White armor

Chapter 164 You can drink anything as wine
[Emergency mission: Emergency in a sandstorm.

Task content: Find, diagnose, and properly place a critically ill patient.

Task time: 24 hours.

Mission reward: Acting Skill Book ×10. 】

Ok?
Luo Hao was stunned for a moment, looked at the system panel carefully, and found that he had read the task content correctly.

"What?" Chen Yong asked worriedly, "If you're too tired, just take a nap and don't leave in a hurry. You're not afraid of death, but I am."

"No, I suddenly remembered that I haven't gone to say hello to Dr. Sun, nor have I seen the postoperative patients."

"..." Chen Yong wanted to give Luo Hao a big slap in the face.

He sighed, "Luo Hao, your obsessive-compulsive disorder is getting worse and worse. If it doesn't work, go to a mental hospital after you go back."

"Looking at the postoperative patients should be considered serious and responsible, not obsessive-compulsive disorder." Wang Jiani defended Luo Hao in a low voice.

"..." Chen Yong also fell silent.

"Professor Luo, let me tell you a joke." Dr. Sun first took Luo Hao and Chen Yong to the office and found white clothes for them to change into.

"Thank you, are there any serious patients?" Luo Hao asked, looking at the system panel.

After taking a look at the patient after surgery, the patient's vital signs were stable and he would be discharged home today.

"When I saw it for the first time, I felt like I had gone back to those years. I was so scared that I almost peed."

While talking, Dr. Sun had already brought the two of them to the emergency observation ward.

"Really? I read on the news that the logistics support work in the mountain city is very good, and there is ice-cold Coke on the mountain."

The diagnostic assistant AI gives a diagnosis. The patients with their heads wrapped in gauze basically have the same diagnosis - head trauma or facial trauma.

"That's good."

Professor Luo's life is really colorful, and he can encounter such weird things.

"Haha, show me the emergency patients admitted yesterday? If they are not serious, they should all be kept in the emergency room for observation." Luo Hao asked.

The county hospital is still in good order. Dr. Sun introduced what they did yesterday as he walked.

"Hahaha, I'm not afraid of your jokes. I almost peed."

"What's wrong."

Although Chen Yong cursed in his heart, he didn't say anything. He followed Luo Hao to see how much sand this guy had in his head.

But the steering wheel was in Luo Hao's hands. He called up the navigation, found the county hospital, contacted Dr. Sun, and drove back.

Chen Yong shrugged his shoulders and turned back to glare at Wang Jiani.

"Dr. Sun, were you busy yesterday?" Luo Hao asked.

"..." Dr. Sun was silent.

"Later, Lao Cui went up the mountain with his patients and became a volunteer. When we met in the imperial capital, he even showed off his volunteer certificate to me."

"It's okay, I didn't sleep all night." Dr. Sun replied.

Dr. Sun was speechless.

I flew to Nangan County for an operation. The operation went smoothly. Before I left, I took a look at the postoperative patient, and I could understand all this.

Luo Hao scratched his head a little. Dr. Sun was in a mess. Maybe his bad luck with post-operative bleeding in 5 of his 2 operations was related to this kind of thinking logic.

Nangan County is not big, and it only takes ten minutes to get to the county hospital.

Chen Yong frowned on the side, what is Luo Hao doing and what does he want to do?

I don’t know if I am busy or not, but I haven’t slept all night.

Maybe he really wanted to die on the mountain and let himself live in the memories of more people.

"Professor Luo, you are really considerate. There is no serious problem." Doctor Sun felt that Luo Hao was a bit troublesome, but he was still polite.

Is it because the brain is filled with water...is it difficult to use it because of the sand in it?

But he still thinks about the tourists who were injured in the sandstorm yesterday.

"Absolutely. Riding an electric scooter up the mountain. If you want to be a volunteer, you have to meet a lot of conditions. You must be under 35 years old, in good health, etc." Luo Hao thought of Lao Cui, raised the corner of his mouth, and glanced at the system panel.

Something is wrong.

"Later, the county asked us to help resettle the stranded tourists, and the halls and corridors were full of people. But everyone also understood that it was just for one night." Dr. Sun explained tiredly.

No one believed that tens of thousands of tourists were stranded in Nangan County, but this small county with a population of hundreds of thousands actually managed to survive like a miracle.

