Chapter 1002: 981 Extrapyramidal Reaction

Two live Shou Bing ended quickly.

Mu Tao felt regret; the time he had come back was still too short, and the number of patients he had received was far fewer than in Di Du. He had originally thought six patients was already quite a few, but having tasted the benefits, he now truly wished he had sixty patients to practice on, so he could quickly become proficient.

What a pity; we can only wait for another day.

Zheng Ren took off the Lead clothing, changed clothes, glanced at the time and said: "Lao Mu, go see the patient downstairs, I'm leaving. Just prepare the data of this Shou Bing patient and send it to my email."

"It's really too rushed; I had originally prepared to treat you to a very authentic Cantonese meal." Mu Tao said.

He knew Zheng Lao Ban didn't really like meals, that's how it was in Pengxi Xiang. Su Yun was picky, telling Director Jiang what he wanted to eat. Whereas Zheng Ren seemed to have only eaten one meal, and Su Yun even said he ate like a dog licking a bowl.

That's why this Zheng Lao Ban gives people the feeling of being hard to deal with. For such a big matter as teaching TIPS Surgery, he actually didn't even get a chance to express thanks.

Moreover, Mr. Zou of the Zou Family in Xianggang was still waiting for him, yet he didn't even show his face.

Mu Tao looked at Zheng Ren's somewhat honest face and was momentarily dazed.

"It's fine, just buy a few burgers on the way." Zheng Ren casually said: "Go see the patient downstairs, I'm leaving. On your side, if you come again to do a second-stage Shou Bing, I estimate I won't need to come again."

"No!" Mu Tao hurriedly stopped Zheng Ren's words: "Just this once, I still have some vague issues. After a while, I'll do a few myself, gather a dozen or so patients, and then invite you once."

"The key points of the second-stage Shou Bing, think about them more." Zheng Ren instructed: "Don't be rough, need finesse. The main techniques have already been explained; the rest is just Shou Bing practice."

"Okay." Mu Tao replied.

After changing clothes, Zheng Ren, Mu Tao, and the professor returned to the ward, preparing to check on the patient.

Just as they entered the ward's main gate, they saw a nurse pushing an emergency cart, sprinting.

Zheng Ren's heart suddenly tightened: Is there an emergency?!

The Intervention Department normally does not accept emergency cases; if there is an emergency, it would be hospitalized patients who develop vomiting blood due to portal hypertension.

He forgot that after seeing the patient he needed to go to the airport to return to Di Du, and habitually followed the nurse quickly to the ward.

Wu Lao was directing the emergency in the ward, a doctor was examining the patient, nurses were busy setting up the ECG monitor, and Zheng Ren, lacking a good angle, temporarily couldn't see the system panel.

This patient was not one of the post-TIPS Surgery patients; Mu Tao then entered, was stunned for a moment, and exchanged a few words with Wu Lao.

Zheng Ren, listening from the side, heard the patient's condition: two days after liver cancer intervention surgery. On the first day, the right upper limb showed tremors; relevant tests were done and no problems were found. Today the condition worsened, presenting acute muscle tension disorder.

Zheng Ren found an angle and saw the patient's System Panel.

Red, it listed a bunch of diagnoses. Zheng Ren went through them one by one, deleting the unimportant ones, and saw a rare diagnosis—extrapyramidal reaction.

This is……

The extrapyramidal system is a component of the body's motor system; its main function is to regulate muscle tone, coordinate muscle movement, and maintain balance.

This regulatory function depends on the dynamic balance of dopamine and acetylcholine in its regulating center; when dopamine decreases or acetylcholine relatively increases, cholinergic neural hyperactivity symptoms may appear.

There are many symptoms of extrapyramidal reaction; Zheng Ren temporarily didn't consider this, but instead quickly searched his mind for related diseases and drugs that could cause extrapyramidal reaction.

Generally, neurological drugs can cause this reaction, but it's also not common.

"Lao Mu, did the patient take anti-anxiety medication or something like hibernation spirit before surgery?" Zheng Ren asked.

"None." Mu Tao frowned, looking at the internal medicine doctor in the consultation examining the patient: "Before surgery the patient orally took entecavir and antihypertensive drugs, nothing special. After surgery they were given a set of magnesium isoglycyrrhizinate injection for liver protection, and that's all."

"I'll go check the medical orders." Zheng Ren said.

Mu Tao didn't dare leave, had a doctor bring Zheng Ren to check the medical orders, while he stayed in the ward to participate in the emergency rescue.

Arriving at the office, he opened the workstation, and Zheng Ren began searching for drugs that could possibly cause extrapyramidal reaction.

The medical order sheet was clean; magnesium isoglycyrrhizinate injection is also a commonly used clinical hepatoprotective drug, cheap and effective, and Zheng Ren often uses it as well.

As for other medications……

Post-surgery they used saline plus vitamin C, which is for fluid replenishment, urination, to quickly metabolize the contrast agent.

Gastrokinetic?

Zheng Ren saw that on the first day post-surgery the patient had taken Gastrokinetic, and he finally felt relieved. He also looked at the medical record, which clearly noted that the patient had been given intramuscular Gastrokinetic due to postoperative nausea.

Gastrokinetic, whose drug name is metoclopramide, costs a few dimes per vial, and also has good efficacy for bloating-related indigestion, loss of appetite, belching, nausea, and vomiting.

After liver cancer intervention surgery, most patients experience similar symptoms, so Gastrokinetic is especially commonly used.

But Zheng Ren found several related reports, all cases of Gastrokinetic causing extrapyramidal reaction.

The mechanism is due to dopamine receptor blockade, causing relative overactivity of cholinergic receptors, leading to extrapyramidal reaction. This complication is not common, so they scratched their heads a bit, not daring to make an immediate diagnosis.

Zheng Ren closed the workstation, stood up, and walked out.

"Zheng Lao Ban, have you finished looking? This side has other patient data." The young doctor who accompanied Zheng Ren asked.

"Hmm." Zheng Ren said, "I've already found the cause."

"..." The young doctor was stunned for a moment—this fast? No need to check other lab tests?

Looking at this Zheng Lao Ban, who seems not old, maybe even younger than me, could it be nonsense?

However he didn't say anything, just followed Zheng Ren's steps and began to introduce the condition.

"The patient had no issues before surgery; yesterday they did a head CT and also found no cerebral infarction."

"It's not cerebral infarction, it's extrapyramidal reaction."

"What?" The young doctor looked bewildered.

The Intervention Department rarely encounters such a rare nervous system reaction; not knowing is also normal. The medical system's knowledge is vast as smoke and sea; otherwise, the increasing specialization would be because ordinary people cannot fully grasp everything, so they can only head toward finer classification.

Zheng Ren also didn't bother to explain much to him; having found the cause, they just proceeded with normal treatment, and telling Mu Tao was enough.

Quickly arriving at the ward, the Neurology Department doctor was also inquiring about medication use.

"Lao Mu, stop Gastrokinetic, and the condition will ease." Zheng Ren said.

"Could it be that Gastrokinetic caused the extrapyramidal reaction?" The Neurology Department doctor seemed to think so and immediately asked.

"Hmm." Zheng Ren nodded.

"I'll go check the medical orders." The Neurology Department doctor rushed off to the office, and Zheng Ren, seeing her hurried appearance, gave a slight smile.

"Zheng Lao Ban, do you judge that Gastrokinetic caused it?" Mu Tao still felt somewhat uncertain.