ren felt that he had solved the problem. He looked up at the patient and used the System panel and vital signs for the last time to verify each other.
No problem.
Zheng Ren turned and left.
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