Chapter 448 Woohoo, I’m dirty
Outside the ICU blood purification room, Luo Hao took off all the patient’s clothes and took the time to wipe him clean.
The body is actually fine, mainly the upper body, with the most dirt remaining on the clothes and in the patient's mouth.
Icu’s boss put on gloves to help Luo Hao.
But even the ICU boss, who has experienced many battles and has seen all kinds of scenes, was frightened when he saw the scene in front of him.
The main reason is that it is too irritating to the eyes, physically it is irritating to the eyes.
"Professor Luo, your family is awesome!" Icu's boss praised, "I immediately poured feces soup to induce vomiting. Although the method is crude, it is effective."
Luo Hao responded to this I deeply agree.
The patient took 400 ml of paraquat orally, and probably drank 100 ml, directly inducing vomiting. Constant vomiting is indeed the best emergency measure.
Looking at that posture, I wanted to turn my stomach inside out and wash it out.
Luo Hao estimates that the maximum absorption capacity is 30-40 ml, which is still an overestimate.
Can live!
No wonder the system issued the task, this guy is so understanding of humanity.
"Induce vomiting in time, continue to induce vomiting for a while, then insert the gastric tube and put activated charcoal into it."
"Okay, Professor Luo, is there anything else?"
"Repeated enema with mannitol and magnesium sulfate... 3 times, first."
Luo Hao was stumbling when he spoke. The smell of feces + paraquat was simply too overbearing. Luo Hao had five senses and six senses. Keen, but at this moment he was hit harder than the others.
“Looking at this posture, nothing should be able to enter the intestines.” Icu’s boss whispered.
But she also knew that Professor Luo Haolo was just in case.
The hospital's method is much worse than the patient being directly fed fecal soup. There is no better way to induce vomiting, even in the ICU of the First Hospital of the Medical University.
Vomiting was induced again, and then a gastric tube was inserted, and a large amount of medical activated carbon was injected through the gastric tube for adsorption.
At the same time, start enema and continue enema, trying to expel paraquat that enters the intestines before it is absorbed.
But this patient was different from usual patients. After inducing vomiting and catharsis, Luo Hao actually felt a little dazed.
Inducing vomiting and catharsis are the first and most critical steps in treatment, but because of spoonfuls of excrement soup, the vomiting was done to the extreme, and even Luo Hao didn't know what else to do.
If he didn't do something, he felt that something was missing, so Luo Hao's mind went blank and he fell into confusion for a short time.
But Luo Hao quickly overcame his psychological barrier and wiped the patient's body again after being induced.
"Doctor, I will do it myself." The patient calmed down a little at this time and whispered.
"Lie down and don't move around." Luo Hao scolded angrily.
This should be Luo Hao's worst attitude towards patients.
"There's nothing wrong with me, really, believe me, there's nothing wrong with me." The patient almost cried, explaining sarcastically.
"Paraquat, do you know what it means?"
"It's just a pesticide."
"Lie well and search for paraquat online on your mobile phone." Luo Hao He ordered, "I know your uncle well and are friends. Otherwise, do you think there will be a helicopter to pick you up?"
The patient was stunned, is it so direct? He had a vague feeling that something was wrong.
Indeed, it is false to say anything else. I have personally experienced helicopters.
It’s just that this memory is not a good one. Sitting in a helicopter and being fed shit... I’m afraid I’ll get PTSD if I see helicopters in TV movies in the future.
"Professor Luo, then hurry up and do hemofiltration." The boss of Icu said.
"Yes, right away." Luo Hao wiped the patient's body clean, asked the ICU boss to perform hemofiltration on 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 doing with such a long needle!"
Luo Hao had recurring headaches.
Paraquat is so annoying, patients are jumping around and have no idea what they are going to face.
Wash his hands clean, Luo Hao walked up to Icu's boss and whispered, "Give me a sedative."
"Okay." Icu's boss didn't hesitate and agreed directly.
The patient does not cooperate, so we can only calm him down first. If it 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, do you still want to be active?
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, let alone thought about it.
For patients with paraquat poisoning, gastric lavage, catharsis, and hemofiltration are just the beginning of treatment. There are countless embarrassing things waiting for them later.
Even if the patient in front of him had used feces soup to effectively induce vomiting at the first time, paraquat has a strong passive absorption ability. Luo Hao knew that it was only a time for rescue and treatment.
After a brief shower and putting on isolation clothes, Luo Hao walked into the corridor of the ICU.
"Ronaldiner, here!" Feng Zixuan waved.
"Director Feng."
"Hemofiltration has been done, and the patient's family has been contacted. The photos sent show that paraquat has expired for more than ten years."
Gan!
Luo Hao finally heard another good news.
Also, the country has long banned the sale of paraquat. Although you can make your own, you can buy other herbicides with money. This is fundamentally different from having to treat children and make medicine.