Luo Hao laughed, "I have a buddy who was doing a project in a mountain city last year and encountered a wildfire. Volunteer, it really takes a lot of effort to go up the mountain."

"They are all minor injuries. They were scratched by the glass when the sand and rocks started flying."

"His patient ran up the mountain. Over there, the volunteers were being selected. Everyone else said the same thing. Lao Cui's patient raised his hand - I have terminal cancer and still have three months to live. I must go up the mountain!"

But that patient with terminal cancer must also be passionate.

All hospitals and doctors can do in the face of such natural disasters are the most basic protection work, but Dr. Sun is still full of pride.

"There were no supplies to keep out the cold yesterday. The hospital opened the warehouse and took out the protective clothing inside to keep tourists warm."

There was a patient in the innermost room sleeping soundly, snoring loudly.

Luo Hao didn't pay attention at first, following Dr. Sun's footsteps and looking at patients one after another.

Until he came to the sleeping patient, the diagnostic assistant AI started flashing the alarm.

!!!

It's him!

Luo Hao glanced at the diagnosis and immediately secreted a large amount of adrenaline.

Acute renal failure, high fever of unknown cause.

Two diagnoses, each fatal.

"What's wrong with him?" Luo Hao frowned and looked at the patient and asked directly.

In his words, Luo Hao lost his previous gentleness and became more aggressive.

The style of a senior doctor burst out.

Dr. Sun was startled.

"The patient had nothing to do in the car and drank too much." The doctor in the emergency department laughed. "The patient was diagnosed with alcohol poisoning. When he came here, he smelled of alcohol and his stomach was washed twice. He was fine."

"Take your temperature first."

"Body temperature?" The emergency doctor was a little unhappy.

Luo Hao glanced at the nursing record sheet in his hand. The patient's temperature was 36.7 degrees Celsius.

However, for patients who are fine, the numbers on the nursing records are not very reliable.

Especially since there was so much chaos last night, it was very likely that the nurse had filled it in casually early in the morning.

Compared with the nursing record sheet, Luo Hao believed in the diagnosis given by the system more.

Seeing that the emergency doctor was motionless, Luo Hao stepped forward and touched the patient's forehead.

piping hot.

Boiling hot in a physical sense.

At least 40℃!
"The patient has high fever and the diagnosis is wrong." Luo Hao said seriously, "Take the temperature first. What about other tests?"

Dr. Sun didn't understand what Luo Hao was doing, so he subconsciously stepped forward and touched the patient's forehead.

His expression suddenly changed as if he had touched a soldering iron.

"Professor Luo is asking you something!" Dr. Sun also became serious.

"I just checked the blood count and ions, and there's nothing wrong." After saying that, the emergency doctor reached out and touched the patient's forehead, turned around and ran faster than a rabbit to get the thermometer gun.

"Who are the patient's family members?" Luo Hao asked.

A thin man yawned and stood up, "What's wrong?"

"Who are you a patient?"

"Donkey friend, let's go traveling together. What's wrong with Lao Hei?"

"Tell me what happened yesterday." Luo Hao asked patiently.

The county hospital diagnosed alcoholism, but the diagnostic assistant AI diagnosed it as acute renal failure and high fever of unknown cause.

Luo Hao estimated that it was related to drinking, but it didn't seem like it, so he could only start with a consultation first.

The patient's friend was obviously not awake yet and was very angry.

But when he touched the patient's head, his sleepiness disappeared. Especially when the emergency doctor ran back and measured the patient's temperature at 41.2 degrees Celsius with a thermometer gun, he immediately woke up.

The patient's friend started recalling the meeting three days ago. Luo Hao interrupted him and asked him to start from yesterday.

He talked intermittently for 5 or 6 minutes before he explained the process clearly.

It turned out that they were stuck on the highway, but several gentlemen were traveling together, but they were not in a hurry. Seeing that the convoy was not moving, they started drinking in the car and cursing the damn weather.

Then "Old Hei" drank too much and talked nonsense. After getting off the highway, they sent Lao Hei to the county hospital for gastric lavage.

No matter how specific it is, the patient’s friends can’t tell clearly.

If we judge based on this medical history, we can only conclude that the diagnosis of alcoholism was made by Nangan County Hospital.

