[Emergency Mission: Emergency in a Sandstorm.]

Task content: Identify, diagnose, and properly place a critically ill patient.

Mission time: 24 hours.

Reward: Acting Skills Book × 10. 】

Well?

Luo Hao was stunned for a moment, looked at the system panel carefully, and found that he had not misread the content of the task.

"Well." Chen Yong asked with some concern, "If you're too tired, you can sleep, don't be in a hurry to leave." You're not afraid of death, I'm still afraid. ”

"No, I suddenly remembered that I hadn't gone to say hello to Dr. Sun, nor had I seen the postoperative patient."

"......" Chen Yong couldn't wait to smoke Luo Hao's big pocket.

He sighed, "Luo Hao, your obsessive-compulsive disorder is really getting worse and worse, if it doesn't work, go back to the mental hospital and have a look." ”

"A look at the postoperative patient should be considered serious and responsible, not obsessive-compulsive." Wang Jiani defended Luo Hao in a low voice.

Chen Yong shrugged his shoulders and glared back at Wang Jiani.

But the steering wheel was in Luo Hao's hands, he called up the navigation, found the county hospital, contacted Dr. Sun, and drove back.

Nangan County is not big, and it takes ten minutes to drive to the county hospital.

After taking a look at the postoperative patient, the patient's vital signs were stable and he was able to go home today.

"Dr. Sun, were you busy yesterday?" Luo Hao asked.

"It's okay, I haven't slept all night." Dr. Sun replied.

I don't know if I'm busy or not, I haven't slept all night anyway.

Luo Hao scratched his head a little, Dr. Sun was messy, maybe his bad luck in postoperative bleeding in 2 out of 5 surgeries was related to this kind of thinking logic.

"It's all a small injury, and it was cut by the glass when it first flew sand and rocks."

"That's good."

"Later, the county asked us to help accommodate the stranded tourists, and the halls and corridors were full. But everyone understands that it's just a matter of dealing with one night. Dr. Sun explained tiredly.

"It's hard, are there serious patients?" Luo Hao looked at the system panel and asked.

"Professor Luo, you really have a heart, and there is no serious trouble." Doctor Sun felt that Luo Hao was a little troubled, but he was still polite.

"Hehe, take me to see the emergency patients I received yesterday? If it's not heavy, I'll probably be in the emergency room. Luo Hao asked.

Chen Yong frowned on the side, what is Luo Hao doing, what do you want to do?

There's something wrong.

I flew to Nangan County to have an operation, and the operation went smoothly, and I could understand the fact that I took a look at the postoperative patients before leaving.

But he also had to think about the tourists who were injured in yesterday's sandstorm.

It's the brain...... Isn't it good to use in the sand?

Although Chen Yong was slanderous in his heart, he didn't say anything, and followed behind Luo Hao to see how much sand this thing had put into his head.

The county hospital was quite orderly, and Dr. Sun explained what they had done yesterday as he walked.

In the face of such natural disasters, hospitals and doctors can only do some basic security work, but Dr. Sun is still full of pride.

No one believes that tens of thousands of tourists are stranded in Nangan County, and this small county town with a population of more than 100,000 people has been carried down like a "miracle".

"Professor Luo, I'll tell you a joke." Dr. Sun first took Luo Hao and Chen Yong to the office and found white clothes for them to change into.

"What's wrong?"

"Yesterday, there were no materials to protect against the cold, so the hospital opened the warehouse and took out the protective clothing inside to protect tourists from the cold."

"When I saw it for the first time, it was like going back to those years, and I was so scared that I almost ran out of pee."

"Hahaha, I'm not afraid of your jokes, I really almost didn't pee."

Luo Hao laughed, "I have a buddy who was doing a project in the mountain city last year and encountered a mountain fire. Volunteers, if you want to go up the mountain, you have to work a little hard. ”

"Really? I read the news that the logistics support work on the mountain side of the mountain city is particularly good, and there is ice coke to drink on the mountain. ”

"Almost, riding an electric scooter up the mountain, you have to meet a lot of conditions to be a volunteer. What is less than 35 years old, in good health, etc. Luo Hao thought of Lao Cui, the corners of his mouth rose, and he glanced at the system panel.