Paraquat is expired!
It is indeed very reasonable.
Although Luo Hao had guessed before, now it was proved and Luo Hao was very happy.
"How many milliliters is in the original package of paraquat?" Luo Hao asked.
"500 ml, part of it has evaporated, and it is only 400 ml when you drink it."
The effective substance should have been reduced, Luo Hao guessed in his mind.
Feng Zixuan handed over the mobile phone, and Luo Hao saw the outer packaging of paraquat and the instructions on the packaging.
Luo Hao saw the words that he should induce vomiting after taking it by mistake, but that he should take fuller's earth orally if the vomiting failed.
What are these?
A heavy sense of age made Luo Hao feel unreal, and he started to get dizzy while looking at the instructions.
In this case, the amount of paraquat ingested by the patient will be reduced again!
"Little Luo, is the problem big?"
"Let me ask." Luo Hao sent the picture to himself, then sent it to Qilu's senior brother Che, and then made a call.
"Brother Che, I'm sorry to disturb you."
"Dr. Xiao Luo, you're too polite, what's wrong?"
Luo Hao told the situation again.
Brother Che from Qilu also expressed surprise that he was induced to vomit with feces at the first time and highly praised him.
Hearing the brisk tone of his voice, Luo Hao also felt more and more hopeful.
"It would be great if this experience can be promoted in the future. All patients who drink paraquat will use feces to induce vomiting." Brother Che said.
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 is extremely disgusted to what extent.
"Brother Che, 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 He replied, and then asked Luo Hao to examine the patient.
Urine and blood were sent for testing. Although a series of countermeasures were taken, the concentration of paraquat in the test results still exceeded 12mg/L.
Hemofiltration is equivalent to detoxification. Luo Hao simply sat next to the patient's bed and quietly observation.
Feng Zixuan did not leave immediately. Although he had nothing to do, he still pulled the chair over and sat next to Luo Hao.
"Ronald, silivestat sodium is not cheap. It costs more than 2,000 a tube. What is it used for?"
"It is used to treat pulmonary fibrosis." Luo Hao raised his head and glanced Silvilistat sodium, "actually there is a cheap 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 function.
The cheap and easy-to-use cyclophosphamide is not used, but the more expensive silvelestat sodium is used, probably because the patient is about to face an inflammatory storm.
At that time, multiple organs failed, and the liver and kidneys must bear great pressure.
“Some scholars believe that cyclophosphamide is very effective in the early stage of paraquat poisoning, but the problem is that it is also a cytotoxic drug and will cause certain damage to various tissues and organs.
My evaluation This patient is about to enter a stage of severe acute liver and kidney function impairment, and the use of cyclophosphamide will make things worse. Therefore, he will not use it for now and will use it in time when the liver and kidney function improves.”
Waiting for improvement?
It was useless by then, Feng Zixuan knew.
But all treatments must be adjusted based on clinical examination results. It is estimated that cyclophosphamide was not used but silvelestat sodium was used because of 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.”
"I'm a member of my own family. I'm not here to accompany you anymore. I'm going to take a look at Xiao Yan and Chen Yong. They... have been having a hard time along the way. Alas, Xiao Yan has never suffered like this. Ronaldinho, Don’t treat Xiaoyan like a beast. If something like this happens, just let Chen Yong go.”
Luo Hao thought about the tears and snot he vomited on the helicopter. Zhuang Yan sighed.
This incident will probably leave a deep psychological shadow on Zhuang Yan.
"Director Feng, you are busy, I will communicate with you immediately if there is anything on my side."
Luo Hao stood up.
"No need to see me off."
"Send me off. I'll go to the door and talk to Professor Li." Luo Hao smiled.
The patient was in a calm state and had lost his previous energy, but he could still understand what Luo Hao was saying, but he began to become quiet, as if he had entered a moment of sage.
Luo Hao glanced at him and told the ICU boss to be optimistic about people. He printed a copy of the communication and walked out of the ICU with it.
The patient’s family members have not arrived yet. Although Yilan County is not far away, today is the weekend and the traffic jam is severe. Only Professor Li has arrived.
Luo Hao estimated that if there were no helicopters, the patients might not have a chance to be treated. Even if he was mummified with dung soup, he probably wouldn't be able to be saved.
"Hello, Professor Li."
"Xiao Luo!" Professor Li held Luo Hao's hand with eagerness on his face, "How is it?"
Luo Hao explained the patient's condition.
The good and the bad are all explained clearly, simply and clearly.
"The specifics will depend on the inflammatory storm after a few hours and the extent to which the liver and kidney functions have weakened." Luo Hao said, "To put it simply, it depends on how far his body can hold up, and all the medical treatment can be used for him. "
Professor Li looked solemn and nodded.
