Chapter 426 This disease is abundant in my family’s Xiehe medical records
"Xiao Luo, what's going on? You haven't read the report yet." Shen Zizai reminded Luo Hao cautiously.
"Oh, that's right, director, there is a small chance that Lin Dan Ointment will induce organophosphorus poisoning."
"???"
"!!!"
With that said, Luo Hao took out the instructions for Lin Dan Ointment and said, "Here, it says that the main ingredient is hexachlorocyclohexane."
"This is a drug that kills scabies. It is mainly used clinically to treat scabies and pubic lice. After direct contact with the body surface of scabies and lice, hexachlorocyclohexane enters the body cavity and blood through the body wall, causing scabies. Paralysis of the nervous system of insects and lice can lead to death.
This thing, the effect is really good, but the side effects are also really big. ”
"..."
Shen Zizai listened quietly to Luo Hao explaining pharmacology to himself.
To be honest, Shen Zi has closed himself in a narrow circle for so many years in the clinic.
Shen Zizai didn't really know much about drugs and diseases that had nothing to do with interventional medicine.
This is called every other line like a mountain.
Shen Zizai felt that he would never be able to do this in his lifetime as Luo Hao could speak so skillfully and fluently about the working principle of a rare drug on the market.
"Well, here are the adverse reactions mentioned above - occasional dizziness after applying the medicine, which disappears after 1 to 2 days. After long-term and large-scale use, it may also be due to the drug being absorbed through the skin, which may have a greater toxic effect on the central nervous system. Such as epileptic seizures, etc. ”
"But it's not long-term, and it's not large." The doctor ordered the nurse to see hope, but she was still critical.
This is a work habit, subconscious.
"There will always be special cases." Luo Hao smiled, "For example, Sister Deng, you love to be clean and have a slight mysophobia, right."
"Does it matter?"
Shen Zizai and the doctor's nurse asked at the same time.
"Then I asked directly, did you wipe your body before applying Lin Dan ointment? Wipe off all the remaining ointment, make it clean, and then apply new ointment."
"Yes, is there something wrong? You must wipe it clean before changing the dressing. Otherwise..." The doctor ordered the nurse to be stunned.
This is the basic process of dressing change. Why did Luo Hao become the culprit?
"The drug instructions are very clear. Do not bathe with hot water or soap before applying the medicine to avoid increased absorption." Luo Hao pressed his finger on a line of small words and placed the drug instructions in front of the doctor's nurse.
"!!!"
"!!!"
Shen Zizai didn't expect that there would be such a request!
Instructions... Usually no one will read it carefully. They only look at the usage and dosage, and ignore the rest.
And my eyes are blurred, which is very helpless. Now to read the instructions clearly, you have to use a magnifying glass.
Such small characters are simply an anti-human design.
Extremely unfriendly to presbyopia.
"People who love cleanliness habitually wipe their bodies with hot water and then apply medicine after it is clean. However, it is this step that increases the absorption of hexachlorocyclohexane. Therefore, ordinary side effects are amplified, and it is normal for problems to occur. .”
The doctor ordered the nurse to be dumbfounded.
She never thought that a good habit could lead to poisoning and be the culprit.
"Little Luo, have you ever used this medicine? Or have you studied it?" Shen Zizai asked doubtfully.
"There are similar medical records in my family's Xiehe medical record. When considering viral encephalitis, there are some differential diagnoses. One of them is to see if the patient has skin diseases and whether he has used Lindane ointment."
Luo Hao smiled and explained.
Clean and crisp.
Xiehe Medical Records... Shen Zizai heard this word countless times, but at this moment, a strange emotion welled up in his heart.
It's so vast, it's so vast, it's so easy to pick up at your fingertips.
All kinds of words were surging in Shen Zizai's mind, flying everywhere.
"The mechanism of Lindan poisoning may be related to its effect on the central nervous system and parasympathetic nerves, inhibiting cholinesterase, and causing accumulation of acetylcholine.
It causes muscarinic symptoms such as nausea, vomiting, diarrhea, and hyperhidrosis and a sense of tightness throughout the body, nicotinic symptoms such as muscle fibrillation causing general convulsions, and symptoms such as dizziness, headache, and fatigue. ”
"It was misdiagnosed at first and was thought to be viral gastroenteritis. As time went by, the condition became more and more serious, which is understandable. But it's okay, isn't there a diagnosis?
