Sleepless Doctor

Latest URL: Isn't this nonsense playing word games?

Alcoholism is not drinking. Is it because the doctors treat the ethanol as salt water to the patient to calm down? Similar serious mistakes have not appeared in the medical history of the Republic.

Chief Zou's face turned ugly. Chu Zhixi's words were more ugly than swearing by pointing her nose, and it made herself feel uncomfortable. No drink but alcohol intoxication, just like listening to the heavenly scriptures, how can Professor Chu talk nonsense.

Matthew De did not speak, but looked at Chu Zhixi calmly, he seemed to have thought of something. He raised his eyebrows lightly and remained silent.

"Professor Chu, what you said makes me very uneasy." Chief Zou said, "There will definitely not be medical ethanol for patients to calm down..."

"I didn't say it was a medical accident." Wu Mian said, "Director Zou and Director Xia, are the head nurses here?"

The head nurse? Director Zou and Director Xia were taken aback at the same time.

Generally speaking, the head nurse seldom participates in the whole hospital consultation, unless there is a major operation involving nursing work. The difficulty of today's patients lies in the diagnosis, and the head nurse has already gone home after get off work.

"Mr. Wu, the head nurse is off work." Director Xia Qing explained.

"Well, ask the head nurse if you have lost your hand sanitizer in the ward."

"..." Everyone in the office stared with big eyes, fast or slow, and instantly understood what Wu Mian and Chu Zhixi meant.

Hand sanitizer contains isopropanol, not to mention anything else, this substance carries the word alcohol, and its chemical structure is similar to ethanol.

And some disinfectants themselves also contain alcohol, for example, some disinfectants have an alcohol concentration of up to 70%.

Yes!

The fog was broken by a few words by Wu Mian and Chu Zhixi, and it suddenly became clear.

Director Xia Qing quickly took out his mobile phone and called the head nurse.

"Mr. Wu... your judgment should be correct." A doctor said after thinking for a few seconds in accordance with Wu Mian's thinking. Interstitial metabolic acidosis. Because isopropanol can be metabolized to acetone, it is caused by oral hand sanitizer."

"Well, the hand sanitizer contains some lactic acid, which may cause an increase in the anion gap." Wu Mian said lightly.

"I remember." Another middle-aged doctor stretched out his frowning eyebrows and said, "There are reports that the serum creatinine level has spuriously increased after isopropanol poisoning. This can explain the increase in the serum creatinine level and the patient Observed normal blood urea nitrogen levels."

"Yes." Wu Mian smiled slightly. "Ingesting a large amount of hand sanitizer can cause mental state, upper gastrointestinal bleeding, and a false increase in urine acetone and serum creatinine levels."

"Mr. Wu, the head nurse said he will come soon." Director Xia Qing said.

"No, just ask if you have any impressions." Wu Mian said with a smile.

"The head nurse said that nothing in the large library was lost. The hand sanitizer outside is in the treatment room, and it is impossible for patients to enter."

"Oh, tell the head nurse it's okay." Wu Mian said confidently, "Director Xia, please ask the patient's family, including those who were discharged from the hospital today, and were still in the hospital yesterday afternoon and night."

Wu Mian's reminder was in place, and even the smallest details were thought of. Director Xia Qing didn't have time to think about it, and immediately began to arrange tasks, directing the doctor on duty, the general inpatient, the second-line professor, and the nurses to ask questions in different wards.

In less than 10 minutes, Director Xia Qing came in happily, "Teacher Wu, I found it!"

"Oh." Wu Mian smiled.

"A family member of the patient said that they washed up in the bathroom yesterday afternoon and lost a bottle of hand sanitizer."

At the end of the corridor of the ward of the First Hospital of Medical University is a bathroom and a toilet, and in the middle is a place for washing. There are separate toilets for men and women. It is a standard and typical old-fashioned building.

“The patient’s family members said they took the washing utensils to wash their hair, but the hand sanitizer disappeared when they raised their heads. Afterwards, many people were asked, but no one saw it.”

"Ask the time and check the video surveillance."

Uh, is it still so troublesome? Director Xia Qing was taken aback, looking at Wu Mian not knowing what to say.

"Oral hand sanitizer is only one of the possibilities, and there are other diseases that may appear in similar situations to be investigated, so it cannot be arbitrarily considered that it must be an oral disinfectant."

Director Xia Qing wanted to ask what was going on, but after hesitating twice, he finally gave up the idea.

Fortunately, Director Zou was here and contacted the Security Department to retrieve the corridor surveillance video at the same time period and confirmed that the patient did go to the bathroom at the same time.

Because the toilet is not monitored, the patient's "successful" hand sanitizer was not photographed. But with so much evidence, everything is clear.

There is no doubt about the diagnosis of isopropanol poisoning.

"Ms. Wu, I have a diagnosis, please give me a treatment plan." Director Xia Qing said respectfully when he explained everything to Wu Mian's side.

Teacher Wu looked young, with a diagnostic level...right there. During the whole hospital consultation, everyone talked for a few hours, and had no idea about the patient's condition. When Teacher Wu came, he solved the problem in a few words.

Oral hand sanitizer... is not a diagnosis, but an inducement, which is a bit weird. Normal people who can take that thing by mouth, isn't that sick?

"There is no specific treatment for isopropanol poisoning. Normal supportive treatment is fine." Wu Mian said with a smile, "Director Xia, you are welcome. Isopropanol intake rarely has fatal consequences, so don't worry too much."

Wu Mian broke Director Xia Qing's mind with a single sentence.

"Mr. Wu, here I am..." Director Xia Qing was a little embarrassed.

"Director Xia, you have strict management and meticulous work here, which is good." Wu Mianzan said, "Under normal circumstances, patients enter the treatment room and drink hand sanitizer secretly, which leads to isopropanol poisoning. But our department It’s done well, and the head nurse can be sure that the hand sanitizer has not been lost, great!"

Hearing what Wu Mian said, Director Xia Qing carefully distinguished the subtle expressions on his face. The compliment is sincere~www.wuxiaspot.com~ But... Mr. Wu is so beautiful.

Face value is justice, what Mr. Wu said is definitely right, Director Xia Qing thought in his heart.

"Teacher Wu, have you met this?" Director Xia asked.

"I was joking with an engineer in a laboratory in New York State. He adjusted a bottle of hand sanitizer and drank it directly."

"..."

"Surfactants, triclosan, emollients, flavors, deionized water, olive oil extract and isopropanol."

"What happened later? Was it poisoned?"

"I don't drink much, it's a joke after all, discussing the taste of hand sanitizer together." Wu Mian smiled.

The people all over the room looked at Wu Mian with surprise.

Does this kind of thing still need to be discussed? Did Mr. Wu spit out lotus flowers and make the foreigner lame?