Chapter 24: Poisoning

"Hello, I am Chen Wen's attending doctor. Dr. Cao Yanhua nodded to Chen Wen's mother as a greeting. "You are Chen Wen's mother, aren't you?"

"Yes. Chen's mother nodded, "My name is Shen Qingmei, and I am the chairman of Yuhua Group. She highlighted her job position, "Please don't worry about the cost of treatment, as long as it is good for treatment, I just want my daughter to be healthy." ”

Cao Yanhua put down the pen in his hand and said solemnly, "Health can't be bought." What do you usually give your child to eat? Do you know how much overweight she's overweight?"

Shen Qingmei's face darkened, "She...... Is it because of your weight?"

"We can't fully confirm that. Zhou Jun walked over, he frowned and said to Cao Yanhua, "Don't say anything that has nothing to do with your condition." ”

Cao Yanhua scratched his head, "Your daughter's current situation has basically been controlled. But when we did the coronary intervention, we found more problems. ”

"We found a large blood clot in her renal vein, which was not surgically removed, and we believe that the clot came from the vein of her lower extremity, which is her leg. Until the cause is found, it is possible that she will continue to develop more blood clots. Once these blood clots continue to rise with the bloodstream, they can travel to the lungs and cause a pulmonary embolism – which can be fatal. ”

Shen Qingmei's expression became more and more nervous, and the strength of holding the leather bag in his hand became more and more powerful, and his hands, which were originally a little blessed, faded little by little, and the green tendons were highlighted.

"We decided to treat conservatively, using low molecular weight heparin and warfarin to reduce the blood clotting reaction in Chen Wen's body and prolong the blood clotting time. Of course, this is also risky. Cao Yanhua took out two pieces of paper from a stack of documents and handed them to Shen Qingmei on the opposite side. "It's a consent form, and it sets out the risks. The main reason is that the blood clotting function is suppressed, so once she shows symptoms of bleeding, the situation becomes very dangerous. ”

"In order to cure my daughter's illness, you need to make her situation a little more dangerous?" Shen Qingmei said with difficulty, "I don't understand why. ”

"You can ask a doctor or health care worker you know. Zhou Jun interjected, "Yuhua Group is a well-known large enterprise in our province, and I believe you know a lot of medical experts. It's a good idea to ask them for advice. But they won't have anything else — that's the only thing we can do right now. ”

Shen Qingmei let out a sigh of relief, trying to calm herself down, "What about after that?" she asked, "When will you find out what caused her illness?" I don't think it's a matter of weight, I've taken her to see a lot of professional nutritionists......

"We can't confirm that her weight is the main cause of her condition, but it's too early to rule it out. Zhou Jun shook his head, "Let's put it this way, your daughter's weight must be sick, but we don't know if this pathology affects the blood clotting function." ”

Speaking of this, Sun Lien, who had been listening to the conversation beside him, suddenly noticed a trace of abnormality. After exchanging glances with the two doctors, Sun Lien asked, "Have you used any weight loss pills for Chen Wen?"

"Diet pills? No. Shen Qingmei replied very resolutely, "Although she is a little fat, she is only ten years old! I can't use diet pills for my ten-year-old daughter......

"Some over-the-counter diet pills that contain additives can also cause these symptoms. Sun Lien interrupted her defense, "For example, some self-proclaimed natural diet pills may add senna, rhubarb, knotweed and other drugs. The main action of these herbs is anthraquinones, which may cause her to develop systemic blood clotting symptoms......"

"I've never used diet pills for my daughter!" Shen Qingmei's reaction was very violent, and even a little angry. She glared at Sun Lien angrily, "She's only ten years old!"

"Diet pills?" Chen Wen's head teacher walked into the rescue room, ready to hand over the information in his hand with Shen Qingmei. After hearing Sun Lien's words, she suddenly said, "I saw her taking medicine, and I thought she might be unwell at the time......"

Zhou Jun suddenly spoke, "That's enough!" He got up suddenly, and said expressionlessly, "First treat according to the protocol for acute poisoning of anthraquinones." Intravenous dextrose saline plus 10 mg of dexamethasone. ”

Sun Lien nodded, this is the standard treatment of senna poisoning, because Chen Wen was given warfarin anticoagulation, so the common vitamin C in the compatibility of dexamethasone injection was deliberately removed by Zhou Jun - the two effects conflict, which may lead to the continued shortening of the clotting time.

Zhou Jun looked at Shen Qingmei, who was angry, and explained calmly, "We still need to consider the possibility that Chen Wen bought and took diet pills privately. The side effects of the treatment of acute anthraquinone poisoning are not large, and if they are effective, of course, it is the best. Even if it is ineffective, the damage to her is acceptable. ”

"I've never given her any weight loss products. I don't think there's anything wrong with my daughter either. Shen Qingmei calmed down, she wiped the tears from the corners of her eyes, and said in a trembling voice, "Her recipes are in charge of a special nutritionist, and the amount of exercise every day can also ensure her full consumption, but she is ...... I just can't lose weight. ”

"Pre-adolescent obesity is not a disease. Now it was Sun Lien's turn to comfort the sad mother, he scratched his hair, trying to find words that could be used to comfort Shen Qingmei from the knowledge he had learned. "Most of the obesity before puberty will resolve itself after puberty, as long as we cure Chen Wen's current problem, she will have a lot of youth to spend in the future. ”

"Do you really believe her words?" Shen Qingmei signed the treatment consent form under the persuasion of the three of them in turn. Then wiped his tears and walked out of the rescue room, and Cao Yanhua was obviously a little unconvinced, "The child will buy diet pills by himself?

"From a medical point of view, controlling a child's already excess weight is certainly not child abuse. Sun Lien is very open, "She can find that the child's physical condition is abnormal, which is already a good performance - it is better than those parents who feed their children into balls and think they are cute." ”

Zhou Jun didn't have any expression, he just shook his head slightly, "Just do our own work." As for the rest, leave it alone for now. ”