medical road with you

Chapter 70 Finding the Cause II

Lu Ping read them one by one. At first, what she saw was Tianhai's longing for her, but after watching, Lu Ping discovered a rule, from the perspective of a doctor.
It seems that every time Tianhai thinks about her and feels uncomfortable, his muscle weakness symptoms will aggravate for a short time.
Song Zixiang also said once that when Tianhai was emotional, her symptoms would get worse. She didn't pay much attention to it before, but now, it is clear that emotional agitation is the reason for the aggravation of the disease.
There is only a bridge between the cause and the cause of a disease. If you find out the mechanism of aggravation of the disease and cross that bridge, you will be able to find the cause.
Lu Ping stood up suddenly, pushed away the chair, took out the paintbrush, wrote 'emotional' on the left side of the whiteboard, and wrote 'muscle weakness' on the right side of the whiteboard.
From emotional agitation to muscle weakness, which pathways have been taken in the middle?
Lu Ping likes proof questions in mathematics, start with the 'cause' first, if you can't directly deduce the 'effect' from the 'cause', Lu Ping will work backwards from the 'effect'.
Now, let’s start with cause and effect.
'Emotional agitation' is the cause, so what happens to the whole human body when the emotion is agitated.
The first is the changes in the high-level central nervous system, that is, the changes in the brain. When the mood is agitated, the secretion of excitatory neurotransmitters increases, and the secretion of glutamic acid, catecholamines, 5-hydroxytryptamine, acetylcholine, and histamine increases.
Lu Ping drew five branches under the emotion, but after further analysis, Lu Ping felt that the thinking was not clear, because there were too many branches.
Chi Na came in when she was thinking so hard that her brain started to ache.
"Pingping, what are you doing?" Chi Na asked in surprise looking at the messy lines drawn on the whiteboard.
"I'm thinking about problems."

Chi Na looked at the time: "It's almost eleven o'clock, you still haven't slept."

During this time, Chi Na came back very late every day because of her wedding preparations.
"Wait a little longer." Lu Ping lowered his head and started writing again.
Chi Na didn't say anything, and went to the bathroom to wash up.
Ten minutes later, Chi Na went to bed: "Pingping, don't make it too late, you have lost a lot of weight during this time."

"Yeah." Lu Ping agreed casually, but didn't raise his head.
Chi Na sighed and lay down to sleep.
Looking at the dense and messy lines drawn on the left side of the whiteboard, Lu Ping shook his head, no, her way of thinking is wrong.
From cause to effect, it seems that there is no way to go.
Lu Ping took the blackboard eraser and erased the pile on the left.
If you can't go from left to right, then go from right to left.
The result, muscle weakness, is now relatively clear that the cause of muscle weakness is damage to the motor neurons.
So what hurts the motor neurons? After excluding genetic and immune factors, what else could be the reason?
Microbial damage, no, blood routine is basically normal, and there is no sign of infection.
Radioactive factors, chemical loss, or physical loss.
For radioactive factors, Tianhai should have no chance to release any radioactive substances. Moreover, the loss of radiotherapy first manifests as damage to the digestive system, unlike .
Physical loss, overheating, and overcooling seem impossible.
Chemical damage is the most likely, but what kind of substance will damage Tianhai's nerves, and the effect of this damage will be magnified when he is emotionally excited.
Lu Ping fell into deep thought.
At around four o'clock in the middle of the night, Chi Na woke up from urinating, and when she opened her eyes, she noticed the glaring light.
Chi Na looked up and saw Lu Ping still standing beside the whiteboard.
Throwing off the quilt, Chi Na got off the bed.
Not even thinking about wearing slippers, Chi Na went directly to Lu Ping and took the pen from Lu Ping's hand.
"Lu Ping, you're crazy. Do you know that staying up late like this will cause you to die suddenly? I know you're worried about Jiang Tianhai, but you can't put your own life on it."

Putting the pen on the shelf of the whiteboard, Chi Na directly pushed Lu Ping onto the bed: "Lu Ping, I order you to go to sleep now, immediately."

Lu Ping was also extremely exhausted, and within a few seconds of lying down, he fell asleep.
Chi Na sighed and turned off Lu Ping's bedside lamp.
***
"It's heavy metal poisoning!"

