Chapter 1789: 1727 Node

"Zheng Lao Ban, you're here too." When the patient was being sent to the ICU, the Inpatient Chief immediately saw Zheng Ren.

"Just happened to go to the Emergency Department, ran into you and came over." Zheng Ren had no intention of entering; that side was also busy with resuscitation, so a greeting was enough.

"Family members who know the situation, stay a few at the door; I'll take the medical history shortly." After saying that, the ICU Inpatient Chief hurried back.

She was directing several resident doctors on this side, already beginning preparations for resuscitation.

First stabilize the patient's condition; we'll talk about the rest later.

Zheng Ren and Su Yun exchanged a glance, followed them inside, and changed clothes.

"Boss, why do you doubt it's poisoning?" Su Yun asked.

"Hmm. Two days ago, when the patient went to the District Hospital for kidney stones, there was no problem at all. Back then, the only thing troubling her was ureteral stones, causing severe pain. On the outpatient records, there was a payment receipt, and I saw 654-2."

"The antispasmodic effect of 654-2 is not good; normally one would need an intramuscular injection of pethidine." Su Yun said.

"Maybe the Emergency Department doctors are reluctant to prescribe narcotics." Zheng Ren said.

"Although I disagree with your confidence, you're right on this point. Many people prefer to try 654-2 first; if it works, they can avoid a narcotics prescription."

"Controls on narcotics are getting stricter. Hey Boss, three days from now, this afternoon, there's the narcotics prescription exam. I suggest you take it, because I definitely won't go, and Chang Yue might not study seriously either."

"If our Medical Team lacks the authority to prescribe narcotics… well, you could also use Director Kong's employee number." Su Yun shrugged, expressing with action and words that he definitely wouldn't take the exam.

"……" Zheng Ren pretended not to hear.

"What the heck is this exam? That's just something junior doctors have to do."

"You'll get it after one look—why do you always act like a slacker worried about exams?" Su Yun puzzled.

"Exams waste time." Zheng Ren said: "With that time, I'd rather do two more Shou Bing. Even if there's no difficult surgery, accompanying Cui Lao for outpatient visits is also good."

"These are the rules!" Su Yun said: "Many things you don't like still have to be done gritting your teeth, and then you'll grow up."

"I can look for Lin Ge." Zheng Ren said, took out his phone, and dialed Lin Ge directly.

"Director Lin, I have a matter that needs your help." Zheng Ren said.

"Zheng Lao Ban, go ahead." Lin Ge expressed surprise at Zheng Ren's sudden call.

"The narcotics prescription exam is the day after tomorrow, right? I might have something on; see if we can…"

"Zheng Lao Ban, are you talking about the narcotics prescription?" Lin Ge was stunned by what Zheng Ren said.

"He never expected Zheng Ren to come to him over such a trivial matter. But after a moment's thought, Lin Ge was overjoyed."

"No matter big or small, this damn well is a thing!"

"Despite your busy schedule, physicians at the level of chief physician and above can participate in the simplified procedure." Lin Ge didn't let Zheng Ren speak, immediately saying: "As for you, I'll handle the filing on my end. We're both lifelong professors at Massachusetts General Hospital—do we really need to take this?"

"Sigh, if I don't take the exam, I'm worried our Medical Team won't have the authority to prescribe narcotics." Zheng Ren felt helpless.

"Don't worry, leave it to me." Lin Ge laughed: "I happen to be helping at the Science and Education Department; this matter involves the Medical Department and the Science and Education Department, so I should take full responsibility. I'll check it out—you go about your work, no need to worry about this side."

"Thanks then." Zheng Ren laughed.

"Zheng Lao Ban, you're too polite." Lin Ge laughed.

Zheng Ren hung up the phone, seeing Su Yun smirking, and realized that was his purpose in saying that.

"Although it's a small pit, I'm definitely going to step into it. Being called 'Boss' over and over isn't for nothing."

"When there's really something to do, I have to step up. Shouting for me to charge and charging with me are two different concepts."

"What do you think about this patient?" Su Yun brought the topic back.

"The two didn't rush in to check the situation, because this was the busiest time inside. They could go in after all the procedures were finished."

"Just now I was talking about 654-2, but you interrupted me." Zheng Ren said: "654-2 worked, and the B-ultrasound also showed stones in the ureter, meaning the patient's previous symptoms and diagnosis were correct."

"You mean this is a sudden incident?" Su Yun said: "Consider poisoning? Or something else?"

"No external trauma, and even when the patient arrived at the hospital, their condition was still okay. After we entered the room, I saw the patient's lips and eyelids were pale; at that point, blood pressure probably wasn't that low yet."

"I guess the patient saw you and got scared straight away. Next time we encounter a female patient, let me handle the explanation first." Su Yun said contemptuously.

Zheng Ren ignored Su Yun's provocation and continued.

"The patient's condition might just be at the critical point today. The skin on the patient's body can also indicate that."

Su Yun didn't nitpick.

"The patient claims no external trauma; if I were to walk into the Emergency Resuscitation Room ahead of Zheng Ren, I'd also check whether the patient had any unnoticed external trauma or anything else."

"This is part of the physical examination."

"The reason the patient reacted so strongly is definitely because our Boss is too ugly, scaring the girl."

"Absolutely is the case!"

Su Yun was very certain.

"Go on." Su Yun said.

"From the last visit to the District Hospital to today, what the patient ate is the key point." Zheng Ren said: "The possibility of diet is the greatest."

"What you say makes sense, but could there be another disease causing internal bleeding?" Su Yun said: "For example, gastrointestinal bleeding or the like."

"The likelihood is low." Zheng Ren said: "After all, the main complaint is hematuria. And what disease could cause a decrease in clotting function? Liver disease! Splenomegaly and cirrhosis are the most common. We just saw the CT, and the patient shows no signs of splenomegaly or cirrhosis."

Su Yun was about to speak when Zheng Ren added.

"I know you want to mention a blood system disease." Zheng Ren said: "I considered twenty-two blood system diseases, none of which cause a sudden decrease in clotting function."

"All right." Su Yun exhaled.

"ICU is really annoying—you have to wear a sterile cap, and you can't even see your hair fluttering. Su Yun was thinking about the patient's condition when suddenly this idea popped into his head."

"Should we go ask the patient's coworkers?" Su Yun asked.

"Let me think about it." Zheng Ren mused: "It'd be best to first check the patient's condition before saying anything."

"That's all we can do—look at the situation first, then talk."

"The patient's condition is quite strange; Su Yun also has many aspects he doesn't understand."

"If you can't even figure it out, don't bother talking about a diagnosis."

Entering the ICU, the Inpatient Chief held an oral mirror, was intubating the trachea, and while doing so shouted: "Suction tube! Quick!"