The most enlightened doctor
Chapter 67 Unexpected Discovery
In addition to discovering that the bride-to-be, Yao Chengyun, was more than a month pregnant, Yu Zhiming also accidentally discovered that her kidneys had obvious swelling and inflammation.
He further inquired and learned that Yao Chengyun's defecation and urination this morning were normal.
There is no pain or other discomfort now.
Yu Zhiming initially concluded that it was an attack of acute nephritis.
Moreover, the onset of the disease is quite rapid.
After Yao Chengyun learned that Yu Zhiming was a young doctor recruited by Huashan Hospital, he followed his advice.
She immediately took the bus with Yu Zhiming, Zhou Mo, and Zhou Mo's mother Zhou Hao. After more than half an hour, she arrived at the Qiyue Medical Research Center of Huashan Hospital.
After arriving at the center, Yu Zhiming conducted a further detailed inspection on Yao Chengyun.
This inspection really shocked Yu Zhiming.
Yao Chengyun's kidneys actually showed signs of functional failure. Not only that, his liver and lungs also experienced inflammatory reactions.
Moreover, whether it was an hallucination caused by nervousness or fear, or whether it was real, Yao Chengyun said that she felt a burning sensation in her throat, felt nauseous, and began to feel pain in her abdomen.
Yu Zhiming corrected his judgment to acute poisoning.
Or, high-risk viral infection.
He asked nurses and doctors to induce vomiting and gastric lavage for Yao Chengyun in accordance with acute poisoning, and provide drug support treatment to her kidneys, liver, lungs and other organs.
Moreover, Yu Zhiming also injected Yao Chengyun with broad-spectrum antibiotics to enhance her resistance to the virus.
At the same time, he also asked the nurse to urge the hospital testing center to initiate emergency and rapid procedures to test Yao Chengyun's blood, saliva, urine and feces samples that were sent there.
While Yao Chengyun was undergoing gastric lavage, Yu Zhiming came to the laboratory of the Medical Research Center to test Yao Chengyun's body fluid samples with specific reagents readily available here.
Rapidly detect possible toxins or viruses in their body.
The result is that none of them match.
Yu Zhiming was a little flustered, so he took out his cell phone and dialed Qi Yue's number...
"Teacher, I met a patient in critical condition..."
Yu Zhiming told Yao Chengyun's situation and his response measures concisely and without omission.
"Teacher, her condition is developing rapidly. If the cause of the disease cannot be found and targeted treatment is given, I suspect..."
"Her liver and lungs are likely to fail like her kidneys."
"By then, it's probably too late."
"Zhi Ming, there were no mistakes in your medication and response measures. It can be said that you did a pretty good job."
Qi Yue first affirmed on the phone and then criticized: "As a doctor, no matter how bad the situation is, don't panic. How can you treat patients better when you are already panicking?"
Yu Zhiming took a deep breath and said, "Teacher, this is the first time I have encountered a patient whose disease progressed so quickly."
"Both kidneys failed in less than an hour. After all, I don't have much time left."
"I don't have a clue yet, and the testing center hasn't sent the test results yet..."
Qi Yue advised: "Detection requires a process."
"Hey, did the patient say that he ate or drank anything unusual today?"
Yu Zhiming replied: "I asked about it in detail on the way to the hospital."
"The patient said that during this period, in order to maintain her figure and show her best self at the wedding, she has been eating healthily and has never eaten out."
After a moment of silence, Qi Yue's voice suddenly came from the phone again.
"There was a burning sensation in the throat, nausea and vomiting, abdominal pain, and damage to the kidneys, liver, lungs and other organs."
"Zhi Ming, you judge that it is acute poisoning or a high-risk virus, but the specific detection reagents prepared in the laboratory cannot detect it."
"If, as you said, the patient is really poisoned, what toxins can this poisoning symptom remind you of?"
What toxin?
Yu Zhiming thought hard.
But at this moment, his brain seemed to be frozen, and nothing could come out.
He had no choice but to honestly say: "Teacher, my head is empty right now and I can't think of anything useful."
Qi Yue's somewhat lively voice suddenly came from the phone, "A ruler is short, an inch is long."
"You are so young and have limited experience. It is inevitable that you are not good at emergency response under pressure."
After a pause, Qi Yue suddenly gave instructions in a deep voice.
"Zhi Ming, I suspect castor poisoning."
