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Chapter 418 The Invisible Blade
After Liu Boli became the dean, the whole hospital was very active. With Hu Fengyun as the secretary, he was very supportive of many of Liu Boli's initiatives.

The hospital soon set up a facial paralysis recovery center outpatient clinic, and the encephalopathy department and acupuncture and moxibustion departments actively cooperated with the work.

However, what surprised Bai Ye was that Liu Boli did not transfer himself there, but instead asked Wang Wenliang and the deputy chief physician of the Acupuncture Department to be in charge of the affairs there.

And the 24th floor is used for facial paralysis rehabilitation with [-] beds, so in a short time, Bai Ye no longer needs to go to the [-]th floor.

Because there are seven or eight doctors who have to work, you can't let them have three or five patients alone, right?

So Bai Ye went with the flow and decided to go to the [-]th floor, this magical and weird mental health department.After the Facial Paralysis Rehabilitation Center is officially established, go back to the [-]th floor. After all, cerebrovascular disease is still the main disease in the Department of Encephalology, and there are still many things that need to be mastered for this disease.

In fact, it's also called the Anxiety and Depression Department!Or insomnia.

Originally, the fourteenth and fifteenth floors were used for the treatment of cerebrovascular diseases, but later it was found that there were more and more patients with anxiety and depression, and the number of people with insomnia had gradually increased, so this insomnia department was launched.

Patients in this department are generally restless!
This was Bai Ye's first feeling when he came to the [-]th floor. Many patients with anxiety and depression did not want to go to the Western Hospital for treatment.

Because it’s nothing more than psychotropic drugs, one can’t take two, two can’t take three, and one can’t be replaced by another…

With drug maintenance as the main treatment, the side effects of this treatment are very intuitive and obvious.

If nothing else, just talk about insomnia.

At present, modern medicine basically has no particularly effective treatment plan for insomnia, mainly various sleeping pills.

From benzodiazepines such as clonazepam, diazepam, lorazepam, alprazolam, etc. to non-benzodiazepines, such as zopiclone and eszopiclone.

However, no matter what kind of drug they are, they all pass through the benzodiazepine receptor with a high affinity specific binding site in the brain, and its distribution in the cortex, its limbic system, the brain, the brain stem, the spinal cord, and the distribution and inhibition of the central nervous system. Sex transmitter-aminobutyric acid (GABA) GABAA receptor cloth basic electrophysiological experiments prove that benzodiazepines can enhance the synaptic inhibitory effect of GABAergic neurotransmission.

After Bai Ye came to the fifteenth floor, he was not as casual as on the fourteenth floor, but was assigned to a teacher, Chang Lili.

That is, Wang Wenliang's little fan girl who used to come to the fourteenth floor to visit every day, but was easily captured because of Bai Ye's mangosteen.

Bai Ye is not officially in the department on the [-]th floor, but came here temporarily to get acquainted with the common illnesses in this department.

During the morning ward round on the fifteenth floor, Bai Ye felt the most terrifying thing!

"Doctor Chang, the new patient in bed [-] ate a box of [-] tablets of alprazolam one night, and now he feels so sluggish!"

Chang Lili, who was explaining the precautions to Bai Ye, was stunned and hurried towards the twelve beds.

Bai Ye also hurriedly followed Chang Lili towards the ward.

After entering, I found a nearly 60-year-old woman lying there, moaning and humming, and didn't even have the strength to open her eyes.

Chang Lili hurried over, clamped the blood oxygen saturation monitor in her hand to her fingertips, then took out the stethoscope, and began to auscultate her lungs.

About a minute later, Chang Lili looked at the woman's blood oxygen saturation monitor, which read: blood oxygen saturation 1%, heart rate 93 beats per minute.

The breathing sound was very slow, Bai Ye observed it, it was probably only about fifteen times!
At this time, Chang Lili asked the nurse, "What is the patient's blood pressure in the morning?"

The nurse took the medical record and said, "The blood pressure is 100/60mmHg in the morning and 150/95mmHg before going to bed."

Chang Lili pondered for a moment: "Bring on the patient's ECG monitor and focus on observing the heart rate and blood pressure. If the heart rate is lower than 40 and the high pressure is lower than 80, please notify me."

After finishing speaking, Chang Lili took Bai Ye out of the ward and continued to make rounds.

Chang Lili breathed a sigh of relief, and said to Bai Ye: "These patients in our department are more troublesome, so sleeping pills and other psychotropic prescriptions are given by the nurses, and the medicines are distributed every night. Because this patient was just hospitalized last night, the medicines have not yet been released. There was time to deal with it, so this happened all of a sudden, you must not talk nonsense to the patients in Corey in the future, because... because they are likely to take your joke as evidence and sue you in court!"

Bai Ye nodded. Normally, when Lili came to the fourteenth floor, she was a very relaxed, enthusiastic and sunny girl, but at this moment, she looked very depressed, her whole face was tense.

Bai Ye asked: "Is it okay for this patient to take so many sleeping pills? Doesn't he need gastric lavage?"

Chang Lili shook her head: "There is no need for that for the time being, the drug that the patient took last night, and the drug alprazolam is absorbed faster, gastric lavage is useless at this time, and it can only be tossing people around, and the patient at this time The heart rate is very slow, the blood pressure is very low, and the patient's vital signs should be monitored now to ensure that nothing is life-threatening."

