American drama life begins with Dr. House

Seeing the nun's appearance, House immediately took the stethoscope on one side and started auscultation.

After hearing the heart sounds, House quickly said:

"You are having an asthma attack, please relax."

Then House rolled up the nun's sleeves and turned to Duwei:

"Get me a 0.1 ml tube of epinephrine. I'm going to inject it into her to open her lungs and help her breathe."

With the infusion of adrenaline, the nun's asthma improved significantly.

Haosen's expression immediately relaxed and he said calmly:

"It could be an allergic reaction and I would switch it to a steroid to avoid it happening again.

Sister, are you feeling better?"

The latter sentence was addressed to Sister Augustine, who gasped and said:

"Much better, but now I feel a little uncomfortable in my heart. Is this normal?"

House nodded:

"Adrenaline will make your heart beat faster, and that's normal."

At this moment, Augustine's face became increasingly red.

Seeing this abnormality, Du Wei, who had been listening, suddenly put his finger on Augustine's wrist, and then said quickly to House with a solemn expression:

"Something's wrong, her heart is beating too fast."

House, who also felt something strange, changed his face after hearing Du Wei's words. He personally felt his pulse, and then quickly said to Du Wei:

"This heart is indeed beating too fast. Go get a defibrillator. We may need to perform cardiopulmonary resuscitation!"

Just when Duwei went to get the defibrillator, Sister Augustine had lost consciousness and collapsed on the bed when she came back.

House was performing emergency heart compressions on him, but it was obvious that this level of heart compressions could no longer save Sister Augustine.

Without waiting for House's instructions, Duwei had already charged the defibrillator.

Then House pulled the nun's shirt open and started resuscitating the girl with electric shock on her proud chest.

Du Wei, who was responsible for charging the defibrillator, was not attracted by the shaky thing. Instead, he keenly noticed that there was a skunk tattooed on the nun's left shoulder.

Soon, with the emergency help of a defibrillator, Augustine's heart was stimulated by the electric shock and began to beat vigorously again.

House wiped the sweat from his forehead and ordered Du Wei:

"Arrange her to be hospitalized and then come to the diagnostic department conference room for consultation."

Du Wei nodded and began to make arrangements for hospitalization.

When Du Wei returned to the diagnostic department conference room, the atmosphere in the conference room was a bit strange.

Furman was standing in front of House, confronting him. It looked like they had just had a fight over the diagnosis.

When Furman saw Du Wei walking in, he immediately sneered:

"I said, you shouldn't trust him.

In that drawer are 0.1 ml and 1 ml epinephrine injections.

This guy must have made a mistake and handed you a 1 ml epinephrine injection, which is why the patient suffered a cardiac arrest!

Du Wei has to take the main responsibility for this incident!"

Hearing that Furman seemed to want to put the blame on Duwei, House frowned:

"No, the nun must have a history of heart disease, so the injection of adrenaline will make it worse.

This has nothing to do with Du Wei."

Furman raised the medical records in his hand:

“But the medical records never mentioned that the nun had a history of heart disease!

Everyone makes mistakes, and newcomers are only more likely to make mistakes!

If you still want to appoint Du Wei, then I will definitely report it to the disciplinary committee!"

Looking at the aggressive Furman, Cameron was the first to say:

"Furman! Everything has happened, shouldn't we first think about how to treat Sister Augustine?

Now we are here arguing about this meaningless matter, which will only delay the time to treat Augustine.

I think the cause of Augustine's red and swollen hands may be a skin infection, similar to a cellulite infection, which can also cause tachycardia symptoms.

Moreover, she had no fever symptoms, and her complete blood count did not show infection, but her eosinophils and blood cell sedimentation were slightly increased.

I think it’s a systemic allergy symptom.”

Cameron's words successfully shifted the conversation from Duwei to the patient.

House did not intend to argue with Furman on whether Duwei had made any mistakes, and instead said:

"It's not allergies. Allergies don't cause cardiac arrest like this. It could be vascular inflammation, allergic granulomatous vasculitis.

Inflammatory reactions in blood vessels in the heart, lungs and skin lead to asthma, rashes and heart problems.

This explains all the symptoms, so it has nothing to do with the amount of adrenaline.

She was given a chest tomogram and given prednisone, 40 mg three times a day."

Furman shook his head and questioned House's diagnosis directly:

"She went to the doctor because of a rash, and now you diagnose her with allergic granulomatous vasculitis because of the symptoms caused by her being forced to inject an overdose of epinephrine?

I think you are trying to protect Du Wei's cover-up.

I don't understand, why are you willing to use a patient's life to protect an intern?

Even after five years of treatment, the survival rate for allergic granulomatous vasculitis is only 62%!

Are you really sure she has allergic granulomatous vasculitis?"

Just when House was about to speak, Duwei spoke first.

"I also don't think she has allergic granulomatous vasculitis."

Furman was surprised to hear that Du Wei actually agreed with his point of view.

I was talking about ruining Du Wei's career as a doctor.

This kid actually agrees with his point of view. What is he thinking in his head?

Just when Furman was surprised, Duwei continued:

"I noticed that she was not using the drinking water we provided when she was taking diphenhydramine.

Instead, they used their own tea. As far as I know, many teas have a refreshing effect.

They often achieve the refreshing effect because lung capacity increases, blood pressure rises, and the heart is stimulated.

When we use 0.1 mg of epinephrine with the same effect on the patient at this time, it will cause tachycardia and lead to cardiac arrest."

Bang bang bang.

applause.

House looked over with approval:

"A very good inference, you boy is indeed very careful in his observations.

If your inference is correct, then she will not have allergic granulomatous vasculitis, but what Cameron said is anaphylaxis.

So, Furman, did you hear clearly what Duwei said?"

From such a close distance, Furman naturally heard Du Wei's words clearly.

He finally understood why Du Wei agreed with him just now.

It turned out that Sister Augustine's cardiac arrest had nothing to do with the level of adrenaline.

But as long as adrenaline is used at that time, Augustine will inevitably suffer cardiac arrest!

But until I see the actual tea, all this is just an inference!

So Furman still said stubbornly:

"I heard you clearly, but I don't agree. There are several effects of tea.

How do you know that the tea they drink has a refreshing effect? ​​Maybe their tea is only used to nourish yin and reduce fire?"

Seeing Furman still mouthing off, even Chase couldn't stand it anymore.

He took the initiative and said:

"Then let me take a look. Whether the cardiac arrest was caused by excessive use of epinephrine is very important for subsequent diagnosis.

We need to rule this out first, just wait for me, I’ll come as soon as I can.”

(Thanks to lyp115. for your monthly ticket, thank you!)