Besides, Lindane ointment itself is rarely used, and it was considered an unpopular drug at the time. Now it seems that it is only produced by a few manufacturers, and it is almost becoming an animal protection product. ”
Luo Hao started speaking with his fingers.
But he didn't speak very carefully. He finished speaking after a few minutes, "Sister Deng, go find the bed doctor and tell me what I said again."
"How to treat it?" the doctor ordered the nurse to ask.
"Atropine, anisodamine and pralidoxime chloride and other treatments."
Like the third child.
The doctor and the nurse nodded quickly, turned around and walked out.
Luo Hao glanced at Shen Zizai.
Shen Zizai pondered, and finally said, "Xiao Luo, please stay and explain clearly to the doctor here. Xiao Deng is in a panic now, and she must not be able to explain clearly."
"Okay."
By the time Luo Hao finished his work, half an hour had passed.
Shen Zizai did not listen to Luo Hao's differential diagnosis to the neurologist, nor did he go to the office of the director of neurology to chat. Instead, he stood outside the ward and looked for information about Lin Dan Ointment on his mobile phone.
However, there are very few related papers, which makes Shen Zizai feel like the paper is +1.
Unexpectedly, in less than a year, Shen Zizai was led astray by Luo Hao and began to think about the thesis.
Shen Zizai has no shortage of papers. At his age, in the first chaotic era, papers had page fees, so as long as he spent money, he could basically get them published.
Moreover, the unit also reimburses the publication fee.
That era was short, but Shen Zizai grasped it.
The reason why I think so is because Chen Yong talks about scientific research, papers and the like every day during surgery.
Soon, Luo Hao walked out and said goodbye to the neurologist behind him.
"Director."
"Xiao Luo, I think there are very few papers on Lin Dan Ointment." Shen Zizai reminded Luo Hao.
"Oh, I can't write this."
"Why?"
"I am not a dermatologist and have relatively little contact with it. I only know that in 2021, a manufacturer canceled the batch number it obtained. At that time, it was a batch of 34, including Lindane Ointment."
"Oh?"
"Maybe it's not making money, or some other reason. Of course, it's just that a certain manufacturer has canceled and the hospital no longer has it, but you can still buy it online." Luo Hao smiled, "This medicine is very easy to use, especially People of your time ”
"I don't know." Shen Zizai murmured. He didn't realize that the question Luo Hao answered was different from the question he asked.
"I don't know if it's a good thing. This disease is contagious. It's a contagious skin disease. It itches terribly." Luo Hao explained, "Lindan ointment + sulfur soap, hot water to iron clothes, it only takes a few days."
"But if you don't know, you will suffer. When I was studying at Xiehe University, I had a classmate who burst into tears when the teacher talked about the treatment methods."
"Have you had it before?" Shen Zizai asked.
"Well, there was a relative in his family who had a skin disease and was wandering around. I don't know if it was intentional. He was infected. As a result, he was itchy all over his body. He couldn't sleep well every day. He couldn't even go to the hospital to get the medicine prescribed. It wasn’t symptomatic, and after struggling for more than half a year, it was cured with a kind of external Chinese medicine.”
"What Chinese medicine?"
"I don't know, it's said to be a secret recipe passed down from ancestors. It is said that after applying it, the itching will stop all over the body immediately, and a layer of hard shell will peel off after 2 days, as if it is molting."
"!!!"
Shen Zizai was a little surprised, but only a little.
"It's okay. Find the problem, solve it, and you'll be fine soon with the third trick."
"Come on, I'll treat you to hand-made noodles when you get out." Shen Zi waved his hand.
"Okay." Luo Hao looked at Shen Zizai.
"I'm not going back to change clothes. I'll come back after taking off my white clothes and eating."
Luo Hao took Shen Zizai's white clothes, followed him out of the hospital, and ordered two bowls of hand-rolled noodles from the hand-rolled noodle shop opposite.
"This shop has been around for a long time, so it's lucky." Shen Zizai gossiped to Luo Hao while eating noodles, "There was a new boss in the middle. The previous boss thought he had made enough money, so he retired."
