American drama life begins with Dr. House
Chapter 59 Organophosphate Poisoning and the Airborne Doctor (5000 words)
But just because Du Wei didn't notice things doesn't mean that the machine couldn't notice them.
A machine that is nearly omniscient in this area will naturally notice all dangerous people.
Especially dangerous to those associated with it.
So after Du Wei's phone vibrated for a while, a few words appeared:
"You are being followed, be careful."
There was a conflict last night, and now I am being followed. I can use my toes to figure out who did it.
After all, there were a total of 25 patients last night, and Du Wei took nearly half of them.
The other doctors divided the remaining half.
Peter, who asked Du Wei to give up the opportunity, must have been so angry that his liver ached when he heard the news.
However, with the help of the machine, Du Wei is not too 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 colleagues.
Now these bad doctors who come to his door are exactly his targets.
When Du Wei entered the hospital.
Chase, who had been waiting for Duwei for a long time, suddenly came over and said with a smile:
"Hey, I hired two personal bodyguards for you. Take a look. I believe you will like it."
Du Wei was stunned for a moment, then subconsciously looked in the direction of Chase's finger.
At the end of Chase's finger, he saw a beautiful woman in plain clothes with a hot body sitting on a leather chair outside the clinic and nodded to Duwei.
Then there was a male bodyguard who was pretending to tie his shoes, wearing a suit and leather shoes, and wearing sunglasses in the clinic queue, and he also raised his head and nodded to Du Wei.
Then one of the two people held their mobile phones and kept looking at it, and the other took out a makeup mirror and pretended to touch up makeup.
At least in terms of disguise, it was completely impossible to tell that these two were professional bodyguards.
Du Wei saw how familiar the male bodyguard looked, and he said to Chase with some surprise:
"This...is the personal bodyguard you found for me?"
Chase nodded naturally. As for the surprise on Du Wei's face, he probably regarded it as a surprise.
"Yes, 3a security company, a world-class security company.
The male bodyguard is Michael Bryce and the female bodyguard is Sonia Chinkaid. They are both the 3A-level ace bodyguards of their company.
With them here, you can rest assured that no one will dare to cause trouble for you."
Du Wei chuckled, his face full of helplessness.
3a security company? Michael Bryce (Ace Bodyguard)?
Of course Duwei recognizes this guy with the face of Ryan Leroy.
It's just that Du Wei remembered that this guy's talk was as annoying as Deadpool, and his employer didn't seem to be very lucky.
But now that he's here, Du Wei can't refuse Chase's kindness.
At least these two people have no problem with their skills.
Maybe I can give Michael another job after he loses his job.
After all, apart from some bad words, there is nothing wrong with this guy's character.
After accepting this fact, the two bodyguards who would find the crowd and blend in seamlessly did not have much impact on Du Wei's normal life.
Du Wei went to the emergency room for a walk as usual.
The emergency room is the place where dying people are most likely to appear, and it is also the place where Du Wei is most likely to gain longevity.
Chase on the side also followed Du Wei to the emergency room:
"I asked you why you always arrive at the diagnostic department at almost ten o'clock. It turns out that this is where you come first every morning.
You are too conscientious."
Du Wei chuckled and pointed at the white coat he was wearing:
"Of course, I have to be worthy of the clothes I'm wearing. Saving lives and healing the wounded is what I should do.
People in emergency situations need help the most, so I should be here."
After hearing this noble speech, Chase looked at Du Wei with something different in his eyes.
He never expected that an intern doctor could have such a high level of awareness.
Compared to Du Wei, he does not seem to work hard enough, so that he seems to be a little transparent most of the time.
While Chase was thinking, the emergency room suddenly became busy.
A teenager who was in a coma was rushed to the emergency room by ambulance.
"Sudden coma, severe bradycardia, I need 1 ml of atropine, quick!"
…
"Atropine has no effect. His heartbeat is still falling. Get a pacemaker!"
…
"Conduct blood tests and toxicology tests on him, and let the doctors from the diagnostic department take over here!"
"I'm Chase, let me take a look."
The two people who were watching the emergency doctor did not intervene in first aid at first. It was not until conventional treatment was ineffective that Chase stepped forward and revealed his identity.
After testing the reaction of the boy's hand and observing the dilation of the boy's pupils, Chase frowned and said to Du Wei beside him:
"What do you think?"
Before Du Wei could say anything, the boy on the bed suddenly began to tremble. It was epilepsy!
Chase didn't care to wait for Du Wei's answer, and immediately yelled at the nurse beside him:
"Inject 10 mg of diazepam immediately! Du Wei, help me hold him!"
As the diazepam flowed into his veins, the boy immediately calmed down and fell into coma again.
Seeing this, Du Wei wiped the sweat from his forehead:
"Looking at the best, at least we can rule out the possibility of food poisoning, which does not have such symptoms.
And it can also rule out the possibility of being high. If he was high, he would not have epilepsy at this time."