"Professor Xiao Luo, can you do a lung transplant?"
"Yes, but I won't do it." Luo Hao said firmly. "???" Professor Li was stunned.
"This is also what the boss means. Before the success of stem cell cultivation and 3D printing of own organs, he will not do organ transplantation. I have seen a few and it can be done, but I have never done it. That thing is not technically difficult and very Simple."
Luo Hao smiled and said, "It's far away. The patient is not far enough away from a double lung transplant. I will fight for it, Professor Li."
Professor Li naturally knows what's going on. mean.
There is too much content involved. Professor Li did not complain. If it doesn't work, he is going to take his nephew to Wuxi.
"By the way, Professor Luo, don't worry about money. Use good medicine! Use the best medicine!!" Professor Li held Luo Hao's hand firmly.
"I'll do my best. Professor Li, you know that this kind of poisoning is not necessarily related to the quality of the medicine. Don't worry, I'll do my best. This is communication. Take a look and sign if there is no problem. Normal process."
Although they knew each other, Luo Hao still explained the communication contents to Professor Li one by one.
A lot of the content was repeated with the medical history of previous patients, but Luo Hao did not try to save trouble, but went over it again.
"Sign here, right?"
"Yes."
Professor Li signed his name on the communication letter, "When my brother comes, let them sign it again. Don't worry, Professor Xiao Luo, we will definitely cooperate. If you can't cure it, your life will be bad. Paralysis! Everything is special How dare you drink it!”
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 is fascinated and falls in love online. He transferred 80,000 yuan to the other party in half a year, but he didn't have any money. I asked my brother for the money.”
"..." Luo Hao sighed.
"Who knew he was the kind of mentally retarded person who can take care of himself? What the hell!" Professor Li cursed bitterly.
“You are always obsessed with love, no matter how young you are.” Luo Hao continued to persuade.
“I don’t have one!”
Luo Hao couldn’t hold back his laughter. He knew Professor Li’s preference. He definitely didn’t have it, but his xp was also weird.
To say that it is normal, Professor Li's nephew is more normal.
"Ronaldo, when will you be able to get through the dangerous period?" Professor Li asked anxiously.
“At least 14 days.”
Luo Hao started counting with his fingers for Professor Li.
After speaking, Luo Hao simply told Professor Li all the medicines he would use next.
In addition to the medicine to control "white lungs", the dosage of immunosuppressants and hormone drugs is also required.
Hormone can improve the body's stress ability, including stabilizing organelles and cell membranes, enhancing anti-inflammatory capabilities, etc. It is the "ace drug" for treating various acute organ failures.
However, due to the serious side effects, there is always a lack of consensus in the academic community on the dosage and how long paraquat should be used for patients with paraquat poisoning.
In this regard, Luo Hao could only promise to make a decision after communicating with Qi Lu according to the inspection results.
……
...
Zhuang Yan sat in the office dejectedly. She felt dirty.
I want to cry, but I can’t. Even my breath smells like that.
Dirty...
Dirty...
Meng Liangren touched his Erhei, whose head was shiny. He did not comfort Zhuang Yan because Meng Liangren didn't know what to say.
Originally, it was said that it was going to Yilan County to pick up a patient with paraquat poisoning. It was extremely rare for a helicopter to pick up the patient. Meng Liangren was also very interested.
Zhuang Yan just went, did she still have to worry about something happening to the helicopter?
But what they didn’t expect was that the patient’s family would use such an extreme method to induce vomiting, and it was said that before boarding the helicopter, Chen Yong asked for the bucket of fecal soup and drank it all the way to the patient.
But Chen Yong actually didn't dislike it at all at this time. He fed the patient with fecal soup and flew back.
So that Zhuang Yan was in a trance.
"Xiaozhuang, look at you, you are so depressed." Chen Yong was wearing an isolation suit and sitting next to the computer nonchalantly.
“Brother Yong, I~~~” Zhuang Yan’s mouth dropped, and she looked like she was about to cry.
"I'm telling you, dreaming about being covered in filth is a sign of getting rich."
"But that was a dream!" Zhuang Yan defended.
"Hey." Chen Yong pushed the table with his hand and slid down directly opposite Zhuang Yan. He looked at the frustrated Zhuang Yan with a smile, "Xiao Zhuang, I am the great magician."
"? ?”
Zhuang Yan lowered her head and did not look at Chen Yong.
In her opinion, Chen Yong is directly related to the unbearable memories along the way.
If Chen Yong hadn’t insisted on asking for a bucket of rich shit soup before boarding the helicopter, things wouldn’t have been so bad.
The difficulty is directly reduced to the point where it 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, her high ponytail almost standing up.
Meng Liangren was also stunned for a moment, is Dr. Chen so strong? Had he ever used this kind of magic on himself before?
