White armor

Chapter 448: Woohoo, I'm Dirty

Outside the blood purification room of the ICU, Luo Hao took off all the clothes on the patient and quickly wiped his body clean.

The body is actually not that bad, mainly the upper body. Most of the dirt remains on the clothes and in the patient's mouth.

The boss of ICU put on gloves to help Luo Hao.

But even the ICU boss, who had been through many battles and seen all kinds of scenes, was frightened when he saw this scene.

The main problem is that it is too eye-catching, in the physical sense.

"Professor Luo, your family is really good!" The CEO of ICU praised, "He immediately gave me feces soup to induce vomiting. It's a crude method, but it works."

Luo Hao deeply agrees with this.

The patient took 400 ml of paraquat orally, and it is estimated that he only drank 100 ml. Direct vomiting and continuous vomiting are indeed the best emergency measures.

Looking at the posture, I wish I could turn my stomach inside out and wash it.

Luo Hao estimated that the maximum absorption amount was 30-40 ml, which is an overestimate.

Can survive!

No wonder the system issued the task, this guy is so human.

"Induce vomiting in time. Continue to induce vomiting for a while, then insert a gastric tube and inject activated charcoal."

"Okay, Professor Luo, anything else?"

"Mannitol and magnesium sulfate are repeatedly given as enemas... three times, first."

Luo Hao spoke haltingly, the smell of feces and paraquat was simply too overbearing. Luo Hao had sharp senses, but at this moment he was hit harder than others.

"Looking at the situation, there shouldn't be anything that can enter the intestines." The CEO of ICU said in a low voice.

But she also knew that Professor Luo Haoluo was just in case.

The hospital's methods are much worse than those of patients being directly fed feces soup. There is no better way to induce vomiting even in the ICU of the First Hospital of Medical University.

Vomiting was induced again, and then a gastric tube was inserted, through which a large amount of medical activated carbon was injected for adsorption.

At the same time, start enema and continue to do it, trying to expel the paraquat that has entered the intestines before it is absorbed.

But this patient was different from ordinary patients. After inducing vomiting and purging, Luo Hao was actually a little dazed.

In itself, inducing vomiting and diarrhea are the first and most critical steps in treatment. However, because of the spoonful of feces soup, vomiting was taken to the extreme, and even Luo Hao didn't know what to do next.

If he didn't do anything, he would feel like something was missing, so Luo Hao's mind went blank and he fell into a short period of confusion.

But Luo Hao quickly overcame his psychological barriers and wiped the patient's body again after catharsis.

"Doctor, I can do it myself." The patient recovered a little at this time and said in a low voice.

"Just lie down and don't move." Luo Hao scolded unhappily.

This was probably the worst time Luo Hao had ever shown his attitude towards a patient.

"I'm fine, really. Please believe me, I'm really fine." The patient almost cried as he explained awkwardly.

"Paraquat, do you know what it means?"

“It’s just a kind of pesticide.”

"Lie still and search for paraquat on your phone," Luo Hao ordered. "I know your uncle well. We're friends. Otherwise, do you think a helicopter would come to pick you up?"

The patient was stunned. Was it so direct? He felt something was wrong.

Indeed, everything else I say is false, the helicopter experience is something I experienced myself.

But this memory is not a good one, sitting in a helicopter and being fed with feces soup... I am afraid that I will have PTSD every time I see a helicopter on TV or in a movie in the future.

"Professor Luo, hurry up and do the blood filtration." said the CEO of ICU.

"Yes, right away." Luo Hao wiped the patient's body clean, asked the ICU manager to do blood filtration for the patient, and turned around to wash his hands.

Before Luo Hao could change into clean clothes, the patient shouted in surprise, "What are you going to do with such a long needle!"

Luo Hao had a headache.

Paraquat is so annoying. The patients are so full of energy and have no idea what they are facing.

After washing his hands, Luo Hao walked to the ICU's boss and whispered, "Give me a sedative."

"Okay." The CEO of ICU agreed without hesitation.

If the patient doesn't cooperate, you can only sedate him. If that doesn't work, go to the anesthesiology department. There are countless methods in the hospital, and there is always one that suits him.

