The Surgeon's Studio

Chapter 1998 Possible withdrawal symptoms

“Large amounts of caffeine intake are related to a series of mental problems, from anxiety, bad mood, mania, and mental attacks. In addition, excessive intake of energy drinks may also cause some physical problems, including acute kidney failure. “

“Well, that’s nice to hear.” Su Yun nodded.

“What’s wrong?” Zheng Ren found it strange.

“You’re still too pretentious if you’re talking about 116 reports and so on. We’re all family, so it’s better to keep it simple. ” Su Yun spat.

“I’m too lazy to say more. ” “But there are only three reports in the world of cases of mental symptoms and acute kidney failure caused by a functional drink and coffee, and they are from the United Kingdom ...” Zheng Ren said calmly.

It was unknown if Zheng Ren was inspired by Su Yun, but he immediately started to explain in detail.

Zhou Litao listened silently, his entire person dumbfounded. The detailed data provided by boss Zheng was one thing, but the more important thing was that energy drinks and coffee could actually cause kidney failure.

“It’s that serious?” Zhou Litao said in a low voice.

“Yes, of course,” “I told the doctor of the kidney medicine that the diagnosis was that the toxin had caused tunilobular nephritis.” The patient has elevated creatin levels, which may be caused by physical constraints, psychokinetic stimulation, and damage to kidney clearance. “

“Do you have any proof?” Lin Yuan asked.

“We’re doing a needle biopsy and a series of related tests right now. So far ... Oh, by the way, you didn’t see the emergency kidney function test from the emergency department. ” Zheng Ren remembered.”Gluten 1205 μ mol/L, carbamide nitrogen 22 μ mol/L.”

“Is the acute kidney failure that serious?” Su Yun frowned.

The normal value of gluten ranged from 59 to 104 μ mol/L, and the normal reference range of carbamide nitrogen was 2.9 to 6.4 μ mol/L.

The two values of the patient were several times or even ten times higher, which was in line with the symptoms of acute kidney failure.

“I think the blood analysis ... Showed that he has allergy. If you’re interested, director Zhou, you can consult the doctor in the kidney Department after the results are back.” Zheng Ren already had an idea in his heart and said with certainty.

Zhou Litao and Lin Yuan silently noted down this point at the same time.

He wasn’t suspecting boss Zheng, but he had to have his reasons for being so detailed as if he had seen the test report with his own eyes.

“By the way, can you guys guess how many energy drinks the patient drank?” Zheng Ren asked.

“Hurry up and tell me, where can i guess this?” “I don’t believe that you could have guessed it before you went to the kidney to meet Lao Chui,” Su Yun said with disdain.

“It’s said that from last night until the onset of the illness, he drank 12 bottles of energy drinks and more than 20 bags of coffee.” Zheng Ren said.

The reason why Zheng Ren was unwilling to drink the medicine given by the system often was that he was afraid of being provoked by the medicine.

“Tsk, tsk, how sleepy are you?” Su Yun then turned her gaze to Zhou Litao.

Zhou Litao felt a chill down his spine because he often drank coffee.

“Director Zhou, you have to be careful.”

“Ah ...”

“The boss and I definitely wouldn’t drink something that would make us feel better.” Su Yun smiled and said,”caffeine poisoning has a lot of overlaps with anxiety disorders on a physiological and psychological level. It often occurs when the daily intake of caffeine exceeds 1000 mg. Severe caffeine poisoning can lead to death. At this time, the coffee concentration in the blood can be greater than 70 mg/L.”

Zhou Litao heaved a long sigh and said,”don’t worry, Brother Yun.” I only have a cup of coffee in the morning. I won’t drink any more. “

“Caffeine withdrawal symptoms can appear even if you only drink one cup of coffee a day for a long time.” Su Yun smiled as she threatened and intimidated Zhou Litao.

“Don’t listen to him. A cup of coffee has very little caffeine. ” Zheng Ren didn’t want Zhou Litao to be traumatized, so he immediately said,””Only about 10.2% of the patients will have slight withdrawal symptoms. It’s fine.”

Zhou Litao was shocked, 10.2% was also possible! No matter how mild the withdrawal symptoms were, they were still withdrawal symptoms.

“Boss, you’re so boring.” “Didn’t you notice?” Su Yun said disdainfully.”The freckles on director Zhou’s face have all darkened.”

Zheng Ren didn’t understand his bad taste and ignored Su Yun. He just smiled at Zhou Litao.”Director Zhou, we’ll be leaving first.”

“Boss Zheng, don’t you want to chat a little longer?” Zhou Litao asked.

“No, I’m a little tired after the surgery.” Zheng Ren’s smile was a little stiff.

Eh? Even boss Zheng, who was as strong as an Iron Man, was tired? Didn’t they say that boss Zheng performed surgery for three days and three nights in Pengxi village?

But no matter what, boss Zheng had clearly expressed that he was tired, so Zhou Litao could not keep him, even though he had a lot to say to Su Yun.

WeChat wasn’t very convenient, after all. Zhou Litao was more used to looking into the other person’s eyes and talking like he was asking for a medical history.

After leaving the emergency department, Lin Yuan asked curiously,””Boss Zheng, are you sick?”

“No, I didn ‘t,” Zheng Ren said without any expression.

“His father-in-law is coming back and he’s feeling depressed. You’d better not provoke him.” Su Yun chuckled and told him the truth.

This reason ... Was the relationship between boss Zheng and Xie Yiren’s family that bad? Lin Yuan didn’t understand.

......

......

At Beijing’s tumor, Dean Lin was hosting an emergency consultation in the operating theater.

Something happened to a male patient.

A few months ago, he was diagnosed with acute lymphatic leukemia after a tumor test in the capital. Before the second course of chemotherapy, a professional nurse would perform central venous catheter insertion under local anesthesia.

The catheter was an United States-made three-way valve catheter placed perpendicular to the patient’s body. It was a 4f and 60 cm long central venous catheter.

After PICC was inserted into the left middle vein, it would be sent to the superior vein. He left 44 cm inside the body, left it outside the body, and cut off 5 cm. After the surgery, the position of the patient was confirmed by routine X-ray scan.

During the treatment period and intermittent period of the patient carrying punk, there were no problems such as catheter blockage, difficulty in blood extraction, infection, and inflammation.

However, the patient was supposed to receive the fifth chemotherapy session. When the nurse saw the patient being admitted to the hospital today, she realized that there was only a connector under the film on the patient’s left forearm. The external part of the punk catheter was not seen, so she assumed that the catheter had already been detached from the body.

As for when it fell off and the patient’s specific condition at the time, he had no idea.

The patient had chest pain, hemoptysis, and difficulty in breathing, which were all signs of pulmonary embolism, which occurred in the past week.

The X-ray examination in the emergency department showed that the tip of the PICC catheter had reached the right pulmonary artery, and the end of the catheter was at the inner shoulder joint of the left clavicar vein. Once the pric catheter was confirmed to have fallen into the patient’s body, he would immediately inform the patient and his family.

This was definitely not enough. This patient needed emergency surgery!

The cancer hospital did not have a Department of Cardiology. It was a Specialized Hospital.

Although it was rare to see a pric detached, it had happened before. The Department urgently reported it to the medical Affairs Department, and the medical Affairs Department contacted the circulating Specialist Hospital and reported it to director Lin.

The previous few times when they were required to insert an individual into a patient’s body to take out a punk’s vein, they had done it through this technique.

Hence, they invited a team of specialists from the nearest circulatory Specialist Hospital to perform interventional Cardiovascular Surgery.

......

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[Note 1: I drink three packets of coffee every day. When I was writing this, I found it difficult to breathe ...]