Son of the Stars

Chapter 5 Smoke

Bed 42 is seriously ill, but that's beside the point.

The point is, Lu Chen began to suspect - the patient in bed 42 probably wasn't an autoimmune disease at all.

As a doctor living in the era of the coalition government, Lu Chen is both lucky and unlucky at the same time.

Fortunately, since the establishment of the coalition government until now, humans have discovered and only discovered a brand-new disease-CBD (Complex mental and Behavioral Disorder, complex mental disorder syndrome), commonly known as the "Big Crash".

Unfortunately, it has been a long time since new discoveries were made in the field of clinical medicine.

The discovery of a new disease is of course not a good thing for the patient himself.But it has important implications for the entire medical community and even biology departments—newly discovered diseases can inspire researchers in many ways.Every time a new disease is discovered, it is possible to discover more treatments for the disease by studying its pathogenic mechanism.

But... In this era of prosperous science, discoveries in the field of biology have lagged behind.

Fortunately, the lessons learned by Mr. William Thomson (Lord Kelvin) are still vivid. Experts in the field of biology and medicine did not say something like "the edifice of medicine has been solemnly completed".

After all, under the dark clouds, there seems to be no big difference between medical buildings and thatched cottages.It is still impossible to cure cancer completely, and many rare genetic diseases are also consistent with the treatment plan dozens of hundreds of years ago.Scientific advances may have given humanity the hope of going to Mars, but it hasn't even bought an extra two years of life for ALS patients.

The future is bright, but the status quo is gloomy.But fortunately, there are treatments for most common diseases... Otherwise, doctors may become the most affected and hit group in the collapse.

But now, Lu Chen seemed to see a strange sign of a disease, at least not one he knew, from the persistent high fever in bed 42.

According to Baozi's analysis, there are more than 39 diseases that may cause a patient to suddenly have a high temperature from a steady state to 1000 degrees.However, there is only one disease that can maintain a high temperature of 39 degrees for more than 32 hours and does not respond to various common antipyretics.

Malignant hyperthermia.

Malignant hyperthermia is a rare disease lurking in the human body, it is like an insidious bomb.Usually the carrier will not have any symptoms or performance, just like a normal person.But once the patient begins to receive general anesthesia, the muscles of the whole body will spasm rapidly and raise the body temperature.

Under the superposition of high temperature over 42 degrees Celsius and continuous severe acidosis, the human body will quickly fall into the death whirlpool of rhabdomyolysis, nervous system and even systemic damage.

Then die within hours.

The analysis result given by Baozi is as simple as that—malignant hyperthermia is the only disease that can cause no warning, is ineffective to antipyretic drugs, and causes persistent high fever in patients.

The problem is, this is definitely not a malignant high fever... Lu Chen scratched his head as he looked at the 42-bed case.

The AI ​​in Junior Sister's hand probably made the same judgment as Baozi.Before the younger junior sister's phone call was made, she gave the doctor's order for genetic testing to bed 42.The test results showed that the patient did not suffer from RYR1 gene segment or CACNA1S gene abnormality - genetic testing does not support the diagnosis of malignant hyperthermia.

"Danqulin has also been used...but the body temperature still hasn't dropped." The little junior sister stood beside Lu Chen and said in a low voice, "Brother...why do you invite Teacher Yang to come back and have a look?"

"Brother Yang, please come back, this patient also has these treatment plans." As Yang Weimin's doctoral student, Lu Chen is quite aware of his mentor's methods.He comforted his junior sister, "Treat the symptoms first, add ice blankets and ice caps... I'll think of a way."

Bed 42 is definitely not malignant hyperthermia.The genotype does not match, the symptoms are wrong, and the degree of fever is far less terrible than malignant hyperthermia... If a cat does not look like a cat, does not sound like a cat, and does not respond like a cat, then it is likely to be real Not a cat.

This principle also applies to diagnosis - Lu Chen believes that bed 42 is likely to suffer from a certain disease, a disease that neither he nor Baozi has ever seen.

This idea made Lu Chen's body tremble violently. At this moment, Lu Chen suddenly understood Mu Zhiran's feeling when he discovered that the electrons outside the lithium element were spinning downward.

Of course there is worry and self-doubt, but more of it is actually hyperactivity.It's that kind of excitement like discovering a new continent, the excitement like seeing a scenery that no one has ever seen before.

Moreover, Lu Chen is very sure - if this is indeed a brand new disease, then there is no need to think about atoms and electrons, Brother Yang's academician title is basically stable.

But the excitement lasted for a short time, Lu Chen forced himself to calm down again - the first priority now is to find ways to stabilize the situation in bed 42.As long as people survive, research can always be done.

If bed 42 is not rescued, then the next step is to bite the bullet and go to work with the family members, and ask the other party to agree to hand over the remains of their loved ones to the hospital for autopsy when someone else is bereaved.

Leaving aside the difficulty of this matter, just to make such a request after the treatment failed... Lu Chen himself felt unable to open his mouth.

