I can see the status bar

Chapter 833 Knowledge Difference
Hu Chunbo is very clear that his thesis is probably settled this time.But what he didn't expect was that this paper was not easy to come by - if you want to publish a paper, you must first find out what medicine the patient took.

And Hu Chunbo himself...has not done a thorough research on toxicology.

In comparison, emergency physicians are the first choice for dealing with poisoned patients.After receiving patients with chronic poisoning, many hospitals often seek advice and consultation from the emergency department.

However, there is no good way in the emergency department now.Hu Chunbo quickly thought of a second idea - to take samples and send them to the college's forensic identification center for examination.

If anyone in this world knows more about toxics than an emergency department doctor, it's a forensic doctor.

"Okay, let's send the samples first." Sun Lien agreed to Hu Chunbo's suggestion very happily.Anyway, Liu Tangchun had already spoken—Han Xiao was considered a patient in the Comprehensive Diagnostic Center.Then, as her doctor in charge, Sun Li'en can be much more flexible in the inspections.After all, in most cases, the main reason for the family members of the patients to refuse the examination is economic factors.With such strong support from Takeda Pharmaceuticals, there is almost no financial burden on the patient side.The chances of them refusing to check are slim to none.

Of course, this doesn't mean that Sun Li'en can give every patient a full set of checkups unscrupulously. After all, many of these items are traumatic or even dangerous.Doctors must obtain consent from patients and families -- a legal requirement -- before performing these tests on non-emergency patients.

Blood drawing is very traumatic to the patient, and it can basically be regarded as an inspection item between "non-invasive inspection" and "invasive inspection".Thinking of this, Sun Lien slapped his thigh, "Let's do another MRI of the head."

Projects that cannot be done in the emergency department because the family members did not show up and no one pays the bills are not considered a problem in the comprehensive diagnosis center.Anyway, the Comprehensive Diagnostic Center never planned to ask patients to collect money from the very beginning.

But this kind of thing must not be publicized casually.It’s okay to occasionally do this in the hospital for emergency treatment. If everyone knows that there is no cost for medical examinations in the comprehensive diagnosis center... I am afraid that the fourth hospital will be overwhelmed alive by patients and their family members pouring in from all directions the next day. .

Although there is medical insurance, not all patients can afford the cost of treatment.But the ability of the four hospitals is limited, and Takeda's ability to pay is also limited.Treating the comprehensive diagnosis center as a charity hospital, the final result can only be that the diagnosis center is completely paralyzed, and Takeda refuses to pay for diagnosis and treatment.This will not bring any benefit to patients, but will ruin the chance of a considerable number of patients getting a correct diagnosis.

Being a doctor not only requires the benevolence of the doctors to help the world, but sometimes they also have to harden their hearts.

·
·
·
Liu Tangchun's words are still very useful. Of course, this may also be because the emergency room really does not plan to take this patient - they don't even know what pesticide they are eating, so it is really difficult to continue treatment.

Han Xiao, who was lying on the hospital bed, was sent to the comprehensive diagnosis center by the nurses, and directly advanced to the imaging department of the comprehensive diagnosis center.The on-duty doctor stationed in the Imaging Department and the Diagnostic Center immediately regained his spirits. Together with other nurses, he sent the patient to the CT examination table and started the pre-examination first.

Because the patient's consciousness is not clear, and the Fourth Hospital does not have a detailed medical history of the patient.Therefore, the possibility of metallic foreign bodies in the patient's body cannot be ruled out.In this case, it is very natural to do a CT scan first for basic inspection.

The CT examination ended a few minutes later. The doctor in the imaging department frowned at the patient's intracranial results. He said to Sun Li'en beside him, "This patient has cerebral edema."

"The location is mainly concentrated near the cerebellum and corpus callosum, showing symmetrical high signal in the cortex and subcortical white matter..." The doctor in the imaging department frowned and said, "This lesion...is definitely not a primary intracranial disease, it feels like poisoning .”

"The patient did say that. She said that she drank the pesticide, but it was only four days ago." Sun Lien nodded, "Have you seen this kind of lesion before?"

The doctor in the imaging department shook his head, "I haven't seen it before, let me ask our director, he may have an impression."

Sun Lien asked the doctor in the imaging department to send a digital version of the results of the imaging examination to his mailbox, and then asked Hu Chunbo beside him, "What do you think?"

"It will take more than ten hours at the fastest to get the results of the poison screening—after all, the normal task of the forensic identification center is very heavy." Hu Chunbo frowned and said after thinking for a while, "At present, symptomatic treatment is safer. The damage caused by poisoning generally does not concentrate on the nervous system alone, and the liver and kidney functions must also be paid attention to."

"Then add, a systematic examination is more sure." Sun Li'en nodded. After all, Hu Chunbo is a senior doctor, and the treatment plan is very meticulous.Anyway, with Sun Lien's ability, he couldn't pick anything wrong.

"One more thing..." Perhaps because of Sun Li'en's affirmation, Hu Chunbo seemed a lot bolder, "It's winter now, why would pesticides be stored in the family? I think at least what she took was not herbicides, and more Possibly an insecticide or rodenticide."

This is a diagnostic idea that Sun Lien has never thought about. Of course, this is also related to Sun Lien's lack of farming experience.He suddenly became interested, "You continue."

"The patient will choose to come to the Fourth Hospital for treatment, but the Fourth Hospital has not found her medical records from the network system, that is to say, she should have taken the medicine in a nearby province." Hu Chunbo continued to speculate, "The nearest province to us It's Zhonghe Province, if it's farming...there is a major grain-producing province around us."

Leaving aside the major grain-producing provinces, Sun Lien has a very clear understanding of Zhonghe Province, "Are there a lot of rats over there?"

"That's right." Hu Chunbo nodded, "And the control over the plague over there is not too weak, after all, it is a natural plague area of ​​the plague."

As a province with a large production volume, Zhonghe Province has a large number of house mice and voles.Coupled with the plague, and the threat of rats to food crops... If there are "pesticides" in the homes of local residents, the possibility of rat poison is indeed very high.

"And the patient said he used 'drinking pesticides', right?" Hu Chunbo said more and more confidently, "The insecticides that are usually kept in the family are basically spray-type, and many insecticides are now granules or Effervescent tablets—Pesticides sold and stored as raw liquid are basically provided to farmers. Zhonghe Province is farther north than us, and the temperature is of course lower—the storage of liquid pesticides requires relatively high temperature, and low temperature will lead to deterioration of the drug."

"So... it's more likely to be rodenticide?" Sun Lien took out his notebook and recorded it, and then asked, "The current rodenticides... are basically anticoagulants, right?" Sun Lien specifically raised this question After all, what Han Xiao was showing was symptoms of the central nervous system, which didn't seem to match the effects of anticoagulant drugs.

"Raticides may cause serious damage to the human body, so with the improvement of relevant laws and regulations, the anticoagulant bromadiolone is basically the main rodenticide on the market." Hu Chunbo shook his head, "But this The regulations are mainly for the application of drugs in cities, and the drugs used in farmland are generally acute drugs, such as ganflu or botulinum toxin.”

(End of this chapter)