Chase smiled bitterly, Du Wei was indeed right, but in this case, the cause of the disease would be more difficult to determine.
He hoped that the high school student secretly consumed marijuana and fell into a coma due to ignorance.
In that case, he only needs to prescribe some fast-acting naloxone (morphine receptor antagonist).
Now there may be more to consider.
It may be pesticide poisoning, carbamate poisoning, or some organophosphorus or organochlorine poisoning (three-component pesticide poisoning).
Chase glanced at his heartbeat, which was stably above 50, and released his hand to fix the boy's hand:
"Report this to House. You still need his approval for the specific use of the medicine."
Du Wei nodded and then said:
"If it is contact poisoning, I suggest that the nurse give him a bath first.
We can take the clothes to the laboratory for analysis.
This determines what you should be able to do.”
Chase glanced at Du Wei in surprise. When he said something, Du Wei's mind 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 is just a matter of staying away from the source of the poison, while the latter requires washing away the residual poison, because the source of the poison is on the body, and if it is not removed, it will continue to harm the human body.
Therefore, even if you have not determined which type of poisoning it is, it is definitely the right option to isolate the source of the poison first.
Chase followed his instructions and arranged for a 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 met a new person, a new person they had met once before.
When House saw the two people arriving, he first introduced the newcomer:
"Oh, everyone is here, let me introduce you.
This is the new doctor who was forced to come over after Dean Cady heard that Furman had left. Peter is an outstanding neurologist from New York State.
He will provide us with great advice during this consultation."
Hearing House's teasing, Dr. Pitt, who came here specifically to trouble Duwei, forced a smile on his face and stretched out his hand to Duwei:
"Nice to meet you. We will be colleagues from now on. What do you call me?"
Duwei ignored Pete's hand and turned to House and said:
"A patient came to the emergency department who did not respond to atropine. After Chase and I's preliminary judgment, he should have been poisoned.
But based on the patient’s subsequent epileptic reactions, we ruled out food poisoning and being high.
As for the source of the poison, we don't have a unified opinion yet.
So now I am going to eliminate possible problems starting from the contact source of poison."
House nodded, approving Duwei and Chase's judgment.
However, if the source of the poison cannot be determined and the patient is unable to explain due to coma, then it will be really difficult.
They even had to assume the responsibility of detectives and go back to the places where the patient had been during the day to find the possible source of the poison.
When House was about to talk and make arrangements, Peter suddenly said:
"You are just an intern and you dare to make a diagnosis directly without any shame?
Don’t you know the significance of our consultation?
Shouldn't intern doctors like you use honorifics when they see their seniors?
Just go and make a cup of coffee and listen.
When encountering a patient with acute poisoning, the best way is to go to his home and see if there is anything inside that could be a source of poison.
According to my experience, this nerve-affecting thing is mostly caused by the pesticides used in the vegetable fields at home.
After you, the intern, make coffee, run errands and go to his house to investigate.
As for the tattered jeans you have on your hands, just throw them away.
What? Do you think someone would be stupid enough to soak jeans in a barrel of pesticide before wearing them? How naive.”
After finishing speaking, Peter glanced at the audience, trying to wait for applause.
Unexpectedly, the applause did not come, but it did. House frowned:
"Oh, very good, it seems that there is a new speaker here, so I think we can all get off work today.
Let Dr. Peter follow his own opinions."
Seeing that House was really getting ready to get off work after picking up his satchel, Pete's expression immediately changed.
He came here to cause trouble, not really to cure illnesses and save lives.
If House really left, not only would he not be able to make Du Wei feel so frustrated that he would resign, he would also have to bear the responsibility for what happened in the end.
So Peter quickly changed his expression and said:
"Ha, that's an exaggeration. I'm just a newcomer, so how can I be a talker?
It was my fault just now. It was because I had not fully accepted my new identity, and I was a little preoccupied with it.
I admit my mistake, Dr. House, you should be the one to preside over the consultation."
House glanced at the smiling guy, wondering what he was thinking.
Soon he spoke:
"Okay, since you have raised an opinion, Peter, then according to our tradition, whoever proposes it will naturally 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 test report.
Cameron, go talk to his family and see if there is any new breakthrough.
Duwei, go check the chemical residue on the jeans.
Okay, I’ve made the arrangements, Peter, do you have any opinions?”
At the end of the sentence, House looked at Pete who looked as if he had eaten a fly.
At this time, Peter was furious.
A doctor with a good reputation in the field of neurology was actually arranged to run errands on a hot day?
It's really unbearable.
He finally knew why Du Wei was annoying. In this shabby hospital, Du Wei's immediate boss, Dr. House, was also a bastard!
He took a few deep breaths and told himself that he had not achieved his goal yet and needed to calm down.
He forced a smile:
"No objection, that's how it should be. Don't worry, with my rich experience, I can tell at a glance what kind of poison he is."
