White armor

Chapter 446 Emergency Mission - Paraquat Poisoning
"The diagnosis of Meigs syndrome is mainly based on the triad of benign ovarian tumors with pleural effusion and ascites, which was first described by American expert Joe Vincent Meigs and is also called Demons-Meigs syndrome.

After tumor resection, pleural effusion and ascites improved or healed, and the latter could be considered as another diagnostic criterion besides the triad. "

"The presence of only benign ovarian tumors with pleural effusion, or benign ovarian tumors or ascites, is called atypical or incomplete Meig syndrome."

"Based on the current situation, Xiaozhuang's old neighbor should have incomplete Meig's syndrome."

As he was talking, Luo Hao called this disease Meig's syndrome. It seems that he has become accustomed to it and it will be difficult to change it in a short time.

The resident chief of the cardiothoracic surgery department stared at Luo Hao in the video in a daze.

As he spoke, he threw away the bamboo shoots that Dahei had brought back with half of his face. Dahei ran quickly and happily grabbed the bamboo shoots with one leap.

Professor Luo seemed to have not used his brain at all, and he was familiar with the theories about Meigs syndrome and incomplete Meigs syndrome.

"Only 2% to 5% of ovarian tumors removed are ovarian fibromas. However, Meig's syndrome is most often associated with ovarian fibromas, although other benign tumor types include theca cell tumors, granulosa cell tumors, or Brenner tumors."

“In addition to the aforementioned ovarian fibroids or fibroid tumors, when patients with other benign ovarian tumor types or ovarian malignancies, uterine or fallopian tube tumors present with manifestations similar to Meig’s syndrome, it is called pseudo-Meig’s syndrome.”

"A scholar once reported a case of a 48-year-old woman with advanced gastric cancer accompanied by bilateral ovarian enlargement, ascites, and bilateral pleural effusion. No cancer cells were found in the pleural effusion cytology examination.

After the doctor performed oophorectomy as palliative treatment, the patient's pleural effusion and ascites quickly subsided.

The patient was therefore diagnosed with pseudo-Meiger syndrome and received chemotherapy and subtotal gastrectomy. The patient has been followed up for 84 months without further treatment and has no tumor recurrence. ”

Luo Hao talked eloquently, from Zhuang Yan's neighbors to various papers and documents.

He did it with ease, playing with the dog and giving the lecture at the same time, all with ease.

The boring and complicated rare disease was like a bamboo shoot in Luo Hao's hand, thrown out casually, and Zhuang Yan jumped suddenly and picked it up again.

The chief resident of the cardiothoracic surgery department was already confused by what he heard. He was a PhD graduate and his boss... Not to mention surgery, his diagnostic skills were far inferior to Professor Luo's.

If it were in the past, he could still say that Professor Luo was only good at theory but might not be good at surgery.

But for the patient who "came back from the dead" some time ago, Professor Luo personally performed the aortic surgical replacement surgery on him.

His surgery is... Let's put it this way, Director Xu is an old hand, but his skills are still not as good as Professor Luo's.

There is no doubt that Professor Luo is both talented in literature and martial arts.

"Similar case reports were reported in approximately 454 articles and a systematic review of 541 patients with typical, atypical Meig's syndrome and pseudo-Meig's syndrome.

The right pleural effusion was more common than the left and bilateral pleural effusions, and the median volume of pleural fluid removed was 2950 (1500–6000) mL.

So many papers!
The cardiothoracic surgery resident chief was surprised.

"Xiao Zhuang, I have a homework for you." Luo Hao suddenly smiled.

"Senior brother, you say." Zhuang Yan straightened her chest and raised her head, her eyes showing determination.

"Is the pleural effusion in Meige syndrome an exudate or a transudate? Remember this question, do relevant tests later and write down the results." Luo Hao gave Zhuang Yan a homework.

"Okay!" Zhuang Yan nodded, wrote this down, and immediately remembered what her grandfather said about "raising a dog".

"Senior brother, you are so awesome. If I had known that PUMC was so strong, would I... would I still have a chance to go to PUMC for my doctorate?" Zhuang Yan asked.

In the video, Luo Hao's expression was a little strange. He looked at Zhuang Yan in surprise, as if he didn't know her.

"Brother, you can supervise PhD students, right? I would like to apply to become your PhD student."

"Xiao Zhuang." Luo Hao looked at Zhuang Yan in confusion, "What's wrong with you today? Do you have a fever?"

