Chapter 59: Organophosphate Poisoning and the Airborne Doctor (5000 words)
But just because Dewey didn't notice it didn't mean the machine didn't notice.
Machines that are almost omniscient and omniscient about this area will naturally notice all dangerous people.
Especially dangerous people to the people associated with it.
So after a vibration of Du Wei's mobile phone, a few words appeared:
"You're being followed, be careful."
There was a conflict last night, and now I am being followed, and I know who did it with my toes.
After all, there were a total of 25 patients last night, and Du Wei grabbed nearly half.
The rest of the doctors divided the remaining half.
Pete, who gave Du Wei a chance, probably had a liver ache when he learned the news.
However, with the help of the machine, Du Wei was not very worried about this.
He is not afraid that they will come, but that they will not come.
He had long wanted to extort some gold coins from his peers.
Now these bad doctors are just the target of his implementation.
When Du Wei entered the hospital.
Chase, who had been waiting for Du Wei for a long time, suddenly came over and said with a smile:
"Hey, I've hired two personal bodyguards for you, take a look, I'm sure you'll like it."
Du Wei was stunned for a moment, and then subconsciously looked in the direction of Chase's finger.
I saw that at the end of Chase's fingers, a beautiful woman in civilian clothes with a hot body was sitting on a leather chair outside the clinic and nodded to Du Wei.
Then a male bodyguard who was pretending to tie his shoes, wearing a suit and leather shoes, and wearing sunglasses in the outpatient queue, also raised his head and nodded at Du Wei.
Then one of the two held his mobile phone and watched non-stop, and the other took out a makeup mirror and pretended to touch up his makeup.
At least in terms of camouflage, it is completely impossible to see that these two people are professional-level bodyguards.
Du Wei looked at the male bodyguard and looked familiar, he was a little stunned and said to Chase:
"This ...... Is it the personal bodyguard you found for me? β
Chase nodded naturally, and as for the stunned look on Du Wei's face, he took it as a surprise.
"That's right, 3A security company, a world-class security company.
The male bodyguard is called Michael Bryce, and the female bodyguard is Sonia Chinkaide, both of whom are triple-A ace bodyguards of their company.
With them, you can rest assured that no one will dare to trouble you. β
Du Wei smiled, his face full of helplessness.
A 3A security company? Michael Bryce (Ace Bodyguard)?
Of course this guy with Ryan Rejotz's face Du Wei recognizes.
It's just that Dewey remembers that this guy's mouth cannon is just as annoying as Deadpool, and his employer doesn't seem to have good luck.
But it's all here, and Du Wei can't refuse Chase's kindness.
At least there is nothing wrong with these two people.
Maybe I can get another job for Michael after he loses his job.
After all, apart from his mouth and a few owes, there is nothing wrong with this guy's character.
After accepting this fact, the two bodyguards who will find the crowd to fit seamlessly on their own do not have much impact on Du Wei's normal life.
Du Wei went to the emergency department first as usual.
The emergency department is the place where people who are dying are most likely to appear, and it is also the place where Du Wei is most likely to gain life.
Chase on the side also followed Du Wei to the emergency room:
"I said why do you come to the diagnostic department at almost ten o'clock every time, it turns out that this is the place where you come first every morning.
You're too conscientious, aren't you? β
Du Wei smiled and pointed to the white coat on his body:
"Of course, I have to be worthy of the clothes I wear, and saving lives is what I should do.
People in the emergency room need help the most, so I'm supposed to be here. β
Hearing this noble speech, Chase looked at Du Wei with a little difference in his eyes.
He didn't expect an intern doctor to have such a high level of consciousness.
Compared to Du Wei, he really doesn't seem to work hard enough, so much so that many times he is like a little transparent.
While Chase was thinking, the emergency room suddenly became lively.
A teenager who was in a coma was rushed to the emergency room by ambulance.
"Suddenly unconscious, severe bradycardia, I need a milliliter of atropine, fast!"
β¦β¦
"Atropine has no effect, his heartbeat is still dropping, bring a pacemaker!"
β¦β¦
"Give him a blood test, a toxicology test, and let the doctor from the diagnostic department take over here!"
"I'm Chase, let me take a look."
The two who watched the emergency doctor did not intervene at first, and it was not until the regular treatment was useless that Chase stepped forward to identify himself.
After testing the reaction of the young man's hand and observing the dilation of the young man's pupils, Chase frowned and said to Du Wei beside him:
"What do you think?"
Before Du Wei could speak, the boy on the bed suddenly trembled, it was epilepsy!
Chase didn't care to wait for Du Wei's answer, and immediately yelled at the nurse next to him:
"Inject 10 mg of diazepam now! Du Wei, help me hold him! β
As Valium flowed into the veins, the boy immediately calmed down and fell back into a coma.
Seeing this, Du Wei wiped the sweat from his forehead:
"At best, at least we can rule out food poisoning, which doesn't have this symptom.
And it can also rule out the possibility of heaviness, if he is hi, he will not have epilepsy at this time. β
Chase smiled bitterly, Du Wei was indeed right, but in this case, the cause would be even more difficult to determine.
