I can see the status bar

Chapter 861 Looking for clues
The abnormality of the four systems at the same time is a very... weird thing.

If you don't consider the sequence, just look at the systematic combination of these symptoms... Sun Lien's first suspect is radiation injury.After the human body is exposed to radiation, it is entirely possible that the bone marrow is damaged and the peripheral blood is abnormal, and the immune system is disordered.As for whether this kind of damage will be the same as myeloid hyperplasia, leading to an increase in the three lines of granulocytes, white blood cells and red blood cells... then it is out of Sun Lien's control.

As a diagnostician, what Sun Lien needs to do now is not to immediately and accurately determine what caused the patient's symptoms.What he needs is to find a general diagnosis direction based on the prompts in the status bar and the patient's condition.

So... could it be radiation damage?Sun Lien only hesitated for half a second, and then vetoed the idea.What a joke, there are several kilometers between the two patients.If both of them suffered from radiation damage, then the radiation radius of this radioactive source is at least two kilometers.If two fellow villagers separated by several kilometers can get sick almost at the same time, then there must be a circle with a diameter of about one kilometer in Ningyuan City, and all citizens will fall to the ground due to radiation.

More importantly, neither of these two patients had gastrointestinal reactions that are common to radiation—the most radiation-sensitive organ in the human body is the small intestine and the small intestinal villi in the small intestine.The small intestinal villi are very sensitive to radiation. Once exposed to more than 10Gy of radiation, the small intestinal villi will die and fall off from the intestinal wall.

The result of this action is that the patient suffers from severe diarrhea and is unable to absorb the effects through the intestines.If not dealt with right away and given supportive care...patients in this situation die very quickly.

Sun Lien is not sure whether Ningyuan has a lethal radiation circle with a diameter of one kilometer.But he was sure that neither patient showed any gastrointestinal symptoms.Therefore, the possibility of radiation damage can be completely ruled out.

From the perspective of the speed of the patient's onset, Sun Li'en felt... This really looks like poisoning.After all, the sudden onset of the disease and its progressive aggravation did conform to the general law of poisoning.

The Second Hospital must have done routine treatment for poisoning.Sun Lien is very confident about this.Although it has become the habit of the doctors of the fourth hospital to blackmail the second hospital, no matter how good they are, there will definitely be no mistakes in this kind of thing... there will never be any problems.

If the poisoning has been treated routinely... Sun Li'en continued to ponder, does this mean...the patient's poisoning occurred earlier than the treatment in the Second Hospital?Getting to the point where routine gastric lavage and ejaculation won't help?
With questions, it is much easier to find clues.Sun Lien quickly looked through the previous case records. Sure enough, the patient was admitted to the hospital and underwent gastric lavage at 07:30 the night before yesterday, which is about 30 hours from now.

The earliest abnormal state appeared 49 hours ago, that is to say, the patient began to have abnormal symptoms around noon.The Second Hospital performed gastric lavage on the patient about six hours after the onset of the disease.This time is enough for the patient to absorb and ingest enough toxic substances through the digestive tract, and absorb these toxic substances into the body.

There is no problem with this logic, and it does make sense.Sun Lien frowned and stopped thinking - if it is confirmed that it is poisoning, and the poisoning incident has grown to the point where gastric lavage is ineffective, then the most important thing in the next treatment is supportive therapy and venting and promoting venting.

If it is possible to know what the patient is poisoned for, this can play a very important role in guiding the treatment.

"Did the patient come here by himself? Does he have any colleagues or roommates here?" Thinking of this, Sun Lien decided to obtain some information from other channels, "Has his family members come?"

"The patient is from Guangxi, and he is here as a migrant worker." Gou Jiesen replied, he had carefully read the patient's information for a long time, and now he is almost memorizing it. "The family members should have arrived in Ningyuan by now, and it is estimated that they will come in a while... His workmates sent him to the Second Hospital before, but they have not followed them now."

"Let his coworker come over." Sun Lien frowned, and then ordered, "Some questions need to be asked in person..." He suddenly thought about it, and then continued to ask, "Do you have the contact information of the patient's family?"

"Yes." Jason Gou took out a piece of paper from the case in his hand and handed it over, "It says phone number."

"Let me make a call." Sun Lien signaled Gou Jiesen to get in touch with Chen Binghui's workmate as soon as possible, and at the same time dialed the contact number of the family member with his mobile phone.

"Hello, I am the Fourth Central Hospital of Ningyuan City. Are you Chen Binghui's family member?" After the call was connected, Sun Lien quickly said to the phone, "I plan to take a look..."

As a result, before he could finish speaking, the phone was hung up.

Sun Li'en froze for a moment, and then called again. Unexpectedly, this time the call was simply not answered.

"I'll go, there is such a thing?" The more Sun Lien thought about it, the more he felt something was wrong, he simply picked up the fixed phone in the ward, and then dialed the same number again.

This time the other person picked up the phone again, and then said something in a language that Sun Lien couldn't understand at all.

"Can you speak Mandarin?" Sun Lien tried hard to maintain the call, "This is Ningyuan Fourth Central Hospital, and I am Chen Binghui's attending doctor..."

After the answer of "I'm tired of my mother, I'm a liar" came from the other end of the phone, the phone was hung up again.

Oh...it's not that the family refuses to cooperate.Although he was hung up on the phone, Sun Lien himself was a little relieved. The other person seemed to think that he was a telecom fraudster.

He called mainly because he wanted to check the WeChat or Alipay transaction records in the patient's own mobile phone.Most of the transactions now are carried out through mobile phones, and perhaps some clues can be found here.

The patient's onset was around one o'clock in the afternoon two days ago. That is to say, if you calculate it forward, the time point when he ingested the "pathogenic substance" was almost exactly when he was eating at noon.

The patient fell ill after eating, and gastric lavage in the Second Hospital was ineffective six hours later—if there is no doubt about the food, then Sun Li'en has a brain problem.

Considering that the patient came to Ningyuan to work alone, it is very likely that he will purchase ingredients by himself.And the residents of Guangdong and Guangxi... may have some eating habits that are not common in Ningyuan.

The clue that Sun Lien wanted to find might be hidden in this unusual eating habit.If you can find the purchase records before noon that day, you may be able to use these records to find the source of the ingredients.

(End of this chapter)