"His patient went up the mountain, and the volunteers were being selected, and others said the same, Lao Cui's patient raised his hand - I, with terminal cancer, and a good life, must go up the mountain!"

"......," Dr. Sun was silent.

"......" Chen Yong also fell silent.

"Later, Lao Cui went up the mountain with his patients to become a volunteer, and when we met in the imperial capital, he also specially took out his volunteer certificate to show me."

Dr. Sun was speechless.

This Professor Luo's life is really colorful, and this kind of strange thing can be encountered by him.

But the patient with terminal cancer should also have a lot of enthusiasm.

Maybe he really wanted to die in the mountains and let himself live in the memories of more people.

As he spoke, Dr. Sun had already taken the two of them to the emergency ward.

Diagnosis is assisted by AI, and the diagnosis of patients with gauze on their heads is basically the same - head trauma or facial trauma.

There was a patient at the bottom who was sleeping and snoring like thunder.

Luo Hao didn't care at first, and followed Dr. Sun's footsteps to look at patients one after another.

It wasn't until they came to the patient who was asleep that the diagnostic assistance AI began to flash an alarm.

！！！

It's him!

Luo Hao glanced at the diagnosis, and adrenaline was immediately secreted in large quantities.

Acute renal failure, high fever of unknown cause.

Two diagnoses, each of which was fatal.

"What's the matter with him?" Luo Hao frowned, looked at the patient, and asked directly.

In his words, Luo Hao had lost his former gentleness, with an aggressive posture.

The style of a senior doctor erupted.

Dr. Sun was stunned.

"The patient was idle in the car and drank too much." The doctor in the emergency department smiled, "Diagnosing alcoholism, I was covered in alcohol after I came, and I washed my stomach twice, and there was nothing wrong." ”

"Take your temperature first."

"Body temperature?" The emergency physician was a little upset.

Luo Hao glanced at the nursing record sheet in his hand, and the patient's body temperature was 36.7 degrees Celsius.

However, for patients who are fine, the number on the care record sheet ...... The credibility is not high.

Especially last night, when there was a shortage of soldiers, it is very likely that the nurse filled it in early in the morning.

Compared with the nursing record, Luo Hao believes in the diagnosis given by the system.

Seeing that the emergency doctor was motionless, Luo Hao stepped forward and reached out to touch the patient's forehead.

Boiling hot.

Physically piping hot.

At least 40°C!

"The patient has a high fever and the diagnosis is wrong." Luo Hao said solemnly, "Take your temperature first, what about other tests?" ”

Dr. Sun didn't understand what Luo Hao was doing, and subconsciously stepped forward and touched the patient's forehead.

His face changed as if he had touched a soldering iron.

"Professor Luo asked you something!" Dr. Sun also became serious.

"I checked the blood and ions, and nothing happened." After speaking, the emergency doctor also reached out and touched the patient's forehead, turned around and ran faster than a rabbit, and went to get the temperature gun.

"Who are the patient's families?" Luo Hao asked.

A thin man stood up yawning, "What's wrong?" ”

"Who are you?"

"Traveler, let's go on a trip together, what's wrong with Lao Hei?"

"Tell me what happened yesterday." Luo Hao asked patiently.

The county hospital diagnosed - alcoholism, but the diagnosis of auxiliary AI was - acute renal failure, high fever of unknown cause.

Luo Hao estimated that it was related to drinking, but it was not like it, so he could only start with an interview.

The patient's travel friend obviously hadn't woken up yet, and he was angry with his stomach.

But when he touched the patient's head, the drowsiness disappeared, especially when the emergency doctor came back and took the patient's temperature at 41.2 degrees Celsius with a thermometer.

The patient's friend began to recall from meeting 3 days ago, and Luo Hao interrupted him and asked him to start yesterday.

He spoke on and off for 5 or 6 minutes before explaining the process.

It turned out that they were blocked on the highway, but a few old men traveled together, but they were not in a hurry, and when they saw that the convoy was not moving, they began to drink in the car, scolding this weather.

Then the "old black" drank too much and was full of nonsense. After getting off the highway, they sent Lao Hei to the county hospital for gastric lavage.

No matter how specific it is, the patient's friends can't tell.

If you judge based on this medical history, you can only conclude that there is nothing wrong with the diagnosis of alcoholism.

But Luo Hao knew that this was not the case.