House nodded:
"Okay, let's arrange it like this. I'll go to the outpatient clinic first and come back later to continue the consultation. Okay, let's go get busy."
Peter turned around with a gloomy expression on his face. He did not expect that House would be such a person.
The diagnostic department here is completely different from the hospital he was in before.
You must know that the hospital where he was originally worked was based on seniority, and guys who were not old enough to work had no say at all.
Having not officially worked for a long time, he asked his friends from the state medical committee to parachute here, thinking that he would be able to handle Du Wei smoothly.
I didn't expect to meet such a tough guy like House.
But the problem is not big. His friend is interested in acquiring a hospital to conduct cancer clinical trials.
He just needs to get through this period.
It's not certain who will take over and sing the song. Thinking about these, Pete's lips unconsciously had a smile.
Dare to offend him? Then I will catch you all!
…
Soon, when House returned to the diagnosis room again, everyone came back with the results.
First, Cameron talked to the patient's mother. She didn't get much useful information. She only knew that the mother was very strong.
She even secretly took her son's hair for testing in order to confirm whether he was addicted to drugs.
Moreover, she always had a distrustful attitude towards doctors' treatment and always wanted to inquire about the root cause of any operation.
This is undoubtedly the most difficult type of patient family to deal with.
Then it was Chase who got the blood test report.
He confirmed that the boy was indeed suffering from organophosphorus poisoning, but the source of the poison was paraphenid, malathion or more than 40 other organophosphorus.
So the question has returned to its original point, regarding the identification of the source of the poison.
Then at this moment, Peter, who was out in the field, proudly stood up and said:
"It seems like you didn't get very useful information.
Why don't I tell you what I discovered.
I found an empty barrel of pesticide in their yard warehouse, it was acetate.
Now you just need to use the corresponding hydrolase for him.
See, my proposal is very effective, right?"
Pete's eyes flashed across Duwei, and finally looked at House.
House did not rush to make a diagnosis, but looked at Duwei.
If he remembered correctly, Du Wei took the boy's jeans to test for toxic residues.
Duwei handed the report in his hand to House:
"The residue on the jeans is methionine, and I have reason to suspect that the poison entered the body through skin contact.
Patients should have symptoms of heart failure before other organs in subsequent manifestations."
As soon as Du Wei finished speaking, Peter said sarcastically:
"Didn't this guy wash his clothes before putting them on? Besides, the phosphorus may have adhered to the surface of his pants and not entered his body.
As for acetylphosphonate, he had used a whole can. It was entirely possible that when he was spraying insecticide, he was suddenly attracted by the beautiful woman on the roadside and inhaled it by mistake.
I don't think he was poisoned by two kinds of poison at the same time.
As a matter of fact, I think he had acetate poisoning."
House frowned in thought.
This time there was indeed nothing wrong with what Pete said.
But what Du Wei said is also possible.
After thinking for a moment, House raised his head:
“Since we can’t completely determine which one is the source of the poison, let’s treat it with acetate hydrolase first.
The patient's subsequent reaction will tell us which one is right.
Peter, let the family members sign the consent form and prepare to start treatment."
Duwei was not surprised by House's choice.
When House encounters a difficult decision, he usually takes medication first and then observes the patient's reaction to find the right method.
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 be unemployed soon, do you understand?"
Finally, he walked towards the ward with a smile on his face.
After he left, Chase leaned over and asked:
"If I remember correctly, this guy is the one we met last night, right?"
Du Wei nodded.
Chase continued:
"I just made inquiries. It was the neurologist who was parachuted in from the state medical committee and made a temporary decision.
Dean Cady can only give them face.
But regarding this matter, I heard that House had already protested and said he didn't need a fourth assistant.
I think he will leave soon, but you have to be careful, since he can chase him here, he will resort to any off-site means if he can't keep it safe."
Du Wei smiled:
"It's okay, isn't there a bodyguard you found for me? He can't hurt me yet."
Suddenly, Cameron's voice interrupted the conversation between the two:
"Hey, what are you two muttering about? Go get the hydrolase and prepare the medicine."
"Oh, it's coming."
Soon everyone hooked up the hydrolase corresponding to acetate to the patient, and then there was a period of waiting and observation.
Peter glanced at the people waiting outside the transparent ward and looked extremely confident:
"There's no need to wait here, go have lunch when it's time.
I can’t go wrong, and the empty can of acetate in their yard is the best proof.”
But as soon as Peter finished speaking, the boy in the ward suddenly started twitching.
The expression of my mother, who had been accompanying her all the time, suddenly changed, and she ran into the corridor in a panic and shouted:
"Nurse! Doctor! Come and help! Come and help!"
Everyone's expressions changed and they immediately rushed in.
Chase immediately took over first aid:
"Take ten milligrams of diazepam (to treat epilepsy)... If he doesn't respond, give him another ten milligrams!"
Seeing the doctors nervously rescuing people, my mother cried and complained:
"You will kill him! You will kill him!"
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