Chapter 432 The trouble caused by purple shirt
Ventricular fibrillation!
Ventricular fibrillation! !
It had just been stable for a while, but before Luo Hao could finish asking about the medical history, the patient started ventricular fibrillation again! ! !
The patient's limbs twitched continuously, meaninglessly.
She is very thin, about 170cm tall and weighs less than 90kg. His hands and feet were skinny and skinny, and his subcutaneous veins were clearly visible when he twitched senselessly.
At the same time, the patient held his breath and couldn't spit out anything. His face turned red and turned black.
“Prepare for defibrillation!”
Luo Hao rushed into the emergency room. Before the bedside ultrasound left the room, Luo Hao stopped the doctor and gave the patient the electric shock during the interval of defibrillation. I reluctantly did an echocardiogram.
As expected by Luo Hao, the ultrasound showed that the left ventricular motion was diffusely reduced.
However, the expected best outcome did not occur. Whether it was external chest cardiac compression or electric defibrillation, the patient's heart beat did not recover immediately. It was completely different from the outcome where Luo Hao only had a vagus nerve massage just now.
"Prepare for ecmo." Luo Hao said in a deep voice, looking at the doctor who was in the emergency room and the patient whose face had turned from black to red.
"..."
Feng Zixuan paused for a moment. He glanced at the patient's family, then looked at Luo Hao, waiting for Luo Hao's explanation.
But Luo Hao didn't notice Feng Zixuan's expression. He hesitated and pulled Luo Hao.
"Ronald, the opinion of the patient's family is...don't suffer. Malignant arrhythmias are becoming more and more frequent, and I don't know when the patient will die all of a sudden. Ecmo, how about forget it?"
"Feng Director, I can probably guess where it came from." Although Luo Hao was speaking roughly and guessing, his tone was firm, as if he had found the problem.
When Feng Zixuan heard what Luo Hao said, he did not hesitate and told the director of the emergency department that he would immediately call the ICU ecmo team to make preparations.
The emergency department pushed people to the ICU. Luo Hao followed and disappeared around the corner.
"Pei En, come with me." Feng Zixuan called to his classmates who were already distracted.
"Fourth, is the person already dead? I heard that patients with cardiac arrest in the hospital have to be pressed for half an hour. Many of the deceased patients have fractured ribs."
The more Liu Pei'en talked, the more excited he became. , Feng Zixuan immediately shouted to stop before he became angry.
Although Liu Pei'en had thought about this scene in his mind for many years, once it came, he still couldn't accept it.
"Wait, Pei'en! He's still here, calm down." Feng Zixuan punched Liu Pei'en on the shoulder, "Old man, calm down."
Pein said too quickly It's "pen", so when he was in school, Liu Pei'en had the nickname "old boy".
It had been years since I heard it. When I first heard it, Liu Peien was in a daze.
"The person is still there, and Professor Luo said that he should already know how he got here." Feng Zixuan did not take Liu Pei'en directly to the ICU, where he had already called and the ecmo team was on standby.
Feng Zixuan pulled Liu Peien out of the emergency department door and found a corner.
"Old man, smoke a cigarette and calm down."
Liu Peien's hands were so shaking that he couldn't even pick up the cigarette.
"You told me that you don't want to see your child suffer like this. He already has anorexia, and if you add in the malignant arrhythmia that can occur anytime and anywhere, the child's mental state will already be problematic. Life will be too miserable."
Feng Zixuan began to explain.
Liu Pei'en's eyes were blank and he looked at Feng Zixuan blankly.
His mind was probably blank, Feng Zixuan sighed, it was useless to say anything at this time.
"Stop talking, you believe me." Feng Zixuan said, "Calm down. When ECMO is on, I will ask Xiao Luo to come and ask carefully. If it can be cured, we will treat it; if it cannot be cured, then we will There is no regret in giving up.”
When Liu Pei'en heard that he had given up, he lost the courage he had when he said these two words to Feng Zixuan before. His legs were shaking and he couldn't help but sift through the chaff. He slowly squatted against the wall.
"Your lover didn't come. I know that you two were ready to give up after discussing it, and you couldn't bear to see the child suffer."
Feng Zixuan sighed and put his hand on Liu Peien's shoulder.