In order not to encounter difficulties later, you have to do your best now.Lu Chen ran to the ward in a white coat, and after seeing Bed 42 lying in a coma on the bed, Lu Chen pondered for a moment and made a decision.

"Maintain the original cooling method, and implement low-frozen infusion—intravenous infusion of normal saline at four degrees Celsius. Test the patient's APTT coagulation time every half an hour." Lu Chen decided to use some unconventional means to control the patient's body temperature. If you don’t come down, you’ll have to repeat enemas with low-temperature physiological saline.”

Hypothermia infusion is a treatment plan that is relatively widely used in neurology and emergency departments. The original intention of this outrageous plan is to reduce the body temperature of patients with severe craniocerebral injury as soon as possible, thereby protecting the nervous system.

Now being used by Lu Chen in this kind of place...it's quite appropriate.

After giving the doctor's order in the ward, Lu Chen returned to the office to make up some physics jokes to amuse his girlfriend.As a result, as soon as his butt touched the stool, the table in front of him started screaming.

After groping on the table for a few times, Lu Chen turned on the audio playback system. He looked at the gray head floating on the table and asked wonderingly, "Hello? Who is it?"

"Doctor Lu, right?" A hoarse voice came from the other end of the phone, "I'm the security department... huh? Why can't this thing see people again?"

Lu Chen looked at the huge "Voice Only" prompt under the floating avatar, and decided not to bother to instruct his brother in the security department how to make a video call.He asked directly, "I'm Lu Chen, what's the matter with you?"

"Doctor Lu is like this. The emergency department just called us and said that you let the patient who was sent run away by himself." The elder brother from the security department said, "They sent me a photo, and I want to let the patient run away." Look at..."

"Run away?" Lu Chen was stunned for a moment, and then suddenly realized that it should be Thomas.

"The doctors in the emergency department are very anxious. They said that the patient's consciousness is still not clear, so he ran out by himself for some reason." The elder brother from the security department yelled, "We are already adjusting the monitoring, this person is Doctor Lu, you arrange Come here, see if you can contact his family members?"

"Uh... okay, let me ask." Lu Chen hung up the phone, and then started sending messages to his family, Dr. Mu.

[The emergency department said that Thomas escaped from the hospital, do you see if he went back to school again?If you find his trace, then send him back to the hospital as soon as possible.Can't laugh or cry.jpg]

After a while, Dr. Mu Zhiran sent back a message, 【No wonder the door to the accelerator is locked again. ] Then there was no movement.

Uh... hello?Lu Chen looked at the news on his phone and felt that there were a lot of cats in his heart. It was so lively, Dr. Mu, why don't you live broadcast it for me?
Looking at the time, Lu Chen felt that the cat in his heart was rubbing more frequently.It's [-]:[-] in the afternoon, and it's time for Mu Zhiran to do experiments.It is impossible to expect Dr. Mu to be a reporter in the field. If you want to watch the excitement, you can only go there by yourself.

If the temperature of bed 42 can drop, then this lively Lu Chen will be sure.It's a pity that there are no "ifs" in reality, and things don't always go as planned.

Lu Chen returned to work with a strong "I'm not happy" emotion. This emotion was so strong that the younger junior sister seemed a little uneasy—she was worried about the reason for the portrait on Lu Chen's face. It was she who couldn't handle the fever in bed 42.

Now Lu Chen not only couldn't see the excitement, and the patient's temperature couldn't drop, but he also had to worry about the psychological state of his junior sister.Lu Chen, who was knocking on the medical records in the office, was irritable and helpless, and at the same time felt a little wronged.

Let's do something good, let's not talk about watching the excitement, at least do something to divert the little junior sister's attention...

Lu Chen staring at the screen suddenly felt a little dizzy.

Then, his whole body flew up from the stool.All the objects around were shaking violently, and there was a loud noise, which directly shattered almost all the window glass in the room.

When Lu Chen came back to his senses, he had already appeared in the ward.The world seemed to suddenly become black and white, and his white coat was covered with dust and blood stains from nowhere.Everyone, including the medical staff, was screaming in terror.But Lu Chen couldn't hear anything, his ears were ringing.Apart from tinnitus, all he could hear was the beating heart in his chest.

Lu Chen tried his best to get a tourniquet from the dressing change cart, and to bind and pressurize the bleeding bed to stop the bleeding.But he couldn't touch the tourniquet—the dressing car seemed to come alive and grow legs. No matter how hard Lu Chen tried to grab it, his fingertips just couldn't reach his target.

Lu Chen opened his mouth, and then spit out today's lunch directly to the ground.He felt dizzy, as if he had just been thrown into the washing machine to dry for half an hour, and he was spinning dizzily.

Wiping the filth from the corner of his mouth, Lu Chen finally grabbed the tourniquet.After using the tourniquet and dressing forceps to stop the bleeding with pressure and rotation, Lu Chen's hearing gradually began to recover.He heard cries, screams, and various alarms going off outside the window.

Looking through the bare window frame, Lu Chen saw a gray column of smoke soaring into the sky—it was very close to the hospital, and it was in the direction of the Institute of Physics.

He felt his blood go cold all over his body.

(End of this chapter)