I can see the status bar

Chapter 289 Bacon
Not an infection, not an autoimmune disease, not poisoned by organic compounds.Sun Li'en hugged Hu Jia and twirled around, he was so happy.

"Should I wait outside for a while before coming in?" Dr. Pascal leaned half on the door frame, looked at Sun Li'en and Hu Jia with a smile and asked, "Why are you so happy all of a sudden?"

"I figured out what disease Zhan Hao has!" Sun Lien said to Dr. Pascal, "It's not an autoimmune disease, it's poisoning, heavy metal poisoning!"

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Heavy metal poisoning refers to poisoning caused by heavy metal elements or their compounds with a relative atomic weight greater than 65.Because heavy metals can irreversibly change the properties of protein surfaces, heavy metal poisoning often presents with hemolysis, smooth muscle spasms, and neurological symptoms.Since the liver and kidney are the most important metabolic and detoxifying organs of the human body, heavy metal poisoning will also seriously affect the health of the liver and kidney, and in severe cases, even organ failure and other symptoms may occur.

"It can explain all his symptoms." Dr. Pascal nodded after thinking for a moment, then shook his head again, "But, he has no way of contact."

"I'll call everyone back first, Xiao Guo! Get a urine test for lead!" Sun Lien didn't investigate how the patient ingested lead.The second half of the sentence was directed at the nurse Xiao Guo.

After several phone calls, Xu Yourong and Yuan Pingan, who hadn't had time to wash their hair, were called back, and even Liu Pingchuan was invited into the conference room by Sun Lien.The urine sample had been sent to the laboratory for testing, and he explained his diagnosis to many members of the treatment team.Hu Jia found an empty seat and sat down, quietly admiring her boyfriend's performance.

"Besides heavy metal poisoning, there is no other explanation for his symptoms." Sun Lien explained his diagnosis opinion to the team members, "From the point of view of symptoms, the most suitable manifestation is acute lead poisoning. The specimens were sent for testing, and the results should be available soon."

Liu Pingchuan frowned and knocked on the table, "You also said that it is acute poisoning. Whose acute poisoning will show up nine days ago, then relieve itself, and then attack nine days later?"

"If it is a fat-soluble compound poisoning, it may gradually increase due to nutritional intake problems. I have heard of some cases of allergies caused by fat-soluble substances. The allergic substances absorbed and stored by the cells. Later, he barely stopped consuming fat by relying on high-calorie foods. But it continued to deteriorate, and there was no such fluctuation in the middle.” Dr. Pascal said his opinion, “He has never Another hospital was sent to us, about 30 minutes on the road, maybe a little cold after getting in and out of the car. But I don't think three 10 minutes of bumps and short colds may make the sickness in remission come back again Outbreaks—even heavy metal poisoning shouldn't be possible."

"The most important thing is that this patient is engaged in electrical assembly. He is a contract worker for the electrical system. It is not a smelting or metal processing industry, nor is it a heavy polluting industry such as batteries. The amount of acute lead poisoning that needs to be ingested at one time is It's very big. In the past five years in our city, there hasn't been a case of acute lead poisoning, not even chronic ones." Xu Yourong disagreed with Sun Lien's diagnosis, "Even if he was really poisoned, it's obvious that he's gone after being hospitalized in the hospital. poisonous substances. In this case, he will not have another acute attack nine days later."

Sun Lien's diagnosis was often questioned by other doctors because of cheating, but Sun Lien was very confident at those times - how could the results of cheating be wrong?But this time was different. The diagnosis this time was entirely based on Sun Lien's own deduction.The information provided by the status bar is actually very limited, not even beyond the existing inspection results.

Therefore, Sun Lien is a little hypocritical.

But Sun Lien could not understand the logic of the content he deduced.Indeed, disease diagnosis is like detective reasoning. When you rule out all other possibilities based on the available intelligence and evidence, the remaining answer, no matter how implausible, is the correct answer.

The patient's condition and blood test results did not match any known infection or autoimmune disease.Either Zhan Hao was poisoned by heavy metals and ingested the poison again within nine days, or he was suffering from some as yet unknown disease.

The second scenario is not entirely impossible, but the first is obviously more likely.

"Anyway, we'll know when the results of urine lead come out." Sun Li'en made the diagnosis entirely on his own, and Sun Lien was full of confidence at the moment.

Yuan Pingan suddenly laughed, "Don't tell me, if it is really heavy metal poisoning, you may be the only one in this room who is most likely to diagnose it."

"Why?" The atmosphere in the room eased, and Hu Jia couldn't help asking.Although she and Xu Yourong were pretty close, seeing a group of doctors keep denying Sun Lien's diagnosis made her feel somewhat uncomfortable.Now hearing Yuan Ping'an's approval, Hu Jia immediately became curious.

"Heavy metal poisoning is not within the scope of diagnosis and treatment in our general hospital. Especially the lead poisoning he is investigating." Yuan Ping'an replied, "If you are not a medical student in public medicine and occupational disease prevention, you can come into contact with the concept of 'lead poisoning'. It was when I was taking a public health course in my junior year. To put it bluntly, Sun Lien was the only doctor present who could clearly remember this disease. If he hadn't thought of this aspect, we might have to work around for a long time before thinking about it."