He did not continue to speak. It was meaningless to say anything at this time.
After an unknown amount of time, Liu Peien's tears flowed out.
I don't know how long it took, but he lit the cigarette with trembling hands, but didn't smoke it, but stared at the swirling smoke in a daze.
Alas.
Feng Zixuan sighed inwardly.
This is really bad.
Doctors in the hospital usually joke among themselves that a disease can be named after a person.
But once this situation appears in front of you, it makes people feel an indescribable emotion.
Doctors cannot empathize, this is a taboo.
Feng Zixuan pulled himself out of the whirlpool of emotions and tried to calm himself down. Liu Pei'en was already confused at this time, and he couldn't be confused.
It wasn't until the cigarette was extinguished that Feng Zixuan pulled Liu Pei'en up.
“Let’s go to ICU.”
Liu Pei'en nodded blankly, as if he had lost something.
Feng Zixuan understands.
Go to the Imperial Capital and the Magic Capital and sign up for expert accounts in Fuwai, Anzhen, Zhongshan and Ruijin.
In China, there should be no possibility of resolving this issue.
If you want to know why, after the child dies and is sent for autopsy, pathological diagnosis and various other tests, there may really be a brand new disease discovered by the doctor.
But that means nothing to Liu Pei'en.
I just hope that Luo Hao really knows something, instead of just saying that he thinks the patient can survive on ecmo and is anxious to rescue him.
Feng Zixuan occasionally encounters similar situations.
Out of trust in Luo Hao, Feng Zixuan brought Liu Peien to the door of the ICU. But along the way, Feng Zixuan's confidence was declining.
The decay rate is extremely fast.
When he arrived at the door of the ICU, Feng Zixuan was already prepared for Luo Hao to know nothing about it, use ecmo to rescue him for a period of time, and finally extubate and declare the patient clinically dead.
Asking Liu Pei'en to sit down, Feng Zixuan took out his mobile phone and called to ask about the situation inside.
At this time, Feng Zixuan did not dare to leave for a second, for fear that Liu Peien would open the window and jump out.
It’s not like this kind of thing has never happened before.
Soon, Luo Hao walked out wearing the ICU's standard isolation suit.
"Director Feng, I was put on ecmo, and the patient's condition is okay." Luo Hao reported first, "It seems that as long as he survives this period of time, he should be able to survive."
Feng Zixuan did not speak, but stared at Luo Hao Hao.
Looking deeply, asking silently.
Luo Hao nodded, took out his phone again and found a picture.
"Mr. Liu, take a look and see if you have such a thing at home."
Feng Zixuan was curious and leaned over.
It is a plant with fat leaves that look no different from the flowers and plants grown at home. But at the edge of the picture, there is a concave bright red fruit, which is bright red and dazzling.
The fruit looks very strange, probably not the kind you usually see.
What is this?
Feng Zixuan was a little confused and looked up into Luo Hao's eyes, then stared at Liu Pei'en.
Liu Pei'en took one look and was stunned. Feng Zixuan keenly captured the details of the "old guy's" movements, and Luo Hao seemed to have really "guessed" it right!
"Xiao Luo, what kind of plant is this?" Feng Zixuan asked.
“Purple shirt.”
Purple shirt? !
This familiar name made Feng Zixuan stunned.
Paclitaxel has been used clinically for chemotherapy since the beginning of the century, and it is considered a commonly used clinical drug.
Having used or heard about it for decades, it was the first time that Feng Zixuan saw the yew from which paclitaxel was extracted looked like this.
The bright red fruits are particularly eye-catching. Are all brightly colored things poisonous? A strange thought appeared in Feng Zixuan's mind.
Feng Zixuan was puzzled, "Old man, do you have any at home? For your children to eat?"
"Ah? Ah!" Liu Pei'en responded.
"Why are you eating this?" Feng Zixuan asked.
"To treat anorexia nervosa." Luo Hao explained plainly.
“!!!”
Feng Zixuan was silent.
It’s really nonsense. Eating purple shirts to treat anorexia nervosa. Who gave this folk remedy? !
However, Feng Zixuan knew that yew trees were poisonous, but Liu Pei'en's daughter showed such a difficult situation that Feng Zixuan could not have imagined.
"Ronaldiner, is there a relationship between purple shirts and malignant arrhythmia?"
