White armor

Chapter 447: Drinking Dung Soup All the Way

"Xiao Luo, what do you need to prepare?"

After meeting, Feng Zixuan didn't say a word of greeting and went straight to the point.

"Sivelestat sodium, does the hospital have it?"

Feng Zixuan didn't know either, but the people around him went to check immediately.

"Gastric lavage, catharsis, blood filtration. I'll ask someone for the specific details." Luo Hao said.

"Qilu Plan?"

"Ah."

Feng Zixuan had no expression on his face. He took out his cell phone and checked the time.

"There are still 22 minutes left."

The director of the emergency department brought a team of people with him, carrying a first aid kit, and a stretcher with an ECG monitor and related first aid equipment.

"confident?"

"Depending on the time, there should be a chance."

What Feng Zixuan and Luo Hao were talking about were two completely different things, one was grasp and the other was opportunity.

"Does our hospital have medical activated carbon?" Luo Hao asked.

When asked this, Luo Hao felt a little embarrassed.

I seldom come to the emergency department of the First Hospital of Medical University, and I know nothing about the emergency medications here. I am completely in the dark.

"Yes." Feng Zixuan patted Luo Hao on the shoulder. He also realized this and did not complain. Instead, he comforted Luo Hao.

"That's good."

Security guards were already maintaining order and had cleared an empty area in the parking lot to be used as a helicopter landing pad.

The plane landing on the roof is just an exaggeration in TV dramas, with a huge cross as a mark, and the plane hums down.

It looks good, but daily maintenance and so on are all problems, and it needs to be planned when the building is built. The most important thing is that there are very few patients who can use helicopters, and every time the provincial capital is used, there will be a big vibration.

Ordinary people, even the big guys in the province, would not bother to pretend to be like this. It is completely meaningless.

It would be good enough to have a space left in the parking lot.

Feng Zixuan looked at the time again, there were still 18 minutes.

"Xiao Luo, I've never seen anyone saved by paraquat." Feng Zixuan sighed, "When I was at work in the emergency room, I met a young couple who were arguing and swore by drinking pesticides.

When they came, they were in love and everything was fine. But when I saw the bottle of paraquat, my heart sank to my heels.”

"Oh." Luo Hao felt a little empty inside when he heard Feng Zixuan say that, and he sighed.

"What chemical is in paraquat? How can it be irreversible?"

Feng Zixuan was talking about pulmonary fibrosis, Luo Hao knew it.

There was still time. Luo Hao squinted his eyes and looked in the direction of Yilan County. "The chemical composition is 1.1'-dimethyl-4'bipyridinium cation."

"..."

Feng Zixuan understood everything, but he understood nothing.

What is Luo Hao talking about?

“Although it can be absorbed through the skin and respiratory tract, it is mainly absorbed into the blood through the digestive tract.”

“The absorption rate of paraquat is not high, but the absorption speed is extremely fast, reaching the peak in 0.5-4 hours.

The bad thing is that paraquat is a small molecule;

Worse still, paraquat is barely metabolized;
Worse still, paraquat is actively taken up by alveolar type I and II epithelia and is retained in muscle.”

“Therefore, the paraquat concentration in the lungs can be 6-10 times higher than the plasma concentration. Even after blood purification measures, paraquat in the blood can be continuously released because it is stored in the muscles, so it can still be detected and affect the patient.

This results in a clinical course of acute onset-recovery-rapid deterioration that is common in patients with severe paraquat poisoning.”

"This thing is too strong. Isn't it forbidden to use? How can you still buy it?"

Luo Hao murmured to himself, and Feng Zixuan thought of his father who made medicine for his children.

That is a medicine for treating diseases. A technical secondary school student can make it himself after studying it for a period of time.

Paraquat is really useful in the fields. Although it cannot be sold, it is not difficult to make and can be easily made.

But this is just a casual thought. It is most likely that it is expired paraquat that was preserved when it was available for purchase.

"How much did the patient drink?" Feng Zixuan asked.

"It's said to be 400ml."

"..." Feng Zixuan's heart sank to his heels again.

If it's just a few milliliters, maybe there's hope? There are definitely countless question marks surrounding this hope.

Can be 400ml!

I'm afraid all the cows are dead.