"No, I just haven't heard of this disease before. Brother, you are so cool to be petting the cat while treating the patient!" Zhuang Yan felt that this was too simple. As long as she spoke out her heart, it would be in line with her grandfather's intention.

Simple task!
"!!!"

Not only Luo Hao, but even Meng Liang was stunned.

Zhuang Yan is different today than usual.

But it’s not over yet.

Zhuang Yan didn't seem to think about it and said directly, "Recently, medical insurance management has become more and more strict. Some examinations can no longer be performed, but if something goes wrong, the doctor still has to take the blame.

Senior brother, you can tell at a glance that the patient has a problem, and you can also make a differential diagnosis. If I were half as good as you, I would definitely have fewer hidden dangers in clinical practice."

Luo Hao listened to Zhuang Yan talking in a daze, and even forgot to rub the bamboo with his hands.

Zhuzi expressed his dissatisfaction, raised his head and nudged Luo Hao's hand, interrupting Luo Hao's thoughts.

Luo Hao began to rub the head of the bamboo again. The bristles of the bamboo were a bit hard, like a brush, and were actually not easy to rub.

It may have something to do with the fact that bamboo grows wild in the Qinling Mountains. After all, survival is the most important thing in the wild. Wild cats and domestic cats are just like two different things in terms of touch, and the same is true for bamboo.

Zhuang Yan was still talking, and Luo Hao was dumbfounded.

"Brother, when you recruit doctoral students in the future, I will definitely be your senior sister!"

"Xiao Zhuang, stop making trouble." Luo Hao said stutteringly.

"I'm not making a fuss. I'm telling the truth!" Seeing Luo Hao's helpless expression, Zhuang Yan didn't know whether what she said was right or wrong. She had to go home and ask her grandfather about this matter.

But the senior brother has different emotions, which means that the dog-raising theory is correct. At least it can make the senior brother who usually "wears" a mask have mood fluctuations.

Volatility is a good thing.

"It's ok, I'm hanging up now. We'll talk when I get to work. By the way, Lao Meng, tell me if Corey has anything to say."

"Okay, Professor Luo."

Luo Hao hung up the video directly without giving Zhuang Yan a chance to continue speaking.

"Mr. Chang, let's go back first." Meng Liangren stood up, his square face showing a calm expression, and there was no sign of anything unusual.

The chief resident of the cardiothoracic surgery department felt a little ashamed, "Mr. Meng, what's next?"

"Consultation, go to the gynecology department, didn't you remove the breast bottle?"

"What happens next?"

"Transfer her to the gynecology department for laparoscopic surgery to remove the tumor. Professor Luo just said that it is most likely benign. You can explain this to the patient's family, and Xiaozhuang can also help."

After Meng Liangren finished speaking, he looked at Mr. Chang strangely, wondering why he looked a little dazed today.

“Hey, hey, hey.” The chief resident of the cardiothoracic surgery department responded repeatedly, “Mr. Meng, you guys are really…”

"Hehe." Although he didn't say it all, Meng Liangren understood what Mr. Chang meant.

Meng Liangren was also wondering what happened to Zhuang Yan today. He didn't feel like chatting more in the cardiothoracic surgery department.

Leaving the ward, Meng Liangren walked away while pondering.

"Lao Meng, senior brother is really amazing! Don’t you think so? He can give a diagnosis while petting a cat!" Zhuang Yan praised.

"Xiao Zhuang, what about you?"

"I'm telling the truth, don't you think so? Really, really, don't you think so?!"

"Professor Luo was the same before, but I've never seen you express such strong emotions." Meng Liangren was puzzled.

"The past is the past. I am particularly touched today. After Senior Brother finished speaking, Mr. Chang searched the Internet and found that it was a pronunciation error of Concord. Don't you think it's cool?!"

Zhuang Yan waved her hands as she spoke, her emotions strong.

This is too easy. All you have to do is express your feelings. This is much easier than suppressing your admiration for your senior brother.

Meng Liangren thought about it and remained silent.

……

……

"Something's wrong with Xiaozhuang." Luo Hao said while rubbing the bamboo.

"Don't worry about it. We knew you were coming today, so the panda house was closed for a day!" Wang Jiani said with a smile, "Professor Luo is so impressive!"

"Oh, this is part of scientific research, don't talk nonsense."

