Chapter 2085: with translation of chapter title
The patient's emergency examination report came out as quickly as possible.
Blood potassium 9.8 mmol/L, standard hyperkalemia.
Blood gas analysis: pH 7.3, arterial blood carbon dioxide partial pressure 38.2 mmHg, arterial blood oxygen partial pressure 124 mmHg, HCO3− 19.5 mmol/L, excess base 6.5 mmol/L, standard base excess −3 to +3 mmol/L, arterial oxygen saturation 98.4%.
Zhou Litao had the nurse give the patient an intravenous push of 10 ml calcium gluconate, and also hung a bottle of 250 ml, 5% sodium bicarbonate.
After observing for ten minutes, the patient's condition gradually stabilized.
Consciousness returned, and the electrocardiogram gradually became sinus rhythm.
The Inpatient Chief of Nephrology pushed the patient away, the nurse began cleaning and disinfecting, and one emergency resuscitation ended.
This speed, this level—simply too efficient! Zheng Ren also felt admiration in his heart.
The technical level of 912 is indeed strong; this is undeniable.
Zhou Litao walked back laughing, apparently having already forgotten the patient who had just eaten bananas.
Such resuscitations happen in the Emergency Department at least four or five times a day, sometimes more than ten times a day—basically not worth remembering.
If there were no kidney failure, eating dozens of jin of bananas would still be worth mentioning. But with kidney failure, a patient who just finished dialysis, because of a craving… talking about this, there is a faint sadness; it really isn't worth remembering.
"Zheng Lao Ban, when are you and Yun Ge'er going back?" Zhou Litao asked with a laugh.
"Wait for Sister Lin's test results." Zheng Ren said, "I estimate she'll need to be hospitalized, using sodium dimercaptopropane sulfonate for a few days for mercury chelation therapy."
"As long as it can be cured, staying in the hospital for a few days doesn't matter." Lin JiaoJiao's complexion improved considerably, and she said softly.
Not fearing illness, not fearing hospitalization, just fearing the doctor saying with a regretful face, "Where are your family members?" Either speak plainly, or go home and eat what you should eat.
That's the rhythm of taking pills, but now this, Lin JiaoJiao thinks it's not a big problem. However, she will have to be careful from now on; if she really has to go to Zheng Lao Ban again because of mercury poisoning, she would feel it's unjustifiable.
"By the way, Sister Lin, this is Manager Zhou of the Emergency Department." Su Yun recalled something and introduced him to Lin JiaoJiao.
Lin JiaoJiao tried to stand up, but Su Yun pressed her back down, laughing: "Manager Zhou, isn't it about time for the Inpatient Chief to go off duty? You're looking for a girlfriend. Help me see if she has a good temper; the key is whether she can tolerate someone like the Boss with a wooden blockhead."
Lin JiaoJiao laughed and said, "Yun Ge'er, you can't say that; Zheng Lao Ban is actually quite smart."
"Just good luck, that's all." Su Yun said disdainfully.
Zheng Ren laughed honestly, having no particular thought about Su Yun's words. His luck really is good; the protagonist halo given by Big Pig Trotter is no joke.
After chatting for a while, they knew the results from over there would come out soon, and they didn't find a place for Lin JiaoJiao to rest.
This is the hospital; treating illness is most important—who would come here for a vacation if they had nothing wrong?
After more than ten minutes, Director Kong strode back, holding the lab report.
"JiaoJiao, look at you, messing around!" Director Kong said in a reproachful tone.
Zheng Ren took the lab report in passing and glanced at it.
Blood mercury concentration 19.6 ng/ml, urine mercury concentration 28.2 ng/ml, 4–5 times higher than normal.
It is estimated that the mercury content in the cosmetics Lin JiaoJiao used itself slightly exceeded the limit, and the amount used was also relatively large, causing this.
However, it's fine; after a period of targeted treatment, these values will be fine.
If this time it's not noticed, or if it's treated as nephrotic syndrome for a while and recurs repeatedly, even immortals could do nothing.
"Zheng Lao Ban, I don't understand this; I just know it's high—what should we do?" Director Kong's tone seemed different from before.
Zheng Ren's heart stirred slightly, but he didn't show it; from the corner of his eye he saw Su Yun restraining her expressions, also edging closer to him, pretending not to have heard anything.
"It's fine, Director." Zheng Ren said calmly, "Sodium dimercaptopropane sulfonate 0.25 g once daily intramuscular injection, used for three days, then stopped for four days as one course."
"Is it really that simple?" Director Kong found it hard to believe.
"Um... if hospitalized, we could also use some energy formulations, trace elements, calcium supplements, and volume expansion diuretics as symptomatic treatment." Zheng Ren hurriedly continued.
After hearing a long list that seemed useful but, upon careful thought, actually contributed less than 5% to the condition, Director Kong finally showed a satisfied smile.
This person, when concerned, becomes flustered.
Even Director Kong, a veteran doctor of many years, cannot escape this.
Using only one drug, and even an intramuscular injection, gives an informal feeling. This is heavy‑metal poisoning, accompanied by nephrotic syndrome and bilateral lower‑limb edema—what if there's no urine output!
Zheng Ren quickly asked Zhou Litao for a pen, wrote down what he had just said, and signed his name at the end.
After thinking, he casually drew a smiley face.
"What are you doing?" Su Yun didn't understand.
Seeing Zheng Ren hand the paper to Director Kong, she asked softly.
"After all, you're not the department head or the Inpatient Chief; carrying a diagnosis and treatment over there doesn't feel a bit awkward?"
"Boss, it sounds like you think anyone could overturn the diagnosis." Su Yun said scornfully: "Just be domineering if you need to be; why pretend to be sincere, making people feel uncomfortable?"
Zheng Ren thought Su Yun was really twisted; just drawing a smiley face to express goodwill—how did it become hypocrisy?
"Director, Sister Lin is fine; we're heading back." Su Yun then said to Director Kong.
"Hmm, thanks for the trouble." Director Kong.
"Director, look at what you're saying." Zheng Ren and Su Yun, in rare unison, said the same thing.
Without lingering further, the two greeted Zhou Litao and then strode back.
"Why the rush?" Zheng Ren asked.
"Don't you feel Director Kong just now had a bit of a flustered, panting feeling?" Su Yun asked with a smirk.
"I don't think so; I guess Director Kong still has a mental block about past events."
"Putting on an act, you just keep pretending." Su Yun said scornfully: "Boss, between us two, say what's really on your mind."
"This is what's really on my mind—why are you so dark?"
"Just stop talking nonsense." Su Yun suddenly said: "Forgot something!"
"How?"
"Forgot to tell Sister Lin to send that bottle of whitening cosmetic for testing." Su Yun said.
"The mercury content is probably over the limit; you don't even need a test to know." Zheng Ren said, "It's like giving hormones to a feverish patient—effect is especially good."
"However, it's somewhat useful, but not much."
"These things, well, they're really not easy to explain clearly."
"Under the night curtain, the two walked home."
"The wait for the test results was long, and it was already late; Xie Yiren and Chang Yue fell asleep, but they still left a light for the two in the entryway."
"After opening the door, Heizi was squatting there, tongue out, waiting for the two to return."
"Zheng Ren changed his shoes, rubbed the dog's head, then went to sleep."
End of Chapter