The patient is really amazing. The smell of paraquat is so irritating, but he can pour it directly into his mouth. I hope it is blown, and most of it is spit out...

Even if you spit out most of it, it won't work.

"Xiao Luo, what is the lethal dose?"

"According to the 2020 paraquat poisoning guidelines, a 50kg adult with mild symptoms ingests no more than 1000mg, or 1g.

The specification of paraquat commonly sold on the market was 200g/L, which means 1g is contained in 0.2ml.

The patient is a male, and 5-10ml is considered a mild case.”

"Is there a guide for this too?" Feng Zixuan no longer had any hope for the patient. Even if it was Luo Hao, who had repeatedly performed miracles, Feng Zixuan thought he would be helpless now.

So Feng Zixuan focused his attention on what Luo Hao had just said.

In 2020, there were guidelines on paraquat poisoning. Feng Zixuan was shocked that there were guidelines for this disease.

But Luo Hao did not answer Feng Zixuan's question. It didn't matter much whether he said it or not.

400ml, even if the patient drinks half and spills the other half, it will be difficult to save the patient.

Oh shit!

Luo Hao cursed in his heart.

But the system mission is still there, and there is no ambiguity like that of a patient on the verge of death, which means there is still room for maneuver.

"Xiao Luo, do you think there is hope?" Feng Zixuan asked.

"For poisoning, the most important thing is the type, followed by the dose. It is irresponsible to talk about the dose without considering the type or the type without considering the dose."

"This patient is indeed... difficult to save." Luo Hao told the truth.

Feng Zixuan originally wanted to hear an affirmative answer from Luo Hao, but Luo Hao was too honest. Why was he so honest? He didn't even know how to comfort himself.

The call was made directly to Dean Zhuang, and a helicopter was sent to pick up the patient, which had never happened in the First Hospital of Medical University in the past few years.

There is a 100%... No, an 80% hope would be fine, but judging from the tone of Luo Hao's voice, it seemed that there was not even a 30% chance.

"In the past ten years, the success rate of treatment with paraquat below 50ml is about half, which exceeds the survival rate of less than 50%. It is not % certain that someone will die if they drink paraquat."

"Qilu Hospital is indeed unique in treating paraquat poisoning, and its cure rate leads the country, but poisoning must be treated early. Once the disease occurs, it is meaningless to treat it later."

"Let's do what we can first. I have contacted the senior brother in Qilu and am waiting for the patient to come for a video consultation."

Having said this, Luo Hao fell silent, pursed his lips, and looked up in the direction of Yilan County.

The autumn weather is clear and the sky is blue, like a huge sapphire.

A few white clouds float in the air, decorating the sky beautifully.

But Luo Hao had no time to appreciate the beautiful autumn scenery. His whole mind was on how to get the patient back.

[As the saying goes, a man is a boy until he dies~~~]

"Hello, Professor Li."

"We are ready here and will start rescue work once the helicopter arrives. For patients who have ingested paraquat, time is of the essence."

There was a loud and foul curse coming from the other end of the phone.

Feng Zixuan pricked up his ears and listened carefully.

Luo Hao knew that Feng Zixuan also wanted to listen, so he simply put down his phone and turned on the speakerphone.

"The kid didn't know what was good for him. I asked him carefully and he said he drank 400 milliliters. But his father knew the severity of the problem and kicked him into the pit right away."

"Shit pit?!"

"There are fewer dry toilets in the countryside now. In the countryside... it's just a dry toilet. I just poured shit into him to induce vomiting. Damn, his brain is full of shit soup. He pours everything into his mouth! I let you drink, I let you drink, this time I'll let you drink enough!!"

"!!!"

"!!!"

Luo Hao and Feng Zixuan were stunned. What Professor Li said was... so vivid.

"There are big maggots in the manure pit, and they say they can detoxify, but I don't think so. That stuff is just protein."

"Well, inducing vomiting is necessary." Luo Hao glanced at the system panel.

The patient who took 400 ml of paraquat orally is still in remission, which is probably because his father pressed him directly on the edge of a toilet pit and used fecal water to induce vomiting.

"This is too cruel." Feng Zixuan said in shock, "I've seen people in rural areas induce vomiting, and they all use a broom to pick their throats with manure. This guy just presses it into the manure pit..."