After entering the ICU, are you still expecting to be full of energy?

Nonsense.

Luo Hao first went to the locker room to take a shower and changed into an isolation suit.

As for what to wear when going out, Luo Hao didn't know, and he didn't even think about it.

For patients poisoned by paraquat, gastric lavage, catharsis and blood filtration are just the beginning of treatment, and there are countless embarrassing things waiting for them.

Even though the patient in front of him had been effectively induced to vomit with feces soup, paraquat had a strong passive absorption capacity. Luo Hao knew that it only gave him time for rescue and treatment.

After a quick shower and changing into isolation clothing, Luo Hao walked into the ICU corridor.

"Xiao Luo, here!" Feng Zixuan waved.

"Director Feng."

"Hemofiltration has been done, and the patient's family has been contacted. The photos they sent show that the paraquat has expired for more than ten years."

Gan!
Luo Hao finally heard another good news.

Yes, the country has long banned the sale of paraquat. Although it can be made at home, other herbicides can be bought with money. This is fundamentally different from having to treat children or make medicine.

Paraquat is expired!
Very reasonable indeed.

Although Luo Hao had guessed it before, now that it has been proven, Luo Hao is very happy.

"How many milliliters of paraquat are originally contained in the packaging?" Luo Hao asked.

"500 ml, some of it evaporates, so when you drink it, there's only 400 ml left."

The effective substances should be reduced, Luo Hao guessed.

Feng Zixuan handed over the phone, and Luo Hao saw the outer packaging of paraquat and the instructions on the packaging.

Luo Hao saw the words "if ingested accidentally, one should induce vomiting, and if vomiting fails, take bleaching earth orally."

What are these?

A heavy sense of age made Luo Hao feel unreal, and he began to be distracted while looking at the instruction manual.

In this way, the amount of paraquat ingested by the patient is reduced again!
"Xiao Luo, is the problem serious?"

"Let me ask." Luo Hao sent the picture to himself, then passed it to Senior Brother Che in Qi Lu, and then made a phone call.

"Brother Che, I'm sorry to bother you."

"Dr. Xiao Luo, you're so polite. What's wrong?"

Luo Hao explained the situation here.

Senior Brother Che from Qilu was also surprised at the immediate induction of fecal vomiting and gave high praise.

Hearing his cheerful tone, Luo Hao also felt that hope was growing.

"It would be great if this experience could be promoted in the future, and all patients who drink paraquat should be induced to vomit using feces," said Senior Brother Che.

Luo Hao could hear some eagerness in his tone.

It can be seen that although Qilu Hospital can treat paraquat poisoning with a high success rate, it hates it extremely much.

"Brother Che, the paraquat is expired. Do you think it will be completely ineffective?"

"No, it can only greatly increase the success rate of rescue." Senior Brother Che replied, and then asked Luo Hao to examine the patient.

Urine and blood were sent for testing. Despite a series of countermeasures, the paraquat concentration in the test results still exceeded 12 mg/L.
Blood filtration is equivalent to detoxification. Luo Hao simply sat next to the patient's bed and observed quietly.

Feng Zixuan did not leave immediately. Although he had nothing to do, he still pulled the chair over and sat next to Luo Hao.

"Xiao Luo, Sivelestat Sodium is not cheap, more than 2000 per tube. What is it used for?"

"It's used to treat pulmonary fibrosis." Luo Hao looked up at the sodium sivelestat. "In fact, there is a cheaper one, cyclophosphamide, which is one of the few drugs that can treat pulmonary fibrosis after paraquat poisoning."

Cyclophosphamide is not expensive, but Feng Zixuan knows that this drug has a certain impact on liver and kidney functions.

Instead of using the cheap and easy-to-use cyclophosphamide, they use the more expensive sivelestat sodium, probably because the patient is about to face an inflammatory storm.

At that time, multiple organs will fail, and the liver and kidneys will definitely be under tremendous pressure.

“Some scholars believe that cyclophosphamide is very effective in the early stages of paraquat poisoning, but the problem is that it is also a cytotoxic drug and can cause certain damage to various tissues and organs.