He hoped that the high school student would fall into a coma because he was ignorant and stole marijuana.
In that case, he would only need to prescribe a fast-acting naloxone (morphine receptor antagonist).
There are so many possibilities to think about now.
It may be insecticide poisoning, carbamate poisoning, or some organophosphate, organochlorine poisoning (three-component pesticide poisoning).
Chase glanced at his heartbeat, which was steady above 50, and let go of his hand to hold the boy's hand:
"Report this to House, you still have to ask him for a nod for specific medicine."
Du Wei nodded, and then said:
"If it's contact poisoning, I'd suggest having a nurse give him a bath first.
We can take the laundry to the lab for analysis.
This decision you should be able to do. β
Chase glanced at Du Wei in surprise, and said that Du Wei's brain was spinning really fast.
Whether it is insecticide poisoning or pesticide poisoning, it is divided into two types: inhalation poisoning or contact poisoning.
The former can be kept away from the source of poison, and the latter must be washed away from the residual poison, because the source of poison is in the body, and if it is not removed, it will continue to harm the human body.
Therefore, even if it is not clear which poisoning it is, it is definitely the right option to isolate the source of poison first.
Chase arranged for the nurse to bathe the boy.
Then he returned to the diagnostic department conference room with Du Wei, who was holding tattered jeans.
Here, they unexpectedly meet a new person, a new person who has had a relationship with each other.
When House saw the two coming, he first introduced the newcomer:
"Oh, we're all here, so I'll introduce you.
This is the new doctor who was forcibly installed by Dean Cady after hearing that Furman was gone, Pete, an excellent neurologist from New York State.
He will give us an unacceptable opinion during this consultation. β
Hearing House's teasing, Dr. Pete, who had come to trouble Du Wei, reluctantly smiled on his face and stretched out his hand to Du Wei:
"It's nice to meet you, we'll be colleagues in the future, I don't know what you call it?"
Du Wei directly ignored Pete's hand, and turned to House and said:
"A patient came to the emergency room who didn't respond to atropine, and after my and Chase's initial judgment, he should have been poisoned.
However, based on the patient's subsequent epilepsy reactions, we ruled out food poisoning and hiking.
As for what exactly the source of the poison is, we do not have a unified opinion for the time being.
So I'm now going to start with the contact source to rule out possible problems. β
House nodded, appreciating Dewey and Chase's judgment.
It's just that if you can't figure out the source of the poison, and the patient can't explain it because of a coma, it's really tricky enough.
They even had to take on the responsibility of detectives, going to the place where the patient had been in a day today to retrace and find the possible source of the poison.
When House was about to speak, Pete suddenly said:
"You're just an intern and dare to make a direct diagnosis?
Don't you know the significance of our consultation?
Shouldn't interns like you use honorifics when they see their seniors?
Let's just go and make a cup of coffee and listen to it.
The best way to meet such an acutely poisoned patient is, of course, to visit his house and see if there is anything in it that could be a source of poison.
In my experience, most of these neurological effects are caused by pesticides used in the vegetable fields at home.
After you're done making coffee, you're going to run errands and go to his house to investigate.
As for the tattered jeans you have in your hand, you might as well lose them.
How? Do you think someone would be stupid enough to soak their jeans in a pesticide bucket before putting them on? It's naΓ―ve. β
Pete glanced at the audience, trying to wait for applause.
I didn't know that the applause didn't wait, but waited for House's brows:
"Oh, good, it looks like there's a new talker here, so I think we can all get off work today.
Let this Dr. Pete do what he wants. β
Seeing that this House really took his satchel and was ready to leave work, Pete's face immediately changed.
He came here to make trouble, but he didn't really come to heal and save people.
If House really left, not only would he not be able to make Du Wei so angry that he would resign voluntarily, but he would even have to bear the responsibility for what happened in the end.
So Pete quickly changed his face and said:
"Ha, it's an exaggeration, I'm a newcomer, how can I be a speaker.
It's just my fault, it's that I haven't accepted my new identity well, and I'm a bit noisy.
I'm mistaken, Dr. House, and you'll be the one to preside over the consultation. β
House glanced at the smiling fellow, not knowing what was on his mind.
Soon he spoke:
"Well, since Pete has put forward your opinion, then according to our tradition, it is natural that whoever proposes it will confirm it.
I'll leave it to you to go to the patient's home to find the source of the poison.
Chase, go get the blood report.
Cameron, you go talk to his family and see if there's anything new.
Dewey, you go and test the jeans for chemical residues.
Okay, I've got it arranged, Pete, do you have any comments? β
At the end of the day, House looked at Pete, whose face looked like he had eaten a fly.
At this time, Pete was furious in his heart.
He's a doctor with a good reputation in neurology, and he's actually arranged to run errands on a hot day?
It's unbearable.
He kind of knows why Du Wei is annoying, in this broken hospital, Du Wei's top boss Dr. House is also a bastard!
He took a few deep breaths and told himself that his goal had not been achieved and that he had to calm down.
He barely managed to squeeze out a smile:
"No opinion, it should be like this, don't worry, with my rich experience, I can tell at a glance what kind of poisoning he is."
