Chapter 2852: with translation of the chapter title

2758.2648 Unknowingly became a junior doctor (Alliance Leader Huo Wu, Lian Xin extra 1)

「Zheng Lao Ban? 」 Wu Yuanzhang whispered.

「Jiang Zhuren, this is the patient mentioned in the emergency call just received? 」 Zheng Ren asked.

「Well, the patient had a nightmare and kept thinking he couldn't get out of the dream. 」 Jiang Zhuren said, 「He's visited our psychiatric hospital three times, diagnosis fairly clear, it's depression. This manic episode was so dangerous he almost died under the vehicle's wheels; fortunately police comrades pulled him back. 」.

As they were speaking, the patient suddenly opened his eyes, a blood-curdling scream rang out, and then he began to struggle with all his might.

While struggling, he muttered something unintelligibly; nobody could make out what he was saying.

After the chaos, the examination couldn't be done, so they had to send the patient back to the Emergency Department. It's not easy to give injections to such manic patients, and the nurses wore worried frowns. But they had long forgotten to look grim, stealing glances at Su Yun, feeling that this shift was worthwhile, not wasted effort.

「Zheng Lao Ban, let's go eat. 」 Wu Yuanzhang said, 「Thanks for your hard work. 」.

「No thanks, we'll leave shortly. 」 Zheng Ren said, 「First, let's take a look at the patient. 」.

Su Yun curled the corner of her mouth into a smile; the various hospital directors in Di Du had long known their boss's temperament—could it be that Nanshan Shi's hospital also needs to find out now?

Wu Yuanzhang felt a bit embarrassed, not knowing whether his hospitality was lacking or if there was some other reason why Zheng Lao Ban wouldn't even eat.

「Wu Yuanzhang, our boss's temperament is just like that. 」 Su Yun explained with a chuckle, 「When in Di Du, every time we went to a sister hospital to provide aid, after the surgery we also didn't eat. 」.

「This… how can I be so embarrassed? 」.

Wu Yuanzhang still wanted to warmly invite him, but Zheng Ren had already strode toward the Emergency Department.

「Boss, do you think there's a problem? 」.

「First, take a look—this patient says he had a nightmare. Um… if it's such a severe nightmare, Jiang Zhuren, what medicine has he been taking lately? 」 Zheng Ren asked.

Jiang Zhuren immediately straightened up, unlike his usual perfunctory manner when speaking with Director Wang; instead he resembled a junior clinical doctor, standing half a step behind Zheng Lao Ban with a slight bend at the waist, and reported: 「Three months ago the patient visited our hospital, diagnosed with depression, and was treated with escitalopram. 」.

「Later, because oral escitalopram wasn't effective, he returned one and a half months ago and was switched to oral bupropion. 」.

「Twelve days ago, the patient self-reported worsening symptoms, severe nightmares, and returned for an outpatient visit at our hospital. 」 Jiang Zhuren said seriously, 「Our outpatient doctors recommended inpatient treatment or going to a higher-level hospital. The patient decided to go to Di Du, but we don't know if he actually went. 」.

「It started with escitalopram, then switched to bupropion? What formulation? 」 Zheng Ren asked.

Jiang Zhuren instantly felt a bit embarrassed.

Isn't oral bupropion enough? Why ask about the formulation? If this had been ten or so days ago, Jiang Zhuren would surely have thought Zheng Lao Ban was deliberately making things difficult.

But after a case review and a public lecture, he could absolutely no longer entertain that thought. Not knowing the formulation meant his own work was lacking.

Unbeknownst to him, Jiang Zhuren had already become a head shorter in front of Zheng Lao Ban, truly turning into a junior doctor.

「I…」 Jiang Zhuren was about to say he wanted to ask, but suddenly remembered the blister-packed oral medicine; he immediately went to the patient's pocket and took out the drug.

「Zheng Lao Ban, we found this on the patient. 」 Jiang Zhuren said.

Wu Yuanzhang followed behind, seeing that the usually arrogant Jiang Zhuren was running back and forth like a junior doctor under Zheng Lao Ban's command.

Zheng Lao Ban is truly capable—did he make Jiang Zhuren convinced in such a short time? Wu Yuanzhang followed silently behind, merely wondering why he couldn't understand how a depressed patient could be more important than himself, the department head!

Although he doesn't consider himself that important, they've met twice already. This time he could even invite Zheng Lao Ban from Di Du, sacrificing rest time to give everyone a lecture. Having a meal together is only natural, right?

Compared to a strange patient… there really is no comparison, so Wu Yuanzhang had a forehead full of black lines, not understanding what was going on at all.

Could it be that he offended Zheng Lao Ban somewhere? He felt a bit uneasy, pondering.

「Ordinary formulation, not extended-release. 」 Zheng Ren said softly, then pondered for a few seconds.

Several male orderlies pressed down on the patient to keep him from falling off the stretcher. Apart from the patient's constant howls and cries, nobody spoke.

Everyone's gaze fell on Zheng Lao Ban.

「What is he trying to do? 」.

「What adrenergic alpha-2 receptor agonist drugs do we have in the Emergency Department? 」 Zheng Ren suddenly asked.

「……」.

「……」.

A pile... rose up around them.

The cardiology department's professional jargon is hardly ever used in clinical practice when talking about drugs; even if one can recall it, one has to mentally turn a corner.

「Um… do we still have that old drug clonidine? 」 Zheng Ren asked in a low voice.

Clonidine? I don't know about other drugs, but both Wu Yuanzhang and Jiang Zhuren know clonidine.

It's an old blood pressure-lowering drug, rarely used nowadays; ordinary pharmacies generally don't stock clonidine, and special-needs populations need a doctor's prescription to obtain it in the hospital. It's mainly used to treat moderate to severe hypertension.

Because clonidine can suppress the central nervous system and lower blood pressure, a large dose can cause shock, bradycardia, leading to respiratory-circulatory failure and death, so it's rarely used clinically. Now there are safer medications; there's no need to take the risk.

Is the patient's blood pressure high? The first thought that came to Jiang Zhuren's mind was that. He tried to recall, and the last time he checked the patient's blood pressure it was 152/87 mmHg.

The blood pressure is slightly elevated, but considering it's related to the patient's agitation, it probably shouldn't be judged as malignant hypertension requiring clonidine treatment.

「Director Wang, ask if the Emergency Department has clonidine. 」 Su Yun called out.

「Oh, oh. 」 Director Wang immediately trotted over to the Emergency Department's resuscitation room, asking doctors and nurses if they had that old drug.

The Emergency Department didn't have it; he didn't go back to tell Zheng Lao Ban, but instead called the cardiology department.

Fortunately, the cardiology department's stock had it; Director Wang immediately told Zheng Lao Ban and Su Yun about this.

「Is it the 0.1 mg per tablet kind? Let's borrow 0.2 mg first. 」 Zheng Ren arrived at the Emergency Department's resuscitation room, stood beside the patient, and began to direct treatment.

One is the operating room, one is the Emergency Department's resuscitation room; Zheng Ren merely had to step inside, and he himself didn't even realize he had unknowingly undergone a change.

His usual gentle tone turned into something affirmative and firm, brooking no doubt.

Even Su Yun, who usually likes to talk back to her boss, wouldn't raise any objection at this moment.

This is the result of accumulating one successful rescue after another.