Lu Ping yelled and sat up abruptly.
Outside, it was daylight, and Chi Na's bed was already empty.
"It's heavy metal poisoning, Nana, I found Tianhai's cause." Facing Chi Na's empty bed, Lu Ping yelled.
Throwing off the quilt, Lu Ping finished washing in 3 minutes and went straight to the ICU.
It's heavy metal poisoning!
When emotionally excited, the activity of the sympathetic nervous system is relatively hyperactive, the secretion of adrenaline and norepinephrine increases, and the blood vessels of skeletal muscles relax, making full preparations for escape or fighting, and all the upper motor neurons and skeletal muscle cells are in a relatively easy state. state of excitement.
However, just like people will feel fatigue after overwork, and nerves will be relatively weak after being excited, and heavy metal poisoning will lead to prolonged depolarization of neurons or excessive depolarization, and the nerve response will be even worse.
Therefore, the symptoms of muscle weakness will aggravate after emotional agitation. How could she not have thought of such a simple logic before.
Lu Ping patted himself on the head as he walked.
"It's heavy metal poisoning!" Lu Ping yelled before she had time to open the door of the ICU, but soon, she was shocked by what she saw.
Song Zixiang was holding the defibrillator in both hands, standing beside Tianhai's bed.
Defibrillator? Cardiac Arrest!
His condition is so bad that he may die at any moment!
Lu Ping froze.
"Charge, 360j" Song Zixiang said to the nurse.
Zizizi, Lu Ping could even hear the sound of electricity flowing through the wires.
Crack, Song Zixiang pressed the discharge button, Tianhai's chest bounced up, and the nurse immediately stepped forward to press on the chest.
one two Three
Lu Ping looked at the ECG detector, the waveform of the ECG was still chaotic.
Not caring about taking off his shoes, Lu Ping ran to Tianhai's bed and grabbed his hand: "Jiang Tianhai, listen carefully, you can't die, if you die, I will immediately forget you, and I will never see you again for the rest of my life." I remember you."

Song Zixiang stared at the detector for ten seconds: "Charging, 360J."

Crack, the button was pressed again, Lu Ping stared at the detector, feeling that what Song Zixiang pressed was not the button, but her heart.
beep, beep, beep
God bless, the normal P_QRS_T waveform appeared.
Song Zixiang put down the defibrillator and went to wash his hands.
His palms were already wet.
After wiping his face, Zixiang finally calmed down a bit: "Lu Ping, why are you late today?"

Lu Ping put down Tianhai's hand and remembered the business.
"I know the reason for Tianhai's illness. It should be heavy metal poisoning?"

“Heavy metal poisoning?”

"Yes, aluminum, manganese, silver and various heavy metals are all possible, and it should be chronic poisoning caused by long-term low-dose exposure."

"Which one is it?"

Heavy metal poisoning can indeed cause motor neuron disease, and Song Zixiang doesn't have much doubt about Lu Ping's judgment.
However, the detoxification methods of different heavy metal poisoning are the same.
"I don't know." Lu Ping shook his head.
Song Zixiang looked solemn: "We must find out as soon as possible, Tianhai's current situation may be life-threatening at any time."

Song Zixiang thought for a while and said, "I'll ask the nurse to draw blood to check for all possible heavy metals."

Lu Ping nodded, and saw that he hadn't taken off his shoes yet, so he walked towards the gate and took off his shoes while holding the table next to the door.
Bang, accidentally, Lu Ping knocked off the thermos bucket on the table.
Lu Ping immediately went to pick up the thermos bucket. When his hand touched the wall of the bucket, it still felt greasy. After putting the lid back on, Lu Ping stretched out his hand to take a look, and his hand was dipped in a layer of silver gray again.
Zhao Jingru?
Silver gray?
heavy metal
In the blink of an eye, Lu Ping figured out something.
Holding the thermos, Lu Ping ran to Song Zixiang: "It's this kind of metal, the poison in Tianhai is this kind of metal."

As he said that, Lu Ping stretched out his finger to Song Zixiang to see.
Song Zixiang looked at Lu Ping's fingers, and then stretched out his hand to wipe the inside of the thermos: "It's aluminum. In the early years, various aluminum products were very popular. Aluminum spoons and lunch boxes were very common, but later people discovered that aluminum Products can cause Alzheimer's disease, these things are gone. Where did you get this thermos."

"Sent by Zhao Jingru."

"That stepmother of Tianhai?" Song Zixiang frowned: "This woman is really cruel!"

After thinking about it carefully, he felt that there was something wrong: "But, according to you, Tianhai is chronically poisoned, and he should have developed a disease abroad. It is impossible for Zhao Jingru to send poisonous soup to Tianhai to go abroad."

Lu Ping narrowed his eyes: "Since Zhao Jingru thinks that Tianhai will suffer from chronic aluminum poisoning, there should be more than one or two ways for her. Tianhai eats and uses it every day, and it is possible for her to tamper with it. Think about it carefully, Which of the things Tianhai comes into contact with on a daily basis was brought over from China specifically by him."

Brought over from China?
Song Zixiang carefully searched for memories.
"It's smoke!" Song Zixiang closed his eyes regretfully.
"cigarette?"

"Yes." After a pause, Zixiang explained: "Tianhai started smoking not long after he left the country. I persuaded him at first, but he said that he really couldn't quit, and he didn't want to quit, because there was no reason to quit. I know I remember he once said to me, don’t look at this cigarette is very common, you can’t buy it abroad, he doesn’t like the strength of foreign cigarettes, so he asked Steward Yu to send him some from China, saying that it is a unique domestic brand. Front door."