I assessed that this patient was about to enter a severe acute liver and kidney injury stage, and using cyclophosphamide would only make the situation worse, so I did not use it for now, and would use it in a timely manner when the liver and kidney functions improved. "

Wait for it to get better?
It was too useless by then, Feng Zixuan knew.

However, all treatment methods must be adjusted according to the results of clinical examinations. It is estimated that the reason for using cyclophosphamide instead of sivelestat sodium is due to the concentration of paraquat just measured in the urine.

"Well, if you need anything, just call me directly." Feng Zixuan said softly.

"Thank you, Director Feng."

"We are one family. It's too formal to say that. I won't stay here with you. I'm going to go take a look at Xiaoyan and Chen Yong. They... they have had a hard time on this journey. Alas, Xiaoyan has never suffered such a hardship. Xiao Luo, don't treat Xiaoyan like an animal. If you encounter similar things, just let Chen Yong go."

Luo Hao thought of Zhuang Yan, who was crying and vomiting on the helicopter, and sighed.

This incident will probably leave a very deep psychological trauma on Zhuang Yan.

"Director Feng, please go ahead and do your work. I will communicate with you immediately if there is anything I need."

Luo Hao stood up.

"No need to send me away."

"I'll see you off. Then I'll go to the door and say hello to Professor Li." Luo Hao smiled.

The patient was in a calm state and had lost his previous spirit, but he could still understand what Luo Hao was saying. He just started to become quiet, as if he had entered the sage moment.

Luo Hao glanced at him, told the ICU manager to keep an eye on him, printed out a copy of the communication, and walked out of the ICU with it.

The patient's family members had not arrived yet. Although Yilan County was not far away, today was the weekend and the traffic was very congested, so only Professor Li had arrived.

Luo Hao estimated that if there was no helicopter, the patient might not have a chance of treatment. Even if he was mummified in feces soup, he probably couldn't be saved.

"Hello, Professor Li."

"Xiao Luo!" Professor Li grabbed Luo Hao's hand and asked anxiously, "How is it?"

Luo Hao recounted the patient's condition.

The good and the bad are all clearly stated, simply and clearly.

"It depends on the extent of the inflammatory storm and liver and kidney function decline in a few hours." Luo Hao said, "In short, it depends on how long his body can hold out. All the medical treatment available was used for him."

Professor Li looked solemn and nodded.

"Professor Xiao Luo, can you perform a lung transplant?"

"Yes, but I won't do it." Luo Hao said firmly. "???" Professor Li was stunned.

"That's what the boss meant. He won't do organ transplants until stem cell cultivation and 3D printing of one's own organs are successful. I've seen a few machines that can do it, but I haven't done it. The technology isn't that difficult, it's very simple."

Luo Hao smiled and said, "That's too far-fetched. The patient is not yet at the stage of needing a double lung transplant. I will try my best, Professor Li."

Professor Li naturally knew what this meant.

There are too many things involved here, and Professor Li did not complain about it. If it really doesn't work, he plans to take his nephew to Wuxi.

"By the way, Professor Luo, don't worry about the money. Use good medicine! Use the best medicine!!" Professor Li held Luo Hao's hand tightly.

"I'll do my best. Professor Li, you know that this kind of poisoning has nothing to do with the quality of the medicine. Don't worry, I'll do my best. This is a communication. Take a look and sign if there's no problem. It's a normal process."

Although they knew each other, Luo Hao still honestly explained the communication contents to Professor Li one by one.

A lot of the content was repeated in the previous patient's medical history, but Luo Hao did not save time and just went through it again.

"Sign here, right?"

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"Yes."

Professor Li signed his name on the communication book. "When my brother comes, I'll ask them to sign it again. Professor Xiao Luo, don't worry, we will cooperate. If he can't be cured, it means he has a bad fate. Damn it! He dares to drink anything!"

As he spoke, Professor Li started to curse.

Luo Hao knew what he was scolding.

After signing, Luo Hao asked, "Why are you taking medicine?"

"The child was obsessed with an online romance and transferred 8 yuan to the other party in half a year. He asked my brother for money when he had no money on hand."

"..." Luo Hao sighed.

"Who knew he was such a mentally retarded person who could take care of himself? Damn it!" Professor Li cursed angrily.