Money, have you earned enough?
Luo Hao smiled and said nothing.
Generally speaking, most people who think this way have to come back to the world.
“We thought the store was finished at the time, but we didn’t expect that the noodles we made were even stronger than before.”
"Later on, during the three years of the epidemic, the business of this store plummeted, but it survived. At that time, many supermarkets and restaurants around the hospital were closed. Thinking about it now is still like a dream."
"It's all over." Luo Hao said softly.
"Ronaldino, I read a few days ago in the self-media, saying that Bill Gates of Microsoft raises mosquitoes. Is it true or false?"
"The research on mosquitoes is true, but what is said next in the self-media is basically false." Luo Hao said.
"Who is a good person who studies mosquitoes? He doesn't want to spread diseases and study mosquitoes to paralyze him." Shen Zizai suddenly cursed angrily.
"???"
Luo Hao was startled.
"Well, I have a relative in the south, my uncle, who fell ill because of cockroaches a few days ago." Shen Zizai sighed, "The old man is still thinking of calling all the brothers and sisters to the provincial capital for a gathering during the Ice and Snow Festival at the end of this year. They At that age, it’s too late to get together.”
"What's the disease?" Luo Hao asked.
"I don't know." Shen Zizai shook his head, "When you told me, it was an obituary. I also contacted you about someone releasing cockroaches some time ago. I asked about it and said that someone released cockroaches near them."
"Don't you think this is nonsense? Release and cockroach, can these two words be connected?"
"Yes." Luo Hao nodded and ate the noodles silently.
Luo Hao couldn't say anything about this.
After Shen Zizai found out about that, Luo Hao disappeared for a few days and didn't ask for leave from him. He was probably on a mission.
If he doesn't answer his own words, there must be something hard to say.
"Mosquito, have you studied Xiao Luo?" Shen Zizai asked.
"No." Luo Hao sighed, "We are thinking about the stars and the sea, and living a good life. They are thinking about the other extreme, thinking about how to clear the population all day long."
"Do you think if you raise so many mosquitoes, there should be mutations and what are their successors?" "No." Luo Hao refused to answer directly.
"Cut."
"Director, I will take you to pet the cat this weekend." Luo Hao changed the topic, very bluntly, "Bamboo has now learned some new skills for survival in the wild. Let me show it off to you."
"What about? Summoning birds?" Shen Zizai replied jokingly.
Thinking of the hundreds of owls sitting cross-legged in front of the bamboo that day, Shen Zizai still felt like he was dreaming.
"Absolutely. It's still fun. This time I took the bamboo to the agricultural company affiliated to Hulin. The promotional video should be pretty good."
"When will it be released?" Shen Zizai twitched his index finger. As for the topic he just talked about, he also forgot about it.
It was just association, conspiracy theory, and anger, but Shen Zizai didn't let it go. As soon as he heard the word bamboo, his attention was immediately attracted.
"Two or three days? There should be a sample." Luo Hao replied.
"Just leave it at the doctor's office!" Shen Zizai decided.
His love for bamboo is no worse than that of Chen Yong and Luo Hao. Perhaps everyone loves bamboo the same way.
This also means living a good life and having a leisurely mind.
When people don't have enough to eat, the giant pandas won't be able to survive unless they hide in the deep mountains and forests. If you are really hungry, everyone will look like a piece of meat, even a giant panda.
Although Luo Hao seemed to eat slowly, he put down his chopsticks earlier than Shen Zizai.
Turning his head, Luo Hao looked out the window.
In front of the door of the agency building, Feng Zixuan was carrying two big bags. From a distance, Luo Hao could feel the displeasure coming from Feng Zixuan.
Following Luo Hao's gaze, Shen Zizai tapped the bowl with his chopsticks.
"Ronaldo, eat well and don't look blindly."
"Yes." Luo Hao turned his head and looked at Shen Zizai with a smile.
"Mind your own business. By the way, there was almost no death in Chen Yan's ward the day before yesterday." Shen Zizai changed the subject.
Luo Hao smiled knowingly. He didn't want to meddle in other people's business and asked, "Director, what's going on?"
