Three days later.
10 PM.
In the ICU sub-area.
The bed that Gao Jun secured from the ICU has now become a sub-area of the ICU.
Of course, this sub-area not only handles postoperative recovery treatment from the anesthesia department but also deals with some acute and critical patients.
And tonight, it's Zhao Heng and Tian Zhen's first night shift in this sub-area.
This sub-area currently has only two or three patients, all of whom have not recovered well post-surgery and have been transferred here.
"Dr. Zhao, do you think the emergency department will send any patients over tonight?"
Tian Zhen asked Zhao Heng, who was sitting and writing medical records.
Honestly speaking, she was quite happy to be paired with Zhao Heng.
After all, they had worked well together before, and Zhao Heng had a great personality.
As for the workload, they mainly take over patients when the ICU is overwhelmed, so it's still better than doing surgeries non-stop in the operating room.
"Who can say for sure? But I know that there are two words you should never say during a night shift."
Zhao Heng took a sip from a thermos filled with goji berry tea and said slowly.
"What two words shouldn't be said?"
"I know, when you're on a night shift, never complain about it being too quiet, right?"
Tian Zhen thought for a moment and said with a smile.
"Dr. Zhao, do you really believe in that?"
Tian Zhen looked at Zhao Heng and said.
"Why wouldn't I? Last time in neurosurgery, just because I said it was so quiet, Liu Ziang dragged me into an all-night surgery."
Zhao Heng said with a lingering fear.
"It was just a coincidence, right..."
Tian Zhen mumbled, seeing Zhao Heng's serious expression.
"This might be a kind of metaphysics, like playing games; some people are just naturally unlucky, nothing you can do about it."
Zhao Heng thought for a moment and said.
Isn't there a saying that goes:
Luck cannot save bad luck, krypton can't change fate.
The world is all European, only you remain non-European.
"Dr. Zhao, what do you want for a midnight snack?"
Tian Zhen asked again.
Eating a midnight snack is a hospital tradition during night shifts.
"We'll talk about it later, but let's skip the barbecue tonight, something like seafood porridge would be good."
Zhao Xu thought for a moment and said.
"Yeah, I know a place with really fresh and sweet shrimp in their seafood porridge; let's order from there later."
Tian Zhen nodded.
Just as the two were about to continue chatting, emergency physician Li Yang and the on-duty nurse from the emergency department hurriedly wheeled in a patient on a transfer bed. Lying on the bed was a man in his forties, pale-faced, eyes slightly closed, and looking in pain, with an air of wealth about him.
Along with the man came a fashionably dressed young woman who seemed very flustered.
A big case has arrived!
Seeing Li Yang pushing the patient in, Zhao Heng and Tian Zhen exchanged a glance.
Indeed, those two words truly are taboo on night shifts; you shouldn't even mention them!
"Dr. Li, what's the situation?"
Zhao Heng directly asked Li Yang.
"The patient took sildenafil an hour ago, then experienced numbness, weakness, and swelling in both lower limbs. Now it's progressive numbness, severe swelling pain, and incontinence."
Li Yang briefly explained the condition of the middle-aged man.
"Okay, leave it to me here."
Zhao Heng nodded and said to Li Yang.
As soon as he finished, Li Yang nodded too and quickly left. It's very busy at the emergency department at this time; many emergency patients are still waiting for him.
"Check blood pressure, blood sugar, and contact bedside ECG."
Zhao Heng immediately told Tian Zhen.
After speaking, he asked the man lying on the transfer bed.
"Sir, can you hear me?"
He had to first determine the man's state of consciousness.
"... Yes... yes..."
The man laboriously nodded and said with difficulty.
"Doctor, just ask me whatever you need. I'm family."
At this moment, the fashionably dressed young woman, seemingly calmed down from the earlier panic, said to Zhao Heng.
"And you are?"
Zhao Heng looked at the young woman, somewhat unsure, and asked.
Just now, Li Yang had said the patient fell ill after taking sildenafil.
This sildenafil, commonly known as "Viagra," is a selective inhibitor of cyclic guanosine monophosphate (cGMP) specific phosphodiesterase type 5 (PDE5), used to treat ED (erectile dysfunction).
Sildenafil can cause vasodilation in the systemic circulation, and taking a large dose (100mg) orally can lead to a drop in supine blood pressure [average maximum decline of 1.12/0.73 kPa (8.4/5.5 mmHg)], with the blood pressure drop being most significant 1 to 2 hours after taking it; hence, X activity at peak blood concentration could trigger a heart attack or stroke.
"... Doctor, I'm his girlfriend."
The fashionably dressed young woman hesitated for a moment, seeming at a loss for words, before speaking.
"Okay, how many pills did he take, and how long ago?"
Hearing the young woman claim to be the man's girlfriend, Zhao Heng was a bit surprised, but he continued to ask.
"He... he took two pills, at 9 o'clock."
The young woman hesitated again and said.
"At his age, you let him take two pills?"
Zhao Heng said in surprise.
With sildenafil, one pill is usually more than enough for the average man.
Taking two pills doubles the dosage, significantly increasing the cardiovascular load on the body, practically playing with one's life.
"He insisted on it..."
The young woman weakly said.
"Does the patient have a history of high blood pressure or heart disease?"
Zhao Heng asked again.
"I... I don't know..."
The fashionable young woman hesitated for a moment, shook her head, and said.
"Aren't you his girlfriend? How can you not know this?"
Standing aside, Tian Zhen couldn't help but ask.
This doesn't seem like a girlfriend at all!
"Doctor, will he be okay?"
"Doctor, you must save him!"
The young woman suddenly became flustered again and said anxiously to Zhao Heng.
If something happens to this man, she'll certainly be implicated.
After all, the man had the problem while they were "exercising" together.
"Don't worry for now, we need to examine the patient's condition to determine the situation. Can you contact his family?"
Zhao Heng said to the young woman.
"I..."
The young woman shook her head again.
Seeing this, Zhao Heng instantly understood.
She didn't seem to know anything at all, certainly not his girlfriend.
"Pho... phone... con... contact..."
At this moment, the middle-aged man laboriously took out a phone from his pocket, speaking intermittently.
"You go contact his family, we'll take care of things here."
Zhao Heng handed the phone taken out by the middle-aged man to the young woman and said slowly.
"Okay, got it."
The young woman said, still shaken.
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