But Luo Hao knew that was not the case.

Luo Hao looked at the system panel, looked at the diagnosis given above, and hesitated.

"Where is your car?"

"Outside."

"Take me to have a look." After Luo Hao finished speaking, he looked back at Dr. Sun, "Dr. Sun, please help me check various laboratory tests, especially kidney function, both urgent and chronic diagnoses! By the way, prepare 120 Ambulance, go to the provincial capital.”

"?!" Doctor Sun knew the situation was urgent and nodded.

When he came outside and opened the car door, Luo Hao saw the car full of garbage.

A few gentlemen traveled together, and it was such a damn weather. They ate and drank in the car. It was strange that the smell was so good.

"Luo Hao, what do you suspect?"

"I don't know." Luo Hao shook his head, his eyes like lightning, scanning around the car.

After finding the garbage bag, Luo Hao took it out and squatted on the ground to dig through the garbage.

Chen Yong also squatted down, but half a step away from the garbage bag.

"What I know is that you are looking for the cause of the disease. What I don't know is that you think you have been hungry for how long and you are already hungry." Chen Yong said sarcastically, "What can you find in this."

Luo Hao didn't pay attention to Chen Yong's sarcasm. This is how it is between men. If they can talk well, it proves that the relationship is not over yet.

"Chicken bones, do you want to take a bite?" Chen Yong asked.

"Don't make trouble." Luo Hao put on a pair of plastic film gloves and began to rummage.

Wine bottles, chicken bones, large bone sticks, and various plastic deli bags.

It doesn't look like there's a problem.

"Luo Hao, do you think the patient has kidney failure?"

"possibly is."

"No, you lied to me!" Chen Yong looked at Luo Hao seriously, "I have been paying attention to you for a long time. When you spoke, you emphasized the renal function test. I guess you have your own judgment. Tell me how you make the judgment. of?"

Luo Hao frowned and looked up at Chen Yong.

Are you being too casual? Why does it feel like Chen Yong is beginning to doubt himself?

"Hey, I'm asking you a question! Did you learn this at Xiehe? Do you have any secret weapons at Xiehe? You won't die if you tell me! Tell me quickly!"

"Here, take this." Luo Hao found a small bottle in the trash and put it aside. "What is this? Antifreeze?" Chen Yong was startled, "Luo Hao, don't you suspect that the patient drank antifreeze?"

"That's it!" Luo Hao said firmly.

"???"

"???"

Not only Chen Yong, but also the family members of the patients on the side were a little confused.

"It's rare for us to drink too much antifreeze if we drink too much, but Lao Maozi has many similar cases."

"When I was in Donglian, I looked through the medical records. There was a precedent of an old driver who had no money to buy alcohol and drank antifreeze and ended up with kidney failure."

"Fuck!" Chen Yong cursed in a low voice.

"The medical records are in the medical record room. You can find out by looking through them yourself. The temperature was below zero yesterday. Generally, antifreeze is prepared in the car for long-distance travel to avoid accidents."

As he spoke, Luo Hao raised his head and glanced at the patient's friend.

"Men in science and engineering who go out must make foolproof preparations. The main ingredients of antifreeze are ethylene glycol and water. Ethylene glycol is a colorless, odorless, sweet, viscous liquid that is soluble in water and has low toxicity. , the lethal dose for an adult is 1 ml/kg.”

"Wait a minute, ethylene glycol is alcohol?"

"The lauromacrol used for ovarian cysts, with the word "alcohol" in it, basically contains alcohol. It can't be said to be ethanol, but it has similar points. Antifreeze is said to be a bit sweet, so drink it."

"Those old guys don't have money. Their truck drivers come to China and drink medical alcohol directly, and some drink antifreeze. As soon as I feel the patient has a fever, I think about antifreeze."

Luo Hao said, stood up and looked down at Chen Yong.

"This is clinical experience. Don't think about useless things."

"..." Chen Yong was silent.

"Doctor, drinking antifreeze won't kill people, right?" The patient's friend was frightened and asked in a low voice.

"Ethylene glycol can cause kidney failure 24 to 72 hours after ingestion, which can last for weeks or months."

"???"

