The entire reasoning process was seamless, from identifying the critical dication history during the diagnosis to connecting pharmacological principles, then explaining the neuropathophysiology, and finally perfectly matching the clinical manifestations. Everything interlocked, leaving no room for error. All the previously strange and incomprehensible symptoms made perfect sense under Yang Ping’s explanation.
"So that’s how it is!" "That’s brilliant!" "Why didn’t I think of dication side effects?"... whispered praises and admiration spread among the doctors.
The patient’s wife, although bewildered by terms like "Dopamine" and "Acetylcholine," clearly understood two things: First, her husband’s illness had a cause, neither a curse nor a terminal illness; second, the young Professor Yang before her was truly a miracle worker!
"Professor Yang, can it be treated then? How to treat it?" she asked urgently, her voice full of hope.
"It can be treated, and the effect is usually quick," Yang Ping replied affirmatively, his tone brimming with reassuring strength. "Since there is relative excess of Acetylcholine, we will use dication that can antagonize the effect of Acetylcholine to restore balance."
He turned to Li Min and clearly instructed, "Imdiately give the patient a 0.3mg intramuscular injection of scopolamine. Observe the patient’s reaction carefully."
Scopolamine, an anticholinergic dication, is a targeted redy for this acute dystonia.
"Yes, Professor!" Li Min responded promptly, preparing the dication.
The nurses assisted in positioning the patient on their side to prevent tongue occlusion (although the tongue was currently extended) or suffocation from vomit. Under everyone’s watchful eyes, Li Min skillfully administered the intramuscular injection.
The dication was pushed. The outpatient room fell into a brief silence, everyone fixated on the patient’s tongue, waiting for a miracle to occur.
Ti passed by the minute. About three or four minutes later, which felt much longer to the waiting people.
Suddenly, a slight swallowing sound erged from the patient’s throat. The tongue, which had remained rigidly on the lower lip for over an hour, visibly twitched slightly, then began to retract slowly but unmistakably!
"It moved! The tongue moved!" a nurse couldn’t help but exclaim softly.
Like rusty gears being re-lubricated, the tonic spasm of the tongue muscles rapidly eased. To everyone’s joyous gaze, the patient’s tongue smoothly and completely retracted into the oral cavity!
At the mont of the tongue’s retraction, the patient instinctively and eagerly closed his mouth, finally allowing the upper and lower jaws to co together. He cautiously moved his tongue, licked his dry lips, and tried swallowing the saliva that had accumulated. Although the series of movents were sowhat stiff, they were completely unobstructed.
"Is it... is it healed? Really healed?" the patient touched his mouth in disbelief, trying to voice words, though a bit hoarse, but clear: "I... I can speak... my tongue is back..."
The imnse joy and relief instantly reddened his eyes, and he looked at his wife and then at Yang Ping, incoherent with gratitude: "Thank you! Thank you, Professor! Thank you so much!"
His wife was even more overjoyed, covering her mouth, tears streaming uncontrollably, bowing repeatedly: "Thank you, Professor Yang! You are truly Hua Tuo reincarnated! Thank you! Thank you!"
The outpatient room burst into genuine applause and praise. Young doctors looked at Yang Ping with eyes filled with near reverence. Such a perplexing and intractable condition that left both ergency and oral departnts baffled had been resolved here by Professor Yang; from diagnosis to treatnt, the entire process took less than twenty minutes, yet the condition was cured! Such detective-like precision in reasoning and vast knowledge comparable to an ocean, how could one not be impressed?
Yang Ping also wore a gentle smile, pleased with the patient’s recovery. He signaled the nurse to bring the patient a glass of warm water, then instructed the patient and family: "Mr. Li, your gastroenteritis still needs continuous treatnt, but you have a sensitivity to Gastrosil; you must rember not to use it again. Whenever a doctor prescribes dication, you must proactively inform them of this adverse reaction history. There are many antietic options, such as Domperidone or Ondansetron, which are more selective and less likely to cause extrapyramidal reactions."
"I got it, I got it! I’ll never take that dicine again!" the patient earnestly promised, still a bit shaken.
"Rest after you return ho, drink fluids, and replenish electrolytes. Scopolamine may cause dry mouth and blurred vision, which are normal reactions and will resolve soon," Yang Ping further detailed the precautions.
The patient’s wife looked at the dication bag, puzzled: "Weren’t you on a business trip? Why is this dicine bag..."
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