"Yes, yes, it's part of scientific research."

Wang Jiani has learned to be a yin and yang person, Luo Hao is helpless. It is really hard to learn good things, but it is easy to learn bad things.

"Here, fruit." Wang Jiani took out a few apples and threw one to Zhuzi, who caught it and started to chew it.

Then Wang Jiani used a toothpick to pick up a slice of the apple and put it into Dahei's mouth.

Zhuzi seemed a little jealous. He bared his teeth at Dahei and rubbed his head against Wang Jiani's leg, as if to indicate that he wanted to eat her too.

“Is bamboo like this normally?”

"No, normally the bamboo just needs to eat a few more. It's only when it sees you that the bamboo becomes different. It doesn't care about others, it only cares about you." Wang Jiani explained.

"You bastard." Luo Hao laughed and stretched out his hand, and two heads came over at the same time.

Alas, it’s a bit troublesome. Luo Hao looked at Zhuzi and Dahei and felt it was quite tricky.

These two bastards fell into the water so synchronously, they must be addicted to competing for favor.

"Ding dong~~~"

When Luo Hao stretched out his hands and was about to put them together, he heard the long-lost task reminder sound.

[Emergency Mission: Paraquat survivors.]

Mission content: Emergency rescue of a patient who took paraquat orally.

Mission time: 14 days.

Mission Reward: 20 points of Mall Currency, +1 Random Attribute Point. 】

Paraquat?!

Luo Hao immediately withdrew his hands, and half a head swayed in front of him, waiting for Luo Hao to rub it.

"You two should be good and stop arguing and making trouble." Wang Jiani tried to persuade Zhuzi and Dahei.

But when Luo Hao came, her words had almost no force. Zhuzi and Dahei looked at Luo Hao eagerly, with a little hostility towards each other.

It is not the kind of life-and-death hostility that the bamboos have in the Qinling Mountains, but rather a jealous hostility.

Wang Jiani was also speechless. Before she could say anything, these two bastards started fighting.

Luo Hao ignored the two little guys, took out his cell phone and started contacting a senior brother from Qi Lu.

Luo Hao has not conducted any special research on paraquat poisoning.

But when he saw a senior brother in the group saying that he had rescued 14 patients who drank paraquat in half a year, Luo Hao was very impressed. He added the senior brother's contact information and asked about the most basic treatment process.

Faced with the system task, Luo Hao would certainly not be arrogant, and it was inevitable that he would directly contact his senior brother Qi Lu.

"Hello, Senior Brother Che, I'm Luo Hao."

"Hello, Dr. Luo."

"Are you busy over there?"

"Not busy. I'm fishing on the weekend." Senior Brother Che said leisurely, "What's wrong, Dr. Luo? By the way, I saw a pen with your name on it in the ward yesterday."

"???"

Luo Hao was stunned for a moment, but soon understood.

It is normal for a doctor to lose his pen. Who knows who took it away and how it ended up in Qilu Hospital in such an incredible way.

But this is normal, a wandering pen. "Brother Che, last time I saw you talking about treating paraquat..."

"Oh oh oh!"

Speaking of the treatment of paraquat poisoning, Senior Brother Che on the other end of the phone suddenly became interested.

In terms of other things, Qilu may only be considered first-class in the country, not the best, but when it comes to treating patients who drink paraquat, there is a sense of unrivalled competence.

The Qilu Plan is no joke.

Luo Hao exchanged a few words with Brother Che, and as soon as he knew that Che was free, he hung up the phone.

"Luo Hao, are you leaving?" Wang Jiani held the corner of Luo Hao's clothes, while Zhuzi and Dahei rubbed their heads against Luo Hao.

The whole family was reluctant to leave.

Ugh.

Luo Hao sighed. He didn’t want to do that either.

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It’s really fucking true. When Luo Hao thought about paraquat poisoning, he now felt particularly favorable towards the jealous Dahei and Zhuzi.

"Well, there's something going on over at the hospital. There's a patient who drank paraquat."

"Ah? Really? Didn't they say that drinking paraquat would definitely lead to death? Pulmonary fibrosis, a very tragic death."

"That's not always the case. If you get treatment early, there's still hope you can survive."

"So amazing!" Wang Jiani exclaimed.

"Of course, there are often helicopters taking off and landing at the Baotu Spring Campus of Qilu University. It is said that they are transporting patients who have drunk paraquat. Their treatment time is urgent, even more urgent than hemorrhagic shock."