"You're in love, and young people will all have this experience." Luo Hao continued to persuade.

"I didn't!"

Luo Hao tried not to laugh, he knew Professor Li's preferences, he certainly didn't have the same ones, but his XP was also rather odd.

Speaking of normal, Professor Li’s nephew is more normal.

"Xiao Luo, when will you be able to get through the critical period?" Professor Li asked anxiously.

"At least 14 days."

Luo Hao began to count on his fingers for Professor Li.

After saying that, Luo Hao simply told Professor Li about the medicines that would be used next.

In addition to drugs to control "white lung", immunosuppressants and hormone drugs are also used.

Hormones can improve the body's stress response ability, including stabilizing organelles and cell membranes, enhancing anti-inflammatory capabilities, etc. They are the "ace drugs" for treating various acute organ failures.

However, due to its significant side effects, there is still a lack of consensus in the academic community on how much dose and how long paraquat should be used for patients with paraquat poisoning.

In this regard, Luo Hao could only guarantee to make a decision based on the inspection results and after communicating with Qi Lu.

……

……

Zhuang Yan sat dejectedly in the office. She felt dirty.

I wanted to cry, but I couldn’t. Even my breath had that smell.

dirty...

dirty...

Meng Liangren touched his Erhei, whose head was shiny and oily. He did not comfort Zhuang Yan, because Meng Liangren did not know what to say.

Originally, they were going to Yilan County to pick up a patient who was poisoned by paraquat, and it was an extremely rare helicopter trip to pick up the patient. Meng Liangren was also quite interested.

Zhuang Yan just went, does she still need to worry about the helicopter accident?

But what was unexpected was that the patient's family would use such an extreme method to induce vomiting, and it was said that before boarding the helicopter, the bucket of feces soup was requested by Chen Yong, who fed the patient all the way down the path.

But Chen Yong didn't feel disgusted at all at this time. He flew back after feeding the patient fecal soup.

To the point that Zhuang Yan was in a trance.

"Xiao Zhuang, look at you, you're not depressed at all." Chen Yong, wearing an isolation suit, sat next to the computer nonchalantly.

"Brother Yong, I~~~" Zhuang Yan's mouth pursed and she looked like she was about to cry.

"Let me tell you, if you dream of being covered in filth, it is a sign of making a fortune."

"But that was a dream!" Zhuang Yan defended.

"Hehe." Chen Yong pushed the table and slid to the opposite side of Zhuang Yan. He smiled at the frustrated Zhuang Yan and said, "Xiao Zhuang, I am a great magician."

"???"

Zhuang Yan lowered her head and didn't look at Chen Yong.

In her opinion, Chen Yong has a direct relationship with the unbearable memories along the way.

Things wouldn't have been so terrible if Chen Yong hadn't insisted on having a bucket of strong-smelling shit soup before getting on the helicopter.

The difficulty is directly reduced to a level that can be ignored.

but now!
"I have a way to make you forget everything that happened in a short period of time."

Zhuang Yan raised her head suddenly, and her high ponytail almost stood up.

Meng Liangren was also stunned for a moment. Is Doctor Chen so powerful? Has he ever used this kind of magic on himself before?
"I'm generally reluctant to give it to others. You know how dirty people are nowadays. After I give it to them, they will continue to doubt me, suspecting that I gave it to them."

Before Meng Liangren could continue thinking, Chen Yong started to use "yin and yang" on him.

But Chen Yong obviously didn't mean it, he was just nagging normally. Meng Liangren smiled bitterly but looked at Chen Yong with interest.

When it comes to making a little girl happy, ten of me plus ten Professor Luos are no match.

After just a few words, Zhuang Yan's attention seemed to be drawn to the topic and she was no longer as depressed as before.

"Brother Yong!" Zhuang Yan said firmly, "Come on, come on! If I can, I will definitely remember your kindness."

"Don't bother yourself with that. Just stop overthinking."

Meng Liangren shook his head repeatedly, watching every gesture of Chen Yong carefully.

"Here." Chen Yong took out a red silk thread with an ancient copper coin tied to it.

"Look closely at the copper coin."

"Brother Yong, this seems to be from our country, isn't it magic? Hypnosis seems to have come from abroad as well."