"Actually, I didn't think of it." Sun Li'en explained with a smile, "Hu Jia mentioned to me about the peeling off of the insulation tableware, so I thought about it. Didn't you always say that the peeling of the coating would cause poisoning? The doctor in the laboratory also mentioned to me that the patient's blood sample had a large number of basophilic stippling red blood cells under the microscope. The large number of basophilic stippling red blood cells is likely to be caused by heavy metal poisoning."

"If it is poisoning, we must find out whether he accidentally ingested it in his daily life or whether there is poisoning." Liu Pingchuan made a decision, "The patient is still conscious, and his family members seem to be in the hospital. Li En, you go and ask about the situation, and if necessary, call Lao Wu to come over."

Hu Jia and Sun Lien walked out of the conference room together, and after the two of them got bored for a minute or two, Hu Jia waved at Sun Lien, saying that she had to go back to rest.And Sun Li'en walked to Zhan Hao's side with a strange satisfaction of successfully performing in front of his girlfriend.

"Doctor Sun." Zhan Hao still looked weak, but his spirit was not bad. "This time I really trouble you."

"This is what we should do." Sun Li'en pulled out a stool and sat down beside Zhan Hao's bed, "I have some questions to ask you about your cause of disease. Please try to answer truthfully, if you don't remember or it is difficult to answer Yes, and tell me why."

Zhan Hao nodded with a wry smile, "In more than a week, I was in pain twice. I don't want to have this feeling for the third time in my life. Just ask, and I promise to tell you everything."

"Before you first fell ill, did you do any work related to metal smelting? Or entered a place that used to be a factory?" Sun Lien asked from the simplest place.The most likely to cause heavy metal poisoning is the air. Metal dust may enter the alveoli through the respiratory tract and enter the blood during the gas exchange of the alveoli.

"No, there is no such place near my house." Zhan Hao shook his head lightly, and asked worriedly, "Doctor, I always feel that my eyes can't see clearly..."

"Vision problems should also be related to your condition." Sun Lien explained, "We need to determine your cause, and then we can deal with this problem in a targeted manner." Demyelinating lesions are actually very difficult to continue treatment Lesion - The damage it causes is almost irreversible.However, if the diagnosis can be made as soon as possible and the treatment started, Zhan Hao's vision can still recover to a certain extent—but the degree of recovery is hard to say.Therefore, Sun Lien didn't say anything to death, and now is not a good time to increase the psychological burden of patients. "During this period of time, have you taken any folk prescriptions or traditional Chinese medicines to regulate your body?" For example, medicinal materials such as lead powder, lead red, yellow dan, and Mituseng, as well as Chinese patent medicines such as Erwei Heixidan contain a lot of lead.In some cases, drug-induced lead poisoning is likely to occur due to mistakes in the pharmacy, or the wrong measurement of the dosage of the drug in the prescription prescribed by the doctor.

"No." Zhan Hao continued to shake his head, "My brother works in the medical school. He usually talks to me about what medicine is three-point poison, even Chinese medicine is the same. What's more, I haven't had any discomfort recently. Taking Chinese medicine What are you doing?"

"Then have you eaten any food that you have never tried before? Or drinks, medicinal wine?" Sun Li'en continued to ask, he was a little panicked, poisoning must have a way of contact.Without a way of contact, could it be possible that this poisonous substance fell from the sky and then fell into Zhan Hao's mouth?
"No..." Zhan Hao wanted to deny this question, but suddenly frowned, "The neighbors from my hometown came to Ningyuan a few days ago and brought me some bacon and the like, which tasted pretty good to me."

Sun Li'en suddenly regained his energy, "Bacon? How much did you eat last time? Have you eaten recently?"

"Last time... last time it seemed that my stomach started to hurt the next day after I finished eating." Zhan Hao also realized that there was a problem, "And the day before yesterday I asked my brother to go back and fried the remaining half of bacon for two A dish. He said he saw that I like to eat this meat, so he gave me all the dishes.”

Bacon, then there must be something wrong with the bacon!Sun Li'en suppressed the excitement in his heart, and patted Zhan Hao's shoulder lightly, letting him have a good rest.Then he walked out of the rescue room quickly, and grabbed Zhan Jun who was dozing at the door. "Brother Zhan, is there any leftover bacon that your brother ate before?"

"Yes." Zhan Jun nodded, not knowing why Sun Lien asked this question suddenly, "What's wrong?"

"Is it in your shop?" This question was answered in the affirmative by Zhan Jun, and Sun Li'en said anxiously, "You go back immediately and take care of this piece of bacon. I will call the police now and let the police go to pick it up... No, you Wait for me here. I'll call Old Wu over."

Zhan Jun was stunned for a moment, "What's the matter? Why is there still something about the police?"

"There may be something wrong with that piece of bacon. Someone is planning to harm your brother!" Sun Lien ran back again, whispered something in Zhan Jun's ear, and then left a sentence, "Wait for me here", and then ran to police station.

"Old Wu! I have sent you a big case!" Sun Lien pushed open the door of the police station, and shouted at Old Wu who was in the room who was sipping instant noodles, "Quickly ask some criminal investigation colleagues to come with me, Go to Ningyuan Medical College!"

　Criticize the friends who said nitrite poisoning in the previous chapter. The typical characteristics of nitrite poisoning are hypotension, cyanosis, chest tightness, dyspnea, dizziness, headache, and palpitations.The main symptoms are manifested in the circulatory system, and there will be no manifestations of acute abdomen.

　　
　
(End of this chapter)