Boss Zheng. "Department Chief Kong walked to the door with his hands behind his back." I just received a call from Chief Lin.
Zheng Ren stood up and asked, "Chief Kong, what patient?"
"It's said that it's a young patient with liver failure," Chief Kong said. "You guys go and take a look."
"Okay." Zheng Ren strode out of the office.
"Remember to eat properly at noon," Su Yun said to Chang Yue. "Eat carbohydrates!"
After saying that, he followed Zheng Ren out.
There were many footsteps behind him. Before he could check, Su Yun said, "Go back and write the medical records."
"I didn't perform the surgery today, so there's no need to write the surgery record. When Lil Fugui finishes, I'll just paste it." Lin Yuan followed behind. "Besides, if I can't finish the work, I'll work overtime at night. You don't have to worry about that."
"Is this how you talk back to a senior doctor?" Su Yun said disdainfully, "Is this how you talk to the big boss in the United States?"
"…" Lin Yuan was stunned for a moment, and his footsteps paused slightly.
She was a little afraid when she thought of the time in the United States. He stopped and glared at the two men who were leaving. Finally, he sighed and went back to write the medical record.
Although there was no clear senior doctor in the medical team, the first assistant's status in Boss Zheng's medical team was definitely higher than Lin Yuan's.
Lin Yuan knew what he was doing.
"Boss, young liver failure. What do you think is the problem?" Su Yun was also in a hurry to go to the hospital for a consultation. He ignored Lin Yuan and walked beside Zheng Ren to ask.
"Usually, it's patients with hepatitis B or infectious liver disease. Who knows? In the ICU, there's still a full-hospital consultation. It's probably not going to be easy." Zheng Ren's expression was serious as he strode toward the fire escape.
Zheng Ren's words were simple, and his words were not smooth, but Su Yun knew what his boss meant.
Liver failure was liver failure. Even the whole hospital could not come up with a solution.
However, he directly called Department Chief Kong to participate in the consultation. The meaning behind this was thought-provoking.
The diagnosis was not a problem. If the 912 could even diagnose liver failure incorrectly, then it would not be the top Class Three Grade A hospital in the country. He was asked to go to the hospital for a consultation. It must be related to surgery.
Zheng Ren had a preliminary idea, and there were many speculations. However, guesses were just guesses and could not be trusted.
Su Yun stopped talking and began to think about this young liver failure patient.
When he entered the ICU, the door of the conference room was open. There were already a few chief physicians sitting inside, whispering to each other about something.
Zheng Ren changed his clothes and went in. Professor Yang waved at him.
"Boss Zheng!"
"Brother Yang." Zheng Ren smiled and sat down beside him. "What patient?"
As he spoke, he picked up the medical records on the table.
High fever for 2 days accompanied by jaundice for 6 hours. Zheng Ren's eyebrows furrowed when he saw the main complaint.
Two days of fever and acute liver failure. How urgent was this illness?!
The rapid onset of the disease meant that the disease was extremely serious, and the treatment effect would not be particularly good.
Moreover, jaundice had appeared. The degree of liver failure was probably very serious …
This person was probably going to be tough.
Looking further down, the names of three common cold medicines and their oral dosages appeared in the medical records, as well as other Chinese patent medicines.
The patient's diagnosis was clear — acetaminophen poisoning!
Acetaminophen was the name of the drug. It was the main ingredient in paracetamol that was widely available decades ago.
The drug was absorbed by the gastrointestinal tract and metabolized by the liver. 90% of the drug was combined with glucuronic acid and sulfide in the liver and excreted in the urine.
However, 2-4% of the drug would be metabolized by the cytochrome P-450 mixed-function oxidase system in the liver, becoming a toxic intermediate metabolite that would combine with glutathione.
Under normal circumstances, acetaminophen would not be harmful to the human body. After all, the liver's metabolic function was quite strong.
However, if the dosage of the drug was too high, glutathione would be exhausted. The toxic intermediate metabolites would combine with the liver cell proteins, causing liver cell necrosis.
Zheng Ren glanced at the dosage of the drug and had already calculated the result in his heart.
Normally speaking, taking acetaminophen at a time could cause toxic side effects with 7.5 grams of acetaminophen taken orally.
The dosage of the drug taken by the young patient was enough to cause liver failure two or three times.
"F * ck … How much acetaminophen did he take?" Su Yun said in surprise as he glanced at the medical record.
"Sigh, the patient's condition is not good now." Professor Yang sighed and said, "The liver cells are rapidly necrotic and the liver failure is severe. Hepatic encephalopathy has already appeared."
"…"
Zheng Ren looked at the age written on the medical record. He was 20 years old and felt extremely regretful.
It was just a seemingly ordinary cold. He had only taken some cold medicine and he had to face such serious consequences.
This young patient named Chen Li had probably never thought of it before.
If there was a next time, he would definitely not take so much cold medicine. Unfortunately, there was no second chance in the world.
Now that the patient had hepatic encephalopathy, coupled with severe jaundice, it proved that the liver failure had reached an almost irreversible stage.
"Boss Zheng, do you have any other way?" Professor Yang asked softly.
After working together with Boss Zheng to perform the interventional embolization and surgical resection, Boss Zheng did not seem to be interested in this side. Professor Yang also took all the benefits in unison.
Professor Yang had his own way to publish the thesis. If this side were to go through Boss Zheng's hands, it would really be unreasonable.
His skill level was high and he was not willing to compete for the benefits. Or rather, he did not care about the benefits of this side at all. Who would not be willing to befriend such a person?
Professor Yang and Zheng Ren were already very close. Recently, their relationship had been very hot. Therefore, he asked casually and did not treat him as an outsider.
Zheng Ren shook his head, indicating that he did not have a good idea.
"It seems that this is the only way to do a liver transplant," Su Yun said with a frown.
"A liver transplant needs to be matched. The key is to rely on luck and wait for a donor." Professor Yang sighed.
He also knew that the patient needed a liver transplant, but waiting for a donor for three to five months was considered short.
There were people who did not wait for a donor until they died.
Chief Li of the 912 Department of Hepatobiliary and Pancreatic Surgery was good at performing liver transplants. Although there were not many of them, he did more than ten or dozens of them every year.
"He's a third-year student. He's usually in good health." Professor Yang glanced at the door and whispered, "The school is very concerned about this matter."
That was true.
Although the school was not at fault, how could such a young child explain to his family that something had happened?
It was impossible for it to be like before, where they would die, run away, or get injured.
If his family lost control of their emotions …
Thinking of this, Zheng Ren's head ached.
"The patient's family flew over from their hometown. They will arrive in three to four hours," Professor Yang said. "When I came up, I saw Chief Ye accompanying Deputy Director Yuan."
"The school's principal is also here?"
"Yes, there's someone talking to Deputy Director Yuan. I don't think he looks familiar. I think he's the school's principal."
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