Chapter 1841: line with translation of title

1777 Rescue! Rescue!! (Monthly ticket 8500 extra chapter ×17)

In an instant, countless things appeared like a tide, the situation drastically changed, and Su Yun, Zhou Litao, and the patients' families were all stunned.

Originally dissatisfied and constantly complaining, the patients' families were instantly scared silly.

The person who had left fell into a coma as soon as they left the hospital!

This news turned into Fear, making all dissatisfaction dissipate like smoke.

Su Yun saw that the patient and the patient's family had not reacted, immediately ran to the treatment room, took a blood-drawing syringe and a biochemical tube, and quickly drew blood from the elderly person.

The elderly patient was clearly unable to control his temper, but just as he was about to say something, Su Yun shouted: "If you don't want to die, shut up!"

At that very moment, Suyun knew exactly what problem his boss had been looking for.

Thyroid Function abnormal, followed by thyroid storm!

Not long ago, the consultation case sent from Massachusetts General Hospital was a patient with thyroid function abnormal who, after undergoing contrast-enhanced CT, developed thyroid storm due to ingesting a large amount of iodine agent.

This is absolutely a terrifying disease that can be fatal.

"Manager Zhou, do we have methimazole in the department?" Zheng Ren immediately asked.

"No." Zhou Litao directly replied.

"Send someone to borrow from the pharmacy!" Zheng Ren shouted: "Methimazole or propylthiouracil will do, in large quantity, at least twenty boxes."

"..." Zhou Litao was stunned for a moment, then immediately went to find someone to discuss this.

"Call the Emergency Department ultrasound room, and bring the machine over immediately."

"Prepare sedative, Vein infusion, proton pump inhibitor, methylprednisolone, and ECG Monitor."

"Call the patient who went out for observation, and have them come back quickly."

"Check the emergency medications!"

Orders were issued one after another, Zheng Ren stood in the Emergency Department corridor, commanding everything with confidence.

The medical staff in the Emergency Department were at a loss, someone confidently gave orders, their muscle memory kicked in, and following Zheng Ren's command they began to operate swiftly.

"Zheng Lao Ban!" Department Head Cheng heard Zheng Ren directing the rescue outside, he stormed out, "Have you found the problem?!"

"Thyroid function overactive, considering it was triggered by food intake." Zheng Ren quickly said, "The delay has been somewhat long, and the comatose patient has already developed thyroid storm."

Upon hearing about the thyroid danger, Director Cheng was stunned.

This damn disease is deadly, with a mortality rate as high as over 20%.

"How was it diagnosed?" Director Cheng asked in astonishment.

"Sorry, Director Cheng, there's no time to explain." Zheng Ren said, "Nurse, have you called the patient who went out for observation? The comatose one doesn't need it."

Calling now.

"Manager Zhou, have you gone to get the medicine? Call to ask if there is any."

This methimazole drug is too cheap, and the dosage is also small, so many pharmaceutical factories have stopped producing this money-losing drug.

This is a sad thing to talk about.

"Just asked, no methimazole, but we have propylthiouracil." Zhou Litao said.

Zheng Ren let out a breath.

Probably because there are many patients undergoing thyroid surgery in room 912, frequently encountering thyroid storm patients, so propylthiouracil is available.

Amidst the busyness, the sound of an 120 emergency ambulance arrived. Zheng Ren didn't have time to explain everything to Director Cheng, and ran to the entrance of the emergency passage.

The vehicle door opened, and the patient was pushed out.

The System Panel was all red, the diagnosis clearly displayed: thyroid storm!

At the very last moment, Zheng Ren understood everything.

These patients likely ingested animal thyroid, causing the levels of free T3 and T4 in their bodies to rapidly increase.

Normally, symptoms appear within 5-20 hours, peak within 2-7 days, leading to thyroid storm.

And Big Pig Trotter was not diagnosed because this is not a toxin; although it counts as food poisoning, it differs from the usual meaning of food poisoning. There is no toxin, but rather the level of a substance the body needs suddenly spikes.

This is the most reasonable explanation.

At the moment the System Panel displayed thyroid storm, Zheng Ren confirmed his guess.

The patient was pushed into the Emergency Resuscitation Room, and the nurse began to establish a Vein line, suction phlegm, insert a gastric tube, and insert a urinary catheter.

The doctor from the ultrasound room pushed the ultrasound machine over.

"What patient?" she asked, "Which area needs to be examined?"

Zheng Ren had no time to explain, he shoved her aside, picked up the coupling gel, and applied it to the patient's neck.

The probe descended, and a Clarity flame sea sign appeared on the screen.

After confirming twice, Zheng Ren shouted: "Has the propylthiouracil been retrieved?!"

"It's back, it's back." Zhou Litao ran to the doorway, saw the nurse holding propylthiouracil, panting as she returned.

"600mg, administer via gastric tube!" Zheng Ren said, "Record the time, prepare potassium iodide solution, monitor Function, and administer potassium iodide via Vein drip in 1-2 hours."

"ECG Monitor, watch cardiac function, prepare propranolol."

Only then did Zheng Ren let out a breath.

Watching the 600mg propylthiouracil enter the patient's stomach via gastric tube, Zheng Ren knew this person was unlikely to die.

It's only a likelihood; for now, we can't say it definitively.

Director Cheng fell silent the moment he saw the flame sea sign on the ultrasound.

Is this what Zheng Lao Ban has been painstakingly searching for? Before there were no signs, just an ordinary gastrointestinal cold, how did it suddenly turn into thyroid storm?

No way to Understanding.

But the facts proved that Zheng Lao Ban was correct.

Flame sea sign, just this single clinical evidence is already enough.

A few minutes later, Su Yun ran back with the urgent lab report.

T3 and T4 were markedly elevated, TSH was obviously suppressed, and there is evidence indicating thyroid function overactivity.

However, the elderly patient had not yet developed a thyroid storm, and it seemed his luck was fairly good.

After this was confirmed once more, Zhou Litao did not wait for Zheng Ren to speak, and directly instructed the nurses to draw blood for all eligible patients.

Propylthiouracil was ready; as soon as the test results came back, everything would be fine.

Treatment would not be hindered by anything; Zhou Litao knew there was only one reason—because Zheng Lao Ban was present!

If Zheng Lao Ban had gone out on a mission a day earlier, I would surely be drenched in sweat. Patients are sent back, and then various tests and a hospital-wide consultation are conducted.

Once the diagnosis is clear, the patient might already be dead. Moreover, it's not just one patient, but a batch of patients.

Director Cheng stood aside, watching the Emergency Department's machinery roar as it drove away disease, his heart filled with mixed emotions.

The image that appeared before his eyes was of Zheng Lao Ban just bowing to himself.

He seemed a little absent-minded.

More than ten minutes later, the patient in the resuscitation room, after receiving propylthiouracil via a nasogastric tube, began to take effect, the heart rate gradually decreasing, and only then did Zheng Ren come out.

Director Cheng saw that honest, simple face and really didn't know what to say.

"Manager Zhou, I'm no longer responsible for the rest," Zheng Ren greeted Zhou Litao, and then immediately saw Director Cheng.

Their eyes met.

"Zheng Lao Ban, impressive!" Director Cheng sighed.