Chapter 2086: 2014 Brilliant Urine (Anniversary, Seeking Full Subscription)

2014 Brilliant Urine (Anniversary, Seeking Full Subscription)

Quan Xiaocao was busy all night.

Just after midnight, having just lain down wanting to sleep a while, the mind is still full of various details of doing a Colonoscope, and also what Yun Ge'er recently said about wanting to report the case of intestinal deformity and summarize the Shou Bing, the matter of sending it to the Xin Ying Ge Lan magazine.

Although I didn't get into Zheng Lao Ban's Medical Team, I also managed to get hold of two world-top SCI papers; if this one passes, it would be the third.

Quan Xiaocao naturally knows the weight of it, so she works harder than usual. But today she's really a bit sleepy; outside it's already daylight, she'll sleep a bit, sleep a bit, there are still things to do during the day.

But tonight she didn't get the blessing of the night-shift god; as soon as she lay down, the phone rang.

A nurse came to knock on the door, saying outside: 'ICU urgent consultation, Chief Yang has diarrhea, please go check first.'

Quan Xiaocao is on the front line; this kind of consultation should be the Inpatient Chief's job.

Chief Yang said he had diarrhea, so I'd better go up and take a look.

Wearing an Isolation Gown, donning a White Coat, Quan Xiaocao came to the ICU with sleepy eyes.

"What's wrong?" Quan Xiaocao asked softly after entering.

The atmosphere in the ICU was a bit stagnant, as if something big had happened.

"The patient you sent over a few days ago, his urine has turned green." A little nurse who knew Quan Xiaocao whispered to her, "Go find the Inpatient Chief; you can't handle this."

Quan Xiaocao quickly nodded, cautiously slipped out, lest she be scolded bloody by the first- and second-line staff in the ICU.

Arriving in the hallway, Quan Xiaocao immediately called Chief Yang.

"Chief Yang, the patient who had the Shou Bing a few days ago, his urine has turned green." Quan Xiaocao said in a lowered voice.

"I haven't seen it with my own eyes......"

Quan Xiaocao dodged a scolding, but inevitably welcomed another round of reprimand.

However, Chief Yang didn't say much, finally saying he would come as soon as possible.

Waiting in the ICU hallway, Quan Xiaocao felt a bit cold and lonely.

The sky was about to lighten; after a sleepless night, I don't know how much makeup could fix the wrinkles on my face. Although still young, Quan Xiaocao feels she's starting to look older than her high school classmates.

If there were a choice, I would definitely not go into medicine. Not to mention pressure or not, just doing night shifts is unbearable.

If night shifts were coupled with one or two rescues, this couldn't even be imagined; just thinking about it makes the whole person feel awful.

Lost in random thoughts, Chief Yang came in.

"Xiao Cao, what's going on?" Chief Yang asked.

Quan Xiaocao instantly became timid; just now she acted timid, and now... life is just about being timid.

Chief Yang saw her appearance, plus knowing a bit of the situation from the phone, he had his own speculation.

Xiao Cao guessed she had been driven out.

He shook his head slightly, Chief Yang strode into the ICU.

"Chief Yang, is the green urine drawn from your patient's urine bag related to the Shou Bing?" the ICU Inpatient Chief asked directly.

Chief Yang quickly came to the patient's side, his heart already clenched into a knot.

Urine, green, his first thought was bilirubinuria!

Bilirubin can be divided into unconjugated bilirubin, not processed by the liver, and conjugated bilirubin, formed by binding with glucuronic acid in the liver.

Unconjugated bilirubin is insoluble in water; bound to proteins in the blood, it cannot pass through the glomerular filtration membrane. Conjugated bilirubin has a small molecular weight, high solubility, can pass through the glomerular filtration membrane, and is excreted in urine, called urinary bilirubin.

The appearance of this urine means liver function failure!

Although the likelihood is low, Chief Yang had seen this once before. The patient ultimately couldn't pull through; after three days and nights of resuscitation, he still died.

Arriving at the patient's bedside, Chief Yang directly squatted down, carefully examining the urine bag.

The urine bag contained about 300 ml of urine, pale green, looking eerie and strange. Inside, the green faintly glowed with fluorescence, like the beautiful world of the movie Avatar.

But in the movie, one can feel a kind of wonder. Yet the urine bag appearing before his eyes…… Chief Yang's head buzzed.

This patient is not going to make it!

"How long has it been appearing?" Chief Yang asked.

"It just appeared 20 Minutes ago." the ICU Inpatient Chief said, "Before that everything was normal; suddenly the urine color changed. Just checked liver function, logically it shouldn't happen."

It's obvious, she also considered it bilirubinuria.

But liver function checked early this morning showed no problems; the patient's condition has been steadily improving. If it weren't for his old age and respiratory issues, he would have already been discharged back to the Gastroenterology Surgery.

The ICU Inpatient Chief also didn't understand.

A perfectly fine person, how did he end up with bilirubinuria?

"Is the liver function test an urgent one?" Chief Yang asked.

"Yeah, urgent." the ICU Inpatient Chief said, "It should be back soon; I'll go take a look."

After saying that, she walked back to the workstation and glanced at the computer.

"Chief Yang!" the ICU Inpatient Chief shouted.

Chief Yang stood up doubtfully, he looked over apprehensively, like a criminal awaiting trial.

"Liver function is normal!" the ICU Inpatient Chief also didn't keep in suspense; playing these games in the ICU easily gets one killed.

Normal?

Liver function normal?!

Then what's going on with the green urine!

Chief Yang began to think.

"What anti-inflammatory drug did the patient use?"

"At 24 hours post-op, the anti-inflammatory drug had already been stopped." the ICU Inpatient Chief said.

The ICU of 912 does sterility very well; after a normal surgery, there's basically no need for anti-inflammatory drugs. This is a Gastroenterology Surgery procedure; they used it for 24 hours just to save face.

This is completely different from the ICU of Haicheng Shi Yiyuan.

In Hai Cheng, if a patient doesn't need 3-5 days of antibiotics after surgery, nobody from top to bottom will feel at ease.

The difference in Technique capability shows up in every aspect.

It's not enough just to have done the surgery well.

Chief Yang originally also knew that antibiotics were no longer needed, but green urine can also appear when using high doses of certain antibiotics.

But now, this route is also blocked.

"Is it related to the surgery?" the ICU Inpatient Chief asked.

"Probably fine…… ah……" Chief Yang also began to feel uncertain.

The surgery was still relatively successful, but the green urine before them was like a warrior who had unleashed mockery, mocking themselves freely there.

"Have they checked the blood calcium?" Chief Yang asked.

"Blood calcium and vitamin D have been checked; the report is a bit slow, likely still need to wait another one or two hours."

"Have they used aminobenzopterin?"

"No."

"Methylene blue, indigo carmine, wood tar oil, salicylic acid?" Chief Yang asked.

"Chief Yang, you haven't even looked at the medical orders—why would you give these things to your patient?" the ICU Inpatient Chief said unhappily.

Not really related to the surgery; probably not bilirubinuria, so let's wait.

Chief Yang and Quan Xiaocao observed for an hour; the patient, under calm conditions with ventilator-assisted breathing, had stable vital signs, showing nothing amiss.

Afterward, the blood calcium and vitamin D reports came back, showing no abnormalities.

Both Inpatient Chiefs were dumbfounded.

No choice; we'll report up the hierarchy and have a second-line professor come take a look.