Chapter 2172: with translation of chapter title

Title: 2097 Acetaminophen Poisoning (Happy Birthday, Boss Zheng! Extra Chapters ×4) - includes Zheng Lao Ban (glossary). Also Zheng Lao Ban appears. Also maybe Zheng Lao Ban is Zheng Lao Ban. Also Zheng Lao Ban appears multiple times.

"Zheng Lao Ban." Director Kong walked to the door with his hands behind his back, "Just got a call from Director Lin, ICU hospital-wide consultation."

Zheng Ren stood up and asked, "Director Kong, what patient?"

"Supposedly it's a young patient with liver failure." Director Kong said, "Go take a look."

"Okay." Zheng Ren strode out of the office.

"Remember to eat properly at lunch." Su Yun and Chang Yue said, "Eat carbohydrates!"

After saying that, they followed Zheng Ren out.

Behind them, footsteps were numerous; Zheng Ren hadn't even turned when Su Yun said, "Go back and write the medical record."

"Today I didn't assist in surgery, so I don't need to write the surgical record; once Fugui'er finishes it, I'll just paste it in." Lin Yuan followed behind, "Besides, there's endless work; I'll work overtime tonight, you don't need to worry about me."

"You're talking back to a senior doctor like that?" Su Yun said disdainfully, "In the U. S., would you speak to the big boss like that?"

"……" Lin Yuan paused, his steps hesitating slightly.

Thinking back to her time in the U. S., she felt a bit frightened. She stopped, glared fiercely at the two leaving figures, sighed, and went back to write the medical record.

Although there is no clear senior doctor in the medical team, Zheng Lao Ban's medical team definitely places the first assistant above Lin Yuan in rank.

Lin Yuan still had a sense of it in her mind.

"Boss, the young patient with liver failure—what do you think the problem is?" Su Yun, eager to join the hospital-wide consultation, ignored Lin Yuan, walked beside Zheng Ren and asked.

"Usually it's patients with hepatitis B or infectious liver disease; who knows? In the ICU, they still need a hospital-wide consultation, so it's probably not easy to handle." Zheng Ren's expression was grave as he strode toward the fire escape.

Zheng Ren spoke simply, his phrasing a bit awkward, but Su Yun understood her boss's meaning.

Liver failure is liver failure; a hospital-wide consultation won't produce some fancy solution.

You could just call Director Kong directly to request participation in the consultation; the implication here is thought-provoking.

Diagnosis isn't the issue; if 912 misdiagnosed liver failure, it wouldn't be a top-tier national tertiary hospital. Going to the hospital-wide consultation surely involves surgery.

Zheng Ren had some initial ideas, with many speculations, but speculation is just speculation and cannot be taken as fact.

Su Yun also stayed silent, pondering the young liver failure patient.

Entering the ICU, the door to this meeting room was open; several directors were inside, whispering to each other about something.

Zheng Ren changed clothes and entered; Professor Yang of hepatobiliary surgery waved at him.

"Zheng Lao Ban!"

"Old Yang." Zheng Ren smiled, walked over and sat beside him, "What patient?"

Speaking, he picked up the medical record on the table.

High fever for two days, accompanied by jaundice for six hours. The chief complaint caught his eye, and Zheng Ren's brows furrowed.

Fever for two days, then acute liver failure—this disease progresses extremely fast!

Rapid onset indicates an extremely vicious condition, and treatment effectiveness won't be particularly good.

Moreover, jaundice has appeared; the severity of liver failure is likely severe...

This person is probably quite arrogant.

Looking further down, the names and oral dosages of three cold medicines appear in the present illness history, along with other traditional Chinese medicines.

The patient's diagnosis is clear—acetaminophen poisoning!

Acetaminophen is a drug name, the main component of the once-common analgesic Paracetamol (also known as acetaminophen) from decades ago.

The drug is absorbed via the gastrointestinal tract, metabolized in the liver, with 90% binding to glucuronic acid and sulfate in the liver before excretion in urine.

However, 2-4% of the drug is metabolized by the hepatic cytochrome P-450 mixed-function oxidase system into a toxic intermediate that binds with glutathione.

Under normal circumstances, acetaminophen does not harm the body, given the liver's strong metabolic capacity.

But if the drug dosage is excessive, glutathione is depleted, the toxic intermediate binds to liver cell proteins, leading to hepatocellular necrosis.

Zheng Ren glanced at the drug dosage and already had a calculation in mind.

Normally, a single oral dose of 7.5 grams of acetaminophen can cause toxic side effects.

The young patient's dosage was enough to cause liver failure two or three times over.

"I... this is how much acetaminophen they took." Su Yun glanced at the chart, astonished.

"Alas, the patient's condition is poor." Professor Yang sighed, "Hepatocellular necrosis is rapid, liver failure severe, and hepatic encephalopathy has already appeared."

「……」 - no names.

Zheng Ren looked at the patient's age on the chart—20 years old—and felt deep regret.

It was just an ordinary cold, taking some cold medicine, yet facing such serious consequences.

We estimate that this patient named Chen Li never imagined this before.

If there were a next time, he definitely wouldn't recklessly take so much cold medicine. Unfortunately, life doesn't give second chances.

The patient now has hepatic encephalopathy plus severe jaundice, proving liver failure has reached an almost irreversible stage.

"Zheng Lao Ban, do you see any other options?" Professor Yang asked softly.

After Zheng Lao Ban teamed up to perform interventional embolization plus surgical resection, Zheng Lao Ban seemed uninterested in this aspect, while Professor Yang tacitly took all the benefits.

Professor Yang has his own channels for publishing papers; if this were also handled by Zheng Lao Ban, it would really be hard to justify.

High technical skill, yet unwilling to vie for benefits—or perhaps others simply don't value these benefits. Such a person, who wouldn't want to befriend?

Professor Yang has always been close to Zheng Ren, and their relationship has recently heated up. So he casually asked, without standing on ceremony.

Zheng Ren shook his head, indicating he also had no good solution.

"Liver transplantation seems to be the only option." Su Yun frowned.

"Liver transplantation requires matching; the key is luck, waiting for a donor." Professor Yang sighed.

He also knew the patient needed a liver transplant, but waiting for a donor could take three to five months, which is considered short.

There are people who didn't even wait for death to receive a donor, one after another.

912 Gan Dan Wai Ke's Li Zhu ren is skilled at performing liver transplants; although the number is not large, he does several dozen each year.

"He's a third-year college student, usually in excellent health." Professor Yang glanced at the door, lowered his voice, "The school administration takes this very seriously."

That makes sense.

Although the school isn't at fault, such a youngster having an accident—how to explain it to the family?

It's impossible to be like before, where death, escape, injury, etc., were just left to fate.

If the family loses emotional control...

Thinking of this, Zheng Ren's head throbbed with pain.

"The patient's family flew in from their hometown; they'll arrive in three or four hours." Professor Yang said, "When I came up, I saw Director Lin accompanying Vice President Yuan."

"Did the school's president also come?"

"Yeah, there's someone talking with Vice President Yuan; I don't recognize them, feels like the school president."