After Liu Boli became the president, the action of the whole hospital was very strong, and Hu Fengyun, as the secretary, was very supportive of many of Liu Boli's initiatives.

The hospital soon set up an outpatient clinic for facial paralysis recovery, and the departments of encephalopathy and acupuncture actively cooperated with the work.

However, to Bai Ye's surprise, Liu Boli did not transfer himself, but instead asked Wang Wenliang and the deputy chief physician of the acupuncture department to go over and take charge of things over there.

And on the fourteenth floor, because the twenty-four beds are used for facial paralysis rehabilitation, in a short period of time, Bai Ye no longer needs to go to the fourteenth floor.

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

So Bai Ye naturally decided to go to the fifteenth floor, this mental health department full of magic and weirdness. After the formal establishment of the facial paralysis rehabilitation center, return to the 14th floor, after all, cerebrovascular disease is still the main disease of the encephalopathy department, and there are still many things that need to be mastered in this disease.

Actually, it's also called anxiety and depression, 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 insomnia patients had gradually increased, so this insomnia department was launched.

Patients in this department are generally more restless!

This was Bai Ye's first feeling when he came to the fifteenth floor, and 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 do two, two can't do three, and one can't change the other......

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

If nothing else, let's 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 tablets, alprazolam to non-benzodiazepines, such as zopiclone tablets, dexzopiclone tablets.

However, no matter which kind of drug it is, they are all through the specific binding site of benzodiazepine receptors with intracerebral zepam, its cortex dense and its limbic system, brain re-brainstem, spinal cord seed distribution status and central inhibitory transmitter - aminobutyric acid (GABA) GABAA receptor distribution basic electrologic experiments have proved that benzodiazepines can enhance GABAergic neurotransmission function synaptic inhibitory effect.

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

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

Bai Ye was not officially on the fifteenth floor, but came over for the time being to familiarize himself with the common conditions in this department.

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

"Doctor Chang, the new patient in the twelfth bed took a box of twenty tablets of alprazolam in one night, and now the whole person feels sluggish!"

Chang Lili, who was talking to Bai Ye about precautions, suddenly lost her head and hurriedly walked towards the twelve beds.

Bai Ye also hurriedly followed Chang Lili towards the ward.

When I went in, I found a woman of nearly sixty years old, lying there, humming and moaning, and she didn't even have the strength to open her eyes.

Chang Lili hurriedly went over, clamped the blood oxygen saturation monitor in her hand to her fingers, and 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 93%, heart rate 45 beats per minute.

The breathing sound is very slow, Bai Ye observes it, and it is estimated that it is 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 bedtime."

Chang Lili pondered for a moment: "Bring ECG monitoring to the patient, focus on observing the heart rate and blood pressure, and notify me if the heart rate is lower than 40 and the high pressure is lower than 80." ”

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

Chang Lili breathed a sigh of relief and said to Bai Ye: "These patients in our department are more troublesome, so the sleeping pills and these psychotropic prescription drugs are all at the nurse's place, and the medicine is distributed every night, because this patient was just hospitalized last night, and the medicine has not had time to deal with it, so something like this happened all of a sudden, you must not talk nonsense about the patients in the department in the future, because ...... Because they're likely to take your jokes as evidence and take you to court!"

Bai Ye nodded, when she came to the fourteenth floor, she was a very open, enthusiastic and sunny little girl, but at this moment, she looked very depressed, and 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 patient took the drug last night, and alprazolam is absorbed relatively quickly, at this time, gastric lavage is useless, can only toss people blindly, and the patient's heart rate is very slow at this time, blood pressure is also very low, now the patient's vital signs should be monitored to ensure that there is no danger to life." ”

Seeing that Bai Ye was a little nervous, Chang Lili smiled: "You don't have to be afraid, the maximum daily dose of alprazolam is 10mg, and the content of one tablet of alprazolam is 0.4mg, and I ate a box of 20 tablets, that is, a total of 8mg, and it did not exceed the maximum dose." ”

"However, this kind of anti-anxiety sedative hypnotic drug has a strong inhibitory effect on the central nervous system, so it is easy to cause slow breathing, slow heart rate, lower blood pressure, etc., since it has been eight hours since taking the medicine, the drug peak dragon has passed, so the danger is not great, today and so on for drug metabolism, the next ten hours of ECG monitoring, just in case, give her a medical order for a while, a bottle of amino acid nutrient solution, ...... Flumazenil injection can effectively inhibit the toxicity of benzodiazepines, so you should get one back under the doctor's order, just in case!"