Feng Zixuan laughed as soon as the question was asked.
Nearly five years ago, all chemotherapy patients were required to undergo ECG monitoring. This requirement was personally imposed by Feng Zixuan.
Because a patient died suddenly during chemotherapy, the hospital ended up losing a lot of money.
Based on the principle of rather killing the wrong person than letting go, Feng Zixuan made a decision after reporting to the dean. Even though patients and their families complained about arbitrary charges, Feng Zixuan still refused to change it.
Just like all emergency patients who come to the hospital, they need to have an electrocardiogram.
After calming down for a while, Feng Zixuan carefully recalled that the patients who died suddenly seemed to have probably been treated with paclitaxel.
"It does matter." After Luo Hao got the affirmative reply, his expression and tone became much more relaxed. He smiled, "Paclitaxel, a chemotherapy drug extracted from yew trees, is commonly used in clinical practice. Even those who are not medical workers know it. .
In addition to paclitaxel, two toxic substances can be extracted from the leaves of yew trees-taxine A and taxine B, both of which are cardiotoxic. Taxine B The cardiotoxicity is more significant.”
"The cardiotoxicity of taxine is mainly manifested in two aspects-Na channel blockade and Ca channel blockade, similar to Class I antiarrhythmic drugs and Class IV antiarrhythmic drugs."
"The electrophysiological characteristics are slowed phase 0 depolarization and prolonged atrioventricular conduction time. The electrocardiogram shows second- and third-degree atrioventricular block and widened QRS complex. , even worsened to ventricular tachycardia and ventricular fibrillation
Mr. Liu's daughter developed ventricular fibrillation
Due to obvious calcium channel blockade, severe reduction of myocardial contractility is also a common manifestation. 1. The last malignant arrhythmia also occurred in the left ventricle."
Feng Zixuan suddenly understood after Luo Hao explained it briefly.
He didn't understand much about pharmacology and pathogenesis, but Luo Hao's words were aggressive, reasonable, and in line with the most basic logic.
Generally, experts who can speak in this tone are the ones who know it well, and there is no problem at first glance. The pictures they found confirmed that the patient's family had indeed given the patient oral purple shirt.
Isn’t this nonsense!
There is no reason to give purple shirts to children.
Feng Zixuan cursed four or five long and difficult-to-speak Northeastern curse words in his heart, scolding the old man until his body was covered with blood.
Give children oral yew to treat anorexia nervosa!
He is also a doctor!
Back then, the university had not yet expanded its enrollment, and the quality was comparable to today’s master’s students.
How could you do such a stupid thing!
There is water in my brain. There must be water in my brain, and it is not less. I think even my brain is melted.
"Director Feng, someone is indeed conducting experiments, saying that purple shirt can treat anorexia nervosa, especially for severe anorexia nervosa." Luo Hao helped Liu Peien explain.
"???" "It's just that the efficacy is uncertain, and we can't say it will be effective yet."
Luo Hao said something very convoluted.
"Old man, why didn't you say anything?" Feng Zixuan scolded.
There must be many reasons, Liu Pei'en explained in a daze.
Luo Hao didn't look like his parents deliberately poisoned and killed their sick daughter.
After he finished explaining, he returned to the ICU to take care of the patient.
A few hours later, the patient was revived.
The report of the emergency ion check has come out. After correcting the ion disorder, the patient's heart rate returned to sinus.
The stone in Luo Hao's heart fell to the ground.
It should be caused by purple shirt. Similar medical records are available in the Xiehe Medical Records Database, but the number is very small. In addition, the patient’s family members did not disclose similar past history, so Luo Hao did not provide any information for a while. diagnosis.
Because he saw the patient and the patient's family members looking very skinny, Luo Hao "guessed" that it might be related to Zishan.
Leaving the ICU, Luo Hao saw the couple sitting outside, and he did not explain anything to Liu Peien and his wife.
Speaking of explaining the condition, that is all the business of the ICU doctor.
Luo Hao didn't want to see Liu Pei'en crying with gratitude to him, so he simply left through the fire escape.
I called Feng Zixuan, who was still waiting for him in the office.
Luo Hao changed his clothes and rushed to the medical office.