"You notify the testing center and ask them to first test whether there are castor-related components in the patient's stool."
"Ricin poisoning has an incubation period ranging from three to 12 hours. If we are lucky, we may be able to detect castor components in her feces."
"You first treat the patient as suffering from castor poisoning."
"We'll talk about the rest when I come to the hospital."
Just as Yu Zhiming wanted to say something, he found that Teacher Qi had hung up the call.
However, Teacher Qi's diagnosis of "ricin poisoning" made Yu Zhiming feel heavy.
Ricin is extremely toxic and can cause death if ingested in small amounts.
Moreover, this toxin cannot be detected through existing technical means, and can only be judged empirically based on the symptoms displayed by the patient.
Best of all, this toxin has an average incubation period of ten hours.
Once its incubation period has passed and the symptoms of poisoning are obvious, there is no effective treatment.
The best treatment is to induce vomiting and gastric lavage as soon as possible at the beginning of misuse, and provide supportive treatment. Only in this way can you have a good chance of saving a life.
Because of this property of ricin, according to reliable sources, it is often used as a poison in political or espionage assassinations...
Just a few minutes later, Yu Zhiming received a notification from the testing center, saying that finely broken shells of castor seeds were found in the patient's feces.
Finally, a conclusive test result was obtained, but it did not bring any good mood to Yu Zhiming.
Looking at Yao Chengyun who had become much weaker after being tortured on the hospital bed, Yu Zhiming didn't know what to say.
"Where's your fiancé?"
"He went to Jinling early in the morning..."
Yao Chengyun suddenly realized something, stopped suddenly, and grasped the sheets tightly with both hands.
"He said the trip was important to his career and I didn't want him to come back if it wasn't necessary."
"Doctor, do I need to notify him to come back?"
"Also, do my parents and family need to be notified too?"
Yu Zhiming saw Yao Chengyun's nervousness, and her voice began to tremble when she spoke.
However, there are some things Yu Zhiming must say.
While she still looks quite "healthy" and has enough physical strength and intelligence, she can arrange the following matters.
"Your situation is a bit serious. In order to avoid unnecessary trouble, the hospital requires your family members to sign many documents. It is best to have them all come."
Yao Chengyun's face suddenly turned pale, without any blood on his face, and tears kept pouring out.
"Doctor, what disease do I have?"
Yu Zhiming was silent for a moment and said slowly: "It has been confirmed that it is ricin poisoning."
As soon as Yao Chengyun heard this, he quickly picked up the mobile phone placed aside and started searching in a panic.
Looking at the search results, she murmured: "I just went to the studio today to try on a wedding dress."
"I didn't do anything, why did I get poisoned?"
"Woooo..."
"I even found out today that I'm pregnant, wuwu..."
Yao Chengyun suddenly threw away her cell phone, grabbed Yu Zhiming's hand, and begged: "Doctor, please, I'm only twenty-five years old and I just found out that I'm pregnant with a baby."
"Doctor, I don't want to die, I really don't want to die!"
Yu Zhiming comforted him: "Don't worry, Director Qi from our center is on his way."
"He is a nationally renowned medical diagnostic expert."
"We will also invite relevant detoxification experts for consultation, and we will do our best to treat you."
"We won't give up."
"Don't give up yourself..."
Yu Zhiming's hard talk allowed Yao Chengyun to regain some of his emotions and self-control.
She picked up the phone and dialed her father's number.
"Dad, I'm going to die, wow wow..."
Yu Zhiming walked out of the emergency room and looked at Zhou Mo and her mother Zhou Hao who were standing outside.
"Not very optimistic."
He muttered something vague, adjusted his mood, and said to Zhou Mo's mother: "Aunt Zhou, since you have come to the hospital, why don't you do a comprehensive physical examination?"
Zhou Hao declined: "There is no need for a comprehensive examination. Doctor Yu, just give me a casual examination..."
Yu Zhiming took Zhou Mo and Zhou Hao to an examination room and asked Zhou Hao to lie on the examination bed.
He put on surgical gloves and, under Zhou Mo's gaze, began to examine Zhou Hao's body from head to toe.
During the initial examination of the chest and abdominal organs, Yu Zhiming found nothing worthy of concern.
But during a gynecological examination, it’s time to examine the uterus, fallopian tubes and other organs.
An unexpected discovery made Yu Zhiming unable to control his expression of surprise...
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