Doctor: It's reasonable to perform surgery on yourself.

"We will try our best." Xu Qiu's voice was calm but calm.

Although this is a cliché that any doctor would say, coming from his mouth was inexplicably reassuring.

"Doctor, I'm causing trouble for you." Wei Ding's father said.

This is a silent man with thick shoulders. The clothes on his body are old but clean, but there are patches of faded marks on his shoulders.

"This is what we should do - has the patient taken any medicine?" Xu Qiu took the lead again.

If you keep thanking me like this, there will be no need to discuss your illness.

"No, baby, he is still young and not sensible, but he will definitely not take medicine randomly." Mother Wei said decisively.

Xu Qiu nodded slightly.

The credibility of this statement is questionable.

On the contrary, it can be heard that Wei Ding's parents basically know nothing about the patient's condition.

This is normal. In Wei Ding's eyes, his parents are rural people with low status and at the bottom of society.

But this person who claims to be talented, has completed self-awakening, and despises his peers around him, is just using the material conditions that his rural parents have worked hard to enjoy everything that his parents did not dare to enjoy, and experience things that his parents have never seen. The prosperity of the big city...

In the end, he disliked them for being mediocre and clumsy.

How could such a person share his life with his parents who he regarded as "lower class"?

"I understand. You don't need to worry too much about other things. The patient's condition has stabilized. After the cause is found out, further treatment will be carried out." Xu Qiu said.

…

After the rescue was completed, it was already past eleven o'clock in the night.

Xu Qiu called Uncle Wei and asked him to go back first. He planned to sleep in the hospital tonight.

He is different from Wang Fan.

Wang Fan was tired and sleepy, so he could only sleep in a crowded lounge with people coming and going from time to time.

But Xu Qiu’s office has a small bed with all the items on it. The mattress is even made by Simmons, which is simply a luxury...

"Idol!"

After a while, Yang Yuen yawned and knocked on the office door. She was very surprised.

Unexpectedly, just after an emergency operation, I heard that Xu Qiu was called back to save the scene.

"Idol, what's going on with this patient? Can I take a look?"

Xu Qiu nodded, moved a little away, and read the paper inspection report beside him.

Yang Yuen leaned in front of the computer and looked at the medical records on the computer in front of Xu Qiu.

"Can these indicators appear in one person at the same time?"

Yang Yuen was shocked.

Then he asked: "Has all this been saved?"

Xu Qiu didn't even look up, "Yeah."

"What an amazing idol! If I encountered this kind of patient, I would definitely be helpless. There are so many critical indicators and I don't know which one to save first. I have no clue at all!"

Yang Yuen chirped.

There was suddenly a hint of life in the quiet office.

Xu Qiu quite enjoyed this scene.

"Hey, idol, look at it. There are signs of platelet aggregation under the patient's microscope. Are you sure you don't want the laboratory department to retest it?" Yang Yuen bumped Xu Qiu's office chair with her butt.

Xu Qiu was deep in thought and ignored her, saying coldly: "Be quiet."

"Oh..." Yang Yuen shut up immediately, and the office became extremely silent for a moment.

Xu Qiu frowned, raised his head, glanced at Yang Yuen, and said, "Keep talking, don't stop."

"ah?"

Yang Yuen was stunned for a long time before he realized that Xu Qiu hoped that there would be some movement in the office, but not to interrupt his thinking.

"Okay, on the CT report sent by the patient, we can see that the heart shadow is enlarged, which means that the patient most likely has a history of chronic anemia, but this time I don't know why it suddenly had an acute attack, and it was so serious...

Also, there are several common reasons for such poor liver function, including drug-related, alcohol-related, toxic, ischemic, metabolic, infectious diseases, etc..."

With Yang Yuen talking to himself in the background, Xu Qiu's eyes quickly scanned Wei Ding's medical records and examination reports.

The patient's coma at the time was most likely caused by respiratory alkalosis and low carbon dioxide, a disorder of consciousness.

Subsequently, as the disease progressed, acidosis developed.

Lactate continues to rise and exceeds the maximum value, which is likely to be the cause of acute liver failure.

The liver of normal people can quickly metabolize lactic acid produced by the body, thereby maintaining lactic acid levels within a reasonable range. However, patients whose liver function is severely damaged naturally lose their ability to metabolize lactic acid...

In addition, almost all coagulation factors in the human body are synthesized in the liver. If the liver is damaged, the coagulation and anticoagulation systems will naturally be greatly affected.

From this point of view, anemia and abnormalities in coagulation function can also be linked to liver function.

"In other words - all the problems are liver damage?"

Xu Qiu took a deep breath.

If you think about it carefully, all the patient's indicators can be directly or indirectly related to liver function damage. If you want to find a cause, triggering it from various critical values ​​and searching to the end, it will all fall on the liver.

So, the question now is - how does acute liver damage come about?

Xu Qiu was pulled away from her thoughts and her eyes fell on the face of Yang Yuen who was talking to himself and giggling.

"Hey, idol, do you want to continue talking? I just talked about my elementary school, and later I will study abroad in junior high and high school..."

Xu Qiu shook her head: "Who is responsible for caring for bed 37 at night?"

Bed 37 is Wei Ding.

Yang Yuen thought for a while: "It should be Sister Yang Meng. I went to check her blood gas with her before the operation."

"You call her over."

"okay!"

Yang Yuen moved very quickly, and within ten minutes, Yang Meng was pushed and rushed over.

"There's no need to be so hasty..." Xu Qiu felt helpless.

Yang Yuen was always impatient in everything he did. He actually thought Yang Meng was walking slowly and wanted to run over with him on his back.

"Did the patient show any abnormal behavior when you were caring for him?" Xu Qiu asked.

Yang Yuen thought about it carefully and shook his head:

"Bed 37 is a key patient in the department, so I pay close attention to him. Apart from his tendency to curse, he has no other symptoms - and he didn't bring any luggage, and his clothes were changed into hospital gowns without pockets. It’s unlikely that he took any medicine secretly.”

Common causes of acute liver failure include drugs, poisons, alcohol, and infectious diseases.

Alcohol and infectious diseases are easy to rule out.

I won’t talk about the former, you can tell by getting close and smelling it.

As for infectious diseases - although the patient did suddenly have an increase in white blood cells and an imbalance in the proportion of neutrophils, lymphocytes, etc., suggesting infection, this is absolutely impossible to cause such severe liver function damage.

This mild disorder is more like acute inflammation caused by damage to liver function and disorder of various body indicators.

It is not inflammation that causes acute liver failure.

Cause and effect are exactly the other way around.

Therefore, what can be suspected is taking medicine and poisoning.

"Has the liver function function I asked you to do just now come out?" Xu Qiu asked.

Just more than ten minutes ago, he asked the ward to do another liver function test.

For such a rapid illness, the indicators are completely different every moment, so he needs to grasp the indicators at all times.

"It's out! I just happened to come back from there with the results." Yang Meng took out a report from the pocket of the nurse's uniform.

Xu Qiu glanced at it and her expression changed again.