Luo Hao looked at the system panel, looked at the diagnosis given on it, and hesitated.

"Where's your car?"

"Outside."

"Take me to see it." After Luo Hao finished speaking, he looked back at Dr. Sun, "Doctor Sun, you can help keep an eye on various laboratory tests, especially kidney function, and check them urgently and slowly!" By the way, prepare 120 ambulances and go to the provincial capital. ”

“？！” Dr. Sun knew that the situation was urgent and nodded.

When he came outside and opened the car door, Luo Hao saw a car full of garbage.

A few old men traveled together, and caught up with the hellish weather, eating and drinking in the car, and the smell was good.

"Luo Hao, what do you suspect?"

"I don't know." Luo Hao shook his head, his eyes were like electricity, and he swept around the car.

Finding the garbage bag, Luo Hao took out the bag and squatted on the ground to rummage through the garbage.

Chen Yong also squatted, but half a step away from the garbage bag.

"What I know is that you are looking for the cause, and I don't know how long I think you have been hungry, and you are already hungry." Chen Yong sneered, "What can be found here?" ”

Luo Hao didn't care about Chen Yong's ridicule, men are like this, if they can talk well, it proves that the relationship has not yet arrived.

"Chicken bones, do you want to take a bite?" Chen Yong asked.

"Don't make a fuss." Luo Hao put on a pair of plastic film gloves and began to rummage.

Wine bottles, chicken bones, large bone sticks, and all kinds of plastic deli bags.

It doesn't look like it's problematic.

"Luo Hao, do you judge that the patient has kidney failure?"

"Possibly."

"No, you lied to me!" Chen Yong looked at Luo Hao seriously, "I've been paying attention to you for a long time, you emphasized the kidney function test when you spoke, I guess you have your own judgment." Tell me, how do you judge it? ”

Luo Hao frowned and looked up at Chen Yong.

Are you too casual? How do you feel that Chen Yong is starting to doubt himself?

"Hey, what about you! Is this what you learned at Concord? What other secret weapons do you have in Concord? If you can't die if you say it, tell me quickly! ”

"Well, take this." Luo Hao rummaged through a small bottle in the garbage heap and put it aside.

"What is this? Antifreeze? Chen Yong was stunned, "Luo Hao, you shouldn't suspect that the patient drank antifreeze." ”

"That's it!" Luo Hao said firmly.

“？？？”

“？？？”

Not only Chen Yong, but even the patient's family members on the side were a little confused.

"It's relatively rare for us to drink too much antifreeze, but there are many similar cases of Lao Maozi."

"When I was in Donglian, I looked through the previous medical records, and there was a precedent for Lao Maozi's driver who had no money to buy alcohol, and drank antifreeze and led to kidney failure."

"!" Chen Yong scolded in a low voice.

"The medical records are in the medical record room, you can find out by looking through them yourself. Yesterday the temperature was below freezing, and antifreeze is usually prepared on the car for long-distance travel to avoid accidents. ”

As he spoke, Luo Hao glanced up at the patient's traveler friend.

"The science and engineering men who are away from home must be prepared foolproof. The main components of antifreeze are ethylene glycol and water, ethylene glycol is a colorless, odorless, sweet viscous liquid, soluble in water, low toxicity, adult 1 oral lethal dose of 1.4 ml/kg. ”

"Wait, glycol is alcohol?"

"The polylauric alcohol used for ovarian cysts, with the word alcohol, basically has alcohol. It can't be said to be ethanol either, but there are similar points. The antifreeze is said to be a little sweet, so I drank it. ”

"Those old Maozi have no money, and their truck drivers come to China to drink medical alcohol directly, and some drink antifreeze. As soon as I touched the patient's fever, I remembered about antifreeze. ”

Luo Hao said, stood up, and looked at Chen Yong condescendingly.

"It's a clinical experience, don't think about those useless things."

"......" Chen Yong was silent.

"Doctor, you can't die if you drink antifreeze." The patient's traveler friend was frightened enough and asked in a low voice.

"24~72 h after ethylene glycol ingestion, it can lead to kidney failure, which lasts for weeks or months."

“？？？”

"If you find it early, it shouldn't be a big problem." Luo Hao no longer explained professionally, but said to him concisely, "Go to the provincial capital, dialysis plus related treatment, and you should be able to be discharged from the hospital in about a month." ”

The patient's travel friend had a bitter face, as if he was constipated.