"I generally don't want to be used by others. You know how many people nowadays have a bad heart. After I use it, they will continue to fall into suspicion and suspect that I have used it for them."
Before Meng Liang waited, As people continue to think about it, Chen Yong starts to "yin and yang" him.
But Chen Yong obviously didn't mean it, he was just verbose in a normal way. Meng Liangren smiled helplessly, but looked at Chen Yong with interest.
When it comes to making a little girl happy, ten of me plus ten of Professor Luo are no match.
After saying a few words, Zhuang Yan's attention seemed to be attracted, and she was no longer as depressed as before.
"Brother Yong!" Zhuang Yan said firmly, "Come on, come on! If possible, I will remember your great kindness."
"Don't bother me, Lao Meng, don't think too much." Just go to the west."
Meng Liangren shook his head repeatedly and watched Chen Yong's every gesture carefully.
"Here." Chen Yong took out a red silk thread with a simple copper coin tied to it.
“Look at the copper coins carefully.”
"Brother Yong, this seems to be from our country, isn't it magic? Hypnosis seems to have come from abroad."
"Don't talk nonsense if you don't understand, just stare." Chen Yong said, "After ten seconds, I just snap my fingers.”
"You have to concentrate and not be distracted. It won't work if you keep thinking about things."
"Okay!" Zhuang Yan wanted to forget the unbearable scene, sitting in front of Chen Yong, her eyes Stare closely at the copper coins on the red silk thread.
It didn’t take more than ten seconds. Only a few seconds later, Meng Liangren felt that Zhuang Yan was starting to make eye contact.
The cross-eyed look was a bit funny, but Meng Liangren felt that Chen Yong really had something to say, and it wasn't just to distract Zhuang Yan.
Soon, Chen Yong raised his right hand, his thumb and middle finger stuck together, ready to snap his fingers hard.
"After I snap my fingers, you will forget that you have ever eaten shit."
After saying that, Chen Yong made a clear snapping sound from his fingers.
“Wait a minute!” Zhuang Yan quickly shouted, “Brother Yong, I haven’t eaten. You were the one who fed the patients on the helicopter.”
"I know, you haven't eaten it." Chen Yong looked at Zhuang Yan with a smile, a look of determination on his face.
? ? ?
? ? ?
Zhuang Yan was stunned for a moment.
She was a little panicked, the panic was visible to the naked eye.
"I haven't eaten it, do you understand?" Zhuang Yan's voice rose a little, her hands resting on the armrests of the chair, and the veins under her white skin were already bulging.
“Yeah, yeah, I understand.”
“I haven’t eaten it.”
“Of course, I understand.” Chen Yong didn’t argue, just followed. Zhuang Yan continued.
"You...you...Brother Yong, you can't say something incomprehensible, and then say that I ate it and I didn't forget it." Zhuang Yan was so excited that she stood up directly, waving her arms like Trying hard to prove myself.
"Yes, yes, I understand." Chen Yong smiled, "It's just a joke."
Zhuang Yan was startled for a moment, but something was wrong, especially the smile on Chen Yong's face, which seemed to confirm His "magic" just worked.
“I have not forgotten!”
“Remember?” Chen Yong asked Zhuang Yan jokingly.
"Remember what? I didn't, I didn't!!" Zhuang Yan's eyes widened, she looked at Chen Yong, and kept explaining.
"I know, I understand. Of course, we are on a helicopter to pick up patients. How can you eat it, right?"
Zhuang Yan raised her hand and grabbed her high ponytail, as if to It's like gathering it up by itself.
“Woooooooo~~~Ooooo~~~I haven’t eaten it~~~”
Zhuang Yan fell into a self-evidence cycle, 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, we can just forget about it." Chen Yong continued.
All the strength in Zhuang Yan's body was instantly taken 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 that 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, it's just that you think too much." Chen Yong raised his hand and wanted to pull Zhuang Yan's high ponytail, but he only made a hand gesture and put his hand down politely. , and looked back, as if Lao Liu was behind him.
"Doctors, you always have to come into contact with some dirty things. I remember I went to an annual meeting with my master, anorectal. The organizer of the meeting was far away, and we didn't even have lunch. We said whatever we should say. , eat whatever you want, I am also disappointed with the snacks at the meeting.”
“…”
“After this experience, you become a success. You are an experienced doctor, so you should just watch on the side." Chen Yong advised, "When you have gastrointestinal surgery, the tumor has eroded the gastrointestinal tract and your stomach is full of stool. Shouldn't you do the surgery or do you want to do it?"
“I’m telling you, I couldn’t even open my eyes at that time, and the operating room was full of smell.”
“The kind that hurts the eyes.”
Meng Liangren scratched his head, "Xiao Chen, are you going to open a window and lift the roof if others don't let you?"
(End of Chapter)