Although Feng Zixuan had been through many battles, he felt uncomfortable inside when he thought of that kind of situation.

The main reason was that Feng Zixuan had used a dry toilet before, knew the smell, and had seen maggots in the dry toilet.

vomit~
Feng Zixuan felt nauseous.

"Okay!" Luo Hao was a little excited, "I'll talk to my senior brother from Qilu."

"Professor Xiao Luo! Wait a minute."

"what happened?"

"Will drinking paraquat save you?"

“Nowadays, 100ml can hardly be made in 24 hours.

For those below 50ml, the average duration is 1, 4, 7 or 14 days.

Brother Che from Qilu said that many patients started to develop symptoms around 2 weeks ago, which may be related to the large amount of hormone medication used at the beginning and then reduced too quickly, or it may be related to the patient's own immune system.
If your brother hadn't pushed your nephew into the pit and used feces to induce vomiting, he would have been hopeless. But now, it's hard to say how much he had ingested. We have to wait until the patient arrives to tell."

"Whether there is hope or not, we'll try our best."

"Xiao Luo, I know your doctor said to try your best but... it's already too much." Professor Li's voice was choked with sobs.

"That's not what you say." Luo Hao interrupted Professor Li.

"The 'Qilu Program' used by Qilu Hospital of Dongshan University to treat paraquat poisoning has been very effective.

From 2011 to 2014, 983 patients were treated, 649 of whom were clinically cured, with a cure rate of 66%.

But the cure rate of paraquat is affected by the amount and concentration of paraquat ingested by the patient. The less the amount consumed, the sooner the patient goes to the hospital for treatment, and the greater the chance of being saved. "

"This was the cure rate more than ten years ago. Now, as the function of the machine is getting better and better, the cure rate is getting higher and higher. The reason why I am not sure is that the patient took too much. Didn't I just say that it is nonsense to talk about toxicity without considering the dosage?"

"..."

"I don't know the effect of inducing vomiting with fecal water, so let's wait and see. By the way, Professor Li, even if we can save him, which is an extremely low probability, it will cost a lot of money."

"Just save them. I have money," Professor Li said. "I have contacted a friend and I have a mortgage loan for my house. It will be ready soon."

"Okay!" Luo Hao solved the last difficulty and looked at the system panel again.

It shouldn't be a big problem. There's at least a 60% chance of getting the person back.

"Xiao Luo, I don't know anything about medical treatment, so I'll leave everything on your end to you..."

"I'm here and I'll do my best." Luo Hao said briefly, and the two were speechless.

No matter how much you say, it's all garbage and has no substantive meaning. Everything has to wait until the patient comes.

After hanging up the phone, Luo Hao tried to call Chen Yong again, but Chen Yong’s phone had no signal before.

He must have entered the city, and this time he actually called Chen Yong.

"Ugh~~~"

After the call was connected, the sound of vomiting continued to be heard from the other end.

It sounded... a little weird, not like a man's voice, and there was also the sound of crying amidst the vomiting. "Hey, Luo Hao, we'll be there soon."

"How is the patient?"

"If he says another word, I'll throw him out of the helicopter," Chen Yong threatened.

This sentence was obviously not directed at Luo Hao, and Luo Hao knew it well.

“Pah~~~Ouch~~~”

Strange noises continued to be heard.

"What's going on?" Luo Hao asked.

"You can see for yourself when we get there. Oh, and get ready to wash up. Damn, I'm covered in shit."

"..."

Luo Hao was stunned.

Normally speaking, Chen Yong has been doing good deeds in the hospital and is considered a very good doctor to his patients, and he is quite kind.

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Unless I'm driving, I get very irritable.

But now.

Luo Hao suddenly realized that Chen Yong was not joking when he said he would throw the patient out of the helicopter. All his patience had been worn out.

But Luo Hao understood.

The patient thinks that he is making a fuss out of nothing, which is a lack of real knowledge.

Legend has it that almost all patients who take paraquat orally don't feel anything at first, talking and laughing, until their breathing becomes increasingly difficult and they are suffocated to death.

But when they realized their mistakes and actively cooperated with the treatment, it was already too late.