"If it's discovered early, it shouldn't be a big problem." Luo Hao no longer explained professionally, but told him concisely and concisely, "Go to the provincial capital, dialysis and related treatments, and you should be able to be discharged from the hospital in about a month."

The patient's friend had a bitter look on his face, as if he was constipated.

Luo Hao knew what he was thinking, but no one wanted something like this to happen.

Asking him to help contact the patient's family, Luo Hao returned to the emergency room carrying the antifreeze bottle.

"Professor Luo, what is this?" Dr. Sun was stunned when he saw the bottle of antifreeze.

"Antifreeze. It is highly suspected that the patient drank antifreeze while drinking."

"!!!"

"The gastric lavage is timely, so there should be no big problem." Luo Hao simply explained and comforted Dr. Sun and the emergency doctor of the county hospital.

"Then... what's next?"

"Waiting for the laboratory tests, by the way, the 120 emergency ambulance has been contacted."

"I'll go right away!" Dr. Sun said quickly.

Luo Hao sighed.

The doctors at the county hospital obviously did not take this patient seriously.

But having said that, if I didn't have a diagnostic assistance AI system, I probably wouldn't pay much attention to it.

I can't blame them, they didn't cheat.

After waiting for about 20 minutes, the emergency test results came back, which was consistent with the diagnosis of acute renal failure.

After sending the patient to the 120 ambulance, Luo Hao drove behind and headed straight to the provincial capital.

When Luo Hao arrived at the entrance of the Provincial People's Hospital and pushed the patient into the Nephrology Department, Luo Hao went to the Nephrology Department doctor to explain the situation, and heard a crisp "ding-dong~" sound in his ears.

The system task is completed.

[Emergency mission: The emergency mission in the sandstorm has been completed.

Task content: Find, diagnose, and properly place a critically ill patient.

Task time: 24 hours.

Mission reward: Acting Skill Book ×10. 】

Luo Hao believed that this reward was dispensable. It mainly focused on discovering, diagnosing, and placing a patient.

Ethylene glycol is mainly metabolized by various enzymes in the liver and finally generates oxalic acid.

Oxalic acid combines with calcium ions to form calcium oxalate, which adheres to the cell membrane of the renal proximal tubule and enters the cell through endocytosis, causing ATN.

Reports of renal biopsy in the late stages of ethylene glycol poisoning are rare.

If he leaves Nangan County, this patient will most likely be treated as a "hangover" and receive rehydration and other symptomatic treatment.

If it is later discovered that the patient has no urine, and the patient has to start from scratch, it is hard to say whether he or she is confirmed to have ethylene glycol poisoning. At the very least, dialysis and symptomatic treatment will not be smooth.

The patient's life is likely to be in danger.

Luo Hao clicked on the acting skill book and used it, and then he breathed a sigh of relief.

Contact Manager Yin and he has already booked tickets for Luo Hao and three others to return to the provincial capital in the afternoon.

Witnessing Luo Hao's rapid diagnosis process, Chen Yong was in a low mood and looked a little depressed.

After eating randomly, Luo Hao left his car in the airport parking lot and asked Manager Yin to help him take it back.

……

……

A few hours later, Dr. Sun contacted the provincial capital and was surprised when he learned about the patient's condition.

He was silent for a long time and dialed Pei Yingjie's phone number.

"Teacher, Professor Luo is back." Dr. Sun "reported" the situation.

"You are very polite to Ronaldinho." Pei Yingjie was more concerned about this matter.

He is afraid that his good intentions may lead to bad things.

"Teacher, Professor Luo's level..."

"Level? How can an embolization operation for kidney cancer stump Ronaldinho?"

"No, no, no, teacher, I mean Professor Luo's level is too high!" Dr. Sun recounted the case of a patient with acute kidney injury caused by drinking antifreeze.

"At that time, I felt that Professor Luo had too many things going on." Dr. Sun was a little ashamed. "But it turns out that if Professor Luo hadn't been so sharp and discovered the patient who was misdiagnosed and mistreated, I'm afraid that patient wouldn't have survived a week."

Pei Yingjie was inexplicably surprised.

Luo Hao really can do anything, knows everything, and is good at everything.

Drinking antifreeze led to acute renal failure. Even after hearing Dr. Sun explain the causes and consequences of this case, Pei Yingjie didn't understand why.