"There was a nurse in their ward who booked too many rooms and became a gold card holder. The hotel called back to ask the gold card customers if they had any needs. It turned out that she was at home that day and her husband answered the call."
"Damn, this is a big deal." Luo Hao shook his head and smiled.
"Her husband must not be willing to accept it. He is making trouble at home, and then coming to the hospital to make trouble. Tell me, what is there to make trouble about? If you can get through it, get over it. If you can't get over it, leave."
Luo Hao looked at Shen Zizai with a smile. He was surprised by Shen Zizai's open-minded view.
"It's true. Don't say it is now. How about when it was first opened? I was still young at that time. When the crackdown was launched in 1983, I watched the excitement and there was an underground black dance hall. It is said that for face-to-face dancing, it is said that in Chengdu There are so many of them. Even if you don’t give up now, what will happen in 1983?”
"What is this called? This is called the people's growing material and cultural needs."
"!!!" Luo Hao's eyes widened, "Director, we don't dare to talk nonsense."
"You want to be an academician of the two academies and be careful in your words and deeds. I'm a dry old man and I will say whatever comes to my mind. If you are not corrupt or corrupt, it will still be a crime to say something." Shen Zizai was disdainful and slurped the noodles in the bowl. Put it in your mouth.
The phone rings.
Shen Zizai glanced at it and quickly picked up the phone before swallowing the noodles.
"Hello, teacher, hello~~~"
Shen Zizai greeted him vaguely first, but accidentally almost choked himself to death.
Luo Hao was also prepared for Heimlich, but he didn't use it.
"Asshole, don't be angry, I'll be there right away."
"Yes, yes, don't be angry, I will discipline you more."
Shen Zizai was as humble as a third grandson, with a phone in his hand and a flattering smile on his face, as if the person on the other side of the phone was right in front of him and could see his smile.
The person who just had no desire to be strong just now changed his appearance in the blink of an eye, and even his whole body's temperament underwent a huge change.
Luo Hao gradually heard clues that Shen Zizai's son should have made some mistake.
He looked at Shen Zizai with a smile, waited for the phone to hang up, and asked, "Director, what's wrong?"
"Oh, don't mention it. You go ahead, I'll go to school."
Shen Zizai stood up, Luo Hao quickly went to pay, and the two came out.
"Director, let me take you there." Luo Hao said, "Otherwise you will be restless and have an accident while driving."
Shen Zizai thought for a moment and nodded, "Okay, then you can send it to me."
After getting on Luo Hao's 307, Shen Zizai's face turned dark and he was sulking.
"Director, don't be angry, it's not good for the liver. The patients we usually see all have liver stagnation and qi stagnation."
"My account is useless, how about I give it to you? I'll create a new account." Shen Zizai said bitterly.
"Hahahaha, don't make trouble, director, what's going on?" Luo Hao laughed and brought the topic back.
"My son, a senior in high school, will take the college entrance examination next year. He has recently become obsessed with playing games." Shen Zizai sighed and said helplessly, "My phone was confiscated. Guess what."
"It's useless to confiscate it. You can't buy it anywhere. A second-hand platform costs a few hundred yuan per unit, which is still the platform price. If it's in the south, a 80% new Huawei folding machine costs 300 yuan." Luo Hao said calmly.
"Yeah, that brat went to a second-hand platform and bought three or four mobile phones. He confiscated one and bought a new one."
"This is indeed troublesome. The senior year of high school is rebellious and the timing is bad." Luo Hao sighed.
"The key is that I clearly have it under control. My cell phone..." Shen Zizai paused and said nothing. Luo Hao must be quite shameful.
But Luo Hao didn't bother to ask about such private matters, just like he had just seen Feng Zixuan, Director Feng going out with something. Shen Zizai should know something, but he wouldn't let him see or ask.
"Okay, director, don't be depressed." Luo Hao comforted, "Which high school are you in? How was the final exam for your sophomore year?"
"Yucai Middle School, ranked 300 in grade."
Yucai Middle School is the largest private middle school in the provincial capital. It has ranked 211 out of 300 students, which is a good ranking.
Moreover, Jiangbei Province is rich in educational resources, with all kinds of colleges and universities available, and the scores are not very high.
