Chapter 2069: with translation of chapter title

High caffeine intake is associated with a range of mental problems, from anxiety and poor mood to mania and psychotic episodes. Moreover, excessive intake of energy drinks may also trigger certain physical problems, including acute renal function failure.

Hmm, speaking like that is still quite pleasant. Su Yun nodded.

How so? Zheng Ren was strange.

If you're going to mention those 116 case reports and whatever, it's still too pretentious. We're all our own people; it's better to speak simply. Su Yun blurted out.

Can't be bothered to say more. Zheng Ren said flatly: "But cases where functional drinks plus coffee cause psychiatric symptoms and acute renal function failure simultaneously—there are only three reports worldwide, namely those from Yingguo……"

Zheng Ren didn't know whether it was inspired by Su Yun, and immediately began to elaborate in detail.

Zhou Litao listened silently, completely dumbfounded. The data provided by Zheng Lao Ban was thorough, but more importantly, functional drinks plus coffee could actually cause renal function failure.

That serious. Zhou Litao said softly.

Hmm, of course. Zheng Ren said: "I told the nephrology doctor that the diagnosis was toxin-induced tubulointerstitial nephritis; the patient had elevated creatine kinase, possibly due to physical restraint, psychomotor agitation, and impaired renal clearance acting together."

Any test results to support that? Lin Yuan asked.

We're currently doing a needle biopsy and a series of related tests; up to now…… right, you didn't see the emergency renal function checked by the Emergency Department." Zheng Ren recalled, "Creatinine 1205mmol/L, urea nitrogen 22mmol/L."

Acute renal function failure is that serious? Su Yun frowned.

The normal range for creatinine is 59-104mmol/L, and the normal reference range for urea nitrogen is 2.9-6.4mmol/L.

The patient's both values are increased by several-fold up to ten-fold, consistent with the presentation of acute renal function failure.

I estimate the blood gas analysis…… should show acidosis; if Manager Zhou is interested, you can consult a nephrology doctor after the test results come back." Zheng Ren already had it figured in his mind, speaking definitively.

Zhou Litao and Lin Yuan silently noted that point in unison.

Not Doubt Zheng Lao Ban, to be able to speak so precisely, as if he had personally seen the lab report, he must have his reasons.

Right, guess how many functional drinks the patient consumed?" Zheng Ren asked.

Hurry up and say it; where can you even guess this?" Su Yun said disdainfully: "I don't believe you could guess it before seeing nephrology and Old Cui."

It's said that from last night until onset, he drank 12 bottles of functional drinks and over 20 packets of coffee." Zheng Ren said.

The reason Zheng Ren doesn't want to often take the medicine given by the system is because he fears appearing in such a drug-irritated state.

Tsk tsk, what a state of exhaustion." Su Yun immediately turned her gaze to Zhou Litao.

Zhou Litao felt a chill down his spine, because he also often drinks coffee.

Manager Zhou, you need to be careful.

Ah……

I and the boss definitely wouldn't drink stimulants like that." Su Yun said with a smile: "Caffeine intoxication overlaps greatly with Anxiety disorders on both physiological and psychological levels; it commonly occurs when daily caffeine intake exceeds 1000 mg, severe caffeine intoxication can be fatal, at which point blood caffeine concentration can reach ≥70 mg/L."

Zhou Litao let out a sigh of relief, saying: "Rest assured, Yun Ge'er. I now have just one cup of coffee in the morning; I won't drink more than that."

Caffeine withdrawal symptoms can appear even if you've long been drinking just one cup of coffee a day." Su Yun threatened and intimidated Zhou Litao with a smile.

Don't listen to him; the caffeine content in one cup of coffee is very low." Zheng Ren didn't want Zhou Litao to be left with a psychological shadow, so he immediately said: "Only about 10.2% of patients show mild withdrawal symptoms; it's fine."

Zhou Litao jumped in fright; even 10.2% is possible! Even the mildest withdrawal symptoms are still withdrawal symptoms.

Boss, you're really no fun." Su Yun said disdainfully: "Just now I saw the freckles on Manager Zhou's face turn black; you didn't notice?"

Zheng Ren not Understanding his bad taste, ignored Su Yun, just smiled at Zhou Litao: "Manager Zhou, we're leaving first."

Won't Zheng Lao Ban chat a bit more?" Zhou Litao asked.

No, after the Shou Bing I'm a bit tired." Zheng Ren's smile was a little stiff.

Hey? Even Zheng Lao Ban, as tough as an iron man, is tired? Weren't they saying that in Pengxi Xiang, Zheng Lao Ban did Shou Bing for three days and three nights straight?

But no matter what, Zheng Lao Ban clearly stated he was tired; Zhou Litao also couldn't detain him, although he had many things he wanted to say to Su Yun.

After all, WeChat isn't very convenient; Zhou Litao is more accustomed to speaking like taking a medical history, looking at the other person's eyes.

Leaving the Emergency Department, Lin Yuan Strange asked: "Zheng Lao Ban, are you sick?"

No." Zheng Ren said expressionlessly.

His father-in-law is coming back, feeling gloomy inside; you'd better not provoke him." Su Yun hehe laughed, revealing the truth.

This reason…… the relationship between Zheng Lao Ban and Xie Yiren at home is really that bad? Lin Yuan indicated not Understanding.

……

……

Di Du Tumor Hospital, Lin Yuanzhang was presiding over an emergency consultation in the Operating Room.

A male patient had an incident.

A few months earlier, he was diagnosed at Di Du Tumor Hospital with acute lymphoblastic leukemia after examination. Before the second round of chemotherapy, under local anesthesia, a professional nurse performed the placement of a central venous catheter for him.

The catheter was a United States-made triple-valve peripherally inserted central venous catheter (PICC), 4Fr, length 60 cm.

Inserted via the left median Vein, the PICC reached the superior vena cava. 44 cm remained inside the body, the remainder stayed outside, and 5 cm was trimmed off. Postoperative routine X-ray confirmed the position.

During and between treatments, the patient experienced no catheter blockage, difficulty drawing blood, infection, or phlebitis.

However, what should have been the fifth chemotherapy session, today the patient was admitted, and the nurse discovered that only the connector remained under the dressing on his left forearm, with no external portion of the PICC catheter visible, suggesting the catheter had migrated into the body.

As for when it fell off and the exact circumstances at that time, the patient knows nothing.

Over the past week, the patient presented with chest pain, hemoptysis, and dyspnea—the triad of pulmonary artery embolism.

Emergency X-ray showed the PICC catheter tip had reached the right pulmonary artery, with the distal end left in the subclavian vein medial to the shoulder joint. Confirming the PICC catheter had dislodged into the body, the patient and family were immediately informed.

This alone is definitely not enough; this patient needs emergency Shou Bing!

The Tumor Hospital lacks a cardiology department; it is a specialty hospital.

Although PICC catheter dislodgement is rare, it has happened before; the department urgently reported to the Medical Department, which simultaneously contacted the specialty cardiology hospital and reported to Lin Yuanzhang.

Interventional retrieval of the PICC catheter had been accomplished this way in previous attempts.

Consequently, a team of interventional cardiology experts was summoned from the nearest specialty cardiology hospital for an emergency procedure.

……

……

Note 1: I drink 3 packets of coffee every day; when writing this paragraph I feel short of breath....