Seeing Liu Pei'en and his wife sitting at the door of the intensive care unit confirmed Luo Hao's guess - neither of them wanted to treat their child for a long time.
As for whether it was suffering or something else, Luo Hao did not continue to think about it. The human heart is like an ocean. If you think about it too much, you will become depressed. There is no need.
"Ronald, thank you for your hard work today." Feng Zixuan said with a smile.
“It’s not hard, it’s just that the condition is a bit complicated, I just need to straighten it out.” Luo Hao replied with a smile.
“I didn’t expect to take Zishan orally. When my eldest niece recovers, I will give them a good lesson.”
“Anorexia nervosa is indeed difficult to treat...”< br>
As Luo Hao spoke, he suddenly remembered something.
"Director Feng, did you know that the neuroscience team of Max Planck went to the University of Technology some time ago?"
"Yes, it seems that they were recruited by Boss Lou, it is the Moritz team."
< br>Luo Hao nodded, it was rare that Feng Zixuan actually remembered the name Moritz.
The Moritz team, working with Qi Yuanliang and Ye Qingqing, are working on something.
Luo Hao was not interested in this, but thinking about it at this moment, Luo Hao had a thought in his mind.
Making a gesture, Luo Hao called Ye Qingqing.
"Qingqing." Luo Hao briefly explained the matter, "Anorexia nervosa should be related to the brain nerves. Has Moritz's team conducted any research on this disease?"
"Huh? How did you know there was research?" Ye Qingqing asked strangely.
Luo Hao had a sincere smile on his face.
"Then do some research and see if there is any targeted treatment. Anorexia nervosa is indeed a headache."
"Hey, hey, hey, I'm very busy here."
"Qingqing, I'm going to say a few words." Luo Hao assumed the posture of an eldest brother and a father, and began to lecture Ye Qingqing over the phone. .
Feng Zixuan looked funny.
Luo Hao is young and mature, and it is rare to see him talking and laughing like a child.
A few minutes later, Ye Qingqing agreed and Luo Hao hung up the phone.
"Director Feng, Moritz's team has done some research, but the research is not in-depth enough. The Max Planck Institute is also in trouble, and the research they did was resisted by animal protection organizations."
"Then, So you took the time to do research on anorexia nervosa?”
“That’s probably it, it’s just free time anyway. "Yes." Luo Hao shrugged and laughed, "It's a coincidence, isn't it?"
"Okay, I'll contact Professor Qi Yuanliangqi, and give me Ye Qingqing's contact information." br>
Luo Hao gave Ye Qingqing’s phone number and WeChat message to Feng Zixuan, and spoke to Ye Qingqing.
This matter is over, Feng Zixuan is very satisfied.
Not only does it solve an urgent need, but it can also provide certain treatment for anorexia nervosa. It is a team from the Max Planck Institute, a world-class scientific research institution.
Although it may not be a cure, it is enough.
"Let's go, Xiao Luo, let's go have a meal together."
"Is it convenient?" Luo Hao asked.
Feng Zixuan was better than a monkey when he put on hair. He immediately understood and smiled, "The two of us are not together for a dinner, so we don't need to report it." The members of the medical team went to have a meal with Feng Zixuan.
Luo Hao doesn’t drink, and Feng Zixuan doesn’t persuade him either.
But Feng Zixuan is obviously in a good mood today. It seems that the friendship between college classmates is still very strong. Luo Hao moved a big stone and found the boss of the Max Planck Institute to try to treat anorexia nervosa. This made Feng Zixuan slightly lose his temper.
He even asked for a few bottles of beer.
Feng Zixuan didn't say much about Luo Hao not drinking.
If you want to drink, just take a few sips. If you don’t want to, don’t drink.
Feng Zixuan drank two bottles of beer, his face flushed, and he began to talk about some trivial things from his college days.
The scattered things were Feng Zixuan’s memories. Luo Hao was not disappointed either. He listened with great interest, and from time to time he would talk about similar things that happened to him.
Luo Hao doesn't like socializing, but that doesn't mean he's not good at it.
Luo Hao also thought it was a good thing to make Feng Zixuan happy. Luo Hao knows who can provide the greatest help to clinicians in the hospital.
The county magistrate is not as good as taking charge now. Some things have to be handled by Feng Zixuan even if the dean nods.