House nodded:
"That's okay, let's arrange it like this, I'll go to the outpatient clinic first, and I'll come back later to continue the consultation, okay, let's get busy."
Pete, who turned around, had a gloomy face, and he didn't expect this House to be such a person.
The diagnostic department here is completely different from the hospital he used to work in.
You must know that the hospital where he used to work was senior, and the guy who was not old enough had no right to speak at all.
He hadn't officially been on duty for a long time, and he asked a friend from the State Medical Council to parachute here this time, thinking that he would be able to handle Du Wei smoothly.
I didn't expect to run into such a bad talker as House.
But it's not a big deal, his friend is looking to buy a hospital for cancer clinical trials.
He just needs to get through this time.
At that time, it is not certain who will turn over and sing, thinking about these Pete's lips unconsciously put a smile on his lips.
Dare to mess with him? Then we're going to catch you all!
β¦β¦
Soon, by the time House returned to the examination room, everyone had returned with the results.
The first is Cameron, who talks to the patient's mother, who doesn't get much useful information, only that the mother is very strong.
Even in order to confirm whether her son was addicted to drugs, she secretly took her son's hair for testing.
And she has always had a distrustful attitude towards the doctor's treatment, and she has to get to the bottom of any operation.
This is undoubtedly the most difficult kind of patient family to deal with.
Then there was Chase, who got the blood test report.
He confirmed that the teenager was indeed poisoned by organophosphates, but the source of the poison was high phosphorus, malathion or more than 40 other organophosphates.
So the question is back to the beginning, about the identification of the source of the poison.
Then at this time, Pete, who was out in the field, stood up proudly and said:
"You don't seem to be getting any useful information.
Let me tell you what I've found.
I found a bucket of emptied insecticide in their yard warehouse, which was ethylenephosphine.
Now you just need to give him the corresponding hydrolase enzyme.
Look, my proposal works, right? β
Pete's eyes crossed over to Dewey and finally at House.
House didn't rush to make a diagnosis, but looked at Du Wei.
If he remembered correctly, Du Wei had taken the boy's jeans for a poison test.
Du Wei handed the report to House:
"What remains on the jeans is phosphorus, and I have reason to suspect that the poison entered the body through skin contact.
The patient should have symptoms of heart failure before other organs in subsequent presentations. β
As soon as Du Wei's words fell, Pete sneered:
"Didn't this guy wash his clothes before he put them on? Moreover, these phosphorus may be attached to the surface of the pants and have not entered the body.
As for the phosphorus, he used a whole can, and it is entirely possible that when he was spraying insecticide, he was suddenly attracted by the beautiful woman on the side of the road, so he inhaled it.
I don't think he's poisoned at the same time.
In fact, I think he's phosphosphine poisoning. β
House frowned thoughtfully.
This time there really wasn't anything wrong with what Pete said.
But what Dewey said is also possible.
After a moment's thought, House looked up:
"Since we can't be completely sure which is the source of the poison, let's treat it with hydrolase of acetate phosphorus first.
The patient's subsequent reaction will tell us which is exactly right.
Pete, let the family sign the consent form and get ready to start treatment. β
As for House's choice, Du Wei was not surprised.
When housed is confronted with a difficult problem, he usually takes the medicine first and then observes the patient's response to find the right approach.
This method is crude but effective.
At this time, when Pete passed by Du Wei with the medication consent form, he whispered:
"Boy, you're going to lose your job soon, understand?"
Finally, with a smile on his face, he walked towards the ward.
After he left, Chase leaned over and asked:
"If I'm not mistaken, this guy is the guy we met last night, right?"
Du Wei nodded.
Chase continues:
"I just inquired, and it was a neurologist parachuted in from the state medical board, and it was decided on an ad hoc basis.
Dean Cadi can only sell them a face.
But on this matter, I heard that House had already protested, and he said that he didn't need a fourth assistant.
I think he's going to leave soon, but you have to be careful, if he can catch up here, he'll have to do something off-the-field. β
Du Wei smiled:
"It's okay, isn't there a bodyguard you found for me? He can't hurt me. β
Suddenly, Cameron's voice interrupted the conversation between the two:
"Hey, what are you two muttering, go get the hydrolase and get ready for the medicine."
"Oh, here it is."
Soon everyone hung up the hydrolase corresponding to the phosphorus to the patient, and then there was a period of waiting and observation.
Pete looked at the crowd waiting outside the transparent ward, looking extremely confident:
"There's no need to wait here, let's go for lunch when it's time for lunch.
I can't go wrong, as evidenced by the used can of ethylphos in their yard. β
But as soon as Pete's words fell, the young man in the ward suddenly convulsed.
The mother, who had been accompanying her all the time, suddenly changed her face, and ran to the corridor in a panic and shouted:
"Nurse! Doctor! Come and help! Come and help! β
The faces of the crowd changed, and they immediately rushed in.
Chase immediately took over the first aid:
"Take 10 mg of diazepam (for epilepsy)...... He didn't respond, take another ten milligrams! β
Seeing the doctors' nervous rescue, the mother cried and complained:
"You're going to kill him! You're going to kill him! β