"Alprazolam is highly toxic to the liver, so ...... When the patient is discharged from the hospital, the liver function will be rechecked, and there will be no reaction for a period of time. That's it, prepare the case and start the rounds!"

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

Bai Ye looked at Chang Lili with a dumbfounded explanation, his eyes were full of shock!

This is a powerful woman, both physically and mentally powerful, and patients who have taken a box of sleeping pills are calm and breezy in front of her, as if it were commonplace.

Moreover, being able to master the dosage of the drug so proficiently, can clearly know the various adverse reactions of the drug, and has made comprehensive consideration measures, which is the basic job of an internal medicine doctor!

Ordinary and great!

There is no amazing surgical operation of the doctor in the operating department, but only the mastery 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 methods!

Surgical Look: Cut Cut ...... There's no problem that can't be solved overnight.

Internal medicine, on the other hand, needs to make a comprehensive judgment on the patient.

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

Ordinary and great.

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

Chang Lili smiled: "I have been in Puze for three years, I have seen three successful suicides, I can't remember dozens of suicide failures, taking a box of sleeping pills is ordinary, and the most I have ever seen is taking two hundred sleeping pills......"

When Bai Ye heard this, his eyes immediately widened: "Two hundred......? That's an exaggeration, isn't it? You can't put down a handful of 200 pills, right?"

Chang Lili nodded: "Actually...... The patient didn't know how many pills she had eaten, and these were all things that we didn't know until we found out, because she was so anxious, manic, and insomnia that she ate three or four pills at a time, and couldn't sleep and continued to eat...... So I ate more than 200 in one night. ”

Bai Ye was a little frightened when he thought of that scene: "That...... Didn't she know that if she ate it, she would die?"

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

Bai Ye was silent: "Those who committed suicide ...... Aren't they afraid of death?"

Chang Lili sighed: "I have seen nearly 100 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 the survival instinct, they don't want to die, so they can be rescued, do you know? Any person in the face of life and death, is instinctively want to survive, death, may be because it is just a momentary thought, or even just a momentary thought, in the process of our rescue, the most common sentence of all patients is: I don't want to die, the doctor saves me!"

Bai Ye was silent.

Chang Lili only has eight patients, all of whom are insomnia, anxiety and depression, but Bai Ye feels that these seven or eight patients are more troublesome than Wang Wenliang's more than 20 patients.

The psychosis of Chinese medicine may be milder than that of Western hospitals, and most of them are patients who can control themselves, not those who are psychosis 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 had suicidal experiences, and six have suicidal tendencies and thoughts of suicide or misanthropy......

This surprised Bai Ye!

Because in the process of checking the ward just now, Bai Ye clearly felt that these people were normal, fluent in answers, and very polite in their speech and demeanor.

However, when the disease came, how uncomfortable it was for them to make a suicidal move, Bai Ye couldn't understand.

How do diseases such as anxiety and depression destroy people's will step by step and make people have the 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 of a living person, there is no problem with all kinds of physiological and biochemical examinations, and the indicators are normal, but this is it, but I want to commit suicide?

What exactly is the reason?

At this moment, Bai Ye's heart was filled with a curious desire to explore.

He wanted to find out.

Because if you say that it is because of physical reasons, or because of some result of the disease, these bring danger to your life, so it is easy to say, but a healthy and fresh life, but inexplicably want to leave life, what kind of torture and pain can make them make such a choice!

The invisible blade, the deadliest.

Perhaps it is these invisible knives that harvest life!