When doctors have a simulated operating room

The risk of infection is high.

Bromadiolone is a low-toxic rodenticide, but its half-life is very long.

Long half-life means that the blood concentration of this drug in the body is high, and it takes a long time for the concentration to go from high to low.

(Refer to the Hiroshima atomic bomb, a little boy fell, and the whole city still had radioactive substances for decades, and the concentration only changed from high to low over time.)

It not only has a long half-life, but also has strong fat solubility.

In layman's terms, this drug can not only integrate with the body, but also release its efficacy very slowly.

Therefore, many patients with bromadiolone poisoning often need to be infused with vitamin K1 for several months or even more than half a year before they can be completely cured.

However, this is only limited to patients with normal bodies!

If a person has high cholesterol in the body, the efficacy of vitamin K1 will be greatly reduced.

The treatment cycle will also be greatly extended.

Because high cholesterol will hinder the absorption of vitamin K1!

This also explains why she started to have bleeding gums two years after being discharged from the hospital for poisoning, even though no one had been poisoning her for a long time.

One reason is that the half-life of this drug is long, and the absorption of the drug may have been affected by high cholesterol during the first hospitalization.

However, under the influence of the drug's efficacy, the values ​​checked at the time of discharge can tend to be normal, making people mistakenly believe that the poison has been resolved and can be discharged.

But was the poison really resolved at that time?

Not necessarily.

With the blessing of high cholesterol, strong fat solubility, and long half-life, the symptoms of bleeding gums can still appear two years after discharge.

"Doctor Zhang? Why is my cholesterol related to poisoning?" Seeing that Zhang Yi was silent, the woman took the initiative to ask.

"That's right. You should know that vitamin K1 can be used to inhibit bleeding in patients with bromadiolone poisoning, right?"

"Yeah, I know. I used this medicine four years ago, and I took it for three consecutive months after I was discharged from the hospital."

"Well, the problem lies in cholesterol. If cholesterol is high, it will affect the absorption of vitamin K1. It is equivalent to that others can be cured with one medicine, but you need two or even three. The treatment cycle is also the same. Others may be cured in one day after infusion, but you need two or three days or even longer."

"So that's the case... Will obese people have high cholesterol?"

Zhang Yi nodded: "Not 100%, but 99% of patients are like this. Not only are the three highs standard for obese patients, but high cholesterol is also."

"Then I will... What? I have lost so much weight now, so my cholesterol should not be that high, right? "

"You will know tomorrow. I have prescribed a test for you. The nurse will come to draw your blood tomorrow morning on an empty stomach. I will tell you when the results come out."

"Okay, thank you, Doctor Zhang!"

After talking, Zhang Yi was ready to go out, but after thinking about it, he turned around and reminded the patient:

"Although it is suspected to be related to cholesterol, I suggest you clean up your house after you go back. Make sure there is no rat poison or rats infected with rat poison walking around in your house, otherwise the disease will keep recurring and will not be cured."

"Okay, I will go back and do a big cleaning after the infusion!"

The female patient promised solemnly.

Zhang Yi saw that she had listened to his words, so he nodded and went out.

Looking at Zhang Yi's back as he strode away, Fang Wenhui and her friends in the ward looked reluctant.

Oh my God, he is leaving now?

Don't you want to talk more? ?

…

In the evening, when Zhang Yi got off work, he happened to see Xu Changyuan and Tang Xiaohe waiting for him in the hospital again.

"Uncle, didn't I say I can go back by myself? You don't need to pick me up."

"Oh~" Tang Xiaohe smiled dotingly: "We will leave tomorrow morning. We will come to pick you up again and see you more. If you leave, we won't be able to see you anymore."

"Okay, okay, then you should see me more, okay? By the way, uncle and aunt, I plan to buy a house in the capital, so that when you or my cousin come to the capital, we can have a place to live."

Zhang Yi expressed his idea.

The attitude of the two elders really disagreed.

The reason is that there is no need to spend so much money specifically for them.

The housing prices in the capital are not a joke.

But Zhang Yi insisted: "It's okay, I work here anyway, and if I have a house, you and your cousin will have a place to stay instead of staying in a hotel. Besides, I don't need this little money."

Hearing Zhang Yi's generous tone, Xu Changyuan and Tang

Xiao He looked at each other, both of them were shocked.

This kid is so arrogant!

For ordinary office workers like them, the price of a house in the capital is an astronomical figure.

But Zhang Yi said it so easily.

It's as if buying a house is like buying vegetables, which can be bought casually...

Oh.

Forget it.

After all, the child has grown up, and he is still so amazing, how can he compare with ordinary people?

"Okay, okay, since you think so, then it's up to you. Anyway, you are old, and having a house is just right for you to start a family."

Xu Changyuan nodded and agreed with Zhang Yi's idea of ​​buying a house.

Zhang Yi took the two elders to dinner and then went shopping, and then sent them back to the hotel to rest.

The two elders will go back tomorrow, and they came in a hurry this time and didn't bring any special products.

But as long as Zhang Yi is fine, special products are trivial.

"Xiao Yi, you are doing well in the capital. Don't let us worry. If you have any difficulties, just tell us. We have some money here and can help you a little."

Before leaving, Tang Xiaohe gave a few more worried instructions.

Zhang Yi smiled and nodded: "I know, aunt, don't worry, I won't have any difficulties one day."

"Haha, you kid, as long as you are well, I will save you before I feel relieved."

"Okay~"

There is always a time to finish talking.

After saying goodbye to the two elders, Zhang Yi returned to the apartment.

Then he started looking for houses on the computer. The price was secondary.

The main thing was the location, the community environment, and not too far from the hospital.

Union Hospital is in the center of the capital, next to Wangfujing.

The houses around here... the ones that are eye-catching are really not cheap.

Either the high-rise buildings can directly see the Tianmen Old Palace, or the low-rise courtyard houses.

I feel that my current fame is too extravagant, which seems not good.

After looking for a while and not finding anyone he liked, Zhang Yi washed up and went to bed.

The next morning at 10:30, Zhang Yi had just come back from his rounds when the results of the blood test in the laboratory came out.

As expected, Fang Wenhui had high cholesterol.

High cholesterol can affect the absorption of drugs, so Zhang Yi prescribed her a cholesterol-lowering drug.

Only by taking two approaches can Vitamin K1 take effect as soon as possible.

…

Time flies by in the busyness.

A week later, a long list that Jin Zhenglun worked so hard to come up with was finally handed over to Zhang Yi.

"Here, these are the candidates I selected in the initial screening, take a look."