Seeing that Bai Ye was a little nervous, Chang Lili smiled: "Don't be afraid, the maximum daily dosage of alprazolam is 10mg, and the content of one tablet of alprazolam is 0.4mg. If you take a box of 20 tablets, you will also be able to take it." That is, I took a total of 8mg, which did not exceed the maximum dosage.”

"However, this anti-anxiety, sedative and hypnotic drug has a strong inhibitory effect on the central nervous system, so it is easy to cause slow breathing, slow heart rate, and lower blood pressure. It’s already passed, so the danger is not too great. Wait for the drug to be metabolized today, and monitor the ECG for the next ten hours, just in case, and give her a doctor’s order later, a bottle of amino acid nutrient solution, um... flumazenil injection Liquid can effectively inhibit the toxicity of benzodiazepines, so you should order one back from the doctor, just in case!"

"Alprazolam is highly toxic to the liver, so...after the patient is discharged from the hospital, the liver function will be checked again, and there will be no response for a while. Let's do it, prepare the case, and start the rounds!"

After finishing speaking, Chang Lili walked towards the hospital bed like a general!

Bai Ye stared at Chang Lili in amazement, his eyes were full of shock!
This is a strong woman, very strong both physically and mentally, and patients who have taken a box of sleeping pills look calm and calm in front of her, just like everyday food.

Moreover, being able to master the dosage of drugs so proficiently, clearly knowing the various adverse reactions of drugs, and having made comprehensive considerations, this is the basic work of an internal medicine doctor!
Ordinary yet great!
There is no amazing surgical operation like that of a doctor in the operating department, but only the proficiency of various drugs, the treatment and analysis of clinical diseases, and the comprehensive judgment of the patient's condition, so as to obtain the most effective treatment method!
From the surgeon's point of view: everything... There is no problem that can't be solved with a single knife.

However, internal medicine needs to make a comprehensive judgment on the patient.

This is the professional ethics and quality of an ordinary doctor.

Ordinary yet great.

Bai Ye couldn't help asking, "Sister Chang, why are you so calm?"

Chang Lili smiled: "I have been in Puze for three years. I have seen three successful suicides and dozens of failed suicides. I can't remember it. Taking a box of sleeping pills is common. I have seen the most. What happened was that I took two hundred sleeping pills..."

When Bai Ye heard this, his eyes widened immediately: "Two hundred pills? Is this...too exaggerated? You can't even put down two hundred pills?"

Chang Lili nodded: "Actually...the patient didn't know how many pills she had eaten. We only found out about this after we found out, because she was very anxious, manic, and insomnia. She took three or four pills each time. I couldn't sleep and continued to eat... so I ate more than 200 pills in one night."

Thinking of that scene, Bai Ye felt a little terrified: "Then...doesn't she know that if she eats it, she will die?"

Chang Lili shook her head: "At that time, I thought so much there, maybe all I thought about was falling asleep, isn't it uncomfortable?"

Bai Ye was silent: "Those who committed suicide...are they not afraid of death?"

Chang Lili sighed: "I have seen nearly a hundred suicides, and the success rate is less than three percent. Do you know why?"

Bai Ye shook his head.

Chang Lili stared at Bai Ye and said: "Because of survival instinct, they don't want to die, so they can be saved. Do you know? Anyone who faces life and death instinctively wants to survive. Death may be because it is just A momentary thought, even just a momentary thought, during our rescue process, the most common sentence all patients said was: I don’t want to die, doctor save me!”

Bai Ye was silent.

Chang Lili only had eight patients, all of whom were suffering from insomnia, anxiety and depression, but Bai Ye felt that these seven or eight patients were more troublesome than Wang Wenliang's more than 20 patients.

The psychosis in traditional Chinese medicine may be milder than that in Western hospitals. Most of them are patients who can control themselves, not those mental illnesses shown on TV.

Chang Lili returned to the doctor's office, and said to Bai Ye while giving the doctor's order: "Of the eight people, three have committed suicide, and six have suicidal tendencies and thoughts..."

This surprised Bai Ye!
Because during the ward round just now, Bai Ye clearly felt that these people were normal, they answered questions fluently, and they spoke and behaved very politely.

However, when the disease came, Bai Ye couldn't figure out how uncomfortable it was that made them commit suicide.

How do diseases such as anxiety and depression destroy people's will step by step and make people have a mentality of seeking death?

At this moment, an impulse suddenly sprouted in Bai Ye's heart!
He really wanted to find out, what was the reason for this result?

Because every living person has no problems in various physiological and biochemical tests, and the indicators are all normal, but that's it, why do they want to commit suicide?

What is the reason?
At this moment, Bai Ye's heart was full of curiosity and desire to explore.

He wanted to find out.

Because if you say that it is because of physical reasons, or because of some kind of disease that caused your life, which brings danger to your life, it is easy to say, but a healthy and fresh life wants to leave life inexplicably. What kind of torture and pain made them make such a choice!

The invisible blade is the deadliest.

Perhaps it is these invisible knives that harvest life!

(End of this chapter)