"Don't use too much force! Spit, bang~~~"

"I'm dead." Chen Yong roared angrily.

Feng Zixuan was also stunned. What happened?
If it were any other patient, Chen Yong’s attitude would definitely lead to a complaint.

But this is the boss of Luo Hao's medical team, and Chen Yong is not like this usually.

Before Feng Zixuan could ask, Luo Hao saw a black spot in the sky flying closer and closer.

coming!

Luo Hao narrowed his eyes, stared at the small black dot, and went over the treatment process over and over again in his mind.

The whole process was certainly tough, and the emphasis was on various points over the two-week period.

Taking a deep breath, Luo Hao stared at the helicopter.

Tu tu tu tu~~
As the helicopter approached, Luo Hao vaguely saw that Chen Yong's posture was strange, not a proper rescue posture.

Getting closer, Luo Hao saw Zhuang Yan dying, lying on the side of the helicopter with half of her head sticking out, and Chen Yong seemed to be sitting on her back.

What kind of posture is this?!

No, he was kneeling on Zhuang Yan's back, and next to Zhuang Yan was a man who looked to be in his 20s and should be the patient.

He and Zhuang Yan were in the same position, with Chen Yong's knees pressing on their backs.

Is this a rescue?!
Luo Hao was stunned. This must be about catching criminals.

When Feng Zixuan saw Chen Yong kneeling on Zhuang Yan's back, his face turned extremely ugly.

As the helicopter descended lower and lower, Luo Hao didn't know whether to laugh or cry.

Zhuang Yan's nose was full of snot, and she had completely lost her previous delicate, rigorous and intellectual demeanor, looking in a miserable state.

Zhuang Yan was crying while vomiting. The faint crying sound just now was coming from Zhuang Yan.

The patients around her...

It is even more unbearable to look at.

The man's head and face were covered in feces. Even though he was hundreds of meters away, Luo Hao could vaguely smell the sharp stench.

The stench seemed to have the ability to penetrate armor, and even caused some damage to Luo Hao's mental strength.

What the hell is going on!
Luo Hao didn't expect that the patient who took paraquat orally would come with his head and face covered in feces.

There was saliva hanging from the corners of his mouth, and the color of the saliva was wrong. It was not white but the color of shit soup.

But this is not all.

What Luo Hao never expected was that the real test had not yet appeared.

When the helicopter landed, even the director of the emergency department of the First Hospital of Medical University, a veteran expert who had experienced many battles, was stunned and hesitated to step forward.

Even if the man was broken into countless pieces and his intestines were scattered all over the ground, the old director would not retreat.

But when he saw the patient who was covered in shit and was still spewing shit, he hesitated.

Luo Hao held the flatbed cart with one hand and rushed forward against the wind brought by the helicopter propeller.

"Luo Hao, what the hell is this job!" Chen Yong cursed.

"..."

Luo Hao was about to explain, but the next second, he saw something coming out of the patient's nostrils.

White maggots with light yellow dots slowly crawled out of the patient's nose, mixed with snot and tears, as if his brain had been occupied by maggots.

I am!

At this time even Luo Hao was dumbfounded.

He was stunned for a moment, staring blankly at the maggots twisting their fat bodies and crawling out of the patient's nostrils.

No wonder Zhuang Yan vomited so much that she lost her human form.

No wonder Chen Yong was cursing and expressing his dissatisfaction strongly.

If it were me, I might not be able to do it very well.

It seems that Chen Yong has reached his limit. At least Chen Yong has demonstrated strong waist and abdominal strength. While maintaining balance and holding down two people, he is also trying to feed the patient feces soup.

"Open your mouth!"

Chen Yong exerted force on his knees, grabbed the man's hair with one hand, and used the other hand to scoop a ladle of feces soup and pour it into his mouth.

This scene made Luo Hao dumbfounded.

Although fecal soup was used to induce vomiting along the way, which was a life-saving measure for the patient, seeing it with one's own eyes and imagining it are two completely different things.

"Yong...Brother...Ugh...Ugh~~~" Zhuang Yan no longer had the strength to speak. She lay on the helicopter, looking like she was dying.

Although the bucket of feces water did not enter Zhuang Yan's mouth, the damage she suffered was more serious than that of the patient.