As Luo Hao spoke, he stood up and opened his arms.

Before Wang Jiani and Luo Hao hugged each other, Zhuzi stood up and hugged Luo Hao and Wang Jiani tightly, while Dahei, who was anxious, barked behind them.

“Hahaha.” Luo Hao let go of the bamboo, touched Dahei, and finally hugged Wang Jiani, “Let’s go!”

"Drive slowly and text me when you get there."

"Okay, got it."

Luo Hao strode away from Haodong and connected the Bluetooth first after getting in the car.

Nowadays, this kind of retro and nostalgic style of car is no longer attractive, at least you can’t do many things while driving.

It's time to upgrade, Luo Hao thought to himself.

Driving back to the hospital, within a few minutes, Luo Hao already had his own plan.

This disease is a bit tricky... Luo Hao sighed as he drove.

The lethal dose of paraquat is 5-15ml, and there is no specific antidote. It is known as the "king of pesticides" and has long been banned from production, sale and use in mainland China.

Moreover, even if patients with paraquat poisoning can be rescued, they often suffer from serious sequelae.

The person who developed paraquat and was called "the father of Chinese paraquat" was Li Dejun, former director of SD Pesticide Research Institute.

Professor Li was very satisfied with his work.

Because in the last century, it changed the situation in which China relied on imports for herbicides and made an outstanding contribution to having enough food.

But since Professor Li attended a lecture on treating paraquat patients, he began to ask himself whether paraquat should not be allowed to appear in this world.

Luo Hao felt that it had nothing to do with Professor Li. They all drank the pesticide voluntarily. How could he blame Professor Li?

Money is hard to earn and shit is hard to eat. If you want to eat it, who can stop you? If you don’t have paraquat, you can still jump off a building or cut your wrists. You can’t stop it.

Besides, when paraquat was being made, the only thing people thought about was how to remove weeds. No one thought about what it would be like if people drank it.

People who have drunk paraquat are special cases. If they are discovered early and forcibly sent to the hospital by their family members, they may still be saved.

But the treatment process was very painful. The patients themselves did not feel anything unusual, and even their families began to doubt whether the hospital was making a big deal out of nothing.

In the past, doctors could only watch patients chatting and laughing, and even young couples who committed suicide for love would cry and hug each other.

They themselves were unaware that one of their feet had already stepped into the gate of hell.

If patients who have just drunk paraquat are sent to large tertiary hospitals in time, they can be cured, but it will cost a lot of money and may not be cured completely.

And this is only the case when the family discovers the disease in time. If the disease is not discovered in time, when the patient is admitted to the hospital with spontaneous symptoms, the main symptoms are dizziness, fatigue, difficulty breathing, and multiple vomiting of dark green stomach contents.

There is a high probability that the patient will not be discovered until he or she has convulsions in the limbs and impaired consciousness.

Seizures are a sign of toxic encephalopathy, meaning that the poison has invaded the brain. Based on our past experience, if this is caused by paraquat, there is basically no way to save the patient.

Since the system has issued the task, Luo Hao doesn't think the patient cannot be saved, as long as everything goes quickly.

But now everything is unknown. Feng Zixuan, Jin Rongcan, Zhuang Yongqiang and others are not as easy to fool as the girl. They can't accept whatever she says.

Luo Haoneng told Danizi that he was going to treat a patient poisoned by paraquat, but he couldn't tell them in advance.

After learning the news, Luo Hao prepared to contact the hospital immediately to apply for a helicopter.

Of course, the shorter the time, the better, even if a helicopter is used.

I hope that it is in the city, and the patient can go directly to the hospital within 1 hour, so that...

Before Luo Hao could think of saving trouble, his cell phone rang.

A name that I rarely contacted appeared on the phone - Professor Li from the University of Science and Technology (robot girlfriend).

When Luo Hao saw the label "robot girlfriend" in the note name, he remembered Professor Li he met that day.

He is a very interesting person. It is said that the data of liquid metal running is the supercomputer applied for by Professor Li, so I owe him a favor.

"Hello, Professor Li!" Luo Hao answered the phone and greeted enthusiastically.

Professor Li was probably startled by Luo Hao's enthusiasm and was stunned for a second.

"Professor Li, you?" Luo Hao only said this.

"Professor Luo, I have something to trouble you with."

"You said."

