The Surgeon's Studio
2774 Meeting Bai Xintong again
"Boss, look at how much trouble you've caused them." Su Yun said in disdain.
"I keep feeling like there's something wrong with the patient." Zheng Ren couldn't tell her about the system's diagnosis of the big pig trotter, so he could only beat around the bush.
"It's too far-fetched. " Su Yun said,"the patient's symptoms are excessive phlegm that blocks the windpipe, causing oxygen deficiency. Tell me, what are the considerations for suspecting a foreign object?"
"You saw the behavior of the patient's family members when we were eating skewers." "It was obviously an accident," Zheng Ren said."I think the old man was still fine when the stall was set up, but a few hours later, he started twitching and his blood oxygen saturation level dropped. The family members were caught off guard."
"Um ... That's true, but don't you think that it's the patient's family who has a problem?" Su Yun looked at Zheng Ren in confusion and said,""You seem to have guessed something."
Zheng Ren shrugged his shoulders and shook his head."I think there's a problem. Based on a doctor's intuition, I'll just go in and take a look. It's not troublesome, and I can also try to suck out all the accumulated phlegm as much as possible."
Su Yun accepted Zheng Ren's explanation. Although it was a little strange for her to suddenly go to the icu to get a tracheoscope and bronchibular pulmonary irrigation while eating supper and singing, it was still a little strange.
Soon, the chief resident of the icu prepared the tracheostomy tube. Zheng Ren came to the patient, found a suitable angle, and started to lower the tube.
When the patient was under anesthesia, if a normal tracheoscope was used on him, he would feel as if he was suffocating, and that feeling was quite terrible.
Zheng Ren held the lens of the tracheostomy tube in his left hand. He observed it carefully while he used his right hand to slowly send the fiber tube into the patient's airway.
There was indeed a lot of phlegm, but Zheng Ren did not pay much attention to the phlegm in the upper respiratory tract. This was the part that could be sucked out.
He placed the tube into his right main bronchi and slowly sucked out the phlegm as he walked. Zheng Ren carefully observed his Qi path and patiently inhaled.
From the looks of it, it shouldn't be a problem on this side. After checking the right airway, Zheng Ren moved the pipe to the left side.
Just as he entered the left main trachea by about 5 cm, Zheng Ren saw two skeletal structures stuck on the walls of the trachea.
"Forceps." Zheng Ren said in a deep voice.
"What did you see?" At this moment, Su Yun hated the tracheostomy tube because it did not have a screen, and only the caster could see the situation inside.
If the boss wanted a pair of forceps, it meant that he had seen a foreign object in the trachea. However, there was a foreign object ... This did not make sense. The patient's performance did not seem to be blocked.
Just as he was thinking about it, Zheng Ren moved away from the camera."Take a look."
Su Yun immediately went over.
Two medicinal skeletons appeared before his eyes.
"I'm going ... To pay my respects to Xintong's medicinal skeleton!" Su Yun immediately said in surprise.
"Eh? How do you know it's Bai Xintong? Do you still have any research on this?" Zheng Ren was stunned.
"Last time at the hospital administration Department, I saw Division Chief Lin explaining this to a patient's family member who had an opinion about it. I went back and bought a box, and studied it carefully. It's the skeletal structure of the imported medicine. So it's because of the medicine!"
The Icu chief resident installed the grappling forceps and other instruments and handed them to Zheng Ren.
Zheng Ren slowly sent it in and firmly grabbed a medicinal skeleton before taking it out. There was no difficulty in this operation, at least not to Zheng Ren.
The second bone structure was also taken out, but Zheng Ren did not end his examination. Since he had already started to inhale phlegm under direct observation, he should inhale more to shorten the patient's recovery period.
Ten minutes later, Zheng Ren took out the fiber tube and said with a smile,"it's fine now. The phlegm that I sucked out is about 80ml. It's not a small amount."
"Boss Zheng, how did you know there was a foreign object?" The chief resident of the icu still hadn't recovered from the shock and asked in confusion.
"It's because of the patient's symptoms," Zheng Ren started to spout nonsense. Anyway, he just had to solve the problem. Why did he need to tell her the truth about how he judged?
"The patient started with spasms, convulsions, and acute oxygen deficiency. He recovered later, but he had a lot of phlegm, which couldn't explain the sudden symptoms. I think it might be because there was an obstruction in the beginning, but it gradually recovered. However, due to the existence of obstruction and stimulation, only the bone structure delaying agent can perfectly explain it. "
"It's completely blocked. The medicine is then absorbed by the body, but it's still stimulating. The stimulation led to an increase in phlegm, which is also a secondary reason. " Zheng Ren added, wanting to make it clearer.
After knowing the answer, it became much easier to deduce the answer. Zheng Ren told the chief resident of the icu what he thought, and the chief resident was stunned.
Even Su Yun felt that her boss's words made sense.
"Brother Yun, What is this? A toy that patients play with?" A young nurse asked as she took out Bai Xintong's medicine skeleton.
"No, it's the bone shell of nidopine control-release tablets."
The nurse was stunned.
"Baixin Tongyu film sheet and a layer of Water Gel layer ... This gel layer contains polyethylene oxide and sulphalyl-3-more-cellulose. After the latter is eroded, it can release nifelines at an almost constant speed for 24 hours through the principle of the push-and-pull aspirator that is controlled by the membrane, so that the drug can be released at a speed of zero. "
"Look, there's still some medicine on it that hasn't been released. This one's a little less. The boss probably took some down when he was operating."
"This is the appearance of a new classmate?!"
"Right? many people don't know. Some time ago, someone had complained that the medicine prescribed by the doctor was fake. I think he wanted the hospital to compensate him with a hundred thousand Yuan, but he ran away after director Lin explained. " Su Yun and the nurse started to chat in a familiar manner.
Zheng Ren looked at Su Yun helplessly. How was he going to live his days in the future? Did he have to see Chang Yue's Black face every day?
Hurry up and get married, leave these two guys. Seeing Chang Yue's unhappy face every day, Zheng Ren felt that he was not feeling well.
"Did the patient take any other medicine?" Su Yun suddenly asked the chief resident of the icu.
"And dawain and rode."
"I can absorb both of them, so I can't see them." Su Yun followed the vein and said,"the patient has a history of cerebral infarction and is bedridden all year round. She also has a certain degree of swallowing dysfunction. It's mainly because she's been lying in bed for a long time. If she doesn't take good care of herself, it's easy to inhale by mistake. "
"Try to go offline after three hours." Zheng Ren laughed."If everything goes well, I'll probably be transferred out of the icu tomorrow."
"Good, good." The chief resident of the icu said,"boss Zheng, do you want to explain to the patient's family or do you want me to explain it to them?"
Boss Zheng and Brother Yun came after the patient was sent over. They probably knew each other. The chief resident of the icu asked this as he was also thinking about not overstepping his boundaries.
"You go ahead, we're going home." Zheng Ren said.
"Alright," he said. The chief resident of icu found a disposable container for cultivating phlegm. He put on a pair of gloves and placed Bai Xintong's medicine skeleton into the container, ready to show it to the patient's family.
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