Mental damage, physical damage, immunity to various protections.

"Pa~~" Chen Yong slapped the man on the face, and then grabbed his hair again, "Your father told me to beat you, but if you don't drink honestly, believe it or not, I will kill you!"

A bucket of feces was half poured in and half spilled, and the patient then vomited violently.

White maggots were sprayed out directly.

There is a pungent smell of paraquat in the middle.

"Get in the car!" Luo Hao came to his senses and stepped forward to carry the patient.

Everyone hesitated for a moment, and Luo Hao was the first to "wake up" and pull the patient down.

The strange smell of paraquat and feces made Luo Hao unable to open his eyes.

The digitally enhanced five senses intensified all the negative effects at this moment, making Luo Hao unbearable.

Is this also a crime that people have to endure?
But there was no other way, Luo Hao closed his eyes and tears flowed.

After dragging the man into the car, Luo Hao immediately felt that the patient wanted to get out by himself. He was struggling hard and did not cooperate at all.

Oh shit.

Patients poisoned by paraquat are annoying. At the beginning, they are fine and do not act like patients at all.

In a split second, Luo Hao imitated Chen Yong and slapped the patient in the face.

This should be the first time Luo Hao hit someone, not counting what happened in the United States.

Even Luo Hao didn't expect that he would actually do something to a patient one day.

"If you move again, I will hold you down and continue to pour shit into you." Luo Hao said coldly.

The struggling patient seemed to calm down a bit.

"There's plenty of fresh shit at the hospital's sewage treatment plant."

"..."

"If you cooperate, I will use medical methods to wash your stomach and give you an enema."

"Woooooo~~~"

Luo Hao could hear the patient's sobbing. Any normal person would not reject Luo Hao's words.

Luo Hao expressed deep regret for this.

That is to say, he knows Professor Li, and the current situation does not allow for delay, otherwise Luo Hao thinks he would not be so extreme.

The patient on the stretcher still needs to move.

"I'm giving you face, right?" Luo Hao opened his eyes angrily, but closed them immediately the next second.

It's too harsh on the eyes.

Chen Yong is also a talented person. Even so, he was able to escort the patient all the way back and kept feeding the patient fecal soup.

He is both civil and military.

"Wuwuwu~ I'm going to turn over~~ I want to vomit, ugh~~~"

Luo Hao sighed. He had actually had his brain short-circuited by Xun. The patient should be in the prone position now, not in the supine position.

Aspiration, stool entering the respiratory tract, serious infection.

With another deep sigh, Luo Hao held the patient and helped him turn over and lie on the stretcher.

The patient had no time to thank the doctor and began to vomit violently.

The stench of feces and the alternative pungent smell of paraquat soon filled the air.

"Send to the ICU!" Feng Zixuan stood five steps away, directing the rescue.

Amid the roar of the flatbed cart, Luo Hao led a large group of people from the emergency department straight to the ICU.

Feng Zixuan did not follow him, but came to the helicopter, reached out his hand and helped Chen Yong down.

Although Chen Yong looked tough and strong, he was actually in a very miserable and weak state.

"Thank you, Director Feng." Chen Yong thanked him, his mask covered with dirt.

Then the two of them pulled Zhuang Yan down.

Zhuang Yan lay on the ground like a critically ill patient, her face pale.

Zhuang Yan was pulled aside again. It felt like all the bones in her body had been pulled out. She felt soft and had no strength at all.

"Xiao Zhuang, are you okay?"

"Uncle Feng, wuwuwu~~~" Zhuang Yan was in tears and cried in grievance.

"I told you not to go. Find a place to take a shower. Director Feng, please help contact them."

Chen Yong took off his mask and spat, "We can't contact anyone, that's it, we're not allowed to go in anywhere."

"it is good."

Feng Zixuan knew about it, so he started making phone calls and arranged for a nurse to look after Zhuang Yan to prevent her from falling while taking a shower. Then he hurried to the ICU.

……

……

Note: 400 ml of paraquat came from a rescue operation at the Poisoning Treatment Center of Yangcheng No. People's Hospital.

Fern soup comes from a patient I met 16 years ago who drank pesticides.

I was still young that day and the emergency department was in chaos. I can still remember it vividly.

(End of this chapter)