This is their patient, an old man with lung cancer, who is already 87 years old this year. He is so well-maintained that he looks ten years younger. However, this man is not easy to deal with. He is a retired cadre and is used to being flattered. Everyone gathers around him.
Mainly because Chen Yu was either in the outpatient clinic or undergoing surgery, he might only see her once a day. This was a huge psychological gap for the old man, as he felt he wasn't getting any special attention. He also didn't trust the young doctor, so he would always put on a stern face and play the cold shoulder. His tone was the same as usual, but his speech was aggressive.
Shizhu glanced at the old man while playing the game, then continued to concentrate on playing the game. Anyway, Bai Yu was there and would handle it himself.
Bai Yu raised his head and looked at the old man through the computer with two pairs of eyes that didn't get enough rest. He spoke slowly and patiently, "What's the matter?"
The old man looked dissatisfied, his lips curled, and he tapped his cane hard. He staggered in front of Bai Yu and then slammed his cane on the ground in protest. Although his tone was gentle, it was intimidating. "Can't you be persuaded? You are so capable. I spent money to support people like you who sleep and play games. What a waste of my money."
What's the connection? Money was spent? What money was spent? How come they can't hear anything?
Mulian woke up in an instant and looked at the old man. This man was here to cause trouble, but it didn't matter, because Bai Yu was blocking the way in front of them.
When Shizhu heard that this person was calling him, he immediately stood up and walked out while playing games.
Bai Yu was very patient. "Uncle, do you have any misunderstandings? Please tell me."
The old man put on a face, looking down on Bai Yu. His tone was the same as usual, but more aggressive. "Misunderstanding, what kind of misunderstanding could it be? I saw with my own eyes that one of you was sleeping and the other was playing games. You tell me it's a misunderstanding? Are you saying I'm blind?"
Bai Yu patiently explained, "They are the two followers and don't deal with problems. I am the main one, you can talk to me if you have anything."
Mulian glanced at the old man and said nothing. There was no politeness on her face, and she was not afraid that the old man would see her contemptuous look.
The old man was furious. "My chest hurts, and you guys don't even bother to treat it. Do you want to see me die in pain? Hurry up and give me some painkillers."
Chen Yu didn't hand over the shift to Bai Yu. He had no idea about the old man's situation.
Bai Yu was very patient. "If you can tolerate it, I don't recommend taking painkillers. I'm afraid you'll become dependent on them. You'll take more and more, and you won't be able to control the pain in the future."
Cancer painkillers are a type of prescription medication, similar to drugs. The more you take them, the more addictive they become. In severe cases, people will become dependent on painkillers.
The old man didn't listen at all and gave the order directly, "Give me some painkillers."
After saying that, the old man turned and left, banging his cane hard on the floor to vent his dissatisfaction with the hospital.
Bai Yu looked at the old man's back as he left and sighed. He could only prescribe Tramadol temporarily. Chen Yu would come in the afternoon and handle the rest of the time himself.
As soon as the old man left, Mulian began to feel drowsy again. She was too sleepy.
The next second, Mulian became full of energy and woke up in an instant. This is the unique charm of the school, which is deep in her bones.
Bai Yu suddenly asked, "Junior Sister Mulian, do you know why this type of sedative is so addictive?"
Mulian instantly became alert, her DNA revived by the questions in class. She sat up straight, full of energy, and looked at Bai Yu with shock in her eyes. Then she shook her head guiltily. She didn't understand either.
Although I learned about it in class, that was two years ago. Who still remembers what we ate and did two years ago?
Bai Yu's eyes were very tired, like a pool of stagnant water. If he hadn't spoken, people would have thought he was a walking corpse.
"This may be related to increased expression of p-glycoprotein in the blood-brain barrier, which makes it difficult for sedatives to pass through the barrier, and increased production of orphan peptide, which antagonizes the effects of opioids. The larger the dose and the shorter the dosing interval, the faster and stronger the tolerance will develop. Another possibility is that after stopping the drug, withdrawal symptoms or even loss of consciousness will occur, and the patient will have obvious compulsive drug-seeking behavior."
"So, it doesn't mean that if a patient is in pain, they must take analgesics immediately. This will mask the nature of the disease and make it difficult for doctors to detect it early."
"We need to understand a concept here: the concept of pain."
Mulian immediately raised her hand. Everyone knew the answer to this question, "Isn't pain just pain? It hurts and it aches, and it's not a good thing anyway."
In the end, Mu Lian felt that he had said nonsense, but the pain was still there.
Bai Yu shook his head. "Pain is both a protective response of the body, reminding it to avoid or deal with injury, and a common symptom of many clinical diseases."
Mulian nodded, seeming to understand. She knew this too. No matter what symptoms appeared, one should never treat the symptoms head-on. This was inferior medicine. A superior doctor would first identify the underlying problem and address it. What was causing the symptoms? Therefore, an examination was the first step to determine the cause.
Bai Yu: "Junior Sister Mulian, if you are sleepy, go lie down inside for a while."
Mu Lian thought for a moment that she had misheard. He actually asked her to go and rest. Without Tianxia Dapu, who could understand? It has always been assumed that students should stay here and sit at noon to avoid being left alone when patients come.
Bai Yu's dark circles were painted deep under his eyes. His eyelids were half-closed, and his face was expressionless. Only his fingers were rapidly tapping on the keyboard. However, his tone was in stark contrast to his tired body. He asked Mu Lian in a light and gentle tone, "Junior Sister Mu Lian, aren't you sleepy? Go lie down inside and you'll feel more comfortable."
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