"Have you checked for vitamins?" Zheng Ren asked.
"Vitamins?" Su Yun was taken aback.
In the ICU, there was no such thing as a vitamin test unless it was a specific disease.
External injuries were not considered a specific disease.
"I'm considering vitamin B1 deficiency," Zheng Ren said, "Stop the patient's tranquilizer."
Su Yun was taken aback.
"I want to see if the patient has symptoms of oculomotor nerve paralysis when she's agitated."
Paralysis of the extraocular muscles controlled by the oculomotor nerve would result in abnormal eye position, pupil dilation, and loss of light sensitivity.
Su Yun was about to retort when he suddenly recalled Yang Lili's trembling eyes when she was awake.
He pondered for a few minutes before looking up and his eyes lit up. "Boss, I think you're right."
Chief Qian and the other chief physicians were stunned.
Were these two young men joking?
The city was still waiting for today's report. They …
If it were not for Su Yun's outstanding performance in emergency rescue in the ICU and Zheng Ren's superb surgical skills in previous emergency surgeries, he would have been splattered with saliva by now.
Vitamin B1 deficiency?
What a joke.
"Little Zheng, Little Su, stop joking," Chief Qian said in a deep voice, expressing his dissatisfaction.
"Chief Qian, I'm not joking." Su Yun smiled.
Zheng Ren's words cleared the fog in front of them, revealing a clear sky.
Sometimes, the difference was just a little. Once the window paper was broken, it was not a big deal to look back.
"What does the patient's symptoms have to do with vitamin B1 deficiency?!" The chief of the medical administration division said angrily, "Beriberi?! Nonsense! "
"Pathophysiology. You've all learned it, right?" Su Yun looked around, a mocking smile on his face.
Is commonly known as beriberi, that's right. "
The smile on his face grew wider as he spoke, causing many of the ICU nurses' eyes to sparkle.
"Vitamin B1
Thiamine, also known as thiamine, is phosphorylated by enzymes after absorption into the intestine to produce thiamine pyrophosphate.
Thiamine pyrophosphate is a key component of the tricarboxylic acid cycle.
Is an important coenzyme for ketoglutaric acid decarboxylation and erythrocyte ketolytransferase. "
A series of professional terms, like rolling thunder, emerged from the void and fell on the heads of everyone present.
Director Qian pondered. Little Su's words seemed to be a valid line of thought.
The chief of the medical administration division had an ugly expression on his face, because … he couldn't understand a single word.
His position was very important. He was in charge of the integration of various rescue procedures, handling medical disputes, and controlling medical quality.
However, he had been out of clinical practice for too long, and he had almost forgotten about pathophysiology.
Su Yun ignored the thoughts of the big shots present and continued, "In the brain and heart tissues with high metabolism, glucose and pyruvate metabolism must have enough vitamins.
Otherwise, due to the lack of thiamine pyrophosphate, pyruvate would be difficult to enter the tricarboxylic acid cycle.
The excessive amount of pyruvate in the blood causes the peripheral arterioles to dilate, the peripheral resistance to decrease, the venous flow increases, and the cardiac output and workload increase. "
Huh? Did he finally talk about the right cardiac output and cardiac load?
The chief of the medical administration division pretended to think. At this time, he could not let anyone see that he did not understand.
But … could this despicable man not put it in simpler terms?
"So, I …" Su Yun's smooth speech paused for a moment. "My boss said that considering Yang Lili's agitation and psychological symptoms, it should be a complication of vitamin B1 deficiency."
Having said that, Su Yun glanced at Zheng Ren.
"Am I right, boss?"
"That's basically what I mean." Zheng Ren did not hold back and said, "I suggest 100 mg of vitamin B1 intramuscularly, but the body absorbs the drug slowly. You can try 20 ml of normal saline and 50 mg of vitamin B1 intravenously at the same time."
"It'll be fine if the dosage is a little higher on the first day," Zheng Ren said.
All the chief physicians and the chief of the medical administration division looked at each other in bewilderment, but in each other's eyes, all they saw was confusion.
Although not everyone agreed with Zheng Ren and Su Yun, they had to have a good reason to criticize them.
The man had explained the situation and his judgment clearly from a biochemical point of view.
Although they did not understand it, they thought it was impressive.
What should they do?
What else could they do?
"Let's give it a try. There's no other way," Chief Qian said.
He had been in contact with Su Yun for the longest time and knew him very well. Under normal circumstances, when Su Yun looked like he was asking for a beating, it meant that he was right.
It was best not to refute him. Even a department chief would be slapped in the face when presented with a well-founded case.
Besides, a few dozen mg of vitamin B1 would not have any negative effects on Yang Lili's condition.
"Stop the tranquilizer in half an hour," Zheng Ren said as he stood up.
"Yes, boss." Su Yun left to give the order.
Watching Zheng Ren's back as he left, Chief Qian felt a little emotional.
This was a tiger cub, and it was already an adult.
Even a veteran department chief would not have such an aura.
Who would dare say something without absolute confidence in the medical field? If he spoke casually, he would soon be slapped in the face. It would be a slap on the left and right, the kind that would turn him into a pig's head after a few slaps.
Chief Qian had only seen such an aura from a few professors in Imperial Capital and Sorcery Capital. Sea City General Hospital … had never seen such a person.
Su Yun gave the order and a nurse rushed to carry it out. Then, she injected the vitamin B1 intravenously and injected an intramuscular injection.
After checking the time, Su Yun sat down on a chair beside the bed and stared at Yang Lili.
Half an hour. The boss's time should not be a problem. When the time came, Yang Lili would reduce the dosage of the tranquilizer. It would take about two hours for her body to metabolize the tranquilizer.
If the oculomotor nerve and cardiovascular symptoms were really caused by vitamin B1 deficiency, it would definitely improve.
This was an interesting diagnosis.
…
Meanwhile, the orthopedic surgery to remove the vertebral body was underway in the operating theater.
"Little Zhou, was yesterday's embolization accurate?" Professor Tian from the Imperial Capital orthopedics department asked as he cut open the skin.
Dr. Zhou said, "The embolization takes a long time because we only have one interventional doctor here. I can't tell if it was successful or not. However, he's done it on patients with pelvic fracture and peritoneal hematoma before. The results are pretty good. "
"Yes, interventional doctors are rare. It's good enough to have one." Professor Tian began to bluntly separate the muscle tissue, carefully avoiding the area with more capillaries.
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