"Don't talk nonsense if you don't understand. Just stare at me." Chen Yong said, "In a dozen seconds, I'll just snap my fingers."

"You have to focus on it and not be distracted. If you keep thinking about other things, it won't work."

"Okay!" Zhuang Yan wanted to forget the unbearable scene, so she sat in front of Chen Yong, her eyes fixed on the copper coins on the red thread.

It didn't even take more than ten seconds. After just a few seconds, Meng Liangren felt that Zhuang Yan was beginning to make eye contact with him.

The cross-eyes looked a little funny, but Meng Liangren felt that Chen Yong really had something to say, and it was not just to distract Zhuang Yan's attention.

Soon, Chen Yong raised his right hand, put his thumb and middle finger tightly together, and prepared to snap his fingers hard.

"After I snap my fingers, you'll forget you ever ate shit."

After saying this, Chen Yong's fingers snapped crisply.

"Wait a minute!" Zhuang Yan hurriedly stopped him, "Brother Yong, I haven't eaten it. You were the one who fed the patient on the helicopter."

"I know you haven't eaten it." Chen Yong looked at Zhuang Yan with a smile, his face full of certainty.

???

???

Zhuang Yan was stunned for a moment.

She was a little panicked, and her panic was visibly evident.

"I haven't eaten it, do you understand?" Zhuang Yan's voice rose a little, her hands resting on the armrests of the chair, the veins bulging under her snow-white skin.

"Yeah, yeah, I understand."

"I have not tried."

"Of course, I understand." Chen Yong did not argue and just continued speaking along with what Zhuang Yan said.

"You...you...Brother Yong, you can't say something inexplicable and then say that I have eaten it and I haven't forgotten it." Zhuang Yan was very emotional. She stood up and waved her arms, as if she was trying hard to prove herself.

"Yes, yes, I understand." Chen Yong smiled, "It's just a joke."

Zhuang Yan was stunned for a moment, but something was wrong, especially the smile on Chen Yong's face, which seemed to confirm that his "magic" just now was useful.

"I didn't forget!"

"Did you remember?" Chen Yong asked Zhuang Yan jokingly.

"Remember what? I didn't, I didn't!!" Zhuang Yan's eyes widened as she looked at Chen Yong and kept explaining.

"I know, I understand. Of course, we are on a helicopter to pick up a patient. How can you eat, right?"

Zhuang Yan raised her hand and grabbed her own high ponytail, as if she wanted to pull herself up.

"Woo woo woo~~~Ah woo woo~~~I haven't eaten it~~~"

Zhuang Yan fell into a self-proving cycle. She sat down on the chair and started kicking her legs angrily.

"Okay, okay." Meng Liangren understood and glared at Chen Yong fiercely.

"Well, okay, okay, let's just forget about it." Chen Yong continued.

All the strength in Zhuang Yan's body was instantly drained away, and she was a little confused, "Brother Yong, did I really eat it?"

“Hahahaha~” Chen Yong looked at Zhuang Yan with a smile, “Do you think watching me feed the patients doesn’t seem so dirty now that you think about it?”

Zhuang Yan was stunned.

"It's not that dirty, you just think too much." Chen Yong raised his hand, wanting to pull Zhuang Yan's high ponytail, but he only made a starting move and put his hand down properly. He also looked back, as if Lao Liu was right behind him.

"As a doctor, you always have to come into contact with dirty things. I remember my master and I went to an annual meeting for anorectal surgery. The organizers of the meeting were far away and we didn't even have lunch. We talked about whatever we were supposed to talk about and ate whatever we were supposed to eat. I didn't miss the snacks at the meeting either."

"..."

"After going through it once, you become a mature doctor. You are just standing by and watching." Chen Yong advised, "When you have a gastrointestinal surgery, the tumor has eroded your stomach and intestines, and your stomach is full of feces. Should you do the surgery or not?"

"I'm telling you, I couldn't even open my eyes at that time, and the operating room was filled with odor."

"The kind that burns the eyes."

Meng Liangren scratched his head, "Xiao Chen, you want to open a window, but others won't let you, so you have to lift the roof?"

(End of this chapter)