"My nephew broke up with his girlfriend, and the damn kid actually drank paraquat." Professor Li cursed angrily.

"Where is the man?"

"Jiangwan Town, Yilan County."

Hey!
Luo Hao cursed in his heart.

Luo Hao only knew the approximate distance of that place, which was at least 200 kilometers away from the First Hospital of Medical University.

Even if we use a medical helicopter, it will take at least two hours for a round trip.

"Are you sure it was paraquat? How much did you drink?"

"One bottle, about 400ml."

Luo Hao's hand felt numb.

He never expected that the system had not issued any tasks for a long time and actually gave him such an awesome task.

You should know that in order to prevent accidental ingestion of paraquat, odor enhancers were added to it, and there was a pungent odor when the bottle was opened.

Most people who drink pesticides to commit suicide would drink at most 10-20ml of paraquat, but Professor Li’s nephew actually drank 400ml at once!

But Luo Hao also knew that this was just talk, and he might not be able to drink it all. But even so, this was still a difficult patient.

But there is one good thing. Professor Li is not someone who is short of money, so he should not have to worry too much about the medical expenses.

"Okay, I will contact the hospital right away and ask them to send a helicopter to Jiangwan Town, Yilan County. Professor Li, please contact Jiangwan Town and find a place where the helicopter can land."

"What?!" Professor Li was stunned.

"Helicopter, medical helicopter, keep the phone open, keep in touch."

Luo Hao didn't have time to chat with Professor Li. After hanging up the phone, he called Dean Zhuang Yongqiang.

"Xiao Luo, you..."

Zhuang Yongqiang was still chatting when Luo Hao interrupted him.

"Director Zhuang, I know a patient who drank 400ml of paraquat."

With just one sentence, Zhuang Yongqiang on the other end of the phone was silenced.

"I applied for a medical helicopter to pick up the patient in Jiangwan Town, Yilan County."

"Wait, Xiao Luo, you know that's paraquat. More than 5ml will definitely lead to death." Zhuang Yongqiang said.

"Dean Zhuang, that's out of date." Luo Hao said firmly, and took a look at the system task. Luo Hao was sure that the task time was 14 days.

"Old almanac?"

"Well, bring the patient here. I will contact my senior brother from Qilu Hospital to help with the treatment. He has successfully treated at least a dozen similar patients."

Zhuang Yongqiang on the other end of the phone was stunned.

"If he can be saved, our hospital will have a medical gap..."

"Don't talk nonsense. I'll call a helicopter for you. Where are you?"

"I'm on my way and can't get back." Luo Hao said calmly, "I'll contact Chen Yong and ask Zhuang Yan to go pick up the person together. I'll prepare for the rescue here."

After finalizing the helicopter, Luo Hao contacted Chen Yong. Lao Liu was on duty today, and he was accompanying Lao Liu in the operating room.

It was a coincidence. Luo Hao took a look at his luck value and it might have something to do with this.

After the contact, Luo Hao called Feng Zixuan.

Zhuang Yongqiang agreed and said that all other specific tasks would be implemented by Feng Zixuan, and the dean would definitely not do such a thing.

Feng Zixuan's cell phone was busy, probably because he was busy with the helicopter.

The First Hospital of Medical University has a medical helicopter project, but given the consumption level of Chinese people, who can afford it?
Therefore, over the past decade or so, the number of helicopter take-offs and landings at the First Hospital of Medical University has been very few.

I guess even Feng Zixuan doesn’t understand the process in between.

Luo Hao hung up the phone and concentrated on driving.

Soon, Feng Zixuan called.

"Xiao Luo, the helicopter is ready to fly. I have contacted Jiangwan Town to find a parking site. Give me the phone number so I can contact the patient's family. Drive carefully and don't be distracted."

Luo Hao felt a little warm in his heart.

I pulled Feng Zixuan from home to rescue him on the weekend. Not only was he not in a bad mood when waking up, he also cared about driving.

Luo Hao was rarely moved by others. He nodded, not caring whether Feng Zixuan could see it or not, and then said a series of numbers.

Feng Zixuan didn't express surprise. There was nothing surprising about Luo Hao being able to remember a phone number.

More than half an hour later, Luo Hao finally drove to the First Hospital of Medical University.

Feng Zixuan stood solemnly in front of the green channel of the emergency department with his hands behind his back, watching bus 307 approaching.

(End of this chapter)