There is no reason to quit smoking!
Big front door!
Lu Ping suddenly hated himself very much. If she hadn't put on a high-cold air at that time, if she had been tougher at that time, or persuaded him a few more words, would he have quit it? It will come to this point now.
Her father died because of her smoking, and the love of her life died because of her smoking.
From now on, if anyone dares to smoke in front of her again, she will definitely put out the cigarette directly.
"What should we do now?" Lu Ping asked.
Chronic aluminum poisoning, she really doesn't know how to treat it.
"Garlic, mung beans, these things can reduce the concentration of aluminum in the body." Song Zixiang paused for a while, and then said: "However, Lu Ping, these are all your personal speculations. I think we should wait for the test results before treatment. I am now Just call the laboratory and ask them to test Tianhai's blood aluminum concentration first."

"Okay, I understand."

**
An hour later, a call came from the laboratory.
"How much is the result?" Song Zixiang asked on the phone.
"Look for yourself." The inspector hung up the phone directly.
Zixiang stared blankly at the phone, and clicked on the test result: the blood aluminum concentration exceeded the maximum value that the kit could measure.
"It's really aluminum poisoning, it's really Zhao Jingru's good deed!"

Lu Ping gritted his teeth in hatred.
He took off his white coat, threw it on the chair, and Lu Ping ran out.
"Lu Ping, why are you going? You're not going to settle accounts with that woman, are you? You're still at work."

Song Zixiang shouted at Lu Ping's back, but Lu Ping didn't even turn his head.

Lu Ping would naturally look for Zhao Jingru to settle accounts, but right now she has more important things to do.

After leaving the hospital, Lu Ping went to the supermarket and bought a catty of mung beans and a catty of garlic.
Lu Ping and Chi Na have a small pot for cooking hot pot. Occasionally, they will cook hot pot in the dormitory when they are in the mood.

He took out the small pot, washed the mung beans and put them in. Lu Ping filled up the water and plugged in the electricity.
Mung beans can be boiled into soup, but how to eat garlic?
Tianhai is still in a coma and can only eat liquids. Moreover, Lu Ping vaguely remembers that the garlic will not be disinfected if it is cooked.
After thinking for a while, Lu Ping went to the supermarket to buy a pair of pestle and mortar, peeled the garlic, removed the stalks, washed it, put it in the mortar, and pounded it vigorously until the large white garlic was crushed. Thin mashed garlic.

Lu Ping licked the garlic paste on the pestle, it was so spicy!

In addition to spicy or spicy,

After thinking about it, Lu Ping added a little more salt.
After the mung bean soup was cooked, Lu Ping chilled the soup in water and put some sugar in it.
It was already 05:30 when Lu Ping returned to the ICU with a bucket of mung bean soup and a bowl of mashed garlic, but Song Zixiang was still there.
Seeing that Lu Ping came back, Song Zixiang tapped his watch: "It's 05:30, and you have been away from work for more than two hours. Lu Ping, you came to the ICU for an internship, not to take care of Tianhai. At least , you should also ask me for a leave."

Lu Ping gave Song Zixiang a white look: "The person I love is dying, do you think I still care about asking for leave?"

Song Zixiang choked on Lu Ping's words and didn't know what to say.

Put the mung bean soup on Tianhai's bedside, shake the bed, let Tianhai half sit, Lu Ping took the syringe, sucked a tube of soup, and injected it into Tianhai's stomach through the nasogastric tube.
When Lu Jun was bedridden, Lu Ping often did this kind of thing, and she did it very skillfully.
One after another, Tianhai poured a full [-]ml of mung bean soup. Lu Ping patted his back and put him flat again.
"Does it really work?" Lu Ping turned around and asked Song Zixiang who was standing behind her.
"I don't know, I've heard it works, but I haven't tried it myself."

Lu Ping came here wearing garlic paste, but Tianhai's mouth was closed tightly so he couldn't feed it, and the smell of garlic paste was too strong. There were other nurses and patients in the ICU, so Lu Ping didn't have the nerve to take it out.

He did everything he could, and Lu Ping had to wait for the rest.

According to the patrol regulations of the ICU, nurses need to patrol the patient every hour to check whether the patient's vital signs are stable.

Lu Ping did it more frequently, watching it almost every half hour.

Tianhai did not experience the crisis of cardiac arrest again, and the ventilator was removed, and the blood oxygen saturation was maintained above 95%, but there was no sign of waking up.

It's been three days. During the three days, Lu Ping has fed Tianhai how many liters of mung bean soup. Now, seeing the mung bean soup, Lu Ping feels a little sick.

Suanni Luping also made a new one every day, but he never fed it to Tianhai.

After another bucket of mung bean soup was fed, Lu Ping looked at Tianhai's urine bag, it was full again.

If he continues to feed like this, even if Tianhai is not poisoned by mung beans, he might be poisoned by water.

Lu Ping changed the urine bag, washed his hands, and sat in front of Tianhai's bed again.

It was already ten o'clock in the evening, and the nurse on duty began to doze off.

Lu Ping stroked Tianhai's hair, staring at him blankly for an unknown amount of time.

what.
Lu Ping yawned big.

Ever since Tianhai fell into a coma, Lu Ping hadn't had a good night's sleep.

Crossing his arms on the edge of the bed, Lu Ping rested his head on his arms and looked at Tianhai for a while, blinked his eyelids a few times, and fell asleep.

(End of this chapter)