Chapter 519 Unbelievable, reveal the truth!
Now only one question remains.
Does the so-called weight loss product contain sibutramine?
Or, whether the laboratory can detect positive indicators from the patient's hematuria.
Any match is enough to characterize the disease, and the entire pathogenesis process will be clear.
certainly……
If sibutramine is not discovered in the end, then Xu Qiu's work tonight will be in vain.
…
Withdrawing her gaze, Xu Qiu glanced at the reception corner of the office.
In addition to the tea table and sofa, there is also a folding bed. Although it is simple, it is covered with Simmons...
At this moment, Yang Yuen was lying on it, sleeping soundly.
"..."
I promised myself to have a good rest, but after reading the literature for a while, this guy fell asleep.
Didn’t you just watch it for more than five hours?
Today's young people just can't stand their temper...
"However, it seems that she has been on duty for almost 20 hours. She was busy with surgery all day yesterday. It seems that she should have a rest tonight."
Xu Qiu doesn't quite remember these details.
He returned to his position, lying on the table and narrowing his eyes.
To catch up on sleep, you have to rely on natural sleep. Taking stamina potions every day makes me feel like I'm going to lose weight...
…
Early the next morning, Yang Yuen almost jumped out of bed.
She looked around with a guilty conscience, only to find that Xu Qiu was already sitting at the desk and began to look through medical records and documents again.
"Hurry up and wash up, get ready for shift early." Xu Qiu said without raising his head.
"good!"
Yang Yuen stood up immediately and said carefully: "Idol, are you awake?"
"Sleep."
"I'm sorry, your bed is so comfortable. After sitting for a while, I thought about lying down and trying it. While lying down, I thought about squinting my eyes and feeling it... but I fell asleep..."
"Um."
Xu Qiu was like a stone that could not be moved, completely expressionless.
Yang Yuen bowed and ran to the bathroom.
Xu Qiu said: "You can wash up in the office."
Yang Yuen stopped and said, "What?"
She searched around, followed the direction of Xu Qiu's fingers, and found a simple dressing table behind the screen next to the bed.
There are many disposable toiletries placed above.
There are also compressed towels.
"I really want to be the director too!" Yang Yuen cried with envy.
She, a miserable little resident, could only sleep in the lounge during night shifts. When she was working consecutive shifts, she couldn't go back in the morning and had to compete with other doctors for a place to wash in the bathroom...
Unexpectedly, Xu Qiu's director's office was fully equipped with all kinds of equipment.
Compare it to what kind of life I live...
"Oh, I rarely work night shifts. You can rest here when I'm not here."
Xu Qiu also told Yunmei and the others this.
After all, the female doctors were in charge of his job, and he had to repay everyone in the emergency department.
"I will also quickly evaluate the professional title. There is a director's office. This is the way to enjoy the profession of a doctor..." Yang Yuen secretly swore.
…
…
At the morning shift handover, after the routine ward and patient basic situation reports, Yang Meng cleared her throat and said: "Next is the key patient in the department, 37-bed Wei Ding..."
Everyone immediately focused their attention.
Although Wei Ding had just been sent to the hospital, he was already well-known in the hospital.
His arrogant character is one thing.
The doctors were more concerned about his sudden change in condition... The emergency department and neurology department were worried that he would suddenly die while Xu Qiu was not in the hospital.
It started with inexplicable fever, chills, and muscle weakness.
Many doctors are at a loss what to do.
Still Xu Qiu peeled off the cocoon, pointed directly at the lupus brain, and found out that the fever was not a real fever, but the cause of focal epilepsy; the muscle weakness was due to transverse myelitis.
The two, combined with the thickening and exudation of the perirenal fascia, lock the lupus brain.
I thought that was the end of this patient's life.
As a result, on the night when treatment measures were given, Wei Ding, who had been calm and stable, suddenly became ill again, and it was more violent than ever before.
Difficulty breathing, severe acidosis, loss of consciousness, coma...
Hemoglobin, blood oxygen and other indicators have dropped to critical levels, and critical illness notices have been issued four or five times!
He Hai hurried over, but could only temporarily stabilize his condition. Faced with the complicated illness and chaotic physical condition, he was somewhat unable to do anything.
In the end, Xu Qiu rushed over and successfully rescued the scene...
The doctor who went to work the next day was deeply shocked when he learned the news.
End or not...
Lupus brain is not enough, but there are other diseases?
For this reason, Director Shen and Director Lin advanced the morning handover time of their department by half an hour just to attend this meeting in the emergency department...
However, after listening to Yang Meng's report, the two directors fell silent.
Also silent were Wang Ping, He Hai and other emergency department directors.
This time's condition is even more complicated and strange than the previous one.
It deteriorated rapidly in a short period of time, and the body was almost on the verge of collapse... However, after rescue and treatment measures such as blood transfusions and blood purification were given, the vital indicators recovered rapidly in just over half an hour...
It's incredible.
Whether it was a sudden illness or a sudden improvement, everyone was unexpected, even to the point of being unbelievable.
"Why is this person like a balloon, fluctuating so much?" Director Shen couldn't figure it out.
Director Lin thought for a long time, but there was no definite conclusion. He shook his head and said, "It's very troublesome. The patient must have acute liver damage, but the enlarged heart shadow indicates anemia, and it is chronic anemia. How could the patient's hemoglobin index suddenly be only a dozen?"
This is also what He Hai and others can't understand.
Chronic anemia... is about the word slow.
But Wei Ding's hemoglobin went from mild anemia to the brink of death in a very short period of time.
There are many possible clinical reasons.
The most common one is blood loss.
It can basically be ruled out.
Secondly, it is a functional disease of bone marrow hematopoietic disorder, such as aplastic anemia, acute leukemia, etc. Once the bone marrow hematopoietic function is impaired, hemoglobin will naturally drop rapidly.
However, although the decrease caused by this functional disorder is called "acute", it is not so fast. Generally speaking, it decreases within a few days of the acute phase, which is clinically considered an "acute decline".
Wei Ding's hemoglobin dropped every minute. If He Hai had not immediately transfused red blood cells and plasma, he would have died.
In addition, the patient had ruled out diseases related to hematopoietic disorders when he was admitted to the hospital, so it was definitely not related to this.
Then the only possibility was autoimmune hemolysis.
This is actually the most likely reason.
The patient himself had lupus erythematosus, and the body's immune regulation function must be abnormal. Once it affected the hematopoietic system, red blood cells would quickly disintegrate and be destroyed, and critical anemia might also occur.
But there was a fatal problem in this, which was equivalent to directly rejecting this inference!