Luo Hao once heard someone talk about a 35-year-old nurse who could no longer work. Her lover was a local cadre and she said hello to the dean and wanted to go. Physical examination center.
The dean nodded and made the call himself, thinking it would go smoothly.
Unexpectedly, the director of the nursing department thought that the nurse didn't tell him and didn't respect him enough, so he transferred the nurse to the outpatient blood collection department.
It's even more disgusting than the more relaxed shift department.
Luo Hao always remembered this, so he respected Feng Zixuan after he came to the First Hospital of Medical University.
At around nine o'clock in the evening, Feng Zixuan was slightly drunk.
The two walked out of the tavern, and Feng Zixuan burped.
"Ronald, please go back, I'll call a trolley."
"No, Director Feng, I'll just drive you home." Luo Hao smiled.
Feng Zixuan was startled for a moment, but after a slight hesitation, he nodded.
Driving to the gate of Feng Zixuan’s community, Feng Zixuan got out of the car, waved to Luo Hao, and disappeared into the night.
Luo Hao parked the car aside and called Ye Qingqing first to ask about the progress of Moritz's team's research on anorexia nervosa.
Ye Qingqing also has a basic understanding of medical treatment, so it is not difficult to chat with him.
After having a certain understanding of the matter, Luo Hao said a few words in the medical group's group. Lao Meng confirmed that the patient was fine, and Luo Hao's obsessive-compulsive disorder was temporarily cured.
Later, Luo Hao and Da Nizi contacted each other. They were just chatting about what to eat for supper. By the way, while watching the half-edited video, Luo Hao suddenly saw a familiar figure "sneaking" Come out of the neighborhood.
Feng Zixuan!
He didn’t come home at all!
I guess I entered the community, hid somewhere and smoked a cigarette, and then quietly came out to drive.
Feng Zixuan scanned the surrounding area like a spy, subconsciously, not subjectively aware that someone was following him.
The moment he saw a familiar car and a familiar person, and their eyes met, Feng Zixuan was also stunned.
So embarrassing.
Luo Hao couldn't even pretend to be invisible. He looked at Feng Zixuan helplessly.
The two looked at each other through the car window. After a full 10 seconds, Luo Hao opened the car door.
"Director Feng, I'm contacting Da Nizi for something to eat." Luo Hao explained awkwardly.
Now this explanation is definitely not the optimal solution, but Luo Hao has cancer and really doesn’t know what to say.
But their eyes met, and they couldn't help but speak.
Damn it!
Unexpectedly, Director Feng also has the habit of hiding girls in golden houses.
Luo Hao rubbed his feet on the ground in embarrassment.
Feng Zixuan had no expression on his face. After thinking about it, he went straight to Luo Hao.
"It just so happens that you haven't left yet, then give me a ride."
"Director Feng, where are you going?"
Feng Zixuan gave me an address.
Jiangbei, a relatively remote community.
The positions of Danizi are exactly opposite, one is almost to the east of the provincial capital and the other is to the west of the provincial capital.
Luo Hao had no choice but to leave a message to Da Nizi, then put on his seat belt and drove as if he didn't know anything.
That’s true.
Luo Hao had never encountered anything like this before. He originally thought he would just laugh and run away.
Unexpectedly, Feng Zixuan came over and got into the car directly.
"Ronald, what are you thinking about? I feel like you are not in the right mood." Feng Zixuan asked calmly.
Only when you are in the right mood will you see a ghost, Luo Hao cursed in his heart.
"Do you think I have a woman outside?"
"..." Luo Hao continued to remain silent.
"Let me tell you something." Feng Zixuan's expression was solemn, "That's right, I don't have a woman outside."
"Well, I believe you, Director Feng." Luo Hao climbed up the pole, even if There was no pole, so Luo Hao had to make one.
Although he also knew that it seemed a bit inappropriate to say this now, but what would he say if he didn't say this?
Do you want to talk to Feng Zixuan about Ma Zhuang, who took hyaluronic acid, which caused pulmonary embolism, and then took a lot of supplements, which caused rhabdomyolysis?
Stop talking nonsense.
The less he said at this time, the better it would be for him. After Luo Hao finished speaking, he drove the car in embarrassment.
"I actually do it for a man."
(End of this chapter)