Luo Hao knew what he thought, but no one wanted this kind of to happen.

Asking him to help contact the patient's family, Luo Hao returned to the emergency room with the bottle of antifreeze.

"Professor Luo, what is this?" Dr. Sun was stunned when he saw the bottle of antifreeze.

"Antifreeze, I highly suspect that the patient drank the antifreeze when he was drinking."

“！！！”

"Gastric lavage is timely, it shouldn't be a big problem." Luo Hao briefly explained and comforted Dr. Sun, the emergency doctor at the county hospital.

"That'...... What's next? ”

"Wait for the laboratory examination, by the way, the 120 ambulance will be contacted."

"I'll go!" Dr. Sun hurriedly said.

Luo Hao sighed.

Doctors at the county hospital clearly didn't pay attention to the patient.

But then again, if I didn't have a diagnostic assistance AI system, I guess I wouldn't have paid attention to it.

I can't blame them, they didn't hang up.

After waiting for about 20 minutes, the emergency laboratory results were returned, consistent with the diagnosis of acute renal failure.

Sending the patient to the 120 ambulance, Luo Hao drove straight to the provincial capital.

Until the gate of the Provincial People's Hospital, the patient was pushed into the nephrology department, Luo Hao found the doctor in the nephrology department to explain the situation, and there was a crisp sound of "Ding Dong ~" in his ears.

The system task is complete.

[Emergency Mission: Emergency Task in Sandstorm has been completed.]

Task content: Identify, diagnose, and properly place a critically ill patient.

Mission time: 24 hours.

Reward: Acting Skills Book × 10. 】

This is a broken reward, Luo Hao thinks that it is dispensable, mainly in finding, diagnosing, and placing a patient.

Ethylene glycol is mainly metabolized in the liver by a variety of enzymes, and finally oxalic acid is generated.

Oxalic acid combines with calcium ions to form calcium oxalate, which adheres to the cell membrane of the renal proximal convoluted tubule and enters the cell through endocytosis, resulting in ATN.

Reports of renal biopsy in the late stages of ethylene glycol poisoning are rare.

If he had left Nangan County, most of the patients would have been treated as a "hangover" with fluids and other symptomatic treatments.

Later, if the patient is found to be out of urine, and then start from scratch, it is difficult to say whether it can be determined that ethylene glycol poisoning is not smooth, at least dialysis and symptomatic treatment will not be smooth.

There is a high probability that the patient's life will be in danger.

Luo Hao directly clicked on the skill book of acting skills and used it, and then he breathed a sigh of relief.

Contact Manager Yin, he has already booked a ticket for Luo Hao and the other three to return to the provincial capital in the afternoon.

Witnessing Luo Hao's rapid diagnosis process, Chen Yong's mood was not high, and he looked a little depressed.

After a casual meal, Luo Hao left the car in the parking lot of the airport and asked Manager Yin to help send it back.

……

……

A few hours later, Dr. Sun contacted the provincial capital and was surprised to learn about the patient's condition.

He was silent for a long time and dialed Pei Yingjie's phone.

"Teacher, Professor Luo is back." Dr. Sun "debriefed" the situation.

"You're very polite to Xiao Luo." Pei Yingjie is more concerned about this matter.

He was afraid that good intentions would do bad things.

"Teacher, Professor Luo's level ......"

"Level? An embolization operation for kidney cancer can still stump Xiao Luo. ”

"No, no, no, teacher, I mean Professor Luo's level is too high!" Dr. Sun recounted the cases of patients with acute kidney impairment caused by drinking antifreeze.

"At that time, I thought Professor Luo had too many things." Dr. Sun was a little ashamed, "But it turns out that if Professor Luo hadn't been so discerning and found a patient who had been misdiagnosed and mistreated, I am afraid that the patient would not have survived for a week." ”

Pei Yingjie was surprised inexplicably.

Luo Hao can really do anything, do anything, and be good at everything.

Drinking antifreeze caused acute kidney failure, the causes and consequences of this case, even after listening to Dr. Sun's explanation, Pei Yingjie didn't understand why.

