American drama life begins with Dr. House
Chapter 22 Take gout medicine for a simple cough? Suffering death!
Facing Furman's trouble-making, Du Wei dealt with it quite calmly:
"If you suspect that I am late and leave early, I suggest you go get my attendance check."
Furman snorted again, stopped talking and walked past Duwei into the conference room.
Cameron tugged on Duwei's sleeve and whispered:
"He was scolded by House yesterday for a surgical error. He is very angry. There is no need to talk to him."
Du Wei smiled and told Cameron that it didn't matter.
Then he walked into the conference room.
Furman's attitude was only a minor issue; the patient's condition was what he needed to pay most attention to.
House, who entered the conference room first, had already pulled out a whiteboard and was writing something quickly on it with a marker.
Du Wei took a look and saw that what was written on it was exactly the symptoms of the patient who was sent to the emergency room.
"Cough, abdominal pain, rash, nausea, fever, kidney failure, hypotension."
After finishing writing, House turned around and asked everyone sitting in rows in the conference room:
"What do you think of this?"
Cameron glanced at the frowning people and spoke first:
"Could it be allergies? Allergies can explain the symptoms of abdominal pain, rash, nausea, and fever."
After Cameron took the lead in speaking, Chase followed closely and expressed his views:
"Yersinia infection?"
His statement was immediately countered by Furman:
"No, that could cause a cough or rash.
I think it may be arthritis complicated by nerve damage caused by vasculitis."
Furman's words were opposed by Cameron.
"No, it's not causing blood pressure problems. Maybe parasites?
Diseases caused by parasites will also have more than four of the above symptoms.”
Seeing Cameron refuting himself, Furman also refuted Cameron's views.
"No, it's impossible..."
"stop!"
Before Furman could finish speaking, he was interrupted by Howson, who threw a thick book in front of Furman with an impatient expression and opened it:
"Furman, if you want to list all the diseases that don't fit, I suggest you sort them in alphabetical order."
Furman took a deep breath and suppressed his dissatisfaction with House.
Then he closed the open book in front of him and looked at Du Wei who said nothing:
"Since you think our diagnoses are all wrong, why don't you ask that intern Du Wei who you value so highly?"
Listening to Furman's sour words, Cameron couldn't help but said:
"Furman, he is just an intern, you don't need to keep targeting him, right?"
"Huh, intern? Interns can just eat here?
Since you are here for an internship, you should contribute something. Just listening without doing will not increase your internship experience."
Chase, who was standing by, heard the hidden meaning in Furman's words. He just wanted Duwei to make a diagnosis and then be scolded by House.
"Okay, okay, don't embarrass him. It's hard for us to think of a disease that contains these seven characteristics at the same time, and he can't think of it either."
"Really? How do you know he can't figure it out if he doesn't tell you? Chase, you can't be the tapeworm in his heart, right?"
Chase shook his head when he heard Furman's sarcasm and stopped talking.
Now Furman is like a mad dog, biting anyone he catches.
Du Wei, who was looked at by Furman with a sinister look, said slowly:
"Speaking of which, I really know what kind of phenomenon would cause this to happen."
As soon as these words came out, even House looked at Duwei.
The meaning of the existence of the diagnostic department is to brainstorm and eliminate impossible options one by one through everyone's suggestions, so as to find the correct disease.
That's why House asked everyone to express their opinions to see if they could draw parallels and find out what the correct disease was.
But until just now, he had not thought of any related symptoms.
Du Wei said he knew? This is outrageous!
Although House often says unreliable things, he is actually extremely confident.
It was difficult for him to judge the truth, and Du Wei didn't have the ability to judge it either!
So he squinted his eyes and asked:
"you know?"
"I know that among the seven symptoms, cough should be looked at separately.
The other six symptoms are all related to one thing, colchicine!"
After hearing the words colchicine, Furman immediately laughed out loud and interrupted Du Wei's words.
"Come on, kid, the drug with the most colchicine is for gout!
Are there uric acid crystals in his joints?
Does he have any pain, swelling, redness, or stiffness in his limbs?
Why can’t I see any of them? If you want to make something up, you have to make it more reliable..."
Furman's voice became lower and lower because he saw that House actually showed a look of thinking.
This means that Du Wei is really not talking nonsense, and there is really a possibility of colchicine's influence!
Seeing that Furman stopped speaking, Du Wei continued along the same train of thought:
"Yes, the patient does not have gout, but he may have taken gout medicine by mistake.
A cough was his first symptom, which most likely led him to see a doctor.
Later, it may be that the pharmacist at the pharmacy gave you the wrong medicine, or there may be something wrong with the medicine prescribed by the doctor.
Anyway, the probability of both errors is about the same.
In the end, his cough was not cured. Instead, he mistakenly took colchicine, which hindered mitosis and stopped cell division.
This causes the cells in the human body to continue to die and not be replaced, causing various symptoms.
Including but not limited to abdominal pain, rash, nausea, fever, kidney failure, and hypotension.
Are you familiar? It’s the six symptoms that appear on the whiteboard.
Next, bone marrow problems should appear, then neuropathy, tingling in fingers and toes, hair loss, and finally death.
All we have to do is give him the fab fragment (antigen-binding fragment on immunoglobulin, used to neutralize colchicine) and give him a few tablets of Tylenol (antipyretic and analgesic) to save his life.
"
After listening to Du Wei's analysis and diagnosis, the conference room fell into silence.
Everyone here is studying medicine, and they all understand that what Du Wei said is indeed very reasonable.
As for the method to verify whether what Du Wei said is right or wrong, it is also very simple. Just bring the cough medicine he took to the patient for testing.
So after a brief surprise, House suppressed the shock in his heart and ordered:
"Then Du Wei, the task of asking the patient for the cough medicine will be left to you."
Du Wei nodded and left the conference room.
After Du Wei left, Chase opened his mouth and praised:
"You know what? He's such a genius!
It’s like having a supercomputer in your head, retrieving the correct options quickly.”
Cameron chuckled:
"This intern is really outstanding, the best intern I have ever seen."
"Ha, he is also the most handsome one."
Chase joked.
Cameron rolled his eyes at Chase and said nothing.
Only Furman kept his face gloomy and didn't know what he was thinking.
House knocked on the table:
“Everyone, please reserve your opinions until you see a sample of the cough medicine.
Even a diagnosis that is closer to the truth needs to be supported by empirical evidence."
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