"Boss Zheng?" Director Wu called out in a low voice.
"Chief Jiang, is this the patient we just received from the emergency call?" Zheng Ren asked.
"Yes, the patient had a nightmare and thought that he could not get out of it," Director Jiang said. "He went to our psychiatric hospital three times and the diagnosis was relatively clear. It was depression. This time, he had a manic episode and was in danger of dying under the wheel. Fortunately, the police pulled him back. "
As he spoke, the patient suddenly opened his eyes and let out a tragic scream. Then, he began to struggle with all his might.
As he struggled, he mumbled something indistinctly. No one could hear what he said clearly.
After a moment of chaos, the examination could not be completed and the patient could only be sent back to the emergency department. It was not easy to get an injection for this kind of manic patient. The nurses frowned. However, they had long forgotten about their bitter expressions. They stole glances at Su Yun and felt that the shift was worth it.
"Boss Zheng, let's go eat," Director Wu said. "Thank you."
"No, we'll leave in a while," Zheng Ren said. "Let's take a look at the patient first."
Su Yun's lips curled into a smile. All the directors in Imperial Capital had long known their boss's temper. Was the hospital in Nanshan City going to know now?
Director Wu was a little embarrassed. He did not know if it was because of his poor hospitality or some other reason, but why was Boss Zheng not even eating?
"Director Wu, my boss's temper is like this," Su Yun explained with a smile. Su Yun explained with a smile, "When I was in the capital, every time I went to Brother Hospital for surgery, I didn't eat after the surgery."
"This … How can I accept this?"
Director Wu wanted to extend a warm invitation but Zheng Ren had already strode toward the emergency department.
"Boss, do you think there's a problem?"
"Take a look first. This patient said he had a nightmare. Uh … If it's such a serious nightmare, Chief Jiang, what medicine has he been taking recently? "Zheng Ren asked.
Chief Jiang immediately became serious. It was not as perfunctory as when he spoke to Chief Wang. Instead, he was like a clinical doctor, half a step behind Boss Zheng, his waist slightly bent as he reported, "Three months ago, the patient came to our hospital and was diagnosed with depression. He was given escitalopram for treatment.
"Later, because oral escitalopram treatment was not effective, he came to our hospital again a month and a half ago and was replaced with oral bupropion.
"Twelve days ago, the patient complained of worsening symptoms and severe nightmares, so he came to the outpatient department of our hospital again." Director Jiang said very seriously, "The doctor in the outpatient department of our hospital suggests that you be hospitalized or go to a superior hospital for treatment. The patient has decided to go to Imperial Capital, but we don't know if he will go or not. "
"First it was escitalopram, then it was bupropion? What dosage form? "Zheng Ren asked.
Director Jiang suddenly felt a little embarrassed.
Was taking bupropion orally not enough? Do you still need to ask about the dosage form? If this had happened ten days ago, Director Jiang would definitely have thought that Boss Zheng was deliberately making things difficult for him.
However, after a medical record analysis and a public lecture, he would never have that thought again. If he did not know what the dosage was, it meant that he had not done his job well.
Unknowingly, Chief Jiang had already lowered his head in front of Boss Zheng. He had truly become a junior doctor.
"I …" Chief Jiang was about to say that he wanted to ask, but he suddenly remembered the plastic sealed oral medicine. He immediately went to the patient's pocket to take out the medicine.
"Boss Zheng, we found this on the patient," Chief Jiang said.
Director Wu followed behind and saw that Director Jiang, who usually had an unruly look on his face, was running around like a junior doctor under Boss Zheng.
Chief Zheng was really powerful. In such a short time, he had convinced Chief Jiang wholeheartedly. Director Wu followed silently behind. He just could not understand why a patient with depression in front of him was more important than him, the director!
Although he did not think that he was very important, they had still met twice. This time, he was able to invite Boss Zheng from Imperial Capital and sacrifice his rest time to teach everyone. It was human nature to have a meal.
Compared to an unfamiliar patient … there was really no comparison. Therefore, Director Wu was speechless and did not understand what was going on.
Could it be that he had offended Boss Zheng? He pondered in his heart with some apprehension.
"The normal dosage form, not the sustained-release type," Zheng Ren said softly, then pondered for a few seconds.
A few male nurses pressed down on the patient to prevent him from falling off the stretcher trolley. Other than the patient's continuous screams and exclamations, no one spoke.
Everyone's eyes fell on Chief Zheng.
What was he trying to do?
"What drugs are there in the emergency department that are adrenergic α2 receptor agonists?" Zheng Ren suddenly asked.
"…"
"…"
There was a pile of …
The professional terminology of the circulatory department was usually not used in clinical practice. Even if they could think of it, they would have to think about it.
"Uh … Is there an old drug like clonidine?" Zheng Ren asked in a low voice.
Clonidine? He did not know about other drugs, but both Director Wu and Chief Jiang knew about clonidine.
It was an old blood pressure lowering drug that was rarely used nowadays. Ordinary pharmacies generally could not buy clonidine, and people with special needs needed a doctor's prescription to get this drug in the hospital. It was mainly used to treat moderate and severe hypertension.
Because clonidine could inhibit the central nervous system and lower blood pressure, high doses could cause shock, slow heart rate, and death from respiratory and circulatory failure, so it was rarely used in clinical practice. There were safer drugs now, so there was no need to take the risk.
Was the patient's blood pressure high? This was the first thought that came to Chief Jiang's mind. He tried to recall. The last time he checked, the patient's blood pressure was 152/87 mmHg.
The blood pressure was slightly high, but it was related to the patient's agitation. It should not be diagnosed as malignant hypertension that needed to be treated with a drug like clonidine.
"Chief Wang, ask the emergency department if they have clonidine," Su Yun said.
"Oh, oh." Chief Wang immediately ran to the emergency department's resuscitation room and asked the doctors and nurses if they had such an old drug.
The emergency department did not have it, so he did not go back and tell Chief Zheng. Instead, he called the circulatory department.
Fortunately, the circulatory department had the drug on hand, so Chief Wang immediately told Chief Zheng and Su Yun about it.
"Is it the 0.1mg one tablet? I'll borrow 0.2mg first. "Zheng Ren came to the emergency department's resuscitation room, stood next to the patient, and began the treatment.
One was the operating room, and the other was the emergency department's resuscitation room. Zheng Ren did not realize that he had unknowingly changed as long as he stood inside.
His usually gentle tone became firm and firm, not allowing any doubt.
Even Su Yun, who was usually willing to argue with his boss, would not raise any doubts at this time.
This was the accumulation of successful resuscitation after resuscitation.
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