Dr. Sun was still babbling that in the little more than a day of contact with Luo Hao, he did an operation, solved a headache medical dispute for himself, and finally fished out a misdiagnosed and mistreated patient.

Hanging up the phone, Pei Yingjie fell into deep thought.

I just wanted to "feed" Luo Hao some surgeries, but I didn't expect Luo Hao to do so many things.

And the most critical point is that Luo Hao did a good job in surgery, which he admits by himself, after all, youth and talent can determine the upper limit of surgery.

But Luo Hao's diagnosis is also top-notch, which is incredible.

From the analysis of the situation reported by his students, Pei Yingjie knew very well that if he was present, it would be absolutely impossible to judge that the patient was actually poisoned by ethylene glycol caused by drinking antifreeze.

Drink antifreeze, how big a bag in your head.

No one in their right mind would think so.

Pei Yingjie pondered for a long time, but he didn't understand what was going on.

Just call, contact Shen Zizai and Chen Yan, and everyone will get together in the name of Luo Hao.

Several people knew each other very well, and after sitting down, a few glasses of wine were eaten, and the atmosphere became warm.

Pei Yingjie spoke out his doubts.

"Lao Pei, you don't know this." Shen Zizai said with a smile, "I guess Xiao Luo has contact with Donglian City." ”

"Contact? How to get in touch? ”

"They were close to the customs city, and in the years after '91, I heard a lot of gossip."

"What gossip?"

"The old Maozi people are poor, and they are really robbed by the West from their hair to the tips of their toes. Let's put it this way, their driver delivered the goods, not only antifreeze, but even medical alcohol is a good thing. I really don't have any money, so I even drink vinegar. ”

"Vinegar?!" Pei Yingjie was surprised, "That thing doesn't have alcohol, you can drink vinegar as wine, what is the principle." ”

"Back then, a relative of mine was messing around with things and exchanging light industrial products, they said when they came back. In the past, I was full of complaints, but after seeing the miserable situation of Lao Maozi, I came back and asked if I didn't squeak. ”

Pei Yingjie didn't squeak either.

Drink antifreeze as wine, what a miserable way it will be.

"The provincial city is a little better, Donglian is estimated to have received a certain number of patients. It was the 90s of the last century, and if it were now, I guess they would be able to drink hand sanitizer in the supermarket. ”

"Is that so?"

"It should be." Shen Zizai had already preconceived and found reasons and excuses for Luo Hao.

"Xiao Luo really has a set of operations and diagnoses!" Chen Yan stroked his beard and praised.

For Luo Hao, Chen Yan has regarded this young doctor as his own nephew since the spring coil incident.

patting his chest and asking himself, Chen Yan felt that he was not capable of doing everything that Luo Hao did.

Surgery, won't Yuan Xiaoli do it?

Of course not.

But Luo Haoken took a big risk and contacted the manufacturer to stop the bleeding with a spring coil.

The doorways and risks in this are tears when they are spoken.

The topic was then pulled back to the last century.

"Grumbling? Why? Is there a big layoff? Chen Yan asked.

"At that time, the mountains were closed for afforestation, and several forestry cities on the other side of the border were miserable, and there were many complaints at that time. Later, when I saw the miserable appearance of Lao Maozi, no one squeaked. Shen Zizi gossiped, "Just take your time, the country is a country, and only a country can have a home." ”

"Old Shen, I didn't let you teach us a lesson." Chen Yong knocked on the table.

"Small talk, it's all said by my family's relatives who do business." Shen Zizai said with a smile, "Let's just say that drinking antifreeze can drink clinical experience, it's definitely not an exception, can you think of it?" ”

Chen Yan was silent.

"Back then, ......," Shen Zizi continued to gossip about his relatives.

Suddenly, Pei Yingjie's mobile phone rang.

He glanced at the caller prompt and got up to go out.

But there were too many people in the hall, Pei Yingjie turned around and came back and made a gesture of silence.

Shen Zizai and Chen Yan looked at each other and were silent at the same time.

"Hello, Mr. Wang." Pei Yingjie said respectfully and politely.

"Yes, yes, Professor Xiao Luo is in our hospital."

"Man...... What are you? ”

"The selection of excellent youth! Mr. Wang, let me tell you, Professor Xiao Luo is a rare talent! It's true, I'm talking from the bottom of my heart. ”

(End of chapter)