Dr. Sun was still talking nonchalantly. In the little more than a day of contact with Luo Hao, he performed an operation, solved a headache medical dispute for himself, and finally got another patient who was misdiagnosed and mistreated.

After hanging up the phone, Pei Yingjie fell into deep thought.

I just wanted to "feed" Luo Hao some surgeries, but I didn't expect Luo Hao to do so many things.

And the most critical point is that Luo Hao did a good job in the surgery. He admits this. After all, youth and talent can determine the upper limit of the surgery.

But Luo Hao's diagnosis is also top-notch, which is incredible.

From the analysis of the situation reported by his own students, Pei Yingjie knew very well that if he were present, it would be impossible to determine that the patient had ethylene glycol poisoning caused by drinking antifreeze.

When drinking antifreeze, you have to think about how big your bag must be.

No one with normal thinking would think this way.

Pei Yingjie meditated for a long time and couldn't figure out what was going on.

Just call and contact Shen Zizai and Chen Yan, and let's get together in Luo Hao's name.

We all knew each other well, and after sitting down and drinking a few glasses of wine, the atmosphere became lively.

Pei Yingjie expressed his doubts.

"Lao Pei, you don't know this." Shen Zizai said with a smile, "I guess Xiao Luo has contacts in Donglian City."

"Contact? How?"

"They are close to the customs city. In the years after 91, I heard a lot of gossip."

"What gossip?"

"Lao Maozi's people are so poor that they have been robbed from their hair to the tips of their toes by the West. Let's put it this way, their drivers deliver goods, not only antifreeze, but also medical alcohol. If they really don't have money, they even drink vinegar. ”

"Vinegar?!" Pei Yingjie was surprised, "That thing doesn't have any alcohol at all. Why can you drink vinegar as wine?"

"Back then, a relative of mine was scrounging for things there and exchanging light industrial products. They said this when they came back. In the past, they were full of complaints. Later, after seeing the miserable condition of the old man, he didn't say a word when he came back."

Pei Yingjie didn't say anything.

Drinking antifreeze as wine would be terrible.

"The provincial capital is a little better. The Donglian side probably received a certain number of patients. That was in the 1990s. If it were now, I guess they can drink the hand sanitizer in the supermarket."

"Is that so?"

"It should be." Shen Zizai had already preconceived the idea and found reasons and excuses for Luo Hao.

"Ronaldinho is really good at surgery and diagnosis!" Chen Yan praised, stroking his beard.

As for Luo Hao, Chen Yan has regarded this young doctor as his nephew since the spring coil incident.

Patting his chest and asking himself, Chen Yan felt that he was not capable of doing what Luo Hao did.

Doesn’t Yuan Xiaoli know how to perform surgery?

of course not.

But Luo Hao was willing to take the huge risk and contact the manufacturer to use spring coils to stop the patient's bleeding.

Talking about the methods and risks involved here will make you cry.

The topic was immediately brought to the last century.

"Full of complaints? Why? Are you being laid off?" Chen Yan asked.

"At that time, the mountains were closed for forestation, and several forestry cities across the border were in a miserable state. There were a lot of complaints at the time. Later, when they saw the miserable state of Lao Maozi, no one said anything." Shen Zizi gossiped, "Just take your time. A country, a country, only a country can have a home.”

"Old Shen, I didn't ask you to teach us." Chen Yong knocked on the table.

"Just chatting, this is what my business relatives said." Shen Zizai said with a smile, "Let's just say that drinking antifreeze can lead to clinical experience. It is definitely not an exception. Can you think of it?"

Chen Yan fell silent.

"Back then..." Shen Zizai continued to gossip about his relatives.

Suddenly Pei Yingjie's cell phone rang.

He glanced at the call notification and stood up to go out.

But there were too many people in the hall, so Pei Yingjie turned back and made a silencing gesture.

Shen Zizai and Chen Yan looked at each other, silent at the same time.

"Hello, Teacher Wang." Pei Yingjie said respectfully and politely.

"Yes, yes, Professor Ronaldinho is in our hospital."

"Human...what are you doing?"

"The selection of outstanding students! Teacher Wang, let me tell you, Professor Ronaldinho is a rare talent! It's true. I'm speaking from the bottom of my heart."

(End of this chapter)