"Director, do you want your child to be admitted to our Medical University?"
"Of course." Shen Zizai said naturally, "The experience and connections I have accumulated over the years are all in the medical field. If I don't study medicine, I have no accumulation at all."
Luo Hao smiled and did not comment on this.
"Ronald, actually I wanted to see if I could pass the exam in the third year of high school and how good it would be to take the Xiehe exam. To be honest, I didn't think there was much difference between Xiehe and our provincial medical university in the past. The quality of the personnel is definitely different. The college entrance examination score is above 650. Can it be the same as 550 in the college entrance examination? ”
"But... when I first heard you talking about my family's Xiehe, I was a little disdainful. Let's just talk about that ointment, what is it called?"
"Lin Dan Ointment."
"Yes, Lin Dan Ointment, I have never heard of it before, but you said that the Xiehe Medical Records Database has many related medical records. What is this called? This is such a special threshold! One more point, and you may be exposed to such awesome people. Damn it, why is this child so ignorant?”
Luo Hao smiled and said nothing.
You can say that my family is Xiehe, but don't add fuel to Shen Zizai's fire right now.
"To say that the chief designer turned four points into three points was really wise!" Shen Zizai praised.
Luo Hao also knew this and nodded in agreement.
"This is the only fair competition. Although it is different from the poor boy in the countryside when I was there, there is still a difference between Union Medical College and our Medical University." Shen Zizai sighed.
"There will be some difference." Luo Hao smiled.
"Ronald, tell me the difference." Shen Zizai said angrily, "Don't always avoid my topic."
"It's nothing. For example, a Ph.D. in gastroenterology under the leadership of Director Qin did not stay in Xiehe after graduation, so he went to Nanyun Province. Later, Xiehe received a patient who was poisoned by fungus, videotaped him, and made a direct diagnosis."
"!!!"
Shen Zizai had heard a little bit about this.
"I was originally an attending physician, but I was embarrassed in front of the dean. It is said that after that incident, the dean of Xiehe wrote a letter of thanks to the Nanyun Provincial Health Commission and the hospital where Brother Lou worked.
Now, Senior Brother Lou is the deputy director and is waiting for the old director to retire. Moreover, the relationship with Union Medical College was established. Their gastroenterologists came to Union Medical College for further training and exchanges with each other. ”
"!!!"
Shen Zizai burst into tears.
I'll just let you say whatever you want, what the hell are you talking about!
If that little kid doesn't study hard, I'll kill him!
"Director, don't worry, it's okay." Luo Hao smiled, "The child is ignorant, I will teach him."
"You?!"
"Yeah, I'm still good at playing games."
Shen Zi pouted, don't bring your son to play games together.
"Don't worry, I went to the team's training camp back then. I was originally going to enter the professional league, but Boss Chai twisted my ears and took me back."
"That beating, no one has beaten me so hard since my father passed away."
Shen Zi was trembling. When it came to spanking children, he couldn't do it.
Is Luo Hao going to beat his own child? !
That's not okay.
"Actually, it means being tough-tongued." Luo Hao smiled, "Speaking of being tough-tongued, I have met one. The woman, who was said to be pregnant when she was arrested, showed her big belly to the anti-narcotics police. The anti-narcotics police were stunned. She Just raise your hand and shoot.”
"!!!"
"Later, when she was captured and executed after giving birth, she was still clamoring to dress her in red if she could. Even if she was a ghost, she wouldn't be able to spare anyone. However, this person was very indifferent and dressed her in red, and no one cared at all. People become depressed when they go to the execution ground.”
This passage contained a huge amount of information. Even though Shen Zizai was filled with anxiety and anger, Luo Hao still attracted his attention.
When he arrived at Yucai Middle School, the school did not allow social vehicles to enter, so Luo Hao sent Shen Zizai to the gate.
Just as Luo Hao was about to turn around, the guard trotted over.
Shen Zi was startled.
He saluted Luo Hao's car, "Hello, Chief!"
After saying that, he waved his left arm, and the door that Shen Zizai had never seen opened creaked open.
"..."
Shen Zizai was stunned.
Is it good to have a long head?
What does it mean?
(End of chapter)